chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in jaw, Pain of skin
Clinical narrative: C/O Right ear pain for about 5 months, intermittently.  Does have swollen pre-auricular lymp node.  Ear pain and swelling occur since COVID 19 vaccine in January.  lasts up to one week at a time, then subsides for about 1 week or more.  Pain located in right jaw, right ear canal and up into the right scalp.  Pain is aching, not sharp pain. Sometimes throbbing pain.  Sometimes right sided headache.  Denies photophobia or phonophobia.  No history of ear pain or headaches.  no swimming. no ear drainage.  Denies fevers, chills or night sweats. No weight loss.  Feeling of fullness, no hearling loss.  Took amoxacillin 1000 mg BID x 2 weeks when symtpoms began several months ago.  Then doxycycline 100 mg BID x 2 weeks.  No improvemen tin symptoms.  Pain not effected by opening or closing mouth.   Cleaned ear 1 week prior to MD appointment with a Q tip and there was brownish green liquid on the q tip.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Condition aggravated, Contusion, Impaired work ability, Joint swelling
Clinical narrative: 4/23/2021 - woke up with full body itch sensation (like dry skin). By 8/9am covered in hives head to toe. Started Benadryl every 4 hours (Woudl give some relief for 2 hours). 4/26 visited primary care, put on Claritin 2x/day, pepsid 2x/day, given steroids to start close to day 14 from Moderna. I started steroids on 4/29 as I couldn't tolerate rash.  So a little relief going into May. By May 10th full body intense rash was back. Saw PCP again 4/16, more Steroid's (Started May 16), hives were less intense.  Believe I was on Steriods close to 60 days May-June.  Then May 17-19 highly intense rash, waking up covered trunk of body and scalp.  5/20 saw Dermatologist and Allergist. 5/20 Allergist took over care. Continued Steroids. Trial and Error, on antihistamines. Minimum 10 antihistamines a day plus 4 Hydroxyzine's as needed just to keep rash tolerable. Allergist recommended I carry Epi Pen all times, which is new. Some Rashes were so bad they would fade and leave bruises. Also saw Rheumatologist to rule out Autoimmune (see bloodwork). Does 1 of Xolair on  June 17th. Does 2 of Xolair on July 15th. Little to no hives starting July 17th. Still taking 10-11 antihistamines a day. Sometimes I have joint swelling or discomfort - was hard to tell if that was rash/immune reaction or steroid side effect.  I had to spend 10 days at beach in shade, out of water or in AC, couldn't swim or play with my kids.  I've missed HOURS of work, going to Dr appointments, getting blood work. Now sitting for 2 hours to get Xolair.  I would estimate I've spent more than $500 in out of pocket copays, OTC medicines.  I have not been able to walk outdoors, workout, enjoy most summer activities outdoors. Some days I cannot even go to store as rash looks horrific.  Due to inactivity and steroids, gained 15#. I've had to modify diet to avoid high histamine foods. I've  NOTE: as a child (preschool & early elementary) I would get a cold, as I recovered break out in very similar rash. The rash would last 2-3 days max. I would need 75mg of benadryl. Last Bad rash was in High School after a bad flu. As an adult, random cold or flu might trigger a very mild rash.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Loss of personal independence in daily activities, Musculoskeletal discomfort, Pruritus, Rash, Steroid therapy
Clinical narrative: 4/23/2021 - woke up with full body itch sensation (like dry skin). By 8/9am covered in hives head to toe. Started Benadryl every 4 hours (Woudl give some relief for 2 hours). 4/26 visited primary care, put on Claritin 2x/day, pepsid 2x/day, given steroids to start close to day 14 from Moderna. I started steroids on 4/29 as I couldn't tolerate rash.  So a little relief going into May. By May 10th full body intense rash was back. Saw PCP again 4/16, more Steroid's (Started May 16), hives were less intense.  Believe I was on Steriods close to 60 days May-June.  Then May 17-19 highly intense rash, waking up covered trunk of body and scalp.  5/20 saw Dermatologist and Allergist. 5/20 Allergist took over care. Continued Steroids. Trial and Error, on antihistamines. Minimum 10 antihistamines a day plus 4 Hydroxyzine's as needed just to keep rash tolerable. Allergist recommended I carry Epi Pen all times, which is new. Some Rashes were so bad they would fade and leave bruises. Also saw Rheumatologist to rule out Autoimmune (see bloodwork). Does 1 of Xolair on  June 17th. Does 2 of Xolair on July 15th. Little to no hives starting July 17th. Still taking 10-11 antihistamines a day. Sometimes I have joint swelling or discomfort - was hard to tell if that was rash/immune reaction or steroid side effect.  I had to spend 10 days at beach in shade, out of water or in AC, couldn't swim or play with my kids.  I've missed HOURS of work, going to Dr appointments, getting blood work. Now sitting for 2 hours to get Xolair.  I would estimate I've spent more than $500 in out of pocket copays, OTC medicines.  I have not been able to walk outdoors, workout, enjoy most summer activities outdoors. Some days I cannot even go to store as rash looks horrific.  Due to inactivity and steroids, gained 15#. I've had to modify diet to avoid high histamine foods. I've  NOTE: as a child (preschool & early elementary) I would get a cold, as I recovered break out in very similar rash. The rash would last 2-3 days max. I would need 75mg of benadryl. Last Bad rash was in High School after a bad flu. As an adult, random cold or flu might trigger a very mild rash.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria, Weight increased, X-ray
