chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Nausea, Pain, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: 12/26/21: patient started having COVID symptoms 12/29/21: present to the ED with nausea, vomiting, body aches, fatigue, cough and test positive for symptomatic COVID-19  Her hospitalization has been complicated by management of chronic hypoxic respiratory failure and hepatic encephalopathy. Significant events during hospitalization include a rapid response called at 2:10 AM on 1/2/2022 for acute changes in mental status. A second rapid response was called on 1/4/2022 for altered mental status and large hematoma along the left flank. Unfortunately, the patient continued to decline until requiring vasopressor support for septic shock. Therefore, she was admitted to the ICU for critical care management on 1/4/2022, as well. A few hours later, a third rapid response was called for unresponsiveness. Due to concern for airway protection the patient was intubated at that time. Discussion between staff and family continued throughout the day regarding Goals of Care and the patient's poor prognosis. After significant thought, the patient's family decided to withdraw care. The patient was pronounced on 1/4/2022 @ 1412 hours with the family at the bedside.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Septic shock, Therapy cessation, Unresponsive to stimuli, Vomiting
Clinical narrative: 12/26/21: patient started having COVID symptoms 12/29/21: present to the ED with nausea, vomiting, body aches, fatigue, cough and test positive for symptomatic COVID-19  Her hospitalization has been complicated by management of chronic hypoxic respiratory failure and hepatic encephalopathy. Significant events during hospitalization include a rapid response called at 2:10 AM on 1/2/2022 for acute changes in mental status. A second rapid response was called on 1/4/2022 for altered mental status and large hematoma along the left flank. Unfortunately, the patient continued to decline until requiring vasopressor support for septic shock. Therefore, she was admitted to the ICU for critical care management on 1/4/2022, as well. A few hours later, a third rapid response was called for unresponsiveness. Due to concern for airway protection the patient was intubated at that time. Discussion between staff and family continued throughout the day regarding Goals of Care and the patient's poor prognosis. After significant thought, the patient's family decided to withdraw care. The patient was pronounced on 1/4/2022 @ 1412 hours with the family at the bedside.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Muscle spasms
Clinical narrative: Severe muscle spasms/pain in low back and under arm area. Pain and spasms have continued since day after vaccination.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Impaired work ability, Malaise
Clinical narrative: Fatigue, chills, fever, body aches, headache, malaise.  I received booster on 1/21/22 and missed day of work on 1/24/22.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fatigue, chills, fever, body aches, headache, malaise.  I received booster on 1/21/22 and missed day of work on 1/24/22.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Fatigue, Multiple sclerosis relapse, Muscular weakness
Clinical narrative: Mild unproductive cough and fatigue. Weakness in legs with MS flare.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Pain, Pyrexia
Clinical narrative: Fever, body aches, fatigue, coughing, congestion, chills
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: Fever, body aches, fatigue, coughing, congestion, chills
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature for too long.  We have recommended to the patient to get revaccinated.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Child is 12 but received the 5-11 y.o. Pfizer.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt given Moderna booster early. Received 2nd Moderna vaccine 10/22/2021, due in 03/2022.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Autonomic nervous system imbalance, COVID-19, Electrocardiogram ambulatory, Hypertonic bladder, Orthostatic intolerance
Clinical narrative: Tachycardia, orthostatic intolerance, Autonomic dysfunction, overactive bladder, Postural Orthostatic Tachycardia Syndrome, presyncope upon standing. Signs of tachycardia and presyncope upon standing started about a week after receiving second dose. Symptoms were intermittent at first and seemed worse around menses.  Symptoms began to be persistent everyday after contracting a breakthrough case of Covid-19 on August 27, 2021. Currently being treated with Propanolol 10mg BID and lifestyle changes.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Postural orthostatic tachycardia syndrome, Presyncope, Tachycardia
Clinical narrative: Tachycardia, orthostatic intolerance, Autonomic dysfunction, overactive bladder, Postural Orthostatic Tachycardia Syndrome, presyncope upon standing. Signs of tachycardia and presyncope upon standing started about a week after receiving second dose. Symptoms were intermittent at first and seemed worse around menses.  Symptoms began to be persistent everyday after contracting a breakthrough case of Covid-19 on August 27, 2021. Currently being treated with Propanolol 10mg BID and lifestyle changes.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Mechanical urticaria, Oesophageal disorder, Urticaria, Urticaria chronic
Clinical narrative: 12/13/21 - Moderna booster 12/22/21  Hives, dermatographia, tightening in esophagus  I have had chronic urticaria and dermatographia for almost 5 weeks now. Also some mild acid reflux. The urticaria changes location all over my body and relents after about an hour. Dermatographia - red welts on skin wherever I touch or rub skin. I have been taking antihistamines to treat the urticaria.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pain, Injection site swelling
Clinical narrative: Pt. states that after receiving the 3rd dose of Phizer 01/22/2022, started experiencing symptoms that evening of swelling at and around the injection site and sharp "stabbing" pain in the Left arm through the shoulder area with Minor bruising. No noted Primary visit/communications.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Swelling of eyelid
