chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death, Endotracheal intubation, Intensive care, Malaise
Clinical narrative: Per report from family, pt had been feeling unwell for 3-4 weeks prior to event on 4/27 where he collapsed and suffered a cardiac arrest.    No interventions were performed until EMS arrived 10-15 mins later (again, per family report).  Pt was revived following CPR, and suffered a 2nd episode of cardiac arrest (possible in the ED).  Pt was noted to have PEA at that time.   Pt was intubated and vented in ICU.  Pt was cooled x24 hours (unsure of protocol name) and rewarmed over 24 hours more.  Pt was weaned from all paralytics, etc.  Per RN reports, pt failed all neuro tests except R eye went from 3 > 2 mm (4/29 +).  Pt was transitioned to comfort care on 4/30 and passed within 5 minutes.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation, Neurological examination abnormal, Pulseless electrical activity, Resuscitation, Syncope
Clinical narrative: Per report from family, pt had been feeling unwell for 3-4 weeks prior to event on 4/27 where he collapsed and suffered a cardiac arrest.    No interventions were performed until EMS arrived 10-15 mins later (again, per family report).  Pt was revived following CPR, and suffered a 2nd episode of cardiac arrest (possible in the ED).  Pt was noted to have PEA at that time.   Pt was intubated and vented in ICU.  Pt was cooled x24 hours (unsure of protocol name) and rewarmed over 24 hours more.  Pt was weaned from all paralytics, etc.  Per RN reports, pt failed all neuro tests except R eye went from 3 > 2 mm (4/29 +).  Pt was transitioned to comfort care on 4/30 and passed within 5 minutes.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Patient was given an undiluted dose of Pfizer Covid vaccine, 0.3mL.  Patient did not have a reaction post vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 56.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: temperature excursion with vaccine administered
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Myalgia
Clinical narrative: Arthralgia and Myalgia
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Dysstasia, Feeling cold, Gait disturbance, Head discomfort
Clinical narrative: Arthralgia and Myalgia
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Impaired work ability, Lethargy, Muscular weakness, Pain
Clinical narrative: Arthralgia and Myalgia
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: nausea and vomiting
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Ear pain, Facial paralysis, Hypoaesthesia, Muscular weakness
Clinical narrative: High fever, muscle weakness, severe ear pain, paralysis of right side of face.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: High fever, muscle weakness, severe ear pain, paralysis of right side of face.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown at this time
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Epistaxis, Flushing
Clinical narrative: Nosebleed, flushing, dizziness
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: unknown
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Diarrhoea, Dizziness
Clinical narrative: The first thing that happened, 4:30 pm the following day, extremely nauseated and starting throwing up (I was driving and had to pull over) and felt super dizzy which was vertigo. Drove home, had severe diarrhea , chills, fever. My arm swelled up and hurt. My lower back was in severe pain. My upper right back thigh - between the buttocks and knee had a horrible pain in it. Very severe pain and it started radiating down my calf muscle and then to the front of shin. Stayed for days on the back of my thigh in my right leg. I continued having very severe vertigo. I would have to run and throw up if I tried to move or go back to bed. The nausea never went away. That was lasted for 8 days. I went to my doctor's office - I drove to the office - they moved all the doctor's across town for Sutter and I couldn't make it before they closed and I had to go home. I couldn't make it. Just driving there was impossible - It was really bad. Didn't have  a doctor visit at all then. The dr. prescribed a medication for vertigo. The pharmacist said to buy the OTC medication for vertigo so I bought it but it didn't help. That made me doped up and sleepy but still nauseated. I got a spike behind my ear on the right hand side of head - in that little pocket - headaches would come there.  I still have weird vertigo and dizziness - intermittently- although I always have a dull nauseous feeling. Every now and then I have to run and throw up - it's like my body is tired of feeling dizzy. Flying in the airplane - looking out the window - made me super nauseous  - so I had to close my eyes and not look at anything. Still have the nausea and vertigo. I have mild dull headaches still. Did have golf ball size lump on arm and couldn't raise it but now it's gone.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Mobility decreased, Musculoskeletal pain, Nausea
Clinical narrative: The first thing that happened, 4:30 pm the following day, extremely nauseated and starting throwing up (I was driving and had to pull over) and felt super dizzy which was vertigo. Drove home, had severe diarrhea , chills, fever. My arm swelled up and hurt. My lower back was in severe pain. My upper right back thigh - between the buttocks and knee had a horrible pain in it. Very severe pain and it started radiating down my calf muscle and then to the front of shin. Stayed for days on the back of my thigh in my right leg. I continued having very severe vertigo. I would have to run and throw up if I tried to move or go back to bed. The nausea never went away. That was lasted for 8 days. I went to my doctor's office - I drove to the office - they moved all the doctor's across town for Sutter and I couldn't make it before they closed and I had to go home. I couldn't make it. Just driving there was impossible - It was really bad. Didn't have  a doctor visit at all then. The dr. prescribed a medication for vertigo. The pharmacist said to buy the OTC medication for vertigo so I bought it but it didn't help. That made me doped up and sleepy but still nauseated. I got a spike behind my ear on the right hand side of head - in that little pocket - headaches would come there.  I still have weird vertigo and dizziness - intermittently- although I always have a dull nauseous feeling. Every now and then I have to run and throw up - it's like my body is tired of feeling dizzy. Flying in the airplane - looking out the window - made me super nauseous  - so I had to close my eyes and not look at anything. Still have the nausea and vertigo. I have mild dull headaches still. Did have golf ball size lump on arm and couldn't raise it but now it's gone.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pyrexia, Vertigo
