chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Swollen tongue, Urticaria
Clinical narrative: Narrative: 50yr patient received Moderna #1 then while waiting 15min developed sensation of tongue swelling and tingling over the anterior chest. EKG revealed non-specific ST/T wave changes (QTC 0.435) and tongue did appear to be swollen with mild hives. Given oxygen supplementation, 4 baby ASA and 911 called taken to local ER. Local ER visits #1 Summary: allergic reaction given Benadryl and Pepcid then sent home. Patient called telephone triage later same day to report sx returning (mild HA, chest tingling/numb, dizziness, head feels heavy). Triage told patient to call 911 which patient did present to a different ER. Local ER visit #2 unknown outcome.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Impaired driving ability, Nausea, Vision blurred
Clinical narrative: Narrative: 36 yr old patient called telephone triage to report a headache x 1 day. Patient received the J/J COVID vaccine 1 month ago. Reported yesterday developed a severe headache- 7-8/10, nausea, blurry vision, "didn't feel safe driving" , reports took Tylenol/ibuprofen and today HA still present but not as bad 1/10, no blurry vision, no nausea. Patient concerned due to the new safety pause on J/J COVID vaccine. Provider spoke with patient; advised to seek care should symptoms get worse or develops new sx.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody, Blood immunoglobulin G normal, Central vision loss, Optical coherence tomography normal, Visual field defect
Clinical narrative: Narrative: Patient has slightly decreased central visual acuity and enlarged blind spot-on visual field testing in the left eye. likely to improve gradually over time.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac disorder, Death, Sepsis
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was taken to an ER on 3/23/21 for sepsis. Notes say he later passed from cardiac issues on 3/31/21. Patient had a history of prostate cancer, Afib on anticoagulation, Atrial flutter, obesity, diabetes, HTN, coranary arteriosclerosis, and myocardial infarction.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Death, Life support, Pain in extremity
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was experiencing leg pain for which he wanted surgery to alleviate. He received clearance from cardiology that he was low risk for procedure, and his cardiac history included atrial flutter s/p ablation on Eliquis. He had history of pulmonary embolism and his ejection fraction was 45-50%. On 4/2/21 he suffered a severe stroke and was brought to hospital where he was eventually placed on life support and passed away on 4/3/21. Patient also had a PMH significant for CKD, HTN, AAA, ventricular tachycardia.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Influenza like illness
Clinical narrative: Narrative: Patient just feels "knocked out', flu like symptoms
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Cerebral infarction, Confusional state, Hemiparesis, Magnetic resonance imaging head abnormal
Clinical narrative: Narrative: He was playing cards with some friends 4 nights ago and developed some confusion and weakness in his right side. He hasn't had a Covid vaccination earlier in the day and initially though that maybe this was some sort of reaction to that. When he did not have improvement in his signs and symptoms the next morning, his wife insisted that he go to the emergency department. He was found to  have had an acute cerebral infarction on MRI. He had right arm weakness which has improved and nearly resolved. Patient was started on clopidogrel.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: Narrative: He was playing cards with some friends 4 nights ago and developed some confusion and weakness in his right side. He hasn't had a Covid vaccination earlier in the day and initially though that maybe this was some sort of reaction to that. When he did not have improvement in his signs and symptoms the next morning, his wife insisted that he go to the emergency department. He was found to  have had an acute cerebral infarction on MRI. He had right arm weakness which has improved and nearly resolved. Patient was started on clopidogrel.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Death, Malignant neoplasm progression, Sepsis
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient had metastatic esophageal adenocarcinoma since diagnosis on 1/17/20. Patient developed sepsis and was admitted on 2/20/21, He eventually required hospice for his cancer disease progression and decreased on 3/22/21.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea
Clinical narrative: Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was homeless and resident in facility. Ambulance was called on 3/30/21 because he was having difficulty breathing. His mother informed hospital he passed away that day but did not provide cause of death. Any comorbidities are unknown and not documented in chart.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative: Timing ERROR only, 2nd dose given 72 days after 1st, no ADR
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: NARRATIVE: Patient that was anxious prior to injection of second dose of Pfizer covid vaccine developed nausea and lightheadedness was brought to ED for evaluation. Patient had no complaints in ED, was stable and walking around without issue and was able to go home requiring no intervention.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative: Timing ERROR only, 2nd dose given 68 days after 1st
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Patient is a 61 year old MALE who received the  1st dose of COVID vaccine 3/3/21. Spoke w/pt today RE: adverse reaction related to the vaccination. ------------------------------------------------ ------- SYMPTOMS: Fever NO If yes temp: n/a Fatigue No Myalgia No Arthralgia No Rash/Hives No SOB No Bell's Palsy No Injection Site Reaction Yes Other No If yes describe: sore arm x1-2 days
Age: 87.0
Sex: U
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Dyspnoea exertional, Thrombosis in device
Clinical narrative: Narrative: After receiving dose #2 of the COVID-19 vaccination, veteran developed shortness of breath on exertion and had a few blood clots in suprapubic catheter. He was already on apixaban and family declined additional workup for PE. Of note, patient had a previous COVID-19 infection that was asymptomatic,  but date is unknown to the writer as it is not documented in chart.
