chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Treponema test negative, Urine analysis normal, Varicella virus test, Viral test
Clinical narrative: 83yo F w/ PMH significant for HTN, chronic thrombocythemia, and glaucoma followed by Heme-Onc without treatment who presented to ED 03/15/21 via EMS complaining of generalized weakness.  She had felt well and had been in her usual state of health, and was able to cook and enjoy a turkey dinner with 5 individuals on 03/07/21, but on 03/08/21 she began to develop progressive generalized weakness up to the point where she remained in bed for several days.  She could not support herself when attempting to rise from bed.  She noted poor PO intake with nausea, no vomiting.  Loose stools for several days, no noted stool blood.  Did endorse waves of lightheadedness and had fallen backwards three times in the prior week, reportedly due to poor balance when standing.  She was unable to elaborate regarding the falls but admitted to hitting her head at least once, unable to say if she lost consciousness or if she felt presyncopal symptoms before falling.  She had initially presented on 03/12/21 to ED for evaluation, workup negative, labs and imaging normal.  CT brain found no acute process.  She was sent home with arrangements for home PT.  She returned to ED 03/15/21 when symptoms had not improved.  In the ED she was found to be afebrile, significantly hypertensive, mildly tachycardic, + orthostatic vital signs.  Labs significant for heme occult positive stool, proBNP 397, WBC 10.1, H/H 13.4/39.9, PLT 493, UA neg for infection.  COVID neg.  CXR found slightly increased interstitial markings.  MRI brain found no acute intracranial abnormality.  She was evaluated by PT and found to be unsafe to DC home as she could not ambulate without leaning backward and to the right and needed 1-2 assist.  She was admitted to HM service for further management.  She has remained consistently afebrile.  She continues to experience significant gait instability, cognitive slowing, and difficulty with finger-to-nose testing with noted dysmetria, no focal weakness.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin B12 normal, White blood cell count increased
Clinical narrative: 83yo F w/ PMH significant for HTN, chronic thrombocythemia, and glaucoma followed by Heme-Onc without treatment who presented to ED 03/15/21 via EMS complaining of generalized weakness.  She had felt well and had been in her usual state of health, and was able to cook and enjoy a turkey dinner with 5 individuals on 03/07/21, but on 03/08/21 she began to develop progressive generalized weakness up to the point where she remained in bed for several days.  She could not support herself when attempting to rise from bed.  She noted poor PO intake with nausea, no vomiting.  Loose stools for several days, no noted stool blood.  Did endorse waves of lightheadedness and had fallen backwards three times in the prior week, reportedly due to poor balance when standing.  She was unable to elaborate regarding the falls but admitted to hitting her head at least once, unable to say if she lost consciousness or if she felt presyncopal symptoms before falling.  She had initially presented on 03/12/21 to ED for evaluation, workup negative, labs and imaging normal.  CT brain found no acute process.  She was sent home with arrangements for home PT.  She returned to ED 03/15/21 when symptoms had not improved.  In the ED she was found to be afebrile, significantly hypertensive, mildly tachycardic, + orthostatic vital signs.  Labs significant for heme occult positive stool, proBNP 397, WBC 10.1, H/H 13.4/39.9, PLT 493, UA neg for infection.  COVID neg.  CXR found slightly increased interstitial markings.  MRI brain found no acute intracranial abnormality.  She was evaluated by PT and found to be unsafe to DC home as she could not ambulate without leaning backward and to the right and needed 1-2 assist.  She was admitted to HM service for further management.  She has remained consistently afebrile.  She continues to experience significant gait instability, cognitive slowing, and difficulty with finger-to-nose testing with noted dysmetria, no focal weakness.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Not aware
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site induration, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Muscle pain all over, especially in the left arm, prickly pain and itching all over, fever of 100.3 8 hours after injection, hot, hard, painful swelling and rash about 4 inches below injection site - approx. 4-5 inches in diameter
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Paraesthesia, Pruritus, Pyrexia
Clinical narrative: Muscle pain all over, especially in the left arm, prickly pain and itching all over, fever of 100.3 8 hours after injection, hot, hard, painful swelling and rash about 4 inches below injection site - approx. 4-5 inches in diameter
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pruritus, Peripheral swelling, Skin warm
Clinical narrative: My arm began itching at the injection site. I had a chemotherapy treatment two days later and was given Benadryl as part of my usual dose of medicines, therefore the itching stopped. However, by Wednesday night, 10 days after getting the vaccine, my arm swelled a little, was very red, and hot to the touch.  I called my doctor who told me I could take Tylenol if I needed to, but that this should go away in 24-48 hours.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Pyrexia, Rash, Rash erythematous