Clinical narrative: The first thing that happened, 4:30 pm the following day, extremely nauseated and starting throwing up (I was driving and had to pull over) and felt super dizzy which was vertigo. Drove home, had severe diarrhea , chills, fever. My arm swelled up and hurt. My lower back was in severe pain. My upper right back thigh - between the buttocks and knee had a horrible pain in it. Very severe pain and it started radiating down my calf muscle and then to the front of shin. Stayed for days on the back of my thigh in my right leg. I continued having very severe vertigo. I would have to run and throw up if I tried to move or go back to bed. The nausea never went away. That was lasted for 8 days. I went to my doctor's office - I drove to the office - they moved all the doctor's across town for Sutter and I couldn't make it before they closed and I had to go home. I couldn't make it. Just driving there was impossible - It was really bad. Didn't have  a doctor visit at all then. The dr. prescribed a medication for vertigo. The pharmacist said to buy the OTC medication for vertigo so I bought it but it didn't help. That made me doped up and sleepy but still nauseated. I got a spike behind my ear on the right hand side of head - in that little pocket - headaches would come there.  I still have weird vertigo and dizziness - intermittently- although I always have a dull nauseous feeling. Every now and then I have to run and throw up - it's like my body is tired of feeling dizzy. Flying in the airplane - looking out the window - made me super nauseous  - so I had to close my eyes and not look at anything. Still have the nausea and vertigo. I have mild dull headaches still. Did have golf ball size lump on arm and couldn't raise it but now it's gone.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: The first thing that happened, 4:30 pm the following day, extremely nauseated and starting throwing up (I was driving and had to pull over) and felt super dizzy which was vertigo. Drove home, had severe diarrhea , chills, fever. My arm swelled up and hurt. My lower back was in severe pain. My upper right back thigh - between the buttocks and knee had a horrible pain in it. Very severe pain and it started radiating down my calf muscle and then to the front of shin. Stayed for days on the back of my thigh in my right leg. I continued having very severe vertigo. I would have to run and throw up if I tried to move or go back to bed. The nausea never went away. That was lasted for 8 days. I went to my doctor's office - I drove to the office - they moved all the doctor's across town for Sutter and I couldn't make it before they closed and I had to go home. I couldn't make it. Just driving there was impossible - It was really bad. Didn't have  a doctor visit at all then. The dr. prescribed a medication for vertigo. The pharmacist said to buy the OTC medication for vertigo so I bought it but it didn't help. That made me doped up and sleepy but still nauseated. I got a spike behind my ear on the right hand side of head - in that little pocket - headaches would come there.  I still have weird vertigo and dizziness - intermittently- although I always have a dull nauseous feeling. Every now and then I have to run and throw up - it's like my body is tired of feeling dizzy. Flying in the airplane - looking out the window - made me super nauseous  - so I had to close my eyes and not look at anything. Still have the nausea and vertigo. I have mild dull headaches still. Did have golf ball size lump on arm and couldn't raise it but now it's gone.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION WITH VACCINE ADMINISTERED
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Client given full vial of undiluted vaccine. When called about 2 hours later, stated was not experiencing any side effects as of yet
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Gait disturbance, Hot flush, Malaise, Nausea
Clinical narrative: About 8 or 10 hours later, I woke up during the night with severe chills and a fever. I was taking Tylenol every four hours, but it wasn't helping at all. I was also nauseous. All of that lasted for about 21 hours, then they decreased and lasted like another day. I was having hot flashes. My left knee randomly gave out a few weeks after that and my left armpit was really itchy. It was the sickest I've felt in my entire life. I spoke with my doctor and she prescribed nausea meds.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia
Clinical narrative: About 8 or 10 hours later, I woke up during the night with severe chills and a fever. I was taking Tylenol every four hours, but it wasn't helping at all. I was also nauseous. All of that lasted for about 21 hours, then they decreased and lasted like another day. I was having hot flashes. My left knee randomly gave out a few weeks after that and my left armpit was really itchy. It was the sickest I've felt in my entire life. I spoke with my doctor and she prescribed nausea meds.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Pain
Clinical narrative: Body achs diahreea
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Hyperhidrosis, Pallor, Presyncope, Skin warm
Clinical narrative: Pt had a vasovagal reaction after receiving the first dose of the Pfizer vaccine. Pt was transported by wheelchair to a cot and assessed by the site paramedic. Pt reports feeling much better after eating crackers.   1448 Vitals: BP 108/64, HR 74, O2sat 99%, RR 18 Sx: pale/moist skin, re-assed 5mins later and found to be warm, dry  PMH: Asthma Medications: Albuterol prn, Xyzal prn Allergies: Penicillin
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Hypophagia
Clinical narrative: Patient checked her BP after the shot and she came back to the pharmacy to let us know.  She said it was elevated.  I offered to recheck and it was slightly elevated for her age.  It was 153/82.. She informed me that she has high bp and didn't eat the proper foods today.  I gave her some water and rechecked the Bp and had her sit for a while.  When she left she said she felt fine
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pain, Palpitations
Clinical narrative: Achy. Racing heart and elevated pulse.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Menstrual cycle is irregular since receiving the vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Pt tolerated vaccine well. About five mins after injection, pt reported slight nausea and mild dizziness. I reported findings to FNP, he informed me to provide cold water and to observe patient. Rechecked vitals@ 1303 hrs: 02: 99 pulse: 71.At 1322 hours pt stated that she no longer felt any dizziness or nausea. Denied any SOB, CP, difficulty breathing, swelling of the throat/lips/tongue. Pt is aox4, speaks in clear and complete sentences. Per FNP pt able to be discharged if no longer feeling symptomatic. Patient denied UC services. Strict 911/ED given if sxs were to worsen or new symptoms were to arise. Patient verbalized understanding and agreed with plan. RN
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Eat extra salty foods and stop high blood pressure medication (labetalol 100 mg).
