chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was waiting in the waiting room to be vaccinated with Pfizer. While the consent form was being reviewed by the pharmacist and the vaccine was being prepared, the nurse inside the immunization room called the patient and administered the Moderna vaccine without confirming any patient information, age, allergies, etc. Vaccination error was identified when the pharmacist asked if she was vaccinated while delivering the Pfizer vaccine into the immunization room. The patient was sitting in the chair and the nurse stated yes, she just got the Moderna. And the pharmacist asked if she asked any of the questions because the consent form was with the pharmacist and she is 16 years old. From the moment that the error was discovered, the District Manager was immediately notified. Soon after speaking with the DM, the pharmacist contacted CDC and Moderna for more information and guidance. Both informed the pharmacist to schedule the 16 year old patient for her second dose of Moderna at 0.5 mL dose.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash macular, Skin warm, Swelling
Clinical narrative: Swelling, splotches, redness, spot is warm to the touch
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood urea increased, Laboratory test abnormal, Magnetic resonance imaging
Clinical narrative: Patient received second dose of Moderna vaccine on 5/10/2021. Patient had routine lab work done prior to an MRI with contrast on 5/11/2021. Patient reports BUN and Creatinine were elevated. Labs were redrawn on 5/12/2021 and remained elevated. Patient reports she had routine lab work with physical six months ago and labs were within normal range. Patient is under the care of her primary doctor. Her labs will be redrawn on 5/18/2021.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site haemorrhage, Injection site pain, Injection site swelling
Clinical narrative: Patient received the Pfizer COVID vaccine, when the needle was removed from the patient's arm bleeding occurred immediately at the injection site.  The immunizing pharmacist wiped the arm and applied pressure to the injection site with  a cotton ball.  When the cotton ball was removed the site had stopped bleeding and a Band-Aid was applied.  Patient remained in the waiting area for observation where it was reported by the patient that the site was very tender and bruising and swelling was noted by the immunizing pharmacist.  The patient was provided an ice pack to apply to the site and asked to remain in the waiting area.  After several minutes the patient left without notice.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Herpes zoster, Injection site pain, Injection site paraesthesia
Clinical narrative: Onset of shingles symptoms 5 days after vaccine.  Initially headache/fatigue, then developed rash primarily along inner left arm from forearm to upper arm,  Tingling, burning pain at rash site.   Also some rash, to lesser extent, on left torso in a line just below waistline from abdomen to lower back. Visited doctor's office 5/17/21 as rash/discomfort worsened.  Obtained prescription steroid cream, and OTC medication (Allegra D & Pepcid) to alleviate symptoms.  Treatment just started today, so outcome and duration are unknown at this time.  I was previously vaccinated for shingles about 1.5 years ago.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash
Clinical narrative: Onset of shingles symptoms 5 days after vaccine.  Initially headache/fatigue, then developed rash primarily along inner left arm from forearm to upper arm,  Tingling, burning pain at rash site.   Also some rash, to lesser extent, on left torso in a line just below waistline from abdomen to lower back. Visited doctor's office 5/17/21 as rash/discomfort worsened.  Obtained prescription steroid cream, and OTC medication (Allegra D & Pepcid) to alleviate symptoms.  Treatment just started today, so outcome and duration are unknown at this time.  I was previously vaccinated for shingles about 1.5 years ago.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dyspnoea, Fatigue, Headache
Clinical narrative: Fever, diarrhea,  chills,  sweats, nausea,  aches,  headache,  tiredness,  shortness of breath
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pain, Pyrexia
Clinical narrative: Fever, diarrhea,  chills,  sweats, nausea,  aches,  headache,  tiredness,  shortness of breath
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Incoherent, Lethargy, Partial seizures
Clinical narrative: pt seemed to have a focal seizure while sitting in the waiting area within 5 minutes of vaccination... followed by a period of lethargy and incoherence /. pt vomited while getting onto the stretcher .