Age: 65.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Patient experienced tachycardia after  receiving the first dose of the COVID-19 vaccine.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Tachypnoea, Thirst, Throat irritation, Throat tightness
Clinical narrative: Narrative: Patient reported scratch throat and thirst within first 5 minutes of receiving vaccine dose. This progressed to feeling of difficult swallowing and throat closing. Patient denied dyspnea but was observed to be tachypneic. Patient was given diphenhydramine 50 mg orally once and observed for 1 hour and symptoms by which point symptoms had subsided. Patient did not require emergency medical care.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Narrative: Patient experienced nausea following  receipt of his 1st COVID-19 vaccine
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Narrative: Developed significant urticarial rash 2.5 hours after first dose of Pfizer vaccine, requiring systemic steroids. No anaphylaxis.
Age: 67.0
Sex: M
Vaccine: FLUX
Symptoms: Anaphylactic reaction
Clinical narrative: Narrative:  Patient presented to PCP appointment to establish care. Reported history of anaphylaxis to "Influenza (Swine Live)". Also reported receiving influenza vaccine from a different PCP 11/29/2020. No documentation as to if this was the vaccine that caused reaction. Description and timing of the event not documented. No influenza vaccine ever given by this clinic.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dementia
Clinical narrative: Narrative: increased/worsened dementia
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Bradycardia, Confusional state, Hypotension, Somnolence
Clinical narrative: Narrative: Patient received first COVID vaccine at outside clinic and felt sleepy post-vaccination. Med response was call and patient was taken to ED with signs of hypotension, confusion, and bradycardia. Patient did not eat food prior to vaccine which may have contributed to symptoms. Upon assessment, it was decided that patient should be able to tolerate next dose but must make sure he has  good oral intake.
Sex: U
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Narrative: Pt developed symptoms after 2nd Covid- 19 (Pfizer) vaccination.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Narrative:  Patient reports that he developed shingles (painful rash on the left flank) shortly after receiving first zoster immunization. Patient reported to the ED on 9/24/20 (vaccine was given on 7/28/20) and was diagnosed with shingles given rx for Valtrex.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Narrative: Patient experience mild headache. They  were observed and released after observation.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Palpitations, Panic attack, Presyncope
Clinical narrative: Narrative:  Patient was seen after administration of the 2nd dose of Moderna COVID-19 vaccination. He and his wife alerted staff to their concerns about 2-3 minutes after the vaccination. Patient notes having developed the feeling of full body flushing a/w diaphoresis and palpitations that lasted 1 minute. This provider happened to be nearby while this was being reported. HR was in 70's and regular at that time. No associated pruritus, urticaria, flushing, swelling, confusion/ disorientation, dizziness/light headiness, confusion, LOC, shortness of breath, nausea, vomiting, abdominal cramping or feeling like the need to have diarrhea, His wife did not visualize any changes in skin color during the episode and also confirmed that she did not see any facial swelling. Patient likened the experience to the beginning of a panic attack. T98.1 BP 125/89 HR72-81 RR initially 18. 10-12 upon resolution SPO2 98% on RA Gen: initial distress resolved 1 minute, nontoxic, answering questions appropriately, pleasant/joking, speaking in full sentences w/o increased respiratory effort, diaphoretic HEENT; atraumatic/normocephalic, PERRL, nares, throat non erythematous/ no swelling Neck; no swelling CV: regular rate and rhythm, normal S1/S2/, no murmurs plum: clear to auscultation bilaterally with no wheezes/rales EXT: moves all 4 spontaneously, no edema skin: no lesions or rashes were visible Neuro: Grossly intact 5/5 strength UE and LE Psycho: appropriate, thoughts linear A/P: 52 y/o Patient here at vaccination clinic, who experienced likely vasovagal reaction s/p 2nd vaccination. Normalized response and reassurance provided to patient and accompanying wife. Completed additional 5 minutes of post-observation period past the 15 with continued completed resolution of six. ER Precautions Provided bottle of water, no further needs at conclusion of encounter. The patient visualized ambulating w/o difficulty from observation area.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cough, Death, Dizziness, Hypotension
Clinical narrative: Narrative:  mental status changes, covid pneumonia, d/c home with monoclonal antibodies, readmit 12/26 with dizziness and low BP ceftriaxone, azithromycin, dexamethasone, oxygen, cough, hx of heart failure, COPD, DM. VTACH-pt expired while in the hospital
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Ventricular tachycardia
Clinical narrative: Narrative:  mental status changes, covid pneumonia, d/c home with monoclonal antibodies, readmit 12/26 with dizziness and low BP ceftriaxone, azithromycin, dexamethasone, oxygen, cough, hx of heart failure, COPD, DM. VTACH-pt expired while in the hospital
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis
Clinical narrative: Narrative: Patient reported " cold like symptoms" after the first dose. Then felt better. Requested Mucinex in preparation for second dose.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. There is no notable medical care the patient received recently within the hospital that would help determine cause of death. Details surrounding death uncertain. Patient was 84 and had h/o diabetes and coronary arteriosclerosis w/ CABG x 4.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation reaction, Injection site reaction, Tenderness
Clinical narrative: Narrative: Patient is a 74 year old MALE who received the 1st dose of COVID vaccine 3/3/21. Spoke w/pt today RE: adverse reaction related to the vaccination. ------------------------------------------------------------------------- SYMPTOMS: Fever No If yes temp: n/a Fatigue No Myalgia No Arthralgia No Rash/Hives No SOB No Bell's Palsy No Injection site Reaction Yes Other No If yes describe: tenderness in arm x2 days
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, Dyspnoea, Fatigue, Myalgia
Clinical narrative: Narrative: SVHC acute on chronic resp failure; SOB, weakness, fatigue, myalgia, pneumonia, discharged to home
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia
Clinical narrative: Narrative: SVHC acute on chronic resp failure; SOB, weakness, fatigue, myalgia, pneumonia, discharged to home
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Confusional state, Echocardiogram abnormal, Gait inability, General physical health deterioration
Clinical narrative: Narrative: 93 yo M w/ PMH significant for polymyalgia rheumatica, hypothyroidism d/t thyroiditis, HTN, CAD, HLD, asthma and GERD who presented to ED for CHF exacerbation on ~1/22/21 after having received the COVID vaccine (Pfizer) dose 1 on 1/16/21. Per MC note on 1/31/21, pt talked to pt's son and it was reported that before the vaccine, pt was doing ok. walking around...about 3 days after the vaccine, sharp decline and noticed to have confusion and inability to walk. Series of events include: on 1/20 was noticeable decline. on 1/21 was wheezing and collapsed 1/22 had CHF and was admitted for 1 day. Pt's son reports that since pt was home, all he wants to do is sleep' and he gets incontinent . Per PCP, it is not clear to me that this CHF exacerbation is related to COVID but i am cancelling 2nd clinic per their request (i also placed ADR). Of note, clinic may also be coordinating care; however, notes not found on record.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Incontinence, Left ventricular dysfunction, Mitral valve incompetence, Somnolence, Syncope
Clinical narrative: Narrative: 93 yo M w/ PMH significant for polymyalgia rheumatica, hypothyroidism d/t thyroiditis, HTN, CAD, HLD, asthma and GERD who presented to ED for CHF exacerbation on ~1/22/21 after having received the COVID vaccine (Pfizer) dose 1 on 1/16/21. Per MC note on 1/31/21, pt talked to pt's son and it was reported that before the vaccine, pt was doing ok. walking around...about 3 days after the vaccine, sharp decline and noticed to have confusion and inability to walk. Series of events include: on 1/20 was noticeable decline. on 1/21 was wheezing and collapsed 1/22 had CHF and was admitted for 1 day. Pt's son reports that since pt was home, all he wants to do is sleep' and he gets incontinent . Per PCP, it is not clear to me that this CHF exacerbation is related to COVID but i am cancelling 2nd clinic per their request (i also placed ADR). Of note, clinic may also be coordinating care; however, notes not found on record.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Narrative: 93 yo M w/ PMH significant for polymyalgia rheumatica, hypothyroidism d/t thyroiditis, HTN, CAD, HLD, asthma and GERD who presented to ED for CHF exacerbation on ~1/22/21 after having received the COVID vaccine (Pfizer) dose 1 on 1/16/21. Per MC note on 1/31/21, pt talked to pt's son and it was reported that before the vaccine, pt was doing ok. walking around...about 3 days after the vaccine, sharp decline and noticed to have confusion and inability to walk. Series of events include: on 1/20 was noticeable decline. on 1/21 was wheezing and collapsed 1/22 had CHF and was admitted for 1 day. Pt's son reports that since pt was home, all he wants to do is sleep' and he gets incontinent . Per PCP, it is not clear to me that this CHF exacerbation is related to COVID but i am cancelling 2nd clinic per their request (i also placed ADR). Of note, clinic may also be coordinating care; however, notes not found on record.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site pain, Swelling
Clinical narrative: Narrative:  55 YO F with PMH of chronic pain (including right shoulder joint,  neck, limb, back) reported pain at injection site and swelling in axillary following Dose #1 on 2/15/21. Dose #2 administered on 3/8/21, patient endorsed pain under  her right arm on 3/30/21.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dysphonia, Laboratory test, Throat irritation, Throat tightness
Clinical narrative: Narrative:  This was an employee who received his first COVID vaccine on 1/14/21. He had to go to the emergency room for anaphylaxis that required treatment with epinephrine. This patient had "change in voice and tightness to throat approx 45 mins after receiving 1st Covid vaccine." Per ER records, patient had the following treatment pathway: 1535- Ambulatory to TX area in no distress Placed on cmonitor Seen and examined by Dr. Epinephrine 0.3mg IM given left deltoid 1540- IV access established by ICT 18G LAC Labs drawn and held 1545- Solumedrol 125mg IV given States feels much better, throat not so tight/irritated 1550- Benadryl 50mg IV given 1555- Famotidine 20mg IV given Will monitor x approx 2 hrs per MD 1610- ID RN at bedside 1630- Reassessed by Dr. Awaiting dispo 1700- No change, NAD 1730- No change, respirations even and unlabored Awaiting dispo 1800- No change, NAD 1835- IV access DC'd intact DC instr reviewed by Dr. with pt. Verbalized understanding Left ED ambulatory in no distress
