chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received a Moderna vaccine dose when he was 17 years 8 months old
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Pyrexia
Clinical narrative: High fever of 102 all day since 9:00 am.  Fatigue. Shortness of breath. Dizziness..
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Diverticulitis, Intensive care, Red blood cell count decreased
Clinical narrative: Diverticulitis Received call from Vsafe. Lady asked if my diverticulitis had occurred before or after my first vacination. I told I believe it was after my first shot. She advised my to go on line and report it.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Anxiety, Arthralgia, Blood calcium normal, Brain natriuretic peptide normal
Clinical narrative: "Pt w/ no significant PMH. Pt was vaccinated at pharmacy @ 15:05.  Pt presented to the ED for evaluation of sudden shivering @16:50.  Patient also reports of chest pain.  He denies any fever, vomiting, shortness of breath, difficulty breathing, or abdominal pain.  Benign past medical history.  Patient is seen shivering upon arrival to the emergency department.  He is immediately roomed for further evaluation.   Physical Exam significant for a patient in acute distress.  He is diaphoretic and is noted to have a skin rash.  All other observations are WNL. Labs: Hemogram w/ diff, Panel 7, Calcium, LFTs all WNL Troponin negative x1 ECG without signs of SVTs, A. fib, or ventricular dysrhythmia.  Chest x-ray unremarkable. Pt was discharged home w/ diagnosis of allergic rxn to COVID vaccine and Atypical chest pain. Discharge medications include diphenhydramine25mg PO Q6hrs PRN itching and famotidine 40mg PO QHS PRN heartburn.  Pt was advised not to get 2nd dose.  8/28 pt presented to ED with chills and itchiness on the torso.  Pt states that he feels nervous and that the exact same thing happened after receiving the first Pfizer vaccine.  Patient denies any rashes, shortness of breath or tongue swelling.  No medications prior to arrival. Pt was administered diphenhydramine in case of allergic rxn but was ultimately diagnosed w/ anxiety and discharged home with strict return instructions.  8/29 Pt presents again to the ED.  Pt c/o left sided chest pain/pressure radiating to jaw and shoulder.  Pt denies anxiety. PMD referred to ED for EKG. Labs: Hemogram w/ diff, Panel 7, Calcium, LFTs, Lipase all WNL Troponin negative x1 BNP 38 12 lead EKG Normal Intervals                              Axis Rate:         62                       P:            73 PR:           185                      QRS:          52 QRSD:         92                       T:            58 QT:           382 QTc:          388 Chest X-Ray - No acute cardiopulmonary disease noted. Pt administered ASA 325mg PO x1 Per MD,  Differential diagnosis includes: Acute coronary syndrome, musculoskeletal pain, pneumonia, pneumothorax.  I do not suspect pulmonary embolism due to negative PERC criteria..  I do not suspect aortic dissection as the pain is not ripping/tearing, does not radiate to the back, no history of Marfan syndrome or connective tissue disorder, the patient has equal bilateral upper extremity pulses.  Finally in reference to the possibility of cardiac etiology, the patient is low risk given age/risk factors, and as such the combination of a nonischemic electrocardiogram and negative troponin are reassuring.  Advised patient to follow-up with his primary care physician. Patient given strict ER return precautions to return to ED with any worsening chest pain or shortness of breath in the next 12 to 48 hours."
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Chest pain, Chills, Electrocardiogram normal
Clinical narrative: "Pt w/ no significant PMH. Pt was vaccinated at pharmacy @ 15:05.  Pt presented to the ED for evaluation of sudden shivering @16:50.  Patient also reports of chest pain.  He denies any fever, vomiting, shortness of breath, difficulty breathing, or abdominal pain.  Benign past medical history.  Patient is seen shivering upon arrival to the emergency department.  He is immediately roomed for further evaluation.   Physical Exam significant for a patient in acute distress.  He is diaphoretic and is noted to have a skin rash.  All other observations are WNL. Labs: Hemogram w/ diff, Panel 7, Calcium, LFTs all WNL Troponin negative x1 ECG without signs of SVTs, A. fib, or ventricular dysrhythmia.  Chest x-ray unremarkable. Pt was discharged home w/ diagnosis of allergic rxn to COVID vaccine and Atypical chest pain. Discharge medications include diphenhydramine25mg PO Q6hrs PRN itching and famotidine 40mg PO QHS PRN heartburn.  Pt was advised not to get 2nd dose.  8/28 pt presented to ED with chills and itchiness on the torso.  Pt states that he feels nervous and that the exact same thing happened after receiving the first Pfizer vaccine.  Patient denies any rashes, shortness of breath or tongue swelling.  No medications prior to arrival. Pt was administered diphenhydramine in case of allergic rxn but was ultimately diagnosed w/ anxiety and discharged home with strict return instructions.  8/29 Pt presents again to the ED.  Pt c/o left sided chest pain/pressure radiating to jaw and shoulder.  Pt denies anxiety. PMD referred to ED for EKG. Labs: Hemogram w/ diff, Panel 7, Calcium, LFTs, Lipase all WNL Troponin negative x1 BNP 38 12 lead EKG Normal Intervals                              Axis Rate:         62                       P:            73 PR:           185                      QRS:          52 QRSD:         92                       T:            58 QT:           382 QTc:          388 Chest X-Ray - No acute cardiopulmonary disease noted. Pt administered ASA 325mg PO x1 Per MD,  Differential diagnosis includes: Acute coronary syndrome, musculoskeletal pain, pneumonia, pneumothorax.  I do not suspect pulmonary embolism due to negative PERC criteria..  I do not suspect aortic dissection as the pain is not ripping/tearing, does not radiate to the back, no history of Marfan syndrome or connective tissue disorder, the patient has equal bilateral upper extremity pulses.  Finally in reference to the possibility of cardiac etiology, the patient is low risk given age/risk factors, and as such the combination of a nonischemic electrocardiogram and negative troponin are reassuring.  Advised patient to follow-up with his primary care physician. Patient given strict ER return precautions to return to ED with any worsening chest pain or shortness of breath in the next 12 to 48 hours."
