chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Pain, SARS-CoV-2 test negative
Clinical narrative: Patient states that the following morning he began to experience side effects of Chills, Fatigue, Body Aches, and Dizziness.  After 5 days with no relief, he proceeded to urgent care and spoke with his PCP.  They have tested him with both a Rapid and a regular COVID test and both were negative.  He has never had a fever.  They have tried various treatments, but he is still  having these symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Red, itchy at vaccination site
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Itchy,  red rash  and swelling around vaccinated area.  Occured seven days  ( 2/22/21) after vaccination. Area warm.  Treating  with ice pack to control the itchiness.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Head titubation, Mental impairment, Tremor
Clinical narrative: Three days after injection, patient felt he could not think clearly. Four days after injection he experienced tremors involved his arms and head and upper body. These tremors lasted about 48 hours then went away.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Amylase, Aortic aneurysm, Appendicitis, Appendicolith
Clinical narrative: Discussed with ER provider last night about this patient. The abdominal findings and mild elevation of WBC gave us a hope to manage it with antibiotics alone because of his age, COPD, AAA. He was admitted to be kept NPO, and IV Zosyn was started. The understanding was to reassess the patient this morning and make appropriate decision   Surgeon's H&P 1/10/21, Admitted from ER: Admitted with sudden onset of right lower abdominal pain started yesterday morning. Not associated with vomitings, diarrhea, fever Was seen in ER last night WBC 13K and CT scan showed appendicitis with multiple appendicoliths. This morning he is having pain, slightly worse. Not hungry WBC 11.3K. Afebrile
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Bladder scan, Blood culture, Blood lactic acid, Chest X-ray
Clinical narrative: Discussed with ER provider last night about this patient. The abdominal findings and mild elevation of WBC gave us a hope to manage it with antibiotics alone because of his age, COPD, AAA. He was admitted to be kept NPO, and IV Zosyn was started. The understanding was to reassess the patient this morning and make appropriate decision   Surgeon's H&P 1/10/21, Admitted from ER: Admitted with sudden onset of right lower abdominal pain started yesterday morning. Not associated with vomitings, diarrhea, fever Was seen in ER last night WBC 13K and CT scan showed appendicitis with multiple appendicoliths. This morning he is having pain, slightly worse. Not hungry WBC 11.3K. Afebrile
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram abnormal, Culture urine, Decreased appetite, Diarrhoea
Clinical narrative: Discussed with ER provider last night about this patient. The abdominal findings and mild elevation of WBC gave us a hope to manage it with antibiotics alone because of his age, COPD, AAA. He was admitted to be kept NPO, and IV Zosyn was started. The understanding was to reassess the patient this morning and make appropriate decision   Surgeon's H&P 1/10/21, Admitted from ER: Admitted with sudden onset of right lower abdominal pain started yesterday morning. Not associated with vomitings, diarrhea, fever Was seen in ER last night WBC 13K and CT scan showed appendicitis with multiple appendicoliths. This morning he is having pain, slightly worse. Not hungry WBC 11.3K. Afebrile
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Electrocardiogram, Full blood count, Lipase, Metabolic function test
Clinical narrative: Discussed with ER provider last night about this patient. The abdominal findings and mild elevation of WBC gave us a hope to manage it with antibiotics alone because of his age, COPD, AAA. He was admitted to be kept NPO, and IV Zosyn was started. The understanding was to reassess the patient this morning and make appropriate decision   Surgeon's H&P 1/10/21, Admitted from ER: Admitted with sudden onset of right lower abdominal pain started yesterday morning. Not associated with vomitings, diarrhea, fever Was seen in ER last night WBC 13K and CT scan showed appendicitis with multiple appendicoliths. This morning he is having pain, slightly worse. Not hungry WBC 11.3K. Afebrile
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Peritonitis, Prothrombin time, Pyrexia, Scan with contrast
Clinical narrative: Discussed with ER provider last night about this patient. The abdominal findings and mild elevation of WBC gave us a hope to manage it with antibiotics alone because of his age, COPD, AAA. He was admitted to be kept NPO, and IV Zosyn was started. The understanding was to reassess the patient this morning and make appropriate decision   Surgeon's H&P 1/10/21, Admitted from ER: Admitted with sudden onset of right lower abdominal pain started yesterday morning. Not associated with vomitings, diarrhea, fever Was seen in ER last night WBC 13K and CT scan showed appendicitis with multiple appendicoliths. This morning he is having pain, slightly worse. Not hungry WBC 11.3K. Afebrile
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis, Vomiting, White blood cell count increased
Clinical narrative: Discussed with ER provider last night about this patient. The abdominal findings and mild elevation of WBC gave us a hope to manage it with antibiotics alone because of his age, COPD, AAA. He was admitted to be kept NPO, and IV Zosyn was started. The understanding was to reassess the patient this morning and make appropriate decision   Surgeon's H&P 1/10/21, Admitted from ER: Admitted with sudden onset of right lower abdominal pain started yesterday morning. Not associated with vomitings, diarrhea, fever Was seen in ER last night WBC 13K and CT scan showed appendicitis with multiple appendicoliths. This morning he is having pain, slightly worse. Not hungry WBC 11.3K. Afebrile
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Discomfort, Feeling hot, Pruritus, Tuberculin test
Clinical narrative: at 1430, pt. states she felt warm, went to screening station, temp was 99.5, went back to desk and felt warm.  States she started feeling pressure and warmth to her face with some itching. At 1500 she came to employee health.  RN gave her 25 mg liquid benadryl.  Her BP was 126/89, HR 87. No hives or swelling to Right arm noted. BP 117/80, HR 75.  at apprx 1520, bp 137/85, HR 67.  No other signs or symptoms noted.  1528, bp 121/82 At 1532, "patient states she feels good, almost back to normal".