Clinical narrative: Pt developed rash over shoulders, face; swollen eyelids approx 5 hours post vaccination.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid-19 illness
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia
Clinical narrative: patient smells smoke (his description was cigarette smoke/nicotine). onset 1 week after Moderna booster vaccine. patient is a non-smoker
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Mental status changes
Clinical narrative: Patient presented with altered mental status and generalized weakness.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: This was the second dose, first dose given 11/22/2021. Second dose given too soon.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Computerised tomogram abnormal, Electroencephalogram, Neck pain
Clinical narrative: My armpit and arm were hurting the night of my booster. The next day, my torso, back, neck and left arm were all painfully swollen. I called the pharmacy and advised them of my symptoms and they recommend I go to urgent care. They advised I go the the ER. They found swelling during a cat scan. They gave me Benadryl and antibiotics. My swelling is starting to go down.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Swelling, X-ray
Clinical narrative: My armpit and arm were hurting the night of my booster. The next day, my torso, back, neck and left arm were all painfully swollen. I called the pharmacy and advised them of my symptoms and they recommend I go to urgent care. They advised I go the the ER. They found swelling during a cat scan. They gave me Benadryl and antibiotics. My swelling is starting to go down.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Blood test, Immune thrombocytopenia, Immunoglobulin therapy, Intensive care, Oral blood blister
Clinical narrative: Petechia, blood blisters in mouth. Ended up in critical care at hospital with 0 platelets. Diagnosed with Immune Thrombocytopenia Pupura
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Petechiae, Platelet count decreased, Platelet transfusion
Clinical narrative: Petechia, blood blisters in mouth. Ended up in critical care at hospital with 0 platelets. Diagnosed with Immune Thrombocytopenia Pupura
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, C-reactive protein increased, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: After receiving booster on 11/18, fatigued for 2 days (similar to shot 2), and swollen lymph nodes (for about a week).  Some shortness of breath initially attributed to walking in cold weather and physical condition and pushed through because of thanksgiving visitors.  Day 10 (Nov 30), unable to sleep lying down due to pain.  Kept thinking I had pulled a muscle, but after friends visited December 10-12, they commented on my 'gasping for breath', so I got a covid test on 12/13 that was negative and scheduled an appt on 12/16 with my physician.    On December 16, upon presentation at Dr.'s office, my blood pressure was high and when asked to lie on the exam table, I told her I could not because it was too painful and I had been sleeping sitting up for two weeks.  My doctor recognized quickly I would need some blood work, chest x-rays, and other workups and, given her office is one block from Hospital, her assistant walked there with me and Dr. called the ER attending to speed my admission.  On admission to the ER, my blood pressure was 170/111, pulse 120.  Blood work was done, chest x-ray, chest CT.  Initially thought that perhaps it was pneumonia or a blood clot, but my white blood cell count was normal and I had no fever.  Was administered some IV antibiotics to treat minor infection, and an echocardiogram was scheduled.  Echo showed a moderate pericardial effusion, I was kept overnight in hospital.  On discharge on December 17, I was prescribed 1800 mg of ibuprofen for two weeks, colchicine for three months (2 tabs daily), and a follow-up was scheduled for me with Dr..    On December 27, I met with Dr., where bloodwork was done to check my inflammation levels and whether I had lupus or another autoimmune disease.  While blood work showed declines in inflammation from 12/16/21 hospital levels (unknown to me), they were still quite outside of the normal range at c-reactive of 11 mg/L (normal range <=4) and Westergren ESR of 50 mm/hr (normal range 0-20).
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram abnormal, Fatigue, Hypertension, Infection
Clinical narrative: After receiving booster on 11/18, fatigued for 2 days (similar to shot 2), and swollen lymph nodes (for about a week).  Some shortness of breath initially attributed to walking in cold weather and physical condition and pushed through because of thanksgiving visitors.  Day 10 (Nov 30), unable to sleep lying down due to pain.  Kept thinking I had pulled a muscle, but after friends visited December 10-12, they commented on my 'gasping for breath', so I got a covid test on 12/13 that was negative and scheduled an appt on 12/16 with my physician.    On December 16, upon presentation at Dr.'s office, my blood pressure was high and when asked to lie on the exam table, I told her I could not because it was too painful and I had been sleeping sitting up for two weeks.  My doctor recognized quickly I would need some blood work, chest x-rays, and other workups and, given her office is one block from Hospital, her assistant walked there with me and Dr. called the ER attending to speed my admission.  On admission to the ER, my blood pressure was 170/111, pulse 120.  Blood work was done, chest x-ray, chest CT.  Initially thought that perhaps it was pneumonia or a blood clot, but my white blood cell count was normal and I had no fever.  Was administered some IV antibiotics to treat minor infection, and an echocardiogram was scheduled.  Echo showed a moderate pericardial effusion, I was kept overnight in hospital.  On discharge on December 17, I was prescribed 1800 mg of ibuprofen for two weeks, colchicine for three months (2 tabs daily), and a follow-up was scheduled for me with Dr..    On December 27, I met with Dr., where bloodwork was done to check my inflammation levels and whether I had lupus or another autoimmune disease.  While blood work showed declines in inflammation from 12/16/21 hospital levels (unknown to me), they were still quite outside of the normal range at c-reactive of 11 mg/L (normal range <=4) and Westergren ESR of 50 mm/hr (normal range 0-20).
