chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dizziness, Rhabdomyolysis, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Patient received three doses Pfizer COVID 19 vaccine Mar 2021/13 Jan 2022. The patient tested positive for COVID 19 on 23 Jan 2022. The patient presented to the ED with cough, dizziness, and rhabdomyolysis. The patient was admitted on 23 Jan 22 and treated with fluids, magnesium, potassium, dexamethasone. The patient was discharged on 25 Jan 2022 in stable condition.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: N/A.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Fatigue, Musculoskeletal chest pain, Myalgia
Clinical narrative: A 62yo B. female with PMH of Knee Pain, Proctalgia, Hyperlipidemia, Shoulder Tendonitis and Depression. On January 26, 2022 hospital attending physician reported the patient had a historical ADR of Pfizer Covid -19 booster vaccination included Muscle pain, described as right sided severe chest wall pain which lasted for few hours and self resolved. The patient's secure messaging to the MD included she took the Covid vaccine booster on January 24,2022 and experienced fatigue chills and chest pain the following day.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: N/A.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Insomnia
Clinical narrative: Narrative:  Reported ongoing exhaustion and insomnia for ~2 months since receiving Moderna Covid vaccine booster.
Age: 82.0
Sex: M
Vaccine: FLUX
Symptoms: Vertigo
Clinical narrative: Narrative: Noted in patients chart that he experienced vertigo in the past after receiving flu vaccination. No other hx or other information present in patient chart.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting, Weight decreased
Clinical narrative: Patient stated after 2nd dose of COVID-19 Moderna vaccine he experienced vomiting and weight loss.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Narrative:  Patient stated that he had chest pain after receiving 2nd dose of moderna vaccine. No lot or expiration information list in patients chart.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Decreased appetite, Headache, Neck pain
Clinical narrative: 44 year-old male with a past medical history most significant for OSA, chronic back pain, PTSD and traumatic brain injury. The patient received the Moderna vaccine on 1/4/22. He presented to the hospital on 3/11/22 and reported that he started having an intractable headache 4 to 5 days back. He explained his headache as burning, nonradiating 10/10 in intensity associated with neck pain. He also complained of photosensitivity but denied neck rigidity. Complaint chills, rigor and loss of appetite. The burning sensation kept him awake due to the pain, but after a few days it began to lessen in pain.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Photosensitivity reaction, Sleep disorder
Clinical narrative: 44 year-old male with a past medical history most significant for OSA, chronic back pain, PTSD and traumatic brain injury. The patient received the Moderna vaccine on 1/4/22. He presented to the hospital on 3/11/22 and reported that he started having an intractable headache 4 to 5 days back. He explained his headache as burning, nonradiating 10/10 in intensity associated with neck pain. He also complained of photosensitivity but denied neck rigidity. Complaint chills, rigor and loss of appetite. The burning sensation kept him awake due to the pain, but after a few days it began to lessen in pain.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Chest pain, Musculoskeletal chest pain, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Narrative:  This started 2/14/22 when he got shingles vaccine in his right arm. Had right arm swelling and pain, accompanied by left lower chest wall pain with movement. Nonextertional chest pain, nonradiating, nonmigratory, nonpositional. Went to hospital where he states he was discharged on antibiotics (PCP message says
