chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site reaction, Injection site swelling, Pain, Pain in extremity
Clinical narrative: 1 day post injection, pain in lungs on the backside of the  lower back.  Left arm felt like punched.  2nd day post injection - fatigue, body aches.  Pain in arm went away. No mark, redness, or soreness at injection site - arm flat, no pain. 1 week post injection - sudden raised, itchy, physically hot rash at injection site, painful to the touch.  Lump below skin and visible rash about 2 inches around.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary pain, Rash, Rash papular, Rash pruritic, Skin warm
Clinical narrative: 1 day post injection, pain in lungs on the backside of the  lower back.  Left arm felt like punched.  2nd day post injection - fatigue, body aches.  Pain in arm went away. No mark, redness, or soreness at injection site - arm flat, no pain. 1 week post injection - sudden raised, itchy, physically hot rash at injection site, painful to the touch.  Lump below skin and visible rash about 2 inches around.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Hypotension, Loss of consciousness
Clinical narrative: PATIENT LOST CONSCIOUSNESS, FELL FORWARD OUT OF CHAIR (WAS CAUGHT AND ASSISTED TO THE FLOOR), PATIENT REGAINED CONSCIOUSNESS, EMERGENCY SERVICES WERE CALLED, PULSE, BLOOD SUGAR, OXYGEN, AND VISION WERE FINE, PATIENT VERY LIGHT HEADED, BLOOD PRESSURE EXTREMELY LOW, WASN'T RETURNING TO NORMAL
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Facial pain, Nasal congestion, SARS-CoV-2 test, Upper respiratory tract infection
Clinical narrative: Office Visit 3/16/2021    Family Medicine Viral URI +1 more Dx Cough  ? Nasal Congestion ? Facial Pain Reason for Visit Progress Notes (Physician) ? ? Family Medicine ? ? Encounter Date: 3/16/2021 ? ? Signed Expand AllCollapse All    Current Medications Current Outpatient Medications Medication Sig Dispense Refill ? aspirin (ASPIR-81) 81 mg tablet Take 81 mg by mouth daily  TO STOP 7 DAYS BEFORE SURGERY     ? atorvastatin (LIPITOR) 80 mg tablet TAKE 1 TABLET BY MOUTH EVERY DAY 90 tablet 3 ? celecoxib (CeleBREX) 100 mg capsule Take 100 mg by mouth 2 (two) times a day     ? cholestyramine (QUESTRAN) 4 gram packet Take 1 packet by mouth daily     ? dilTIAZem (CARDIZEM) 120 mg tablet Take 120 mg by mouth daily       ? DULoxetine (CYMBALTA) 30 mg capsule Take 30 mg by mouth nightly       ? esomeprazole (NexIUM) 40 mg capsule Take 40 mg by mouth daily       ? fluticasone propionate (FLONASE ALLERGY RELIEF) 50 mcg/actuation nasal spray Administer 2 sprays into affected nostril(s) once daily     ? furosemide (LASIX) 20 mg tablet Take 20 mg by mouth daily     ? gabapentin (NEURONTIN) 300 mg capsule Take 300 mg by mouth 2 (two) times a day       ? hydrALAZINE (APRESOLINE) 25 mg tablet Take 25 mg by mouth 2 (two) times a day       ? metoprolol succinate XL (TOPROL XL) 25 mg 24 hr tablet Take 25 mg by mouth nightly       ? miscellaneous medical supply (BARD CUNNINGHAM INCONTIN CLAMP) misc Apply to penis 2 each 3 ? multivitamin-minerals (PRESERVISION AREDS) 7,160-113-100 unit-mg-unit tablet Take 1 tablet by mouth 2 (two) times a day     ? nystatin-triamcinolone (MYCOLOG II) ointment Apply topically 2 (two) times a day  Apply twice to affected area x 2 weeks 15 g 3 ? OZEMPIC 1 mg/dose (2 mg/1.5 mL) subQ pen injector Inject 0.5 mg under the skin once a week  TAKES ON SUNDAY     ? ramipriL (ALTACE) 10 mg capsule Take 10 mg by mouth once daily       ? SITagliptan (JANUVIA) 50 mg tablet Take 50 mg by mouth daily     ? ULTICARE PEN NEEDLE 31 gauge x 1/4" needle USE 1 WEEKLY        No current facility-administered medications for this visit.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient hospitalized within 6 weeks of receiving COVID vaccination.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood glucose normal, Chest pain, Dizziness, Dyspnoea
Clinical narrative: 2nd Moderna vaccine administered at 1:29 pm.  - Patient has anaphlaxis with ibuprofen. Due to patient's allergies, she was observed for 30 minutes.  - When patient was called to leave at 1:59, she complained of dizziness and nausea.  - She admitted to not eating anything or drinking any water today.  - Patient was given cold water and ice applied to back of patient's neck.  - She was also food. Patient refused food and refused to drink water - Reports that she feels like she is going to pass out. - Patient requested that her son be called. Her son was called as requested and he came to clinic.  - Patient refused to elevate her feet and kept trying to stand up.  - Denies hx of DM or cardiac hx.  - Vitals were taken stable.  - She then began to complain of worsening dizziness, nausea. Followed by abdominal pain, midsternal CP, SOB, and feeling as her throat is closing.  - At 2:09pm, Epipen was ordered and administered to L thigh.  - Reports that CP, SOB, and throat swelling resolved after epinephrine.  - Patient was placed on 2L of O2.  - Fire rescue arrived. Started IV and gave patient Zofran , checked blood glucose: 141, BP: 128/101, while waiting for ambulance to arrive.  - Patient was transported via ambulance to  Medical Center.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal discomfort