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Nausea
Clinical narrative: 5/14 11:50 pm  chills, dry heaves, body aches , extreme headache.  Took 2 Exedrin Migraine tablets.  Chills, and aches lasted approximately 4 hours. 5/15 4am still had a headache and body aches and was very tired but the pain kept me from sleeping 5/15 5am I took 2 acetominofen tablets, drank some apple juice, tried eating toast but felt nausea, fell asleep for a couple hours but woke still with a headache and body aches. 5/15 9am  conditions continued and I took 2 ibuprofen tablets.  I was able to sleep for about 4 hours. 5/15 2pm chills are gone, body aches were not severe but present, headache still bad. 5/15 slept through the night for the most part - very exhausted. 5/16 at 6am was able to eat and my body was not in pain.  Had no energy all day and my thoughts were slow to think through.  This condition lasted all day. 5/17 6am woke still with a headache - went away about 2:30 pm
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Retching, Sleep disorder, Thinking abnormal
Clinical narrative: 5/14 11:50 pm  chills, dry heaves, body aches , extreme headache.  Took 2 Exedrin Migraine tablets.  Chills, and aches lasted approximately 4 hours. 5/15 4am still had a headache and body aches and was very tired but the pain kept me from sleeping 5/15 5am I took 2 acetominofen tablets, drank some apple juice, tried eating toast but felt nausea, fell asleep for a couple hours but woke still with a headache and body aches. 5/15 9am  conditions continued and I took 2 ibuprofen tablets.  I was able to sleep for about 4 hours. 5/15 2pm chills are gone, body aches were not severe but present, headache still bad. 5/15 slept through the night for the most part - very exhausted. 5/16 at 6am was able to eat and my body was not in pain.  Had no energy all day and my thoughts were slow to think through.  This condition lasted all day. 5/17 6am woke still with a headache - went away about 2:30 pm
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Woke up with a headache. Have had headaches each day since the vaccine. They come and go. Also, my tinitus has intensified to the point that it is constantly noticeable. Previously, it was very mild and did not effect my day.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles developed after second vaccine
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: After patient received the vaccine, epxerienced a syncope episode. , had some lightheadness. (-) for N/V (-) for cx/px. Patient able to respond to verbal commands. Vital signs taken for sequence of 4x's. Pt elvaluated. Alert and oreinted. Refused transport to ER. Ambulatory without assistance. Patient left with family.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Peripheral swelling, Pruritus, Pyrexia, Tenderness
Clinical narrative: Took Tylenol for fever and drank liquids.Lasted 2 days.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Cough, Fatigue, Headache
Clinical narrative: extreme fatigue lasting 14 days - sleeping 14-16 hours a day - all symptoms lasted 14 days slight cough headache digestive upset nausea chills
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Nausea, SARS-CoV-2 test negative
Clinical narrative: extreme fatigue lasting 14 days - sleeping 14-16 hours a day - all symptoms lasted 14 days slight cough headache digestive upset nausea chills
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blister, Dysphagia, Oral discomfort, Throat irritation
Clinical narrative: blister the day after vaccination and it went away, but burning  inside of the mouth and throat replaced the blister. Patient saw primary care and told to rinse mouth with warm salt water but symptoms still persist. Patient still experience difficulty swallowing and drink due to burning sensation
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphonia, Burning sensation, Dysphagia, Dysphonia, Erythema
Clinical narrative: blister the day after vaccination and it went away, but burning  inside of the mouth and throat replaced the blister. Patient saw primary care and told to rinse mouth with warm salt water but symptoms still persist. Patient still experience difficulty swallowing and drink due to burning sensation
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dosage administered, Odynophagia, Oral mucosal blistering, Tongue discomfort, Tongue erythema
Clinical narrative: blister the day after vaccination and it went away, but burning  inside of the mouth and throat replaced the blister. Patient saw primary care and told to rinse mouth with warm salt water but symptoms still persist. Patient still experience difficulty swallowing and drink due to burning sensation
Age: 44.0
Sex: M
Vaccine: UNK
Symptoms: Arthralgia, Hypoaesthesia, Pain in extremity
Clinical narrative: The patient submitted a sick call on 3/20/21 alleging that the day after he took the first Moderna dose on 1/26/21, that he had left arm bad pains, that went down to left elbow and now still having bad pains. He submitted another sick call on 3/25/21 for the same left arm and elbow complaints. On 5/13/21 sick call, he alleges that he has ongoing numbness of fingers and hand due to the covid vaccine he received the first dose of in 1/26/21. He received the 2nd dose on 3/1/21. The PCP will evaluate the patient soon for this complaints
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Vaccination site erythema
Clinical narrative: Patient and daughter noticed erythema on L lower arm ~10 minutes after vaccine administration. Very minimal pruritus. Also noted some mild erythema above vaccine site on L shoulder. No edema noted, no SOB or dyspnea. Patient has experienced same reaction after previous vaccines. APRN administered 25 mg PO diphenhydramine at 1435. At 1440, redness is less evident now. At 1500, patient and daughter left vaccination facility in stable condition with erythema improved.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Contusion, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Pains throughout body/extremities. Pins and needles. Bruising on foot
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: She sat down and got her vaccine, and the woman administering the vaccine was sitting down and jabbed her with the needle from an angle and it hurt.  She was okay otherwise but the next day around 10:00 she went to visit her mother and then felt dizzy and not able to drive home, but her brother was with her who drove her home.  She went home and laid down and had a 3+ hour nap and was fine once she woke up.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is 16 years old and received Moderna COVID vaccine, which is only approved for ages 18 and above. I have contacted the manufacturer who states: If the patient received the 1st dose between 16-17 years of age, it will be considered off-label use and the patient can still receive the 2nd dose 28 days later. If the patient is below 16 years of age, the patient cannot receive the second dose. Case # is MOD21-091150.  No reaction noted as of today. Doctor on site notified.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Jaw disorder, Tremor
Clinical narrative: jaw tremor
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Patient said she had no breakfast today, felt dizzy and nauseous
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Fatigue, Headache
Clinical narrative: shot site pain, headache, shivering, diarrhea, fatigue, disyness, bad general body aching all the symptoms were gone in about 24 hours
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: shot site pain, headache, shivering, diarrhea, fatigue, disyness, bad general body aching all the symptoms were gone in about 24 hours
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Nausea, Throat tightness
Clinical narrative: Shortness of breath, throat felt tight, extremely nauseous
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Arthralgia, Dyspnoea, Ear pruritus, Fatigue
Clinical narrative: Shortness of breath, throat felt tight, extremely nauseous
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Heart rate increased, Nausea, Pain in extremity, Throat irritation
Clinical narrative: Shortness of breath, throat felt tight, extremely nauseous
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Wrong product administered
Clinical narrative: My husband and I went to pharmacy to get our 2nd Shingles (Shingrix) and accidentally received the Moderna Covid Shot. I was completely vaccinated for Covid by Pfizer on March 26th and my husband was complete by Moderna back on April 7th.