Clinical narrative: Fever of over 101 degrees developed during the night, approximately 12 - 15 hours after receiving second dose. Fever lasted for nearly 24 hours and did not respond to Extra Strength Tylenol.  Allergic red rash appeared over trunk of body overnight following injection, within 12 - 18 hours. Rash continued to spread to inside of arms, thighs, across back and abdomen, and neck. Treating with Benadryl oral and topical. Pain and soreness in arm where injection was received began a few hours after injection, lasting about 24 hours.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature, Heart rate increased, Pruritus, Pyrexia, Rash erythematous
Clinical narrative: Fever of over 101 degrees developed during the night, approximately 12 - 15 hours after receiving second dose. Fever lasted for nearly 24 hours and did not respond to Extra Strength Tylenol.  Allergic red rash appeared over trunk of body overnight following injection, within 12 - 18 hours. Rash continued to spread to inside of arms, thighs, across back and abdomen, and neck. Treating with Benadryl oral and topical. Pain and soreness in arm where injection was received began a few hours after injection, lasting about 24 hours.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination site pain
Clinical narrative: Fever of over 101 degrees developed during the night, approximately 12 - 15 hours after receiving second dose. Fever lasted for nearly 24 hours and did not respond to Extra Strength Tylenol.  Allergic red rash appeared over trunk of body overnight following injection, within 12 - 18 hours. Rash continued to spread to inside of arms, thighs, across back and abdomen, and neck. Treating with Benadryl oral and topical. Pain and soreness in arm where injection was received began a few hours after injection, lasting about 24 hours.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Pruritus
Clinical narrative: Client reported itching to face and swelling to lip. Provided PO Benadryl 50mg. Reported feeling better, decrease swelling to lip and no facial swelling.
Age: 5.0
Sex: F
Vaccine: DTAP, DTAPIPV, MMR, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Patient was due for her 4 year old shots (MMR, Varivax, IPV, and DTap).  Patient actually received MMR, Varivax, Kinrix (DTap, IPV), and additional DTap in error.  This was realized after the visit.  Mom notified over the phone to be made aware of the situation and apologize for our mistake.  Mom verbalized understanding and reports patient is feeling well with no current symptoms.  Advised she is UTD, but given that she got two doses of DTap, she may experience more localized soreness/swelling, fever, and localized pain. Advised to give Motrin/Tylenol PRN if she has any of these symptoms.  Return precautions given. Mom verbalized understanding and in agreement with plan of care.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Somnolence
Clinical narrative: Drowsiness did not eat or take medication
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: swollen, red patch about an inch in diameter at the injection site, warm to the touch, uncomfortable/slightly painful when pressure is applied to it and slightly itchy. Not severe. Noticed discomfort about a week after injection, fairly high up on arm, so it wasn't noticed prior although may have been present. No treatments, just giving it time.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: swollen, red patch about an inch in diameter at the injection site, warm to the touch, uncomfortable/slightly painful when pressure is applied to it and slightly itchy. Not severe. Noticed discomfort about a week after injection, fairly high up on arm, so it wasn't noticed prior although may have been present. No treatments, just giving it time.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Syncope
Clinical narrative: Patient turned white in face after shot, fainted and came by  2 minutes later.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Peripheral swelling, Pruritus
Clinical narrative: Swollen arm, hot to the touch, and very itchey.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fatigue, Gynaecomastia, Lymphadenopathy
Clinical narrative: Entire body rash Swollen lymph nodes Swollen throat Gynecomastia Fatigue Chills
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Rash
Clinical narrative: Entire body rash Swollen lymph nodes Swollen throat Gynecomastia Fatigue Chills
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Throat irritation, Urticaria
Clinical narrative: Scratchy throat, facial hives, increased work of breathing after second dose of Pfizer mRNA COVID-19 vaccine IM right arm. Took patient to ED for monitoring. Gave albuterol, prednisone 60 mg PO, and diphenhydramine 50 mg PO. Monitored until symptoms resolved and discharged from ED in stable conditions.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity, Pruritus, Rash, Rash papular
Clinical narrative: I felt fine for the fors 24 hours. Limited arm soreness, no other symptoms. At 11:00Am Sunday I began to get achy at my joints. I was out on a 5 mile hike and unable to turn around. When I got home took Tylenol and rested. At 11Pm Sunday night I started feeling itchy and discovered a full body rash. They were raised patches and if i scratched myself the area would swell up like a hive. Took Benadryl and it was mostly gone by morning. At 11:00pm Tuesday night I started feeling itchy again and discovered the rash had returned again. Again took Benadryl and it was mostly gone by morning.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I felt fine for the fors 24 hours. Limited arm soreness, no other symptoms. At 11:00Am Sunday I began to get achy at my joints. I was out on a 5 mile hike and unable to turn around. When I got home took Tylenol and rested. At 11Pm Sunday night I started feeling itchy and discovered a full body rash. They were raised patches and if i scratched myself the area would swell up like a hive. Took Benadryl and it was mostly gone by morning. At 11:00pm Tuesday night I started feeling itchy again and discovered the rash had returned again. Again took Benadryl and it was mostly gone by morning.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia
Clinical narrative: approximately 48 hours - severe headache, joint and muscle aches, temperature of 100.9 took Ibuprofen
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse.   NO ADVERSE REACTION, just reporting medication error.   Our Vaccine Task Force, after speaking with CDC and PA DOH, decided to offer the employee an additional COVID-19 vaccine dose.  Thanks.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Vital signs measurement
Clinical narrative: 1351: Patient alerted RN staff that she was experiencing an itchy throat. No difficulty swallowing, no change in voice or mentation. Patient in no respiratory distress, no hives/rash/flushing noted. BP 154/86, HR 92, 99% O2  1355: 25mg Benadryl PO given.  1400: Patient states symptoms resolved, throat no longer itchy. Patient is in no acute distress. Patient to be observed by EMS for an additional 30 min. Patient discharged in good standing.  BP 147/92, HR 72, 100% O2
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Chest X-ray normal, Dyspnoea, Fatigue
Clinical narrative: Second dose received on 3.13.2021. On 3.20.20. developed sleepiness and fatigue. Next day fever 103.1 and extreme weakness, fatigue, drowsiness and shortness of breath when going upstairs. Fever controlled with ibuprofen 800 mg. Next day (3.22.2021) same symptoms. Ibuprofen  800 mg again given . Taken to ER. Blood work and chest x ray normal. Next day fever 100.1 down with ibuprofen 400 mg.  Continues with extreme sleepiness . Wakes up only when stimulated and given water. Had bad vivid nightmare, but seems oriented.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test negative, Nightmare, Pyrexia, SARS-CoV-2 test negative, Somnolence
Clinical narrative: Second dose received on 3.13.2021. On 3.20.20. developed sleepiness and fatigue. Next day fever 103.1 and extreme weakness, fatigue, drowsiness and shortness of breath when going upstairs. Fever controlled with ibuprofen 800 mg. Next day (3.22.2021) same symptoms. Ibuprofen  800 mg again given . Taken to ER. Blood work and chest x ray normal. Next day fever 100.1 down with ibuprofen 400 mg.  Continues with extreme sleepiness . Wakes up only when stimulated and given water. Had bad vivid nightmare, but seems oriented.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: This Moderna vaccine recipient was 17 years old at the time of her scheduled injection. Tolerated the injection without problems, waited on site 15 minutes without adverse events. EUA and V-safe provided to patient.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Swelling face, Throat tightness, Tongue pruritus
Clinical narrative: After receiving second dose of COVID vaccine, patient began experiencing swelling of face and throat and was taken to ED. Patient reported having similar reactions to vaccines in the past. Patient received 20mg Pepcid PO BID, Loratadine 10mg PO once, and prednisone 50mg PO once in ED and had subsequent resolution of tongue pruritis and improvement in throat tightness. Was discharged with prescription of prednisone.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash at injection site 10 days after first vaccination.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Feeling hot, Flushing
Clinical narrative: On 3/19/2021 at approximately 10:55am, I received the first dose of the Moderna vaccine in my right, upper arm. At approximately 11:39am, I began to feel my face flush hot. I could feel the same sensation shortly thereafter in the center of my chest. It radiated outward into my lungs, shoulders and upper arms. It felt very much like the sensation a person has when the contrast is introduced during a CT scan, only it wasn't quite as hot. I've had many, many CT scans, so I'm familiar with that sensation. The heat intensity lasted until about 1am the following morning (3/20) and remained mostly in my chest. I coughed a little during this time period as well. The following day I still felt a tiny bit of the hot feeling in my chest during the day, but by the time I went bed, it was gone.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Pruritus, Swelling face, Urticaria
Clinical narrative: Facial swelling, itchiness around injection site, itchiness of ankles, wrists, face, hives
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site hypersensitivity, Joint range of motion decreased, Pain, Pain in extremity
Clinical narrative: I have severe pain in my left arm.  Has lasted 48 hours!  Injection area sensitive.  However, entire shoulder and surrounding area is painful.  Cannot even lift my arm above my waist without sever pain,  Cannot even pick up a cup off coffee/soda.  Feels like a muscle tear in my deltoid muscle area.  Able to bend my arm at the elbow, but that is the extent of my mobility.   No other pain throughout my body.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Pallor, Palpitations
Clinical narrative: Patient received second dose of Moderna on 3/24/21. Patient was feeling fine after shot and waited for her husband to receive his vaccine. She was shopping around in the store and stated that she didn't feel well. After a few minutes, her husband ask for us to observe her. She was pale and stated that her head hurt and her heart was racing. It was recommended that she go to the ER for evaluation.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Tinnitus, Vision blurred
Clinical narrative: 1) Loud tinnitus in both ears beginning one week after vaccination, persisting 2) Right-sided headache occurring behind/around eye, beginning one week after vaccination, persisting 3) Blurred vision in right eye, beginning two days after vaccination, persisting