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: On the third night after I received my second Moderna Vaccine , I broke out in hives under my breasts . I had nothing out of the ordinary , just the vaccine.  I took benedryl for 2 days and then they were gone. I did not seek medical treatment .
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: about 8-9 hours after site injection a swelling about the size of small apple accoured. kind of round and slightly SLIGHTLY red. this morning swelling less but injection site tender
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Large (2"x3") red splotch at region of injection. Tender and warm to touch.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pain in extremity
Clinical narrative: Sore arm and feel feverish on day of shot onwards. On 2/22/21 around 9:30am, I started having intermittent piercing headaches like someone stab me in the head. I can?t function when it occurred. It only lasted about 10-15 seconds. After that, I started taking Aleve and Acetaminophen 500 mg and it seems to stop.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Pulmonary embolism
Clinical narrative: Patient died on 02/20/2021.  Cause of death was pulmonary embolism.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Erectile dysfunction
Clinical narrative: AFTER 2 WEEKS (14 DAYS) FROM MY COVID MODERNA ADMINISTRATION VACCINE DATE , I NOTICED SUDDEN ERECTILE DYSFUNCTION AND ONGOING. I HAD NO ISSUES BEFORE THIS EVENT.  THE ONLY MEDS ADDED WAS VIT D2 50,000 UNIT/WEEK IN THE LAST 2 WEEKS. I WAS SEXUALLY ACTIVE AND NO ISSUES WITH ERECTION PAST DAYS AND YEARS.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Psychotic disorder
Clinical narrative: Date/time of event reported by patient: 02/23/21, 09:00AM, patient reports to healthcare center and reports "gradual psychotic episode" one week following vaccine administration; denies effects today.  03/23/21 11:15AM:  Phone communication with RN: Patient is at home, stable, in no distress. Patient reports after receiving his first dose of the Moderna vaccine, he shortly started noticing "gradual psychoactive effects," that he describes as "it just drove me mad." Patient reports "effects wore off now." Denies concerns/effects today.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Cardiac monitoring, Cardiac stress test, Electrocardiogram, Pulse abnormal
Clinical narrative: For the first time ever my pulse was erratic, going from 47 to 155.  Then on 2/15, pulse was again erratic, and EKG showed AFib.  Never happened before, no history
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: tiny rash on left side of stomach, and small amount on inner left forearm, very itchy. and itching still continues. I used Benadryl spray on it.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Early the morning after my arm swole with increased swelling and pain and I treated with OTC Tylenol
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Pain in extremity
Clinical narrative: Arm pain (moderate), injection site redness, fatigue (mild)
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Contusion, Dysphagia, Fatigue, Headache
Clinical narrative: Chills, body aches, lymph node swelling, headache, severe fatigue, purple bruise, swallowing issue
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Chills, body aches, lymph node swelling, headache, severe fatigue, purple bruise, swallowing issue
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: right arm where shot was given began to be sore and then itch and when I looked at it there was a rash a few inches long and oval in shape.  It is the 2nd day of the rash and it is the same in size and redness but not as itchy and some soreness.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Immunoglobulin therapy, Platelet count decreased, Thrombocytopenia
Clinical narrative: Severe thrombocytopenia with epistaxis requiring hematology consultation, IVIG, and ultimately daily eltrombopag therapy to correct.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Stomatitis
Clinical narrative: Mouth sores
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: 2/18/21 itching at site, 2 circles one quarter and one silver dollar size, hot to touch and hard-2/20/21 circles grew to 3 inches and connected-2/22/21 top part of arm faded, turned hot and red/ covid arm- went back to dr. on 2/23/21
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Nausea, Vomiting
Clinical narrative: Immediately post-vaccination patient had emesis x1 with nausea.  Resolved with supportive management.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, slight fever (100.6), fatigue, slight intestinal distress
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Loss of consciousness
Clinical narrative: Without showing any side effect symtoms, patient suddenly fell unconscious and passed away within an hour. Though 911 was called and Paramedic was trying to revive the patient.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site discolouration
Clinical narrative: Patient has yellow discoloration on arm below the injection site and bruising around the area.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling
Clinical narrative: 16 days after receiving the first dose of Modern, I experienced a painful inflamed rash on upperpart of my body including neck, back, chest, torso, ears, and hips.  No other symptoms.   I have not made any changes to soaps,medicines,  diet, or other environmental triggers. I saw my doctor immediately and was prescribed a steroid pack to relieve the swelling and pain of the rash.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Arm began itching on day 5 after injection.  The itching progressed, became red around the injection site and the redness expanded down the arm (to the elbow) and around the arm front and back until it met at the bicep.  This has lasted for 7 days so far....  It is much better but still a bit red and itching a small bit.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: On day 8 after first dose of Moderna, injection arm started itching . It was under the arm of the injection site. On day 9 injection site also became itchy, red and swollen and bigger than the day before. It feels hot and slightly painful. Day 10 the warmth went down but still itchy, red and feel a hard lump on injection site.  Today is day 11 and still red and itchy but feels slightly better.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: On day 8 after first dose of Moderna, injection arm started itching . It was under the arm of the injection site. On day 9 injection site also became itchy, red and swollen and bigger than the day before. It feels hot and slightly painful. Day 10 the warmth went down but still itchy, red and feel a hard lump on injection site.  Today is day 11 and still red and itchy but feels slightly better.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis, Hypertension
Clinical narrative: Developed stroke like symptoms with  hypertension on 2/19/2021. treated on 2/22/2021 for bells palsy with left sided facial droop and severe hypertension at dr office.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error in administration.  Flu shot given prior to scheduled time. No adverse reaction noted. Pt informed. Doctor and RN manager informed.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Dysstasia, Pain
Clinical narrative: MORNING OF 2/17/21, DEVELOPED WEAKNESS, AND INABILITY TO STAND. GENERALIZED BODY ACHES AND PAIN, AND CONFUSION. WAS TRANSPORTED TO THE ER AND ADMITTED TO THE HOSPITAL.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site bruising, Injection site pain, Injection site swelling
Clinical narrative: Pain, swelling, extreme bruising at the injection site lasting 11 days. Injection site is still dark blue and swollen. Adverse effect happened right after the vaccine process.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Grip strength decreased, Injection site pain, Muscle twitching, Pain, Pain in extremity
Clinical narrative: Pain at injection site in left arm at initial time of injection. Patient within one day had pain that radiates down the arm into the thumb. Patient is left hand subjective decreased grip strength with normal grip strength on exam. Patient also reports uncontrolled twitching in left thumb.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Injection site pruritus, Injection site urticaria
Clinical narrative: On  2/19/2021 Day 7 following the date of my first vaccination which was occurred  on 2/12/2021, a delayed local reaction occurred with a 3'x4' red, raised, itchy,  painful area appearing at the vaccination site on my L arm. On 2/19//2021 I also experienced repeat generalized symptoms: including repeat headaches. body aches & extreme fatigue since 2/19/21 including today, which is  2/23/2021. I did not have the pronounced local reaction at the vaccination site on my L arm initially after the vaccination. When I looked up the delayed reaction online I realized some others have experienced this delayed reaction.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: On  2/19/2021 Day 7 following the date of my first vaccination which was occurred  on 2/12/2021, a delayed local reaction occurred with a 3'x4' red, raised, itchy,  painful area appearing at the vaccination site on my L arm. On 2/19//2021 I also experienced repeat generalized symptoms: including repeat headaches. body aches & extreme fatigue since 2/19/21 including today, which is  2/23/2021. I did not have the pronounced local reaction at the vaccination site on my L arm initially after the vaccination. When I looked up the delayed reaction online I realized some others have experienced this delayed reaction.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Magnetic resonance imaging
Clinical narrative: Swollen lymph nodes during MRI
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Pruritus, Rash erythematous
Clinical narrative: I got got the vaccine at 10:47 AM on 2/1/2021. On the morning of the 5th  I was itching. The on the 4th I have a lady who comes out to my house and helps me bath and she put gold bond lotion all over.  I thought it was the lotion so I bathed again and got the lotion off my body. It is has since gotten worse and worse, I have  little red spots on back, shoulders and arm. My shoulder has red bumps on it, looks like a rash and is rough feeling. The itching and spots are still there as of 2/23/2021. I spoke PA at my doctor's office and she called in  a prescription Pepcid AC 20 MG (one a day) and Wal-zyr (generic Zyrtec )  on the 2/19/2021. I have also been putting some Hydrocortisone cream on it as well.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient came to mass vaccination clinic and received Moderna for second dose. Second dose should have been Pfizer.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Pyrexia, Respiratory failure