Clinical narrative: 4/23/2021 - woke up with full body itch sensation (like dry skin). By 8/9am covered in hives head to toe. Started Benadryl every 4 hours (Woudl give some relief for 2 hours). 4/26 visited primary care, put on Claritin 2x/day, pepsid 2x/day, given steroids to start close to day 14 from Moderna. I started steroids on 4/29 as I couldn't tolerate rash.  So a little relief going into May. By May 10th full body intense rash was back. Saw PCP again 4/16, more Steroid's (Started May 16), hives were less intense.  Believe I was on Steriods close to 60 days May-June.  Then May 17-19 highly intense rash, waking up covered trunk of body and scalp.  5/20 saw Dermatologist and Allergist. 5/20 Allergist took over care. Continued Steroids. Trial and Error, on antihistamines. Minimum 10 antihistamines a day plus 4 Hydroxyzine's as needed just to keep rash tolerable. Allergist recommended I carry Epi Pen all times, which is new. Some Rashes were so bad they would fade and leave bruises. Also saw Rheumatologist to rule out Autoimmune (see bloodwork). Does 1 of Xolair on  June 17th. Does 2 of Xolair on July 15th. Little to no hives starting July 17th. Still taking 10-11 antihistamines a day. Sometimes I have joint swelling or discomfort - was hard to tell if that was rash/immune reaction or steroid side effect.  I had to spend 10 days at beach in shade, out of water or in AC, couldn't swim or play with my kids.  I've missed HOURS of work, going to Dr appointments, getting blood work. Now sitting for 2 hours to get Xolair.  I would estimate I've spent more than $500 in out of pocket copays, OTC medicines.  I have not been able to walk outdoors, workout, enjoy most summer activities outdoors. Some days I cannot even go to store as rash looks horrific.  Due to inactivity and steroids, gained 15#. I've had to modify diet to avoid high histamine foods. I've  NOTE: as a child (preschool & early elementary) I would get a cold, as I recovered break out in very similar rash. The rash would last 2-3 days max. I would need 75mg of benadryl. Last Bad rash was in High School after a bad flu. As an adult, random cold or flu might trigger a very mild rash.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Burning rash on the face and elbows; softball-size redness/hard painful at the site.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Burning rash on the face and elbows; softball-size redness/hard painful at the site.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Arthralgia, Back pain, Computerised tomogram abdomen, Fatigue
Clinical narrative: brain fog since first injection, unable to remember common words used in everyday communication   joint pain of neck, lower back and elbows   fatigue that has continued since first injection  headaches that has continued since first injection
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Inflammatory marker test, Neck pain
Clinical narrative: brain fog since first injection, unable to remember common words used in everyday communication   joint pain of neck, lower back and elbows   fatigue that has continued since first injection  headaches that has continued since first injection
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Eye movement disorder, Fall, Hyperhidrosis, Injection site pain, Pallor
Clinical narrative: Pt came to hospital 07/26/2021 for his first COVID-19 vaccine accompanied by his girlfriend. Pt completed appropriate paperwork. LPN reviewed paperwork with pt and gave pt Moderna vaccine Lot# 027B21A expire 09/18/2021 at about 1000 in Right Arm. Pt proceeded to the lobby with girlfriend. At about 1010 pt was witnessed falling from chair in lobby. Staff activated the emergency response protocol crash cart and 02 tank was brought to pt side within a few seconds. Staff called 911. On assessment pt was lying supine in lobby breathing normal and pulse WNL diaphoretic and pale. RN noted that pt eyes where rolling back. Pt head was supported, few seconds later pt came was awake. BP was checked 138/82 in left arm. Breathing WNL and HR WNL.  Pt states "I was afraid this was going to happen I had this happen about 5 yrs ago with a booster shot". Pt girlfriend stated that he turned to her and stated I don't feel good and he leaned back into the chair then fell onto the floor bottom first then onto left side then onto back. Pt states he is not hurting anywhere other than where he got his shot. Pt was then assisted to the sitting position on floor. pt stated he felt better just week pt then was assisted to the chair. While sitting in chair pt was diaphoretic and pale pt was given a cold bottle of water and a cool wet paper towel. Pt continued to improve after that. EMS arrived at 1020. EMS got vitals and pt signed EMS document refusing transport to hospital. EMS left at 1027 Pt girlfriend called for a ride because he was driving. Pt back to normal by the time his ride got here at 1043 last vitals WNL BP 126/80.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Nausea, Throat clearing, Throat irritation
Clinical narrative: PATIENT FELT DIZZY AND REPORTED THAT HER THROAT FEELS SCRATCHY AS IF SHE'S BEEN EATING FISH . I GAVE HER BENADRYL AROUND 1:20, I STAYED WITH HER WATCHING HER CLOSELY FOR ANY SIGNS OF DISTRESS. SHE WAS TRYING TO CLEAR HER THROAT CONSTANTLY AND COUGHING. I HAD HER LAYING DOWN ON THE FLOOR AND INSTRUCTED A TECHNICIAN TO CALL 911. THEY INSTRUCTED ME TO HAVE THE PATIENT SIT . SHE REPORTED TO ME SHE FEELS NAUCIOUS. I TOOK HER BLOOD PRESSURE AND IT WAS 130/100. ABOUT 5 MINUTES LATER EMS CAME AND CHECKED THE PATIENTS VITALS, THEY STABILIZED HER AND SHE DIDN'T WANT TO GO TO HOSPITAL WITH THEM. THEY TOLD ME THAT SHE IS STABLE AND IF SHE IS READY SHE COULD GO. I GAVE HER ANOTHER DOSE OF BENADRYL, AND SHE LEFT THE PHARMACY ACCOMPANIED BY HER HUSBAND .
