chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Condition aggravated
Clinical narrative: Hospitalized 12/9/2021-still admitted currently; COVID-19 positive 12/9/2021; fully vaccinated  Assessment/Plan:   1) Acute on hypoxic respiratory failure: - secondary to COVID-19 PNA in the setting of single lung transplant for IPF  - presented with hypoxemia warranting HFNC on 12/9/21; intubated for increased work of breathing while on HFNC - continue mechanical ventilation; on volume control PEEP 8 to achieve lung protective ventilation; continue - wean Fio2 for sats >/=90% - await ABG on above settings to determine if will warrant proning - continue treatment of COVID-19 PNA as detailed below - treat for possible superimposed infection; especially in setting of immunosuppression with vancomycin, azithromycin and cefepime; continue ppx as detailed below; will obtain BAL, BLCX and UA/UCx and de-escalate abx per results  - VQ scan low probability for PE; check venous dopplers of upper and lower extremities to rule out any DVT   2) COVID-19 PNA: - vaccinated - developed symptoms 12/4/21 - presented on 12/9/21 - risk factors: immunosuppression - will start solumedrol 40 mg BID - not a candidate for remdesivir secondary to AKI - will make arrangements for monoclonal Abs - will determine if can receive tocizulumab Plan for today - Covid PNA - CXR slight improvement , methylpred weaned to 40 mg daily 12/14, on HFNC FIO2 40% - Volume status: Dry. Hypernatremic, metabolic alkalosis > D5.45 @ 75 cc/hr started. Stop Lasix. Repeat BMP at 1400 to follow sodium trend - HFpEF - hold lasix, HTN - Immune suppression - no change to tacrolimus, goal 4-6; methylpred 40 mg daily, no CCI due to leukopenia and infxn - Nutrition - failed SLP eval again today, corpak to be placed, promote ordered - Remove ART line and central line - PT/OT  - transfer to floor   Acute on chronic respiratory failure with hypoxemia S/P right lung transplant complicated by bronchial stenosis s/p stent placement. Recurrent diastolic heart failure.  Chronic hypoxemic respiratory failure on 2 L of oxygen.  Acute decline likely due to COVID-19 pneumonia and decompensated heart failure.  Pneumonia due to COVID-19 virus 12/4/21: fevers, dyspnea, continued to worsen over several days 12/9/21: hypoxemia, admitted, intubated, COVID-19 positive D-dimer 1870, VQ scan negative, lower extremity doppler negative Per ID not a candidate for MAP.,  AKI limiting Remdesivir use.  Methlypred 40 mg bid > daily 12/14 for 10 day course 12/15 - extubated to HFNC
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Hypernatraemia, Hypertension, Infection
Clinical narrative: Hospitalized 12/9/2021-still admitted currently; COVID-19 positive 12/9/2021; fully vaccinated  Assessment/Plan:   1) Acute on hypoxic respiratory failure: - secondary to COVID-19 PNA in the setting of single lung transplant for IPF  - presented with hypoxemia warranting HFNC on 12/9/21; intubated for increased work of breathing while on HFNC - continue mechanical ventilation; on volume control PEEP 8 to achieve lung protective ventilation; continue - wean Fio2 for sats >/=90% - await ABG on above settings to determine if will warrant proning - continue treatment of COVID-19 PNA as detailed below - treat for possible superimposed infection; especially in setting of immunosuppression with vancomycin, azithromycin and cefepime; continue ppx as detailed below; will obtain BAL, BLCX and UA/UCx and de-escalate abx per results  - VQ scan low probability for PE; check venous dopplers of upper and lower extremities to rule out any DVT   2) COVID-19 PNA: - vaccinated - developed symptoms 12/4/21 - presented on 12/9/21 - risk factors: immunosuppression - will start solumedrol 40 mg BID - not a candidate for remdesivir secondary to AKI - will make arrangements for monoclonal Abs - will determine if can receive tocizulumab Plan for today - Covid PNA - CXR slight improvement , methylpred weaned to 40 mg daily 12/14, on HFNC FIO2 40% - Volume status: Dry. Hypernatremic, metabolic alkalosis > D5.45 @ 75 cc/hr started. Stop Lasix. Repeat BMP at 1400 to follow sodium trend - HFpEF - hold lasix, HTN - Immune suppression - no change to tacrolimus, goal 4-6; methylpred 40 mg daily, no CCI due to leukopenia and infxn - Nutrition - failed SLP eval again today, corpak to be placed, promote ordered - Remove ART line and central line - PT/OT  - transfer to floor   Acute on chronic respiratory failure with hypoxemia S/P right lung transplant complicated by bronchial stenosis s/p stent placement. Recurrent diastolic heart failure.  Chronic hypoxemic respiratory failure on 2 L of oxygen.  Acute decline likely due to COVID-19 pneumonia and decompensated heart failure.  Pneumonia due to COVID-19 virus 12/4/21: fevers, dyspnea, continued to worsen over several days 12/9/21: hypoxemia, admitted, intubated, COVID-19 positive D-dimer 1870, VQ scan negative, lower extremity doppler negative Per ID not a candidate for MAP.,  AKI limiting Remdesivir use.  Methlypred 40 mg bid > daily 12/14 for 10 day course 12/15 - extubated to HFNC
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Left ventricular failure, Leukopenia, Mechanical ventilation, Metabolic alkalosis, Pyrexia