Clinical narrative: Patient came to mass vaccination clinic and received Moderna for second dose. Second dose should have been Pfizer.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Recipient reports itching left arm  and rash on  left arm noted the day after receiving the vaccine. She added that the itching is gone and no new bumps have appeared.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Fatigue, sleep, Ok after 4 hours
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Burning sensation, Electrocardiogram, Joint noise, Muscular weakness
Clinical narrative: I woke up with severe shoulder/joint pain and weakness plus popping and cracking burning as well, in both arms left and right.  Plus joint pain in hips. Still having. the same weakness and pain as of  today on 2/23/2021.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: I woke up with severe shoulder/joint pain and weakness plus popping and cracking burning as well, in both arms left and right.  Plus joint pain in hips. Still having. the same weakness and pain as of  today on 2/23/2021.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Nausea, Oral herpes
Clinical narrative: chills, fever, weakness, fatigue, nausea
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypotension
Clinical narrative: Light headache, dizziness, low blood pressure (100/64 mmHg)
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pyrexia, Rash erythematous
Clinical narrative: 02/05/2021 PM onset of chills, extra tired, no fever; 02/06 - nausea, low grade fever, and extra tired , moderate not severe; 02/07- generalized crimson body rash, did not itch; 02/08 Improved
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: 02/05/2021 PM onset of chills, extra tired, no fever; 02/06 - nausea, low grade fever, and extra tired , moderate not severe; 02/07- generalized crimson body rash, did not itch; 02/08 Improved
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood culture, Blood lactic acid, Blood potassium, Chest X-ray
Clinical narrative: 1/12/21 er HPI: HPI 78 y.o. female who presents with pain swelling and redness left wrist and hand associated with  fever according to EMS, but temperature in the ER is 98.4° F. patient was said to have fallen on 1/7/2021.  *incidental finding bacterial pne*   1/12/21 admission History: The patient is a 78 y.o. female with a past medical history notable for  Dementia, atrial fibrillation, CHF, diabetes, reflux. The patient presents for evaluation of  Worsening issues of decline and trouble with breathing. Patient was evaluated the ER and found to have a urinary tract infection in addition to pneumonia. Due to patient's dementia history is difficult to take outside of history of which was taken for patient's nursing staff at skilled care facility. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Differential white blood cell count, Dyspnoea, Erythema, Fall
Clinical narrative: 1/12/21 er HPI: HPI 78 y.o. female who presents with pain swelling and redness left wrist and hand associated with  fever according to EMS, but temperature in the ER is 98.4° F. patient was said to have fallen on 1/7/2021.  *incidental finding bacterial pne*   1/12/21 admission History: The patient is a 78 y.o. female with a past medical history notable for  Dementia, atrial fibrillation, CHF, diabetes, reflux. The patient presents for evaluation of  Worsening issues of decline and trouble with breathing. Patient was evaluated the ER and found to have a urinary tract infection in addition to pneumonia. Due to patient's dementia history is difficult to take outside of history of which was taken for patient's nursing staff at skilled care facility. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Metabolic function test, Pain, Pneumonia bacterial, Pyrexia
Clinical narrative: 1/12/21 er HPI: HPI 78 y.o. female who presents with pain swelling and redness left wrist and hand associated with  fever according to EMS, but temperature in the ER is 98.4° F. patient was said to have fallen on 1/7/2021.  *incidental finding bacterial pne*   1/12/21 admission History: The patient is a 78 y.o. female with a past medical history notable for  Dementia, atrial fibrillation, CHF, diabetes, reflux. The patient presents for evaluation of  Worsening issues of decline and trouble with breathing. Patient was evaluated the ER and found to have a urinary tract infection in addition to pneumonia. Due to patient's dementia history is difficult to take outside of history of which was taken for patient's nursing staff at skilled care facility. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urinary tract infection, Urine analysis, X-ray limb
Clinical narrative: 1/12/21 er HPI: HPI 78 y.o. female who presents with pain swelling and redness left wrist and hand associated with  fever according to EMS, but temperature in the ER is 98.4° F. patient was said to have fallen on 1/7/2021.  *incidental finding bacterial pne*   1/12/21 admission History: The patient is a 78 y.o. female with a past medical history notable for  Dementia, atrial fibrillation, CHF, diabetes, reflux. The patient presents for evaluation of  Worsening issues of decline and trouble with breathing. Patient was evaluated the ER and found to have a urinary tract infection in addition to pneumonia. Due to patient's dementia history is difficult to take outside of history of which was taken for patient's nursing staff at skilled care facility. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: shortly after vaccination patient reported itching and injection site redness. Vital signs within normal ranges except heart rate 102 beats per minute. Patient administered oral diphenhydramine and observed. Symptoms improved and repeat vital signs all within normal ranges. Patient was discharged from vaccine clinic stable with symptom improvement.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient attended mass vaccination clinic and received Moderna as second dose. Patient should have received Pfizer for second dose.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Bright red itchy and painful rash at injection site, started about 12 after injection and remained for 1 week. Size from shoulder to below elbow.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray abnormal, Dyspnoea, Headache, Myalgia