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Catheterisation cardiac, Chest pain, Electrocardiogram abnormal, Fatigue, Headache
Clinical narrative: Fever with fatigue and headache on 5/14 , getting worse.  Chest pain on 5/16. Admitted to hospital 5/17 with  Myocarditis probably vaccine related
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Pyrexia, Troponin increased
Clinical narrative: Fever with fatigue and headache on 5/14 , getting worse.  Chest pain on 5/16. Admitted to hospital 5/17 with  Myocarditis probably vaccine related
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac telemetry normal, Catheterisation cardiac normal, Chest discomfort, Chest pain, Chills
Clinical narrative: Fever with fatigue and headache on 5/14 , getting worse.  Chest pain on 5/16. Admitted to hospital 5/17 with  Myocarditis probably vaccine related
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Discomfort, Echocardiogram normal, Electrocardiogram abnormal, Laboratory test normal, Myocarditis
Clinical narrative: Fever with fatigue and headache on 5/14 , getting worse.  Chest pain on 5/16. Admitted to hospital 5/17 with  Myocarditis probably vaccine related
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Palpitations, Pyrexia, Troponin increased
Clinical narrative: Fever with fatigue and headache on 5/14 , getting worse.  Chest pain on 5/16. Admitted to hospital 5/17 with  Myocarditis probably vaccine related
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Within 5 minutes of injection, client became flushed and diaphoretic.  She felt extremely nauseated and vomited x1.  Client had not eaten breakfast before injection.  Client monitored for over 1 hour in dark quiet room where client was able to recline and relax.  Vital signs were stable.  No difficulty breathing or swallowing.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Fatigue, Gait disturbance, Limb discomfort
Clinical narrative: extreme sudden onset of fatigue, c/o arms feeling heavy, noted shuffling gait, denies sob, chest pain, itching no obvious signs of reaction
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Skin mass, Tenderness
Clinical narrative: PATIENT DEVELOPED A "LUMP" 1"X2"ON WRIST OF LEFT ARM, NO REDNESS, C/O TENDERNESS WHEN PALPATED 3 OUT OF 10 ON PAIN SCALE. DENIES SHORTNESS OF BREATH, ITCHING, OR TROUBLE BREATHING. LEFT ARE DOES HAVE TATOO ON THE AREA WHERE LUMP FORMED,. DENIES HISTORY OF HAVING DERMAL FILLERS. EMS ON SITE AND EVALUATES PATIENT. MEDICAL DIRECTOR EVALUATES PATIENT AND ORDER BENADRYL IM. PATIENT CONTINUES TO DENY C/O OF SOB, ITCHING, OR DIFFICULTY BREATHING. OBSERVED FOR 45MINS AFTER IM BENADRYL AND RELEASED HOME.