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Inflammatory marker increased, Insomnia, Lymphadenopathy, Pain
Clinical narrative: After receiving booster on 11/18, fatigued for 2 days (similar to shot 2), and swollen lymph nodes (for about a week).  Some shortness of breath initially attributed to walking in cold weather and physical condition and pushed through because of thanksgiving visitors.  Day 10 (Nov 30), unable to sleep lying down due to pain.  Kept thinking I had pulled a muscle, but after friends visited December 10-12, they commented on my 'gasping for breath', so I got a covid test on 12/13 that was negative and scheduled an appt on 12/16 with my physician.    On December 16, upon presentation at Dr.'s office, my blood pressure was high and when asked to lie on the exam table, I told her I could not because it was too painful and I had been sleeping sitting up for two weeks.  My doctor recognized quickly I would need some blood work, chest x-rays, and other workups and, given her office is one block from Hospital, her assistant walked there with me and Dr. called the ER attending to speed my admission.  On admission to the ER, my blood pressure was 170/111, pulse 120.  Blood work was done, chest x-ray, chest CT.  Initially thought that perhaps it was pneumonia or a blood clot, but my white blood cell count was normal and I had no fever.  Was administered some IV antibiotics to treat minor infection, and an echocardiogram was scheduled.  Echo showed a moderate pericardial effusion, I was kept overnight in hospital.  On discharge on December 17, I was prescribed 1800 mg of ibuprofen for two weeks, colchicine for three months (2 tabs daily), and a follow-up was scheduled for me with Dr..    On December 27, I met with Dr., where bloodwork was done to check my inflammation levels and whether I had lupus or another autoimmune disease.  While blood work showed declines in inflammation from 12/16/21 hospital levels (unknown to me), they were still quite outside of the normal range at c-reactive of 11 mg/L (normal range <=4) and Westergren ESR of 50 mm/hr (normal range 0-20).
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pericardial effusion, Pleural effusion, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, Scan with contrast normal
Clinical narrative: After receiving booster on 11/18, fatigued for 2 days (similar to shot 2), and swollen lymph nodes (for about a week).  Some shortness of breath initially attributed to walking in cold weather and physical condition and pushed through because of thanksgiving visitors.  Day 10 (Nov 30), unable to sleep lying down due to pain.  Kept thinking I had pulled a muscle, but after friends visited December 10-12, they commented on my 'gasping for breath', so I got a covid test on 12/13 that was negative and scheduled an appt on 12/16 with my physician.    On December 16, upon presentation at Dr.'s office, my blood pressure was high and when asked to lie on the exam table, I told her I could not because it was too painful and I had been sleeping sitting up for two weeks.  My doctor recognized quickly I would need some blood work, chest x-rays, and other workups and, given her office is one block from Hospital, her assistant walked there with me and Dr. called the ER attending to speed my admission.  On admission to the ER, my blood pressure was 170/111, pulse 120.  Blood work was done, chest x-ray, chest CT.  Initially thought that perhaps it was pneumonia or a blood clot, but my white blood cell count was normal and I had no fever.  Was administered some IV antibiotics to treat minor infection, and an echocardiogram was scheduled.  Echo showed a moderate pericardial effusion, I was kept overnight in hospital.  On discharge on December 17, I was prescribed 1800 mg of ibuprofen for two weeks, colchicine for three months (2 tabs daily), and a follow-up was scheduled for me with Dr..    On December 27, I met with Dr., where bloodwork was done to check my inflammation levels and whether I had lupus or another autoimmune disease.  While blood work showed declines in inflammation from 12/16/21 hospital levels (unknown to me), they were still quite outside of the normal range at c-reactive of 11 mg/L (normal range <=4) and Westergren ESR of 50 mm/hr (normal range 0-20).