Clinical narrative: Patient c/o fever, headache, myalgias, weakness on 2/4/2021. Presented to ED 2/6/2021 with above symptoms and shortness of breath.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient c/o fever, headache, myalgias, weakness on 2/4/2021. Presented to ED 2/6/2021 with above symptoms and shortness of breath.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Heart rate increased, Myalgia, Throat tightness
Clinical narrative: Felt Dizzy, plus rapid heartbeat, tightening of throat, muscle soreness and fatigue.  Symptoms occurred 45 minutes after injection.    Symptoms lasted  about 90 minutes.   Did lay down for 15 minutes which helped.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Echocardiogram normal, Magnetic resonance imaging brain abnormal
Clinical narrative: Stroke confirmed on MRI.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus
Clinical narrative: Burning itchness all over body
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever, chills, fatigue, ache, at injection site minor soreness. This went on for about 32 hours
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Insomnia, Limb discomfort
Clinical narrative: Heart flutters , sore arm , trouble sleeping
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Influenza like illness, Myalgia
Clinical narrative: Headache within 2 hours of injection, and flu like sym, chills, fever, muscle and joint aches for 3 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache within 2 hours of injection, and flu like sym, chills, fever, muscle and joint aches for 3 days.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: CSF protein increased, Gait inability, Guillain-Barre syndrome, Immunoglobulin therapy, Magnetic resonance imaging spinal abnormal
Clinical narrative: Patient developed  lower extremity weakness, the weakness progressed and after few days he was not able to walk even with help of crutches. Guillain barre  syndrome was suspected. He was sent to hospital. Lumbar puncture was performed on him showed elevation of CSF protein. He received  IVIG and his weakness improved. He also received Vitamin B12 injection due to Vitamin B12 deficiency
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Vertebral foraminal stenosis, Vitamin B12 deficiency
Clinical narrative: Patient developed  lower extremity weakness, the weakness progressed and after few days he was not able to walk even with help of crutches. Guillain barre  syndrome was suspected. He was sent to hospital. Lumbar puncture was performed on him showed elevation of CSF protein. He received  IVIG and his weakness improved. He also received Vitamin B12 injection due to Vitamin B12 deficiency
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Moderna vaccine for first dose and then Pfizer for second dose
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine with aura, Nausea
Clinical narrative: Onset of migraine visual aura and nausea.  Migraine headache did not occur  while the patient was under our observation.  Patient  thinks the aura may have been triggered by bright lights in observation room.  No medications given.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: dizziness
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness
Clinical narrative: Mild flu like sym. that started approx. 8 hrs after injection and lasted approx. 8 hrs.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: My arm is swollen and red.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness
Clinical narrative: Stiffness in the left shoulder
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Adverse Events: Slight Fever, pain at injection site, fatigue, muscle pain Treatment: acetaminophen Outcome: symptoms lasted 4 days
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Nausea, fever, muscle aches
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site mass, Pain
Clinical narrative: Horrible chills that night starting at 2am, along with body and muscle aches in both arms and shoulders. Next day the muscle aches were all over but not as bad, but a severe headache all day. Treated with tylenol all day along with ibuprofen + tylenol at night. The next day I felt fine, however noticed a baseball sized lump under my left armpit about 60 hours after the shot in my left shoulder. Internet says it's a swollen lymph node and known side effect. The next morning the swelling went down significantly and after another day it seems to be getting better.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Vaccination site presented with rash, itching, and warmth 48 hours after injection. Rash size diameter of approx. 4.0 inches; Itching, warmth, and redness is disappearing, beginning February 23, 2021. No other adverse affects noted.  Husband (age 80) received the same dosage at same time with no adverse symptoms to date. Patient (Reporting Party ) is a Licensed Registered Nurse.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Vital signs measurement