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Aphasia, Blood test, Computerised tomogram, Dysphagia
Clinical narrative: headaches, neck pain, nausea - started on 4/6/2021; First ER Visits on 4/20/21 - Blood tests, MRI, CT; Ongoing symptoms from 4/6/2021 - 6/11/2021 during that time Hematology visits with additional blood tests, Ophthalmology visit due to pressure behind right eye, Neurology visits with MRI/MRV due to neck pain, headaches and nausea; 6/12/21 ER Visit and admitted inpatient for observation - more blood tests, MRI, CT and Lumbar Puncture due to intensified symptoms with Tremors all over body, inability to walk, difficulty swallowing and difficulty speaking - these symptoms have been constant from 6/12/21 up through today 7/26/21
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Headache, Lumbar puncture, Magnetic resonance imaging, Nausea
Clinical narrative: headaches, neck pain, nausea - started on 4/6/2021; First ER Visits on 4/20/21 - Blood tests, MRI, CT; Ongoing symptoms from 4/6/2021 - 6/11/2021 during that time Hematology visits with additional blood tests, Ophthalmology visit due to pressure behind right eye, Neurology visits with MRI/MRV due to neck pain, headaches and nausea; 6/12/21 ER Visit and admitted inpatient for observation - more blood tests, MRI, CT and Lumbar Puncture due to intensified symptoms with Tremors all over body, inability to walk, difficulty swallowing and difficulty speaking - these symptoms have been constant from 6/12/21 up through today 7/26/21
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Neurological examination, Ocular discomfort, Tremor, Venogram
Clinical narrative: headaches, neck pain, nausea - started on 4/6/2021; First ER Visits on 4/20/21 - Blood tests, MRI, CT; Ongoing symptoms from 4/6/2021 - 6/11/2021 during that time Hematology visits with additional blood tests, Ophthalmology visit due to pressure behind right eye, Neurology visits with MRI/MRV due to neck pain, headaches and nausea; 6/12/21 ER Visit and admitted inpatient for observation - more blood tests, MRI, CT and Lumbar Puncture due to intensified symptoms with Tremors all over body, inability to walk, difficulty swallowing and difficulty speaking - these symptoms have been constant from 6/12/21 up through today 7/26/21
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Dyspnoea, Heart rate irregular, Occupational exposure to SARS-CoV-2
Clinical narrative: Patient calls with report of irregular heart rate, shortness of breath, chest congestion, sinus congestion, loss of smell.  There have been three positive COVID cases at his work. He is full vaccinated.  Reports hx of afib.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Patient calls with report of irregular heart rate, shortness of breath, chest congestion, sinus congestion, loss of smell.  There have been three positive COVID cases at his work. He is full vaccinated.  Reports hx of afib.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Sinusitis
Clinical narrative: Two months after the second shot I began having what I thought was a sinus infection and cough..  As this persisted I went to my local doctor who prescribed a Z pack and antibiotics.  A week later I felt some difficult breathing  went back to the doctor who prescribed an inhaler. By week three I started to see improvements and by week four I was back to normal.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Death, Gastrointestinal haemorrhage
Clinical narrative: Death  7/25/21 N17.9 - AKI (acute kidney injury) K92.2 - Gastrointestinal hemorrhage, unspecified gastrointestinal hemorrhage type
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: tired, body aches and fever of 103
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Migraine, Myalgia, Sinusitis, Tinnitus
Clinical narrative: Worsened tinnitus; more frequent migraines; sinusitis requiring treatment with azithromycin x2; telogen effluvium Typical reaction (fatigue, myalgia, mild headache) resolved in 2 days
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR
Symptoms: Rash, Rash erythematous
Clinical narrative: Had bumps all over body. Not itchy but bright red. Doctor said from MMR. Lasted 3 days.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Blood test, Chest pain, Computerised tomogram
Clinical narrative: Sever abdominal pain extending up center of chest to ears and down center of back.  Sever pain if trying to lay flat. Initial occurrence March 31,2021 approximately two weeks after 2nd Pfizer vaccination,   Released from hospital same day but unable to lay flat for four days.  Same symptoms reoccurred on May 26, 2021 and was admitted to the hospital for three days and it was determined my condition was  pericarditis.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Echocardiogram, Pericarditis
Clinical narrative: Sever abdominal pain extending up center of chest to ears and down center of back.  Sever pain if trying to lay flat. Initial occurrence March 31,2021 approximately two weeks after 2nd Pfizer vaccination,   Released from hospital same day but unable to lay flat for four days.  Same symptoms reoccurred on May 26, 2021 and was admitted to the hospital for three days and it was determined my condition was  pericarditis.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Autopsy, Death
Clinical narrative: Patient found deceased in her bed on june 12, 2021, reported to Strongsville Police Department at 10:15am., taken to Cuyahoga Medical Examiner's Office the same day. Autopsy done. Results still pending for 4-5 months.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Abnormal behaviour, Asthenia, Blood pressure increased, Dizziness, Pallor