Age: 77.0
Sex: M
Vaccine: FLUA4
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative:  Timing ERROR only, 2nd dose given 46  days after 1st
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative:  Timing ERROR only, 2nd dose given 56 days after 1st.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative: Timing ERROR only, 2nd dose given 46 days after 1st
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypotension, Tachycardia
Clinical narrative: Narrative: Patient was noted to develop hypotension, headache, tachycardia, and lightheadedness following administration of 1st dose of Moderna covid vaccine.  He was taken to the emergency department for further evaluation where he was  given 1 liter of lactated ringers and stated that he felt better. He was not noted to  be hypotensive or to be experiencing tachycardia in the ED. Patient was  discharged without further workup or evaluation needed.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Narrative: Patient developed lightheadedness after 1st dose of Pfizer covid vaccine. No intervention or management needed.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: Narrative: Patient reported lightheadedness and weakness following administration of first dose of moderna covid vaccine. Resolved shortly after with juice.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Pain in extremity
Clinical narrative: Narrative: Veteran called seeking advice. She had the J&J a little over 2 weeks ago. Three days she began having headaches, aching in bilateral calf area and abdominal discomfort. She has hx. of PE she states its from tamoxifen. Denies chest pain, sob, calf swelling, warmth or redness. I strongly urged ER now for  immediate evaluation in ER, she agreed. referred veteran to closest er for evaluation of symptoms and to rule any blood clots.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Narrative:  Patient reported tingling in fingers following administration of moderna covid vaccine dose 1. No additional treatment noted.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Fatigue
Clinical narrative: Patient felt fatigued and noticed blood sugars were in the  200's after receiving his first dose of the COVID-19 vaccine. He received  the second dose with no reported issues.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Narrative:  Patient developed headache following administration of moderna covid vaccine dose 1.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Hypoxia, Tachycardia
Clinical narrative: Narrative: Per Pharmacist allergy note entry 02/25/21: "Reports SOB prior to receiving vaccine (after declining any problems during screening) which worsened after receipt of vaccine. Pt also tachycardic and hypoxemic with O2 sat 87% on room air. Given depomedrol and transported to ED." Of note, patient received second dose of Moderna vaccine on 03/25/21 without complications.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Narrative: Patient received 1st dose of Moderna covid-19 vaccine. Shortly after, patient developed lightheadedness that resolved with observation. No treatment or additional monitoring required.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Narrative:  Patient is a 74 year old MALE who received the 1st dose of COVID vaccine 3/3/21. Spoke w/pt today RE: adverse reaction related to the vaccination.------------------------------------------------------------------------------------------------------------------SYMPTOMS: Fever No If yes temp: n/a Fatigue No Myalgia No Arthralgia No Rash/Hives No SOB No Bell's Palsy No Injection Site Reaction Yes Other No If yes describe: sore arm x1 day
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Narrative:  Patient experienced brief lightheadedness after receiving vaccine. It resolved with time and vitals remained stable.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Narrative:  Pt reported mild pain at injection site after vaccination.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fall
Clinical narrative: Narrative:  Covid dx three weeks ago, pt with CLL ongoing chemo. Pt with generalized weakness and fall. admitted to hospital. Discharged to home with home health services.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Narrative: Patient developed headache following  administration of second dose of Pfizer covid vaccine. No treatment initiated.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Narrative: A 74 year old MALE who received the 1st dose of COVID vaccine 3/3/21. Spoke w/pt today RE: adverse reaction related to  the vaccination-------------------------------------------------------------------------- SYMPTOMS: Fever No if yes temp: n/a Fatigue No Myalgia No Arthralgia No Rash/Hives No SOB No Bell's Palsy No injection Site Reaction Yes Other No if yes describe: sore arm x1 day
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 51.0
Sex: U
Vaccine: COVID19
Symptoms: Hypersensitivity, Pruritus
Clinical narrative: Narrative: Pt called spoke to Triage who also DX pt to have had an allergic reaction to Covid 19- Pfizer. Pt is treated as an output. Pt has taken Benadryl- 4/19- 75mg total, 4/20-25mg at time of phone with this RN. This RN per PCP advise- pt was advised to take with Loratadine or Cetirizine 1-2X per  day and Benadryl 50mg Q6hrs for breakthrough itching.