Clinical narrative: Hospitalized 12/9/2021-still admitted currently; COVID-19 positive 12/9/2021; fully vaccinated  Assessment/Plan:   1) Acute on hypoxic respiratory failure: - secondary to COVID-19 PNA in the setting of single lung transplant for IPF  - presented with hypoxemia warranting HFNC on 12/9/21; intubated for increased work of breathing while on HFNC - continue mechanical ventilation; on volume control PEEP 8 to achieve lung protective ventilation; continue - wean Fio2 for sats >/=90% - await ABG on above settings to determine if will warrant proning - continue treatment of COVID-19 PNA as detailed below - treat for possible superimposed infection; especially in setting of immunosuppression with vancomycin, azithromycin and cefepime; continue ppx as detailed below; will obtain BAL, BLCX and UA/UCx and de-escalate abx per results  - VQ scan low probability for PE; check venous dopplers of upper and lower extremities to rule out any DVT   2) COVID-19 PNA: - vaccinated - developed symptoms 12/4/21 - presented on 12/9/21 - risk factors: immunosuppression - will start solumedrol 40 mg BID - not a candidate for remdesivir secondary to AKI - will make arrangements for monoclonal Abs - will determine if can receive tocizulumab Plan for today - Covid PNA - CXR slight improvement , methylpred weaned to 40 mg daily 12/14, on HFNC FIO2 40% - Volume status: Dry. Hypernatremic, metabolic alkalosis > D5.45 @ 75 cc/hr started. Stop Lasix. Repeat BMP at 1400 to follow sodium trend - HFpEF - hold lasix, HTN - Immune suppression - no change to tacrolimus, goal 4-6; methylpred 40 mg daily, no CCI due to leukopenia and infxn - Nutrition - failed SLP eval again today, corpak to be placed, promote ordered - Remove ART line and central line - PT/OT  - transfer to floor   Acute on chronic respiratory failure with hypoxemia S/P right lung transplant complicated by bronchial stenosis s/p stent placement. Recurrent diastolic heart failure.  Chronic hypoxemic respiratory failure on 2 L of oxygen.  Acute decline likely due to COVID-19 pneumonia and decompensated heart failure.  Pneumonia due to COVID-19 virus 12/4/21: fevers, dyspnea, continued to worsen over several days 12/9/21: hypoxemia, admitted, intubated, COVID-19 positive D-dimer 1870, VQ scan negative, lower extremity doppler negative Per ID not a candidate for MAP.,  AKI limiting Remdesivir use.  Methlypred 40 mg bid > daily 12/14 for 10 day course 12/15 - extubated to HFNC
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Ultrasound Doppler normal, Ventilation/perfusion scan normal
Clinical narrative: Hospitalized 12/9/2021-still admitted currently; COVID-19 positive 12/9/2021; fully vaccinated  Assessment/Plan:   1) Acute on hypoxic respiratory failure: - secondary to COVID-19 PNA in the setting of single lung transplant for IPF  - presented with hypoxemia warranting HFNC on 12/9/21; intubated for increased work of breathing while on HFNC - continue mechanical ventilation; on volume control PEEP 8 to achieve lung protective ventilation; continue - wean Fio2 for sats >/=90% - await ABG on above settings to determine if will warrant proning - continue treatment of COVID-19 PNA as detailed below - treat for possible superimposed infection; especially in setting of immunosuppression with vancomycin, azithromycin and cefepime; continue ppx as detailed below; will obtain BAL, BLCX and UA/UCx and de-escalate abx per results  - VQ scan low probability for PE; check venous dopplers of upper and lower extremities to rule out any DVT   2) COVID-19 PNA: - vaccinated - developed symptoms 12/4/21 - presented on 12/9/21 - risk factors: immunosuppression - will start solumedrol 40 mg BID - not a candidate for remdesivir secondary to AKI - will make arrangements for monoclonal Abs - will determine if can receive tocizulumab Plan for today - Covid PNA - CXR slight improvement , methylpred weaned to 40 mg daily 12/14, on HFNC FIO2 40% - Volume status: Dry. Hypernatremic, metabolic alkalosis > D5.45 @ 75 cc/hr started. Stop Lasix. Repeat BMP at 1400 to follow sodium trend - HFpEF - hold lasix, HTN - Immune suppression - no change to tacrolimus, goal 4-6; methylpred 40 mg daily, no CCI due to leukopenia and infxn - Nutrition - failed SLP eval again today, corpak to be placed, promote ordered - Remove ART line and central line - PT/OT  - transfer to floor   Acute on chronic respiratory failure with hypoxemia S/P right lung transplant complicated by bronchial stenosis s/p stent placement. Recurrent diastolic heart failure.  Chronic hypoxemic respiratory failure on 2 L of oxygen.  Acute decline likely due to COVID-19 pneumonia and decompensated heart failure.  Pneumonia due to COVID-19 virus 12/4/21: fevers, dyspnea, continued to worsen over several days 12/9/21: hypoxemia, admitted, intubated, COVID-19 positive D-dimer 1870, VQ scan negative, lower extremity doppler negative Per ID not a candidate for MAP.,  AKI limiting Remdesivir use.  Methlypred 40 mg bid > daily 12/14 for 10 day course 12/15 - extubated to HFNC
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient came to get her second dose of Pfizer vaccine.  After administration it was found that the shot was 7 days too soon for patient.  Initial vaccine was 12/04/21.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT HAS NO SYMPTOMS OR ADVERSE REACTION /I CALLE D  PATIENT TOLD ME NO PROBLEM
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: About 10 minutes after patient received the vaccine, he vomited.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood pressure increased, Fibrin D dimer, Heart rate increased, Heavy menstrual bleeding
Clinical narrative: The week following the booster shot, my blood pressure and heart rate were elevated for a few days. During the holiday, my menstrual cycle came on early after cramping a few days before. When I returned to my doctor, I informed him that I had the booster shot, and that my blood pressure and heart rate changed for a few days post vaccination, and that my period came on early. After returning to my doctor the second time, I informed him that I was still spotting, and my period had not gone off, and I tried scheduling an appointment with my gynecologist, but there were no appointments available until 2022. My doctor reviewed my labs with me, and to make a long story short, I was started on a blood thinner, and informed that I would not be able to take the MRna vaccine again.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Laboratory test, Menstruation irregular, Muscle spasms