Clinical narrative: patient had a near syncope event after administration of vaccines. Gardasil administered last in left arm. Patient seemed weak and was moved from exam table to chair,felt dizzy and became quiet and pale, difficulty answering questions. Legs were elevated on a chair, pt was given water to drink but only took a few sips, eyes were closing and could not hold cup of water. Weak  radial pulse noted, systolic BP ~ 80 (was initially 100 at start of visit). Patient was monitored for approx 5 more minutes, after which time she said she felt better, pulses returned to normal, BP back up to 80. entire episode lasted ~ 10 minutes.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Presyncope, Pulse abnormal, Thinking abnormal
Clinical narrative: patient had a near syncope event after administration of vaccines. Gardasil administered last in left arm. Patient seemed weak and was moved from exam table to chair,felt dizzy and became quiet and pale, difficulty answering questions. Legs were elevated on a chair, pt was given water to drink but only took a few sips, eyes were closing and could not hold cup of water. Weak  radial pulse noted, systolic BP ~ 80 (was initially 100 at start of visit). Patient was monitored for approx 5 more minutes, after which time she said she felt better, pulses returned to normal, BP back up to 80. entire episode lasted ~ 10 minutes.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Pt called today and reported that her arm has been sore since the day following the vaccine.  I recommended that she contact her primary care.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain, Headache, Myalgia, Pain of skin
Clinical narrative: Skin to this day is sore to the touch. Constant paid at a level 5 on a scale of 0-10 in armpit and chest of right side of body.  Continues headache since day after shot.  Muscles still sore.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Systemic inflammatory response syndrome
Clinical narrative: Death R65.10 - SIRS (systemic inflammatory response syndrome)
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received 2 doses of the Moderna COVID-19 vaccine from our pharmacy. First dose on 6/25/21, second dose on 7/23/21. Patient was screened using the CDC COVID-19 vaccine screening questionnaire and answered "no" to previous COVID-19 vaccinations. Patient's insurance paid for both vaccinations insurance claims. Both doses were reported. No evidence of previous COVID-19 vaccination were apparent until we were logging her 2nd dose from our facility. Upon further investigation of the patient's vaccine history, she received 2 doses of Moderna COVID-19 vaccine from a different facility on 4/30/21 and 5/28/21.  In summary, the patient has received 4 doses of the Moderna COVID-19 vaccine. The patient denied receiving any previous COVID-19 vaccinations upon our questioning.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Nausea, Paraesthesia
Clinical narrative: Felt nauseous and broke out into a sweat.  Reported lightheadedness and dizzy.  Felt like she would pass out. Reported tingling in fingertips.  Laid down for an hour. Tingling subsided and felt lightheadedness subsided; however, continued to feel nauseous.  Denies vomiting, chest pain, SOB, et.c
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Tachycardia
Clinical narrative: Child taken to ER with tachycardia symptoms.  Heart rate 120 and BPP at 158/89.  Treated with fluids and released at 99 heart rate and BP at 139/85.  This morning self check: HR 108 and BPP 134/85.  Doctors appointment scheduled this afternoon.  Child?s normal resting heart rate at 80 and BP at 115/75.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Dizziness, Feeling of body temperature change, Heart rate increased
Clinical narrative: Dizziness, feeling faint, weakness, light sensitivity, nausea, sleepiness, cold and hot flash at the same time, increased HR, and increased BP. These symptoms occurred in 15 mins after receiving the vaccine. 3 nurses helped me to a room via wheelchair. They monitored my HR and BP every 15 mins for an hour. They allowed me to rest, supplied cold compresses and ginger ale. The symptoms subsided after an hour, which gave me time to get home, but the symptoms re-occurred  in waves for a week.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Photophobia, Somnolence
Clinical narrative: Dizziness, feeling faint, weakness, light sensitivity, nausea, sleepiness, cold and hot flash at the same time, increased HR, and increased BP. These symptoms occurred in 15 mins after receiving the vaccine. 3 nurses helped me to a room via wheelchair. They monitored my HR and BP every 15 mins for an hour. They allowed me to rest, supplied cold compresses and ginger ale. The symptoms subsided after an hour, which gave me time to get home, but the symptoms re-occurred  in waves for a week.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Feeling abnormal, Loss of consciousness
Clinical narrative: Pt received the vaccine, she said she was fine and stood up immediately to move to another chair. Her mom asked her again how she was and she said actually I don't feel good. She put her head between her legs and after that she went unconscious and fell to the ground.  911 was called immediately. She came to in about 30 seconds. MS arrived in less than 5 minutes. They took her temperature, BP, pulse and BS. All normal. They think she had a vasovagal response. She did not go with MS. She is going to her pediatrician today to get looked at further
