chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Electrocardiogram, Hypertension, Palpitations
Clinical narrative: 33 y/o with no past medical history presents with dizziness and palpitations post vaccination Patient states that this is the second dose in the two-dose series. Patient denies reaction to previous vaccination. Patient states that vaccination was received to the left arm. Patient states that currently on a low carb/low sugar diet. Patient placed in wheelchair and taken to partitioned area with NP and Paramedics. Patient vitals consistent with hypertension and tachycardia, EKG with sinus tachycardia (168/94 BP, 112 HR, 100% RA, Resp 14). Glucose 86. Patient placed in Trendelenburg position. Patient monitored for over 50 mins with fluctuations of feeling better then resumption of dizziness. Patient vitals normalized but dizziness remained. Fire rescue called and assessed patient. Patient stated that he still felt dizziness but was ok to go home. Patient didn?t want to be transported to the ER. Patient signed Against Medical Advice, CNP and PM aware. Patient left site on his own accord.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus tachycardia, Tachycardia
Clinical narrative: 33 y/o with no past medical history presents with dizziness and palpitations post vaccination Patient states that this is the second dose in the two-dose series. Patient denies reaction to previous vaccination. Patient states that vaccination was received to the left arm. Patient states that currently on a low carb/low sugar diet. Patient placed in wheelchair and taken to partitioned area with NP and Paramedics. Patient vitals consistent with hypertension and tachycardia, EKG with sinus tachycardia (168/94 BP, 112 HR, 100% RA, Resp 14). Glucose 86. Patient placed in Trendelenburg position. Patient monitored for over 50 mins with fluctuations of feeling better then resumption of dizziness. Patient vitals normalized but dizziness remained. Fire rescue called and assessed patient. Patient stated that he still felt dizziness but was ok to go home. Patient didn?t want to be transported to the ER. Patient signed Against Medical Advice, CNP and PM aware. Patient left site on his own accord.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administered a second dose of pfizer when my first dose was moderna.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Blood culture negative, Blood fibrinogen, COVID-19, Computerised tomogram thorax normal
Clinical narrative: Per discharge summary, patient presented to BHL with his wife with increased shortness of breath, diarrhea and hematuria. Found to be COVID +. Patient tested positive for COVID 5/21. He has received both Pfizer vaccinations.  Patient was admitted and started on treatment for Covid with remdesivir and steroids.  He was continued on his home dialysis schedule.  He continued to have intermittent confusion and then for the last 3 to 5 days was very confused and more unresponsive.  Reviewed goals of care with wife at length and palliative care was consulted.  Decision was made not to pursue feeding tube due to patient having clearly outlined his wishes and his advanced directive.  Upon further discussion with family hospice was consulted and patient was transitioned to inpatient hospice
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Confusional state, Culture urine positive, Dialysis, Diarrhoea
Clinical narrative: Per discharge summary, patient presented to BHL with his wife with increased shortness of breath, diarrhea and hematuria. Found to be COVID +. Patient tested positive for COVID 5/21. He has received both Pfizer vaccinations.  Patient was admitted and started on treatment for Covid with remdesivir and steroids.  He was continued on his home dialysis schedule.  He continued to have intermittent confusion and then for the last 3 to 5 days was very confused and more unresponsive.  Reviewed goals of care with wife at length and palliative care was consulted.  Decision was made not to pursue feeding tube due to patient having clearly outlined his wishes and his advanced directive.  Upon further discussion with family hospice was consulted and patient was transitioned to inpatient hospice
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram, Electrocardiogram T wave abnormal, Electrocardiogram abnormal, Fibrin D dimer
Clinical narrative: Per discharge summary, patient presented to BHL with his wife with increased shortness of breath, diarrhea and hematuria. Found to be COVID +. Patient tested positive for COVID 5/21. He has received both Pfizer vaccinations.  Patient was admitted and started on treatment for Covid with remdesivir and steroids.  He was continued on his home dialysis schedule.  He continued to have intermittent confusion and then for the last 3 to 5 days was very confused and more unresponsive.  Reviewed goals of care with wife at length and palliative care was consulted.  Decision was made not to pursue feeding tube due to patient having clearly outlined his wishes and his advanced directive.  Upon further discussion with family hospice was consulted and patient was transitioned to inpatient hospice
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Haematuria, Laboratory test, Legionella test, Lung opacity
Clinical narrative: Per discharge summary, patient presented to BHL with his wife with increased shortness of breath, diarrhea and hematuria. Found to be COVID +. Patient tested positive for COVID 5/21. He has received both Pfizer vaccinations.  Patient was admitted and started on treatment for Covid with remdesivir and steroids.  He was continued on his home dialysis schedule.  He continued to have intermittent confusion and then for the last 3 to 5 days was very confused and more unresponsive.  Reviewed goals of care with wife at length and palliative care was consulted.  Decision was made not to pursue feeding tube due to patient having clearly outlined his wishes and his advanced directive.  Upon further discussion with family hospice was consulted and patient was transitioned to inpatient hospice