Age: 93.0
Sex: M
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Malaise, Pneumonia, Syncope
Clinical narrative: Narrative: Medical Center. J&J vaccine 3/10/21. Cough, malaise, syncopal episode, pneumonia, symptoms x 8 days. Discharged to home.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Constipation
Clinical narrative: Narrative: He reports having developed abdominal cramping a/w some constipation about 4 hors after the initial vaccination. This lasted for another 4-5 hours prior to resolving. He denied other common adverse effects including nausea and vomiting. He did not need to take any therapies and the cramping  resolved on its own.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Pneumonia
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient had pneumonia around the time of 02/17/2021, receiving care through medical source. No other notes documenting symptoms. Patient has a PMH significant CAD, HTN, AF, Hyperlipidemia.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Intra-abdominal fluid collection, Paracentesis, Pericardial effusion, Pneumonia
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was was receiving palliative care for pancreatic cancer that was diagnosed in 9/2019. Patient presented to medical center on 3/8/21 with pneumonia and fluid around heart/abdomen requiring paracentesis and later passed away on 3/17/21.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Influenza, Myalgia, Paraesthesia oral, Pyrexia
Clinical narrative: Narrative:  Per Allergy/Immunology note 4/16: "received pfizer covid vaccine 3/22/21. Presented 4/12 for 2nd injection and reported to vaccinator that she had a  scratchy throat, swollen tongue and tonsils starting a couple minutes after and for 1 hour after 1st covid injection (after leaving vaccination area). Stated tongue felt heavy, numb, swollen, red swollen tonsils. Took loratadine when she got home and  back to normal one hour later. She had muscle aches and felt flu symptoms, fever 100.2 4 days later.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Throat irritation, Tonsillar erythema, Tonsillar hypertrophy
Clinical narrative: Narrative:  Per Allergy/Immunology note 4/16: "received pfizer covid vaccine 3/22/21. Presented 4/12 for 2nd injection and reported to vaccinator that she had a  scratchy throat, swollen tongue and tonsils starting a couple minutes after and for 1 hour after 1st covid injection (after leaving vaccination area). Stated tongue felt heavy, numb, swollen, red swollen tonsils. Took loratadine when she got home and  back to normal one hour later. She had muscle aches and felt flu symptoms, fever 100.2 4 days later.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Narrative: Patient hospitalized at Hospital and diagnosed with COVID post full vaccination. Department of Health notified facility that patient reported deceased due to Covid post vaccination. No other records available at this time.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. At the time of his death, patient had long existing comorbidities including, CKD stage 4, anemia of chronic renal failure, advanced age, leukemia, DVT, HLD, emphysema, HTN, obesity, thrombocytopenia. Patient was 88 and died on 2/6/21. No documentation detailing the circumstances of his passing or his cause of death.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, Product administration error
Clinical narrative: Narrative:  No adverse drug reaction involved in this report. This report is for reporting multiple vaccinations given to patient. Patient received 4 COVID-19 vaccines: Dose #1 (Pfizer) received on 1/13/21 at agency #1 Dose #2 (Pfizer) received on 2/5/21 at agency#1 Dose #3 (Moderna) received in error on 2/15/21 at agency#2. This immunization note has been addended to document error. Dose #4 (Moderna) received in error on 3/17/21 at agency#2. This immunization note has been addended to document error. Risk factors: h/o of schizophrenia. Patient came into agency#1 COVID19 Vaccine clinic on 4/22/21 08:59 to get his "3rd vaccine." RN there explained he has received the recommended 2 doses with agency#1; no documentation regarding 2 Moderna doses received from agency#2 in conversation. Pt stated that "his doctor told him to come and get it." RN explained that a 3rd dose is not indicated at this time and notified PCP regarding this matter. No ER visits or hospitalizations since additional doses. Charting and vaccine scheduler system involved in error.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysarthria, Dyspnoea, Fatigue, Mobility decreased
