chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain, Pyrexia, Vertigo
Clinical narrative: Vertigo, sensation of floating and imbalance. Began the day after getting the vaccine, accompanied by severe aches, headache, chills, fatigue, and fever. Other symptoms went away, vertigo worsened on the second day after getting the vaccine and continues to impact daily function.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: No adverse events at this time.  One day clinic for all their employees on 5/20/2021. Patient is Spanish speaking.  Patient indicated that she needed her second vaccine and that she did not have her card with her.  We explained to her that we were given the Pfizer vaccine only and she indicated that its the one she had. We vaccinated 104 total people and she was very assertive of the information provided.  We administered the Pfizer vaccine but once in Immtrac2 we discovered that she had indeed had the Moderna vaccine on 3/28/2021.  We left her several message since yesterday and we will be speaking to her.  The entire staff has been trained and we will bring a internet device when off site to verify what the general public is affirming to through Immtrac so that these miscommunications won't happen again.  We apologize for any inconveniences this may have caused and please note that we are taking extra measures to be sure that we are not put in this situation again.  Please let us know if we need to do anything further.  Thank you for your time.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Systemic: Seizure-Medium
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Chest X-ray normal, Computerised tomogram abnormal, Computerised tomogram head abnormal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: shortly after post-vaccination 15 minute observation period patient experienced loss of conscioussness and a fall from standing. Patient transported by ambulance to emergency department alert and oriented with stable vital signs reporting headache. Patient found to have moderate right subarachnoid hemorrhage, extensive facial and mandibular fractures, bilateral nasal fractures, and right ribs six and seven fractures. Patient determined not to be a candidate for surgery and admitted for pain control, antibiotics, and monitoring. Discharged medically stable on antibiotics with neurology and oral maxillofacial surgery follow-up in place.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Computerised tomogram thorax abnormal, Facial bones fracture, Fall, Headache
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: shortly after post-vaccination 15 minute observation period patient experienced loss of conscioussness and a fall from standing. Patient transported by ambulance to emergency department alert and oriented with stable vital signs reporting headache. Patient found to have moderate right subarachnoid hemorrhage, extensive facial and mandibular fractures, bilateral nasal fractures, and right ribs six and seven fractures. Patient determined not to be a candidate for surgery and admitted for pain control, antibiotics, and monitoring. Discharged medically stable on antibiotics with neurology and oral maxillofacial surgery follow-up in place.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Rib fracture, Subarachnoid haemorrhage, X-ray normal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: shortly after post-vaccination 15 minute observation period patient experienced loss of conscioussness and a fall from standing. Patient transported by ambulance to emergency department alert and oriented with stable vital signs reporting headache. Patient found to have moderate right subarachnoid hemorrhage, extensive facial and mandibular fractures, bilateral nasal fractures, and right ribs six and seven fractures. Patient determined not to be a candidate for surgery and admitted for pain control, antibiotics, and monitoring. Discharged medically stable on antibiotics with neurology and oral maxillofacial surgery follow-up in place.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED on 4/2/21 and 5/9/21. Patient presented to the ED and was subsequently hospitalized on 4/16/21. These visits are within 6 weeks of receiving COVID vaccination.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor, Vomiting
Clinical narrative: After Pt. got the second dose pt. vomited clear emesis.  Pt. was diaphoretic and pale when brought to medical treatment room.  Pt. started to improve after laying down.  Pt. was observed for ten minutes.  Pt. vitals remained stable throughout treatment.  Pt. walked out after fifteen minutes without other incident.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Dizziness, Ear discomfort, Electrocardiogram normal
Clinical narrative: Immediately after receiving vaccine I had a Vasovagal reaction and became extremely lightheaded and faint (Did not pass -out). By the next morning I noticed a muffled sound in my left ear with pressure that has still not gone away after 3 weeks as well as a tighness in my chest and having trouble catching my breath fairly regularly.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoacusis, Immediate post-injection reaction, Presyncope
Clinical narrative: Immediately after receiving vaccine I had a Vasovagal reaction and became extremely lightheaded and faint (Did not pass -out). By the next morning I noticed a muffled sound in my left ear with pressure that has still not gone away after 3 weeks as well as a tighness in my chest and having trouble catching my breath fairly regularly.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Skin exfoliation
Clinical narrative: The Patient presented with skin peeling from his hands and arms in large patches. It looks very bad (most of his skin is missing from his arms). I advised him to seek emergency medical attention immediately.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Glaucoma, Intraocular pressure increased, Optic nerve injury