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Syncope, Tooth injury
Clinical narrative: Patient pre-screened and given 1st dose of Pfizer vaccine then transferred to the post vaccine waiting area.  After 15 minutes patient was on his way to the car and accompanied by mother and sister.  At exit threshold patient reported "feeling woozy" and fell forward onto his face possibly chipping 2 teeth.  Patient's mother rolled him to a supine position and called for help.  Upon arrival this RN instructed mother to lower head.  2nd RN,  arrived and elevated feet.  Pt responding to verbal stimuli, unable to recall syncopal episode but otherwise oriented to person, place, time, and all events leading up to episode.  During assessment patient stated he works outside and has been participating in football conditioning/practice outside and not drinking enough fluids or replacing electrolytes.    Mother confirmed.  Vital signs taken and as follows: HR 74, Bp 86/70, SpO2 100%,   Pulse strong and regular, breath sounds clear on auscultation.   No generalized redness, rash, or hives.  Patient denies shortness of breath.  Snack and juice provided.  After 10 minutes patient reports improvement and was assisted to an upright position.  No dizziness or lightheadedness reported.  Patient assisted to a standing position prior to  being seated in a wheelchair.   Patient wheeled to and assisted to personal vehicle driven by mother who took the patient to  Emergency Room across the street.  Assisting RN,, called report to receiving ER.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Client received 2nd dose Moderna with 23 day interval; 5 days earlier than recommended 28 day interval per Manufacture and FDA EUA.  Client did not accurately answer pre-vaccination screening checklist indicating the correct date of initial Moderna COVID-19 vaccination from another agency on 02 FEB 2021.  No adverse reactions reported post vaccination to program personnel.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient came in for a Moderna Vaccine but received a Janssen Covid Vaccine.  Did not know that there were still signups available on our website scheduling system, so I did not know that he was coming specifically for a Moderna Covid Vaccine.  Usually we do let them know it is the Janssen one shot vaccine, but in this case I did not.  He was provided with the information about the vaccine but after it was administered.  Patient was very upset and really wanted the Moderna.  I apologised for the error and I immediatly took any mention of the Moderna vaccine off of our website and scheduler.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia
Clinical narrative: Headache, muscle soreness, chills and fatigue.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Feeling hot, Hyperhidrosis
Clinical narrative: At approx. 11:05 I injected patient with the vaccine, as I began to explain the accompanying documents he said, "I think I am having a reaction" I listened. He said, "I feel hot".... at 11:11 am. I observed droplets of sweat on his forehead and offered him some Kleenex and observed his arms to be clammy as I took his temperature to be 96.8 degrees and his blood pressure 132/112. I called for my technician to bring me an adult dose Epi-pen and my cell phone..  I continued to personally monitor the patient.  At 11:15 he said "I think it's starting to come back" I assumed he meant he was starting to come back from the reaction, at 11:19 am his temperature was 97.0 degrees.  At 11:28 I was called out of the area, before I left I instructed a technician to personally sit with the patient until I returned. At 11:33  am I went back to the patient and took his blood pressure, it was 112/79. His arms did not feel clammy, his face had cleared. At 11:36 am the patient said he felt well enough to leave.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Hyponatraemia, Hypoosmolar state, Pneumonia, Thrombocytopenia
Clinical narrative: death E87.1 - Hyponatremia J18.9 - Pneumonia, unspecified organism E87.1 - Hypo-osmolality and hyponatremia D69.6 - Thrombocytopenia, unspecified
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Parosmia
Clinical narrative: Around April 22 2021 smelled trash/garbage (like rotting vegetables), lasted almost two weeks, then off and on.  First of June began smelling electrical burning smell for a week.  Following week began to smell ashes like those from a cigarette (no one smokes at my house).  I did use Fluticasone spray and AYR spray during each time to see if it would help but it did not.  Made appointment with doctor for June 18 as I felt something has to be wrong.  She ordered a CT of sinus July 15. Result showed nothing and only mild deviated septum.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient's mother put age on Covid Vaccine Documentation form at 2009. When entering information Patient Birthdate is 2010 per Records.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles about a month after second shot.  Lasted about 4-6 weeks.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Epilepsy, Immediate post-injection reaction, Muscular weakness, Nystagmus, Unresponsive to stimuli
Clinical narrative: Patient experienced S/S of epileptic episode immediately after administration of Pfizer COVID-19 vaccine.  Disclosed history of SA and Rx Methadone for cessation therapy.  Undisclosed history of epilepsy and non-compliance with Rx KEPPRA.  According to field reports and verbal debrief, patient had: brief unresponsiveness + nystagmus + upper extremity contraction.  During episode, patient's partner disclosed to nurses her PMHx epilepsy and non-compliance with KEPPRA.  After a minute or so, S/S ceased and patient was AOX4.  No concern by RN after VS measurement and monitoring.  Paramedics summoned for second-eye assessment.  No concern by paramedics.  Patient verbalized feeling OK.  Released after a further 30minute observation.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Death, Pneumonia