Age: 58.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Fatigue, Feeling cold, Pain, Pyrexia
Clinical narrative: Fatigue around 2:00 PM  Body Ache around 5:30 PM Fever and chill around 10 PM High fever and inflamed joints around 12AM-2:00AM
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product temperature excursion issue
Clinical narrative: TEMPERATURE EXCURSION WITH VACCINE ADMISNISTERED
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fall
Clinical narrative: Pt felt dizzy after vaccine. He fell when he was leaving the store after vaccination
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fall
Clinical narrative: Pt felt dizzy after vaccination. He fell as he was leaving Store
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain
Clinical narrative: Pain at the site for couple of days, extreme fatigue (ongoing)
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Hyperhidrosis, Pain
Clinical narrative: Body aches, headache, chills, 103 temp, then the sweats
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: LAYED PATIENT DOWN ON COT, ELEVATED HER LEGS, TOOK VITALS  AND CONTINUED TO MONITOR HER . PATIENT WAS RESPONSIVE AND AWARE OF THE SITUATION. VITAL SIGNS WERE STABLE , B/P- 131/71, HR: 104, RR- 20 , O2- 98% ON ROOM AIR.  911 WAS CALLED, ONCE THEY ARRIVED THEY RETOOK THE PATIENTS VITALS AND DECIDED THAT IT WAS NECESSARY TO TAKE HER TO THE LOCAL HOSPITAL DUE TO LOW BLOOD PRESSURE OF 78/42. AT THIS TIME, PATIENT WAS STILL RESPONDING  TO COMMANDS AND ALERT AND ORIENTED  X 4.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, Catheterisation cardiac normal, Death, Decreased activity
Clinical narrative: (Information gained secondhand from patient's close friend as patient was intubated and sedated at the time that potential relationship between events and vaccine administration recognized). 77 yo F with no known significant PMH (was independent in ADLs, active, line-danced twice/week) who developed nausea, headache, fatigue on first day after first dose of Moderna vaccine. Friend reports that patient complained of "just not feeling right" following vaccine administration. Complained of poor sleep, poor appetite, dyspepsia and began complaining of lower extremity swelling in the weeks following vaccine administration. Was no longer able to line-dance, etc. Was fatigued. Her friends became concerned and encouraged her to seek medical attention, patient reported that she had was prescribed "water pill" and told to "lay off salt,". Friends later found out that she had lied about doctor's visit and was self-medicating with over the counter  "water pills" for all of the water weight she was gaining. Eventually developed worsening shortness of breath. Admitted to hospital on 5/4 with shortness of breath and worsening abdominal pain. Found to have systolic heart failure (EF 20-30%) and was in SVT. Also diagnosed with UTI and SMV thrombus. Grossly anasarcic on exam. Treated for heart failure with diuretic and for her UTI with antibiotics, was started on Heparin drip for SMV thrombus. Underwent left heart catheterization at OSH that was negative for significant CAD. Developed worsening septic shock and was transferred to our hospital for higher level of care. Unfortunately had ongoing decline, found to be fungemic. Eventually succumbed to her septic shock, passed away on 5/14/21.  Patient had second dose of vaccine on 3/18/21 according to vaccine card in her purse. Friend states that because of symptoms she developed after first dose of vaccine, she was fearful of getting second dose.  Friends insist that she was well before the vaccine---knee pain was limiting factor for her activity level, never shortness of breath. Of note, several friends tested positive for COVID on 2/11/21, the week prior to patient receiving her vaccine. Patient tested negative and reportedly got tested at frequent intervals and was always negative.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspepsia, Dyspnoea, Ejection fraction decreased, Endotracheal intubation
Clinical narrative: (Information gained secondhand from patient's close friend as patient was intubated and sedated at the time that potential relationship between events and vaccine administration recognized). 77 yo F with no known significant PMH (was independent in ADLs, active, line-danced twice/week) who developed nausea, headache, fatigue on first day after first dose of Moderna vaccine. Friend reports that patient complained of "just not feeling right" following vaccine administration. Complained of poor sleep, poor appetite, dyspepsia and began complaining of lower extremity swelling in the weeks following vaccine administration. Was no longer able to line-dance, etc. Was fatigued. Her friends became concerned and encouraged her to seek medical attention, patient reported that she had was prescribed "water pill" and told to "lay off salt,". Friends later found out that she had lied about doctor's visit and was self-medicating with over the counter  "water pills" for all of the water weight she was gaining. Eventually developed worsening shortness of breath. Admitted to hospital on 5/4 with shortness of breath and worsening abdominal pain. Found to have systolic heart failure (EF 20-30%) and was in SVT. Also diagnosed with UTI and SMV thrombus. Grossly anasarcic on exam. Treated for heart failure with diuretic and for her UTI with antibiotics, was started on Heparin drip for SMV thrombus. Underwent left heart catheterization at OSH that was negative for significant CAD. Developed worsening septic shock and was transferred to our hospital for higher level of care. Unfortunately had ongoing decline, found to be fungemic. Eventually succumbed to her septic shock, passed away on 5/14/21.  Patient had second dose of vaccine on 3/18/21 according to vaccine card in her purse. Friend states that because of symptoms she developed after first dose of vaccine, she was fearful of getting second dose.  Friends insist that she was well before the vaccine---knee pain was limiting factor for her activity level, never shortness of breath. Of note, several friends tested positive for COVID on 2/11/21, the week prior to patient receiving her vaccine. Patient tested negative and reportedly got tested at frequent intervals and was always negative.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Fluid retention, Fungaemia, Generalised oedema