Clinical narrative: high IOP, Optic Nerve Damage, Glaucoma
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Head injury, Hypotension, Loss of consciousness, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Pt had dentist appointment the morning of vaccine. After pt got vaccine and was seated in observation area pt got dizzy and passed out and hit head. BP was taken and was 84/54. 911 was called and pt went to ER due to continuous low blood pressure.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: 13 Days after second dose of Pfizer covid vaccine developed severe tinnitus in right ear.  Continuous ringing of varying intensity from mild to severe.  Prescribed 5 day course of azithromycin and prednisone.  No change.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized on 3/8/21. She presented to the ED on 3/13/21. Patient presented to the ED and was subsequently hospitalized on 4/6/21.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Headache, Herpes zoster, Lymphadenopathy, Neuralgia
Clinical narrative: On May 13, 2021, approximately 4 weeks after second dose of the vaccine, I developed a very severe stabbing ice pick headache on the left side of my head behind my eye. By May 17, 2021, the pain was so severe that I went to the emergency room but did not receive a clear diagnosis. On May 18, 2021, I began to notice a prickly sensation on my forehead and rash forming. Urgent care confirmed diagnosis of shingles on evening of May 18, I was prescribed Valtrex, Gabapentin, and an oral steroid. As of today (May 21), the shingles rash is blistering on my left forehead, eyelid, and scalp and is mildly painful, and I have a few swollen lymph nodes, but the shooting nerve headache comes back intermittently and is still very uncomfortable. I feel that this should be reported because if people could be more susceptible to shingles after the vaccine, there should be public information about this. My case was very scary with the terrible shooting nerve pain in my head and I have learned that it is very important to get treatment for shingles started as early as possible to prevent long term effects, so I think this is something people should be made aware of.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Rash
Clinical narrative: On May 13, 2021, approximately 4 weeks after second dose of the vaccine, I developed a very severe stabbing ice pick headache on the left side of my head behind my eye. By May 17, 2021, the pain was so severe that I went to the emergency room but did not receive a clear diagnosis. On May 18, 2021, I began to notice a prickly sensation on my forehead and rash forming. Urgent care confirmed diagnosis of shingles on evening of May 18, I was prescribed Valtrex, Gabapentin, and an oral steroid. As of today (May 21), the shingles rash is blistering on my left forehead, eyelid, and scalp and is mildly painful, and I have a few swollen lymph nodes, but the shooting nerve headache comes back intermittently and is still very uncomfortable. I feel that this should be reported because if people could be more susceptible to shingles after the vaccine, there should be public information about this. My case was very scary with the terrible shooting nerve pain in my head and I have learned that it is very important to get treatment for shingles started as early as possible to prevent long term effects, so I think this is something people should be made aware of.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient received their first dose of the covid vaccine at another site and  received the moderna vaccine.  Patient scheduled an appointment at  a first dose clinic at Hospital.  A trainee vaccinator was in the room administering the dose and the individual documenting and asking the screening questions missed the answer to the vaccine question.  Medical Lead, Dr.  examined and disclosed the error to the patient.  We observed the patient for 30 minutes with no adverse events.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Skin discolouration
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA - tech hit a blood vessel when administering the first vaccine. This resulted in a large bruise. The bruise eventually went away, but it left a skin discoloration in the size/shape of the bruise. I haven't experienced this before with bruises and thought it may have been caused by a combination of the vaccine + hitting a blood vessel.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Flushing, Hyperhidrosis, Seizure, Tremor
Clinical narrative: Systemic: Chills-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Additional Details: At this point in time, patient was taken by paramedics and they took him to the local hospital. Additional symptoms,issues, or outcome unknown.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: injection site became red, swollen, itchy, painful and hard lump under the skin within 24 hours of injection.  Appears that injection was not given in the muscle but below.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: loud ringing in the ears......consistent 24/7
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Brain natriuretic peptide increased, COVID-19 pneumonia, Chest X-ray abnormal, Chest pain