Clinical narrative: Narrative:  Per LPN note (vaccine administrator): "Patient informed this nurse that with her first vaccine she had felt tingling sensation in her throat 15 to 20 min after her injection. This dissipated 15 min later. After Patient was given her second dose of Moderna.Instructed Patient and her husband to honk the horn if Patient had any difficulty breathing, throat or face swelling, numbness, palpations, dizziness, or other concerns. She was then sent to the 30 min observation area.Approximately 5 min after injection.Spouse alerted this nurse by honking the horn that his wife was in distress. This nurse ran over to the vehicle. Noted Patient gasping for air and slurring her speech. Called for assistance. RN and LPN assisted. Epi was administered @1040 by RN. lot #9GM744 exp date:07/21. 1054 Emergency Response Team was called 1055 vitals: 160/100, 70 pulse, 20 resp. Patient able to answer questions and appeared to no longer be in distress. 1056 police arrive. 1100 Emergency Response Team arrived and report given and Patient transported." (to ER dept) Per ER RN note: "ALLERGIES: CELEXA, NICKEL, BETA BLOCKERS/RELATED, MOXIFLOXACIN, PERCOCET ANTIDEPRESSANTS,OTHER Allergies reviewed with patient/caregiver:Yes Allergies listed in records system accurate: Yes Subjective/Chief Complaint: SOA, THROAT TIGHTNESS, DIFFICULTY SPEAKING, SLURRED SPEECH, TONGUE SWELLING, AND UNABLE TO MOVE ARMS AFTER #2 COVID VACCINE Objective: Pt was ERT at covid drive thru clinic, pt received #2 covid vaccine this morning then symptoms developed, pt was given epi pen at 1040 am, symptoms resolved pt now only feels lightheaded and fatigued."
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Speech disorder, Swollen tongue, Throat tightness
Clinical narrative: Narrative:  Per LPN note (vaccine administrator): "Patient informed this nurse that with her first vaccine she had felt tingling sensation in her throat 15 to 20 min after her injection. This dissipated 15 min later. After Patient was given her second dose of Moderna.Instructed Patient and her husband to honk the horn if Patient had any difficulty breathing, throat or face swelling, numbness, palpations, dizziness, or other concerns. She was then sent to the 30 min observation area.Approximately 5 min after injection.Spouse alerted this nurse by honking the horn that his wife was in distress. This nurse ran over to the vehicle. Noted Patient gasping for air and slurring her speech. Called for assistance. RN and LPN assisted. Epi was administered @1040 by RN. lot #9GM744 exp date:07/21. 1054 Emergency Response Team was called 1055 vitals: 160/100, 70 pulse, 20 resp. Patient able to answer questions and appeared to no longer be in distress. 1056 police arrive. 1100 Emergency Response Team arrived and report given and Patient transported." (to ER dept) Per ER RN note: "ALLERGIES: CELEXA, NICKEL, BETA BLOCKERS/RELATED, MOXIFLOXACIN, PERCOCET ANTIDEPRESSANTS,OTHER Allergies reviewed with patient/caregiver:Yes Allergies listed in records system accurate: Yes Subjective/Chief Complaint: SOA, THROAT TIGHTNESS, DIFFICULTY SPEAKING, SLURRED SPEECH, TONGUE SWELLING, AND UNABLE TO MOVE ARMS AFTER #2 COVID VACCINE Objective: Pt was ERT at covid drive thru clinic, pt received #2 covid vaccine this morning then symptoms developed, pt was given epi pen at 1040 am, symptoms resolved pt now only feels lightheaded and fatigued."