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute left ventricular failure, COVID-19, COVID-19 pneumonia, Dyspnoea, Peripheral swelling
Clinical narrative: Narrative:  The patient received two doses Pfizer COVID 19 vaccine Jul/Aug 2021. The patient tested positive for COVID 19 on 4 Jan 2022. The patient presented to the ED with leg swelling and shortness of breath. The patient was admitted on 4 Jan 2022 with COVID pneumonia and acute systolic heart failure and treated with oxygen, remdesivir, and dexamethasone. The patient was discharged in stable condition on oxygen on 21 Jan 2022.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Narrative:  The patient received two doses Pfizer COVID 19 vaccine Jul/Aug 2021. The patient tested positive for COVID 19 on 4 Jan 2022. The patient presented to the ED with leg swelling and shortness of breath. The patient was admitted on 4 Jan 2022 with COVID pneumonia and acute systolic heart failure and treated with oxygen, remdesivir, and dexamethasone. The patient was discharged in stable condition on oxygen on 21 Jan 2022.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Lung infiltration
Clinical narrative: Narrative: 63 yo male PMH significant for homelessness and schizophrenia presented to ED on 2/23/22 and admitted for suicidal ideation, found to have covid19 pneumonia w/o hypoxia. Pt had coughing paroxysms in the ED. CXR showed bilateral interstitial infiltrates. Treated with remdesivir 2/26, 2/28, pt refused on 2/27. Pt discharged to facility on 03/2/22.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Suicidal ideation
Clinical narrative: Narrative: 63 yo male PMH significant for homelessness and schizophrenia presented to ED on 2/23/22 and admitted for suicidal ideation, found to have covid19 pneumonia w/o hypoxia. Pt had coughing paroxysms in the ED. CXR showed bilateral interstitial infiltrates. Treated with remdesivir 2/26, 2/28, pt refused on 2/27. Pt discharged to facility on 03/2/22.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, Cellulitis, Chronic kidney disease
Clinical narrative: Narrative: 38 yo male presented to ED on 2/23/22 for persisting cellulitis of his lower abdomen. He noted it started 2 weeks prior and spread to much of his abdomen. Recently treated with cephalexin and reports did not help. Pt COVID positive 2/23/22. Treated with remdesivir 2/23-2/27 and dexamethasone 2/24-2/27. Hospital stay complicated with rhabdomyolysis, AKI on chronic stage 2 and refusal of CPAP. Acute hypoxic respiratory failure and cellulitis resolved. Pt discharged to home on 2/28/22. PMH significant for HTN, morbid obesity, OSA, former smoker (sopped 08/21), and DM2.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Rhabdomyolysis, SARS-CoV-2 test positive
Clinical narrative: Narrative: 38 yo male presented to ED on 2/23/22 for persisting cellulitis of his lower abdomen. He noted it started 2 weeks prior and spread to much of his abdomen. Recently treated with cephalexin and reports did not help. Pt COVID positive 2/23/22. Treated with remdesivir 2/23-2/27 and dexamethasone 2/24-2/27. Hospital stay complicated with rhabdomyolysis, AKI on chronic stage 2 and refusal of CPAP. Acute hypoxic respiratory failure and cellulitis resolved. Pt discharged to home on 2/28/22. PMH significant for HTN, morbid obesity, OSA, former smoker (sopped 08/21), and DM2.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Narrative:  76 year old male with a PMH of HTN, HLD, A fib, Sleep Apnea, obesity, CLL, SCC, DM2 and prostate cancer metastatic to bladder presented to the ED on 2/22/22 complaining of about 10 days of generalized weakness, mildly productive cough, nausea/vomiting and diarrhea. Pt reported he tested positive for COVID on 2/12/22. Minimal shortness of breath is also mentioned though mostly with activity. Following nausea medication and IVFs given in the ED Pt reports feeling better. Pt tested positive for COVID on 2/22/22. Admitted to hospital on 2/22/22 with COVID PNA and AKI. Pt treated with ceftriaxone and azithromycin on 2/22/22 only. Pt received supportive care including antiemetics. Pt improved and was discharged to home on 2/25/22.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Dyspnoea exertional, Interstitial lung disease, Lung opacity