Age: 34.0
Sex: M
Vaccine: UNK
Symptoms: Accidental overdose, Dose calculation error
Clinical narrative: NURSE CALCULATED WRONG DOSAGE AND GAVE .6CC WHEN SHOULD HAVE BEEN .3CC
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Breast pain, Chest discomfort, Echocardiogram, Electrocardiogram, Pain in extremity
Clinical narrative: Intermittent pain in left arm/shoulder and left breast, internal, feeling like spasm in vein or similar, middle of night, woke me up from sleep, also slight heaviness in chest feeling, but no other symptoms
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: Intermittent pain in left arm/shoulder and left breast, internal, feeling like spasm in vein or similar, middle of night, woke me up from sleep, also slight heaviness in chest feeling, but no other symptoms
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Night sweats
Clinical narrative: Headaches, Night Sweats.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Patient presented today to Minute Clinic c/o joint pain to bilateral knees and teeth that started 3 days after Moderna vaccine.  She states the symptoms are mild and wax and wane.  At worst, pain is 5/10 in severity.   This has persisted for 1 week.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Tinnitus
Clinical narrative: Tinnitus, dizziness, brain fog.  Tinnitus is constant 24/7.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal haemorrhage
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was upper GI bleed.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Pericarditis
Clinical narrative: She presented to the ED on 4/30/21 due to left sided chest pain. She was found to have acute pericarditis with no identifiable source. Unclear if vaccine is related but did receive vaccine on 4/21/21 before this developed. currently being managed by cardiology with.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Roughly one week after my first Pfizer shot I developed tinnitus. Has resulted in a high-pitched ringing in ears. It was in both ears three weeks following the shot and is now mainly in by right ear.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased activity, Disorientation, Disturbance in attention, Dizziness
Clinical narrative: I had the expected chills, fever, headache, fatigue and body aches beginning about 7-8 hours after the injection. The headache, fever, chills, and aches subsided after about 36 hours. I had EXTREME fatigue for about 2 weeks, and had some increased heart rate and higher blood pressure as well.  Since the vaccine, i have had vertigo, brain fog, some light headedness and an inability to concentrate. It has affected my ability to drive and work when it is at its worst, and I have had some headaches when I am feeling particularly disoriented.  Sometimes I have trouble completing sentences and finding the right words. I have seen a cardiologist, PCP, and ObGYN and mentioned my sypmtoms to each of them.I had routine bloodwork done, and all was normal there.  It has not improved, and I have an appointment with a neurologist next week. I did not feel this way at all before the vaccine, and it is deeply concerning to me. I am worried about receiving any future vaccines and/or giving them to my children.  Please reach out with follow up information. I did not report it sooner, because I kept thinking it would end, but it has continued.  I am very frustrated and disturbed by this.  thank you.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Frustration tolerance decreased, Headache, Heart rate increased
Clinical narrative: I had the expected chills, fever, headache, fatigue and body aches beginning about 7-8 hours after the injection. The headache, fever, chills, and aches subsided after about 36 hours. I had EXTREME fatigue for about 2 weeks, and had some increased heart rate and higher blood pressure as well.  Since the vaccine, i have had vertigo, brain fog, some light headedness and an inability to concentrate. It has affected my ability to drive and work when it is at its worst, and I have had some headaches when I am feeling particularly disoriented.  Sometimes I have trouble completing sentences and finding the right words. I have seen a cardiologist, PCP, and ObGYN and mentioned my sypmtoms to each of them.I had routine bloodwork done, and all was normal there.  It has not improved, and I have an appointment with a neurologist next week. I did not feel this way at all before the vaccine, and it is deeply concerning to me. I am worried about receiving any future vaccines and/or giving them to my children.  Please reach out with follow up information. I did not report it sooner, because I kept thinking it would end, but it has continued.  I am very frustrated and disturbed by this.  thank you.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Laboratory test normal, Magnetic resonance imaging, Pain, Pyrexia
Clinical narrative: I had the expected chills, fever, headache, fatigue and body aches beginning about 7-8 hours after the injection. The headache, fever, chills, and aches subsided after about 36 hours. I had EXTREME fatigue for about 2 weeks, and had some increased heart rate and higher blood pressure as well.  Since the vaccine, i have had vertigo, brain fog, some light headedness and an inability to concentrate. It has affected my ability to drive and work when it is at its worst, and I have had some headaches when I am feeling particularly disoriented.  Sometimes I have trouble completing sentences and finding the right words. I have seen a cardiologist, PCP, and ObGYN and mentioned my sypmtoms to each of them.I had routine bloodwork done, and all was normal there.  It has not improved, and I have an appointment with a neurologist next week. I did not feel this way at all before the vaccine, and it is deeply concerning to me. I am worried about receiving any future vaccines and/or giving them to my children.  Please reach out with follow up information. I did not report it sooner, because I kept thinking it would end, but it has continued.  I am very frustrated and disturbed by this.  thank you.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vitamin D, Vitamin D decreased
Clinical narrative: I had the expected chills, fever, headache, fatigue and body aches beginning about 7-8 hours after the injection. The headache, fever, chills, and aches subsided after about 36 hours. I had EXTREME fatigue for about 2 weeks, and had some increased heart rate and higher blood pressure as well.  Since the vaccine, i have had vertigo, brain fog, some light headedness and an inability to concentrate. It has affected my ability to drive and work when it is at its worst, and I have had some headaches when I am feeling particularly disoriented.  Sometimes I have trouble completing sentences and finding the right words. I have seen a cardiologist, PCP, and ObGYN and mentioned my sypmtoms to each of them.I had routine bloodwork done, and all was normal there.  It has not improved, and I have an appointment with a neurologist next week. I did not feel this way at all before the vaccine, and it is deeply concerning to me. I am worried about receiving any future vaccines and/or giving them to my children.  Please reach out with follow up information. I did not report it sooner, because I kept thinking it would end, but it has continued.  I am very frustrated and disturbed by this.  thank you.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hyperhidrosis, Palpitations, Tachycardia