Clinical narrative: "Pfizer-Bio-Tech COVID-19 Vaccine EUA" : Individual received the Pfizer Covid-19 vaccine. She began to feel dizzy and flushed at 1:00 pm. Her vitals were 82/46, 22, 68, 98% RA at1:00 pm. We applied ice to back of neck. B/P 72/42,20, 76 P, 98 % RA. 1:20 pm. Individual report that he had not drink any fluids and only had a few bites to eat. Patient swallowing intact. She was given bottle of water. 1:46 pm vitals were 82/54, 100% SATS, 81, 14. Individual stated she felt better and was not longer dizzy. 1:55 pm vitals 79/54. 14, 78, 98% RA. Individual went home with family with no noted distress.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dysuria, Erythema, Fatigue
Clinical narrative: Pain and inflammation in left knee starting at about 7:30pm on 2/22/2021.   Chills starting at 11:30pm on 2/22/2021  Knee was bright red by 12:00am 2/23/2021.   Hydrocodone 5mg-acetaminophen taken at 8:30 pm.  No relief.   Oxycodone-Acet. 5mg taken at 11:30 pm pain worse, no relief.  By 2:30am considering ER.  2:30am took  2 Prednisone 10mg tablets, and 1 Ketrolac 10mg.  Pain relief within 20 minutes.  By 8:00am 2/23/2021 knee pain was  gone.  Did notice burning urination at that time, but none since.  by 12:00pm 2/23/2021  mild fatigue but no pain or inflammation.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling
Clinical narrative: Pain and inflammation in left knee starting at about 7:30pm on 2/22/2021.   Chills starting at 11:30pm on 2/22/2021  Knee was bright red by 12:00am 2/23/2021.   Hydrocodone 5mg-acetaminophen taken at 8:30 pm.  No relief.   Oxycodone-Acet. 5mg taken at 11:30 pm pain worse, no relief.  By 2:30am considering ER.  2:30am took  2 Prednisone 10mg tablets, and 1 Ketrolac 10mg.  Pain relief within 20 minutes.  By 8:00am 2/23/2021 knee pain was  gone.  Did notice burning urination at that time, but none since.  by 12:00pm 2/23/2021  mild fatigue but no pain or inflammation.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Malaise, Nasopharyngitis, Night sweats, Pyrexia
Clinical narrative: I began to feel ill in bed. I stood up to get some water. While pouring the water, I felt much worse - out of it. I dropped the cup but it didn't register with me. I tried pouring again but dropped the pitcher too. My girlfriend came out, woken up by the noise, and then saw me collapse and start shaking. I don't remember anything after dropping the pitcher. When I came to (maybe a few seconds later?), I asked if I hit my head. She said I hadn't (luckily she was there to catch my head) but I did urinate on myself. I was very cold shivering, teeth clattering. She got me over to the shower where I turned the temperature all the way up and sat underneath. After a while I began to feel better - the fog had cleared for sure. I got in bed after and slept it off. When I woke up I had sweat through my clothes and still had a mild fever, but aside from that I felt almost entirely better. It's been about two days since then and I still feel completely well.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Tremor, Urinary incontinence
Clinical narrative: I began to feel ill in bed. I stood up to get some water. While pouring the water, I felt much worse - out of it. I dropped the cup but it didn't register with me. I tried pouring again but dropped the pitcher too. My girlfriend came out, woken up by the noise, and then saw me collapse and start shaking. I don't remember anything after dropping the pitcher. When I came to (maybe a few seconds later?), I asked if I hit my head. She said I hadn't (luckily she was there to catch my head) but I did urinate on myself. I was very cold shivering, teeth clattering. She got me over to the shower where I turned the temperature all the way up and sat underneath. After a while I began to feel better - the fog had cleared for sure. I got in bed after and slept it off. When I woke up I had sweat through my clothes and still had a mild fever, but aside from that I felt almost entirely better. It's been about two days since then and I still feel completely well.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Red arm, rash 3 x 3 inches at injection site, very warm to the touch, itchy. Normal after four days.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: swelling at base of neck on left side
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Patient developed R sided Bell's Palsy approximately 10  days after vaccination
Age: 53.0
Sex: M
Vaccine: UNK
Symptoms: Feeling abnormal, Headache, Hypoaesthesia, Injection site reaction, Paraesthesia
Clinical narrative: Numbness and tingling in arm associated with vaccine- slight headache and feeling off.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives all over my face and ears, onset 7 days post-vaccination, on and off for four days so far, on different parts of the face
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pruritus, Rash
Clinical narrative: Rash  hot itchy dry 7 days later
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold
Clinical narrative: Chills, feeling cold
Sex: U
Vaccine: COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Headache, Influenza like illness, Lethargy
Clinical narrative: Evening of injection 2/16/21: arm pain, headache, feverish, flu-like feeling, lethargy. Next day and on and off on days since: gastrointestinal discomfort, loose bowel movements, lethargy, occasional headache.