Clinical narrative: The week following the booster shot, my blood pressure and heart rate were elevated for a few days. During the holiday, my menstrual cycle came on early after cramping a few days before. When I returned to my doctor, I informed him that I had the booster shot, and that my blood pressure and heart rate changed for a few days post vaccination, and that my period came on early. After returning to my doctor the second time, I informed him that I was still spotting, and my period had not gone off, and I tried scheduling an appointment with my gynecologist, but there were no appointments available until 2022. My doctor reviewed my labs with me, and to make a long story short, I was started on a blood thinner, and informed that I would not be able to take the MRna vaccine again.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Disturbance in attention, Dizziness, Dysmenorrhoea, Echocardiogram
Clinical narrative: Lethargic, unable to focus mentally, widespread pain, Dizziness, loss of balance , blurred vision, nausea. Has now been diagnosed by cardiologist with Orthostatic Hypotension.  Vision changed in less then 5 months ( her last appt prior was in April) and now developed astigmatism in both eyes confirmed by eye doctor. And Primary is now treating for Mast Cell Activation. She is also having very heavy  and painful menstrual cycles now. She has missed  ton of school due to illness since her 2nd dose.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Laboratory test, Lethargy, Menstrual disorder, Nausea
Clinical narrative: Lethargic, unable to focus mentally, widespread pain, Dizziness, loss of balance , blurred vision, nausea. Has now been diagnosed by cardiologist with Orthostatic Hypotension.  Vision changed in less then 5 months ( her last appt prior was in April) and now developed astigmatism in both eyes confirmed by eye doctor. And Primary is now treating for Mast Cell Activation. She is also having very heavy  and painful menstrual cycles now. She has missed  ton of school due to illness since her 2nd dose.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Orthostatic hypotension, Pain, Ultrasound scan, Vision blurred, Visual impairment
Clinical narrative: Lethargic, unable to focus mentally, widespread pain, Dizziness, loss of balance , blurred vision, nausea. Has now been diagnosed by cardiologist with Orthostatic Hypotension.  Vision changed in less then 5 months ( her last appt prior was in April) and now developed astigmatism in both eyes confirmed by eye doctor. And Primary is now treating for Mast Cell Activation. She is also having very heavy  and painful menstrual cycles now. She has missed  ton of school due to illness since her 2nd dose.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: incorrect vaccine dose administration. Adult dose w/ above lot was administered to 10 year old patient.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Blood test, Costochondritis, Electrocardiogram, X-ray
Clinical narrative: On 12/16, about 1 hour after receiving the shot I began to feel pangs of pain around the heart. After two days the pain steadily got worse and I went to the emergency room on 12/18.  An EKG, X-ray, and blood lab showed that I developed costochondritis. I was given a steroid, and anti-inflammation injection whose name I do not remember, and a prescription for ibuprofin and discharged.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dehydration, Fatigue, Migraine, Ocular discomfort
Clinical narrative: Moderna COVID-10 Vaccine EUA Dec 17:  Migraine type headache centered around eyes.  Need to urinate every half hour to hour causing dehydration.  Upset stomach.  Extremely tired.  Drank as much water as I could hold which of course increased trips to the bathroom.  Unable to focus eyes. Dec 18:  Situation improving.  Able to eat.  Headache reduced to very heavy pressure around eyes.  Sight returned to normal.  Trips to bathroom down to once every 2 hours.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pollakiuria, Vaccine positive rechallenge, Vision blurred, Visual impairment
Clinical narrative: Moderna COVID-10 Vaccine EUA Dec 17:  Migraine type headache centered around eyes.  Need to urinate every half hour to hour causing dehydration.  Upset stomach.  Extremely tired.  Drank as much water as I could hold which of course increased trips to the bathroom.  Unable to focus eyes. Dec 18:  Situation improving.  Able to eat.  Headache reduced to very heavy pressure around eyes.  Sight returned to normal.  Trips to bathroom down to once every 2 hours.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Cough, Dyspnoea, Dyspnoea at rest
Clinical narrative: headaches increased shortness of breathe while at rest and or talking heart rate up sweating pillow case and sheet wet from top back up stomach pain weakness and very tired. Decreased O2 level higher need for O2 not on O2 before but since hot covid19 on O2 . increased coughing hard with some mucus
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Fatigue, Headache, Heart rate increased, Hyperhidrosis
Clinical narrative: headaches increased shortness of breathe while at rest and or talking heart rate up sweating pillow case and sheet wet from top back up stomach pain weakness and very tired. Decreased O2 level higher need for O2 not on O2 before but since hot covid19 on O2 . increased coughing hard with some mucus
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Oxygen saturation decreased, Productive cough, Secretion discharge
Clinical narrative: headaches increased shortness of breathe while at rest and or talking heart rate up sweating pillow case and sheet wet from top back up stomach pain weakness and very tired. Decreased O2 level higher need for O2 not on O2 before but since hot covid19 on O2 . increased coughing hard with some mucus