Clinical narrative: (Information gained secondhand from patient's close friend as patient was intubated and sedated at the time that potential relationship between events and vaccine administration recognized). 77 yo F with no known significant PMH (was independent in ADLs, active, line-danced twice/week) who developed nausea, headache, fatigue on first day after first dose of Moderna vaccine. Friend reports that patient complained of "just not feeling right" following vaccine administration. Complained of poor sleep, poor appetite, dyspepsia and began complaining of lower extremity swelling in the weeks following vaccine administration. Was no longer able to line-dance, etc. Was fatigued. Her friends became concerned and encouraged her to seek medical attention, patient reported that she had was prescribed "water pill" and told to "lay off salt,". Friends later found out that she had lied about doctor's visit and was self-medicating with over the counter  "water pills" for all of the water weight she was gaining. Eventually developed worsening shortness of breath. Admitted to hospital on 5/4 with shortness of breath and worsening abdominal pain. Found to have systolic heart failure (EF 20-30%) and was in SVT. Also diagnosed with UTI and SMV thrombus. Grossly anasarcic on exam. Treated for heart failure with diuretic and for her UTI with antibiotics, was started on Heparin drip for SMV thrombus. Underwent left heart catheterization at OSH that was negative for significant CAD. Developed worsening septic shock and was transferred to our hospital for higher level of care. Unfortunately had ongoing decline, found to be fungemic. Eventually succumbed to her septic shock, passed away on 5/14/21.  Patient had second dose of vaccine on 3/18/21 according to vaccine card in her purse. Friend states that because of symptoms she developed after first dose of vaccine, she was fearful of getting second dose.  Friends insist that she was well before the vaccine---knee pain was limiting factor for her activity level, never shortness of breath. Of note, several friends tested positive for COVID on 2/11/21, the week prior to patient receiving her vaccine. Patient tested negative and reportedly got tested at frequent intervals and was always negative.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Left ventricular failure, Mesenteric vein thrombosis, Nausea, Peripheral swelling
Clinical narrative: (Information gained secondhand from patient's close friend as patient was intubated and sedated at the time that potential relationship between events and vaccine administration recognized). 77 yo F with no known significant PMH (was independent in ADLs, active, line-danced twice/week) who developed nausea, headache, fatigue on first day after first dose of Moderna vaccine. Friend reports that patient complained of "just not feeling right" following vaccine administration. Complained of poor sleep, poor appetite, dyspepsia and began complaining of lower extremity swelling in the weeks following vaccine administration. Was no longer able to line-dance, etc. Was fatigued. Her friends became concerned and encouraged her to seek medical attention, patient reported that she had was prescribed "water pill" and told to "lay off salt,". Friends later found out that she had lied about doctor's visit and was self-medicating with over the counter  "water pills" for all of the water weight she was gaining. Eventually developed worsening shortness of breath. Admitted to hospital on 5/4 with shortness of breath and worsening abdominal pain. Found to have systolic heart failure (EF 20-30%) and was in SVT. Also diagnosed with UTI and SMV thrombus. Grossly anasarcic on exam. Treated for heart failure with diuretic and for her UTI with antibiotics, was started on Heparin drip for SMV thrombus. Underwent left heart catheterization at OSH that was negative for significant CAD. Developed worsening septic shock and was transferred to our hospital for higher level of care. Unfortunately had ongoing decline, found to be fungemic. Eventually succumbed to her septic shock, passed away on 5/14/21.  Patient had second dose of vaccine on 3/18/21 according to vaccine card in her purse. Friend states that because of symptoms she developed after first dose of vaccine, she was fearful of getting second dose.  Friends insist that she was well before the vaccine---knee pain was limiting factor for her activity level, never shortness of breath. Of note, several friends tested positive for COVID on 2/11/21, the week prior to patient receiving her vaccine. Patient tested negative and reportedly got tested at frequent intervals and was always negative.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality sleep, SARS-CoV-2 test negative, Sedative therapy, Septic shock, Supraventricular tachycardia