Clinical narrative: Narrative:  76 year old male with a PMH of HTN, HLD, A fib, Sleep Apnea, obesity, CLL, SCC, DM2 and prostate cancer metastatic to bladder presented to the ED on 2/22/22 complaining of about 10 days of generalized weakness, mildly productive cough, nausea/vomiting and diarrhea. Pt reported he tested positive for COVID on 2/12/22. Minimal shortness of breath is also mentioned though mostly with activity. Following nausea medication and IVFs given in the ED Pt reports feeling better. Pt tested positive for COVID on 2/22/22. Admitted to hospital on 2/22/22 with COVID PNA and AKI. Pt treated with ceftriaxone and azithromycin on 2/22/22 only. Pt received supportive care including antiemetics. Pt improved and was discharged to home on 2/25/22.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Productive cough, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Narrative:  76 year old male with a PMH of HTN, HLD, A fib, Sleep Apnea, obesity, CLL, SCC, DM2 and prostate cancer metastatic to bladder presented to the ED on 2/22/22 complaining of about 10 days of generalized weakness, mildly productive cough, nausea/vomiting and diarrhea. Pt reported he tested positive for COVID on 2/12/22. Minimal shortness of breath is also mentioned though mostly with activity. Following nausea medication and IVFs given in the ED Pt reports feeling better. Pt tested positive for COVID on 2/22/22. Admitted to hospital on 2/22/22 with COVID PNA and AKI. Pt treated with ceftriaxone and azithromycin on 2/22/22 only. Pt received supportive care including antiemetics. Pt improved and was discharged to home on 2/25/22.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cholecystectomy, Cough, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Narrative:  88 yo male with PMH of A.fib, HTN, DM, presented to the ED on 2/21/22 c/o fatigue, coughing. Of note, patient was just discharged from hospital after gall bladder removal. Found to be COVID+ in ED. Treated with remdesivir 02/22-02/24. Condition improved and discharged on 02/27/22 to home.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Hypoxia, Malaise
Clinical narrative: Narrative:  71 YO male with PMH IPF s/p bilateral lung transplant in 2015, DM2, HTN, CAD, CKD who presented to ED on 02/22/22 with 3 days of cough,  fatigue, malaise, found to have COVID19 infection with hypoxia. Treated with supplemental oxygen, remdesivir 2/22-3/1 and dexamethasone 2/23-3/2. Given sotrovimab on 2/26/22. Pt improved and discharged to home on 3/2/22.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Narrative:  71 YO male with PMH IPF s/p bilateral lung transplant in 2015, DM2, HTN, CAD, CKD who presented to ED on 02/22/22 with 3 days of cough,  fatigue, malaise, found to have COVID19 infection with hypoxia. Treated with supplemental oxygen, remdesivir 2/22-3/1 and dexamethasone 2/23-3/2. Given sotrovimab on 2/26/22. Pt improved and discharged to home on 3/2/22.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bone abscess, COVID-19, COVID-19 pneumonia, Catheterisation cardiac abnormal
Clinical narrative: Narrative:  78 yo male with PMH significant for HTN, HLD, T2DM, COPD, CKD, h/o drug induced AIN, tobacco use, CAD, PAD on aspirin, h/o factor V Leiden admitted 1/15 With R gangrenous toes. Hospital Course complicated by: need for R BKA 1/20 despite attempts to revascularize and subsequent AKA 2/4, several trips to ICU for SVT, desats, underwent LHC 2/11 found to have class 2 pulm HTN; Acute hypoxic respiratory failure 2/2 volume overload, COVID positive 2/16 and COVID PNA which prevented d/c to CLC 2/17, treated with dexamethasone (2/20-3/1) and remdesivir (2/20-2/25),  several protein malnutrition on tube feeds and most recently sacral abscess (surgery consulted to aspirate, patient refused evaluation) and associate hypotension worrisome for sepsis placed on broad spectrum antibiotics. Palliative care team met with wife on 3/7, and Pt passed on 3/11/22.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Death, Feeding tube user, Gangrene, Hypervolaemia