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive, Unresponsive to stimuli, Urinary tract infection fungal
Clinical narrative: Per discharge summary, patient presented to BHL with his wife with increased shortness of breath, diarrhea and hematuria. Found to be COVID +. Patient tested positive for COVID 5/21. He has received both Pfizer vaccinations.  Patient was admitted and started on treatment for Covid with remdesivir and steroids.  He was continued on his home dialysis schedule.  He continued to have intermittent confusion and then for the last 3 to 5 days was very confused and more unresponsive.  Reviewed goals of care with wife at length and palliative care was consulted.  Decision was made not to pursue feeding tube due to patient having clearly outlined his wishes and his advanced directive.  Upon further discussion with family hospice was consulted and patient was transitioned to inpatient hospice
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Night sweats
Clinical narrative: Chills, Sweats all night
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy
Clinical narrative: pt developed signs and symptoms  of bell's palsy. was seen at urgent care on 5/13, admitted to hospital same day, discharged 5/15
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Computerised tomogram head, Dyskinesia, Echocardiogram, Electroencephalogram
Clinical narrative: pt developed signs and symptoms  of bell's palsy. was seen at urgent care on 5/13, admitted to hospital same day, discharged 5/15
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eyelid function disorder, Facial paralysis, Impaired work ability, Magnetic resonance imaging head, Movement disorder
Clinical narrative: pt developed signs and symptoms  of bell's palsy. was seen at urgent care on 5/13, admitted to hospital same day, discharged 5/15
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Scan brain
Clinical narrative: pt developed signs and symptoms  of bell's palsy. was seen at urgent care on 5/13, admitted to hospital same day, discharged 5/15
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hand deformity, Skin exfoliation
Clinical narrative: Many many balls in both hands. No itching, no burning, and after the medications my hands completely peeled off and it's still like that.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Pt fainted shortly after vaccination and remained unconscious for approximately 30 seconds to 1 minute.  Was fine afterward.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Deafness, Ear congestion, Headache, Neck pain
Clinical narrative: within 12 hours, felt like ear was plugged, after 24 hours lost all hearing in left ear with severe tinnitus, multi tone ringing in ears, 2 days later experienced pain in neck lower head area, also leg pain increased
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: within 12 hours, felt like ear was plugged, after 24 hours lost all hearing in left ear with severe tinnitus, multi tone ringing in ears, 2 days later experienced pain in neck lower head area, also leg pain increased
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Rheumatoid arthritis, Tinnitus
Clinical narrative: Within 12-24 hrs. I was experiencing the RA flare up again. It was not as bad as the flare up after the 1st dose. I was on 20mg prednisone This lasted for about 3 days. I also had difficulty walking again. I also developed intermittent ringing in my ears which has continued and is still happening.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac function test normal, Chest discomfort, Computerised tomogram abdomen, Computerised tomogram normal
Clinical narrative: approx 6wks after 2nd vaccine tightness in chest, wheezing on exertion, and eating certain foods appeared as allergy. Did not have any of this prior to vaccine. coughing , dry throat  still occurring
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dry throat, Food allergy, Wheezing
Clinical narrative: approx 6wks after 2nd vaccine tightness in chest, wheezing on exertion, and eating certain foods appeared as allergy. Did not have any of this prior to vaccine. coughing , dry throat  still occurring
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Amnesia, Bone densitometry, Computerised tomogram, Disorientation
Clinical narrative: Within an hour I wasn't feeling well. My stomach was in knots and I felt nausea. My arm was hurting a little but I was ok. 9 days later I threw up a lot and I don't normally throw up. I couldn't move. I was seriously ill. I didn't know where I was, my family came and took care of me. I was so sick, I couldn't get back to bed. I was hallucinating, lost of memory
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucination, Magnetic resonance imaging, Malaise, Mobility decreased, Pain in extremity
Clinical narrative: Within an hour I wasn't feeling well. My stomach was in knots and I felt nausea. My arm was hurting a little but I was ok. 9 days later I threw up a lot and I don't normally throw up. I couldn't move. I was seriously ill. I didn't know where I was, my family came and took care of me. I was so sick, I couldn't get back to bed. I was hallucinating, lost of memory
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Scan brain, Vomiting
Clinical narrative: Within an hour I wasn't feeling well. My stomach was in knots and I felt nausea. My arm was hurting a little but I was ok. 9 days later I threw up a lot and I don't normally throw up. I couldn't move. I was seriously ill. I didn't know where I was, my family came and took care of me. I was so sick, I couldn't get back to bed. I was hallucinating, lost of memory
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Pain, Pyrexia
Clinical narrative: Flu-like. Soreness, exhaustion, fever. Spent all day in bed, for two days after vaccine. (Strongest time period was between 48-60 hours after vaccination)