Sex: U
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Evening of injection 2/16/21: arm pain, headache, feverish, flu-like feeling, lethargy. Next day and on and off on days since: gastrointestinal discomfort, loose bowel movements, lethargy, occasional headache.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Disorientation, Gait disturbance, Headache, Pyrexia
Clinical narrative: Severe arthralgia-difficult walking-disoriented, fever, headache-gradually improved over 48 hr period
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Anxiety, Dizziness, Electrocardiogram normal, Fatigue
Clinical narrative: Within 10 mins flush face felt dizzy within 6 hours started to feel flu like symptoms. Still feel awful and at day 6. Went to ER and doc. High blood pressure, very bad headaches, anxious, stomach issues, tired and overall cannot function
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Headache, Hypertension, Influenza like illness, Ultrasound scan normal
Clinical narrative: Within 10 mins flush face felt dizzy within 6 hours started to feel flu like symptoms. Still feel awful and at day 6. Went to ER and doc. High blood pressure, very bad headaches, anxious, stomach issues, tired and overall cannot function
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Pruritus, Rash erythematous, Skin warm
Clinical narrative: started with a red rash and then kind of itchy warmness in my back lasted about two days and then today my left arm looks like covid arm and red circle with a spot that looks like raw skin and a blisters next to it
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Throat tightness
Clinical narrative: 12 hrs after vaccination, pt reported mild tightness in throat and mild swelling of upper lip
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: Blotchy slightly raised rash on left arm in area of the injection site. Mildly itchy and warm to the touch
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes in arm pit of left arm.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Gait inability, Muscular weakness, Urinary incontinence, Vertigo
Clinical narrative: Patient called stating she received the second Pfizer vaccine on 2/21. That evening, she developed severe generalized weakness. She was unable to walk or stand. She laid on the floor from 2/21 3pm until 2/22 PM. She was incontinent of urine- reports urinating on towels throughout yesterday. She was unable to hold her head up due to weakness. She still feels weak today, but is able to stand and walk with husband's assistance. Also reports generalized muscle soreness and intermittent vertigo. She is drinking fluids well, has eaten a light meal today. Denies fever, shortness of breath, chest pain, palpitations.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cheilitis
Clinical narrative: Temporary inflammation of lips. Had filler (Juvaderm) 12 months prior to vaccine.  Symptoms lasted only 3 or 4 days.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Mental status changes, Metabolic encephalopathy, Nausea, Parkinson's disease
Clinical narrative: Altered mental status, confusion, nausea vomiting, acute metabolic encephalopathy
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Altered mental status, confusion, nausea vomiting, acute metabolic encephalopathy
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: Dry cough, shortness of breath, Headache, fatigue,
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: When calling to get billing information we were notified that patient had passed away. Patient's daughter said patient was having cvd a/s on 2.1.2021 got vaccine 2.2.2021 and passed away 2.5.2021. Cardiologist said not related
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Pain in extremity, Peripheral swelling
Clinical narrative: pt stated that she had some pain in left arm on 2/21/2021 that went away.  Then she developed swelling in the left arm on 2/22/2021.  On 2/23/2021 she noticed a red patchy ring around the injection site.  Pt called the medical clinic which told her to call us.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Chills, fever, fatigue,  nausea, vomiting,  headache, started the next day, persisted for 2 days, gradually improving , no treatment aside from tylenol
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Chills, fever, fatigue,  nausea, vomiting,  headache, started the next day, persisted for 2 days, gradually improving , no treatment aside from tylenol
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Sensitive skin
Clinical narrative: When I woke up the next morning after receiving the vaccine, my entire body hurt. -Achy muscles  -Skin sensitivity -Excessive tiredness
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Motor dysfunction, Neck pain, Nodule