Clinical narrative: tachycardia, palpitations, anxiety, sweating within a few minutes of receiving  the vaccine
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Tenderness, Vaccine positive rechallenge
Clinical narrative: Patient reported arm soreness following his initial injection on 4/29/2021.  The soreness then went away and returned on 5/15/2021.  He says his arm hurts to touch as well as hurts with movement.  Patient says these are the same symptoms as he had after the initial shot and to the same degree of pain.  No redness or raised area.  Patient is taking a narcotic for previous backpain that does not relieve his discomfort.  I told him to followup with his doctor.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Pruritus, Rash erythematous, Urticaria
Clinical narrative: Pt developed redden rash, itching, and whelps to arms and face. Pt also c/o throat feeling funny. Pt was given Benadryl and Epi IM and transferred to hospital per EMS. Spoke patient the following day 5/11/21 states she was home feeling better. Denied any problems at that time
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Magnetic resonance imaging, Mobility decreased, Pain
Clinical narrative: Immediate numbness.  Inability to move arm within an hour.  Severe pain which led to ER visit evening of 3/8, pain and immobility continued (possible frozen shoulder).  Multiple doctors visits including Orthopedic Surgeon, Neurologist and general PC.  Have received Steroid shot, steroid taper and have been in Physical Therapy for 6 weeks. Pain is still severe and causes inability to fully use arm.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Restless legs syndrome
Clinical narrative: Pins and needles in feet 10 mins after injection. Then restless muscles in calves and lower leg
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Autoimmune disorder, Condition aggravated, Constipation
Clinical narrative: Flare up of pre-existing autoimmune condition causing painful, swollen, and stiff joints, fatigue, headaches, nausea, abdominal cramping, and alternating diarrhea and constipation.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Joint stiffness, Joint swelling, Nausea
Clinical narrative: Flare up of pre-existing autoimmune condition causing painful, swollen, and stiff joints, fatigue, headaches, nausea, abdominal cramping, and alternating diarrhea and constipation.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amenorrhoea, Menstrual disorder
Clinical narrative: Prolonged secondary amenorrhea for ~90 days with return of spontaneous menstrual cycle on 04/12/2021. Typical cycle length is about 23-28 days. Continuing to monitor for return of regular menses.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Contusion
Clinical narrative: Spontaneous, unexplained bruising on several parts of my body.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Mobility decreased
Clinical narrative: feels quite lethargic. No  fever, cough, or sob.  Difficulty getting out of bed in the am at times.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure
Clinical narrative: Pt suffered 3 seizures within 1 hour of receiving vaccine, and then had several more in the next 24 hours according to her mother. Pt has a seizure disorder, but had not had a seizure in several months.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: while giving the vaccine the solution came out from the syringe.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Oral discomfort, Urticaria
Clinical narrative: patient developed Hives  on Saturday afternoon into Evening after receiving vaccine on Thursday. he noted continue hives on Sunday along with a possible swelling/tightness in the lips Sunday.  He was able to take Benadryl and  Zyrtec and symptoms improved
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Cerebrovascular accident, Cough, Dizziness, Dysphagia
Clinical narrative: -1 day post Dose #2 of Moderna Covid-19 Vaccine:  Patient awoke on Tuesday, May 11 with symptoms of dizziness, off-balance gait where he is leaning on something, stuttering speech, difficulty swallowing resulting in coughing, but trumped that to possible side effects of the vaccine.  Patient woke up on Wednesday continuing to have further weakness to the point where he is holding onto rails just to stay upright and walking and he was stumbled down the stairs but catching himself before he impacted the floor. -MRI is positive for acute left stroke.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dysphemia, Gait disturbance, Magnetic resonance imaging abnormal
Clinical narrative: -1 day post Dose #2 of Moderna Covid-19 Vaccine:  Patient awoke on Tuesday, May 11 with symptoms of dizziness, off-balance gait where he is leaning on something, stuttering speech, difficulty swallowing resulting in coughing, but trumped that to possible side effects of the vaccine.  Patient woke up on Wednesday continuing to have further weakness to the point where he is holding onto rails just to stay upright and walking and he was stumbled down the stairs but catching himself before he impacted the floor. -MRI is positive for acute left stroke.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Dizziness, Dysarthria, Dysphagia
Clinical narrative: -1 day post Dose #2 of Moderna Covid-19 Vaccine:  Patient awoke on Tuesday, May 11 with symptoms of dizziness, off-balance gait where he is leaning on something, stuttering speech, difficulty swallowing resulting in coughing, but trumped that to possible side effects of the vaccine.  Patient woke up on Wednesday continuing to have further weakness to the point where he is holding onto rails just to stay upright and walking and he was stumbled down the stairs but catching himself before he impacted the floor. -MRI is positive for acute left stroke.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Facial paralysis, Gait disturbance, Hemiparesis, Magnetic resonance imaging, Walking aid user
Clinical narrative: -1 day post Dose #2 of Moderna Covid-19 Vaccine:  Patient awoke on Tuesday, May 11 with symptoms of dizziness, off-balance gait where he is leaning on something, stuttering speech, difficulty swallowing resulting in coughing, but trumped that to possible side effects of the vaccine.  Patient woke up on Wednesday continuing to have further weakness to the point where he is holding onto rails just to stay upright and walking and he was stumbled down the stairs but catching himself before he impacted the floor. -MRI is positive for acute left stroke.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: X-ray
Clinical narrative: -1 day post Dose #2 of Moderna Covid-19 Vaccine:  Patient awoke on Tuesday, May 11 with symptoms of dizziness, off-balance gait where he is leaning on something, stuttering speech, difficulty swallowing resulting in coughing, but trumped that to possible side effects of the vaccine.  Patient woke up on Wednesday continuing to have further weakness to the point where he is holding onto rails just to stay upright and walking and he was stumbled down the stairs but catching himself before he impacted the floor. -MRI is positive for acute left stroke.