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Vision blurred, Visual impairment
Clinical narrative: Client reported first COVID vaccine on 02/19/21 and second vaccine on 03/22/21, adverse reaction may have slightly started after first vaccine but noticeable on 03/23/21.  Client having an unstable equilibrium, dizziness more with standing up, blurred vision with glasses on, and spots in eyes (more in left than right).  Client has called PCP, awaiting response.  Client has been treating adverse reaction wth taking his prescribed medications and eating meals.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness
Clinical narrative: Vaccine was administered at 2:51pm. While patient waiting 15 mins she began to feel dizzy and clammy. At 3 pm, had patient lay down, while we elevated feet and applied a cool compress to her  forhead. After 5 mins, sat up to a sitting position. After another 5 mins, moved to a chair to sit for a while longer.  At 3:13pm patient felt dizzy again. Had patient lay down and elevate legs again. At 3:23pm patient moved back to sitting position with no additional issues.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Headache, Nausea
Clinical narrative: chills, fatigue, headache, nausea, shortness of breath
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Cough, Diarrhoea, Fatigue
Clinical narrative: The morning of the 11th, I woke up quite nauseous and felt sick for a couple of days.  On the 22nd I woke up with very swollen lymph nodes above my left collarbone and in my left armpit as well as a dull headache.  I also had a dry, hacking cough.  Tuesday, the 23rd, the swelling was quite uncomfortable and prompted me to go to the doctor -- he did a chest x-ray and bloodwork, I'm going in for an ultrasound on my lymph nodes on Thursday, 24 March.  The swelling in the lymph nodes has gone down a bit, to the extent that I can now lift my left arm, however today (Wednesday, 23 March) I woke up with a fever (102), extreme nausea, diarrhea, the headache is gone and the cough has subsided, but I cannot eat -- I'm drinking water and taking Tylenol for the fever.  My pulse ox has been fluctuation between 90 - 94 all day; I am extremely exhausted and waiting for the fever to break.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Headache, Lymphadenopathy, Metabolic function test, Nausea
Clinical narrative: The morning of the 11th, I woke up quite nauseous and felt sick for a couple of days.  On the 22nd I woke up with very swollen lymph nodes above my left collarbone and in my left armpit as well as a dull headache.  I also had a dry, hacking cough.  Tuesday, the 23rd, the swelling was quite uncomfortable and prompted me to go to the doctor -- he did a chest x-ray and bloodwork, I'm going in for an ultrasound on my lymph nodes on Thursday, 24 March.  The swelling in the lymph nodes has gone down a bit, to the extent that I can now lift my left arm, however today (Wednesday, 23 March) I woke up with a fever (102), extreme nausea, diarrhea, the headache is gone and the cough has subsided, but I cannot eat -- I'm drinking water and taking Tylenol for the fever.  My pulse ox has been fluctuation between 90 - 94 all day; I am extremely exhausted and waiting for the fever to break.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: The morning of the 11th, I woke up quite nauseous and felt sick for a couple of days.  On the 22nd I woke up with very swollen lymph nodes above my left collarbone and in my left armpit as well as a dull headache.  I also had a dry, hacking cough.  Tuesday, the 23rd, the swelling was quite uncomfortable and prompted me to go to the doctor -- he did a chest x-ray and bloodwork, I'm going in for an ultrasound on my lymph nodes on Thursday, 24 March.  The swelling in the lymph nodes has gone down a bit, to the extent that I can now lift my left arm, however today (Wednesday, 23 March) I woke up with a fever (102), extreme nausea, diarrhea, the headache is gone and the cough has subsided, but I cannot eat -- I'm drinking water and taking Tylenol for the fever.  My pulse ox has been fluctuation between 90 - 94 all day; I am extremely exhausted and waiting for the fever to break.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Eye pruritus, Musculoskeletal discomfort, Oral pruritus, Thrombophlebitis superficial
Clinical narrative: Superficial thrombophlebitis, itching around mouth, eyes, and joints, breathing difficulties - administered cetirizine HCl 10mg antihistamine at onset of symptoms and 2 puffs Albuterol Sulfate HFA Inhalation Aerosol 90mcg per actuation approx 90 minutes after onset to control symptoms until they fully subsided.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Eye pruritus, Oral pruritus, Pruritus, Thrombophlebitis superficial
Clinical narrative: Superficial thrombophlebitis, itching around mouth, eyes, and joints, breathing difficulties - administered cetirizine HCl 10mg antihistamine at onset of symptoms and 2 puffs Albuterol Sulfate HFA Inhalation Aerosol 90mcg per actuation approx 90 minutes after onset to control symptoms until they fully subsided.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia oral
Clinical narrative: ONSET 3/16/2021 FEELING TINGLING ON HER TONGUE; 3/17/021 NOTED RIGHT SIDE FACIAL NUMBNESS WHEN PATIENT WOKE UP.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Itchy hive like rash on right arm, right neck, right chin, and a little on left forearm
Age: 0.17
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort
Clinical narrative: Stomach upset right before using restroom
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Pyrexia