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Stress echocardiogram normal, Temperature intolerance, White blood cell count normal
Clinical narrative: After receiving booster on 11/18, fatigued for 2 days (similar to shot 2), and swollen lymph nodes (for about a week).  Some shortness of breath initially attributed to walking in cold weather and physical condition and pushed through because of thanksgiving visitors.  Day 10 (Nov 30), unable to sleep lying down due to pain.  Kept thinking I had pulled a muscle, but after friends visited December 10-12, they commented on my 'gasping for breath', so I got a covid test on 12/13 that was negative and scheduled an appt on 12/16 with my physician.    On December 16, upon presentation at Dr.'s office, my blood pressure was high and when asked to lie on the exam table, I told her I could not because it was too painful and I had been sleeping sitting up for two weeks.  My doctor recognized quickly I would need some blood work, chest x-rays, and other workups and, given her office is one block from Hospital, her assistant walked there with me and Dr. called the ER attending to speed my admission.  On admission to the ER, my blood pressure was 170/111, pulse 120.  Blood work was done, chest x-ray, chest CT.  Initially thought that perhaps it was pneumonia or a blood clot, but my white blood cell count was normal and I had no fever.  Was administered some IV antibiotics to treat minor infection, and an echocardiogram was scheduled.  Echo showed a moderate pericardial effusion, I was kept overnight in hospital.  On discharge on December 17, I was prescribed 1800 mg of ibuprofen for two weeks, colchicine for three months (2 tabs daily), and a follow-up was scheduled for me with Dr..    On December 27, I met with Dr., where bloodwork was done to check my inflammation levels and whether I had lupus or another autoimmune disease.  While blood work showed declines in inflammation from 12/16/21 hospital levels (unknown to me), they were still quite outside of the normal range at c-reactive of 11 mg/L (normal range <=4) and Westergren ESR of 50 mm/hr (normal range 0-20).
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood thyroid stimulating hormone, Differential white blood cell count, Full blood count, Haemoglobin
Clinical narrative: Massive hair loss.  Started gradually 5 months post shot, then massive hair loss 6 months post shot still continuing 9 months later.  I've lost 50+% of my hair.  It is entire scalp, not localized.  It continues to come out massively daily.  My scalp now shows with a thin layer of hair when I previously had long luxurious head full of hair.  I've had my thyroid checked along with a complete blood work-up.  I've been to a Dermatologist who could give no medical diagnosis for my massive hair loss (it was sudden and extreme) and said it could have been from the vaccine since that was my only event leading up to it.    Recently doing research on this, I see I'm not alone in this horrific side effect.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Metabolic function test, Platelet count
Clinical narrative: Massive hair loss.  Started gradually 5 months post shot, then massive hair loss 6 months post shot still continuing 9 months later.  I've lost 50+% of my hair.  It is entire scalp, not localized.  It continues to come out massively daily.  My scalp now shows with a thin layer of hair when I previously had long luxurious head full of hair.  I've had my thyroid checked along with a complete blood work-up.  I've been to a Dermatologist who could give no medical diagnosis for my massive hair loss (it was sudden and extreme) and said it could have been from the vaccine since that was my only event leading up to it.    Recently doing research on this, I see I'm not alone in this horrific side effect.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature for too long.  We have recommended to the patient to get revaccinated.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.   COVID breakthrough infection with inpatient hospital stay.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Blood uric acid, Gout, Inflammation, Pain in extremity
Clinical narrative: I continued to have foot pain after the doctor added colchicine. Contrary to this medication, it could cause new flare ups. I had  recurrent foot pain almost every week, November through December, a 6 to 8  week period. My doctor took blood test and monitored it and I changed my diet to eliminate  all things that have high levels of purine. The test confirmed that it lowered the uric acid in my blood. The symptoms have resolved but it is still being watched and still taking medication for it and still watching diet. In early December I also had trouble with my left eye. I was having decreased vision happening intermittently.  The doctor said there was inflammation likely caused my gout. I had a short course steroid of eye drops that resolved the issue. You do understand that I am not saying these are connected to the vaccine. I am just reporting the adverse events that occurred following my vaccine. Note: 4 to 6 weeks prior to the Moderna Dose 3, I had a flu shot.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: I continued to have foot pain after the doctor added colchicine. Contrary to this medication, it could cause new flare ups. I had  recurrent foot pain almost every week, November through December, a 6 to 8  week period. My doctor took blood test and monitored it and I changed my diet to eliminate  all things that have high levels of purine. The test confirmed that it lowered the uric acid in my blood. The symptoms have resolved but it is still being watched and still taking medication for it and still watching diet. In early December I also had trouble with my left eye. I was having decreased vision happening intermittently.  The doctor said there was inflammation likely caused my gout. I had a short course steroid of eye drops that resolved the issue. You do understand that I am not saying these are connected to the vaccine. I am just reporting the adverse events that occurred following my vaccine. Note: 4 to 6 weeks prior to the Moderna Dose 3, I had a flu shot.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Eye pain, Facial paralysis, Swelling face
Clinical narrative: Bell's Palsy  Left eyelid has been drooping closed x 2 wk.  Pain in eye is inside eye, feels like something pulling from inside. Face on left also swollen.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Hospitalized with breakthrough COVID
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Client presented his vaccination card with two stickers of vaccination dates of 02/23/2021 and 03/23/2021 and stated he was there for his booster shot. He was administered Moderna 0.25 ml IM  by nursing staff  Vaccine provided by the local County Health Dept  Later when info was being entered into database  It was noted that he had received at Moderna booster 12/16/2021  not through HD  Client was called on 01/20/2022  and client verified he had received that dose. He thought he needed another booster. He was informed that was not the recommendation. Client stated he was feeling  fine. He was instructed to contact if having any issues or questions. He was instructed not to obtain another booster at this time. A new card with all the Moderna vaccines given was then mailed to the patient.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature for too long.  We have recommended to the patient to get revaccinated.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Wheezing
Clinical narrative: Arrived with SOB and wheezing. Admit for COVID infection. Aggressive care declined and pt transferred to hospice. Pt expired 8/21.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Oedema, Peripheral swelling, X-ray normal
Clinical narrative: left leg and foot swelling and edema for several days, still persisting, never happened before. presumed blood clot.