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: RASH ALL OVER BODY, LARGE WHITE PATCHES, ITCHING, RED.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction. Pt 17 yo, was given dose #1 off- label initially with parental consent and consent of the patient as he was almost 18 y/o. First dose of moderna  given on April 08 2021. He also will be working in a public facing position as a lifeguard for  the public pool. He had no significant adverse events with the first vaccine. VAERS report for deviation was subsequently entered. The second dose of moderna was administering on 27 May 2021 per current CDC recommendations. This is why the VAERS is being completed. So far, no reports of any adverse  reactions to the vaccine from patient patient.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood urine present, Decreased appetite, Fatigue, Haematemesis
Clinical narrative: SATURDAY HE BEGAN WITH TIREDNESS AND LOSS OF APPETITE.,PT BEGAN HAVING HICCUPS, HEADACHE, ABDOMINAL DISTRESS, BLOOD IN HIS URINE, STOOL AND EMISIS.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Haematochezia, Headache, Hiccups
Clinical narrative: SATURDAY HE BEGAN WITH TIREDNESS AND LOSS OF APPETITE.,PT BEGAN HAVING HICCUPS, HEADACHE, ABDOMINAL DISTRESS, BLOOD IN HIS URINE, STOOL AND EMISIS.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Eye pain, Facial pain, Pain in extremity
Clinical narrative: Pain in upper arm, pain in hand and fingers, some chest pain, severe pain in left eye and above eye....  this all seems to have fixed itself for now do not have pain.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lymphadenopathy
Clinical narrative: tenderness at needle site location two days post vaccine, lymph node swelling on left side between breast and underarm
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Angina pectoris
Clinical narrative: Heart pain  Missing period/menstruation
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Foetal death, Haemorrhage, Uterine dilation and curettage
Clinical narrative: This was my pt.  Presented with normal first trimester ultrasound giving EDC 9/27/21.  Returned with normal 15 week visit with positive fetal heart tones and no complications.  Pt states she received her covid vax towards the end of that week (facility unknown, I believe by Pfizer).  She presented 3 1/2 weeks later to my clinic with bleeding.  Dx intrauterine fetal death that occurred at 16 weeks 2 days by growth on ultrasound (shortly after covid vax).  Options below are not appropriate- Fetal death
Age: 32.0
Sex: U
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient stated she felt faint and dizzy.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Catheterisation cardiac normal, Chest pain, Electrocardiogram ST segment elevation
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Myocarditis, STEMI Patient received Pfizer COVID vaccines on 4/15/21 and 5/6/21. Patient presented to ED on 5/9/21 with complaints of acute onset substernal chest pain that woke him from sleep. Patient also endorses left arm pain, diaphoresis and nausea. No significant past medical history or family history of heart disease. ECG demonstrated inferior ST elevations. Patient was taken to cath lab and found to have no angiographic evidence of CAD. Patient discharged on aspirin 81 mg QD, Clopidogrel 75 mg QD, Metoprolol 12.5 mg BID, Rosuvastatin 5 mg QD.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Hyperhidrosis, Myocarditis, Nausea, Pain in extremity
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Myocarditis, STEMI Patient received Pfizer COVID vaccines on 4/15/21 and 5/6/21. Patient presented to ED on 5/9/21 with complaints of acute onset substernal chest pain that woke him from sleep. Patient also endorses left arm pain, diaphoresis and nausea. No significant past medical history or family history of heart disease. ECG demonstrated inferior ST elevations. Patient was taken to cath lab and found to have no angiographic evidence of CAD. Patient discharged on aspirin 81 mg QD, Clopidogrel 75 mg QD, Metoprolol 12.5 mg BID, Rosuvastatin 5 mg QD.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder, Troponin increased
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Myocarditis, STEMI Patient received Pfizer COVID vaccines on 4/15/21 and 5/6/21. Patient presented to ED on 5/9/21 with complaints of acute onset substernal chest pain that woke him from sleep. Patient also endorses left arm pain, diaphoresis and nausea. No significant past medical history or family history of heart disease. ECG demonstrated inferior ST elevations. Patient was taken to cath lab and found to have no angiographic evidence of CAD. Patient discharged on aspirin 81 mg QD, Clopidogrel 75 mg QD, Metoprolol 12.5 mg BID, Rosuvastatin 5 mg QD.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Hypoaesthesia
Clinical narrative: severe headache, fast heartbeat and numbness o part of her face
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Haemoptysis
Clinical narrative: Pt received Moderna vaccine, later that day pt complained of having a productive cough with blood-tinged sputum.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Patient presented for 2nd dose and reported having a blood clot the day after receiving her first dose.  She is unsure if it was due to the vaccine or her vascular malformation.  She did not seek medical help or receive a diagnosis from a medical professional.  States the clot dissolved on its own.  Pfizer Covid vaccine
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray normal, Chest pain, Chills, Electrocardiogram normal
Clinical narrative: In first two days following second dose of Pfizer vaccine, patient had "normal" side effects of fatigue, low grade fever, chills, etc.    On evening of day 3 patient developed headache, nausea, and severe chest pain.  Emergency Room visit showed normal EKG an X-Ray but bloodowork showed troponin levels of 18,300 at 10:30 pm and 19,905 overnight.  Patient was diagnosed with myocarditis and admitted to pediatric ICU at Hospital.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Intensive care, Myocarditis, Nausea