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: None stated.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chronic obstructive pulmonary disease, Dyspnoea, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: Narrative:  Admit to Hospital 9/11/21. Covid vaccine in March outside agency Patient states that 5 days ago he developed the onset of a productive cough, dyspnea, fatigue, headache, generalized weakness, and has had one episode of vomiting. Last night the shortness of breath got worse. The patient has COPD. He does not use home oxygen, He received his Covid vaccinations around March of this year. He was exposed to someone with Covid recently, No abdominal pain or diarrhea. Medical Decision Making Patient has covid-19 associated with pneumonia and hypoxia. He will require hospitalization. Home on oxygen
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoxia, Pneumonia, Productive cough, Vomiting
Clinical narrative: Narrative:  Admit to Hospital 9/11/21. Covid vaccine in March outside agency Patient states that 5 days ago he developed the onset of a productive cough, dyspnea, fatigue, headache, generalized weakness, and has had one episode of vomiting. Last night the shortness of breath got worse. The patient has COPD. He does not use home oxygen, He received his Covid vaccinations around March of this year. He was exposed to someone with Covid recently, No abdominal pain or diarrhea. Medical Decision Making Patient has covid-19 associated with pneumonia and hypoxia. He will require hospitalization. Home on oxygen
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative: positive test only, after ful vaccination, asymptomatic
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Narrative: Patient had 2 Covid vaccines and following the second shot, she developed hives. Initially they were on her arm in which she got the vaccine, but then she had itching both arms, her scalp, and trunk
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dizziness, Dyspnoea, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Narrative:  Pfizer covid vaccine 3/20 and 4/9. Covid+, SOB, fever, lightheaded, tachycardic, discharged to home on oxygen
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Cardiac failure congestive, Cough, Death, Malaise
Clinical narrative: Narrative: Facility to facility, symptoms x 1 week, fever, cough. Moderna 1/13/21 and 2/11/21. Admitted for CHF. Discharged to home, then-Cardiac arrest on 10/12/21 at home-expired. Covid symptoms not significant.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Narrative: Facility to facility, symptoms x 1 week, fever, cough. Moderna 1/13/21 and 2/11/21. Admitted for CHF. Discharged to home, then-Cardiac arrest on 10/12/21 at home-expired. Covid symptoms not significant.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Atrial fibrillation, COVID-19 pneumonia, Cardiac failure congestive, Death
Clinical narrative: Narrative:  Medical facility by Ambulance, SOB, Covid Pneumonia, vtach, afib, weakness, fatigue, decreased appetite, CHF, Actinomyces was still mentioned as being possible. Pt was given dex and remdesivir. Patient has been on IV Vancomycin, start date 12/16, and Unasyn. ID consulted, poor dentitian. PT Found decreased 12/26/21
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Dyspnoea, Fatigue, Tooth disorder, Ventricular tachycardia
Clinical narrative: Narrative:  Medical facility by Ambulance, SOB, Covid Pneumonia, vtach, afib, weakness, fatigue, decreased appetite, CHF, Actinomyces was still mentioned as being possible. Pt was given dex and remdesivir. Patient has been on IV Vancomycin, start date 12/16, and Unasyn. ID consulted, poor dentitian. PT Found decreased 12/26/21
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chemotherapy, Chronic lymphocytic leukaemia, Cough
Clinical narrative: Narrative:  ACMC, Covid +, J&J, CLL, chemo, weakness, fatigue, SOB, dry cough, pneumonia, hypoglycemia, dehydrated. Decadron, doxy, ceftriaxone and remdesivir. Took downward course during inpt stay.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Dehydration, Dyspnoea, Fatigue, General physical health deterioration, Hypoglycaemia
Clinical narrative: Narrative:  ACMC, Covid +, J&J, CLL, chemo, weakness, fatigue, SOB, dry cough, pneumonia, hypoglycemia, dehydrated. Decadron, doxy, ceftriaxone and remdesivir. Took downward course during inpt stay.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Narrative:  ACMC, Covid +, J&J, CLL, chemo, weakness, fatigue, SOB, dry cough, pneumonia, hypoglycemia, dehydrated. Decadron, doxy, ceftriaxone and remdesivir. Took downward course during inpt stay.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Condition aggravated, Dairy intolerance, Death, Dyspnoea
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Note on 3/2/21 shows concern from patient's family that his health is declining as he was not eating, he was in pain, and short of breath despite being on 2L oxygen. His contributing comorbidities include CHF, CKD, COPD, CAD, anemia, AAA, HTN, HLD. On 3/9/21 he was admitted for a CHF exacerbation. They found a blood clot in his arm during his hospital course and his status never improved. On 3/24/21 they discharged him home on hospice, and he passed away on 3/30/21.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Hypophagia, Pain, Thrombosis
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Note on 3/2/21 shows concern from patient's family that his health is declining as he was not eating, he was in pain, and short of breath despite being on 2L oxygen. His contributing comorbidities include CHF, CKD, COPD, CAD, anemia, AAA, HTN, HLD. On 3/9/21 he was admitted for a CHF exacerbation. They found a blood clot in his arm during his hospital course and his status never improved. On 3/24/21 they discharged him home on hospice, and he passed away on 3/30/21.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac disorder, Death, Intensive care, Lung disorder