Age: 0.83
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Bone pain, Chills, Fatigue
Clinical narrative: Onset of S&S 3-4 hrs post jab.  Develop profound fatigue,  severe chills,  joint and bone pain,  profound weakness,  headache.  Considered going to ER,  thought I might die.  Took Motrin (I believe) with some relief.  S&S gradually subsided over next 24-36 hrs
Age: 0.83
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Onset of S&S 3-4 hrs post jab.  Develop profound fatigue,  severe chills,  joint and bone pain,  profound weakness,  headache.  Considered going to ER,  thought I might die.  Took Motrin (I believe) with some relief.  S&S gradually subsided over next 24-36 hrs
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Hypoxia
Clinical narrative: Hypoxic at home, diagnosed with COVID 3 days PTA. Fully vaccinated. O2, lovenox, singulair, zinc, steroids. Weaned to RA and discharged home.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Condition aggravated, Discomfort, Erythema, Neuropathy peripheral
Clinical narrative: I had burning and redness on my right upper thigh on the home. I have small fiber neuropathy and it flared that up by I would say day 4-5. With it came some new symptoms. I felt the small finger joints in my hands were being crushed by plyers. Weirdly, I didn't get all my normal chorus of small fiber neuropathy symptoms. The symptoms entirely resolved before the 2nd shot.  After the 2nd shot I had 7 months of neuropathy. I had flooding this time. I am post-menopausal, so that was very strange. My right leg burned so intensely that it felt like I was getting  an active carpet burn. I had a repeat of the new finger symptoms again.  I had the normal burning, vibrating, numbness, stabbing pains, and so forth that I get with the small fiber neuropathy but I didn't experience facial numbness. I normally experience neuropathy primarily in my legs and feet (and part of my face goes numb) but after the vaccinations I have been experiencing neuropathy in my hands and lower arms. This all resolved until 3 days ago. I am now experiencing a flare up in my hands. This time with a new symptom. The top of my right hand hurts to touch. The top of my right forearm is burning has bone pain (as does my hand). The bones in both hands in the small finger joints feel like they are being crushed.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram abnormal, Cardiac imaging procedure abnormal, Chest pain, Myocarditis, Troponin
Clinical narrative: Chest pain diagnosed with acute myocarditis diagnosed in November, four months from last Pfizer mRNA vaccine.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Headache, Throat tightness
Clinical narrative: The patient received the vaccine at 10:10 AM after 15 minutes complained of feeling some tightness in the throat. Patient able to speak clearly, no SOB noted. O2 sat at 98%, heart rate at 106/min. The patient was monitored closely for 30 mins more during that time; she complained of headache, tiredness, and stomach pain. The patient?s father confirmed the patient is allergic to other fruits. During this time, O2 sat was between 98% and 99%, heart rate between 86/min and 108/min. The patient calmed down and said she felt better, health education was given to dad, and the patient was encouraged to drink plenty of water and rest. Dad was instructed to continue with monitoring. O2 sat99% and heart rate 96% when the patient left the clinic with dad.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Balance disorder, Blood test, Constipation
Clinical narrative: Joint pain, muscle aches, dizziness, trouble digesting food, constipation, low energy, weakness, loss  of balance, fell down, broke nose in 3 places, injured face, busted lip,  injured right shoulder, injured left knee; injured fingers.  Right arm not working. Going to physical therapy once weekly. Will need plastic surgery. Will need possible shoulder surgery.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspepsia, Face injury, Facial bones fracture, Fall
Clinical narrative: Joint pain, muscle aches, dizziness, trouble digesting food, constipation, low energy, weakness, loss  of balance, fell down, broke nose in 3 places, injured face, busted lip,  injured right shoulder, injured left knee; injured fingers.  Right arm not working. Going to physical therapy once weekly. Will need plastic surgery. Will need possible shoulder surgery.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Joint injury, Limb injury, Lip injury, Magnetic resonance imaging, Mobility decreased
Clinical narrative: Joint pain, muscle aches, dizziness, trouble digesting food, constipation, low energy, weakness, loss  of balance, fell down, broke nose in 3 places, injured face, busted lip,  injured right shoulder, injured left knee; injured fingers.  Right arm not working. Going to physical therapy once weekly. Will need plastic surgery. Will need possible shoulder surgery.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, X-ray