Clinical narrative: (Information gained secondhand from patient's close friend as patient was intubated and sedated at the time that potential relationship between events and vaccine administration recognized). 77 yo F with no known significant PMH (was independent in ADLs, active, line-danced twice/week) who developed nausea, headache, fatigue on first day after first dose of Moderna vaccine. Friend reports that patient complained of "just not feeling right" following vaccine administration. Complained of poor sleep, poor appetite, dyspepsia and began complaining of lower extremity swelling in the weeks following vaccine administration. Was no longer able to line-dance, etc. Was fatigued. Her friends became concerned and encouraged her to seek medical attention, patient reported that she had was prescribed "water pill" and told to "lay off salt,". Friends later found out that she had lied about doctor's visit and was self-medicating with over the counter  "water pills" for all of the water weight she was gaining. Eventually developed worsening shortness of breath. Admitted to hospital on 5/4 with shortness of breath and worsening abdominal pain. Found to have systolic heart failure (EF 20-30%) and was in SVT. Also diagnosed with UTI and SMV thrombus. Grossly anasarcic on exam. Treated for heart failure with diuretic and for her UTI with antibiotics, was started on Heparin drip for SMV thrombus. Underwent left heart catheterization at OSH that was negative for significant CAD. Developed worsening septic shock and was transferred to our hospital for higher level of care. Unfortunately had ongoing decline, found to be fungemic. Eventually succumbed to her septic shock, passed away on 5/14/21.  Patient had second dose of vaccine on 3/18/21 according to vaccine card in her purse. Friend states that because of symptoms she developed after first dose of vaccine, she was fearful of getting second dose.  Friends insist that she was well before the vaccine---knee pain was limiting factor for her activity level, never shortness of breath. Of note, several friends tested positive for COVID on 2/11/21, the week prior to patient receiving her vaccine. Patient tested negative and reportedly got tested at frequent intervals and was always negative.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: (Information gained secondhand from patient's close friend as patient was intubated and sedated at the time that potential relationship between events and vaccine administration recognized). 77 yo F with no known significant PMH (was independent in ADLs, active, line-danced twice/week) who developed nausea, headache, fatigue on first day after first dose of Moderna vaccine. Friend reports that patient complained of "just not feeling right" following vaccine administration. Complained of poor sleep, poor appetite, dyspepsia and began complaining of lower extremity swelling in the weeks following vaccine administration. Was no longer able to line-dance, etc. Was fatigued. Her friends became concerned and encouraged her to seek medical attention, patient reported that she had was prescribed "water pill" and told to "lay off salt,". Friends later found out that she had lied about doctor's visit and was self-medicating with over the counter  "water pills" for all of the water weight she was gaining. Eventually developed worsening shortness of breath. Admitted to hospital on 5/4 with shortness of breath and worsening abdominal pain. Found to have systolic heart failure (EF 20-30%) and was in SVT. Also diagnosed with UTI and SMV thrombus. Grossly anasarcic on exam. Treated for heart failure with diuretic and for her UTI with antibiotics, was started on Heparin drip for SMV thrombus. Underwent left heart catheterization at OSH that was negative for significant CAD. Developed worsening septic shock and was transferred to our hospital for higher level of care. Unfortunately had ongoing decline, found to be fungemic. Eventually succumbed to her septic shock, passed away on 5/14/21.  Patient had second dose of vaccine on 3/18/21 according to vaccine card in her purse. Friend states that because of symptoms she developed after first dose of vaccine, she was fearful of getting second dose.  Friends insist that she was well before the vaccine---knee pain was limiting factor for her activity level, never shortness of breath. Of note, several friends tested positive for COVID on 2/11/21, the week prior to patient receiving her vaccine. Patient tested negative and reportedly got tested at frequent intervals and was always negative.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Eye movement disorder, Feeling hot, Syncope
Clinical narrative: Patient came in with his fiancé for their 2nd dose of the moderna. I administered the patient with his second shot of the moderna, then he sat on the chair in the waiting area after his vaccine. I then gave his fiancé her 2nd shot of the moderna. As I was done giving the shot, his fiancé and I noticed his eyes are rolling backwards and he started to faint in the chair.  Then his wife and I tried to waking him. He regained conscience after 20 seconds or more. He was extremely hot so I got him a water.  I had him wait 10 minutes after so I can monitor him.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION WITH VACCINE ADMINISTERED
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: A magnet was   placed on the area where I was given my vaccine (Moderna) and it stayed "magnetized" for  three hours.  The magnet stayed in place for that time. I  have heard that happening to  others, I then decided to  try it myself. I was amazed  that my arm seemed magnetized!