Clinical narrative: 2nd day chills and fever 3rd and consecutive days fever (104) chills, fatigue, headache, vomiting diahrea  lasted until approximately 3/20/21
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 2nd day chills and fever 3rd and consecutive days fever (104) chills, fatigue, headache, vomiting diahrea  lasted until approximately 3/20/21
Age: 47.0
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis
Clinical narrative: Cellulitis treated with  ceftriaxone and Bactrim DS at urgent care center
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Agonal respiration, Fall, Hyperhidrosis, Pallor, Pulse abnormal
Clinical narrative: Description of event: Patient received vaccine in his LUE and was instructed to wait in line to schedule next dose. While standing in line, patient was witnessed falling to the floor. He appeared to land on his hands, denies injury at this time. Patient responded verbally when asked if he was okay. Vitals recorded while patient sitting on floor 1500. Patient stated he was ok to sit in chair. Upon sitting in chair for approximately 30 seconds his head fell forward and he was unresponsive. Patient began agonal breathing, eyes were open with fixed pupils, pulse was weak. Staff assisted patient to floor where he regained consciousness after approximately one minute. Patient appeared diaphoretic and pale, but was responding appropriately. An ambulance was called during this time. The patient was able to give contact information for his wife. The patient personally spoke to her on the phone. Meanwhile patient was resting supine on the floor. Vitals at 1552 146/94 P 70, R 20, 98% RA. Approximately 15 min later patient returned to the chair and has been resting since. BP at 1615 119/65. He refused treatment from EMS and is currently calling his wife to pick him up as staff has advised him not to drive. Patient currently eating a snack and drinking water, states he is feeling better.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pupil fixed, Unresponsive to stimuli
Clinical narrative: Description of event: Patient received vaccine in his LUE and was instructed to wait in line to schedule next dose. While standing in line, patient was witnessed falling to the floor. He appeared to land on his hands, denies injury at this time. Patient responded verbally when asked if he was okay. Vitals recorded while patient sitting on floor 1500. Patient stated he was ok to sit in chair. Upon sitting in chair for approximately 30 seconds his head fell forward and he was unresponsive. Patient began agonal breathing, eyes were open with fixed pupils, pulse was weak. Staff assisted patient to floor where he regained consciousness after approximately one minute. Patient appeared diaphoretic and pale, but was responding appropriately. An ambulance was called during this time. The patient was able to give contact information for his wife. The patient personally spoke to her on the phone. Meanwhile patient was resting supine on the floor. Vitals at 1552 146/94 P 70, R 20, 98% RA. Approximately 15 min later patient returned to the chair and has been resting since. BP at 1615 119/65. He refused treatment from EMS and is currently calling his wife to pick him up as staff has advised him not to drive. Patient currently eating a snack and drinking water, states he is feeling better.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: The inmate was at a previous facility and received the above vaccine. When we did our mass vaccine at  our facility, inmate signed for the Johnson and Johnson vaccine (Lot number 1808609). He signed he has never received a vaccine. He was given the vaccine. I found out today that he received  the first dose of Moderna on 3/12 at previous facility.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dysgeusia
Clinical narrative: Metallic taste and L shoulder pain
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Tachycardia
Clinical narrative: Haven't had afib in over two years. At about 9:30pm on March 18 while watching TV I had a severe afib event that lasted over an hour. This was followed by two hours of tachycardia. I finally got it under control by administering additional metoprolol tartrate.  If this had continued I would have gone to the ER to have them cardiovert me.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza like illness, Pain, Pain in extremity
Clinical narrative: Fatigued, strong dull headache and body ache from Sunday afternoon until Tuesday afternoon,  flu like symptoms without the fever. Injection arm slightly sore, 1st injection much more sore than 2nd. Took (2) each 200mg  ibuprofen every 4-6 hours through Wednesday afternoon.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Reports vision has been "different" since day of vaccination. Reports as more difficulty focusing. Does have prescription for glasses that she does not wear. Advised patient to wear glasses and report if symptoms improve.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in left ear.  Started about 10 days after 1st dose. It's progressively getting worse. I received my 2nd dose on 3/17
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Heart rate decreased, Hyperhidrosis, Oxygen saturation decreased
Clinical narrative: Patient became lightheaded and began sweating profusely. Had patient lay down and monitored pulse ox, heart rate and blood pressure. All WNL. Patient began to feel better and sweating subsided after about 5 minutes in supine position. Upon sitting up, patient did experience a drop in pulse ox to 90 and heart rate to 50. However, immediately began to climb to normal limits. Patient reported history of passing out with previous vaccines, once even resulting in a concussion. Patient did not feel necessary to seek additional medical assistance. Continued to observe for another 15 minutes and patient experienced no other symptoms.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Migraine