Clinical narrative: Joint pain, muscle aches, dizziness, trouble digesting food, constipation, low energy, weakness, loss  of balance, fell down, broke nose in 3 places, injured face, busted lip,  injured right shoulder, injured left knee; injured fingers.  Right arm not working. Going to physical therapy once weekly. Will need plastic surgery. Will need possible shoulder surgery.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Endotracheal intubation, Intensive care, Positive airway pressure therapy
Clinical narrative: Admit for COVID infection with poss superimposed bacterial pna. Fully vaccinated. Rocephin, zithromax, steroids, remdesivir, zinc, HFNC, intermittent Bipap, singulair. Unfortunately patients never really improved during her long and complicated course.  She was made DNR and decision made to withdraw care by palliative care, icu team in discussion with family. She was extubated on 9/6 and pronounced dead.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Fall, Head injury, Loss of consciousness, Seizure, Tremor
Clinical narrative: Patient was given Meningitis A vaccine first. Tolerated well. Men B vaccine was given next. Medical assistant turned away for a second and patient, who was standing, lost consciousness, fell forward and hit forehead on the ground. Per father, patient began to "seize." His whole body shook. Lasted for a few seconds. I assessed the patient about a minute after the episode and he appeared back to his regular state. no Post ictal state noted.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Agonal respiration, Anticoagulant therapy, Arthralgia, Back pain
Clinical narrative: Patient is fully vaccinated.  COVID + 12/22/2021.  Hospitalized on 12/18/2021.  Admitting dx: neck pain, back pain, knee pain, fall COVID-19.  Pulmonary empolism. Treatment:  Lovenox given,  The patient is a 72y.o. female with history listed below presenting to the ICU for acute hypoxic ventilator dependent pneumonia secondary to covid.Started on broad spectrum antibiotics, decadron, albuterol nebulizer, remdesivir. On 1/2/2022 ICU was called for Unresponsive with agonal respiration while on bipap with continued hypoxia. Palpable pulse but unable to get blood pressure. Anesthesia at bedside for intubation. 2L bolus started in both patent IVs. Emergent CVC placed in right fem. Multiple pressors along with levophed, epinephrine, and pushes of neo give prior to intubation. Patient was intubated, CVC placed, and on 4 vasopressors including vasopressin and phenylephrine drip. Per family request, patient was terminally extubated and expired.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure abnormal, COVID-19, Central venous catheterisation, Death, Endotracheal intubation
Clinical narrative: Patient is fully vaccinated.  COVID + 12/22/2021.  Hospitalized on 12/18/2021.  Admitting dx: neck pain, back pain, knee pain, fall COVID-19.  Pulmonary empolism. Treatment:  Lovenox given,  The patient is a 72y.o. female with history listed below presenting to the ICU for acute hypoxic ventilator dependent pneumonia secondary to covid.Started on broad spectrum antibiotics, decadron, albuterol nebulizer, remdesivir. On 1/2/2022 ICU was called for Unresponsive with agonal respiration while on bipap with continued hypoxia. Palpable pulse but unable to get blood pressure. Anesthesia at bedside for intubation. 2L bolus started in both patent IVs. Emergent CVC placed in right fem. Multiple pressors along with levophed, epinephrine, and pushes of neo give prior to intubation. Patient was intubated, CVC placed, and on 4 vasopressors including vasopressin and phenylephrine drip. Per family request, patient was terminally extubated and expired.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Extubation, Fall, Hypoxia, Intensive care, Mechanical ventilation
Clinical narrative: Patient is fully vaccinated.  COVID + 12/22/2021.  Hospitalized on 12/18/2021.  Admitting dx: neck pain, back pain, knee pain, fall COVID-19.  Pulmonary empolism. Treatment:  Lovenox given,  The patient is a 72y.o. female with history listed below presenting to the ICU for acute hypoxic ventilator dependent pneumonia secondary to covid.Started on broad spectrum antibiotics, decadron, albuterol nebulizer, remdesivir. On 1/2/2022 ICU was called for Unresponsive with agonal respiration while on bipap with continued hypoxia. Palpable pulse but unable to get blood pressure. Anesthesia at bedside for intubation. 2L bolus started in both patent IVs. Emergent CVC placed in right fem. Multiple pressors along with levophed, epinephrine, and pushes of neo give prior to intubation. Patient was intubated, CVC placed, and on 4 vasopressors including vasopressin and phenylephrine drip. Per family request, patient was terminally extubated and expired.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pneumonia, Positive airway pressure therapy, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  COVID + 12/22/2021.  Hospitalized on 12/18/2021.  Admitting dx: neck pain, back pain, knee pain, fall COVID-19.  