Clinical narrative: In first two days following second dose of Pfizer vaccine, patient had "normal" side effects of fatigue, low grade fever, chills, etc.    On evening of day 3 patient developed headache, nausea, and severe chest pain.  Emergency Room visit showed normal EKG an X-Ray but bloodowork showed troponin levels of 18,300 at 10:30 pm and 19,905 overnight.  Patient was diagnosed with myocarditis and admitted to pediatric ICU at Hospital.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Troponin increased
Clinical narrative: In first two days following second dose of Pfizer vaccine, patient had "normal" side effects of fatigue, low grade fever, chills, etc.    On evening of day 3 patient developed headache, nausea, and severe chest pain.  Emergency Room visit showed normal EKG an X-Ray but bloodowork showed troponin levels of 18,300 at 10:30 pm and 19,905 overnight.  Patient was diagnosed with myocarditis and admitted to pediatric ICU at Hospital.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Movement disorder, Musculoskeletal stiffness
Clinical narrative: woke   up and could not move head and neck       Right hand fingers were curled and could not straighten
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeding disorder, Headache, Nausea
Clinical narrative: headaches, nausea, tired , all over run down, not able to eat
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Muscular weakness, Pain in extremity
Clinical narrative: Joint pain in fingers legs knee, muscle weakness in calves for 3 to 4 days. Reappeared 3 weeks later with the muscle weakness.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Pfizer vaccine vial was not diluted prior to administration.  Patient received 0.3 mL of undiluted vaccine.  Patient and physician were notified of error and monitored for adverse events/flu-like symptoms per CDC recommendations.    Patient remained hospitalized for reasons unrelated to COVID-19 vaccine administration (M1 hold).  No adverse events documented by nursing or providers, no fevers or other adverse reactions noted.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Condition aggravated, Diarrhoea, Eye pain
Clinical narrative: Moderate (RA) pain flared in multiple joins approximately 6-7 hours after injection (given on 6/3).  This is unusual because I typically do not get pain in a lot of joints at one time.  Individual knuckles on fingers, wrists, hip, neck, shoulder, knees and ankles. Morning after injection (approx. 16 hours): joint and muscle aches, low grade fever (99; I typically am at 97.4-97.8), moderate malaise and fatigue.  Headache, eyes ached, mild nausea, stomach upset and diarrhea.  Could not stay awake.   Symptoms subsided greatly 30-32 hours after vaccination.  Fatigue persists, but is minor; goes away with short rest.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Myalgia, Nausea
Clinical narrative: Moderate (RA) pain flared in multiple joins approximately 6-7 hours after injection (given on 6/3).  This is unusual because I typically do not get pain in a lot of joints at one time.  Individual knuckles on fingers, wrists, hip, neck, shoulder, knees and ankles. Morning after injection (approx. 16 hours): joint and muscle aches, low grade fever (99; I typically am at 97.4-97.8), moderate malaise and fatigue.  Headache, eyes ached, mild nausea, stomach upset and diarrhea.  Could not stay awake.   Symptoms subsided greatly 30-32 hours after vaccination.  Fatigue persists, but is minor; goes away with short rest.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rheumatoid arthritis
Clinical narrative: Moderate (RA) pain flared in multiple joins approximately 6-7 hours after injection (given on 6/3).  This is unusual because I typically do not get pain in a lot of joints at one time.  Individual knuckles on fingers, wrists, hip, neck, shoulder, knees and ankles. Morning after injection (approx. 16 hours): joint and muscle aches, low grade fever (99; I typically am at 97.4-97.8), moderate malaise and fatigue.  Headache, eyes ached, mild nausea, stomach upset and diarrhea.  Could not stay awake.   Symptoms subsided greatly 30-32 hours after vaccination.  Fatigue persists, but is minor; goes away with short rest.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Presyncope
Clinical narrative: PT felt nausea, dizziness, and light headed after injection. Transported to med obs 1 via wc with mother. PT reports working out earlier today. Vitals taken and monitored. Per on-site physician - pt experienced vasovagal reaction - resolved. released at 1:55 with mother 1340 LYING - BP: 98/63, HR: 50, Sp02: 99 1343 LYING - BP: 104/68, HR: 71, Sp02: 98 1345 LYING - BP 112/74, HR: 76, Sp02: 99 1354 Standing - BP: 138/81, HR: 78, Sp02: 99
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Ataxia, Blood test, Headache, Hemiparesis, Intensive care
Clinical narrative: onset with severe headache the day after 2nd injection, arrived to the ED and CT and MRI showed possible cerebral infarct.  patient has ataxia and lateral weakness.  admitted to ICU
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal
Clinical narrative: onset with severe headache the day after 2nd injection, arrived to the ED and CT and MRI showed possible cerebral infarct.  patient has ataxia and lateral weakness.  admitted to ICU
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash pruritic, Skin warm
Clinical narrative: Patient reported localized skin erythema, warmth and pruritis since 5/29/2021  (received vaccine on 5/28/2021). Erythema has improved from "red" to "pink". Denies tenderness, fever. Pt was evaluated for the skin reaction through our clinic on 6/8/2021 (1st evaluation).