Clinical narrative: The day they gave me the vaccine I had a lot of pain in my left arm, I felt my arm very tired, if I grabbed something I could not hold it for a long time, the next day , on Thursday I had the same pain but it was also a pain in the armpit and it went to my left breast, along with a prick, on Friday I continued having pain in my armpit, like I was sore and I noticed that my neck hurt a lot, only on that side, I called my doctor and she told me to take ibuprofen and if I still having problems to go to  the emergency room, by late in the night I felt a small ball near to my neck and when I touched it hurt a lot, to this day nothing hurts but the small ball still there, it doesn't hurts when I touch it nothing., I had palpitations but
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: The day they gave me the vaccine I had a lot of pain in my left arm, I felt my arm very tired, if I grabbed something I could not hold it for a long time, the next day , on Thursday I had the same pain but it was also a pain in the armpit and it went to my left breast, along with a prick, on Friday I continued having pain in my armpit, like I was sore and I noticed that my neck hurt a lot, only on that side, I called my doctor and she told me to take ibuprofen and if I still having problems to go to  the emergency room, by late in the night I felt a small ball near to my neck and when I touched it hurt a lot, to this day nothing hurts but the small ball still there, it doesn't hurts when I touch it nothing., I had palpitations but
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, Blood immunoglobulin M, Blood lactic acid increased, Blood pH normal, Chest pain
Clinical narrative: 2/14: The day after receiving the vaccine, she noticed a rash on her chest and legs. She felt nauseous and endorsed vomiting, body aches, and fever.  2/16: Saw PCP and was found hypotensive. Was sent to ED and received 2L fluids, IM steroids, and PO ondansetron. She was discharged because she was feeling better.  2/17: Returned to hospital due to pleuritic chest pain and hemoptysis and was noted to have an elevated lactate (received 3L fluids) and was admitted to the hospital. SpO2 was in the  70s on presentation and she was placed on BiPAP (O2 improved to 100%). Per note: patient presented to the ED with hypoxia, tachycardia, tachypnea, and leukocytosis. Patient received dexamethasone 6mg, vancomycin, cefepime, azithromycin, furosemide, and ipratropium/albuterol.  Patient is currently receiving the following medications: budesonide, ipratropium/albuterol, cefepime, acetaminophen, atorvastatin, benzonatate, enoxaparin, escitalopram, ferrous sulfate, guaifenesin, hydrocodone/acetaminophen, methylprednisolone, methylprednisolone, Montelukast, morphine, ondansetron, pantoprazole.  Patient has been hospitalized since 2/17
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Haemoptysis, Hypotension, Hypoxia, Leukocytosis
Clinical narrative: 2/14: The day after receiving the vaccine, she noticed a rash on her chest and legs. She felt nauseous and endorsed vomiting, body aches, and fever.  2/16: Saw PCP and was found hypotensive. Was sent to ED and received 2L fluids, IM steroids, and PO ondansetron. She was discharged because she was feeling better.  2/17: Returned to hospital due to pleuritic chest pain and hemoptysis and was noted to have an elevated lactate (received 3L fluids) and was admitted to the hospital. SpO2 was in the  70s on presentation and she was placed on BiPAP (O2 improved to 100%). Per note: patient presented to the ED with hypoxia, tachycardia, tachypnea, and leukocytosis. Patient received dexamethasone 6mg, vancomycin, cefepime, azithromycin, furosemide, and ipratropium/albuterol.  Patient is currently receiving the following medications: budesonide, ipratropium/albuterol, cefepime, acetaminophen, atorvastatin, benzonatate, enoxaparin, escitalopram, ferrous sulfate, guaifenesin, hydrocodone/acetaminophen, methylprednisolone, methylprednisolone, Montelukast, morphine, ondansetron, pantoprazole.  Patient has been hospitalized since 2/17
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, PO2 decreased, Pain, Platelet count increased, Pleurisy
Clinical narrative: 2/14: The day after receiving the vaccine, she noticed a rash on her chest and legs. She felt nauseous and endorsed vomiting, body aches, and fever.  2/16: Saw PCP and was found hypotensive. Was sent to ED and received 2L fluids, IM steroids, and PO ondansetron. She was discharged because she was feeling better.  2/17: Returned to hospital due to pleuritic chest pain and hemoptysis and was noted to have an elevated lactate (received 3L fluids) and was admitted to the hospital. SpO2 was in the  70s on presentation and she was placed on BiPAP (O2 improved to 100%). Per note: patient presented to the ED with hypoxia, tachycardia, tachypnea, and leukocytosis. Patient received dexamethasone 6mg, vancomycin, cefepime, azithromycin, furosemide, and ipratropium/albuterol.  Patient is currently receiving the following medications: budesonide, ipratropium/albuterol, cefepime, acetaminophen, atorvastatin, benzonatate, enoxaparin, escitalopram, ferrous sulfate, guaifenesin, hydrocodone/acetaminophen, methylprednisolone, methylprednisolone, Montelukast, morphine, ondansetron, pantoprazole.  Patient has been hospitalized since 2/17