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Headache
Clinical narrative: Pt describes onset of abdominal cramping, diarrhea, and headache approx. 24 hours after 2nd pfizer vaccine. Has tried taking 1 ibuprofen for the headache; however, states it did not really help and she did not want to suppress her immune system.   I recommend that she try taking immodium and tylenol; however, pt reports "tylenol doesn't work for me". Discussed that if she was going to take ibuprofen, 400 mg would be more of a therapeutic dose. Recommend she call the clinic on 5/15/21 if her symptoms do not seem to be improving.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Laboratory test, Pancreatitis acute, Ultrasound scan
Clinical narrative: Acute pancreatitis requiring hospitalization
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: patient felt dizzy and worried of passing out.  Patient took a longer rest break and we provided a bottle of water.  Patient felt better with a longer wait period and left with her mother of under her own power.  Tried to reach out parent to follow up a few hours later but was only able to leave a message.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hypotension, Nausea, Syncope
Clinical narrative: NURSE GAVE PATIENT VACCINE. 5 MINUTES LATER PATIENT STARTED FEELING DIZZY AND FAINTED FOR A MINUTE. WHEN HE CAME TO FELT CHILLS AND NAUSEA. TRIED TO CHECK BP BUT BP WAS TOO LOW TO READ, AFTER 10 MINUTES NO LONGER FELT CHILLS NOT NAUSEA
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Confusional state, Feeling abnormal, Headache
Clinical narrative: Kaleidoscope vision  twice, followed by 5-10 minutes of severe confusion and inability to remember words and son's date of birth.  The fogginess with feelings of a headache coming on for about an hour afterwards.  I was working out (as I do 3 times a week with weight training) when the kaleidoscope vision came on, but I didn't initially feel any other effects and since it went away within 5-10 minutes, I continued with my workout.  When I was driving home, it returned and the episode of confusion occurred as soon as I reached my home.  I went to the ER after looking up symptoms following the confusion and decided to get checked out since a mini-stroke seemed possible.  I have no history of migraines or other health conditions.  At the ER, they ran some bloodwork, but I have not received the results of those tests.  They also performed a CT scan and said that looked clear, but I have not seen any official results for that either.  I have also been advised by a physician that a CT scan won't show signs of a stroke and that I should have received an MRI.  I will be following up with a PCP to request an MRI and will provide those results when I have them.  I have had one other episode of the Kaleidoscope vision since the original event, and I was sitting down watching a movie at the time.  It went away within the same 5-10 minutes and I had what felt like a mild headache coming on, but no other symptoms.  And I have never had any migraines or regular headaches/vision events such as these before.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Scintillating scotoma
Clinical narrative: Kaleidoscope vision  twice, followed by 5-10 minutes of severe confusion and inability to remember words and son's date of birth.  The fogginess with feelings of a headache coming on for about an hour afterwards.  I was working out (as I do 3 times a week with weight training) when the kaleidoscope vision came on, but I didn't initially feel any other effects and since it went away within 5-10 minutes, I continued with my workout.  When I was driving home, it returned and the episode of confusion occurred as soon as I reached my home.  I went to the ER after looking up symptoms following the confusion and decided to get checked out since a mini-stroke seemed possible.  I have no history of migraines or other health conditions.  At the ER, they ran some bloodwork, but I have not received the results of those tests.  They also performed a CT scan and said that looked clear, but I have not seen any official results for that either.  I have also been advised by a physician that a CT scan won't show signs of a stroke and that I should have received an MRI.  I will be following up with a PCP to request an MRI and will provide those results when I have them.  I have had one other episode of the Kaleidoscope vision since the original event, and I was sitting down watching a movie at the time.  It went away within the same 5-10 minutes and I had what felt like a mild headache coming on, but no other symptoms.  And I have never had any migraines or regular headaches/vision events such as these before.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Product temperature excursion issue
Clinical narrative: TEMPERATURE EXCURSION
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pityriasis rosea, Rash
Clinical narrative: Rash - Pityriasis rosea
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Nausea, Paraesthesia, Presyncope