Age: 44.0
Sex: M
Vaccine: FLUA3
Symptoms: Arthralgia, Injection site haemorrhage, Injection site pain, Mobility decreased, Multiple use of single-use product
Clinical narrative: When the Pharmacist stuck the needle in my are he was unable to depress the plunger and it hurt really bad, he pulled out the suringe and blood squirted out of my left arm. He then stuck it in again in a different spot and injected vaccine into my arm. The next day I woke up and was in pain my sholder was killing me and I could not move it without sharp stabbing pain.  Ive been to my Dr. and specialist and have not found any relief.
Age: 44.0
Sex: M
Vaccine: FLUA3
Symptoms: Pain, Product administered at inappropriate site, Syringe issue
Clinical narrative: When the Pharmacist stuck the needle in my are he was unable to depress the plunger and it hurt really bad, he pulled out the suringe and blood squirted out of my left arm. He then stuck it in again in a different spot and injected vaccine into my arm. The next day I woke up and was in pain my sholder was killing me and I could not move it without sharp stabbing pain.  Ive been to my Dr. and specialist and have not found any relief.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Erythema, Pruritus
Clinical narrative: Redness, itching, soreness
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Patient presented to the ED with dizziness and left leg paresthesia and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was Possible hemorrhage of right temporal lobe.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Headache, Lymphadenopathy, Pyrexia
Clinical narrative: Sore joints all over, fever, swollen glands, headache
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Eye pain, Headache, Hypoaesthesia
Clinical narrative: At first once I received the vaccine I felt completely fine. Later that evening I started to lose my breath and had a fever. By 9:00pm I was unable to move the left side of my body, had sharp pains throughout my body, and involuntarily urinated and vomited. This continues until 12:00pm Friday, the vomiting and urinating involuntarily stopped but the high fever, body pains, and numbness continued until Sunday evening. Now I still am experiencing random sharp pains and numbness on the left side of my body to the point where I cannot move it at all. I am throwing up occasionally (which has never happened before), and I have had a headache and insomnia since I got the vaccine. Pains behind my eye, loss of appetite and weight loss have occurred since.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Movement disorder, Pain, Pyrexia, Urinary incontinence
Clinical narrative: At first once I received the vaccine I felt completely fine. Later that evening I started to lose my breath and had a fever. By 9:00pm I was unable to move the left side of my body, had sharp pains throughout my body, and involuntarily urinated and vomited. This continues until 12:00pm Friday, the vomiting and urinating involuntarily stopped but the high fever, body pains, and numbness continued until Sunday evening. Now I still am experiencing random sharp pains and numbness on the left side of my body to the point where I cannot move it at all. I am throwing up occasionally (which has never happened before), and I have had a headache and insomnia since I got the vaccine. Pains behind my eye, loss of appetite and weight loss have occurred since.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, Weight decreased
Clinical narrative: At first once I received the vaccine I felt completely fine. Later that evening I started to lose my breath and had a fever. By 9:00pm I was unable to move the left side of my body, had sharp pains throughout my body, and involuntarily urinated and vomited. This continues until 12:00pm Friday, the vomiting and urinating involuntarily stopped but the high fever, body pains, and numbness continued until Sunday evening. Now I still am experiencing random sharp pains and numbness on the left side of my body to the point where I cannot move it at all. I am throwing up occasionally (which has never happened before), and I have had a headache and insomnia since I got the vaccine. Pains behind my eye, loss of appetite and weight loss have occurred since.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tachycardia, Throat tightness
Clinical narrative: Tachycardia, tightness in throat, dizziness- given epinephrine by EMS
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Syncope, Vomiting
Clinical narrative: 19yo F presented with syncope and emesis approximately 10 minutes after receiving her first dose. Pt has a history of syncopal episodes related to needle use. EMS eval. BP 79/51, 4-lead, BP 125/75, IV LAC. Transport recommended. Pt transported to local emergency room for further evaluation and treatment.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Patient began having pain in her right arm 3-4 days after receiving the vaccine. She states it is a nagging pain that is worse at times. She states she also has a tingling sensation that goes down her arm into her had and little finger. She is still having these issues as of 5/17/21. Referred patient to her PCP.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory distress, Throat tightness
Clinical narrative: Throat tightening and respiratory distress in a patient with anaphylaxis to allergy shots in the past (that requiring multiple doses of epinephrine to treat). This occurred about 30mins after administration of the Moderna vaccine. Patient complained of worsening symptoms and asked that epinephrine be administered as she felt this was similar to her previous anaphylaxis episode. Though she did not have stridor I felt early administration of epi in this high risk patient was appropriate. Her symptoms improved after administration.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Swelling, Tachycardia, Unevaluable event, Urticaria
Clinical narrative: Moderna EUA - Patient who is nonverbal and  received his second COVID vaccine today reportedly developed evidence of discomfort by closing his eyes, gritting his teeth and trying to lay down within 15 minutes of his injection.  This had not occurred w/ his first injection on 4/19/2021.   A medical assistant reported seeing distended right neck and right arm veins, and his family member reported seeing urticaria.  Vitals per MA were bp 97/59, pulse 102, pulse ox 96% on room air.  Upon my arrival, there were no visible distended neck or arm veins, and patient was seated comfortably, upright in the backseat of his family member's vehicle.  There were horizontal linear indentations across his right neck, as though he had been resting his head against the back of his seat, or a seat belt may have been rubbing on it (but seat belt would have been on wrong side).  He was in no respiratory distress.  There were no visible urticaria.  BP was 115/69, pulse 92.  Lungs were clear to auscultation and cardiovascular exam revealed mild tachycardia, regular rhythm, no murmurs, rubs or gallops.  He had received 10 mg of Benadryl through his G tube just as I arrived.    I recommended that patient be observed for 15 more minutes and patient went home without further incident, to go to ER if developed respiratory distress.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased eye contact, Dizziness, Somnolence
Clinical narrative: AFTER COVID19 VACCINATION, PATIENT EXPRIENCED DIZZINESS, WEAKNESS WITH DIFFICULTY MAINTAINING EYE CONTACT. PATIENT STATED SHE FELT SLEEPY WITH DIFFICULTY KEEPING EYES OPEN. AFTER 25 MINUTES, PATIENT WAS AAOX4, VITALS WNL, AMBULATING WITHOUT ASSISTANCE AND LEFT CLINIC WITH FATHER, DENYING ANY DIZZINESS OR WEAKNESS. VITALS:    BP        HR     RR   SPO2 12:45    138/80  100    16     99%    12:53    150/90   85     16     99% 12:58    138/90   81     14     99% 13:02    128/80   80     14     99% 13:07    122/86   75     16     99%
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heavy menstrual bleeding, Immunoglobulin therapy, Platelet count decreased, Pyrexia
Clinical narrative: Patient presented to the ED with dizziness, fever and heavy vaginal bleeding around 24 hours after receiving her first dose of the Pfizer-BioNTech COVID-19 vaccine. She was tested for active COVID-29 infection via nasal swab PCR and tested positive. Upon presentation labs were drawn and her platelet count was found to be 8 on 5/15. Repeat labs were drawn that day to confirm low platelet count and confirmed diagnosis and thrombocytopenia secondary to an immune reaction to the vaccine was suspected. She was admitted and was started on tranexamic acid, medroxyprogesterone, dexamethasone and IV immunoglobulin (Ig) to help treat low platelet count and vaginal bleeding. As of writing, she is still admitted and her most recent platelet count on 5/17 was 16.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Thrombocytopenia, Vaccination complication, Vaginal haemorrhage
Clinical narrative: Patient presented to the ED with dizziness, fever and heavy vaginal bleeding around 24 hours after receiving her first dose of the Pfizer-BioNTech COVID-19 vaccine. She was tested for active COVID-29 infection via nasal swab PCR and tested positive. Upon presentation labs were drawn and her platelet count was found to be 8 on 5/15. Repeat labs were drawn that day to confirm low platelet count and confirmed diagnosis and thrombocytopenia secondary to an immune reaction to the vaccine was suspected. She was admitted and was started on tranexamic acid, medroxyprogesterone, dexamethasone and IV immunoglobulin (Ig) to help treat low platelet count and vaginal bleeding. As of writing, she is still admitted and her most recent platelet count on 5/17 was 16.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Acute myocardial infarction
Clinical narrative: Patient presented to the ED with acute coronary syndrome and was subsequently hospitalized, diagnosed with NSTEMI. This was within 6 weeks of receiving COVID vaccination.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Extreme Tinnitus starting after 1st shot.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia, Vomiting projectile
