chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever of 99.7; some achiness; fatigue (slept on and off for 36 hours); some soreness at injection site Symptoms lasted approximately 36 hours Took 1 tylenol tablet every 6 hours during the 36-hour period
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Swelling, Tenderness
Clinical narrative: Sore (mildly painful) area in armpit and down underside of arm.  Slightly swollen and tender to touch.  Took Advil twice a day to reduce soreness.  Felt gradually better and was fine after 4-5 days
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injection site pain, Nasopharyngitis, Pain, Pyrexia
Clinical narrative: Injection site was really tender and it was I got really achy the night of the vaccine. Not a lot of energy that night. The next day, I woke up with no energy, really achy and cold. I don't think I was running a fever. Saturday was the worse day.I took Tylenol throughout the weekend. All I wanted to do was sleep - felt like garbage. By Monday,  I felt fine.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction, Rash, Urticaria
Clinical narrative: Hive like rash around injection sight, and also on groin
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Deep vein thrombosis, Dyspnoea, Ultrasound Doppler
Clinical narrative: Patient developed SOB 2/10/2021 and was diagnosed with PE/DVT at a local hospital
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Bell's palsy, Dysarthria, Feeling abnormal, Hypoaesthesia
Clinical narrative: Second dose received on March 17, 2021 (same clinic).  Starting on Wednesday, March 24 my tongue felt numb (dime size, center of tongue) - could not taste in that spot but rest of tongue was ok.  It progressively got worse - Saturday, March 27 and Sunday, March 28 felt foggy, more numbness on left side of face, specifically lip area.  On Monday, March 29 speech was slurred, numbness was worse.  Sent photos to neurologist due to concern for stroke and he said call my PCP and my PCP said to go to the ER.  Diagnosed with Bells Palsy.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: Second dose received on March 17, 2021 (same clinic).  Starting on Wednesday, March 24 my tongue felt numb (dime size, center of tongue) - could not taste in that spot but rest of tongue was ok.  It progressively got worse - Saturday, March 27 and Sunday, March 28 felt foggy, more numbness on left side of face, specifically lip area.  On Monday, March 29 speech was slurred, numbness was worse.  Sent photos to neurologist due to concern for stroke and he said call my PCP and my PCP said to go to the ER.  Diagnosed with Bells Palsy.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Heart rate increased, Hypoaesthesia, Paraesthesia
Clinical narrative: Metallic taste Rapid heart beat Headache Numb/tingling feeling throughout body
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Approximately 8 hr after the second dose of vaccine, I started to have fever to 38.6 with chills, headache, fatigue and sweat. it lasted approximately 24 hours.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Erythema, Feeling abnormal, Hyperhidrosis, Skin warm
Clinical narrative: Approximately 10 minutes post vaccination, the patient expressed feeling "funny" and that his throat felt tight and he felt he was about to start sweating. His hands appeared red and were warm to touch, no other flushing noted. Blood pressure and pulse elevated. Benadryl 50mg administered PO. After 45 minutes of observation, vital signs returned to normal, patient noted resolution of tight throat feeling, feeling "funny" and redness of hands. D/C'd home with education regarding epipen use and emergency reasons to contact 911.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Approximately 10 minutes post vaccination, the patient expressed feeling "funny" and that his throat felt tight and he felt he was about to start sweating. His hands appeared red and were warm to touch, no other flushing noted. Blood pressure and pulse elevated. Benadryl 50mg administered PO. After 45 minutes of observation, vital signs returned to normal, patient noted resolution of tight throat feeling, feeling "funny" and redness of hands. D/C'd home with education regarding epipen use and emergency reasons to contact 911.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling abnormal, Musculoskeletal stiffness, Myalgia
Clinical narrative: Very sore arm.  Achey joints muscles, extreme fatigue, stiff neck, "fuzzy" thinking.  Most gone after one day.  Arm still a little sore.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Very sore arm.  Achey joints muscles, extreme fatigue, stiff neck, "fuzzy" thinking.  Most gone after one day.  Arm still a little sore.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Anaphylactic reaction, Chills, Diarrhoea, Headache
Clinical narrative: Vomiting.  24hrs Diarrhea    30 hrs Headache Muscle Ache Chills Hives  (severe) Nausea  Stomach pain Anaphylaxis
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Urticaria, Vomiting
Clinical narrative: Vomiting.  24hrs Diarrhea    30 hrs Headache Muscle Ache Chills Hives  (severe) Nausea  Stomach pain Anaphylaxis
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Death
Clinical narrative: Patient received vaccine on 3/26/2021. Was found deceased on 03/27/2021
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased, Pain, Visual impairment
Clinical narrative: Pt received moderna immunization yesterday (10:29 am), and called today (at about noon) to report side effects.  He  states he was fine yesterday, but this morning has noticed body aches (not unusual with an immunization) and also labored breathing, vision changes, and a rapid heartrate (which could be related to allergy).  He states this has been going on intermittently this morning, and I recommended either getting in to his doctor, or discussing with a nurse.  I did let him know that Benadryl may help as well.  I called to notify his doctor.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Injected limb mobility decreased, Injection site pain
Clinical narrative: Within about 4 hours, injection site was very sore. The following day it was a strain to lift that arm. On Tuesday (3 days after) around 12 pm I started having severe diarrhea and stomach cramps
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Nodule
Clinical narrative: Headache - fatigue - nauseous  Feel bad - stomach in knots
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Twelve Moderna vaccines were given in office .Only 11 were drawn up this morning and the 12th dose was, most likely, a left over dose from yesterday. After incident was discovered, Moderna manufacturer was contacted per CDC recommendation. Quality was also notified.   Patient notified with The Moderna Vaccine received may have been outside of the 6 hour thaw recommendation. We contacted the Moderna manufacturer and CDC. At this time, there are no recommendations for revaccination. Pt will still receive your 2nd dose as previously scheduled. Titers will be available at no cost in 2-3 months after your second vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Acoustic stimulation tests normal, Breast pain, Inflammation, Lymphadenopathy
Clinical narrative: pt states that she had some common symptoms but the 2nd night she developed a terrible stomach ache and pain in her left side.  She had pain in both breast which this symptom is about 80 % gone at this point.  She feels like this may have been swelling of her lymph nodes.  She also got a ringing and pressure in the right ear along with pain down the neck.  The ringing and pressure got worse so she went to the ENT Dr.  on 3/3/21 which prescribed her a steroid for inflammation.  She did not take the steroids but treated her pain w/ Advil for about 5 days.  This helped w/ the pain around the ear and in the neck.  She went for a hearing test on 3/17/2021.  Test was normal.  She was diagnosed w/ Tinnitus.  Pt is  still having constant noise like a buzzing in both ears.  Doctor has advised to get the 2nd Covid dose and if she has any problems to take the steroids that he prescribed.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Tinnitus
Clinical narrative: pt states that she had some common symptoms but the 2nd night she developed a terrible stomach ache and pain in her left side.  She had pain in both breast which this symptom is about 80 % gone at this point.  She feels like this may have been swelling of her lymph nodes.  She also got a ringing and pressure in the right ear along with pain down the neck.  The ringing and pressure got worse so she went to the ENT Dr.  on 3/3/21 which prescribed her a steroid for inflammation.  She did not take the steroids but treated her pain w/ Advil for about 5 days.  This helped w/ the pain around the ear and in the neck.  She went for a hearing test on 3/17/2021.  Test was normal.  She was diagnosed w/ Tinnitus.  Pt is  still having constant noise like a buzzing in both ears.  Doctor has advised to get the 2nd Covid dose and if she has any problems to take the steroids that he prescribed.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: Reactions: Hives Severity: High  From Office Visit Note: --had moderna sars-2 vaccine #1 today--delayed urticarial reaction, onset after leaving facility; Limited to face--small swellings with mild to moderate itch; Denies tongue or throat sx, wheezing, or other allergy hx;
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Cough, Paraesthesia, Throat clearing, Throat tightness
Clinical narrative: Approximately 30 minutes after administration of Covid vaccine in left upper arm patient complained of a tingling sensation down the entire arm and into the palm.  She then began noticing a sensation that she needed to clear her throat and cough.  Reports it started to feel tight.  No facial edema no oropharyngeal edema visible.  Lungs clear to auscultation. Blood pressure and pulse remained normal throughout the visit.  anaphylactoid reaction 1. 9:28 am given Epinephrine 0.5mg/0.5ml given IM, in the left thigh; administered by: healthcare professional: ( lot #344615; exp. 01/2022; Par Pharmaceutical )  2. 09:31 am given Diphenhydramine 50mg/1ml given IM, in the right upper arm; administered by: healthcare professional; ( lot #070101; exp. 07/2022; west-ward )   Epinephrine was administered followed by Benadryl.  Patient was observed for another 30 minutes and noted the throat symptom disappeared and was feeling back to her normal self.  9:45am felt better, 10:00am discharged Discussed with patient anaphylactoid reaction.  She is well versed in anaphylactic reactions having had them in the past.  Has an in date epinephrine pen on her at all times.  Is being driven home by friends and has family members at home to help observe her.  Discussed rare cases of delayed second reactions up to 12 hours later.  She will observe for this.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperaesthesia, Rash, Rash pruritic, Rash vesicular
Clinical narrative: On Monday 3/15 or Tuesday 3/16 I started developing a rash on the knuckles of my right hand and fingers. It first looked like small burns, and then started swelling to look more like spider bites. The rash spread over the course of the next two weeks, and also showed up on my left hand. Eventually, the one on my right hand looked like a blood blister. The rashes itched at first, and then started hurting to the touch. They were especially sensitive to sunlight. Now, as of 3/30, they seem to be clearing up.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest discomfort, Dyspnoea, Eye swelling
Clinical narrative: The vaccine site was Community Center being done by Paramedics and Fire Fighters. I received the vaccine and sat down in the chairs to wait the required 15 minutes. Within 2-3 minutes my face got very hot. I could feel the heat under my mask. Another minute or two, just below my knees to my toes started tingling. Another two minutes or so, I felt like my eyes were swelling. I took my glasses off and looked at my husband and asked if my eyes are swelling, he said, they sure are and called over one of the paramedics that were there. They directed me to a more private are and put me on a monitor and monitored my vital signs. My blood pressure which is well controlled on my meds (which I did take that morning) climbed and climbed to 200s/100s. My chest was tight and uncomfortable and getting more difficult to breath. They put and 02 mask on and gave me Benadryl IM. By that time the squad was there and took me to the local hospital ER. In the squad my tongue started to swell. At the hospital they gave me Solumedrol IV which took care of it all. The swelling quickly went away in my tongue and face, the chest pressure went away, and all the other little annoyances like the tingling. The hospital did a chest x-ray and bloodwork. I went home after 3-4 hours with a prescription for Prednisone 50 mg daily for 5 days.  No further reactions after that.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hypertension, Paraesthesia, Swollen tongue
Clinical narrative: The vaccine site was Community Center being done by Paramedics and Fire Fighters. I received the vaccine and sat down in the chairs to wait the required 15 minutes. Within 2-3 minutes my face got very hot. I could feel the heat under my mask. Another minute or two, just below my knees to my toes started tingling. Another two minutes or so, I felt like my eyes were swelling. I took my glasses off and looked at my husband and asked if my eyes are swelling, he said, they sure are and called over one of the paramedics that were there. They directed me to a more private are and put me on a monitor and monitored my vital signs. My blood pressure which is well controlled on my meds (which I did take that morning) climbed and climbed to 200s/100s. My chest was tight and uncomfortable and getting more difficult to breath. They put and 02 mask on and gave me Benadryl IM. By that time the squad was there and took me to the local hospital ER. In the squad my tongue started to swell. At the hospital they gave me Solumedrol IV which took care of it all. The swelling quickly went away in my tongue and face, the chest pressure went away, and all the other little annoyances like the tingling. The hospital did a chest x-ray and bloodwork. I went home after 3-4 hours with a prescription for Prednisone 50 mg daily for 5 days.  No further reactions after that.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Nausea, Pain
Clinical narrative: After 72 hours, lymph gland swelling under left arm (arm received injection in), sometimes radiating to neck and side or down to hand. Pain: 5/10. As of 3/30/21, no improvement in this symptom. Fatigue and mild nausea as well.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fall, Nodule, Swelling face, Syncope
Clinical narrative: Syncopal Episode - VSS Fell from chair, hit L forehead. Ice applied, large swollen red knot noted. Medic called to ER for evaluation.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Erythema, Rash
Clinical narrative: a couple small rashes started to develop, 2 on the stomach area, one mid back.  Over the next week it continually got larger, darker, more raised, more spots developed until my entire torso, front and back, was covered.  started to move to upper arms and legs, so I tried taking benadryl as directed for about 3 to 4 days, no improvement.  Then about a week after that started to fade.  some days it is mostly gone, other days the rash is a bit more pronounced.  No pain or itching, just rough raised skin and redness
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Brachiocephalic vein thrombosis, Computerised tomogram, Deep vein thrombosis, Peripheral swelling
Clinical narrative: L JUGULAR AND UE DVT LEFT UPPER EXTREMITY SWELLING ACUTE THROMBOSIS OF LEFT BRACHIAL VEIN ACUTE THROMBOSISOF LEFT BASILIC VEIN ACUTE THROMBOSIS OF LEFT INTERNAL JUGULAR VEIN
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: L JUGULAR AND UE DVT LEFT UPPER EXTREMITY SWELLING ACUTE THROMBOSIS OF LEFT BRACHIAL VEIN ACUTE THROMBOSISOF LEFT BASILIC VEIN ACUTE THROMBOSIS OF LEFT INTERNAL JUGULAR VEIN
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood potassium increased, Dizziness, Syncope
Clinical narrative: Two minutes after receiving her vaccination, she experienced lightheadedness and the  syncopized for approximately 5 to 10 seconds. She was taken to a private section of the arena and monitored. Her blood pressure? was initially low with systolics in the 70s,, then increased to the 90s. Her heart rate range from 50 to 70s.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: patient exhibited itching head to toe approximately 15-20 minutes after vaccine.  gave 25 mg of benadryl.  itching decreased was cleared to leave by telehealth
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Swelling
Clinical narrative: Swollen Labia appeared not quite two days after the shot. At first, I thought I just had  pain in my arm, but by the end of Sunday, I knew that the swelling was significant.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Hallucination, Influenza like illness
Clinical narrative: Patient complaining of flu-like symptoms beginning on day following second vaccination. Exceptional symptoms included severe abdominal pain and hallucinations, lasting 24-48 hours. Little or no fever noted. Did not follow with physician. Self reported to Health Department due to noted abdominal pain and hallucinations.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: woke on sunday 3/7 with lymphnodes under both arms swollen. right larger than left. a week later lymph on L side of neck swelled with pain. neck has resolved however every morning I wake up both arms still have swelling. goes down a bit as day progresses.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Headache, Throat tightness
Clinical narrative: INITIALLY COMPLAINED OF HEAD HURTING A LITTLE AND SLIGHTLY DIZZY.  5 MINUTES LATER COMPLAINED OF THROAT AND CHEST FEELING TIGHT AND DIFFICULTY BREATHING.  DOSED WITH EPI AUTO INJECTOR X 2 AND BENADRYL IM 100 MG AND SHE WAS TRANSPORTED TO ER FOR EVALUATION.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Fatigue, Neutropenia, Pain, Platelet count decreased
Clinical narrative: Thrombocytopenia and neutropenia associated with fever, body ache, fatigue, chest tightness. Symptoms began about 1 day after vaccination and continued for about two weeks. About 8 days after vaccination, the patient sought medical attention and was diagnosed with the lab derangements noted above, PLT 120 and WBC 2.6. Covid test negative at that time. He was first seen by me about one week after that where his blood counts had improved but not normalized and he was still having some symptoms. He was last seen by me today, 3/30/21 and now asymptomatic and blood counts normalized.  No specific treatment was done.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Thrombocytopenia, White blood cell count decreased
Clinical narrative: Thrombocytopenia and neutropenia associated with fever, body ache, fatigue, chest tightness. Symptoms began about 1 day after vaccination and continued for about two weeks. About 8 days after vaccination, the patient sought medical attention and was diagnosed with the lab derangements noted above, PLT 120 and WBC 2.6. Covid test negative at that time. He was first seen by me about one week after that where his blood counts had improved but not normalized and he was still having some symptoms. He was last seen by me today, 3/30/21 and now asymptomatic and blood counts normalized.  No specific treatment was done.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Denies any adverse events.  Mother says child is doing great!  She took a 4 hour nap after her vaccination.  Mom states child's physician recommended that she go ahead and get the vaccine knowing she was too young.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Facial discomfort, Magnetic resonance imaging
Clinical narrative: burning sensation in arms and chest and neck and fullness in left face
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Erythema, Eye contusion, Flushing, Hypertension
Clinical narrative: - Large swelling at injection site.  1-1/2 inches high, 4-5" long and wide within 12 hours -Swollen and black and blue eye lid that hung down over eye within 12 hours -Flushing and red patchiness on both arms and hands from shoulder through tip of fingers with 24 hour with above symptoms.  They put me on a steroid -Severe flushing on face and eye lids 2 days injection and continuing now into day three after injection along with high blood pressure up to 203/114
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Rash, Swelling of eyelid
Clinical narrative: - Large swelling at injection site.  1-1/2 inches high, 4-5" long and wide within 12 hours -Swollen and black and blue eye lid that hung down over eye within 12 hours -Flushing and red patchiness on both arms and hands from shoulder through tip of fingers with 24 hour with above symptoms.  They put me on a steroid -Severe flushing on face and eye lids 2 days injection and continuing now into day three after injection along with high blood pressure up to 203/114
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Pt inadvertently received Moderna vaccine for second dose.  Her first dose was Pfizer on 02/10/2021.   She initially could not find her card, and thought she had received Moderna.   She reports no side effects at all.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest
Clinical narrative: cardiac arrest
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Skin warm
Clinical narrative: Round, red, hard swollen area @ vaccine injection site; warm to the touch; mildly itchy
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Impaired work ability, Injection site cellulitis
Clinical narrative: Assessment & Plan:       1. Cellulitis of right arm from Tdap - added to allergies  Start bactrim TODAY  Warm compresses  Change tylenol to 2 aleve BID Elevate as she tolerates  Warm compresses  Off work tomorrow  I marked the erythema to be sure improvement -- would expect in the next 24-48 hours  Close f/u 2 days  To call with NEW/worsening sx in the meantime
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Metallic Taste
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site reaction, Rash macular, Vaccine positive rechallenge
Clinical narrative: Developed "Moderna Arm" (e.g. large red splotch at injection site) 8 days after the first dose of the vaccine and 1-2 days after the second dose of the vaccine.  Recovered from first instance.  Second instance is still present but the shot was only 3 days ago.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebellar stroke
Clinical narrative: Cerebellar stroke
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Cerebellar stroke
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Dyspnoea, Endotracheal intubation, Intensive care, Oropharyngeal pain
Clinical narrative: Around 1440 on 3/27 patient arrived to the local ER with difficulty breathing, hoarseness and asymmetrical closing of her throat. Throughout her stay she was intubated and monitored in the ICU. As of today 3/30 patient is alert, resting comfortable in med surg. Complains of a sore throat and should be discharge tomorrow.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: Around 1440 on 3/27 patient arrived to the local ER with difficulty breathing, hoarseness and asymmetrical closing of her throat. Throughout her stay she was intubated and monitored in the ICU. As of today 3/30 patient is alert, resting comfortable in med surg. Complains of a sore throat and should be discharge tomorrow.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient death within 60 days of receiving a COVID vaccine
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Head discomfort
Clinical narrative: Extreme pressure and buzzing sound in head , then lightheaded and extreme dizziness. Could not stand up or lie down. Was going to emergency when I felt like a pop in the back, lower left side of head. Some relief, less sound and pressure and was able to sit up and actually lean to the side. Fell asleep, but still felt nauseous, unbalanced and dizziness the next morning. Made an emergency appt. at the doctor? office the next day.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Induration, Injection site mass
Clinical narrative: Patient reports he developed a lump under his skin about 5cm x 5cm immediately after the injection. Over the next few days the lump got smaller then about 3 days after the injection started getting worse again. Today, 10 days post-injection, he presented to our clinic with a large area of induration measuring 7cm x 10 cm with a dark red center measuring 2 cm x 3 cm.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Fever, sore arm, fatigue
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling, Limb discomfort, Nodule, Pain in extremity
Clinical narrative: She got her vaccine, did not feel anything, heaviness and pain in her arm.  This morning she was still sore and rubbed it down with alcohol.  A little down from where the injection was the arm was swollen, and went to the clinic where she works which is a school.  They gave her a heating pad for about 30 minutes and then had blotching red spots on her arm.  Her arm feels warm, swelling went down, but still has a knot on it and what looks like a rash under the skin.  She took Ibuprofen for it, which took the feverish feeling she had away.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Skin warm
Clinical narrative: She got her vaccine, did not feel anything, heaviness and pain in her arm.  This morning she was still sore and rubbed it down with alcohol.  A little down from where the injection was the arm was swollen, and went to the clinic where she works which is a school.  They gave her a heating pad for about 30 minutes and then had blotching red spots on her arm.  Her arm feels warm, swelling went down, but still has a knot on it and what looks like a rash under the skin.  She took Ibuprofen for it, which took the feverish feeling she had away.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dizziness, Presyncope, SARS-CoV-2 test positive
Clinical narrative: Patient presents for pre-syncope and then subsequent development of chest pain. She was in therapy when she had to use the restroom. She was urinating and having a BM when she suddenly felt extremely lightheaded as though she were about to lose consciousness. She did not thankfully lose consciousness, but rather rapidly developed chest pain after this event. She was brought to ED for evaluation. COVID screen in ED is positive. She was infected with COVID in November, 2020. She has since had a negative COVID screen. She is now positive again >90 days after first positive test, thus this will be treated as a new COVID infection. Place in negative pressure room. I am inclined to begin. Remdesivir as patient is always at high risk for progression to severe disease.  11/11/2020 positive COVID-19 2/13/2021 negative COVID-19 3/29/2021 positive COVID
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Malaise, Shock
Clinical narrative: Patient presented on 3/30/21 for his first COVID vaccine appointment. Patient checked in at the pharmacy and came back to the clinic location. During the screening process, the patient did state he has an issue with needles in the past. Patient was with his wife who confirmed that it has never been due to the medication but just a fear of needles. Patient gets lightheaded. After giving the vaccine, the patient was fine at first but then did state he wasnt feeling well. The wife, came and held his hands and I was holding his back and head. Patient did tense up and shook once (not a seizure) and did lose consciousness for about 10 seconds. Had a tech call a code white and store management did come. Patient came back to and seemed fine. He had a Gatorade and drank that and also a bottle of water. Patient started to feel a little better but had a second minor episode (did not seem to lose consciousness). We also got a cold pack and placed on patient's head/neck. He ultimately took about 45 mins to an hour post dose and was able to leave under his own power. Patient and wife appreciative of efforts.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: about 30 hours after the shot was administered, my lips swelled up for about 24 hours.  I took Benedryl around the clock until they were back to normal
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Hypoaesthesia, Tinnitus
Clinical narrative: Within 5 mins ringing ears which has continued to present. Numbness on left side of face and trouble swallowing.  Face and swallowing appeared within 4 hours of shot.   Took Alleve, Tylenol, and Benadryl to reduce swelling which helped with swallowing but left  lower face along jawline is still numb.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Continued  dizziness.  Whether laying or standing
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever, aches, fatigue, soreness at injection site, lasting 72+ hours
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer COVID vaccine on 12/17/20 and 1/7/21. COVID-19 infection symptomatic on 2/17/21, lab confirmation 2/26/21. Fully recovered.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Confusional state, Dizziness, Fatigue
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: clamy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Severe, Systemic: Shakiness-Medium, Systemic: Weakness-Medium
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Hypotension, Lethargy, Syncope
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: clamy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Severe, Systemic: Shakiness-Medium, Systemic: Weakness-Medium
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: clamy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Severe, Systemic: Shakiness-Medium, Systemic: Weakness-Medium
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect route of product administration, Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Wrong Route (SC, IM, etc.)
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Contusion, Injection site rash, Mass, Pain
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Wrong Route (SC, IM, etc.)
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Cough, Pharyngeal swelling, Throat tightness
Clinical narrative: Reaction: Anaphylaxis Severity: High  ED Note: 54-year-old female presents throat swelling, cough after receiving a vaccine.  On exam patient appears distressed with persistent dry cough.  Patient's posterior oropharynx is mildly erythematous.  No wheezing or stridor.  Given patient's persistent coughing and subjective throat swelling will treat with IM epinephrine, Benadryl, Pepcid, prednisone.  Will observe in the emergency department. On reevaluation symptoms improved patient still complaining of throat tightness.  Will treat with albuterol nebs.  Reassess. Symptoms resolved on reevaluation.  Patient observed for 2 hours emergency department with no rebound of symptoms.  Patient stable for discharge.  Will write for EpiPen.  Return precautions discussed.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Vaccine positive rechallenge
Clinical narrative: 45 minutes s/p vaccination, patient began experiencing itching on her nose and head/face as well as a localized rash on her nose. She stated that she experienced this same reaction after her first dose of Moderna and it resolved with Benadryl. Denied trouble breathing, throat swelling/itching, mouth swelling/itching or dizziness, This RN administered 50 mg PO Benadryl and observed patient for an additional 10 minutes. The patient refused to stay longer than 10 minutes for observation. No other reactions were observed or reported after the 10 minute observation. She was AxOx4 and ambulatory.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site reaction, Myalgia, Skin warm, Tenderness
Clinical narrative: I received my first dose of the Moderna COVID19 vaccine in my upper left arm on March 21. I had the normal muscle soreness, which went away after two days, but no other side effects. On March 29 I noticed that a large, red, roundish lesion about 3-4 inches across in diameter had appeared on my upper left arm where the injection had been given. That area of my arm is warm to the touch.  It is not itchy but is sore/tender in the muscle.  I do not have a fever or feel nauseous or have other side effects.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypersensitivity, Swollen tongue
Clinical narrative: Patient reported signs of an allergic reaction during the observation period after receiving the first dose of the Pfizer-BioNTech Covid-19 Vaccine.  Patient reported uneasiness, tongue swelling, and difficulty breathing.  Patient received an Epi-pen and symptoms mildly improved.  Patient remained stable until emergency services arrived.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Developed a rash on the inside of my right forearm (little red bumps).  Very itchy.  Applied cortisone cream overnight as well as took Benadryl and by morning they were gone
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus
Clinical narrative: Reviewed.  3/23/2021 @ 10 am patient received Pfizer boost vaccination administered in  Provider Room.  Patient was monitored in waiting area for 15 minutes with no reported side effects.    At about 1:45 pm  patient was in waiting area and had just finished eating a sandwich with tomato when she started feeling SOB and itchy.  A rapid response was called and the patient was transported to the ED by wheelchair. Patient has documented allergy to tomatoes.  In ED patient and IV was started and the patient was medicated with methylprednisolone 125 mg x1 IVP, Diphenhydramine 25 mg IVP, Lorazepam 1 mg IVP and Famotidine 20 mg IVP.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dysphagia, Feeling hot, Wheezing
Clinical narrative: Patient presented for Covid -19 vaccination based on the fact that he is a caregiver and qualifies under said rules. About 10 minutes into the 15 minute observation. Patient reported to the observer that he was having just a little bit of difficulty swallowing and felt a little warm. He denied shortness of breath, he was brought into the evaluation area. He was  mildly uncomfortable but was able to speak in full sentences, did not appear short of breath and was articulate and cooperative with the exam. Initial vitals revealed that his pulse is 122,O2 sat was 98%,  blood pressure was 220/120.( Denied known HTN) He had very mild wheezes bilaterally.(Denied H/O asthma or wheezes) He reported feeling warm. He asked for something to drink and after taking several sips stated that his swallowing felt a little bit better describe the situation that is the back of his throat but a little lower. Oral exam revealed slightly red and posterior pallet with chronically enlarged tonsils without exudate, neck is supple, no adenopathy. He was able to swallow without difficulties. He was warm. He was given a cold compress which he stated improved his symptoms. Reports he does not have underlying asthma, has not had such a reaction before and had not been ill in the preceding days,   patient was given a chewable Zyrtec. After approximately five minutes blood pressure was re-checked and it was 160/88 with a heart rate of 98 and O2 sat is 98 wheezes appeared to improve slightly but were persistent. Patient stated in general he was not feeling any better and feeling slightly worse BP was again noted to be 220/110. Concern was for an allergic reaction as demonstrated by the wheezes and sensation of difficulty swallowing but given his persistent significantly elevated blood pressure epi-was not indicated but emergent transport was. 911 had already been called for transport to the hospital for further evaluation.  EMS was transferred care. He was transported to the hospital. He was discharged several hours later.  Review of ER notes revealed he was hypertensive at 187/87 with a pulse of 95 ,he did not have any active wheezes or oral pharyngeal swelling on their exam. he was given a G.I. cocktail for his "itchy" throat. No specific conclusion was determined as to the cause of his reaction, other than a possible ?post injection inflammatory reaction? and was discharged to home without any other treatment required.  Was was transported back to the vaccination facility by private vehicle and appeared to be in good condition but tired according to the vehicles driver.   MD dictated on March 30, 2021
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Injection site erythema, Pruritus
Clinical narrative: Itching, hardness, and redness at injection site
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 10 minutes after receiving his vaccination, he developed lightheadedness. He was taken to a private section of the arena and monitored.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Oral herpes
Clinical narrative: The next day I developed what I thought was a cold sore around the top part of the right side of my lip, then 3 days after that I had a mild shingles outbreak on the right side of my face.,
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Vaccination site pain
Clinical narrative: Started with arm hurting at vaccination site, Later that evening got a bad headache.  Headache kept waking me during the night.  Next day 8:45am temperature 99.6 degrees.  At 1:00pm temperature was 100.4 degrees.  On the advise of the pharmacist took 1 Tylenol at 2:00pm.  Took another Tylenol at 8:00pm.  My temperature at 8:15am was 98.4 degrees.  The next day I felt very much better which kept improving during the day.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Papule, Skin exfoliation
Clinical narrative: ALLERGIC REACTION SEVERE RESPIRATORY SYMDROME ,ERYTHEMATOUS DESQUAMINATING LESIONS FACE, NECK, SOME PAPULES ON FOREARMS.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Pruritus, Swelling, Urticaria
Clinical narrative: ALLERGIC REACTION SEVERE RESPIRATORY SYMDROME ,ERYTHEMATOUS DESQUAMINATING LESIONS FACE, NECK, SOME PAPULES ON FOREARMS.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Arthralgia, Bacterial test negative, Blister, Gait disturbance
Clinical narrative: Intense itching on foot which, at first looked like large open superficial blisters which became very painful open sores, which became deeper and more painful with swelling, oozing thick scabs, with swelling, and foot and ankle joint pain. 03/23/21, Doctors thought it might be shingles. It was difficult to walk for several days. Doctor did bacterial and viral swabs and prescribed antiviral med. on 3/24/2021, I got an itchy rash on my upper thighs that resembled chicken pox. Spots opened and scabbed over. Since then it has slowly spread on thighs.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pruritus, Rash pruritic, Scab
Clinical narrative: Intense itching on foot which, at first looked like large open superficial blisters which became very painful open sores, which became deeper and more painful with swelling, oozing thick scabs, with swelling, and foot and ankle joint pain. 03/23/21, Doctors thought it might be shingles. It was difficult to walk for several days. Doctor did bacterial and viral swabs and prescribed antiviral med. on 3/24/2021, I got an itchy rash on my upper thighs that resembled chicken pox. Spots opened and scabbed over. Since then it has slowly spread on thighs.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Viral test
Clinical narrative: Intense itching on foot which, at first looked like large open superficial blisters which became very painful open sores, which became deeper and more painful with swelling, oozing thick scabs, with swelling, and foot and ankle joint pain. 03/23/21, Doctors thought it might be shingles. It was difficult to walk for several days. Doctor did bacterial and viral swabs and prescribed antiviral med. on 3/24/2021, I got an itchy rash on my upper thighs that resembled chicken pox. Spots opened and scabbed over. Since then it has slowly spread on thighs.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Condition aggravated, Fatigue, Myasthenia gravis
Clinical narrative: Joint pain everywhere weak fatigue  flareup of lipus or myasthenia gravis mid morning after sweeping garage and moving arm a lot after being in remission sunce 2009
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Systemic lupus erythematosus
Clinical narrative: Joint pain everywhere weak fatigue  flareup of lipus or myasthenia gravis mid morning after sweeping garage and moving arm a lot after being in remission sunce 2009
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Urticaria
Clinical narrative: hives around mouth and neck, swelling of left eye
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Hot flush, Mobility decreased
Clinical narrative: Waves of various symptoms onset about 4 hours post vaccine. Exhaustion, headache, lung pain, achy, hot/cold flashes, arm pain?hot & not able to move it much
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pulmonary pain
Clinical narrative: Waves of various symptoms onset about 4 hours post vaccine. Exhaustion, headache, lung pain, achy, hot/cold flashes, arm pain?hot & not able to move it much
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Nasal congestion, Respiratory tract congestion, SARS-CoV-2 antibody test positive
Clinical narrative: The patient claims congestion, constriction of the nasal airway and decreased physical performance during exercise following the morning after dose 1 of Moderna.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Vertigo
Clinical narrative: the day after injection, he had vasovagal syncope episode with acute vertigo
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Taste disorder
Clinical narrative: Chills, headache, body aches, nauseous, possibly a fever, bad taste in mouth
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Tinnitus
Clinical narrative: Ear ringing (tinnitus) in left ear the day after 1st vaccine. Has been consistent for a month and got worse after 2nd vaccine on March 26th, 2021. Also having ear pain that has been checked by a doctor that shows no physical signs of infection.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hypoaesthesia, Paraesthesia, Skin warm
Clinical narrative: C/o numbness, tingling in both arms ,face and feels warm all over. No swelling rash redness, flushing, SOB, chest pain or nausea. Pat feels nervous/ anxious.  v/s HR 79, 119/77, 97% O2 RA. Pt felt s/s resolve and reported 126/79. No tingling after assessment . Refused transport.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: 12:55- patient recieved first Moderna vaccine 13:30 - patient c/o lightheaded and feeling like she was going to pass out. Patient taken to treatment room 13:34 BP 50/30 Hr 56 down to 40, Sa)2 99% on RA - 0.3 mg epi IM x 1 , patient pale and diaphoretic,  EMS phoned 13:36 BP 110/70, HR 78,99% RA, patient responsive and reported improvement in symptoms. 13:38 BP 100/70, HR 86, 98% RA. Denies any respiratory distress
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: It was reported to me as the vaccine administration site that this person who was vaccinated last week developed very high blood pressure yesterday and was admitted to the hospital.  He is currently an inpatient at medical center.  I have not other information other than this.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received COVID VACCINE for 2nd dose but should have received different manufacturer.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was here to get 2nd dose Moderna Covid vaccine. Patient was given Pfizer vaccine in error.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Cerumen removal, Hypoacusis, Tinnitus
Clinical narrative: 13 days after the vaccine I developed tinnitus in both ears (3-27-21). The next morning, one ear was better, but my left ear still has ringing and I can barely hear out of it. I got my ears flushed at doctors and that did not help the issue either. I have never had tinnitus or any other ear issues in the past. Left ear is still ringing as of 3-30-21.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Chills, Eye pain, Herpes zoster, Myalgia
Clinical narrative: 7 am on 3/27 had fever, chills, muscle aches. Around 1 pm checked temperature at home, was 100.0. At 3 pm temperature was 102..4.  On 3/28 started having blurry vision and pain in right eye.  3/29 continued to have right eye pain and loss of vision. Went to eye doctor appointment and eye symptoms was diagnosed as shingles infection in eye.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vision blurred
Clinical narrative: 7 am on 3/27 had fever, chills, muscle aches. Around 1 pm checked temperature at home, was 100.0. At 3 pm temperature was 102..4.  On 3/28 started having blurry vision and pain in right eye.  3/29 continued to have right eye pain and loss of vision. Went to eye doctor appointment and eye symptoms was diagnosed as shingles infection in eye.