Clinical narrative: AFTER RECEIVING 2ND DOSE OF MODERNA COVID-19 VACCINE, PATIENT TOLD PERSON SHE WAS WITH THAT SHE FEELS LIKE SHE IS GOING TO PASS OUT AND SHE DID.  PATIENT EXPIERENCED DIZZINESS, WARM FEELING, NAUSEOUS, TINGLY IN HANDS AND FEET.  AFTER CALLING FOR HELP I IMMEDIATELY WENT OUT TO CHECK PATIENT AND SHE WAS ALREADY AWAKE, ALERT AND TALKING.  SHE PASSED OUT AND WAS CAUGHT BY THE PERSON SHE WAS WITH BEFORE SHE HIT THE GROUND.  WE TOOK HER BP AND PULSE, 112/69, PULSE 68.  WE THEN HAD HER DRINK A BOTTLE OF WATER AND SHE LAID DOWN.  SHE ALSO ATE A SNICKERS BAR.  AFTER LAYING DOWN AND SITTING FOR 35 MINUTES AFTER PASSING OUT SHE WAS FEELING MUCH BETTER.  SHE STOOF UP AND WALKED AROUND BEFORE SHE LEFT.  SHE REFUSED EMS WHEN OFFERED AND SAID SHE FELT FINE.  SHE HAD SYMPTOMS OF VASOVAGAL SYNCOPE? PATIENT LEFT FEELING OK.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: AFTER RECEIVING 2ND DOSE OF MODERNA COVID-19 VACCINE, PATIENT TOLD PERSON SHE WAS WITH THAT SHE FEELS LIKE SHE IS GOING TO PASS OUT AND SHE DID.  PATIENT EXPIERENCED DIZZINESS, WARM FEELING, NAUSEOUS, TINGLY IN HANDS AND FEET.  AFTER CALLING FOR HELP I IMMEDIATELY WENT OUT TO CHECK PATIENT AND SHE WAS ALREADY AWAKE, ALERT AND TALKING.  SHE PASSED OUT AND WAS CAUGHT BY THE PERSON SHE WAS WITH BEFORE SHE HIT THE GROUND.  WE TOOK HER BP AND PULSE, 112/69, PULSE 68.  WE THEN HAD HER DRINK A BOTTLE OF WATER AND SHE LAID DOWN.  SHE ALSO ATE A SNICKERS BAR.  AFTER LAYING DOWN AND SITTING FOR 35 MINUTES AFTER PASSING OUT SHE WAS FEELING MUCH BETTER.  SHE STOOF UP AND WALKED AROUND BEFORE SHE LEFT.  SHE REFUSED EMS WHEN OFFERED AND SAID SHE FELT FINE.  SHE HAD SYMPTOMS OF VASOVAGAL SYNCOPE? PATIENT LEFT FEELING OK.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing
Clinical narrative: dizziness and flushing, waited in recliner with legs elevated, symptoms resolved in 20 minutes
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Vital signs measurement, Vomiting
Clinical narrative: patient had enormous pain over her entire body, she could not hold food down, she could not sit or lay down .  She went to the emergency room that evening, vitals were OK, no fever,  she was not dehydrated.  ER treated the event like a migraine.  On Sunday 5/9 at about 10pm all the symptoms broke and she felt fine.  She reported she had no problem with the first dose.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Temperature excursion.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given dose 1 day early, no known adverse events
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Diarrhoea, Dizziness, Fatigue
Clinical narrative: At 11: 53 AM Client sitting in observation area c/o "a little dizzy, i feel hungry." 11:55 am cookies and water given to client. Client ate a few bits. Vitals check: BP 180/90, 75 bpm, 97%, 16 RR. 11:58 Vitals check: 210/100, 78 bpm, 96%, 16 RR.  12:00 pm Client c/o sudden urge to have a BM and stated, "I need to move my bowels." Escorted by PHN and caregiver at 12:05 pm to nearest restroom. Client walked with steady gate using walker. 12:20 pm Client returned to observation area, reported a loose BM. Stated abdominal pain resolved after using the bathroom. Continues to C/o dizziness and now weakness. Client A x O x4 Vitals check 12:20 pm 230/100, 87 bpm (pulse regular per palpitation), 97%, 19 RR. Client continues to eat cookies given. Vitals check 12:20 pm: 190/90, 79 bpm, 97%, 18 RR. T.C. to 9-1-1 at 12:28 pm. At 12:30 pm client states not feeling dizzy anymore, just tired, wanted to lie down. At 12:31 pm PHN called lead RN, advised to give Benadryl per protocol. 12:34 pm Benadryl given PO. 12:45 pm Vitals check: 190/90, 75 bpm, 98%, 16 RR. EMS arrived and assumed care at 12:50pm. Client signed Against Medical Advice at 1:36 PM. PHN educate need to follow up in 24 hours with PMD clinic, educated risks of elevated BP and possible adverse reactions to vaccine. At 1:38pm Client walked off with stead gait with caregiver.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Hunger
Clinical narrative: At 11: 53 AM Client sitting in observation area c/o "a little dizzy, i feel hungry." 11:55 am cookies and water given to client. Client ate a few bits. Vitals check: BP 180/90, 75 bpm, 97%, 16 RR. 11:58 Vitals check: 210/100, 78 bpm, 96%, 16 RR.  12:00 pm Client c/o sudden urge to have a BM and stated, "I need to move my bowels." Escorted by PHN and caregiver at 12:05 pm to nearest restroom. Client walked with steady gate using walker. 12:20 pm Client returned to observation area, reported a loose BM. Stated abdominal pain resolved after using the bathroom. Continues to C/o dizziness and now weakness. Client A x O x4 Vitals check 12:20 pm 230/100, 87 bpm (pulse regular per palpitation), 97%, 19 RR. Client continues to eat cookies given. Vitals check 12:20 pm: 190/90, 79 bpm, 97%, 18 RR. T.C. to 9-1-1 at 12:28 pm. At 12:30 pm client states not feeling dizzy anymore, just tired, wanted to lie down. At 12:31 pm PHN called lead RN, advised to give Benadryl per protocol. 12:34 pm Benadryl given PO. 12:45 pm Vitals check: 190/90, 75 bpm, 98%, 16 RR. EMS arrived and assumed care at 12:50pm. Client signed Against Medical Advice at 1:36 PM. PHN educate need to follow up in 24 hours with PMD clinic, educated risks of elevated BP and possible adverse reactions to vaccine. At 1:38pm Client walked off with stead gait with caregiver.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Chest discomfort, Chest pain, Dizziness, Flushing