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoaesthesia, Immediate post-injection reaction, Pain in extremity, Paraesthesia
Clinical narrative: Patient immediately after getting the vaccine stated his arm was very sore.  After he sat down to be observed for 15 minutes he started feeling like he was going to vomit and/or lose consciousness.  He started sweating profusely and stated that both arms felt tingly and numb.  I immediately gave him juice and applied a cold pack to his back. After a couple of mins he stated that he was feeling a little better.  We called the ambulance and they arrived and took over his care.  He was not transported to the hospital
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Chills and Fever of 100.4 F started on 6/6/21.  Took Ibuprofen 200 mg  2 Tablets every 4 hours until 6/7/21 and help reduce the fever.  On 6/8/21 Patient recovered.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Swelling face
Clinical narrative: bloodshot right eye, feels slight swelling to right side of face like allergic reactions.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Pt states she felt dizzy along with n/v.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: My daughter's second vaccine was given subcutaneously rather than in the muscle. I was not with her for the first vaccine, but I learned the same person administered it. I am concerned about two things:  1. Will my daughter develop the full immune response to the vaccine or will she be more vulnerable to COVID-19? 2. Is there a way to follow up with the pharmacy to ensure vaccines are being administered properly to others in the community?
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Agonal respiration, Alanine aminotransferase normal, Blood albumin decreased, Blood calcium decreased, Blood creatinine increased
Clinical narrative: On 6/4/21 at 10:40, res became unresponsive with agonal/snoring respirations, no palpable pulse, but audible apical pulse with irregular rhythm, general pallor nd cyanosis, cool and clammy skin. BP92/58 manual, R 4 initially sats low 90's. Accucheck 181. required heavy tactile sternal rub; Res vomited large amt of yellow/white vomitus and had large diarrhea episode. She became responsive after sternal rub but shortly thereafter became unresposnive again. MD notified with new orders for labs and head CT.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood lactic acid, Blood urea increased, Cerebral atrophy, Cold sweat
Clinical narrative: On 6/4/21 at 10:40, res became unresponsive with agonal/snoring respirations, no palpable pulse, but audible apical pulse with irregular rhythm, general pallor nd cyanosis, cool and clammy skin. BP92/58 manual, R 4 initially sats low 90's. Accucheck 181. required heavy tactile sternal rub; Res vomited large amt of yellow/white vomitus and had large diarrhea episode. She became responsive after sternal rub but shortly thereafter became unresposnive again. MD notified with new orders for labs and head CT.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Cyanosis, Diarrhoea, Discoloured vomit, Full blood count abnormal
Clinical narrative: On 6/4/21 at 10:40, res became unresponsive with agonal/snoring respirations, no palpable pulse, but audible apical pulse with irregular rhythm, general pallor nd cyanosis, cool and clammy skin. BP92/58 manual, R 4 initially sats low 90's. Accucheck 181. required heavy tactile sternal rub; Res vomited large amt of yellow/white vomitus and had large diarrhea episode. She became responsive after sternal rub but shortly thereafter became unresposnive again. MD notified with new orders for labs and head CT.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Heart rate irregular, Laboratory test, Metabolic function test abnormal
Clinical narrative: On 6/4/21 at 10:40, res became unresponsive with agonal/snoring respirations, no palpable pulse, but audible apical pulse with irregular rhythm, general pallor nd cyanosis, cool and clammy skin. BP92/58 manual, R 4 initially sats low 90's. Accucheck 181. required heavy tactile sternal rub; Res vomited large amt of yellow/white vomitus and had large diarrhea episode. She became responsive after sternal rub but shortly thereafter became unresposnive again. MD notified with new orders for labs and head CT.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pallor, Procalcitonin, Protein total decreased, Pulse absent
Clinical narrative: On 6/4/21 at 10:40, res became unresponsive with agonal/snoring respirations, no palpable pulse, but audible apical pulse with irregular rhythm, general pallor nd cyanosis, cool and clammy skin. BP92/58 manual, R 4 initially sats low 90's. Accucheck 181. required heavy tactile sternal rub; Res vomited large amt of yellow/white vomitus and had large diarrhea episode. She became responsive after sternal rub but shortly thereafter became unresposnive again. MD notified with new orders for labs and head CT.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count decreased, Snoring, Troponin, Unresponsive to stimuli, Vomiting
Clinical narrative: On 6/4/21 at 10:40, res became unresponsive with agonal/snoring respirations, no palpable pulse, but audible apical pulse with irregular rhythm, general pallor nd cyanosis, cool and clammy skin. BP92/58 manual, R 4 initially sats low 90's. Accucheck 181. required heavy tactile sternal rub; Res vomited large amt of yellow/white vomitus and had large diarrhea episode. She became responsive after sternal rub but shortly thereafter became unresposnive again. MD notified with new orders for labs and head CT.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Hypertension, Palpitations