Clinical narrative: Migraine begin around 2pm Dizziness begin around 3:30-ish pm  Took ibuprofen and limiting time standing or walking around
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Myalgia, Syncope
Clinical narrative: muscle aches, syncope, fatigue, dizziness for 36 hours post vaccine
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dysgeusia, Eye irritation, Fatigue, Feeling abnormal
Clinical narrative: Exacerbation of chronic fatigue, "burning" eyes, "brain fog", chills, metallic taste in mouth, mouth sores, decreased appetite.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Stomatitis
Clinical narrative: Exacerbation of chronic fatigue, "burning" eyes, "brain fog", chills, metallic taste in mouth, mouth sores, decreased appetite.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Rash
Clinical narrative: -pain in right side of entire body,  -entire face rash-  rash on face- could be from epiduo forte which is used 2x/week for the last 2 months ?  -chills
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Asthenia, Blood test, Decreased appetite, Headache
Clinical narrative: extreme weakness and flu like symptoms for several days, headache lasting several weeks, loss of taste and smell,
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness
Clinical narrative: extreme weakness and flu like symptoms for several days, headache lasting several weeks, loss of taste and smell,
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Pain in extremity
Clinical narrative: The arm was hard and very painful the next day. She developed a large, grapefruit sized lump, which lasted for 4-5 days.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient experience itchy rash on right  torso two days after recieving first vaccine. No lip swelling, tongue swelling, facial swelling, or problems breathing. Rash was treated with triamcinolone 1% cream and resolved but rash reappeard when he stopped using cream.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Eyelid rash, Injection site pain, Swelling of eyelid
Clinical narrative: At the injection site - it was a little sore after about three days. A week after vaccine, it hurt to touch my eye - I thought I had pink eye but it wasn't itchy. I treated it with hot compress. I did that at least 3 times a day for two days. It was really swollen  - lower eye lid of my left eye - right in the middle of it - on the inside of the eyelid I can see a bump in the middle of it and so I was kind of pushing on my eye a little and it looked like fluid was coming out of my tear duct and so I put a hot compress on it often and it's getting a little better each day. I'm 70% better.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling and Numbness on right side of face  Cleared by NP
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Anger, Emotional disorder, Energy increased, Rash, Sleep disorder
Clinical narrative: Our Son is typically a happy person and enjoys everything around him and everyone enjoys him, he usually helps with everything involving his care. He uses an IPAD for communication, he understands most direction given if it is something he has learned. Since receiving the second dose of the Moderna vaccination our Son has shown bouts of rage, a rash between his shoulder blades and on his left hip area, both rashes come and go and both rashes are the same type and size. He is typically active; however, the energy level is through the roof, what we mean by through the roof, it is so very extreme that he cannot settle down for anything, he normally sits on our couch and watches a movie but he cannot sit for even 2 minutes without trying to throw himself off the couch.  It is typical for him to sleep through the night, but now he cannot sleep more then 3 or 4 hours and he does not go back to sleep, he cries which is not typical.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse.   NO ADVERSE REACTION, just reporting medication error.   Our Vaccine Task Force, after speaking with CDC other health organization, decided to offer the employee an additional COVID-19 vaccine dose.  Thanks.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: Approximately 24 hours after being vaccinated with the Moderna Covid vaccine, patient stated that he went into atrial fibrillation.  After taking his medication, dofetilide 500mcg, patient said the a fib stopped.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Pt. reported feeling light headed, after sitting experienced a syncopal episode.  BP 98/45 p 75.  Pt. was revivied after about 35 seconds and stated feeling better.  BP 112/72, p 76.  Pt.  stated has hx of syncope.  Pt and family refused to be transferred via squad.  Pt. states he will fu with PCP this week.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Gait disturbance, Headache
Clinical narrative: Could not control right leg and arm, could not walk w/out help, kaleidoscope vision bursts, fever, chills, extreme fatigue, lethargy, headache, diarrhea.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pyrexia, Visual impairment
Clinical narrative: Could not control right leg and arm, could not walk w/out help, kaleidoscope vision bursts, fever, chills, extreme fatigue, lethargy, headache, diarrhea.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness for 30 minutes
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was vaccinated with Moderna and is 16 years of age.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anxiety, Chest discomfort, Decreased appetite, Dizziness