Clinical narrative: death J18.9 - Pneumonia, unspecified organism N17.9 - Acute kidney failure, unspecified
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Joint warmth, Lip swelling, Swelling face
Clinical narrative: Complaint of headache after receiving COVID vaccine then lip and face swelling  2 days later. 5 days later complaints of joint redness and warmth at joints.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Asthenia, COVID-19, Chest discomfort, Dizziness
Clinical narrative: Patient presented to ED with weakness found to be Covid + and tachycardic.  Attended funeral and was exposed to a COVID+ person.  2 days laters she had runny nose and lost her sense of smell, developed tightness in her chest, nausea and headaches.  Feels very weak, lightheaded, short of breath, also has c/o fevers, denies chills or sweats.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Headache, Nausea, Pyrexia
Clinical narrative: Patient presented to ED with weakness found to be Covid + and tachycardic.  Attended funeral and was exposed to a COVID+ person.  2 days laters she had runny nose and lost her sense of smell, developed tightness in her chest, nausea and headaches.  Feels very weak, lightheaded, short of breath, also has c/o fevers, denies chills or sweats.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Patient presented to ED with weakness found to be Covid + and tachycardic.  Attended funeral and was exposed to a COVID+ person.  2 days laters she had runny nose and lost her sense of smell, developed tightness in her chest, nausea and headaches.  Feels very weak, lightheaded, short of breath, also has c/o fevers, denies chills or sweats.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient already received a Covid vaccine
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Death, Gastrointestinal haemorrhage, Pneumonia
Clinical narrative: death J18.9 - Pneumonia, unspecified organism K92.2 - Gastrointestinal hemorrhage, unspecified N17.9 - Acute kidney failure, unspecified
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Influenza like illness, Somnolence
Clinical narrative: Tired, groggy feeling, flu like symptoms, felt run down
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dyspnoea, Panic attack
Clinical narrative: SOB and chest tightness after vaccine.  Pulse and RR within normal limits.  Gave albuterol - examined by physician in office.  Felt to be of anxiety or panic attach related and the albuterol was maybe more of a placebo effect.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone decreased, Red blood cell sedimentation rate normal, Thyroid pain, Thyroiditis subacute
Clinical narrative: subacute thyroiditis
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone decreased, Neck pain, Thyroiditis subacute, Thyroxine free normal, Tri-iodothyronine normal
Clinical narrative: subacute thyroiditis
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Paraesthesia
Clinical narrative: Patient came in for her first dose of Moderna vaccine. After she received her vaccine she was in the waiting area and began to complain of dizziness and stated she felt as if she was going to faint. She also began to complain of arm tingling on the left side. When I went to check her blood pressure, she felt very clammy to the touch. Prior to calling EMS, her blood pressure was taken twice approximately ten minutes apart. The first reading was 93/52 mmHg with a pulse of 45 and the second reading was 93/62 mmHg with a pulse of 68. EMS arrived and monitored her for approximately ten minutes and stated her vitals were beginning to stabilize and she would not need to be transported to a medical facility. I monitored the patient for an additional ten minutes after to this to ensure she felt okay  before allowing her to leave.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Fatigue, Influenza like illness
Clinical narrative: Severe fatigue and had all of the symptoms of Covid and they were gone by 24 hours. Had a miscarriage in my first trimester.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dysmenorrhoea, Fatigue, Heavy menstrual bleeding, Intermenstrual bleeding
Clinical narrative: The following day after receiving the vaccine, I started spotting and cramping. Within hours this became more intense and the bleeding became very heavy. This was outside of my usual menstrual cycle as well as very abnormal for me. I became extremely weak and fatigued. Combined my symptoms lasted for 12days and counting. My doctor eventually prescribed me a very low dose of Provera to take for 5days in order to control the heavy bleeding and hopefully return my cycle back to normal.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: The following day after receiving the vaccine, I started spotting and cramping. Within hours this became more intense and the bleeding became very heavy. This was outside of my usual menstrual cycle as well as very abnormal for me. I became extremely weak and fatigued. Combined my symptoms lasted for 12days and counting. My doctor eventually prescribed me a very low dose of Provera to take for 5days in order to control the heavy bleeding and hopefully return my cycle back to normal.