Clinical narrative: Narrative:  Covid+, J&J #2, resp failure, pneumonia, oxygen. Sedated/venilator/ICU. Expired Preliminary Cause of Death multi-system organ failure Comments COVID 19 with heart kidney and lung issues, eventually made comfort care by family and expired comfortably with family present and comfort medications
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mechanical ventilation, Multiple organ dysfunction syndrome, Pneumonia, Renal disorder, Respiratory failure
Clinical narrative: Narrative:  Covid+, J&J #2, resp failure, pneumonia, oxygen. Sedated/venilator/ICU. Expired Preliminary Cause of Death multi-system organ failure Comments COVID 19 with heart kidney and lung issues, eventually made comfort care by family and expired comfortably with family present and comfort medications
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Narrative:  Covid+, J&J #2, resp failure, pneumonia, oxygen. Sedated/venilator/ICU. Expired Preliminary Cause of Death multi-system organ failure Comments COVID 19 with heart kidney and lung issues, eventually made comfort care by family and expired comfortably with family present and comfort medications
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Feeling hot, Headache, Hyperhidrosis
Clinical narrative: Narrative: 43 YO F with PMH GAD, PTSD, migraine, and multiple allergies reported anxiety, nausea, diaphoresis, bilateral hand tremors, and headaches upon administration of Dose #1 COVID vaccine on 3/16/21. Patient was transported to ED where symptoms resolved after one dose of PO ondansetron. After Dose #2 on 4/6/21, patient reported feeling "woozy", hot, and had a headache. Symptoms resolved after 30 minutes with no intrvention.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Tremor
Clinical narrative: Narrative: 43 YO F with PMH GAD, PTSD, migraine, and multiple allergies reported anxiety, nausea, diaphoresis, bilateral hand tremors, and headaches upon administration of Dose #1 COVID vaccine on 3/16/21. Patient was transported to ED where symptoms resolved after one dose of PO ondansetron. After Dose #2 on 4/6/21, patient reported feeling "woozy", hot, and had a headache. Symptoms resolved after 30 minutes with no intrvention.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dysphagia, Pyrexia, Throat tightness
Clinical narrative: Narrative:  She reports having developed fever to 100.6T and chills about 2 hours after the initial vaccination. Concerns lated for about 2x days (fever treated with acetaminophen). While she had initially answered "throat tightness", upon further query  this was clarifed as tightness emcompassing her entire body related to the chills. She denied difficulty swallowing including eating/drinking or breathing (no wheezing/dyspnea). She also denied swelling, urticaria, flushing, congestion, dizziness, weakness nausea/vomiting/diarrhea/abdominal cramping.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back injury, COVID-19, Decreased appetite, Diarrhoea
Clinical narrative: Narrative: Moderna 1/6/21 and2/4/21. Chief Complaint: No chief complaint on file. History of present illness: Patient is a 88 y.o male with PMH significant for CAD, hld, DMII, ITP, anemia, HFpEF who presents with traumatic fall. The patient states that when he was watching the football game around the midnight of 9/10, when he went to shut off the TV, he fell backwards onto his backside. He experienced nausea, dizziness, and weakness in the legs prior. He denies a loss of consciousness. He states that his appetite has been decreased but has had good intake of water. He did not take his Lantus yesterday. He has two of these episodes before with the most recent in April. He recounts a similar story with no head injury, no LOC. He also had weakness and nausea both times. Denies chest pain, sob, nausea, vomiting, fever, chills, abdominal pain, headache, changes in vision, dizziness, changes in urination and bowel movements. Upon leaving the patient's room, he developed a wave of nausea that resolved in a few minutes. The patient was discharged to rehab and was treated for a UTI. He had a positive COVID test on the 22nd of September. Some diarrhea overnight. Discharge to nursing home
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Injury, Muscular weakness, Nausea
Clinical narrative: Narrative: Moderna 1/6/21 and2/4/21. Chief Complaint: No chief complaint on file. History of present illness: Patient is a 88 y.o male with PMH significant for CAD, hld, DMII, ITP, anemia, HFpEF who presents with traumatic fall. The patient states that when he was watching the football game around the midnight of 9/10, when he went to shut off the TV, he fell backwards onto his backside. He experienced nausea, dizziness, and weakness in the legs prior. He denies a loss of consciousness. He states that his appetite has been decreased but has had good intake of water. He did not take his Lantus yesterday. He has two of these episodes before with the most recent in April. He recounts a similar story with no head injury, no LOC. He also had weakness and nausea both times. Denies chest pain, sob, nausea, vomiting, fever, chills, abdominal pain, headache, changes in vision, dizziness, changes in urination and bowel movements. Upon leaving the patient's room, he developed a wave of nausea that resolved in a few minutes. The patient was discharged to rehab and was treated for a UTI. He had a positive COVID test on the 22nd of September. Some diarrhea overnight. Discharge to nursing home