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Gait disturbance
Clinical narrative: Patient reported shortness of breath, chest tightness, and difficulty taking a breath after she received her Moderna booster. Husband called paramedics over to assess patient and she stated when she opened the window she started to feel better. At 4:19 pm her vitals were as follows: BP 128/78, 61 heart rate, respirations 18, SPO2 18. Patient sitting in passenger seat, able to speak full sentences and drink water without difficulty. No dizziness or numbness and tingling reported. Patient did not need any further observation and left with no symptoms.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was under the age of 16 at the time of her appointment and received a booster Pfizer shot.  Pt's father attested verbally at the pod that she was over 16 and later admitted that he knew she wasn?t actually eligible but wanted to "give it a try."
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Mobility decreased, X-ray normal, X-ray of pelvis and hip normal
Clinical narrative: After-hours RN completed telephone assessment of 6 yo child reportedly refusing to stand on Right leg approximately 24 hours after receiving 1st dose of Pfizer vaccine. Mother reported child without known injuries, no obvious deformities, swelling, redness or localized areas of pain along Right leg. Mother states child has "very high tolerance for pain" but limping to the point he almost falls, wants to be carried by his mother, and if put down to walk, will instead go on all-fours and crawl.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: Developed Atrial Fibrillation, recorded by the pacemaker.  It was from 6 min to 1 min and less in duration, slowly subsiding.  After 4 days it fased out.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal discomfort, COVID-19, Chills, Fatigue, Nausea
Clinical narrative: Individual symptomatic with fatigue, chills, congestion, nausea, upset stomach, and "tickle" in her throat since 12/16/21. Test Covid positive on 12/17/21. Still symptomatic. Advised her to isolate for 10 days away from family in separate rooms and to update mgmt. She will callback on 12/26/21 for follow up. She participated in study and would like antibody testing.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: Individual symptomatic with fatigue, chills, congestion, nausea, upset stomach, and "tickle" in her throat since 12/16/21. Test Covid positive on 12/17/21. Still symptomatic. Advised her to isolate for 10 days away from family in separate rooms and to update mgmt. She will callback on 12/26/21 for follow up. She participated in study and would like antibody testing.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: DVT on the left leg was diagnosed and confirmed with an ultrasound.  Medication currently taking is a blood thinner (ELOQUIS 5mg twice a day)
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Musculoskeletal stiffness, Neck pain, Seizure
Clinical narrative: Pt experienced a seizure event; became stiff and passed out for about 30 seconds. When he came to he expressed that he was dizzy and his neck hurts.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Patient said she has been menopausal x 4 years and experienced vaginal bleeding w/in 48 hr of both her first and second doses of Moderna COVID-19 vaccine. She bled x 7 days after the first dose and x 2 days after the second. She saw her OBGYN after the first incident and reports receiving several tests. She said the bleeding subsided on its own.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Urticaria
Clinical narrative: HIVES, LIP SWELLING
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Brain injury, Computerised tomogram, Endotracheal intubation, Ischaemic stroke, Magnetic resonance imaging
Clinical narrative: Ischemic stroke leading to hospitalization for 4 days. Needed thrombectomy and intubation. The stroke affected the area within right frontal lobe and area between right parietal-temporal lobe. No known residual deficits. There is some brain damage.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Thrombectomy
Clinical narrative: Ischemic stroke leading to hospitalization for 4 days. Needed thrombectomy and intubation. The stroke affected the area within right frontal lobe and area between right parietal-temporal lobe. No known residual deficits. There is some brain damage.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient came in for a flu vaccine. I prepared a Moderna vaccine for a another patient with vaccine card in the basket I use to carry the supplies to the vaccine booth. When I exited the pharmacy, I called out the name. Patient was waiting in waiting area and got up and came into vaccine booth, I should have reviewed with her what vaccine she received and her correct name, and I usually do. It wasn't until I went over side effects of Moderna that I realized I had given her the wrong vaccine.I guess she thought I was calling her name out when I was actually calling for someone else. It was very crowded and loud in Pharmacy area. My mistake for not going over the vaccine I was to give before hand. She received a booster vaccine in August for Pfizer. I explained that I did not feel that any harm was done, but told her that I would be writing up a report and would give her a copy of it. She did not receive a flu vaccine since her insurance was expired. I called her and folowed up with her late today and will do the same tomorrow.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Fear, Pruritus, Skin irritation