Age: 75.0
Sex: M
Vaccine: PPV, TD, VARZOS
Symptoms: Blood test, Body temperature increased, Erythema, Hypertension, Peripheral swelling
Clinical narrative: Tempt 101.5, high blood pressure  swollen arms redness hot to touch Hospital gave me saline
Age: 75.0
Sex: M
Vaccine: PPV, TD, VARZOS
Symptoms: Skin warm, Urine analysis, X-ray
Clinical narrative: Tempt 101.5, high blood pressure  swollen arms redness hot to touch Hospital gave me saline
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis, Cerebrovascular accident, Computerised tomogram, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: arm pain from the moment he received tie injection. Hands and fingers went numb. was told arthritis in shoulder. Went to Er on the 20th of july and a CT scan was done . Had stroke on the 21st . two blood clots were found
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Pain in extremity, Thrombosis
Clinical narrative: arm pain from the moment he received tie injection. Hands and fingers went numb. was told arthritis in shoulder. Went to Er on the 20th of july and a CT scan was done . Had stroke on the 21st . two blood clots were found
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest discomfort, Chest pain, Cough
Clinical narrative: After receiving the vaccine I had the occasional sore arm and pain at the vaccination site. The second day after I started to feel my chest started to burn, which was accompanied by trouble breathing. It was a pain that I have never experienced before in my chest it felt tight and was burning very bad. I started to feel light headed as if I was going to faint while doing my normal daily activities. I decided to stop doing anything that caused my heart to beat too fast. So later on that  night i decided to go to the ER, where they did an ekg and some blood work. They also did a scan of my chest where the doctor said everything came back and looked normal. Over time the pain and everything I was experiencing started to get better. I still have a hard time breathing every now and then. Also after the vaccine I experienced a slight cough and runny nose.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram normal, Pain in extremity, Rhinorrhoea
Clinical narrative: After receiving the vaccine I had the occasional sore arm and pain at the vaccination site. The second day after I started to feel my chest started to burn, which was accompanied by trouble breathing. It was a pain that I have never experienced before in my chest it felt tight and was burning very bad. I started to feel light headed as if I was going to faint while doing my normal daily activities. I decided to stop doing anything that caused my heart to beat too fast. So later on that  night i decided to go to the ER, where they did an ekg and some blood work. They also did a scan of my chest where the doctor said everything came back and looked normal. Over time the pain and everything I was experiencing started to get better. I still have a hard time breathing every now and then. Also after the vaccine I experienced a slight cough and runny nose.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: After receiving the vaccine I had the occasional sore arm and pain at the vaccination site. The second day after I started to feel my chest started to burn, which was accompanied by trouble breathing. It was a pain that I have never experienced before in my chest it felt tight and was burning very bad. I started to feel light headed as if I was going to faint while doing my normal daily activities. I decided to stop doing anything that caused my heart to beat too fast. So later on that  night i decided to go to the ER, where they did an ekg and some blood work. They also did a scan of my chest where the doctor said everything came back and looked normal. Over time the pain and everything I was experiencing started to get better. I still have a hard time breathing every now and then. Also after the vaccine I experienced a slight cough and runny nose.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Presyncope, Retching
Clinical narrative: Vasovagal response.  Passed out immediately after the vaccine.  Had dry heaving.  Caught by father.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient had a first dose of MODERNA Covid-19 vaccine administered on 06/25/21. Patient came into the pharmacy for second dose of MODERNA and was given a dose of Pfizer vaccine by mistake. No adverse effects are reported at this time.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: None that we are aware of. This report is because this individual has been vaccinated a total of 7 times with COVID vaccines, 2 doses of Moderna, 2 doses of Pfizer, and 3 doses of Janssen. He has presented at different clinics to get vaccinated. Tried to get vaccinated again over this past weekend, and was turned away, when his record in the medical records was reviewed and it was found that he had multiple doses of the vaccines.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Disorientation, Dizziness, Impaired driving ability
Clinical narrative: about 30 minutes after the shot my throat began to feel strange and then I started coughing. I realized that my throat was swelling some. I coughed and was nervous for about an hour and then my throat start to let up. I felt very disoriented for several days and was unable to drive a vehicle...felt very dizzy. I felt tightness in my chest/lungs and it hurt to breath and finally after a week of this, I went and saw my PCP. I discussed what has happened and he said that he did not recommend that I get the second covid shot but if I did that I should wait the full 6 weeks. I was put on a steroid and a nebulizer.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Oropharyngeal discomfort, Painful respiration, Pharyngeal swelling
Clinical narrative: about 30 minutes after the shot my throat began to feel strange and then I started coughing. I realized that my throat was swelling some. I coughed and was nervous for about an hour and then my throat start to let up. I felt very disoriented for several days and was unable to drive a vehicle...felt very dizzy. I felt tightness in my chest/lungs and it hurt to breath and finally after a week of this, I went and saw my PCP. I discussed what has happened and he said that he did not recommend that I get the second covid shot but if I did that I should wait the full 6 weeks. I was put on a steroid and a nebulizer.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: middle finger on left arm has been slightly numb ever since the day of vaccination