Clinical narrative: 2nd Moderna vaccine administered at 1:29 pm.  - Patient has anaphlaxis with ibuprofen. Due to patient's allergies, she was observed for 30 minutes.  - When patient was called to leave at 1:59, she complained of dizziness and nausea.  - She admitted to not eating anything or drinking any water today.  - Patient was given cold water and ice applied to back of patient's neck.  - She was also food. Patient refused food and refused to drink water - Reports that she feels like she is going to pass out. - Patient requested that her son be called. Her son was called as requested and he came to clinic.  - Patient refused to elevate her feet and kept trying to stand up.  - Denies hx of DM or cardiac hx.  - Vitals were taken stable.  - She then began to complain of worsening dizziness, nausea. Followed by abdominal pain, midsternal CP, SOB, and feeling as her throat is closing.  - At 2:09pm, Epipen was ordered and administered to L thigh.  - Reports that CP, SOB, and throat swelling resolved after epinephrine.  - Patient was placed on 2L of O2.  - Fire rescue arrived. Started IV and gave patient Zofran , checked blood glucose: 141, BP: 128/101, while waiting for ambulance to arrive.  - Patient was transported via ambulance to  Medical Center.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Swollen lymph node in armpit of vaccinated arm
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Hypokinesia, Muscle tightness, Nodule
Clinical narrative: Intense shoulder pain, reduced motion, numbness in fingers and arm,  sharp pain when lying face down, tightness and knots in shoulder, back, and neck muscles.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Physical examination, Physiotherapy
Clinical narrative: Intense shoulder pain, reduced motion, numbness in fingers and arm,  sharp pain when lying face down, tightness and knots in shoulder, back, and neck muscles.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyskinesia, Foaming at mouth, Lip haemorrhage, Loss of consciousness, Seizure like phenomena
Clinical narrative: Recipient received pfizer vaccine at 12:22. Vaccinator reports recipient had no voiced concerns or s/s of anxiety at time of vaccination. Recipient talkative in exit area with no outward signs of distress. Sitting in chair when he lost consciousness at 12:28. Guided to floor by this reporter and and 1 additional clinician. As recipient was guided to floor rigidity was noted and he started to experience seizure like activity, jerking movements, foaming at the mouth. He was turned on his side and material placed under head. Jerking movements lasted for 45 seconds after which time the patient continued to have eyes closed, breathing sonorous, unlabored, small amount of blood on lips.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Computerised tomogram, Electroencephalogram, Impaired work ability, Magnetic resonance imaging
Clinical narrative: Recipient received pfizer vaccine at 12:22. Vaccinator reports recipient had no voiced concerns or s/s of anxiety at time of vaccination. Recipient talkative in exit area with no outward signs of distress. Sitting in chair when he lost consciousness at 12:28. Guided to floor by this reporter and and 1 additional clinician. As recipient was guided to floor rigidity was noted and he started to experience seizure like activity, jerking movements, foaming at the mouth. He was turned on his side and material placed under head. Jerking movements lasted for 45 seconds after which time the patient continued to have eyes closed, breathing sonorous, unlabored, small amount of blood on lips.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Seizure, Spinal fracture, Upper limb fracture, X-ray
Clinical narrative: Recipient received pfizer vaccine at 12:22. Vaccinator reports recipient had no voiced concerns or s/s of anxiety at time of vaccination. Recipient talkative in exit area with no outward signs of distress. Sitting in chair when he lost consciousness at 12:28. Guided to floor by this reporter and and 1 additional clinician. As recipient was guided to floor rigidity was noted and he started to experience seizure like activity, jerking movements, foaming at the mouth. He was turned on his side and material placed under head. Jerking movements lasted for 45 seconds after which time the patient continued to have eyes closed, breathing sonorous, unlabored, small amount of blood on lips.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received second dose of Pfizer vaccine.  Vaccine expiration time 0930 on 5/12/2021. Patient received vaccine on 5/12/2021 at 0935. MD made aware.  No harm to patient or adverse reactions.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Swelling, Throat irritation
Clinical narrative: About 15 minutes after 1st vaccine pt felt swelling, itching of throat given Benadryl and symptoms resolved.   1330- Pt given vaccine 2nd done in first aid area.  Pt lying on stretcher. 1346- Pt feeling lightheaded Allergies: Flu shot, jalapenos, rosemary, eggs Denies medical history and medications. 1345- Benadryl 25mg PO- water given 1400- Water helped, no dizziness, no complaints of itching or swelling. Pt dangled, no dizziness, standing- standing dizziness but subsided.  30 min obs- pt feel ok to go.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Panic attack, Throat irritation, Urticaria, Wheezing
Clinical narrative: Non-severe allergic reaction  Onset of small red hives within minutes, followed by itchy throat about 10 minutes later. Resolved with Benadryl administered on site.   Wheezing 2 hours later (possibly a panic attack due to stress over the situation, and not related). Resolved quickly.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Lymphadenopathy, Pain, Swelling face, Trismus
Clinical narrative: the patient stated that she woke up at 2 am the night after her vaccine and she felt like she had "lock jaw".   The left side of her face was swollen from her lymph nodes.   She is taking her mobic to help the pain and inflammation and I told her to drink a lot of water to help flush her lymphatic system as well.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Swelling
Clinical narrative: Swelling in my arm, collar bone and neck. Difficulty breathing from 1:30 to 5:30 am
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac ventricular disorder, Cardioversion, Echocardiogram abnormal, Heart valve incompetence