Clinical narrative: After first vaccination, I went to ER for heart palpitations, high blood pressure.  After second dose I am having the same symptoms of high blood pressure and heart palpitations, including feeling light headed and dizzy.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes ophthalmic
Clinical narrative: Pt has had a history of herpes zoster keratouveitis which was reactivated three days after the 2nd Moderna series.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID 19 on 5/21/2021, then admitted to Medical Center on 5/30/2021 with worsening dyspnea, cough and fevers.  Remains admitted as of 6/8/2021.  Had received Pfizer vaccination at the Vaccination Center Dose #1 in February 2021 Dose #2 on 3/17/2021
Age: 88.0
Sex: F
Vaccine: UNK
Symptoms: Wrong product administered
Clinical narrative: No ADR identified.  Patient is a homebound patient that the Agency asked us to vaccinate.  Patient contacted to see if she was interested in J and J.  She was and requested that we vaccinate her.  Upon documenting the vaccination, the immunization registry identified that the patient had dose one of Moderna on 5/5/2021 and did not notify staff administering the j and j vaccine.  Patient's primary care provider notified.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Should not have received a third dose .
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Muscle spasms
Clinical narrative: Woke up day after with headache   2nd day after severe muscle spasms in arms , legs, chest and back   3rd days after muscle spasms over entire body
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: I have yet to get my period and I?ve always been on time since it began. Other women have also told me they experienced pain or no period after as well
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Ear pain, Facial paralysis
Clinical narrative: Systemic: Bell's Palsy-Medium, Systemic: Ear pain as well-Mild, Additional Details: States issue started 24 hours after vaccine. Right side of face is drooping and states has ear pain. He also stated same issue happen to him when he was younger and lasted for about 6 weeks. Stated he remembers being treated with steriods that which helped. I advised patient to seek medical attention from hospital/urgent care to see if they can help.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Cough
Clinical narrative: Patient had asthma flare approximately 48 hours after 1st dose Pfizer. Was put on 2 courses of high dose prednisone. Patient was still on prednisone and coughing when she came back to vaccination site for 2nd dose.  Patient was told to withhold on second vaccine for another week until patient has been off prednisone and not coughing.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Cold sweat, Fall, Pallor, Syncope, Unresponsive to stimuli
Clinical narrative: Vasovagal Syncopal episode occurring about 3-5 mins after administration. Fell to ground, w/ 2-3 secs of unresponsiveness, pallor and clammy skin. Aroused on her own. I did use ammonia smelling salts to help her arousal. Administered apple juice, cheese and crackers after episode.  She recovered quickly. Entire episode was about 7-10 mins.  No sequalae.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Hyperhidrosis, Nausea
Clinical narrative: Patient approached the RN, and stated that he thought he was going to pass out. The patient's knees buckled and he sank to the floor. (witnessed fall) The patient did not hit his head on the floor. At 105 the Patient was moved to the recovery area where he was laid on the floor and his feet were raised onto a chair. Patient was diaphoretic BP 116/74 pulse 70 oxygen 99% on room air.  Around 1210 the patient sat up on the floor and complained of dizziness and nausea. Patient was placed back into a lying position and BP recorded at 140/90. At 1230 the patient was sitting on the floor and nausea and dizziness had subsided. At 1245 the patient was placed in a wheelchair and assisted to the car and the girlfriend drove him back home. BP recorded at 116/70 upon leaving the vaccination clinic.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea
Clinical narrative: feeling like I was going to throw up after both shots
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Pain, Pyrexia
Clinical narrative: Fever of 101.8 chills body aches diarrhea
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Tired body aches fever
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Dizziness, Paraesthesia, Syncope
Clinical narrative: patient reports having tingling/chills about 90 min after vaccination. No rash/hives/swelling or difficulty breathing.  Some lightheadedness and feeling of blacking out.  Patient did not have this reaction with the first pfizer shot.  Patient was concerned since the onset was so soon after vaccination.  Recommended patient rest as much as possible, drink plenty of water and eat some food.  Patient may take tylenol if needed for fever/pain. Patient did have a granola bar and water for breakfast and had just recently ate lunch.  Recommended no driving or any activity that requires attention/moving due to lightheadedness.  Patient does have someone that will be checking in on him to see how he is doing.  Advised that patient seek medical attention if condition worsens or if any trouble breathing or swelling
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Cardiac stress test, Chest pain, Chills, Dizziness
Clinical narrative: patient reports having tingling/chills about 90 min after vaccination. No rash/hives/swelling or difficulty breathing.  Some lightheadedness and feeling of blacking out.  Patient did not have this reaction with the first pfizer shot.  Patient was concerned since the onset was so soon after vaccination.  Recommended patient rest as much as possible, drink plenty of water and eat some food.  Patient may take tylenol if needed for fever/pain. Patient did have a granola bar and water for breakfast and had just recently ate lunch.  Recommended no driving or any activity that requires attention/moving due to lightheadedness.  Patient does have someone that will be checking in on him to see how he is doing.  Advised that patient seek medical attention if condition worsens or if any trouble breathing or swelling
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram normal, Fatigue, Laboratory test normal
Clinical narrative: patient reports having tingling/chills about 90 min after vaccination. No rash/hives/swelling or difficulty breathing.  Some lightheadedness and feeling of blacking out.  Patient did not have this reaction with the first pfizer shot.  Patient was concerned since the onset was so soon after vaccination.  Recommended patient rest as much as possible, drink plenty of water and eat some food.  Patient may take tylenol if needed for fever/pain. Patient did have a granola bar and water for breakfast and had just recently ate lunch.  Recommended no driving or any activity that requires attention/moving due to lightheadedness.  Patient does have someone that will be checking in on him to see how he is doing.  Advised that patient seek medical attention if condition worsens or if any trouble breathing or swelling
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Echocardiogram normal, Magnetic resonance imaging heart, Myocarditis, Troponin increased
Clinical narrative: Patient presented with severe crushing chest pain and was found to have elevated troponin levels. He was diagnosed with myocarditis. Echo showed normal heart function. Cardiac MRI was also done and showed normal heart function with a faint scar suggestive of myocarditis. Overall, findings suggested post vaccine related myocarditis.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Palpitations, Pyrexia
Clinical narrative: The day of my vaccine I started have the same symptoms as I did when I had Covid. I had fever chills and a headache. I had the symptoms for about 36 hours and they started decreasing .My heart was palpitating.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram, Dyspnoea, Echocardiogram, Laboratory test
Clinical narrative: On 5/2/2021 I woke up with severe shortness of breath. I went to a walk in clinic two times and then I ended up going to the ER two times, and I have seen my primary doctor and a pulmonologist.  Through out all the visits they have done  lab work, chest x-ray, CT scan, Echocardiogram.  At the walk in they thought I had bronchitis so they prescribed an inhaler and another medication, later they prescribed a steroid, my first visit to the ER I was not prescribed nothing, the second time they prescribed oxygen at night and as needed, and from my pulmonologist they prescribed a different inhaled steroid.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling, Pain in extremity
Clinical narrative: Swollen injection site after 12hours.. sore arm since april 8..
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: My cheeks turned bright red and hot to the touch. My scalp was itchy. I went home and took a Zyrtec, and a Benadryl at night. I did this for one week and it finally subsided. I immediately called my doctor when I got home and this was his suggestion.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Localised infection
Clinical narrative: Sore developed on hand about 10 days post injection.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymph node pain, Lymphadenopathy, Mouth ulceration
Clinical narrative: Patient calls clinic on 5/27/2021 stating that when she received the vaccine 7 days she started having pain under her breast like her lymph nodes were swollen. Provider, NP, was consulted and advised to go to ED if she did not improve. Pt calls back today 6/8/2021 stating that she now has ulcers in her mouth and she thinks it's from the shot as well.
Age: 17.0
Sex: U
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: The patient felt lightheaded while walking to the post-vaccination area and she voluntarily laid down on the floor. The patient reports a history of anxiety and fainting post vaccinations and said this occurred when she received the HPV vaccine. The patient's legs were elevated, cool compress to the forehead and vital signs assessed.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Computerised tomogram head, Electrocardiogram, Herpes zoster, Laboratory test
Clinical narrative: 4/1/21 Started with nerve pain around my neck and back.  On 4/4/21 symptom of trigeminal neuralgia, felt as if I were having a stroke and went directly to the ED.  Stroke was ruled out and a small rash appeared on my shoulder blade.  ED suspected shingles as a reaction to the Covid Pfizer Vaccine.  On 4/7/21 rash appeared on upper back, neck and front shoulder.  Pain became very severe.  Started on acyclovor.  Rash and pain became worse, back to the ED on 4/20/21, was direct admit into the hospital until 4/24/21.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Neuralgia, Rash, Trigeminal neuralgia
Clinical narrative: 4/1/21 Started with nerve pain around my neck and back.  On 4/4/21 symptom of trigeminal neuralgia, felt as if I were having a stroke and went directly to the ED.  Stroke was ruled out and a small rash appeared on my shoulder blade.  ED suspected shingles as a reaction to the Covid Pfizer Vaccine.  On 4/7/21 rash appeared on upper back, neck and front shoulder.  Pain became very severe.  Started on acyclovor.  Rash and pain became worse, back to the ED on 4/20/21, was direct admit into the hospital until 4/24/21.