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Postmenopausal haemorrhage, Ultrasound scan
Clinical narrative: Severe headaches beginning next day after vaccine last one month, also post menopausal bleeding 3 weeks after the vaccine lasting several days. Went to OB/Gyn provider for a uterine, vaginal and pelvic ultrasound with no etiology for bleeding.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Laboratory test, Lymphadenopathy, Nausea
Clinical narrative: From 4/16/21 - 4/22/21 Severe Headache, body aches, severe,  random, sharp pains, chills, slight nausea  4/22/21  body rash -went to urgent care, received intravenous anti inflammatory and steroid  4/24/21  rash on body, ears, face, swelling of fingers  4/25/21 swollen lymph nodes on back of neck and skull Rash subsided Then recurred two more times
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Rash
Clinical narrative: From 4/16/21 - 4/22/21 Severe Headache, body aches, severe,  random, sharp pains, chills, slight nausea  4/22/21  body rash -went to urgent care, received intravenous anti inflammatory and steroid  4/24/21  rash on body, ears, face, swelling of fingers  4/25/21 swollen lymph nodes on back of neck and skull Rash subsided Then recurred two more times
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: patient had blurred vision after receiving the vaccine, After about 2 hours it wore off and she felt better/ normal
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Facial pain, Headache, Neuralgia, Pain
Clinical narrative: Diarrhea for several days, Swollen face, shooting nerve pains in face and head, face painful to the touch, as if nerves inflamed. Doctor suspected shingles, but no blisters appeared. Pain stopped after five days. Swelling lasted a couple of weeks.  Irritated nerve sensation in trunk persists,
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin, Swelling face
Clinical narrative: Diarrhea for several days, Swollen face, shooting nerve pains in face and head, face painful to the touch, as if nerves inflamed. Doctor suspected shingles, but no blisters appeared. Pain stopped after five days. Swelling lasted a couple of weeks.  Irritated nerve sensation in trunk persists,
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: ONSET OF TINNITUS
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Limb discomfort, Presyncope
Clinical narrative: PATIENT EXITED SHOT ROOM AND SAT IN WAITING CHAIR.  SHE SLUMPED HER HEAD AND SHOULDERS, LASTED LESS THAN 30-45 SECONDS.  APPEARED TO BE VASOVAGAL SYNCOPE.  SHE WAS SWEATING AND CAME TO ON HER OWN, WITHIN MINUTES WAS REPORTING TO FEEL 'FINE' AFTER BEING GIVEN WATER AND WAS FANNED.  SHE REPORTED THIS HAS HAPPED BEFORE WITH BLOOD DRAWS IN THE PAST, BUT NOTED SHE 'FELT THE LIQUID INSIDE HER ARM MOVING DOWN TO HER RIGHT HAND.' SHE ALSO REMARKED THIS FEELING HAVING HAPPENED BEFORE.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient seen at outside mass vaccination event on 7/2/2021 with guardian. Guardian completed form with patient's DOB as 09/09/2008, and confirmed patient was born in 2008. Pfizer vaccine dose 1 was administered. Guardian returned on 7/24/2021 for dose #2, and informed staff the DOB is 09/09/2009. Dose #2 not administered on this day. Patient to return when 12 years of age to receive dose #2.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring, Chest X-ray, Cough, Discomfort, Dyspnoea
Clinical narrative: Within several weeks, I started noticing what felt like heart palpitations that caused me to lose my breath and wheeze/cough.  I had called my primary care physician and saw them and said I wanted a visit with a cardiologist.  Just one week later, during a work call, it the event happened so severely that I started passing out.  Thus, I went immediately to the ER and checked myself in.  It was not until mid-July that I got to see a cardiologist, and my symptoms were much less frequent or severe by that time.  For several weeks though, it was very uncomfortable and unnerving.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Loss of consciousness, Palpitations, Wheezing
Clinical narrative: Within several weeks, I started noticing what felt like heart palpitations that caused me to lose my breath and wheeze/cough.  I had called my primary care physician and saw them and said I wanted a visit with a cardiologist.  Just one week later, during a work call, it the event happened so severely that I started passing out.  Thus, I went immediately to the ER and checked myself in.  It was not until mid-July that I got to see a cardiologist, and my symptoms were much less frequent or severe by that time.  For several weeks though, it was very uncomfortable and unnerving.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Limb discomfort
Clinical narrative: Pinching the inside of arm, pinching and feels as though a movement is in chest, feels weak
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Death, Dyspnoea, Jaundice, Thrombocytopenia
Clinical narrative: death D69.6 - Thrombocytopenia, unspecified N93.9 - Vaginal bleeding JAUNDICE BLOATED SHORTNESS OF BREATH
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: death D69.6 - Thrombocytopenia, unspecified N93.9 - Vaginal bleeding JAUNDICE BLOATED SHORTNESS OF BREATH
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Chest pain, Deep vein thrombosis, Dyspnoea exertional, Pleuritic pain
Clinical narrative: Pt had L Upper chest pleuriti pain and DOE did not seek med attention 6 weeks later sought attention for R pleuriti pain and DOE - had pul infarct and LLE DVT
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary infarction, Ultrasound Doppler
Clinical narrative: Pt had L Upper chest pleuriti pain and DOE did not seek med attention 6 weeks later sought attention for R pleuriti pain and DOE - had pul infarct and LLE DVT
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Rash, Rash macular, Rash pruritic
Clinical narrative: Itchy, macular rash of the arms, legs, and trunk that began approximately 3 days after vaccination. Still present 6 days post-vaccine. Also reports some cough and mild chest tightness on day 3-4 which have since resolved. Symptomatic treatment only at this time with antihistamines (oral and topical).
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Fatigue, Lichenoid keratosis, Rash
Clinical narrative: Skin rash on back presented days after Covid 19 vaccine #1.  Skin biopsy on June 15/2021 c/w lichenoid dermatitis. Treated wth TAC cream BID. Better.  Not worse after 2nd dose.  Also fatigue which has persisted since first Covid 19 vaccine dose.