Clinical narrative: past history of diabetes, hypertension, hyperlipidemia and recent diagnosis of COVID-19.  Apparently the patient received his initial dose of COVID vaccine on 03/31/2021 and subsequently developed loss of taste and smell.  He was tested for COVID-19 at local Pharmacy and received notification that his result was positive. He subsequently had improvement in his symptoms and was retested 2 weeks subsequent with negative results.  On for 01/20/2021 he received his 2nd COVID 19 vaccination and subsequently developed recurrence of feeling ill 2 days afterwards. He progressively had feeling of shortness of breath along with nonproductive cough.  The patient then developed complaints of chest pain and rib discomfort.   He presented to the emergency department where he was found to be hypoxic along with abnormal labs including a creatinine of 1.84 BNP of 12,699, elevated transaminase levels, hemoglobin of 8.9.  Chest x-ray showed patchy airspace disease to the right lung consistent with COVID-19 pneumonia.  At time of admission he was given IV Lasix and started on Rocephin and Azithromycin.   The use of steroids as well as any antiviral treatment was withheld because of presumptive symptoms related to bacterial pneumonia (secondary to COVID 19.) He also did not require oxygen supplementation during his stay.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Haemoglobin decreased, Hypoxia, Malaise
Clinical narrative: past history of diabetes, hypertension, hyperlipidemia and recent diagnosis of COVID-19.  Apparently the patient received his initial dose of COVID vaccine on 03/31/2021 and subsequently developed loss of taste and smell.  He was tested for COVID-19 at local Pharmacy and received notification that his result was positive. He subsequently had improvement in his symptoms and was retested 2 weeks subsequent with negative results.  On for 01/20/2021 he received his 2nd COVID 19 vaccination and subsequently developed recurrence of feeling ill 2 days afterwards. He progressively had feeling of shortness of breath along with nonproductive cough.  The patient then developed complaints of chest pain and rib discomfort.   He presented to the emergency department where he was found to be hypoxic along with abnormal labs including a creatinine of 1.84 BNP of 12,699, elevated transaminase levels, hemoglobin of 8.9.  Chest x-ray showed patchy airspace disease to the right lung consistent with COVID-19 pneumonia.  At time of admission he was given IV Lasix and started on Rocephin and Azithromycin.   The use of steroids as well as any antiviral treatment was withheld because of presumptive symptoms related to bacterial pneumonia (secondary to COVID 19.) He also did not require oxygen supplementation during his stay.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort, Pneumonia bacterial, Transaminases increased
Clinical narrative: past history of diabetes, hypertension, hyperlipidemia and recent diagnosis of COVID-19.  Apparently the patient received his initial dose of COVID vaccine on 03/31/2021 and subsequently developed loss of taste and smell.  He was tested for COVID-19 at local Pharmacy and received notification that his result was positive. He subsequently had improvement in his symptoms and was retested 2 weeks subsequent with negative results.  On for 01/20/2021 he received his 2nd COVID 19 vaccination and subsequently developed recurrence of feeling ill 2 days afterwards. He progressively had feeling of shortness of breath along with nonproductive cough.  The patient then developed complaints of chest pain and rib discomfort.   He presented to the emergency department where he was found to be hypoxic along with abnormal labs including a creatinine of 1.84 BNP of 12,699, elevated transaminase levels, hemoglobin of 8.9.  Chest x-ray showed patchy airspace disease to the right lung consistent with COVID-19 pneumonia.  At time of admission he was given IV Lasix and started on Rocephin and Azithromycin.   The use of steroids as well as any antiviral treatment was withheld because of presumptive symptoms related to bacterial pneumonia (secondary to COVID 19.) He also did not require oxygen supplementation during his stay.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Anger, Chills, Headache, Pyrexia
Clinical narrative: Fever, chills, headache, anger.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: patient thought she received 1st dose of moderna vaccine and was confirmed during patient discussion prior to administration.  Pt received 2nd dose of Moderna vaccine on 5/21/21 to right deltoid.  After administration, it was found that patient received 1st dose of pfizer and should have received pfizer as second dose.  Pt did not report any adverse reactions upon vaccine administration of second dose.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Depression, Hallucination, auditory, Hypersomnia, Mania
Clinical narrative: Patient reports sudden onset of auditory hallucinations , which he never had before.  He also had episodes of mania, where he will stay up all night  and got no sleep followed by episodes of depression and sleeps for few days. Patient appears confused.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Patient stated " I don't feel ok' EMS came by patient side. Lead staff been aware of it. Patient vitals took by EMS BP 118/86, HR 61, O2 96. After 10 minutes lay flat and vitals taken. Patient Stated I feel good. Patient refused to go to the hospital.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac stress test, Chest X-ray normal, Computerised tomogram normal, Fatigue
Clinical narrative: Office Visit 5/5/2021    Dx Fever  ? Generalized Body Aches ? Fatigue  Reason for Visit Progress Notes PA Encounter Date: 5/5/2021 Signed Cosigned by: MD at 5/12/2021  8:00 PM      Assessment/Plan   PT was seen today for fever, generalized body aches and fatigue.   Diagnoses and all orders for this visit:   Viral illness -     COVID-19 PCR; Future     History  Chief Complaint Patient presents with ? Fever     Started yesterday  ? Generalized Body Aches ? Fatigue     had cvoid vaccine last wednesday    HPI  Patient is a 63-year-old male presenting today for evaluation of fever and body aches that started last night.  He states that he received his first Pfizer Covid vaccination 1 week ago, no significant reaction or side effects. He reports now having fever up to 101, body aches and muscle pains, fatigue. No congestoin, rhinorrhea, cough, V/D. He has taken some Tylenol 500 mg, LD was this morning. No sick contacts.  No hx of asthma. No rashes. Nonsmoker.    ED to Hosp-Admission Discharged  5/18/2021 - 5/19/2021 (24 hours) Hospital   DO Last attending  Treatment team Chest pain Principal problem Discharge Summary   (Physician)  Internal Medicine        Inpatient Discharge Summary          Brief Overview     Admitting Provider: MD Discharge Provider:  DO Primary Care Physician at Discharge: MD   Admission Date: 5/18/2021     Discharge Date: 5/19/2021   Presenting Problem/History of Present Illness/Reason for Admission Chest pain [R07.9] Acute chest pain [R07.9] History of coronary artery disease [Z86.79]     Hospital Course   HPI: PT is a 63 YO M admitted with chest discomfort in the setting of asymptomatic COVID 19 infection. His chest pain was associated with troponin elevation prompting admission and cardiac stress testing. His troponins peaked at 0.09. His PET stress test was negative. Therefore he was discharged to home without medication changes.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Office Visit 5/5/2021    Dx Fever  ? Generalized Body Aches ? Fatigue  Reason for Visit Progress Notes PA Encounter Date: 5/5/2021 Signed Cosigned by: MD at 5/12/2021  8:00 PM      Assessment/Plan   PT was seen today for fever, generalized body aches and fatigue.   Diagnoses and all orders for this visit:   Viral illness -     COVID-19 PCR; Future     History  Chief Complaint Patient presents with ? Fever     Started yesterday  ? Generalized Body Aches ? Fatigue     had cvoid vaccine last wednesday    HPI  Patient is a 63-year-old male presenting today for evaluation of fever and body aches that started last night.  He states that he received his first Pfizer Covid vaccination 1 week ago, no significant reaction or side effects. He reports now having fever up to 101, body aches and muscle pains, fatigue. No congestoin, rhinorrhea, cough, V/D. He has taken some Tylenol 500 mg, LD was this morning. No sick contacts.  No hx of asthma. No rashes. Nonsmoker.    ED to Hosp-Admission Discharged  5/18/2021 - 5/19/2021 (24 hours) Hospital   DO Last attending  Treatment team Chest pain Principal problem Discharge Summary   (Physician)  Internal Medicine        Inpatient Discharge Summary          Brief Overview     Admitting Provider: MD Discharge Provider:  DO Primary Care Physician at Discharge: MD   Admission Date: 5/18/2021     Discharge Date: 5/19/2021   Presenting Problem/History of Present Illness/Reason for Admission Chest pain [R07.9] Acute chest pain [R07.9] History of coronary artery disease [Z86.79]     Hospital Course   HPI: PT is a 63 YO M admitted with chest discomfort in the setting of asymptomatic COVID 19 infection. His chest pain was associated with troponin elevation prompting admission and cardiac stress testing. His troponins peaked at 0.09. His PET stress test was negative. Therefore he was discharged to home without medication changes.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Arm Swelling at shot site, slight fever, chills, slight headache.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: This was for the first COVID shot, A few days afterwards, I got a significant rash on my lower legs and ankles. Rash continued until my second vaccine on 05/03/2021.  After I took the second vaccine, the rash subsided on my legs but came back strong on my upper arms, back and neck. I have been taking Benadryl and applying hydrocortisone to treat the itching.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Myalgia, Nausea
Clinical narrative: Muscle pain, fatigue, loss of appetite, nausea; between 11am-5pm  Treated with Acetaminophen, 1000 mg
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram, Malaise, Palpitations, Syncope
Clinical narrative: Patient stated he became ill and suffered syncope a day after receiving the vaccine. He experienced what he described as palpitations. He went to the ER and given an EKG and "tests". The findings did not indicate any type of dysrhythmia. He was referred to a cardiologist appointment for next week as a follow-up and precaution.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness, Loss of consciousness, Vision blurred
Clinical narrative: Patient received the Janssen COVID vaccine then shortly after administration patient stated that their vision started to go blurry and the next thing their sight went dark, patient was seen falling out of chair head first after passing out.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Myalgia
Clinical narrative: I have joint pain all over, muscle ache and tiredness
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Discomfort, Dizziness
Clinical narrative: Lightheadedness, Chest pain, feeling heavy O2: 99% Pulse: 95 BP: 140/90
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor, Peripheral coldness, Syncope
Clinical narrative: Patient experienced as 15- 20 second syncopy spell when he sat up frpm a sitting position after receiving the covid vaccine   initial vitals 102/60   pulse 40   after regaining conciousness BP was 111/60    pulse at 60   patient prior to fainting appeared diapharatic, pale and cool to the touch  there were no signs of llegeric reaction including flushing of the face lack of hives or angiodema no wheezibg, no strider or labored breathing patient complained of dizzness upopn standind equal to 30 mins.. EMS was notrified when arrived patient was up and alert without dicculties  EMS recommended patient be released to his gaurdian  BP at release 112/57 pulse 62 father advised to call physician if any concerns arise or go to nearest hospital in an emergent situation
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Neuralgia
Clinical narrative: Patient got the Shingles. This is the second time for this patient, the first occurrence of the Shingles was in March of 2020
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hypoaesthesia, Injection site haemorrhage, Injection site hypoaesthesia, Injection site pain
Clinical narrative: Immediately began bleeding, which ran down arm from injection site. Approximately 4 minutes later, back of entire arm that received injection was numb from underarm to pinky and ring finger; warm hives on front of both arms down to wrists; warm, rosy cheeks and cold hands/fingers; tickle in back of throat.  Benadryl given at clinic.   2.5 hours later, numbness in arm reduced to upper arm only; hives on arms have reduced; tickle in throat gone. Continues to have pain at site of injection.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness, Skin warm, Throat irritation, Urticaria
Clinical narrative: Immediately began bleeding, which ran down arm from injection site. Approximately 4 minutes later, back of entire arm that received injection was numb from underarm to pinky and ring finger; warm hives on front of both arms down to wrists; warm, rosy cheeks and cold hands/fingers; tickle in back of throat.  Benadryl given at clinic.   2.5 hours later, numbness in arm reduced to upper arm only; hives on arms have reduced; tickle in throat gone. Continues to have pain at site of injection.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: ED Discharged  5/4/2021 (26 minutes)   Last attending ? Treatment team Viral illness Clinical impression Covid-19 Screening Chief complaint
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received 2nd dose of Moderna 7 days earlier than recommended. After administration of vaccine and monitoring, patient did not report any signs and symptoms from vaccine administration.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymphadenopathy, Nausea
Clinical narrative: Swollen lymph node above left collar bone, fatigue, headaches, nausea.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dry mouth
Clinical narrative: For 2 weeks have been feeling dizzy all day gets even worse at night to the point where I can?t sleep . Also get really bad dry mouth . Hasn?t gone away so just concerned
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear discomfort, Headache
Clinical narrative: dizziness, ear fullness in both ears, headaches. Still experiencing these same symptoms at 6 weeks post shot
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Urticaria
Clinical narrative: Insomnia the night after receiving vaccine; felt "wired," could not sleep.  Only lasted the first night.  Also,  broke out in hives the day after receiving the shot.  Large splotches on face, neck, left wrist, and right inner elbow.  Over the course of ten days after receiving the shot, I continued to break out in small bumps here and there (hands, torso).  The large splotches receded after about a week.  I occasionally treated the hives with hydrocortisone cream.  The hives eventually receded.   I was drinking a lot of almond milk for the first time around the time of the second vaccination.  The almond milk may also have been a cause of the hives.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Abortion spontaneous, Human chorionic gonadotropin decreased, Muscle spasms, Vaginal haemorrhage
Clinical narrative: Miscarriages at 5/6 weeks   Started  cramping night of first dose. Started bleeding the day after first dose.  Numbers started dropping. Miscarriage completed a week after first dose.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Episcleritis, Pain
Clinical narrative: Episcleritis, unilateral, right eye. Woke up with a reddish eye, came to school and got it checked by a couple professors at the slit lamp. They confirmed it was episcleritis (they saw maybe 1-2 white blood cells swimming around in the anterior chamber - not a lot). I had never had this before. My symptoms were minimal; mild ache, nothing else really. They debated putting me on a steroid eyedrop, but we decided to monitor for a few days, and it started to slowly go away. The obvious redness was gone in about three days, and the leftover signs disappeared after around Day 10-11.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Febrile neutropenia, Full blood count, Haemoglobin normal, Myalgia, Neutropenia
Clinical narrative: Patient presented to the ER with a chief complaint fever and myalgias, found to have severe neutropenia and neutropenic fever. She was started on doxycycline for concern for tick-borne illness, but serologies have returned negative. Her counts recovered spontaneously and her fevers resolved.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased, Pyrexia, Serology negative, White blood cell count decreased
Clinical narrative: Patient presented to the ER with a chief complaint fever and myalgias, found to have severe neutropenia and neutropenic fever. She was started on doxycycline for concern for tick-borne illness, but serologies have returned negative. Her counts recovered spontaneously and her fevers resolved.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Neurological examination, Tinnitus, Urine analysis
Clinical narrative: Less than 15 minutes after vaccine I experienced frontal sensations in my brain. I also felt very dizzy and have ringing in left ear. A day after I experienced a dull headache for almost a month.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chest pain, Fatigue, Headache, Lacrimation increased
Clinical narrative: Starting at 10pm April 24, Severe headache, migraine level, both eyes watering, ears ringing, could not look at light.  Fever just under 101, rash on scalp starting around 12 midnight.  Aches, exhaustion, slight stomach upset.   Took Tylenol.  Headache did not go away, felt likeTylenol did nothing.  Fever and severe headache lasted 4 days.  Aches lasted 5 days.  On DAY 2 after vaccine, 2 hard, golf-ball sized lumps under left arm appeared, and some others slightly smaller (lymph nodes).  Lumps were too painful to sleep on that side or do any normal physical activity.   Fever and most aches resolved after Day 4, but  Lymph nodes stayed golf ball size and painful for 3 weeks.  At time of this report, it has been 4 weeks, postponed 2nd shot one extra week hoping nodes would improve, they have reduced in size but are still very swollen and sore.  Also ache at sternum (??) has not resolved at all.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Pain, Photophobia, Pyrexia
Clinical narrative: Starting at 10pm April 24, Severe headache, migraine level, both eyes watering, ears ringing, could not look at light.  Fever just under 101, rash on scalp starting around 12 midnight.  Aches, exhaustion, slight stomach upset.   Took Tylenol.  Headache did not go away, felt likeTylenol did nothing.  Fever and severe headache lasted 4 days.  Aches lasted 5 days.  On DAY 2 after vaccine, 2 hard, golf-ball sized lumps under left arm appeared, and some others slightly smaller (lymph nodes).  Lumps were too painful to sleep on that side or do any normal physical activity.   Fever and most aches resolved after Day 4, but  Lymph nodes stayed golf ball size and painful for 3 weeks.  At time of this report, it has been 4 weeks, postponed 2nd shot one extra week hoping nodes would improve, they have reduced in size but are still very swollen and sore.  Also ache at sternum (??) has not resolved at all.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Sleep disorder, Tinnitus
Clinical narrative: Starting at 10pm April 24, Severe headache, migraine level, both eyes watering, ears ringing, could not look at light.  Fever just under 101, rash on scalp starting around 12 midnight.  Aches, exhaustion, slight stomach upset.   Took Tylenol.  Headache did not go away, felt likeTylenol did nothing.  Fever and severe headache lasted 4 days.  Aches lasted 5 days.  On DAY 2 after vaccine, 2 hard, golf-ball sized lumps under left arm appeared, and some others slightly smaller (lymph nodes).  Lumps were too painful to sleep on that side or do any normal physical activity.   Fever and most aches resolved after Day 4, but  Lymph nodes stayed golf ball size and painful for 3 weeks.  At time of this report, it has been 4 weeks, postponed 2nd shot one extra week hoping nodes would improve, they have reduced in size but are still very swollen and sore.  Also ache at sternum (??) has not resolved at all.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth
Clinical narrative: the patient complained of dry mouth with no other signs of swelling or trouble breathing hours after her 15 minute observation time. I advised her to take diphenhydramine and seek medical attention if the condition did not improve. She ended up going to the hospital. Since then division 1 has been checking in with her
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Feeling hot, Hyperhidrosis, Hypoaesthesia, Nausea
Clinical narrative: After receiving covid vaccine, and receiving patient education of Pfizer COVID vaccine pt states "I can't see." Nurse placed pt in supine position and provider was called to the exam room. Pt denies history of passing out with previous vaccines, denies LOC, loss of bowel/bladder and reports "I feel hot" and "I can't feel my hands and feet." Pt also reports she has not had anything to eat or drink prior to arrival to clinic. 1411 Vital signs: BP 107/69; HR 70; RR 20; pulse ox 99%. Upon provider exam mild pallor/diaphoresis noted, pt is awake alert and oriented to person/place/time/situation; No stridor, wheezing, sensation intact in all 4 extremities; pt has wrists and elbows in flexed position but able to straighten all upon request to place pulse ox and blood pressure cuff; 1415 BP 99/69; HR 102; RR 22; pulse ox 98%; Pt is continuing to report numbness bilat hands/feet and began to complain of nausea. EMS contacted. No hives, wheezing, stridor noted by provider, no emesis. Per provider sensations continue to be intact. 1423 VS BP 102/62 HR 67 pulse ox 99% pt remains awake alert and oriented x4; pt asked mom to contact her employer and call off work today. EMS arrives at 1430 and evaluates pt. After EMS evaluation, pt declined EMS transport states she feels better and just wants to go eat something. Pt reports symptoms resolved.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye irritation, Fatigue, Headache, Induration
Clinical narrative: in addition to the painful arm, an hour after my nose started running, burning watery eyes, followed by headache, fever, chills, nausea, fatigue, This lasted for four days. Wednesday 5/19 the arm that was injected blew up to  a large hard bump with an itchy rash. The large swollen  hard itchy rash bump is still there on Friday 5/21.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Lacrimation increased, Nausea, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: in addition to the painful arm, an hour after my nose started running, burning watery eyes, followed by headache, fever, chills, nausea, fatigue, This lasted for four days. Wednesday 5/19 the arm that was injected blew up to  a large hard bump with an itchy rash. The large swollen  hard itchy rash bump is still there on Friday 5/21.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Rhinorrhoea
Clinical narrative: in addition to the painful arm, an hour after my nose started running, burning watery eyes, followed by headache, fever, chills, nausea, fatigue, This lasted for four days. Wednesday 5/19 the arm that was injected blew up to  a large hard bump with an itchy rash. The large swollen  hard itchy rash bump is still there on Friday 5/21.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Nail discolouration, Nail disorder, Onychoclasis
Clinical narrative: Nails have white blotches and are brittle  and breaking and have a upside down reddish moon. Tips are very white and lines/ ridges.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Autoscopy
Clinical narrative: "Extreme, almost out of body experience. Had to call someone to have them stay on the phone with me in case I passed out"
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Rash
Clinical narrative: On 04-12-2021, I experienced itchiness at the injection site and both of my arms had rashes and large bumps that lasted two weeks. I had these same symptoms four times in the two weeks span. I spoke with a doctor through a telehealth consult and was prescribed Loratadina medicine.  I can say today I have recovered from the rashes and large bumps on my arms and do not have any symptoms today.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Angina pectoris, Arthralgia, Cough, Crying
Clinical narrative: 3/13 vaccination. 3-4 hours later, I started having symptoms to include tickle in throat, post nasal drip. By 11:40 I had a HA, I was very tired, quite a bit of secretion. I continued taking Benadryl every 3 hours. At 2 :30 PM, heart palpitations and angina. My BP was 98/69. I took more Benadryl, drank some fluids. By 4:15, I was getting drowsy and tired, having pain in multiple joints through my body; 8/10 scale, especially in my hands in feet. I took something for pain. My arm was very sore. I had mild to moderate slight cough. By 7:40 PM I took my regular medication.  I was having a sudden intense HA and pain in joints was 9/10. I was having stiffness, chest congestion, feeling 'flu like' symptoms, brain fog, and weird pains / electro shock pains on extremities. By 830, my symptoms increased to almost a really bad allergic reaction. I couldn't think well, dizzy, cough, chest congestion and my lungs started to hurt. By 10:30pm, I started to have a low grade fever, pain 9/10, I took Ibuprofen and Benadryl every 3 hours.  3/14 Ibuprofen, slight fever, slight HA, joints were swollen and stiff; 8/10 on pain and stiffness. I had muscle pain and brain fog, could not say words. Dull pain back of head. My kidney area, I felt like it hurt, severe anaphylactic reaction it felt like. I still had photophobia. It continued into the evening. I continued taking the Benadryl and ibuprofen. Around 6pm, I had 101.5 temperature, nauseated, crying, chest congestion. By 10:45, my temp was going up again.  Monday I had low grade fever, continued medication. Symptoms continued for a few more days with palpitations, brain fog, pain in lungs and kidneys. I couldn't do anything. By the end of the week, I started to recover.  *My PCM knew before I got the vaccine they were on board and knew what was going to happen in regards to my reaction, EKG, I had epi pen, didn't pass out, I decided I was going to stay home.  *It took me a good couple weeks to recover to my baseline. But it was pretty tough.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Feeling abnormal, Headache, Musculoskeletal stiffness
Clinical narrative: 3/13 vaccination. 3-4 hours later, I started having symptoms to include tickle in throat, post nasal drip. By 11:40 I had a HA, I was very tired, quite a bit of secretion. I continued taking Benadryl every 3 hours. At 2 :30 PM, heart palpitations and angina. My BP was 98/69. I took more Benadryl, drank some fluids. By 4:15, I was getting drowsy and tired, having pain in multiple joints through my body; 8/10 scale, especially in my hands in feet. I took something for pain. My arm was very sore. I had mild to moderate slight cough. By 7:40 PM I took my regular medication.  I was having a sudden intense HA and pain in joints was 9/10. I was having stiffness, chest congestion, feeling 'flu like' symptoms, brain fog, and weird pains / electro shock pains on extremities. By 830, my symptoms increased to almost a really bad allergic reaction. I couldn't think well, dizzy, cough, chest congestion and my lungs started to hurt. By 10:30pm, I started to have a low grade fever, pain 9/10, I took Ibuprofen and Benadryl every 3 hours.  3/14 Ibuprofen, slight fever, slight HA, joints were swollen and stiff; 8/10 on pain and stiffness. I had muscle pain and brain fog, could not say words. Dull pain back of head. My kidney area, I felt like it hurt, severe anaphylactic reaction it felt like. I still had photophobia. It continued into the evening. I continued taking the Benadryl and ibuprofen. Around 6pm, I had 101.5 temperature, nauseated, crying, chest congestion. By 10:45, my temp was going up again.  Monday I had low grade fever, continued medication. Symptoms continued for a few more days with palpitations, brain fog, pain in lungs and kidneys. I couldn't do anything. By the end of the week, I started to recover.  *My PCM knew before I got the vaccine they were on board and knew what was going to happen in regards to my reaction, EKG, I had epi pen, didn't pass out, I decided I was going to stay home.  *It took me a good couple weeks to recover to my baseline. But it was pretty tough.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Palpitations, Pharyngeal paraesthesia, Photophobia
Clinical narrative: 3/13 vaccination. 3-4 hours later, I started having symptoms to include tickle in throat, post nasal drip. By 11:40 I had a HA, I was very tired, quite a bit of secretion. I continued taking Benadryl every 3 hours. At 2 :30 PM, heart palpitations and angina. My BP was 98/69. I took more Benadryl, drank some fluids. By 4:15, I was getting drowsy and tired, having pain in multiple joints through my body; 8/10 scale, especially in my hands in feet. I took something for pain. My arm was very sore. I had mild to moderate slight cough. By 7:40 PM I took my regular medication.  I was having a sudden intense HA and pain in joints was 9/10. I was having stiffness, chest congestion, feeling 'flu like' symptoms, brain fog, and weird pains / electro shock pains on extremities. By 830, my symptoms increased to almost a really bad allergic reaction. I couldn't think well, dizzy, cough, chest congestion and my lungs started to hurt. By 10:30pm, I started to have a low grade fever, pain 9/10, I took Ibuprofen and Benadryl every 3 hours.  3/14 Ibuprofen, slight fever, slight HA, joints were swollen and stiff; 8/10 on pain and stiffness. I had muscle pain and brain fog, could not say words. Dull pain back of head. My kidney area, I felt like it hurt, severe anaphylactic reaction it felt like. I still had photophobia. It continued into the evening. I continued taking the Benadryl and ibuprofen. Around 6pm, I had 101.5 temperature, nauseated, crying, chest congestion. By 10:45, my temp was going up again.  Monday I had low grade fever, continued medication. Symptoms continued for a few more days with palpitations, brain fog, pain in lungs and kidneys. I couldn't do anything. By the end of the week, I started to recover.  *My PCM knew before I got the vaccine they were on board and knew what was going to happen in regards to my reaction, EKG, I had epi pen, didn't pass out, I decided I was going to stay home.  *It took me a good couple weeks to recover to my baseline. But it was pretty tough.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary pain, Pyrexia, Renal pain, Respiratory tract congestion, Upper-airway cough syndrome
Clinical narrative: 3/13 vaccination. 3-4 hours later, I started having symptoms to include tickle in throat, post nasal drip. By 11:40 I had a HA, I was very tired, quite a bit of secretion. I continued taking Benadryl every 3 hours. At 2 :30 PM, heart palpitations and angina. My BP was 98/69. I took more Benadryl, drank some fluids. By 4:15, I was getting drowsy and tired, having pain in multiple joints through my body; 8/10 scale, especially in my hands in feet. I took something for pain. My arm was very sore. I had mild to moderate slight cough. By 7:40 PM I took my regular medication.  I was having a sudden intense HA and pain in joints was 9/10. I was having stiffness, chest congestion, feeling 'flu like' symptoms, brain fog, and weird pains / electro shock pains on extremities. By 830, my symptoms increased to almost a really bad allergic reaction. I couldn't think well, dizzy, cough, chest congestion and my lungs started to hurt. By 10:30pm, I started to have a low grade fever, pain 9/10, I took Ibuprofen and Benadryl every 3 hours.  3/14 Ibuprofen, slight fever, slight HA, joints were swollen and stiff; 8/10 on pain and stiffness. I had muscle pain and brain fog, could not say words. Dull pain back of head. My kidney area, I felt like it hurt, severe anaphylactic reaction it felt like. I still had photophobia. It continued into the evening. I continued taking the Benadryl and ibuprofen. Around 6pm, I had 101.5 temperature, nauseated, crying, chest congestion. By 10:45, my temp was going up again.  Monday I had low grade fever, continued medication. Symptoms continued for a few more days with palpitations, brain fog, pain in lungs and kidneys. I couldn't do anything. By the end of the week, I started to recover.  *My PCM knew before I got the vaccine they were on board and knew what was going to happen in regards to my reaction, EKG, I had epi pen, didn't pass out, I decided I was going to stay home.  *It took me a good couple weeks to recover to my baseline. But it was pretty tough.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles- still active
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia, Wheezing
Clinical narrative: S/P VACCINE, STARTED WITH FEVER OF 101.2, CHILLS, RESPIRATORY WHEEZING, AND BODY ACHES AT 2100. PRN TYLENOL GIVEN AT 2116, TEMP DECREASED TO 100.1. NURSE PRACTIONER MADE AWARE WITH NEW ORDER FOR DUONEBS. TODAY ON 5/21 SHE STATES SHE STILL FEELS ACHES, HAS NOT HAD ANY TYLENOL TODAY- MORNING TEMP WAS 99.1 AND CURRENTLY IT IS  98.4.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Confusional state, Feeling hot, Headache, Loss of consciousness
Clinical narrative: Within a few minutes of receiving the vaccine, the patient turned pale and clammy. He became confused and lost consciousness for several seconds, his head fell back and he made gurgling noises. When he regained consciousness, he couldn't remember our conversation. He said he was hot and his head hurt for a few minutes, he remained pale and sweaty for several minutes. After 10-15 minutes he said he felt fine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: Within a few minutes of receiving the vaccine, the patient turned pale and clammy. He became confused and lost consciousness for several seconds, his head fell back and he made gurgling noises. When he regained consciousness, he couldn't remember our conversation. He said he was hot and his head hurt for a few minutes, he remained pale and sweaty for several minutes. After 10-15 minutes he said he felt fine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Had a seizure.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Crying, Fatigue, Injection site pain, Nausea
Clinical narrative: Nausea and tiredness that evening. Those lasted about a day. My arm at the injection spot was a little sore. Two weeks later I saw a video that made me cry and it shouldn't have made me cry. I took a pregnancy test and it was positive. Conception date would have been the 15th. I had been trying without success to get pregnant. I had been trying for a year and a half. I think the vaccine helped. Pregnancy history 2nd pregnancy 1st one ended in early miscarriage. Estimated of date of delivery 11/10/2021.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy, Ultrasound scan
Clinical narrative: Nausea and tiredness that evening. Those lasted about a day. My arm at the injection spot was a little sore. Two weeks later I saw a video that made me cry and it shouldn't have made me cry. I took a pregnancy test and it was positive. Conception date would have been the 15th. I had been trying without success to get pregnant. I had been trying for a year and a half. I think the vaccine helped. Pregnancy history 2nd pregnancy 1st one ended in early miscarriage. Estimated of date of delivery 11/10/2021.