Clinical narrative: I started with headache about 4pm. I had fever and chills, tried to drink water before a dr appointment and projectile vomitted everywhere. I ended up not going to the doctor and stayed home for a few days. Called my pcp and scheduled endoscopy.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: Pt received the 1st Moderna COVID vaccine shot in the R arm without complication, sat down and felt well for ~ 15 mins and then began feeling dizzy without LOC, and approximately 5 mins later vomited x 1 in presence of the facility's Vaccine RNs. Pt was brought to the 2nd floor, andprovider called to evaluate the patient. Pt reports that he has had similar reaction in the past and that he felt very anxious about the vaccine due to his Hx of Sz activity.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient presented to off-site vaccine clinic with parent. Had signed consent to receive Moderna vaccine. RN administered Moderna vaccine (1st dose) before verifying patient was over 18 years of age. Patient is only 17 years old. Contacted Moderna and they deemed this as off-label use and advised patient could get second dose at routine interval. Patient waited for 15 minutes after administration without any adverse reactions noted.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: I am a full week out from my second dose and still am experiencing daily headaches and dizziness. I am prone to migraines and tried taking my migraine medication, but this is a different pain toward the back of my head that is also making me feel dizzy. The symptoms seem to get worse throughout the day.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding
Clinical narrative: Heavy period with 4 days of cramps
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Mastitis
Clinical narrative: Drastic reduction in breast milk followed by mastitis
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenopia, Chills, Confusional state, Delirium, Dyspnoea
Clinical narrative: 12 Hours after my Husband's second Pfizer shot, he laid down and became incredibly lethargic, confused, delirious, achy, nauseous, and feverish, with shaking and chills.  He collapsed when walking to the bathroom in the middle of the night, saying he couldn't breath.  He was okay once he laid back down.  He stayed in bed for 36 hours.  5 days later he is still fatigued, achy, and has headaches and eye strain, with intense pain in his arm, and a rash covering his body.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Fatigue, Lethargy, Nausea, Pain
Clinical narrative: 12 Hours after my Husband's second Pfizer shot, he laid down and became incredibly lethargic, confused, delirious, achy, nauseous, and feverish, with shaking and chills.  He collapsed when walking to the bathroom in the middle of the night, saying he couldn't breath.  He was okay once he laid back down.  He stayed in bed for 36 hours.  5 days later he is still fatigued, achy, and has headaches and eye strain, with intense pain in his arm, and a rash covering his body.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Rash, Tremor
Clinical narrative: 12 Hours after my Husband's second Pfizer shot, he laid down and became incredibly lethargic, confused, delirious, achy, nauseous, and feverish, with shaking and chills.  He collapsed when walking to the bathroom in the middle of the night, saying he couldn't breath.  He was okay once he laid back down.  He stayed in bed for 36 hours.  5 days later he is still fatigued, achy, and has headaches and eye strain, with intense pain in his arm, and a rash covering his body.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Erythema, Fall, Head injury
Clinical narrative: Client received vaccine at 9:35am. Client was immediately syncopal and fell and hit head on floor. RN who administered vaccine noted possible brief tonic clonic activity during syncope. Patient pale and sweating. Client awoke within seconds after fall and was panicked and trying to stand back up. RNs reassured patient and helped patient back into safe lying position. Legs were elevated, VS assessed, ice applied to back of head. No bleeding noted. When patient felt ready and was alert/oriented, nurse raised patient to sitting position and moved into wheelchair. Patient still pale and sweating. Lead RN called EMS due to concern for potential head injury with fall. Patient states that he is lightheaded again and loses consciousness again in wheelchair as RN and EMT are wheeling patient out to be received by EMS squad. EMT supporting patient airway during second LOC - RN notes that airway support (with EMT hands) may be too tight as patient red faced and some throat gurgling. EMT adjusts grip. Patient regains consciousness within 1-2 minutes after second LOC. Patient disoriented - is able to say why he is there and what his name was but cannot remember his age. EMS arrives and takes over care. EMS assessed patient and recommended to transport patient to ED for further assessment. Patient refuses transport to the hospital. EMS squad waits with patient until family member arrives. Patient states family member will transport to hospital. Patient leaves clinic site with family member in car.  First set of vitals/assessment after first LOC at 0940 142/96 BP; 74 pulse; 16 respirations; 97% spO2; 97.7 temp; PERRLA. No bleeding on head; scrape noted L elbow. EMS was called at 9:49am. EMS arrived at 9:54am.   Patient states no major medical history, not on any meds. Patient has fainted one time previously after broken thumb.