Clinical narrative: Patient states after receiving the vaccination he experienced (and now has experienced since then about 4 days in total) an itchiness within his chest and additionally near the nipple on his left side. He states it is constant and irritating and is in fear of a potential blood clot versus a local allergic reaction. We discussed since he is working a night shift tonight, to try 2 25mg benadryl tablets upon arriving home before he sleeps to see if he gets any relief from an antihistamine. Either way, I recommended following up with his PCP who he has recently seen for his physical (which was normal). I explained if he gets relief from the benadryl it is possible it is just an allergic reaction however it is important to inform his PCP either way. I informed him I would report the incident to VAERS for him and he agreed. We will follow up with him Monday.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Patient got red flushing/rash all over chest after vaccine. She was given 25mg of diphenhydramine and felt better shortly after.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Syncope
Clinical narrative: Felt nauseous, a minute later, dizziness and lightheaded, the result ending in fainting.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Patient came in for Janssen COVID-19 first dose. Patient was called into the immunization area and date of birth and vaccination verification was completed. Patient was given the vaccine and was feeling fine. He was instructed to sit in the waiting area for at least 15 minutes to make sure he was feeling okay before leaving. Patient proceeded to sit in the waiting area. After approx. 2 to 3 minutes he walked up to the pick-up area and stated to the technician he felt like he was about to pass out. He was immediately instructed by the pharmacist to sit. She told the technicians to grab water and a cold compress while she went out to check the patient. He proceeded to sit and stated he felt as if he was going to throw up. A trach can was obtained and given to the patient. A cold compress was placed on the patient's neck and he was given a water. He requested a pop to which he was given a Coke. He then proceeded the vomit into the trash can while the pharmacist observed to make sure he did not have any further issues. The patient then stated after another minute that he felt much better. He continued to drink the Coke and was observed closely. After approx. 25 minutes he insisted he was feeling much better and wanted to leave  and was allowed to by the pharmacist. No further issues were reported.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Vision blurred
Clinical narrative: Patient arrived to observation area. Observation team noticed redness on left ear, left neck, and left flank. Patient denied itching, pain, nausea, vomiting, and chest pain, but did say he had "slurred vision" explained as delayed tunnel vision. Patient refused to have vital signs taken but agreed to 25mg of PO Benadryl. Observation staff asked patient if he would like to get out of the car to be more closely monitored--patient refused. Patient refused observation time and stated "I just want to go walk in a department store." Patient was educated to call 911/go to emergency room if condition worsened or new symptoms developed. Patient and family communicated understanding and left the site in stable condition.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: patient vomitted after about 5-10min of vaccination. patient's mother said he vomits even when he goes to do the blood work.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: chills, fever, headache, tiredness from day 1 to day 3. i am getting these weird chills even after 5 days -they come and go... also i get infrequent headaches which are quite severe...
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 9 cm x 6 cm area with warmth, tenderness, erythema and itchy on injection site. Started about 11 hours after injection, but rapidly increased in size.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis, Injection site erythema
Clinical narrative: patient went to doctor and was told had cellulitis where received vaccine. area was red
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Interchange of vaccine products, Pain in extremity, Palpitations
Clinical narrative: Fever, fatigue, headache, swollen soar arm and woke up in the middle of the night with racing heart.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: Fever, fatigue, headache, swollen soar arm and woke up in the middle of the night with racing heart.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Fall
Clinical narrative: multiple falling events
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticarial rash. Patient received the COVID-19 vaccine from another country for the first 2 doses and this was the 3rd dose.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Discomfort, Pain, Pyrexia
Clinical narrative: Major chills and aching pain of the entire body. Symptoms began approximately 10-11 hours after my booster vaccine. Chills ending within 4-5 hours after and the pain stopping approximately 12 hours after. All-in-all about 36 hours of being uncomfortable. Had a slight fever towards the end of the 36 hours of 99.8.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Impaired work ability, Lymph node pain, Lymphadenopathy
Clinical narrative: 12/4 10:00pm start 102 fever all night, extreme chills, body aches, nausea,very bad headache in the back of head 12/5 same symptoms except chills.Fever was 99-100.Very bad headache .Arm still sore and lymph node under arm swollen sore 12/6 no fever. Bad body aches and very bad headache.Rash all over back of my head.This started at night.down my neck, on chest, itchy.lymph node still swollen,sore 12/7 Body aches, headache, rash wasn?t as bad but still there and itchy, especially on chest.I went to the doctor to just check to make sure it was ok.Lymph node still a bit sore but not as swollen  12/8 still light rash, got a couple hive looking bumps on right arm. One by my elbow was itchy and red lump.This lump lasted a couple days and then disappeared. 12/9 I was able to go to work.Still had the lump on elbow but not as red and swollen  By  12/10 symptoms gone
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia, Rash
Clinical narrative: 12/4 10:00pm start 102 fever all night, extreme chills, body aches, nausea,very bad headache in the back of head 12/5 same symptoms except chills.Fever was 99-100.Very bad headache .Arm still sore and lymph node under arm swollen sore 12/6 no fever. Bad body aches and very bad headache.Rash all over back of my head.This started at night.down my neck, on chest, itchy.lymph node still swollen,sore 12/7 Body aches, headache, rash wasn?t as bad but still there and itchy, especially on chest.I went to the doctor to just check to make sure it was ok.Lymph node still a bit sore but not as swollen  12/8 still light rash, got a couple hive looking bumps on right arm. One by my elbow was itchy and red lump.This lump lasted a couple days and then disappeared. 12/9 I was able to go to work.Still had the lump on elbow but not as red and swollen  By  12/10 symptoms gone
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: 12/4 10:00pm start 102 fever all night, extreme chills, body aches, nausea,very bad headache in the back of head 12/5 same symptoms except chills.Fever was 99-100.Very bad headache .Arm still sore and lymph node under arm swollen sore 12/6 no fever. Bad body aches and very bad headache.Rash all over back of my head.This started at night.down my neck, on chest, itchy.lymph node still swollen,sore 12/7 Body aches, headache, rash wasn?t as bad but still there and itchy, especially on chest.I went to the doctor to just check to make sure it was ok.Lymph node still a bit sore but not as swollen  12/8 still light rash, got a couple hive looking bumps on right arm. One by my elbow was itchy and red lump.This lump lasted a couple days and then disappeared. 12/9 I was able to go to work.Still had the lump on elbow but not as red and swollen  By  12/10 symptoms gone
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Night sweats, Pyrexia
Clinical narrative: Severe fatigue, fever 101.6°, chills, night sweats that lasted for about 12 hours.   Fully recovered within 18 hours after onset of symptoms.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Rash
Clinical narrative: Severe rash- left arm, side of neck, back, stomach, groin area? not especially itchy, but a bit sore. Lasted a couple of days. Crimson red and solid everywhere but on stomach. Stomach was speckled, patchy.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Vision blurred
Clinical narrative: Patient was fainted after his first Pediatric Pfizer dose.. Patient was feeling Dizzy and blurred vision 5-10 mins after the shot. I saw his head bended towards his mom suddenly, So I let patient lay down on his back and elevated his leg. Within 10 seconds he was feeling perfectly fine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Dizziness, Electrocardiogram, Fatigue
Clinical narrative: HEADACHE, DIZZINESS, EXTREME FATIGUE, BRAIN FOG, VISION (BLURRINESS, FLOATERS, LIGHT SENSITIVITY), MUSCLE TWITCHING, ITCHING, INSOMNIA, JOINT PAIN, MUSCLE WEAKNESS, NECK PAIN, EARS CLOGGED, EARS RINGING, LEFT ARM AND LEG TINGLING, HEART RACING, HIGH BLOOD PRESSURE
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Hypertension, Insomnia, Magnetic resonance imaging
Clinical narrative: HEADACHE, DIZZINESS, EXTREME FATIGUE, BRAIN FOG, VISION (BLURRINESS, FLOATERS, LIGHT SENSITIVITY), MUSCLE TWITCHING, ITCHING, INSOMNIA, JOINT PAIN, MUSCLE WEAKNESS, NECK PAIN, EARS CLOGGED, EARS RINGING, LEFT ARM AND LEG TINGLING, HEART RACING, HIGH BLOOD PRESSURE
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Muscular weakness, Neck pain, Ophthalmological examination, Palpitations
Clinical narrative: HEADACHE, DIZZINESS, EXTREME FATIGUE, BRAIN FOG, VISION (BLURRINESS, FLOATERS, LIGHT SENSITIVITY), MUSCLE TWITCHING, ITCHING, INSOMNIA, JOINT PAIN, MUSCLE WEAKNESS, NECK PAIN, EARS CLOGGED, EARS RINGING, LEFT ARM AND LEG TINGLING, HEART RACING, HIGH BLOOD PRESSURE
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Photophobia, Pruritus, Tinnitus, Vision blurred
Clinical narrative: HEADACHE, DIZZINESS, EXTREME FATIGUE, BRAIN FOG, VISION (BLURRINESS, FLOATERS, LIGHT SENSITIVITY), MUSCLE TWITCHING, ITCHING, INSOMNIA, JOINT PAIN, MUSCLE WEAKNESS, NECK PAIN, EARS CLOGGED, EARS RINGING, LEFT ARM AND LEG TINGLING, HEART RACING, HIGH BLOOD PRESSURE
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: HEADACHE, DIZZINESS, EXTREME FATIGUE, BRAIN FOG, VISION (BLURRINESS, FLOATERS, LIGHT SENSITIVITY), MUSCLE TWITCHING, ITCHING, INSOMNIA, JOINT PAIN, MUSCLE WEAKNESS, NECK PAIN, EARS CLOGGED, EARS RINGING, LEFT ARM AND LEG TINGLING, HEART RACING, HIGH BLOOD PRESSURE
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Oral mucosa erosion, Pain, Vulvar erosion
Clinical narrative: Vulvar erosions and oral erosions with sudden appearance and ho prior history of.  Painful.  Treated with topical steroids at the moment.  Unknown how long it will take for them to improve.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Generalised tonic-clonic seizure
Clinical narrative: Approximately 30 mins after receiving the vaccine, patient had a grand mal seizure lasting about 5 mins in duration. Previous to this episode, she had been seizure free for nearly 4 years.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: A 13-year-old patient was given a Pfizer booster vaccination. His father, notified via cell phone, stated he was at work and requested the patient's mother be called. Unable to reach the mother. Voicemail message left for the mother with instructions to report any adverse effects and to call this clinician with any questions.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: The patient presented for a "COVID Booster" she was given one. She is not immunocompromised and not of the age group approved for booster. She inadvertently received a 3rd (total) dose.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Pain
Clinical narrative: Chronic weakness and pain
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injection site swelling, Nerve injury, Pain in extremity
Clinical narrative: patient reports that after the vaccine her arm feels like a nerve was injured as she has arm pain and weakness when she tries to lift up her arm. she was told that swelling in the area can cause some nerve irritation and can be normal. she was advised to contact her doctor if she has further concerns and the nerve pain doesn't resolve.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pyrexia
Clinical narrative: Patient developed a high, fluctuating fever for 2-4 days after the vaccine. Her highest temperature was 102 F, and she also developed some back pain. She visited the urgent care 4 days later to pickup medications for symptoms.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The child received pediatric dose for 2nd Covid Shot. He turned 12 y.o between first and second dosing.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Lymphadenopathy, Migraine, Pain, Pyrexia
Clinical narrative: Severe body aches, severe migraine, fevers of 101-102, vomiting, enlarged lymph nodes on right arm with severe tenderness
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness, Vomiting
Clinical narrative: Severe body aches, severe migraine, fevers of 101-102, vomiting, enlarged lymph nodes on right arm with severe tenderness
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Had Pfizer Covid booster shot after Moderna My armpit, side of my limp nodes are swollen and painful
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Balanoposthitis, Penile discomfort, Penile erythema, Penile pain, Penile swelling
Clinical narrative: My son developed acute swelling and erythema in his penis and partially circumcised foreskin on 12/17/21. He complained of pain. We took him to the ER and he was diagnosed with  Balanitis on 12/18/21. He was prescribed topical steroids and anti-fungal cream.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: My son developed acute swelling and erythema in his penis and partially circumcised foreskin on 12/17/21. He complained of pain. We took him to the ER and he was diagnosed with  Balanitis on 12/18/21. He was prescribed topical steroids and anti-fungal cream.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Occasional dull chest pain, comes and goes, usually at night. No other notable symptoms.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Hypotension, Influenza virus test negative, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Fever of 103, blood oxygen level 73, extremely low blood pressure, sévère shaking,, ambulance called to ER. Three days in hospital to control fever and oxygen level.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Fever of 103, blood oxygen level 73, extremely low blood pressure, sévère shaking,, ambulance called to ER. Three days in hospital to control fever and oxygen level.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Oedema peripheral
Clinical narrative: Heavy swelling and discomfort in the left armpit
Age: 34.0
Sex: U
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Epididymitis, Fatigue, Vaccination complication
Clinical narrative: Epididymitis, fatigue after 2 days. Chest pain requiring hospitalization after 10 days. ER physician stated vaccine likely cause of chest pain.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Angiotensin converting enzyme, Antinuclear antibody negative, Blindness unilateral, C-reactive protein decreased, CSF culture negative
Clinical narrative: On 12/4/2021, 1 day after Moderna Covid-19 booster shot, patient developed decreased vision in the R eye. This progressed over the next 3 days to near complete loss of vision in the R eye. He was seen by an ophthalmologist on 12/7/2021 who recommended he start aspirin 81 mg PO daily & scheduled him for visual field & color plate testing in January 2022. With no change/improvement in vision, he went to a different ophthalmologist on 12/14/2021 for a 2nd opinion. B optic nerve edema was noted & findings concerning for R optic neuritis. He was sent to the ER for evaluation & was admitted to the hospitalist service.  He was seen by neurology, underwent MRI brain & MRV head. We were also concerned for optic neuritis. He was given a 3-day course of IV Solu-medrol 250 mg IV Q6 hrs. He has had significant improvement in his R eye vision & his ophthalmologic exam is also improved vs previous.  Vision is currently improved but is not back to normal.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Ophthalmological examination, Papilloedema, Protein total increased, Red blood cell count decreased
Clinical narrative: On 12/4/2021, 1 day after Moderna Covid-19 booster shot, patient developed decreased vision in the R eye. This progressed over the next 3 days to near complete loss of vision in the R eye. He was seen by an ophthalmologist on 12/7/2021 who recommended he start aspirin 81 mg PO daily & scheduled him for visual field & color plate testing in January 2022. With no change/improvement in vision, he went to a different ophthalmologist on 12/14/2021 for a 2nd opinion. B optic nerve edema was noted & findings concerning for R optic neuritis. He was sent to the ER for evaluation & was admitted to the hospitalist service.  He was seen by neurology, underwent MRI brain & MRV head. We were also concerned for optic neuritis. He was given a 3-day course of IV Solu-medrol 250 mg IV Q6 hrs. He has had significant improvement in his R eye vision & his ophthalmologic exam is also improved vs previous.  Vision is currently improved but is not back to normal.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, Treponema test negative, Venogram normal, Visual impairment