Clinical narrative: PATIENT REPORTED DIZZINESS, NAUSEA, TONGUE/THROAT SWELLING SENSATION, FLUSHING, CHEST PRESSURE, CHEST PAIN. ANAPHYLAXIS. CALLED 911 . ADMINISTERED EPIPEN INJECTION. TRANSPORTED TO HOSPITAL BY PARAMEDIC.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pharyngeal swelling, Swollen tongue
Clinical narrative: PATIENT REPORTED DIZZINESS, NAUSEA, TONGUE/THROAT SWELLING SENSATION, FLUSHING, CHEST PRESSURE, CHEST PAIN. ANAPHYLAXIS. CALLED 911 . ADMINISTERED EPIPEN INJECTION. TRANSPORTED TO HOSPITAL BY PARAMEDIC.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Sleep disorder, Tinnitus
Clinical narrative: A blast of pain in the right side of my head woke me up out of a sound sleep, i think i heard a slight pop  right before and as soon as the intense pain came, it radiated outward and away from between my temple and right ear upward and was gone in a matter of 2 to 3 seconds. I have never felt anything  like this, or scare me as much to make me think it might be life threatening as this. I couldnt sleep right after for 1.5 hours and I emailed my primary doctor immediately. In the morning,  I spoke on the phone to 2 Nurses at my docs office before bs. hours who advised me to go to the emergency. rm for a CTA and did. I've never really had headaches that have amounted to much.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Patient was scratching her arms. She did not have hives or swelling. When she stopped scratching the redness went away. I sent her to walk in clinic to get medically cleared. No swelling on neck or face no redness on any part of body except arms.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Dizziness
Clinical narrative: 95% Room air, 64 pulse, BP 112/72. Patient noticed to be less talkative. He had an almost syncopal episode. Patient never lost consciousness. Provided water. Patient recovered at vaccination table.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: NUMBNESS TO ARM AND FINGERS
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Pain in extremity, Peripheral swelling
Clinical narrative: Since injection I have had continued localized pain in the left arm between elbow and shoulder of left arm. First 4+ days arm was extremely painful with very slight swelling. No rash. Painful to move the arm. The actual administering of the vaccine was extremely painful. Pain has continued off and on every day since. The pain ranges from mild (but certainly aware it is there) medium level discomfort. At worse there is a burning sensation and the pain feels like someone is pinching an area of my arm and holding the pinch. The pain is not always in the exact spot. But it is always located as described in first sentence.  The second vaccination on 4/4/21 there was very little pain when administered. I did not have the same level of pain in my arm as in the first 4+ days after the first injection. But the arm pain has been daily since first injection .
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Heaviness in chest and mild shortness of breath within 2 hours of vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Impaired work ability
Clinical narrative: Four weeks after the vaccine I was getting unexplained dizziness. I am not sure if it is Vertigo. I thought maybe it was my blood pressure being low but the doctor confirmed that the reading was normal for me. It was happening every day for the first week and then nothing the following week.  I was unable to work because I needed to lay down when the dizziness happens. It is still coming back after eight weeks but it is not often, maybe twice a week. It is hard to drive when it is happening. It comes on me all of a sudden when I am sitting down working.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Nervousness, Paraesthesia, Paraesthesia oral, Throat tightness
Clinical narrative: Following 15 min observation period, patient reported tingling face and lips and throat closing.  Prior to vaccination, patient was nervous and reported anxiety regarding the vaccination.   Vitals 6:39 p - BP 170/85, SpO2 95%, 71 bpm 6:50 p - BP 156/81, SpO2 96%, 78 bpm 6:55 p - BP 135/73, SpO2 96%, 80 bpm  Patient reported tingling went away; left clinic with daughter who could drive.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Pharyngeal swelling
Clinical narrative: patient c/o difficulty to swallow 27 min after vaccine administration. Vital signs stable. no rash no SOB noted. throat assessed, Left side appears swollen. given Benadryl 25min PO x1. consulted Urgent care doctor, advised to send over patient to be seen for further eval.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Bone pain, COVID-19, Fatigue, Headache
Clinical narrative: About 10 hours after the vaccine, I had deep bone pain in my pelvis, sacrum and spine. I was extremely fatigued, fever and headache. I basically slept for two days curled up in a ball. On April 7, I was diagnosed with COVID.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Pelvic pain, Pyrexia, Spinal pain
Clinical narrative: About 10 hours after the vaccine, I had deep bone pain in my pelvis, sacrum and spine. I was extremely fatigued, fever and headache. I basically slept for two days curled up in a ball. On April 7, I was diagnosed with COVID.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION