chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Transcutaneous pacing, Troponin I normal, Unresponsive to stimuli, Urine potassium, White blood cell count normal
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ankle fracture, Dizziness, Head injury, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient was seated at the post vaccination area on a bar stool provided by the store when she felt light headed and fainted.  Upon falling off the bar stool she hit her head on a water fountain located next to her.  Her ankle was also tangled within the constructs of the chair and was broken upon falling. 911 had to called for assistance and she was taken away.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Head injury, Joint injury, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient was seated at the post vaccination area on a bar stool provided by the store when she felt light headed and fainted.  Upon falling off the bar stool she hit her head on a water fountain located next to her.  Her ankle was also tangled within the constructs of the chair and was broken upon falling. 911 had to called for assistance and she was taken away.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Pfizer-BioNTech COVID-10 Vaccine EUA.  Patient experienced diaphoresis, lightheadedness, and paleness. His first set of VS included BP 87/41, P 73. Patient stated this has happened a few times in the past when he gets shots. Certirizine 10mg PO administered at 1245. Patient denied SOB, trouble breathing or swallowing, and symptoms of anaphylaxis. Before leaving clinic, VS included BP 121/62, P 60, O2 100%. Patient felt comfortable with no additional or worsening symptoms upon leaving clinic.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after the expiration date of 04/28/21. Patient reports no adverse events.
Age: 65.0
Sex: M
Vaccine: PNC13
Symptoms: Dizziness, Vertigo
Clinical narrative: I received the PCV13 and the Recombinant Zoster ( Shingles vaccine ) together on June 14th at 10:30am . At 6:00am on June 16th I woke up with the room spinning. This has never happened to me before. It's 9 days since this started I still have some dizziness when I bend over or look up. Dr. believes it to be Vertigo and to give it a couple of weeks.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the expiration date of 04/28/21. Patient reports no adverse events.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Mild, Additional Details: Patient came in and said she had pain running up and down her arm.  I looked to see if i had caused bursititis by injecting her too high, but I then realized I injected her opposite arm so bursititis was ruled out.  I told her to get take 800 mg ibuprofen 3 times a day and stop if red stool appears. and asked if she had ever had any kidney trouble just encase. she said no. i said if pain is not better by tomorrow please seek additional care.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Fatigue, Feeling abnormal, Headache, Nausea
Clinical narrative: Pfizer-BioNTech COVID-10 Vaccine EUA.  After receiving her 1st dose of Pfizer vaccine, patient experienced an intermittent headache, nausea, fatigue, and a "weird sensation." Her VS included BP 132/92, P 77, O2 99%. Patient stated she in is remission from sarcoid. Certirizine 10mg PO and Famotidine 20mg PO administered at 1304. Patient denied SOB, trouble breathing or swallowing, and symptoms of anaphylaxis. At 1316, patient reported feeling better but had a localized left breast pain rated at a 6/10.  Patient felt comfortable with no additional or worsening symptoms upon leaving clinic.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: tired, muscles hurt, headache
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the expiration date of 04/28/21. Patient reports no adverse events.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Died of COVID-19
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Anxiety, Chills, Computerised tomogram, Computerised tomogram head
Clinical narrative: For 1st vaccine- I experienced first vaccine- one week later I got sick for 15 days, symptoms like I had Covid, body aches, chills.  For 2nd vaccine- after one week I experienced had excruciating headaches and shakiness that do not go away. I take Tylenol for pain and as a result have upset stomach.  I went to see my PCP who performed exams, lab work, x-rays, CT scan of the head, CT scan of the abdomen and my doctor does not find anything wrong for me. To this day I continue wit the headaches that do not go away. I do not feel well to do my daily living activities and I get anxiety.  I feel very tense and frustrated due to my symptoms.  I do not have the lot # for my vaccines to provide.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema, Frustration tolerance decreased, Headache, Laboratory test, Loss of personal independence in daily activities
Clinical narrative: For 1st vaccine- I experienced first vaccine- one week later I got sick for 15 days, symptoms like I had Covid, body aches, chills.  For 2nd vaccine- after one week I experienced had excruciating headaches and shakiness that do not go away. I take Tylenol for pain and as a result have upset stomach.  I went to see my PCP who performed exams, lab work, x-rays, CT scan of the head, CT scan of the abdomen and my doctor does not find anything wrong for me. To this day I continue wit the headaches that do not go away. I do not feel well to do my daily living activities and I get anxiety.  I feel very tense and frustrated due to my symptoms.  I do not have the lot # for my vaccines to provide.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Pain, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: For 1st vaccine- I experienced first vaccine- one week later I got sick for 15 days, symptoms like I had Covid, body aches, chills.  For 2nd vaccine- after one week I experienced had excruciating headaches and shakiness that do not go away. I take Tylenol for pain and as a result have upset stomach.  I went to see my PCP who performed exams, lab work, x-rays, CT scan of the head, CT scan of the abdomen and my doctor does not find anything wrong for me. To this day I continue wit the headaches that do not go away. I do not feel well to do my daily living activities and I get anxiety.  I feel very tense and frustrated due to my symptoms.  I do not have the lot # for my vaccines to provide.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tremor, X-ray
Clinical narrative: For 1st vaccine- I experienced first vaccine- one week later I got sick for 15 days, symptoms like I had Covid, body aches, chills.  For 2nd vaccine- after one week I experienced had excruciating headaches and shakiness that do not go away. I take Tylenol for pain and as a result have upset stomach.  I went to see my PCP who performed exams, lab work, x-rays, CT scan of the head, CT scan of the abdomen and my doctor does not find anything wrong for me. To this day I continue wit the headaches that do not go away. I do not feel well to do my daily living activities and I get anxiety.  I feel very tense and frustrated due to my symptoms.  I do not have the lot # for my vaccines to provide.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Respiratory distress, Wheezing
Clinical narrative: WHEEZING, DIAPHORESIS, RESPIRATORY DISTRESS
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: The patient contracted the covid 19 virus about a week after receiving the vaccine; This is a spontaneous report received from a contactable pharmacist via Medical Information Team. A 17-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration on 20Apr2021 as 1st dose, single dose (at the age of 17-years-old) for COVID-19 immunization. Patient medical history and concomitant medications were not reported. Patient received the first dose of the Pfizer BioNtech vaccine on 20Apr2021. On an unspecified date in Apr2021, the patient contracted the covid 19 virus about a week after receiving the vaccine. Patient had not yet received second dose of vaccine. Physician recommended she restart the vaccine series. Pharmacist seeking further recommendations in regard to timing of dosing schedule. Pharmacist confirmed he was calling about the Pfizer Covid-19 Vaccine and that he had a patient who got the first vaccine on 20Apr2021 and for some reason they want her to restart the series. He clarified that a physician wants the patient to restart the series of vaccines. The physician said to restart the vaccine series and pharmacist did not think this is accurate. Description of product complaint was reported as a pharmacist called to report that the patient got her first vaccine, confirmed as Pfizer Covid-19 Vaccine, 20Apr2021 and then caught Covid so she did not receive her second shot.  Now, the physician is asking her to repeat the series of vaccines. The outcome of the event was unknown.   Follow up attempt needed; information about lot/batch number has been requested.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Seizure
Clinical narrative: Systemic: Seizure-Mild, Additional Details: Patient Experienced seizure immediately after receiving vaccine. Last only a few seconds. patient had no loss of memory or any other problems
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit increased, Haemoglobin normal, Platelet count increased, Vaginal haemorrhage
Clinical narrative: Intermittent vaginal bleeding - spotting. Has been on norethindrone acetate 10 mg daily for over a year with no spotting
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pain in extremity, Syncope, Tremor, Urinary incontinence
Clinical narrative: Pfizer-BioNTech COVID-10 Vaccine EUA.  Patient came to vaccine clinic. Patient told vaccinator that she has a history of passing out with needles. Vaccinator administered the vaccine, patient was doing well and moved to the monitoring area. Patient was sitting in a chair for 15 minute observation period. She began to have soreness to arm about 5 minutes after sitting down then began to feel lightheaded and immediately had syncopal episode. Staff was present and reported legs shaking and loss of bladder during episode. Patient was lowered to the ground and Rapid Response was contacted. Patient was taken to KU ED.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: One dose of benadryl was given for the itching. Patient did not wanted to wait 15 more minutes and insisted on leaving saying the benadryl was going to help the itching go away.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis reactive, Colitis, Computerised tomogram, Diverticulitis
Clinical narrative: I had a CT scan on 6/18. In may, I had reactive arthritis. My joints were stiff and painful. I was unable to dress or even feed myself. I was put on methotrexate. I am not getting more pain from that. I am back to normal mobility. I am now experiencing throbbing temple when I stand up from laying or sitting down. I am seeing a doctor today to rule out temporal arthritis, I have never experienced them before. One doctor thought I had polymyalgia rheumatica  which affects the optic nerve in the eye which can lead to blindness. Since receiving the shot, I had diverticulitis, colitis and now I have fatty liver. I have never been this sick before. I also did not have any of these prior to the shot.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Headache, Hepatic fibrosis marker test, Hepatic steatosis, Joint stiffness
Clinical narrative: I had a CT scan on 6/18. In may, I had reactive arthritis. My joints were stiff and painful. I was unable to dress or even feed myself. I was put on methotrexate. I am not getting more pain from that. I am back to normal mobility. I am now experiencing throbbing temple when I stand up from laying or sitting down. I am seeing a doctor today to rule out temporal arthritis, I have never experienced them before. One doctor thought I had polymyalgia rheumatica  which affects the optic nerve in the eye which can lead to blindness. Since receiving the shot, I had diverticulitis, colitis and now I have fatty liver. I have never been this sick before. I also did not have any of these prior to the shot.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test normal, Liver scan normal, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: I had a CT scan on 6/18. In may, I had reactive arthritis. My joints were stiff and painful. I was unable to dress or even feed myself. I was put on methotrexate. I am not getting more pain from that. I am back to normal mobility. I am now experiencing throbbing temple when I stand up from laying or sitting down. I am seeing a doctor today to rule out temporal arthritis, I have never experienced them before. One doctor thought I had polymyalgia rheumatica  which affects the optic nerve in the eye which can lead to blindness. Since receiving the shot, I had diverticulitis, colitis and now I have fatty liver. I have never been this sick before. I also did not have any of these prior to the shot.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lip pruritus
Clinical narrative: Pfizer-BioNTech COVID-10 Vaccine EUA. After receiving the 1st dose of Pfizer vaccine, patient experienced itchiness of her upper lip. Vital signs included BP 117/77, P 80, O2 99%. Cetirizine 10mg PO administered at 12:54. Patient denied SOB, trouble breathing, swallowing or symptoms of anaphylaxis. Patient had no additional or worsening symptoms before leaving the clinic.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Pallor, Syncope
Clinical narrative: patient fainted within 5 minutes of adminstering the vaccine, he looked very pale, his pulse was very high, but he came back within one minute, and was able to maintain conversation...he knew his name and current date. after 20 minutes he walked out of pharmacy with his mom
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the expiration date of 04/28/21. Patient reports no adverse events.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Sinus disorder
Clinical narrative: having allergies like sinus in his eye areas; Caller is a patient who received the 1st dose of the Pfizer Covid vaccine in May and tested positive for Covid-19 on 9 Jun 2021; This is a spontaneous report from a contactable consumer via medical information team. This consumer (patient) reported for himself.  A 46-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EW0176 and Expiration date: unknown), via an unspecified route of administration, administered in Deltoid Left (left shoulder, like the side of the arm) on 28May2021 (at 11 AM or 12 PM) (at the age of 46-years-old) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient was not ill at the time of vaccination. History of all previous immunization with the Pfizer vaccine considered as suspect was none. No additional Vaccines Administered on Same Date of the Pfizer Suspect. The patient did not received Prior Vaccinations (within 4 weeks). No relevant tests before vaccination. On 28May2021, patient received first dose of vaccine and then he had a cold and tested positive for covid-19 on 09Jun2021 at about 12 in the afternoon. He confirms he was having a cold, he clarified that it was like he was having allergies like sinus in his eye areas and he reported that he had a viral infection and then he tested positive for COVID. He was supposed to get his second dose on 16Jun2021. He wanted to know should he continue and take the second dose or not. The reporter wanted to know if it is okay to get the 2nd dose of the Pfizer Covid vaccine on 16Jun2021. He confirmed he called about the COVID 19 vaccine by Pfizer. The patient was not used any antipyretics. The patient was not visited to emergency or physician office. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 09Jun2021. Response included The CDC has provided interim considerations for the use of mRNA COVID-19 Vaccines during the Emergency Use Authorization. These interim considerations also state that if you currently have a COVID-19 (either before the first dose of vaccine or in between your first and second dose of vaccine), you should wait until you have recovered from the infection, show no symptoms and completed any required isolation. The outcome of events were unknown.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: Fatigue and Dizziness 24 hours after dose. Resolving without care
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Moderna COVID-10 Vaccine EUA. After receiving the vaccine, patient experienced dizziness. Vital signs included BP 139/95, P 77, O2 100%. Cetirizine 10mg PO administered at 16:15. Patient denied SOB, trouble breathing, swallowing or symptoms of anaphylaxis. Upon leaving the clinic, BP was 127/76 and patient felt better. Patient had no additional or worsening symptoms before leaving the clinic.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Blood test normal, Fatigue, Heart rate increased
Clinical narrative: Day 2 after first dose of Pfizer covid 19 vaccine I had 4 inch hives/rash at injection site. It went away by Day 5. The hives/rash come back bigger 5 inches on Day 7. Used Benadryl creme on it and the rash went away on Day12. On Day 14 I felt extreme fatigue, burning muscle aches, burning skin, joint pain, nerve pain, temperature 98.8 (usually is 97), high pulse rate (80-125 (usually 62-75) high blood pressure 199/90 (usually 125/80), sweating, weakness, numbness in feet and left arm and hand and mouth. Saw primary care doctor for lab work which came back normal, went to Emergency Room on Day 35 with more extreme symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypertension, Hypoaesthesia, Hypoaesthesia oral, Injection site rash
Clinical narrative: Day 2 after first dose of Pfizer covid 19 vaccine I had 4 inch hives/rash at injection site. It went away by Day 5. The hives/rash come back bigger 5 inches on Day 7. Used Benadryl creme on it and the rash went away on Day12. On Day 14 I felt extreme fatigue, burning muscle aches, burning skin, joint pain, nerve pain, temperature 98.8 (usually is 97), high pulse rate (80-125 (usually 62-75) high blood pressure 199/90 (usually 125/80), sweating, weakness, numbness in feet and left arm and hand and mouth. Saw primary care doctor for lab work which came back normal, went to Emergency Room on Day 35 with more extreme symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Myalgia, Neuralgia, Skin burning sensation
Clinical narrative: Day 2 after first dose of Pfizer covid 19 vaccine I had 4 inch hives/rash at injection site. It went away by Day 5. The hives/rash come back bigger 5 inches on Day 7. Used Benadryl creme on it and the rash went away on Day12. On Day 14 I felt extreme fatigue, burning muscle aches, burning skin, joint pain, nerve pain, temperature 98.8 (usually is 97), high pulse rate (80-125 (usually 62-75) high blood pressure 199/90 (usually 125/80), sweating, weakness, numbness in feet and left arm and hand and mouth. Saw primary care doctor for lab work which came back normal, went to Emergency Room on Day 35 with more extreme symptoms.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: Systemic: Chest Tightness / Heaviness / Pain-Medium
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Migraine, Nasopharyngitis, Pyrexia, Syncope
Clinical narrative: Client initially developed a migraine and fever the evening of vaccination. At 3:30 am the following day the patient began vomiting and had fainted and passed out in the shower. Client is currently, "experiencing light headedness and is fighting off a cold."
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Client initially developed a migraine and fever the evening of vaccination. At 3:30 am the following day the patient began vomiting and had fainted and passed out in the shower. Client is currently, "experiencing light headedness and is fighting off a cold."
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Patient reports tender, swollen lymph nodes on same side of body as the vaccine in the armpit region beginning approximately 2-3 days post administration.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Lymphadenopathy, Pain
Clinical narrative: Patient reports tender, swollen lymph nodes on same side of body as the vaccine in the armpit region beginning approximately 2-3 days post administration.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Injection site pain, Tremor
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: whole body tremor, lower back pain. Blood O2 was 99%, HR 76bpm. Unsure of the reaction, benadryl and epipen were given. Pt went home walking after 20 mins of the event. Paramedics did not arive on time and were cancelled after pt went home. Pt was advised to see PCP
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Taste disorder, Throat tightness
Clinical narrative: Moderna COVID-10 Vaccine EUA.  Patient developed congestion, slight tightness in throat and a funny taste in mouth.  Vital signs stable. Feeling continued, administered famotidine and cetirizine HCl, monitored until symptoms resolved.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose normal, Dysarthria, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Pt w/ allergies/intolerances to Codeine (nausea and vomiting), Gabapentin (paresthesias and numbness), ACEI (Cough), Ibuprofen (abdominal disorder).  PMH significant for Thyroid disease, Herpes, Osteoarthritis, Obesity, Insomnia, HTN, GERD, Fibroid, Endometriosis, Depression.  PSH of Gastric bypass, Oophretomy, myometomy, hysterectomy, emdometriosis fulguration, and appendectomy.  Pt vaccintated at 15:50, and adverse reaction started at 16:05. After the vaccination patient c/o feeling weak, lethargic, and left side numbness (leg),lips numbness and left side of the face. Easy to arouse/ ambulate to w/c with steady gait.  On exam left side weaker than right. Patient denies exertional chest pain or chest pain at rest, no exertional dyspnea. Patient denies palpitations, lightheadedness, presyncope or syncope. No rash noted. No angioedema. No sob.  As per patient she had same previous reaction after Covid vaccination and as per her PCP Dr. she can take 2nd vaccination. Patient c/o only feeling sleepy and weak.  VS @16:05 BP 177/115FS, HR 89 -- > @16:20 168/104, 89, 98% RA, POCT Gluc 82. Patient speak full sentences but speech delayed  Called 911 @ 16:16 and RRT arrived at 16:25.  Sent patient to ER via gurney @16:30 due to stroke like symptoms. Grandson with her. Nurse called family and someone will come to pick up her grandson. Pt observed in ED and released @~8pm.  Current Medications: APAP 500mg 2tabs PO Q6hr PRN Pain Ca-VitD3 500mg(1250mg) 1tab PO BID Premarin 0.5g vaginally Daily PRN Diazepam 5mg PO Q8hrs PRN Anxiety Colace 100mg PO Daily Duloxetine 30mg PO Daily ergocalceiferol 1250mcg PO Qwk Flonase 1 spray each nostril daily levothyroxine 112mcg PO daily on empty stomach before breakfast Omeprazole 20mg PO BID Senna 8.6mg PO daily Tramadol 50mg PO daily Triamcinolone 0.1% cream apply to affected area BID Vitamin B complex 1tab PO daily
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Somnolence
Clinical narrative: Pt w/ allergies/intolerances to Codeine (nausea and vomiting), Gabapentin (paresthesias and numbness), ACEI (Cough), Ibuprofen (abdominal disorder).  PMH significant for Thyroid disease, Herpes, Osteoarthritis, Obesity, Insomnia, HTN, GERD, Fibroid, Endometriosis, Depression.  PSH of Gastric bypass, Oophretomy, myometomy, hysterectomy, emdometriosis fulguration, and appendectomy.  Pt vaccintated at 15:50, and adverse reaction started at 16:05. After the vaccination patient c/o feeling weak, lethargic, and left side numbness (leg),lips numbness and left side of the face. Easy to arouse/ ambulate to w/c with steady gait.  On exam left side weaker than right. Patient denies exertional chest pain or chest pain at rest, no exertional dyspnea. Patient denies palpitations, lightheadedness, presyncope or syncope. No rash noted. No angioedema. No sob.  As per patient she had same previous reaction after Covid vaccination and as per her PCP Dr. she can take 2nd vaccination. Patient c/o only feeling sleepy and weak.  VS @16:05 BP 177/115FS, HR 89 -- > @16:20 168/104, 89, 98% RA, POCT Gluc 82. Patient speak full sentences but speech delayed  Called 911 @ 16:16 and RRT arrived at 16:25.  Sent patient to ER via gurney @16:30 due to stroke like symptoms. Grandson with her. Nurse called family and someone will come to pick up her grandson. Pt observed in ED and released @~8pm.  Current Medications: APAP 500mg 2tabs PO Q6hr PRN Pain Ca-VitD3 500mg(1250mg) 1tab PO BID Premarin 0.5g vaginally Daily PRN Diazepam 5mg PO Q8hrs PRN Anxiety Colace 100mg PO Daily Duloxetine 30mg PO Daily ergocalceiferol 1250mcg PO Qwk Flonase 1 spray each nostril daily levothyroxine 112mcg PO daily on empty stomach before breakfast Omeprazole 20mg PO BID Senna 8.6mg PO daily Tramadol 50mg PO daily Triamcinolone 0.1% cream apply to affected area BID Vitamin B complex 1tab PO daily
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Neck pain, Pain, Swelling, Ultrasound scan
Clinical narrative: Swelling (in form of a ball) in the neck area after the first dose. Inflammation in the neck area, started in the feet, hands, head, inflammation in hands and other parts of the body, hives (allergic type) larger than one inch and pain in the swollen areas after second dose.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Swelling (in form of a ball) in the neck area after the first dose. Inflammation in the neck area, started in the feet, hands, head, inflammation in hands and other parts of the body, hives (allergic type) larger than one inch and pain in the swollen areas after second dose.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Flushing, Head injury, Hyperhidrosis
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Medium, Additional Details: patient fainted and hit head on chair when falling from sitting in chair to floor.  bystander said that patient's entire body was convulsing. pharmacist ran out to patient and by the time rph was by his side he was awake and coherent. EMT came and checked patient out, advised patient to go to hospital for monitoring but patient refused. patient's mother came and picked him up.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Medium, Additional Details: patient fainted and hit head on chair when falling from sitting in chair to floor.  bystander said that patient's entire body was convulsing. pharmacist ran out to patient and by the time rph was by his side he was awake and coherent. EMT came and checked patient out, advised patient to go to hospital for monitoring but patient refused. patient's mother came and picked him up.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral
Clinical narrative: Moderna COVID-10 Vaccine EUA.  Patient had tingling in lips and mouth and swelling in the upper lip following vaccine. Administered zyrtec and famotidine at approx 1130.  Continued to monitor until symptoms resolved.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose normal, Dizziness, Hyperhidrosis, Sinus bradycardia
Clinical narrative: About 5 minutes after vaccination, patient complained of dizziness/spinning. It continued for several minutes when he became syncopal and briefly unresponsive. Heart rate 40. Glucose 103. BP 108/60. Respiratory rate 20 and sonorous. Placed on monitor which showed sinus bradycardia. 20 minutes after vaccination, patient recovering and able to talk but diaphoretic and weak. Taken to ER by paramedics.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli, Vertigo
Clinical narrative: About 5 minutes after vaccination, patient complained of dizziness/spinning. It continued for several minutes when he became syncopal and briefly unresponsive. Heart rate 40. Glucose 103. BP 108/60. Respiratory rate 20 and sonorous. Placed on monitor which showed sinus bradycardia. 20 minutes after vaccination, patient recovering and able to talk but diaphoretic and weak. Taken to ER by paramedics.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Herpes zoster, Nausea, Vomiting
Clinical narrative: Pt's wife states husband is nauseous, vomiting, redness of the facial area and back ER visit 06/07/2021 antibiotic, Primary Care 06/10/2021 z-pack, prednisone, 06/16/2021 (Shingles diagnosed), continuing monitoring with Primary.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Pfizer-BioNTech COVID-10 Vaccine EUA. Had a mild reaction of itchy ears. Zyrtec and Pepcid were administered.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient has a rash on both arms which appeared 6/24
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis allergic, Rash
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Rash with bumps appeared on both arms-Mild
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Angina unstable
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for unstable angina within 6 weeks of receiving COVID vaccination.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Swollen tongue
Clinical narrative: Pfizer-BioNTech COVID-10 Vaccine EUA.  Patient received his 2nd covid vaccine and felt like the middle of his tongue was swollen.  Zyrtec and pepcid administered.  10 minutes later patient reports some improvement.  No difficulty swallowing or shortness of air. After 25 minutes patient reports no swelling and mild tingling, which continues to improve.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Macule, Pityriasis rosea, Urticaria
Clinical narrative: Within a few hours of the 2nd injection, pt developed hives on her left arm. Within 24 hours, hives had spread to her arms and neck, and she developed sharply demarcated, erythematous macules in bilateral axillae. She went to Urgent Care the day after vaccination, was diagnosed with pityriasis rosea and prescribed topical and oral steroids, which she did not take. She was seen in a virtual appointment 5 days after the vaccination by myself her PCP, with persistent urticaria, diagnosed with an allergic reaction to the vaccine, encouraged to take the oral prednisone prescribed in Urgent Care to reduce the duration of symptoms.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging head abnormal, Multiple sclerosis, Neurological examination abnormal, Paraesthesia
Clinical narrative: Right-sided numbness and tingling. Subsequently received new diagnosis of multiple sclerosis on 6/22 in the hospital have imaging studies and Neurology consult.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster Given Too Late-
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Burning sensation, Chills, Erythema, Injection site reaction
Clinical narrative: Within 15 mins after the vaccine, I felt weakness and weak in the knees and chills;  it didn't feel flu-like though. and within the first few hours I had "Moderna arm" - right near the injection site - big red splotch and the arm was sore. The redness in the arm lasted a good week. It was a red blotch but not itchy or swollen. I didn't feel well for a few days after the vaccine.  The symptoms came and went as far as how I felt - chills, weak, not feeling terrific for those first few days or so. A month after the second shot, I had a rash on my neck. It came and went - a little itchy and then not itchy. (This happened for a month.) And then at the same time, I felt the same original symptoms - chills and not feeling good. It lasted about three days - the chills and weakness. And then it went away. Even since, April, I get this periodically - I feel weak in the knees, I get the chills and I have to take a Tylenol or something. The middle of May, I was taking off my makeup and I felt a burning on my face (same stuff I've been using for 20 years on my face) red splotch from  top of nose and all around and on cheekbones and down the face - it was puffy, swollen, red and caused bags under my eyes and redness under my eyes- and it still is. He gave me a cortisone lotion (my dermatologist) - It's not as red as it was but if I press on it the redness comes back. I have not changed anything with make-up; lotion or food. I have photos of it that I can send of my face. It's still here  - maybe not as bright - and I'm not sure that I notice difference using the cortisone cream. It's been a good six weeks since it started on the face.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Muscular weakness, Periorbital swelling, Rash, Rash macular
Clinical narrative: Within 15 mins after the vaccine, I felt weakness and weak in the knees and chills;  it didn't feel flu-like though. and within the first few hours I had "Moderna arm" - right near the injection site - big red splotch and the arm was sore. The redness in the arm lasted a good week. It was a red blotch but not itchy or swollen. I didn't feel well for a few days after the vaccine.  The symptoms came and went as far as how I felt - chills, weak, not feeling terrific for those first few days or so. A month after the second shot, I had a rash on my neck. It came and went - a little itchy and then not itchy. (This happened for a month.) And then at the same time, I felt the same original symptoms - chills and not feeling good. It lasted about three days - the chills and weakness. And then it went away. Even since, April, I get this periodically - I feel weak in the knees, I get the chills and I have to take a Tylenol or something. The middle of May, I was taking off my makeup and I felt a burning on my face (same stuff I've been using for 20 years on my face) red splotch from  top of nose and all around and on cheekbones and down the face - it was puffy, swollen, red and caused bags under my eyes and redness under my eyes- and it still is. He gave me a cortisone lotion (my dermatologist) - It's not as red as it was but if I press on it the redness comes back. I have not changed anything with make-up; lotion or food. I have photos of it that I can send of my face. It's still here  - maybe not as bright - and I'm not sure that I notice difference using the cortisone cream. It's been a good six weeks since it started on the face.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Within 15 mins after the vaccine, I felt weakness and weak in the knees and chills;  it didn't feel flu-like though. and within the first few hours I had "Moderna arm" - right near the injection site - big red splotch and the arm was sore. The redness in the arm lasted a good week. It was a red blotch but not itchy or swollen. I didn't feel well for a few days after the vaccine.  The symptoms came and went as far as how I felt - chills, weak, not feeling terrific for those first few days or so. A month after the second shot, I had a rash on my neck. It came and went - a little itchy and then not itchy. (This happened for a month.) And then at the same time, I felt the same original symptoms - chills and not feeling good. It lasted about three days - the chills and weakness. And then it went away. Even since, April, I get this periodically - I feel weak in the knees, I get the chills and I have to take a Tylenol or something. The middle of May, I was taking off my makeup and I felt a burning on my face (same stuff I've been using for 20 years on my face) red splotch from  top of nose and all around and on cheekbones and down the face - it was puffy, swollen, red and caused bags under my eyes and redness under my eyes- and it still is. He gave me a cortisone lotion (my dermatologist) - It's not as red as it was but if I press on it the redness comes back. I have not changed anything with make-up; lotion or food. I have photos of it that I can send of my face. It's still here  - maybe not as bright - and I'm not sure that I notice difference using the cortisone cream. It's been a good six weeks since it started on the face.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling of eyelid
Clinical narrative: Swollen right eye. Completely closed.  12 to 18 hours after vaccinated.  Swelling started to come down by 12:40pm.  Stayed until next day.
Age: 49.0
Sex: F
Vaccine: PNC13
Symptoms: Rash
Clinical narrative: rash
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Client called on 6/23/2021 to report the onset of a severe headache at 03:00 the morning after her vaccination.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster given too late.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: Systemic: Developed spots on hand of vaccine arm. No itch. Getting better-Mild
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Dyspnoea, Fatigue, Injection site pain
Clinical narrative: Joint pains, breathing issues, loss of appetite, extreme aches in legs, pain and discomfort in injection shot, extremely tiredness
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Joint pains, breathing issues, loss of appetite, extreme aches in legs, pain and discomfort in injection shot, extremely tiredness
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Pain, Pyrexia
Clinical narrative: Fever began 12 hours after second shot, approximately 6am, and lasted throughout the day.  The fever peaked around 7pm at 100.6 degrees and was responsive to tylenol.  Intense body aches and chills also accompanied the fever followed by intense thirst around bedtime.  All symptoms went away the following morning with lingering aches and general weakness.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Eye pruritus, Heart rate increased, Pruritus, Urticaria
Clinical narrative: 30 minutes after receiving vaccine my arms abdominal and legs began itching and had red patches like hives. I ignored this and continued working. Then insides of my ears began itching. I told the pharmacy techs that were qt my place of work administering the vaccine. They gave me 50mg of benadryl, at that time my eyes had begun to itch and started coughing. Pulse rate was 160. No shortness of breath and no tongue swelling. They offered an epipen but as a nurse myself I declined and wanted to wait to see if benadryl would be effective. I was monitored for an hour. By the end of the hour I was not coughing, my eyes and inner ears had stopped itching and my pulse was back below 100. I still had hives and moderate itching to my body which resolved about 2 hours after taking benadryl.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Lethargy, Nausea
Clinical narrative: Severe headache, Nausea, fatigue , lethargic, tiredness, pain at injection site
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Mild, Additional Details: n/a
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event, Anxiety, Vomiting
Clinical narrative: Adverse event: It was reported that patient received first dose Pfizer vaccine at 08:37. He had emesis in post-observation at 08:40. Treatment: Assessed by post-observation RN. EMT called and assessed. Patient taken by EMT to private observation area with parent. His father stated he (the patient) did not eat before vaccination. Given juice. Patient also stated he was very anxious about being vaccinated. Outcome: Patient asymptomatic. Vital signs stable (per EMT). BP 104/70, HR 82, Resp 16, Temp. 96,4 F, O2 Sat 98%). EMT discharged patient with parent to home.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: Administered #008C21A on conflicting dates. Date updated to 5/20/2021 in system. Vaccine was administered on 5/20/2021 but logged after 12:00am on 5/21/2021.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Malaise, Myalgia
Clinical narrative: Injection site pain; Tiredness; Headache; Muscle pain; Joint pain; Minor nausea; Feeling unwell; Arm pain; This is a spontaneous report from a contactable consumer (patient herself). A 52-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- EW0182) via an unspecified route of administration in left arm on 13Jun2021 10:00 as 2nd dose, single for COVID-19 immunization. Patient medical history included high BP, migraines and known allergies to Compazine. The concomitant medications included estradiol, amitriptyline, propranolol HCL ER. Historical vaccine included BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- EW0178) via an unspecified route of administration in left arm on 23May2021 10:00 as 1st dose, single for COVID-19 immunization. Vaccine facility type was reported as Pharmacy or Drug Store. Patient did not receive any other vaccine in four weeks. Patient did not have COVID-19 prior to vaccination and was not tested for COVID-19 post vaccination. Patient was 52-years-old and was not pregnant at the time of vaccination. On 14Jun2021 at 05:00, patient experienced injection site pain, tiredness, headache, muscle pain, joint pain, minor nausea, feeling unwell, arm pain.  Patient did not receive any treatment for the adverse events. The outcome of the events was not resolved.