Clinical narrative: On 12/4/2021, 1 day after Moderna Covid-19 booster shot, patient developed decreased vision in the R eye. This progressed over the next 3 days to near complete loss of vision in the R eye. He was seen by an ophthalmologist on 12/7/2021 who recommended he start aspirin 81 mg PO daily & scheduled him for visual field & color plate testing in January 2022. With no change/improvement in vision, he went to a different ophthalmologist on 12/14/2021 for a 2nd opinion. B optic nerve edema was noted & findings concerning for R optic neuritis. He was sent to the ER for evaluation & was admitted to the hospitalist service.  He was seen by neurology, underwent MRI brain & MRV head. We were also concerned for optic neuritis. He was given a 3-day course of IV Solu-medrol 250 mg IV Q6 hrs. He has had significant improvement in his R eye vision & his ophthalmologic exam is also improved vs previous.  Vision is currently improved but is not back to normal.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: On 12/4/2021, 1 day after Moderna Covid-19 booster shot, patient developed decreased vision in the R eye. This progressed over the next 3 days to near complete loss of vision in the R eye. He was seen by an ophthalmologist on 12/7/2021 who recommended he start aspirin 81 mg PO daily & scheduled him for visual field & color plate testing in January 2022. With no change/improvement in vision, he went to a different ophthalmologist on 12/14/2021 for a 2nd opinion. B optic nerve edema was noted & findings concerning for R optic neuritis. He was sent to the ER for evaluation & was admitted to the hospitalist service.  He was seen by neurology, underwent MRI brain & MRV head. We were also concerned for optic neuritis. He was given a 3-day course of IV Solu-medrol 250 mg IV Q6 hrs. He has had significant improvement in his R eye vision & his ophthalmologic exam is also improved vs previous.  Vision is currently improved but is not back to normal.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Head injury, Inflammation, Syncope
Clinical narrative: After five minutes in the observation area, the patient abruptly stood up and began to walk across sales floor, but became light headed, laid on the ground, and bumped her head.  Her parents assisted to her first, pharmacist provided ice pack to head, and called 911. She experienced slight bump of inflammation  on upper right forehead. I paged primary care provider as well. The physician on call stated she would call the family and also follow up again with parents on 12/20/21.  The patient went to ER. I followed up with mother, at 7:53pm who stated doctor checked her heart rate and oxygen levels. She is fine and she is home resting, mainly was a vasovagal syncope episode.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Erythema, Fatigue, Feeling abnormal
Clinical narrative: I have a large softball size lump, it?s red and hot, my lymph nodes under my arms are very swollen, the second day felt like I got run over by a Mack truck all my muscles and joints and bones continue to hurt. Major fatigue. The symptoms are still current so as of the 16th starting at 12:30 PM to now which I still have
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mass, Myalgia, Skin warm
Clinical narrative: I have a large softball size lump, it?s red and hot, my lymph nodes under my arms are very swollen, the second day felt like I got run over by a Mack truck all my muscles and joints and bones continue to hurt. Major fatigue. The symptoms are still current so as of the 16th starting at 12:30 PM to now which I still have
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dizziness postural, Dry throat, Ear pain
Clinical narrative: severe dizziness; I fainted a couple of times, threw up and continue to feel dizzy when trying to move.  In addition, fever 101, chills, muscle aches, neck stiffness, headache, dry throat, pain around my ears and teeth.  It's been 36 hours since the onset of symptoms, 24 hours of dizziness and it's still continuing. I still can't move without getting dizzy.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Musculoskeletal stiffness, Myalgia, Pyrexia, Syncope
Clinical narrative: severe dizziness; I fainted a couple of times, threw up and continue to feel dizzy when trying to move.  In addition, fever 101, chills, muscle aches, neck stiffness, headache, dry throat, pain around my ears and teeth.  It's been 36 hours since the onset of symptoms, 24 hours of dizziness and it's still continuing. I still can't move without getting dizzy.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache, Vomiting
Clinical narrative: severe dizziness; I fainted a couple of times, threw up and continue to feel dizzy when trying to move.  In addition, fever 101, chills, muscle aches, neck stiffness, headache, dry throat, pain around my ears and teeth.  It's been 36 hours since the onset of symptoms, 24 hours of dizziness and it's still continuing. I still can't move without getting dizzy.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Moderate Vertigo lasting 2 weeks
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: I began to feel nausea, headache, body aches. I proceeded to have diarrhea. My temperature was 99.5 (I am usually 97). The symptoms began around 7 PM and lasted until the next afternoon.