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Hyperhidrosis, Hypersensitivity, Laboratory test normal, Lipase normal
Clinical narrative: "Pt w/ no significant PMH. Pt was vaccinated at pharmacy @ 15:05.  Pt presented to the ED for evaluation of sudden shivering @16:50.  Patient also reports of chest pain.  He denies any fever, vomiting, shortness of breath, difficulty breathing, or abdominal pain.  Benign past medical history.  Patient is seen shivering upon arrival to the emergency department.  He is immediately roomed for further evaluation.   Physical Exam significant for a patient in acute distress.  He is diaphoretic and is noted to have a skin rash.  All other observations are WNL. Labs: Hemogram w/ diff, Panel 7, Calcium, LFTs all WNL Troponin negative x1 ECG without signs of SVTs, A. fib, or ventricular dysrhythmia.  Chest x-ray unremarkable. Pt was discharged home w/ diagnosis of allergic rxn to COVID vaccine and Atypical chest pain. Discharge medications include diphenhydramine25mg PO Q6hrs PRN itching and famotidine 40mg PO QHS PRN heartburn.  Pt was advised not to get 2nd dose.  8/28 pt presented to ED with chills and itchiness on the torso.  Pt states that he feels nervous and that the exact same thing happened after receiving the first Pfizer vaccine.  Patient denies any rashes, shortness of breath or tongue swelling.  No medications prior to arrival. Pt was administered diphenhydramine in case of allergic rxn but was ultimately diagnosed w/ anxiety and discharged home with strict return instructions.  8/29 Pt presents again to the ED.  Pt c/o left sided chest pain/pressure radiating to jaw and shoulder.  Pt denies anxiety. PMD referred to ED for EKG. Labs: Hemogram w/ diff, Panel 7, Calcium, LFTs, Lipase all WNL Troponin negative x1 BNP 38 12 lead EKG Normal Intervals                              Axis Rate:         62                       P:            73 PR:           185                      QRS:          52 QRSD:         92                       T:            58 QT:           382 QTc:          388 Chest X-Ray - No acute cardiopulmonary disease noted. Pt administered ASA 325mg PO x1 Per MD,  Differential diagnosis includes: Acute coronary syndrome, musculoskeletal pain, pneumonia, pneumothorax.  I do not suspect pulmonary embolism due to negative PERC criteria..  I do not suspect aortic dissection as the pain is not ripping/tearing, does not radiate to the back, no history of Marfan syndrome or connective tissue disorder, the patient has equal bilateral upper extremity pulses.  Finally in reference to the possibility of cardiac etiology, the patient is low risk given age/risk factors, and as such the combination of a nonischemic electrocardiogram and negative troponin are reassuring.  Advised patient to follow-up with his primary care physician. Patient given strict ER return precautions to return to ED with any worsening chest pain or shortness of breath in the next 12 to 48 hours."
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test normal, Musculoskeletal pain, Pain, Pain in jaw, Pneumonia
Clinical narrative: "Pt w/ no significant PMH. Pt was vaccinated at pharmacy @ 15:05.  Pt presented to the ED for evaluation of sudden shivering @16:50.  Patient also reports of chest pain.  He denies any fever, vomiting, shortness of breath, difficulty breathing, or abdominal pain.  Benign past medical history.  Patient is seen shivering upon arrival to the emergency department.  He is immediately roomed for further evaluation.   Physical Exam significant for a patient in acute distress.  He is diaphoretic and is noted to have a skin rash.  All other observations are WNL. Labs: Hemogram w/ diff, Panel 7, Calcium, LFTs all WNL Troponin negative x1 ECG without signs of SVTs, A. fib, or ventricular dysrhythmia.  Chest x-ray unremarkable. Pt was discharged home w/ diagnosis of allergic rxn to COVID vaccine and Atypical chest pain. Discharge medications include diphenhydramine25mg PO Q6hrs PRN itching and famotidine 40mg PO QHS PRN heartburn.  Pt was advised not to get 2nd dose.  8/28 pt presented to ED with chills and itchiness on the torso.  Pt states that he feels nervous and that the exact same thing happened after receiving the first Pfizer vaccine.  Patient denies any rashes, shortness of breath or tongue swelling.  No medications prior to arrival. Pt was administered diphenhydramine in case of allergic rxn but was ultimately diagnosed w/ anxiety and discharged home with strict return instructions.  8/29 Pt presents again to the ED.  Pt c/o left sided chest pain/pressure radiating to jaw and shoulder.  Pt denies anxiety. PMD referred to ED for EKG. Labs: Hemogram w/ diff, Panel 7, Calcium, LFTs, Lipase all WNL Troponin negative x1 BNP 38 12 lead EKG Normal Intervals                              Axis Rate:         62                       P:            73 PR:           185                      QRS:          52 QRSD:         92                       T:            58 QT:           382 QTc:          388 Chest X-Ray - No acute cardiopulmonary disease noted. Pt administered ASA 325mg PO x1 Per MD,  Differential diagnosis includes: Acute coronary syndrome, musculoskeletal pain, pneumonia, pneumothorax.  I do not suspect pulmonary embolism due to negative PERC criteria..  I do not suspect aortic dissection as the pain is not ripping/tearing, does not radiate to the back, no history of Marfan syndrome or connective tissue disorder, the patient has equal bilateral upper extremity pulses.  Finally in reference to the possibility of cardiac etiology, the patient is low risk given age/risk factors, and as such the combination of a nonischemic electrocardiogram and negative troponin are reassuring.  Advised patient to follow-up with his primary care physician. Patient given strict ER return precautions to return to ED with any worsening chest pain or shortness of breath in the next 12 to 48 hours."
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumothorax, Pruritus, Rash, Troponin normal
Clinical narrative: "Pt w/ no significant PMH. Pt was vaccinated at pharmacy @ 15:05.  Pt presented to the ED for evaluation of sudden shivering @16:50.  Patient also reports of chest pain.  He denies any fever, vomiting, shortness of breath, difficulty breathing, or abdominal pain.  Benign past medical history.  Patient is seen shivering upon arrival to the emergency department.  He is immediately roomed for further evaluation.   Physical Exam significant for a patient in acute distress.  He is diaphoretic and is noted to have a skin rash.  All other observations are WNL. Labs: Hemogram w/ diff, Panel 7, Calcium, LFTs all WNL Troponin negative x1 ECG without signs of SVTs, A. fib, or ventricular dysrhythmia.  Chest x-ray unremarkable. Pt was discharged home w/ diagnosis of allergic rxn to COVID vaccine and Atypical chest pain. Discharge medications include diphenhydramine25mg PO Q6hrs PRN itching and famotidine 40mg PO QHS PRN heartburn.  Pt was advised not to get 2nd dose.  8/28 pt presented to ED with chills and itchiness on the torso.  Pt states that he feels nervous and that the exact same thing happened after receiving the first Pfizer vaccine.  Patient denies any rashes, shortness of breath or tongue swelling.  No medications prior to arrival. Pt was administered diphenhydramine in case of allergic rxn but was ultimately diagnosed w/ anxiety and discharged home with strict return instructions.  8/29 Pt presents again to the ED.  Pt c/o left sided chest pain/pressure radiating to jaw and shoulder.  Pt denies anxiety. PMD referred to ED for EKG. Labs: Hemogram w/ diff, Panel 7, Calcium, LFTs, Lipase all WNL Troponin negative x1 BNP 38 12 lead EKG Normal Intervals                              Axis Rate:         62                       P:            73 PR:           185                      QRS:          52 QRSD:         92                       T:            58 QT:           382 QTc:          388 Chest X-Ray - No acute cardiopulmonary disease noted. Pt administered ASA 325mg PO x1 Per MD,  Differential diagnosis includes: Acute coronary syndrome, musculoskeletal pain, pneumonia, pneumothorax.  I do not suspect pulmonary embolism due to negative PERC criteria..  I do not suspect aortic dissection as the pain is not ripping/tearing, does not radiate to the back, no history of Marfan syndrome or connective tissue disorder, the patient has equal bilateral upper extremity pulses.  Finally in reference to the possibility of cardiac etiology, the patient is low risk given age/risk factors, and as such the combination of a nonischemic electrocardiogram and negative troponin are reassuring.  Advised patient to follow-up with his primary care physician. Patient given strict ER return precautions to return to ED with any worsening chest pain or shortness of breath in the next 12 to 48 hours."
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: extreme fatigue, fever 102 for 6 days, aches for 6 days
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Diarrhoea, Magnetic resonance imaging, Nausea
Clinical narrative: I have had recurring hives, itchy skin, diarrhea, nausea, vomiting, and thrombosis. These symptoms come and go sporadically and last for 1-3 days then go away. They keep coming back and have been for  6 months. I have had no previous issues prior to the vaccine. I have had multiple tests ran amd the doctors cannot find out what is wrong.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Stool analysis, Thrombosis, Ultrasound scan, Urticaria
Clinical narrative: I have had recurring hives, itchy skin, diarrhea, nausea, vomiting, and thrombosis. These symptoms come and go sporadically and last for 1-3 days then go away. They keep coming back and have been for  6 months. I have had no previous issues prior to the vaccine. I have had multiple tests ran amd the doctors cannot find out what is wrong.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I have had recurring hives, itchy skin, diarrhea, nausea, vomiting, and thrombosis. These symptoms come and go sporadically and last for 1-3 days then go away. They keep coming back and have been for  6 months. I have had no previous issues prior to the vaccine. I have had multiple tests ran amd the doctors cannot find out what is wrong.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Muscle tightness
Clinical narrative: - November 6, 2020:  facility confirmed patient previously had Covid-19 without symptoms, and was confirmed via antibody test:  SARS-CoV-2 IgG Index = 6.56;  - March 25, 2021:  Patient had 1st Moderna Covid-19 Vaccination shortly after 9:00am.  No post vaccine symptoms; and  - April 28,2021:  Patient had 2nd Moderna Covid-19 Vaccination shortly after 9:00am.  Symptoms (e.g. both leg calves very tight and additional pain in both knees when calves become extremely tight) began approximately 48 hours after vaccination and have persisted 4+ months.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Gait disturbance, Headache, Joint swelling
Clinical narrative: High fever  103.5 ,  chills for 6-8 hours,  unable to hold objects without dropping them,  very dizzy, stiff,  unsteady walking,   Nausea, and extreme headache for 4 days and off and on continuing today 9/7/21,  Mouth sores  started day 4 with extreme nausea. Blister on tongue., swollen joints in hand/ pain.   Headache.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Nausea, Pain in extremity, Pyrexia, Stomatitis
Clinical narrative: High fever  103.5 ,  chills for 6-8 hours,  unable to hold objects without dropping them,  very dizzy, stiff,  unsteady walking,   Nausea, and extreme headache for 4 days and off and on continuing today 9/7/21,  Mouth sores  started day 4 with extreme nausea. Blister on tongue., swollen joints in hand/ pain.   Headache.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue blistering
Clinical narrative: High fever  103.5 ,  chills for 6-8 hours,  unable to hold objects without dropping them,  very dizzy, stiff,  unsteady walking,   Nausea, and extreme headache for 4 days and off and on continuing today 9/7/21,  Mouth sores  started day 4 with extreme nausea. Blister on tongue., swollen joints in hand/ pain.   Headache.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Flank pain, Immediate post-injection reaction, Injection site pain, Pain
Clinical narrative: Pain in left arm at site of injection immediately following shot. Lasted four days. Severe body pain particularly in both upper arms, middle of quads, toes and flanks on backside. This started the night of vaccination. Last four days. Fever and chills day two, three and four. Highest recorded was 100.7 degrees. Treatment for all events consisted of Acetaminophen 2,000 mg three different times during the long weekend.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Pain in left arm at site of injection immediately following shot. Lasted four days. Severe body pain particularly in both upper arms, middle of quads, toes and flanks on backside. This started the night of vaccination. Last four days. Fever and chills day two, three and four. Highest recorded was 100.7 degrees. Treatment for all events consisted of Acetaminophen 2,000 mg three different times during the long weekend.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Urticaria
Clinical narrative: 2 itchy raised welts around the injection site. Patient applied coillodal silver, coconut oil, and CBD oil and they welts have improved within a few hours
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dysmenorrhoea, Fatigue, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Menstruation has become more frequent, heavier and more painful. Following the second dose in June, predictable 28 day cycles have shortened to 23 days in August and 19 days in September. Normally very light periods lasting 3 days have become moderate to heavy lasting 5 days. Normally relatively painless periods are now marked by significant painful cramping, backaches, thigh pain, exhaustion.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Polymenorrhoea
Clinical narrative: Menstruation has become more frequent, heavier and more painful. Following the second dose in June, predictable 28 day cycles have shortened to 23 days in August and 19 days in September. Normally very light periods lasting 3 days have become moderate to heavy lasting 5 days. Normally relatively painless periods are now marked by significant painful cramping, backaches, thigh pain, exhaustion.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt has received the first dose of Pfizer and was here for the second and the MA administered Moderna.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Polymenorrhoea
Clinical narrative: My period cycle was messed up for 6 months straight. I got it earlier and it was heavier. It would be bad for three days, completely stop then start all over again after a day break.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Patient received 2nd dose of Pfizer vaccine at 2:00PM and called back to the pharmacy around 4:00PM with complaints of a rash. Patient did not complain of any other symptoms besides the rash and informed us that the rash/hives appeared only on her arms. The pharmacy advised the patient to take benadryl and continue to monitor her symptoms and to seek medical attention if symptoms worsen or do not improve.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Fatigue, Feeling abnormal, Insomnia
Clinical narrative: Brain fog, tiredness, sleeplessness, loss of appetite, lethargic, thirst, joint pain
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Thirst
Clinical narrative: Brain fog, tiredness, sleeplessness, loss of appetite, lethargic, thirst, joint pain
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient came to facility for 2nd dose of Pfizer. Patient reported she felt woozy one hour after her 1st dose. Patient reported she took Tylenol and symptom went away.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Breast inflammation, Lymphadenopathy, Vaccination site inflammation
Clinical narrative: Patient female 37 years old reports on 7 September to the vaccination center to get her second dose Moderna and reports that two weeks after getting her first dose she had a reaction on the left upper extremity were the vaccine was adminitered, the area was inflamed, lymph node and breast
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Hypoxia, Lung infiltration
Clinical narrative: Patient received Pfizer COVID vaccine on 3/16/21 and 4/6/21. Patient tested COVID positive on 8/24/21, came to our ED, received a dose of remdesivir, was not requiring oxygen, and was discharged home. On 8/31/21, patient came back to the hospital and found to be hypoxic on room air with bilateral infiltrates on chest x-ray. He was admitted from 8/31/21 to 9/4/21 for COVID-19 pneumonia and received dexamethasone during admit.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 3/16/21 and 4/6/21. Patient tested COVID positive on 8/24/21, came to our ED, received a dose of remdesivir, was not requiring oxygen, and was discharged home. On 8/31/21, patient came back to the hospital and found to be hypoxic on room air with bilateral infiltrates on chest x-ray. He was admitted from 8/31/21 to 9/4/21 for COVID-19 pneumonia and received dexamethasone during admit.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Dizziness, inability to breathe on humid days (shortness of breath)  Breathing is easier on days with humidity of less than 55%
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dry throat
Clinical narrative: At 1536, patient reported she felt "woozy" and had a "dry throat". RN assessed patient. Patient denied itchiness, rashes, difficulty swallowing, and difficulty breathing. Patient offered water and gatorade. Patient able to drink water and gatorade. Patient reported feeling "woozy" one hour after her first dose (VAERS: 637639). Patient reported she took Tylenol and symptom went away. Patient reported history of anemia, no current medications, and denied history of severe allergic reactions. At 1541, RN  assessed patient vital signs: blood pressure 156/100 mmHg, pulse 92 beats/minute and SpO2 98%. At 1550, RN  reassessed patient: blood pressure 150/98 mmHg, pulse 93 beats/minute, and SpO2 99%. Patient reported feeling "woozy" and feeling symptom "not as much". At 1601, RN reassessed patient vitals signs: blood pressure 136/100 mmHg, pulse 72 beats/minute, and SpO2 99%. Patient reported she felt "woozy" a "tiny bit but nothing terrible". Patient advised to wait for further observation. Patient denied advise and reported she was "okay" to drive. RN educated patient on signs/symptoms of when to seek emergency care, to follow up with primary care provider and to sign up on v-safe. At 1607, patient left facility with unlabored respirations and steady gait.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Condition aggravated, Hypertension, Impaired driving ability
Clinical narrative: On 05/29/21 while driving i neglected to see a parked car to my right, twice.  My wife being in the car at the same time needed to shout a warning to me to avoid a collision.  Going home, taking a nap, my decide to test my blood pressure.  it was very high, calling my family physician, he stated for me to call an ambulance and go to the hospital.  There  I was  diagnosed with a CVA, cerebrovascular accident.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal
Clinical narrative: On 05/29/21 while driving i neglected to see a parked car to my right, twice.  My wife being in the car at the same time needed to shout a warning to me to avoid a collision.  Going home, taking a nap, my decide to test my blood pressure.  it was very high, calling my family physician, he stated for me to call an ambulance and go to the hospital.  There  I was  diagnosed with a CVA, cerebrovascular accident.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth swelling, Swelling
Clinical narrative: During post vaccine observation time, patient complained of feeling of swelling in mouth and neck. Provider of the day was immediately called to assess patient and 911 was called. Medics arrived approximately 10-15 minutes after call. Medics took over assessment and noted clear lungs, no signs of distress, only noted elevated BP, recommended patient to be evaluated at ER. Patient declined ambulance, signed AMA for medics stating will go to hospital.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebellar artery occlusion, Computerised tomogram head abnormal, Echocardiogram, Echocardiogram normal, Implantable cardiac monitor insertion
Clinical narrative: Right superior cerebellar artery occlusion - cryptogenic ischemic stroke
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic stroke, SARS-CoV-2 test negative
Clinical narrative: Right superior cerebellar artery occlusion - cryptogenic ischemic stroke
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: over 42 days. 1st dose 03/9/2021, 2nd dose 09/7/2021
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Came to ER with 7 days of cough, fatigue, generalized weakness, and shortness of breath. Was placed on augmentin and doxycycline outpatient but it failed. Was admitted on 3/21/21 due to failed outpatient therapy and patient being immunocompromised. Chest xray done which showed a consolidation for pneumonia. Vancomycin and Zosyn were started. Patient was on room air but with dyspnea on exertion. Had mild AKI. Discharged 3/24/21. Admitted again on 3/30/21 due to shortness of breath, requiring 2-3L nasal cannula. Chest xray showed worsening of pneumonia. Started ceftriaxone and doxycycline. Discharged again on 4/4/2021
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Cough, Dyspnoea, Dyspnoea exertional, Fatigue
Clinical narrative: Came to ER with 7 days of cough, fatigue, generalized weakness, and shortness of breath. Was placed on augmentin and doxycycline outpatient but it failed. Was admitted on 3/21/21 due to failed outpatient therapy and patient being immunocompromised. Chest xray done which showed a consolidation for pneumonia. Vancomycin and Zosyn were started. Patient was on room air but with dyspnea on exertion. Had mild AKI. Discharged 3/24/21. Admitted again on 3/30/21 due to shortness of breath, requiring 2-3L nasal cannula. Chest xray showed worsening of pneumonia. Started ceftriaxone and doxycycline. Discharged again on 4/4/2021
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung consolidation, Lung opacity, SARS-CoV-2 test positive, White blood cell count decreased, White blood cell count increased
Clinical narrative: Came to ER with 7 days of cough, fatigue, generalized weakness, and shortness of breath. Was placed on augmentin and doxycycline outpatient but it failed. Was admitted on 3/21/21 due to failed outpatient therapy and patient being immunocompromised. Chest xray done which showed a consolidation for pneumonia. Vancomycin and Zosyn were started. Patient was on room air but with dyspnea on exertion. Had mild AKI. Discharged 3/24/21. Admitted again on 3/30/21 due to shortness of breath, requiring 2-3L nasal cannula. Chest xray showed worsening of pneumonia. Started ceftriaxone and doxycycline. Discharged again on 4/4/2021
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hosp w/ covid
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired vaccine.  No symptoms reported.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given expired vaccine.  No symptoms reported.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness unilateral
Clinical narrative: About eight weeks after the second dose of the vaccine I experienced hearing loss. I could not hear anything out of my left ear. I could not hear out of that ear for two days. My hearing is still not normal now after four months. I went to a specialist after seeing my regular doctor and they tested my hearing. I had experienced high frequency hearing loss. I had not had hearing problems before this time.
Age: 59.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Arthralgia, Pain in extremity, Peripheral swelling
Clinical narrative: The morning after the injections the patient woke up with swelling and joint pain of the left hand which has persisted for over one month. It was a pre-employment vaccine prior to volunteering at our healthcare organization. I recommended she follow up with her PCP. Because of a prior history of breast cancer and lymph node removal on the right side, the patient requested all three vaccines to be given in the left arm.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Fibrinous bronchitis, Pneumonia, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: I developed a sinus infection on May 1, 2021. I developed pneumonia in June 2021. On September 1, 2021 I was diagnosed with Croupous bronchitis.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Patient received the 1st dose COVID vaccine (Moderna, Lot#014F21A, Exp 09/31/2021) on 09/07/2021 at 4:10pm from RN. RN reported to Lead RN that some of the vaccine leaked from the needle and was wasted during administration. RN assessed amount of vaccine wasted and approximated about 0.2mL of the Moderna COVID vaccine was wasted on the clients are and chair. Lead RN reported information to RN supervisor who advised that re-vaccination is not indicated if less than half the amount of the full dose was wasted. Lead RN approximated client received 0.3mL of the Moderna Vaccine and therefore educated client that he did not need to receive another vaccination. Lead RN provided education and demonstration to RN on tightening needles to syringe before vaccination to reduce errors. RN verbalized and demonstrated understanding.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Post-traumatic neck syndrome, Tenderness
Clinical narrative: Patient states his neck feels like his whiplash is back after 5 years. States neck feels tender to touch.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PATIENT HAD COVID-19 VACCINE ON Dose 1 date: 03/23/2021, Dose 2 date: 04/13/2021, AND TESTED POSITIVE TO COVID.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Asthenia, Chills, Eye pain, Fatigue
Clinical narrative: Around 10pm I started to feel weird.  I woke up very ill (fatigue, headache, nausea, weakness, chills).  I had the worst headache and my eyes were hurting for over 24 hours.  My chills turned into a high fever on the night of the 24th and I had a high fever, sweating and vivid, strange dreams that night.  I continued to feel sick until Saturday August 29th with my symptoms diminishing a bit each day.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Malaise, Nausea, Pyrexia
Clinical narrative: Around 10pm I started to feel weird.  I woke up very ill (fatigue, headache, nausea, weakness, chills).  I had the worst headache and my eyes were hurting for over 24 hours.  My chills turned into a high fever on the night of the 24th and I had a high fever, sweating and vivid, strange dreams that night.  I continued to feel sick until Saturday August 29th with my symptoms diminishing a bit each day.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Per mom, -whole Right arm felt paralyzed, fever and in bed for 2 days- symptoms resolved after tylenol and advil
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Carotid artery stent insertion, Cerebrovascular accident, Hypoaesthesia
Clinical narrative: stoke, weakness/numbness rightside of body,   3 stents placed  in carotid artery
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: PT received 2nd dose Pfizer at 1617, c/o gradual onset headache7/10 and dizziness at 1635. PT was transferred to WC, then to cot. Reported feeling better lying down. No LOC noted. VS at 1637: BP 102/70 laying, HR 76, SPO2 99% on RA. No s/s respiratory distress. 1640: 120/54 BP laying, HR 72, SPo2 99% RA. PT was provided cold compress at 1644, accepted and drank juice. PT denies nausea and reports she ate lunch and had fluids last at 1300. VS at 1643: BP 108/62, HR 74, SPO2 99% RA.  1647: BP sitting is 124/78, HR 83, SPO2 99% RA, RR 18.  Reports HA is 5/10 at 1649. PT reports she had no problems, SE after first dose. At 1651, PT stood without difficulty, verbalized that he head felt 'good' and pain was 2/10. Denies dizziness, reports that she feels 'back to normal. VS at 1651: BP 164/84 standing, HR 92, SPO2 99% RA. 1655: BP 140/86 sitting, HR 72, SPO2 99%. Standing BP at 1655 is 128/64. PT reports that she is back to baseline, denies further headache, dizziness, walks a short distance at 1700 with no difficulty. PT educated on vasovagal reaction, verbalized understanding. Exited facility with  mother at 1702.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: sore arm
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Patient reported a small red spot at injection site (left arm) after receiving her first dose of the Moderna COVID-19 vaccine. This red spot grew in size over the course of that week and became red, hot, and itchy. Since that time, the redness and swelling has decreased into a scaly, irregular red rash that is itchy and warm to the touch. Patient reports that the symptoms worsen with exercise.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Contusion, Headache, Induration, Inflammation
Clinical narrative: Headache for 7 days straight, ongoing headaches 2-3 times a week. Large blood clots in stomach fat. Significant bruising of stomach. Left with large knots that become inflamed and bruise. As small as peas but some as large as a small fist.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Headache for 7 days straight, ongoing headaches 2-3 times a week. Large blood clots in stomach fat. Significant bruising of stomach. Left with large knots that become inflamed and bruise. As small as peas but some as large as a small fist.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: Pt went to hospital due to vaccine given too high and was in lymphatic system.  thought she had a stroke.  she was in hospital for the last week
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Induration, Pain, Pain in extremity, Sleep disorder, Swelling
Clinical narrative: Patient complaining of swelling, pain, area is hard, can't sleep due to pain in arm
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Dysstasia, Gait disturbance, Musculoskeletal stiffness, Myositis
Clinical narrative: Two weeks after my second injection, I had sever muscle inflammation, stiffness and pain.  The pain made it difficult to walk or stand.  I went to the emergency room and was given a steroid that cleared up the pain, but three days later the symptoms returned,  A week later I went to an urgent care clinic and was prescribed Prednisone.  I was using 20mg daily for 16 days this finally cleared up all symptoms and I no longer need the medication.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Two weeks after my second injection, I had sever muscle inflammation, stiffness and pain.  The pain made it difficult to walk or stand.  I went to the emergency room and was given a steroid that cleared up the pain, but three days later the symptoms returned,  A week later I went to an urgent care clinic and was prescribed Prednisone.  I was using 20mg daily for 16 days this finally cleared up all symptoms and I no longer need the medication.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: patient passed out but was able to recover upon getting her on the ground and lifting her feet.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Culture, Ultrasound scan, Urine analysis
Clinical narrative: Symptoms of UTI are still present despite multiple negative urines, two cycles of antibiotics, bladder and kidney ultrasound, and vaginal exam and cultures. All tests are now negative despite symptoms and the presence of non-hemolyzed blood in my most recent urine sample from 9/3/2021.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Myalgia, Rash, Rash erythematous
Clinical narrative: Male patient 41 years old went to the vaccination center September 1 of 2021 to get his second dose MODERNA. He reports that after his first dose on August 11, of 2021 he had an adverse effect swollen nodules under his axilla and rash on the lower limb. Patient refers the next day he had red dots and muscular pain. Patient informed not getting any treatment during that time. Reports having the same type of allergy before.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Lymphadenopathy, Pharyngeal swelling, Pyrexia, Rash
Clinical narrative: Patient states she had the following symptoms -throat swelling -rash neck/chin -fever -diarrhea  -swollen lymph node She said all this happened the day before and that she slept for the rest of the day. 4 days later she is much better and not showing any symptoms
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Loss of consciousness
Clinical narrative: Pt bobbed her head while seated, appearing to briefly pass out during the 15 minute monitoring period after receiving a dose of moderna covid-19 vaccine.  Pt remained upright sitting in chair and did not fall.  Pt was given juice and water, and offered to call 911 several times; pt refused each time.  Pt was told to remain under observation for 30 minutes instead of 15. After 30 minutes pt stated she felt better, still did not want us to call an ambulance and left the store.  Although on the VAR form pt indicated that she has never had a reaction after receiving a vaccination, the pt later told technician that she had a similar reaction after getting a HPV vaccine. today's event has been reported through the VAERS system.  I called pt an hour and a half after, pt states she was doing okay, I encouraged pt to contact her primary care physician with any further questions or concerns.  I also contacted pt's primary care provider listed on VAR sheet, the prescriber's MA said she would reach out to the pt tonight or tomorrow to follow up with the pt.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Herpes zoster, Pruritus
Clinical narrative: on may 14 started itching and headache went to dr on may 17 diagnosed with shingles
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pain, Pain, Pyrexia, Swelling of eyelid
Clinical narrative: Jansen COVID-19 Vaccine EUA  Next morning  - 101 Fever - Body aches - Eye pain  Four days later - significant lower eyelid swelling
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Anxiety, Dry mouth, Dyspnoea, Fatigue
Clinical narrative: In the first couple of days - some fever.  tiredness.   Persisting arm pain (for about a week).  Then (till present time)  Abdominal discomfort; occasional sharp pains. Tiredness.  Slight shortness of breath, occasionally throughout the day. Mouth dryness and a feeling that reminded me of when I was infected with Covid (sometime 1st Q. 2020).  Sleep disruption; anxiety. My main worry is the abdominal pains and the shortness of breath.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Sleep disorder
Clinical narrative: In the first couple of days - some fever.  tiredness.   Persisting arm pain (for about a week).  Then (till present time)  Abdominal discomfort; occasional sharp pains. Tiredness.  Slight shortness of breath, occasionally throughout the day. Mouth dryness and a feeling that reminded me of when I was infected with Covid (sometime 1st Q. 2020).  Sleep disruption; anxiety. My main worry is the abdominal pains and the shortness of breath.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Blood pressure increased, Blood test abnormal, Dizziness, Electrocardiogram
Clinical narrative: Severe nosebleed on 6th day that lasted for 2 hours without slowing-stopped  after nasal pack procedure fainted the same morning had to be rushed to ER by paramedics; BP dropped to 88/68; bouts of dizziness from day 2 until now, unusual heartbeat recorded on holter monitor,  unusual rise of BP 182/117.   Blood test from Aug. 28 showed low haemoglobin.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Epistaxis, Haemoglobin decreased, Heart rate irregular, Nasal cavity packing
Clinical narrative: Severe nosebleed on 6th day that lasted for 2 hours without slowing-stopped  after nasal pack procedure fainted the same morning had to be rushed to ER by paramedics; BP dropped to 88/68; bouts of dizziness from day 2 until now, unusual heartbeat recorded on holter monitor,  unusual rise of BP 182/117.   Blood test from Aug. 28 showed low haemoglobin.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Severe nosebleed on 6th day that lasted for 2 hours without slowing-stopped  after nasal pack procedure fainted the same morning had to be rushed to ER by paramedics; BP dropped to 88/68; bouts of dizziness from day 2 until now, unusual heartbeat recorded on holter monitor,  unusual rise of BP 182/117.   Blood test from Aug. 28 showed low haemoglobin.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood test normal, Chest X-ray, Computerised tomogram thorax, Dizziness
Clinical narrative: Five minutes after receiving injection , I felt lightheaded, faint, and a fast, pounding heart beat.  I also felt an overwhelming feeling of anxiety.  I reported my symptoms to the nurse, and she came and gave me a bottle of water and checked my pulse.  She did not disclose to me my heart rate at the time.  Within 15 minutes of receiving I decided to go home and rest.   On Saturday I felt body aches and exhaustion .  At times , I felt the fast, pounding heartbeat. I therefore rested.   On Sunday, 09/03/2021, while shopping, I again , felt lightheaded, anxious, fast, pounding heart beat.  I requested for ambulance service and they came and performed an assessment.  My initial blood pressure was 160/110.  But upon being in ambulance it was re assesesed and was 146/70, approximately.  My blood sugar was 97.  I therefore decided to attempt to go home and rest.  Upon driving approximately 1 mile, I again felt lightheaded, anxious, and a fast, pounding heart beat.  I therefore parked my car near by and contacted my parents to drive me home. I went to the Hospital for assessment and they discharged me stating my labs and test were ok. I do not have any history of cardiac issues.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Palpitations
Clinical narrative: Five minutes after receiving injection , I felt lightheaded, faint, and a fast, pounding heart beat.  I also felt an overwhelming feeling of anxiety.  I reported my symptoms to the nurse, and she came and gave me a bottle of water and checked my pulse.  She did not disclose to me my heart rate at the time.  Within 15 minutes of receiving I decided to go home and rest.   On Saturday I felt body aches and exhaustion .  At times , I felt the fast, pounding heartbeat. I therefore rested.   On Sunday, 09/03/2021, while shopping, I again , felt lightheaded, anxious, fast, pounding heart beat.  I requested for ambulance service and they came and performed an assessment.  My initial blood pressure was 160/110.  But upon being in ambulance it was re assesesed and was 146/70, approximately.  My blood sugar was 97.  I therefore decided to attempt to go home and rest.  Upon driving approximately 1 mile, I again felt lightheaded, anxious, and a fast, pounding heart beat.  I therefore parked my car near by and contacted my parents to drive me home. I went to the Hospital for assessment and they discharged me stating my labs and test were ok. I do not have any history of cardiac issues.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Flushing
Clinical narrative: Approximately 10 minutes after I gave the patient her Moderna vaccine, she got my attention and said her cheeks felt flushed. I went out to her and 1 cheek was definitely red and the other slightly pink. She took a couple of drinks of water that she had and said she felt ok, just flushed. She said her tongue and lips did not feel funny, but she had her dentures in and said it was hard to "sense" anything. I asked her to stay in the store longer than the 15 minutes just to make sure everything was ok. The patient stayed for around 40 minutes and her cheeks returned to normal while she was here. She said she felt fine. I asked the patient to call me after she got home and let me know how she was feeling. She called me at 8:05pm and said she was feeling fine.