Age: 19.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Contraindication to medical treatment
Clinical narrative: This is a vaccine administration error.  Live virus vaccines contraindicated for immune suppression.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Heart rate increased
Clinical narrative: chills, fatigue, throbbing headache, nausea, fever,no appetite, rapid heart beat, rt lymph node swollen,
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nausea, Pyrexia
Clinical narrative: chills, fatigue, throbbing headache, nausea, fever,no appetite, rapid heart beat, rt lymph node swollen,
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Case was hospitalized and passed away.      **2nd dose given 2/6/2021.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abnormal behaviour, Aphasia, Asthenia, Computerised tomogram normal, Dysarthria
Clinical narrative: Two days after patient's first vaccine@ about 4 pm, I could tell that something was wrong with her. Every day she and I play cards, but this day she was really struggling. She couldn't figure out where any of the cards went, and was missing every play. I tool her up to lay down. At about 6pm, her eyes looked really glassy and she was unable to speak clearly. Her words were very slurred, and her sentences did not make any sense. I called 911, and they came and took her to the ER. The doctors said that she had a small stroke. She was put on a low dosage of blood pressure medicine, and was hospitalized for 6 days to monitor her. During that time many tests were run on her.  2nd Vaccine- 2-24-21 Two hours after returning from getting the second vaccine, the patient went upstairs to go to the bathroom and she passed out onto the bathroom floor. Again, when talking to her, her words were slurred. She was very weak. I called 911 again. Initially they were not going to take her, but when she went to get up she fell back down. She was too weak to walk, so they took her to the ER again. She was released to go home that evening. Sher saw her primary doctor and was referred by her oncologist to see a hematologist. She endured a three month waiting period until she could be tested for APLS. She will go this Friday to find out the reslts of that test. Additionally, she saw her vascular neurologist, Dr. He looked at her scans and said it was NOT a stroke. He said that  her body basically had a surge as a result of trying to fight off the vaccine. He said that the CAT scan that was done at the time she went to the ER the first time did NOT indicate signs of a new stroke, but that what they were seeing on the scans was from her past stroke. Dr. said that he saw no indication that she had another stroke and that her body was just reacting to the vaccine. He said that all of the symptoms that she had were all things that could happen because of the surge.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fall, Glassy eyes, Loss of consciousness
Clinical narrative: Two days after patient's first vaccine@ about 4 pm, I could tell that something was wrong with her. Every day she and I play cards, but this day she was really struggling. She couldn't figure out where any of the cards went, and was missing every play. I tool her up to lay down. At about 6pm, her eyes looked really glassy and she was unable to speak clearly. Her words were very slurred, and her sentences did not make any sense. I called 911, and they came and took her to the ER. The doctors said that she had a small stroke. She was put on a low dosage of blood pressure medicine, and was hospitalized for 6 days to monitor her. During that time many tests were run on her.  2nd Vaccine- 2-24-21 Two hours after returning from getting the second vaccine, the patient went upstairs to go to the bathroom and she passed out onto the bathroom floor. Again, when talking to her, her words were slurred. She was very weak. I called 911 again. Initially they were not going to take her, but when she went to get up she fell back down. She was too weak to walk, so they took her to the ER again. She was released to go home that evening. Sher saw her primary doctor and was referred by her oncologist to see a hematologist. She endured a three month waiting period until she could be tested for APLS. She will go this Friday to find out the reslts of that test. Additionally, she saw her vascular neurologist, Dr. He looked at her scans and said it was NOT a stroke. He said that  her body basically had a surge as a result of trying to fight off the vaccine. He said that the CAT scan that was done at the time she went to the ER the first time did NOT indicate signs of a new stroke, but that what they were seeing on the scans was from her past stroke. Dr. said that he saw no indication that she had another stroke and that her body was just reacting to the vaccine. He said that all of the symptoms that she had were all things that could happen because of the surge.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Palpitations, SARS-CoV-2 antibody test positive, Syncope, Vomiting
Clinical narrative: Severe flu-like symptoms 4 days Fainting/ vomiting 2 days heart palpitations 4 days   I had Covid 19 in November and was still positive for the antibodies as of 4/8/2021
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Vital signs measurement
Clinical narrative: Patient reported difficulty swallowing after about 25 minutes post injection.  Patient was able to talk, drink water with no changes to cognitive function. Vitals were monitored and stable. BP 4:00 138/117, 4:31 132/97, 4:40 131/96.  Patient was given a total of 50 mg of diphenhydramine between 3:55 and 4:05pm.  Patient remained at pharmacy for over an hour after administration and felt comfortable leaving.  Followed up with patient around 6:30 pm and she stated felt better.