Clinical narrative: I have a complex history of anaphylactic reactions to many allergens.  Immediate reaction to Pfizer vaccine #1--flushed/hot, strong metallic taste, chemical smell, tachycardia (156-158),  nausea, some chest discomfort and dizziness.  BP 158/85 (my normal is 100/60). O2 sats 98%.  I did not feel anxious until heart rate would not come down to baseline. Clinic staff monitored me and did not treat. Allowed heart rate to decrease  over time. Took over 20 minutes to get below 120.  At 35 minutes, it was below 100. Stayed at clinic for one hour and released. Still had metallic taste (over 3 days now), loss taste, loss of appetite, headache, and fatigue.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Fatigue, Feeling hot, Flushing, Headache
Clinical narrative: I have a complex history of anaphylactic reactions to many allergens.  Immediate reaction to Pfizer vaccine #1--flushed/hot, strong metallic taste, chemical smell, tachycardia (156-158),  nausea, some chest discomfort and dizziness.  BP 158/85 (my normal is 100/60). O2 sats 98%.  I did not feel anxious until heart rate would not come down to baseline. Clinic staff monitored me and did not treat. Allowed heart rate to decrease  over time. Took over 20 minutes to get below 120.  At 35 minutes, it was below 100. Stayed at clinic for one hour and released. Still had metallic taste (over 3 days now), loss taste, loss of appetite, headache, and fatigue.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Immediate post-injection reaction, Nausea, Parosmia, Tachycardia
Clinical narrative: I have a complex history of anaphylactic reactions to many allergens.  Immediate reaction to Pfizer vaccine #1--flushed/hot, strong metallic taste, chemical smell, tachycardia (156-158),  nausea, some chest discomfort and dizziness.  BP 158/85 (my normal is 100/60). O2 sats 98%.  I did not feel anxious until heart rate would not come down to baseline. Clinic staff monitored me and did not treat. Allowed heart rate to decrease  over time. Took over 20 minutes to get below 120.  At 35 minutes, it was below 100. Stayed at clinic for one hour and released. Still had metallic taste (over 3 days now), loss taste, loss of appetite, headache, and fatigue.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Heart rate increased, Hyperhidrosis, Nausea, Pallor
Clinical narrative: after injection given  pt became pale heart rate increased flushed nausea and sweats repotes this happens when blood is drawn onsite als notified and transfered care pt states i feel much better color came back family at side
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Pt experienced nausea for 15 minutes after receiving vaccine with one episode of emesis. Pt reports nausea may be related to home medication which occasionally causes nausea for pt.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dizziness
Clinical narrative: Lightheadiness, diziness BP 126/84. water given, pt felt better. refused  transport
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus, Throat tightness
Clinical narrative: Patient reported itching, shortness of breath and tightening of the throat post vaccine administration.  50mg Benadryl was given.  Patient reported and had no other issues during dialysis treatment.  Patient left the clinic ambulatory with no complaints.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Vertigo
Clinical narrative: I have had increasing vertigo since the vaccine almost a month ago. The dizziness also includes migraine and nausea. It began only when I would roll over at night after falling asleep.  A week later it began as soon as I lay my head down or rolled over.  Now it can hit when I'm awake and upright such as at work.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: On Wednesday, March 24, 2021 patient received her first dose of Pfizer COVID vaccine (LOT # ER2613, EXP 7/2021) at approximately 12:05pm. Patient has a history of Penicillin allergy and was to be observed for 30 minutes after administration of her vaccination. While in Observation Area, patient reported she felt a sensation of her "throat swelling" at 12:10pm and vitals were taken by EMTs. Vitals at 12:10pm: HR: 128bpm, 02 sat: 98%. Lead PHN was alerted and upon observation authorized EMT to administer 50mg of Diphenhydramine HCL oral solution per protocol with a water bottle at 12:15pm. BP at 12:16pm: 132/84. At 12:25pm, vitals were taken again shortly after and pulse returned to within normal limits, 94bpm, O2 sat: 99%. At 12:30pm: BP 140/78. At 12:40pm, patient reported the swelling in her throat had completely subsided. Patient was alert and oriented x4 during entire interaction. No further interventions indicated. Patient was educated by Lead RN & EMT on signs and symptoms of adverse reactions and when to go to the ED/call MD. Patient left vaccination site with a steady gait.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Electrocardiogram, Nervousness, Tachycardia, Throat irritation
Clinical narrative: Pt here receiving first dose of Pfizer covid vaccine. Pt requested that someone sit with her due to her being extremely nervous and having previous anaphylactic reactions in the past. The patient and I began to talk about our children, jobs and hobbies when she started to complain that her throat was really dry and raspy. The patient was given water and her vitals were taken. Pt is tachycardic. Vitals are160/100. , HR is 125 RR are 22 02 is 100. Pt is alert and oriented and states she is ok and would like me to update her husband and sister. Pt offered further medical attention and accepted. 911 called at 12:32 by Rn site lead. Benadryl administered to left deltoid at 12:29 By Rn . 911 operator advised RN to administer epi. Epi administered by RN at 12:32. Pt is alert oriented x3 . Ambulance arrived at 12:45 to transport pt to local hospital for further evaluation, Husband and sister notified. Pt Left this facility at 12:55.   Pt Vaccinated on 3/24/2021 11:55 Right deltoid Pfizer 1st dose  Adverse event began at 12:10    transferred care 12:45