Clinical narrative: Woke up with Atrial Fibrillation that would not stop,  Went to local hospital in  They treated me with medications but they had no effect. I was transported to  Medical Center in  where they continued the medications. When they did not work, I was sedated and my heart shocked back into rhythm.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Sedation
Clinical narrative: Woke up with Atrial Fibrillation that would not stop,  Went to local hospital in  They treated me with medications but they had no effect. I was transported to  Medical Center in  where they continued the medications. When they did not work, I was sedated and my heart shocked back into rhythm.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, SARS-CoV-2 test
Clinical narrative: Office Visit 4/15/2021 Urgent Care -  Exposure to 2019 novel coronavirus +1 more Dx Sore Throat  ? Nausea Reason for Visit Progress Notes    Assessment/Plan      Diagnoses and all orders for this visit:   Exposure to 2019 novel coronavirus -     COVID-19 PCR -     COVID-19 (SARS CoV-2,RNA Molecular Amplification)
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present, Culture urine, Panic reaction, Pollakiuria, Urine analysis
Clinical narrative: After 1st vaccine frequent urges to urinate with an episode of blood.   After 2nd vaccine patient had panicky immediate frequent urges to urinate, which then subsided after a few days, no blood this time.  Symptoms have resolved.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Chest X-ray normal, Chills, Diarrhoea
Clinical narrative: Next day after 2nd shot: Chills, fatigue, head ache, slight fever.   They went away by end of 3rd day.  About 1.5 weeks later all those side effects reemerged at a much greater amplitude.  Also, I had trouble breathing and was very weak.  I went to PCP and had low O2 at 92%.  He thought I had COVID,  but rapid test came back negative and chest x-ray was normal.  Based on his recommendation and my O2 staying low, I went to emergency room 2 days later.  The doctor there thought symptoms were consistent with COVID. I got another chest x-ray . It was normal.  They performed a lot of blood analysis and found nothing acute and abnormal.  They gave me a PCR test and it came back negative.  I got diarrhea constantly for about a month. I slowly got better with my O2 returning to normal range and diarrhea  over with.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Oxygen saturation decreased, Pyrexia
Clinical narrative: Next day after 2nd shot: Chills, fatigue, head ache, slight fever.   They went away by end of 3rd day.  About 1.5 weeks later all those side effects reemerged at a much greater amplitude.  Also, I had trouble breathing and was very weak.  I went to PCP and had low O2 at 92%.  He thought I had COVID,  but rapid test came back negative and chest x-ray was normal.  Based on his recommendation and my O2 staying low, I went to emergency room 2 days later.  The doctor there thought symptoms were consistent with COVID. I got another chest x-ray . It was normal.  They performed a lot of blood analysis and found nothing acute and abnormal.  They gave me a PCR test and it came back negative.  I got diarrhea constantly for about a month. I slowly got better with my O2 returning to normal range and diarrhea  over with.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Next day after 2nd shot: Chills, fatigue, head ache, slight fever.   They went away by end of 3rd day.  About 1.5 weeks later all those side effects reemerged at a much greater amplitude.  Also, I had trouble breathing and was very weak.  I went to PCP and had low O2 at 92%.  He thought I had COVID,  but rapid test came back negative and chest x-ray was normal.  Based on his recommendation and my O2 staying low, I went to emergency room 2 days later.  The doctor there thought symptoms were consistent with COVID. I got another chest x-ray . It was normal.  They performed a lot of blood analysis and found nothing acute and abnormal.  They gave me a PCR test and it came back negative.  I got diarrhea constantly for about a month. I slowly got better with my O2 returning to normal range and diarrhea  over with.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chills, Epistaxis, Malaise, Pain
Clinical narrative: Pt. got sick in the middle of the night after receiving his second vaccine. He had a fever, chills, body aches. He is a very physically fit teenager who is active in weight lifting, football and wrestling. His blood pressure is now high, and he has had 9 nose bleeds in 11 days. Currently his pediatrician, Dr. is tracking his blood pressure. He has not fully recovered and still appears ill after his vaccine. Blood tests have been requested, but orders have not been issued yet.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Pt. got sick in the middle of the night after receiving his second vaccine. He had a fever, chills, body aches. He is a very physically fit teenager who is active in weight lifting, football and wrestling. His blood pressure is now high, and he has had 9 nose bleeds in 11 days. Currently his pediatrician, Dr. is tracking his blood pressure. He has not fully recovered and still appears ill after his vaccine. Blood tests have been requested, but orders have not been issued yet.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Chest pain, Hepatitis C test negative, Pyrexia
Clinical narrative: Apprx 12 hours later, I had severe chest pains in which I thought I was having a heart attack. Another 12 hours later, I developed a fever of 102. This lasted for 2 days. Followed up with pcp on 48 hours later. It was recommended I get a Covid-19 test in which I did and it came back negative. Followed up with the provider 9 days later. A blood panel was administered in which both my alt and ast results have increased substantially. I'm awaiting  feedback from PCP. Please note, I have never been a smoker or consume any alcohol. I was tested for Hepatitis C in which was negative and I am vaccinated for both Hepatitis A and B. I exercise daily, teach yoga, and eat healthy.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Apprx 12 hours later, I had severe chest pains in which I thought I was having a heart attack. Another 12 hours later, I developed a fever of 102. This lasted for 2 days. Followed up with pcp on 48 hours later. It was recommended I get a Covid-19 test in which I did and it came back negative. Followed up with the provider 9 days later. A blood panel was administered in which both my alt and ast results have increased substantially. I'm awaiting  feedback from PCP. Please note, I have never been a smoker or consume any alcohol. I was tested for Hepatitis C in which was negative and I am vaccinated for both Hepatitis A and B. I exercise daily, teach yoga, and eat healthy.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: Chills, body aches, and tired lasting 12-15 hours
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Anaemia, Arthralgia, Asthenia, Dehydration
Clinical narrative: Patient was in his usual state of health and independent with his ADLs until 2-3 days after his 2nd COVID vaccination on Feb 26th when he began to have bilateral knee and LE pain.  He then was having difficulty walking for a couple of weeks. The leg pain was not constant, but he did fatigue easily with walking.  On 3/11 he had his lower dentures placed and that evening/early morning of 3/12 he apparently fell. Patient does not remember anything about the fall - he cannot recall when he fell, how he fell, or any of his symptoms leading up to the fall.  Patient remembers being on the floor and attempting to get up but was too weak. He has rug burns on his forearms from attempting to get up.  He was hospitalized on 3/13 for dehydration, traumatic rhabdomyolysis, and w/u following fall.  Despite very stable labs prior to 1st dose of vaccination on 2/5/21, following vaccination he has had significant and substained leukocytosis as well as transfusion dependent anemia that has not resolved at the time of the reporting (5/13/21).  He remains at a skilled nursing facility due to debility.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Fatigue, Gait disturbance, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Patient was in his usual state of health and independent with his ADLs until 2-3 days after his 2nd COVID vaccination on Feb 26th when he began to have bilateral knee and LE pain.  He then was having difficulty walking for a couple of weeks. The leg pain was not constant, but he did fatigue easily with walking.  On 3/11 he had his lower dentures placed and that evening/early morning of 3/12 he apparently fell. Patient does not remember anything about the fall - he cannot recall when he fell, how he fell, or any of his symptoms leading up to the fall.  Patient remembers being on the floor and attempting to get up but was too weak. He has rug burns on his forearms from attempting to get up.  He was hospitalized on 3/13 for dehydration, traumatic rhabdomyolysis, and w/u following fall.  Despite very stable labs prior to 1st dose of vaccination on 2/5/21, following vaccination he has had significant and substained leukocytosis as well as transfusion dependent anemia that has not resolved at the time of the reporting (5/13/21).  He remains at a skilled nursing facility due to debility.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Leukocytosis, Mobility decreased, Monocyte count abnormal, Pain in extremity, Platelet count normal
Clinical narrative: Patient was in his usual state of health and independent with his ADLs until 2-3 days after his 2nd COVID vaccination on Feb 26th when he began to have bilateral knee and LE pain.  He then was having difficulty walking for a couple of weeks. The leg pain was not constant, but he did fatigue easily with walking.  On 3/11 he had his lower dentures placed and that evening/early morning of 3/12 he apparently fell. Patient does not remember anything about the fall - he cannot recall when he fell, how he fell, or any of his symptoms leading up to the fall.  Patient remembers being on the floor and attempting to get up but was too weak. He has rug burns on his forearms from attempting to get up.  He was hospitalized on 3/13 for dehydration, traumatic rhabdomyolysis, and w/u following fall.  Despite very stable labs prior to 1st dose of vaccination on 2/5/21, following vaccination he has had significant and substained leukocytosis as well as transfusion dependent anemia that has not resolved at the time of the reporting (5/13/21).  He remains at a skilled nursing facility due to debility.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Rhabdomyolysis, Thermal burn, White blood cell count increased
Clinical narrative: Patient was in his usual state of health and independent with his ADLs until 2-3 days after his 2nd COVID vaccination on Feb 26th when he began to have bilateral knee and LE pain.  He then was having difficulty walking for a couple of weeks. The leg pain was not constant, but he did fatigue easily with walking.  On 3/11 he had his lower dentures placed and that evening/early morning of 3/12 he apparently fell. Patient does not remember anything about the fall - he cannot recall when he fell, how he fell, or any of his symptoms leading up to the fall.  Patient remembers being on the floor and attempting to get up but was too weak. He has rug burns on his forearms from attempting to get up.  He was hospitalized on 3/13 for dehydration, traumatic rhabdomyolysis, and w/u following fall.  Despite very stable labs prior to 1st dose of vaccination on 2/5/21, following vaccination he has had significant and substained leukocytosis as well as transfusion dependent anemia that has not resolved at the time of the reporting (5/13/21).  He remains at a skilled nursing facility due to debility.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia, Urticaria
Clinical narrative: Severe hives on all of body but face. Could barely see my skin through the hives.  Also; fever, chills, body aches so bad I thought I needed to go to the ER
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received second dose of Pfizer vaccine.  Vaccine expiration time 0930 on 5/12/2021. Patient received vaccine on 5/12/2021 at 0935. MD made aware.  No harm to patient or adverse reactions.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Lower respiratory tract infection, SARS-CoV-2 test positive, Sinusitis
Clinical narrative: CHEST COLD SINUSITIS Clinical Support 3/19/2021  Center  RN COVID-19 virus infection Dx Medication Infusion Reason for Visit Encounter Notes All notes  Progress Notes from  RN (Internal Medicine) Instructions  COVID 19 Monoclonal Antibody (MAB) Infusion Patient Reference Guide     MAB Infusion Treatment Team:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was 5 days early for vaccine. States she is aware but wishes to proceed. Discussed CDC recommendations. First dose 04/25/2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Osteoarthritis, Rash, X-ray limb abnormal
Clinical narrative: The day after the vaccine, she developed a rash on her inner elbow and right shoulder pain that has continued to today.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Migraine, Neck pain, Photophobia
Clinical narrative: Pt received immunization in left arm. Immediately had a pain that went up the left side of neck and into head. She then developed a 10/10 headache, photophobia, and vertigo. Per her report "This has triggered a migraine" although it was more intense and atypical for migraine. BP was measured in right arm at 175/120. Pt had received Dose 1 with no issues. Patient was monitored for 45 minutes in the vaccine clinic over which time her BP improved slightly and her pain reduced. At the time she left clinic, she was able to ambulate, answer questions, and had no neurological deficits during the event.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Pt received immunization in left arm. Immediately had a pain that went up the left side of neck and into head. She then developed a 10/10 headache, photophobia, and vertigo. Per her report "This has triggered a migraine" although it was more intense and atypical for migraine. BP was measured in right arm at 175/120. Pt had received Dose 1 with no issues. Patient was monitored for 45 minutes in the vaccine clinic over which time her BP improved slightly and her pain reduced. At the time she left clinic, she was able to ambulate, answer questions, and had no neurological deficits during the event.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received second dose of Pfizer vaccine.  Vaccine expiration time 0930 on 5/12/2021. Patient received vaccine on 5/12/2021 at 0933. MD made aware.  No harm to patient or adverse reactions.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Swelling, Swollen tongue
Clinical narrative: 2ND Day about 2pm.  Noticed tongue was swollen about 1 1/2 normal size. Neck also very swollen. Neck Lymph nodes swollen. Did not have difficulty breathing. Tongue swelling went down after 1 hour. Neck swelling went down after 3 days,  Lymph nodes smaller but still are slightly swollen.
Sex: M
Vaccine: COVID19
Symptoms: Chills, Depression, SARS-CoV-2 test negative, Swelling
Clinical narrative: Depression, Chills, body swollen Comes in waves  No symptoms till 5 days after shot had 2 shots same thing but stronger with 2nd shot feels like its leaving than bang it comes back again stronger over 2 months cant get better
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Physical examination, Tinnitus
Clinical narrative: I have non-stop ringing in both my ears. The ear on the left is often worse than ear on the right, but ringing is present in both ears, 24/7. I never had ringing, but after the 2nd shot of Pfizer, a few days later, it started and it has not gone away. It's been a month since receiving the vaccination.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in ears
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Initial reaction was fatigue followed by headache, fever (102.1)
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dysstasia, Fatigue, Haemoglobin decreased, Pyrexia
Clinical narrative: I have an underlying condition called PMH. My hemoglobin went down after the first dose of the vaccine, but I was given Prednisone. After the second dose I had a fever of 101 the day after the vaccine and 103 on the second day. I was very tired for the next few days and I had trouble getting out of my chair. My hemoglobin was very low again and I was given a blood transfusion six days after the second dose of the vaccine. I had been taking Prednisone 15mg/daily since having the first dose so that protected me a little. I have not had any more problems since that time.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Transfusion
Clinical narrative: I have an underlying condition called PMH. My hemoglobin went down after the first dose of the vaccine, but I was given Prednisone. After the second dose I had a fever of 101 the day after the vaccine and 103 on the second day. I was very tired for the next few days and I had trouble getting out of my chair. My hemoglobin was very low again and I was given a blood transfusion six days after the second dose of the vaccine. I had been taking Prednisone 15mg/daily since having the first dose so that protected me a little. I have not had any more problems since that time.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Herpes zoster, Pruritus
Clinical narrative: I went into the emergency room with a right burning itchy spot on the right side of my stomach I was advised that I had shingles.
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Extremely sore muscles in left arm
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Erythema, Eye pain, Eye pruritus, Eye swelling, Pain in extremity
Clinical narrative: More than 24 hours after the vaccine, my arm was red, swollen, hot and painful.  Less than 24 hours after the vaccine, my eyes began to become itchy. On the same morning I woke with the swollen, painful arm, my eyes were also swollen, red, itchy and painful. This required a visit to an urgent care facility.   I was prescribed an oral steroid, antibiotic, and antihistamine as well as ice packs to be used on my injection site.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: More than 24 hours after the vaccine, my arm was red, swollen, hot and painful.  Less than 24 hours after the vaccine, my eyes began to become itchy. On the same morning I woke with the swollen, painful arm, my eyes were also swollen, red, itchy and painful. This required a visit to an urgent care facility.   I was prescribed an oral steroid, antibiotic, and antihistamine as well as ice packs to be used on my injection site.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Erythema, Eye pain, Eye pruritus, Eye swelling, Feeling hot
Clinical narrative: More than 24 hours after the vaccine, my arm was red, swollen, hot and painful.  Less than 24 hours after the vaccine, my eyes began to become itchy. On the same morning I woke with the swollen, painful arm, my eyes were also swollen, red, itchy and painful. This required a visit to an urgent care facility.   I was prescribed an oral steroid, antibiotic, and antihistamine as well as ice packs to be used on my injection site.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: More than 24 hours after the vaccine, my arm was red, swollen, hot and painful.  Less than 24 hours after the vaccine, my eyes began to become itchy. On the same morning I woke with the swollen, painful arm, my eyes were also swollen, red, itchy and painful. This required a visit to an urgent care facility.   I was prescribed an oral steroid, antibiotic, and antihistamine as well as ice packs to be used on my injection site.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram, Fatigue, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: More than 24 hours after the vaccine, my arm was red, swollen, hot and painful.  Less than 24 hours after the vaccine, my eyes began to become itchy. On the same morning I woke with the swollen, painful arm, my eyes were also swollen, red, itchy and painful. This required a visit to an urgent care facility.   I was prescribed an oral steroid, antibiotic, and antihistamine as well as ice packs to be used on my injection site.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site warmth, Palpitations, Periorbital swelling, Sleep disorder, Urticaria
Clinical narrative: More than 24 hours after the vaccine, my arm was red, swollen, hot and painful.  Less than 24 hours after the vaccine, my eyes began to become itchy. On the same morning I woke with the swollen, painful arm, my eyes were also swollen, red, itchy and painful. This required a visit to an urgent care facility.   I was prescribed an oral steroid, antibiotic, and antihistamine as well as ice packs to be used on my injection site.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Dizziness, Tinnitus
Clinical narrative: Tinnitus, dizziness. Has not gone away after a full week. Have spoken to others with similar stories. They report its not going away.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Hypoaesthesia, Nausea, Pain in extremity, Vomiting
Clinical narrative: Patient experienced right leg pain and numbness, to extent that he is having trouble walking; also has had some nausea and vomiting.  Symptoms began 30 min after receiving the vaccine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Pain
Clinical narrative: severe soreness and sensitivity
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Pain, Pyrexia
Clinical narrative: Fever, migraine, body aches
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dry throat, Dysphagia, Dyspnoea
Clinical narrative: 1005-Called to 30 minute observation; MD and EMT responded. 1st vaccine 1008-hard to swallow, dizziness, feeling "unwell"; fullness in ear, flushed BP 187/118; tolerating water 1011- 164/90BP no chest pain, shortness of breath, numbness, dizziness, blurry vision, n/v 1017-Feeling better, have dry throat, MD sitting with patient 1020- Pt stated she is feeling great, denies any symptoms, elected to leave pit with her husbands.   Treatment/Outcomes: Allergies: seasonal; sulfa  MHx: Hashimoto's, gallbladder removed Meds: 'hormones" and thyroid
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Flushing, Hypoaesthesia, Malaise, Vision blurred
Clinical narrative: 1005-Called to 30 minute observation; MD and EMT responded. 1st vaccine 1008-hard to swallow, dizziness, feeling "unwell"; fullness in ear, flushed BP 187/118; tolerating water 1011- 164/90BP no chest pain, shortness of breath, numbness, dizziness, blurry vision, n/v 1017-Feeling better, have dry throat, MD sitting with patient 1020- Pt stated she is feeling great, denies any symptoms, elected to leave pit with her husbands.   Treatment/Outcomes: Allergies: seasonal; sulfa  MHx: Hashimoto's, gallbladder removed Meds: 'hormones" and thyroid
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Left arm pain going down to elbow since the 2nd shot. Now experiencing numbness down the entire arm-feels like a pinched nerve
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received second dose of Pfizer vaccine.  Vaccine expiration time 0930 on 5/12/2021. Patient received vaccine on 5/12/2021 at 0935. MD made aware.  No harm to patient or adverse reactions.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Unevaluable event
Clinical narrative: UNKOWN
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache, Myalgia, Pain, Pain in extremity
Clinical narrative: Arm started sore then after a few hours felt drained.  By 6:30 pm had head ache and muscle aches  took hot shower then went to sleep.  Sleep for about 14 hours then.  Still feel pain in my arm and muscles  but also now have low grade fever even after taking tylenole at 10:15 am  at 12:20 pm 99.9 degrees also have headache
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Arm started sore then after a few hours felt drained.  By 6:30 pm had head ache and muscle aches  took hot shower then went to sleep.  Sleep for about 14 hours then.  Still feel pain in my arm and muscles  but also now have low grade fever even after taking tylenole at 10:15 am  at 12:20 pm 99.9 degrees also have headache
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: DEATH
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Eye movement disorder, Laboratory test, Loss of consciousness, Seizure
Clinical narrative: Pt came to drive through clinic to receive second COVID19 dose. Interview revealed no adverse reaction to first dose on 4-14-21 other than expected sore arm. Pt received 0.5ml dose at approximately 1:15pm while seated in the driver's seat. .  Within a 2-3 minute time frame after his vaccine the wife alerted me that her husband was not doing well. She stated his eyes were rolling back in his head and he was having a seizure.  911 was called. She stated that patient was unconscious for 20-30-seconds but that he revived and was able to resume basic communications. Shortly thereafter the patient began vomiting repeatedly. The patient's seat was leaned forward and to the outside of the vehicle to prevent aspiration. EMT teams arrived quickly to take over patient care. patient was transported to emergency department.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Pt came to drive through clinic to receive second COVID19 dose. Interview revealed no adverse reaction to first dose on 4-14-21 other than expected sore arm. Pt received 0.5ml dose at approximately 1:15pm while seated in the driver's seat. .  Within a 2-3 minute time frame after his vaccine the wife alerted me that her husband was not doing well. She stated his eyes were rolling back in his head and he was having a seizure.  911 was called. She stated that patient was unconscious for 20-30-seconds but that he revived and was able to resume basic communications. Shortly thereafter the patient began vomiting repeatedly. The patient's seat was leaned forward and to the outside of the vehicle to prevent aspiration. EMT teams arrived quickly to take over patient care. patient was transported to emergency department.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling hot, Pain
Clinical narrative: 3 weeks almost 4,joint pain.Severe in hands and wrists..feet and ankles...elbows and knees less.But sharp hot shooting pain pain randomly in palms of hands and arch of feet a few times...also very fatigued...tired!
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Rash
Clinical narrative: Large, itchy and aching rash at injection site that started 6.5 days later and is getting worse.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for SARS-CoV-2 after full vaccination. He had no symptoms and was discovered through response testing during an outbreak
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hypertension, Pyrexia, Rash
Clinical narrative: Rash, high blood pressure, headache, fever, headache, chills
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: 6 days after vaccination left arm swelling, redness, and itching
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: We held our vaccine clinic. I had one designated nurse assigned to provide the vaccine to each resident on the roster. The nurse, gave us 3 extra doses that were left over from the previous clinic. After patients vaccinated, we made a zealous attempt to find 3 individuals for the 3 extra doses we had so that we did not waste them. Our nurse attempted to help find patients interested in the vaccine and she went to unit. She asked Patien (who was just vaccinated in the morning) if she wanted the vaccine. Patient accepted the vaccine, and the nurse administered the vaccine, not knowing that she already received it.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Vision blurred, Vomiting
Clinical narrative: Patient got really hot, blurred vision, dizzy and threw up once. Gave her water and a fan. Offered her crackers, but didn't want to eat anything. Symptoms lasted for about 5 to 10 minutes. Observed her for 50 minutes after and felt fine. Her aunt came to pick her up. Patient stated she has a history of adverse effects such as this with vaccines.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: was conducting COVID vaccinations , where client is incarcerated. Client answered 'no' to all questions on his COVID-19 Vaccine Screening Form, including the question that asks if he had previously received a dose of any COVID-19 vaccine. Client was administered a dose of Johnson & Johnson vaccine. Upon return to the  when client's vaccination information was entered into FL SHOTS, it was discovered client had already received his first dose of Moderna vaccine on 1/25/2021.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Gestational diabetes, Headache, Influenza like illness, Insomnia
Clinical narrative: I had a headache and arm soreness that evening - 12 hours later. At night - fight flu-like symptoms - nauseous, chills, and achy feeling. I didn't take me temp but think I had one probably - didn't sleep well. And in the morning was tired the next morning. These were mild to moderate symptoms. Two weeks, in routine visit -  I was diagnosed with gestational diabetes - no symptoms but was tested for pregnancy.  Pregnancy history - 2nd pregnancy; first pregnancy was full term; Estimated date of delivery: June 22, 2021
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pregnancy test
Clinical narrative: I had a headache and arm soreness that evening - 12 hours later. At night - fight flu-like symptoms - nauseous, chills, and achy feeling. I didn't take me temp but think I had one probably - didn't sleep well. And in the morning was tired the next morning. These were mild to moderate symptoms. Two weeks, in routine visit -  I was diagnosed with gestational diabetes - no symptoms but was tested for pregnancy.  Pregnancy history - 2nd pregnancy; first pregnancy was full term; Estimated date of delivery: June 22, 2021
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Injection site pain
Clinical narrative: Pain injection site, headache, weakness, fatigue  Still occurring
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pain, Pyrexia, Seizure
Clinical narrative: Rapid heart rate 12 hours after the shot, followed by seizure, body aches, and fever.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Pruritus
Clinical narrative: Patient experienced skin itching post-Pfizer #1. She indicated she is allergic to latex and Benadryl, and had a previous reaction to the pneumococcal vaccine. Itching did not progress to hives at the vaccine site. Her blood pressure was elevated (she has hx of HTN):  22/113; 225/116; 219/114 (over 30 minutes); HR 80, RR 18 per EMS report. No PSO2 assessed. She declined EMS transport. She was counseled by a health department RN to discuss the reaction with her doctor prior to receiving the second vaccine.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Even though FDA approved Pfizer vaccine for 12-15 year patients at the time of administration. This patient (15y/o 3 month) received the pfizer vaccines 1 day before CDC /our company protocol approved its use in 12-15 year population. The parents incorrectly entered his birthdate online to make him eligible for the vaccine. Patient reported no side effects during 15 mins watch time
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received second dose of Pfizer vaccine.  Vaccine expiration time 0930 on 5/12/2021. Patient received vaccine on 5/12/2021 at 0936. MD made aware.  No harm to patient or adverse reactions.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt. received 2nd dose 5 days early.  Discussed recommendations, pt still wished to receive the dose sue to being unable to return.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram
Clinical narrative: 86 y/o male with past medical history of Vertigo, Open Heart Surgery, HTN, DM and Brain Aneurysm, who presents with mild dizziness post vaccination. Patient states that this is his 1st dose in a two-dose series. Patient denies headache, nausea, sore throat, difficulty breathing of shortness of breath or rash. NP and Paramedics at patients? side. Patient initial vitals 160/90 BP, 99%RA, 78 HR, 12 Resp. Glucose was unable to be obtained due to malfunction. EKG NSR. Patient was closely monitored and placed in Trendelenburg. Patient provided water. Patient states that he took all his meds this am. Patient monitored for 30 mins with resolution of symptoms. Patient vitals upon discharge 156/98 BP, 99% RA, 64 HR and 12 Resp. Patient wheeled to car via wheelchair with staff.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: 20 mins after I gave  him the vaccine, the patient blood pressure  went high 142/90 and his pulse was 126. The patient was alert and oriented. He was stable. I kept checking his blood pressure every 15 -20 min until the  pulse came down to 100. He was ok ,and went home with his wife. I called him this morning 05/13 and his blood pressure is now 120/80.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, Eye swelling, Fatigue, Injection site pain, Pruritus
Clinical narrative: Given 12:20 pm.  Extreme fatigue, eyes swollen/heavy 7:00 pm for about 2 days. New soreness at injection spot 3 days later for appx 24 hours (bearable). Extreme itchiness, splotchiness, and increasing rash on face and neck 7 days later. Currently on day 6 of rash and day 2 of Prednisone prescription with rash slowly lessening.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash macular
Clinical narrative: Given 12:20 pm.  Extreme fatigue, eyes swollen/heavy 7:00 pm for about 2 days. New soreness at injection spot 3 days later for appx 24 hours (bearable). Extreme itchiness, splotchiness, and increasing rash on face and neck 7 days later. Currently on day 6 of rash and day 2 of Prednisone prescription with rash slowly lessening.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Patient fully vaccinated for COVID-19, has positive rapid antigen testing, will be confirmed with PCR and genome sequence done at lab
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: BURNING AT INJECTION SITE
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, SARS-CoV-2 test
Clinical narrative: COVID test performed because of suspected exposure. No complaint of signs or symptoms.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Violent shaking the night after injection
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Rash, Vertigo
Clinical narrative: 2 days post vaccination, developed horrible vertigo and bodyaches as expected. However, that night my neck exploded in a horrible rash that has continued to spread over my body for 5 days now. I have applied various topical steroids and antihistamines, received an IM injection of steroids from Urgent Care, and have been on prednisone for 3 days. It is still spreading, not getting better, and is horrifically itchy and painful.