Pulmonary empolism. Treatment:  Lovenox given,  The patient is a 72y.o. female with history listed below presenting to the ICU for acute hypoxic ventilator dependent pneumonia secondary to covid.Started on broad spectrum antibiotics, decadron, albuterol nebulizer, remdesivir. On 1/2/2022 ICU was called for Unresponsive with agonal respiration while on bipap with continued hypoxia. Palpable pulse but unable to get blood pressure. Anesthesia at bedside for intubation. 2L bolus started in both patent IVs. Emergent CVC placed in right fem. Multiple pressors along with levophed, epinephrine, and pushes of neo give prior to intubation. Patient was intubated, CVC placed, and on 4 vasopressors including vasopressin and phenylephrine drip. Per family request, patient was terminally extubated and expired.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient is fully vaccinated.  COVID + 12/22/2021.  Hospitalized on 12/18/2021.  Admitting dx: neck pain, back pain, knee pain, fall COVID-19.  Pulmonary empolism. Treatment:  Lovenox given,  The patient is a 72y.o. female with history listed below presenting to the ICU for acute hypoxic ventilator dependent pneumonia secondary to covid.Started on broad spectrum antibiotics, decadron, albuterol nebulizer, remdesivir. On 1/2/2022 ICU was called for Unresponsive with agonal respiration while on bipap with continued hypoxia. Palpable pulse but unable to get blood pressure. Anesthesia at bedside for intubation. 2L bolus started in both patent IVs. Emergent CVC placed in right fem. Multiple pressors along with levophed, epinephrine, and pushes of neo give prior to intubation. Patient was intubated, CVC placed, and on 4 vasopressors including vasopressin and phenylephrine drip. Per family request, patient was terminally extubated and expired.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Death, Decreased appetite, Dyspnoea, Headache
Clinical narrative: Patient received his booster shot on 1/14/22.  On the evening of 1/14/22 he got a massive fever, loss of appetite, and inability to sleep.  On 1/15/22 he had a lingering headache and continued loss of appetite, but he forced himself to eat.  He started vomiting on 1/16/22 and said he was constantly vomiting from 12:00 a.m. - 5:00 p.m..  He estimated he vomited 8 times, until there was literally nothing left.  He said he didn't really eat anything or get good sleep on 1/16/22.  On 1/17/22 he reported he had shortness of breath and noted his heart was beating "quite fast."  He noted that when he cooled his head it helped the shortness of breath "a lot."  His last communication was at 8:40 p.m. on 1/17/22.  He was scheduled to teach a virtual class at the local College on 1/18/22, he did not attend.  He was found deceased in his apartment on 1/20/22 at 8:00 am.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Hypophagia, Insomnia, Laboratory test, Pyrexia
Clinical narrative: Patient received his booster shot on 1/14/22.  On the evening of 1/14/22 he got a massive fever, loss of appetite, and inability to sleep.  On 1/15/22 he had a lingering headache and continued loss of appetite, but he forced himself to eat.  He started vomiting on 1/16/22 and said he was constantly vomiting from 12:00 a.m. - 5:00 p.m..  He estimated he vomited 8 times, until there was literally nothing left.  He said he didn't really eat anything or get good sleep on 1/16/22.  On 1/17/22 he reported he had shortness of breath and noted his heart was beating "quite fast."  He noted that when he cooled his head it helped the shortness of breath "a lot."  His last communication was at 8:40 p.m. on 1/17/22.  He was scheduled to teach a virtual class at the local College on 1/18/22, he did not attend.  He was found deceased in his apartment on 1/20/22 at 8:00 am.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient received his booster shot on 1/14/22.  On the evening of 1/14/22 he got a massive fever, loss of appetite, and inability to sleep.  On 1/15/22 he had a lingering headache and continued loss of appetite, but he forced himself to eat.  He started vomiting on 1/16/22 and said he was constantly vomiting from 12:00 a.m. - 5:00 p.m..  He estimated he vomited 8 times, until there was literally nothing left.  He said he didn't really eat anything or get good sleep on 1/16/22.  On 1/17/22 he reported he had shortness of breath and noted his heart was beating "quite fast."  He noted that when he cooled his head it helped the shortness of breath "a lot."  His last communication was at 8:40 p.m. on 1/17/22.  He was scheduled to teach a virtual class at the local College on 1/18/22, he did not attend.  He was found deceased in his apartment on 1/20/22 at 8:00 am.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored out of range - in freezer for greater than 14 days
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Client requested Moderna booster dose but received Janssen 0.25 ml dose.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.   Inpatient stay after asymptomatic COVID breakthrough infection
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cystitis, Death, General physical health deterioration