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Moderna Covid-19 Vaccine  Swollen left arm at injection site and slightly below. Covers most of left upper arm. Swelling, redness, pain and itching. Symptoms occurred 8 days after vaccination.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Syncope, Vision blurred, Vital signs measurement
Clinical narrative: Patient received Covid-19 Vaccine today, 03/24/2021. During the 15 minute post-vaccine observation period, the patient began to feel faint.  Her condition worsened to feeling nauseous and blurred vision, so patient asked to lie down.  We found a quiet area in the employee break room for the patient to lay down.  and provided her a pillow, water, cool compress for her head, and later, orange juice for her comfort. We proceeded to call 911 for medical attention. EMS professionals evaluated patient's vital signs and patient signed waiver refusing to go to hospital, since she was feeling better. Patient left on her own accord with a friend driving her home.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Blood test, Chest X-ray, Chest pain, Dizziness
Clinical narrative: 1st shot-nothing  2nd shot- shaking all over in 1st 15 minutes, progressing over the next few hours: muscle spasms/jerks, chest pain, SOB, bad right  side pain in upper arm/shoulder, neck, jaw, face. Hard facial spasms, felt like I was in fight/flight physically- but not mentally, dizzy, very nauseous, hearing in right ear would drastically reduce for 30-60 seconds, heart palpitations, stuttering at times, difficulty finding words at times. Was driven to  ER & evaluated (they said nothing was wrong with me-made to feel like I was faking).Called my doctor?s office the next day-symptoms were persistent but less than the previous day.She wouldn?t see me since I was seen in ER. I went to urgent care & got an appointment the following day with a new provider, .  She sent me to ENT, who says it appears Mennier?s was triggered. Started on high dose Prednisone 60 mg tapered dose. My hearing showed some loss in lower frequencies. I feel slightly, very slightly better each day. Extreme fatigue Has also been an issue.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyskinesia, Dysphemia, Dyspnoea, Electrocardiogram, Facial pain
Clinical narrative: 1st shot-nothing  2nd shot- shaking all over in 1st 15 minutes, progressing over the next few hours: muscle spasms/jerks, chest pain, SOB, bad right  side pain in upper arm/shoulder, neck, jaw, face. Hard facial spasms, felt like I was in fight/flight physically- but not mentally, dizzy, very nauseous, hearing in right ear would drastically reduce for 30-60 seconds, heart palpitations, stuttering at times, difficulty finding words at times. Was driven to  ER & evaluated (they said nothing was wrong with me-made to feel like I was faking).Called my doctor?s office the next day-symptoms were persistent but less than the previous day.She wouldn?t see me since I was seen in ER. I went to urgent care & got an appointment the following day with a new provider, .  She sent me to ENT, who says it appears Mennier?s was triggered. Started on high dose Prednisone 60 mg tapered dose. My hearing showed some loss in lower frequencies. I feel slightly, very slightly better each day. Extreme fatigue Has also been an issue.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial spasm, Fatigue, Hypoacusis, Meniere's disease, Muscle spasms
Clinical narrative: 1st shot-nothing  2nd shot- shaking all over in 1st 15 minutes, progressing over the next few hours: muscle spasms/jerks, chest pain, SOB, bad right  side pain in upper arm/shoulder, neck, jaw, face. Hard facial spasms, felt like I was in fight/flight physically- but not mentally, dizzy, very nauseous, hearing in right ear would drastically reduce for 30-60 seconds, heart palpitations, stuttering at times, difficulty finding words at times. Was driven to  ER & evaluated (they said nothing was wrong with me-made to feel like I was faking).Called my doctor?s office the next day-symptoms were persistent but less than the previous day.She wouldn?t see me since I was seen in ER. I went to urgent care & got an appointment the following day with a new provider, .  She sent me to ENT, who says it appears Mennier?s was triggered. Started on high dose Prednisone 60 mg tapered dose. My hearing showed some loss in lower frequencies. I feel slightly, very slightly better each day. Extreme fatigue Has also been an issue.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Neck pain, Pain in extremity, Pain in jaw, Palpitations
Clinical narrative: 1st shot-nothing  2nd shot- shaking all over in 1st 15 minutes, progressing over the next few hours: muscle spasms/jerks, chest pain, SOB, bad right  side pain in upper arm/shoulder, neck, jaw, face. Hard facial spasms, felt like I was in fight/flight physically- but not mentally, dizzy, very nauseous, hearing in right ear would drastically reduce for 30-60 seconds, heart palpitations, stuttering at times, difficulty finding words at times. Was driven to  ER & evaluated (they said nothing was wrong with me-made to feel like I was faking).Called my doctor?s office the next day-symptoms were persistent but less than the previous day.She wouldn?t see me since I was seen in ER. I went to urgent care & got an appointment the following day with a new provider, .  She sent me to ENT, who says it appears Mennier?s was triggered. Started on high dose Prednisone 60 mg tapered dose. My hearing showed some loss in lower frequencies. I feel slightly, very slightly better each day. Extreme fatigue Has also been an issue.