Clinical narrative: Admit for COVID pna. Husband home with COVID infection. Likely cystitis on admit as well. Steroids, HFNC, remdesivir, rocephin, cefepime, levaquin, singulair, zinc, lovenox. Progressively worsened and was placed on comfort care. She expired 8/25.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature for too long.  We have recommended to the patient to get revaccinated.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Headache, Impaired work ability
Clinical narrative: A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions. I was in bed for 10 days, I could not function to work even. Fatigue, fever up to 100.6, body aches, diarrhea, stomachache, and headaches are what I experienced.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions. I was in bed for 10 days, I could not function to work even. Fatigue, fever up to 100.6, body aches, diarrhea, stomachache, and headaches are what I experienced.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Bundle branch block left, Cardiac stress test, Catheterisation cardiac normal, Echocardiogram, Ejection fraction decreased
Clinical narrative: Syncope followed by ER visit determined Left Bundle Branch Block Cardiology follow up - Holter Monitor, Stress Test and Echo - Low Normal EF 50% Cath Lab visit - Clean Cardiac MRI - Low EF Left side weakness
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Glycosylated haemoglobin increased, Hemiparesis, Laboratory test, Liver function test increased
Clinical narrative: Syncope followed by ER visit determined Left Bundle Branch Block Cardiology follow up - Holter Monitor, Stress Test and Echo - Low Normal EF 50% Cath Lab visit - Clean Cardiac MRI - Low EF Left side weakness
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging heart, Renal impairment, Syncope
Clinical narrative: Syncope followed by ER visit determined Left Bundle Branch Block Cardiology follow up - Holter Monitor, Stress Test and Echo - Low Normal EF 50% Cath Lab visit - Clean Cardiac MRI - Low EF Left side weakness
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Client requested Moderna booster but received Janssen 0.25 ml dose in error.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after stored at freezer temperature for too long. Patient advised and may get revaccinated.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19 pneumonia, General physical health deterioration
Clinical narrative: Admit for COVID. Fully vaccinated. Steroids, Vit-c, Vit-d, O2, zinc, Lovenox. Condition declined and pt was sent home with hospice.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Client requested Moderna booster dose but received Janssen 0.25 ml dose in error.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac arrest, Cellulitis, Death
Clinical narrative: Admitted for septic shock 2/2 pna vs cellulitis. COVID test positive after admit and was dx with COVID pna. Cefepime, vanc, remdesivir, mechanical ventilation. Progressively declined and expired after cardiac arrest.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Mechanical ventilation, Pneumonia, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Admitted for septic shock 2/2 pna vs cellulitis. COVID test positive after admit and was dx with COVID pna. Cefepime, vanc, remdesivir, mechanical ventilation. Progressively declined and expired after cardiac arrest.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Pain in extremity, Pulmonary embolism, Thrombosis
Clinical narrative: I began to experience leg pain in my left leg. I then received care 3 weeks later and have a blood clot in my leg and multiple pulmonary emboli.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: I began to experience leg pain in my left leg. I then received care 3 weeks later and have a blood clot in my leg and multiple pulmonary emboli.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Nausea, Rash, Rash erythematous, Retching
Clinical narrative: on 1/22/22 patient developed nausea, feeling of something in his throat & gagging, vomited, then developed red warm rash on face
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Sensation of foreign body, Vomiting
Clinical narrative: on 1/22/22 patient developed nausea, feeling of something in his throat & gagging, vomited, then developed red warm rash on face
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature for too long.  We have recommended to the patient to get revaccinated.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Encephalopathy, SARS-CoV-2 test positive
Clinical narrative: Admit for COVID pna.Tested positive PTA 8/11 and received cefuroxime and monoclonal ab therapy. Fully vaccinated 3/2021. Updrafts, steroids, rocephin and zitromax, heparin gtt given possibility of PE. Outside of window for antiviral therapies. Course complicated by encephalopathy and LE hemotoma from heparin. Weaned to RA by 8/24 and condition improving. DC'd rehab.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Client requested Moderna booster dose but received Janssen 0.25 ml dose in error.