Clinical narrative: Narrative:  78 yo male with PMH significant for HTN, HLD, T2DM, COPD, CKD, h/o drug induced AIN, tobacco use, CAD, PAD on aspirin, h/o factor V Leiden admitted 1/15 With R gangrenous toes. Hospital Course complicated by: need for R BKA 1/20 despite attempts to revascularize and subsequent AKA 2/4, several trips to ICU for SVT, desats, underwent LHC 2/11 found to have class 2 pulm HTN; Acute hypoxic respiratory failure 2/2 volume overload, COVID positive 2/16 and COVID PNA which prevented d/c to CLC 2/17, treated with dexamethasone (2/20-3/1) and remdesivir (2/20-2/25),  several protein malnutrition on tube feeds and most recently sacral abscess (surgery consulted to aspirate, patient refused evaluation) and associate hypotension worrisome for sepsis placed on broad spectrum antibiotics. Palliative care team met with wife on 3/7, and Pt passed on 3/11/22.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Intensive care, Leg amputation, Lung infiltration, Malnutrition
Clinical narrative: Narrative:  78 yo male with PMH significant for HTN, HLD, T2DM, COPD, CKD, h/o drug induced AIN, tobacco use, CAD, PAD on aspirin, h/o factor V Leiden admitted 1/15 With R gangrenous toes. Hospital Course complicated by: need for R BKA 1/20 despite attempts to revascularize and subsequent AKA 2/4, several trips to ICU for SVT, desats, underwent LHC 2/11 found to have class 2 pulm HTN; Acute hypoxic respiratory failure 2/2 volume overload, COVID positive 2/16 and COVID PNA which prevented d/c to CLC 2/17, treated with dexamethasone (2/20-3/1) and remdesivir (2/20-2/25),  several protein malnutrition on tube feeds and most recently sacral abscess (surgery consulted to aspirate, patient refused evaluation) and associate hypotension worrisome for sepsis placed on broad spectrum antibiotics. Palliative care team met with wife on 3/7, and Pt passed on 3/11/22.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pleural effusion, Pneumonia, Pulmonary hypertension, Pulmonary oedema
Clinical narrative: Narrative:  78 yo male with PMH significant for HTN, HLD, T2DM, COPD, CKD, h/o drug induced AIN, tobacco use, CAD, PAD on aspirin, h/o factor V Leiden admitted 1/15 With R gangrenous toes. Hospital Course complicated by: need for R BKA 1/20 despite attempts to revascularize and subsequent AKA 2/4, several trips to ICU for SVT, desats, underwent LHC 2/11 found to have class 2 pulm HTN; Acute hypoxic respiratory failure 2/2 volume overload, COVID positive 2/16 and COVID PNA which prevented d/c to CLC 2/17, treated with dexamethasone (2/20-3/1) and remdesivir (2/20-2/25),  several protein malnutrition on tube feeds and most recently sacral abscess (surgery consulted to aspirate, patient refused evaluation) and associate hypotension worrisome for sepsis placed on broad spectrum antibiotics. Palliative care team met with wife on 3/7, and Pt passed on 3/11/22.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Revascularisation procedure, SARS-CoV-2 test positive, Supraventricular tachycardia
Clinical narrative: Narrative:  78 yo male with PMH significant for HTN, HLD, T2DM, COPD, CKD, h/o drug induced AIN, tobacco use, CAD, PAD on aspirin, h/o factor V Leiden admitted 1/15 With R gangrenous toes. Hospital Course complicated by: need for R BKA 1/20 despite attempts to revascularize and subsequent AKA 2/4, several trips to ICU for SVT, desats, underwent LHC 2/11 found to have class 2 pulm HTN; Acute hypoxic respiratory failure 2/2 volume overload, COVID positive 2/16 and COVID PNA which prevented d/c to CLC 2/17, treated with dexamethasone (2/20-3/1) and remdesivir (2/20-2/25),  several protein malnutrition on tube feeds and most recently sacral abscess (surgery consulted to aspirate, patient refused evaluation) and associate hypotension worrisome for sepsis placed on broad spectrum antibiotics. Palliative care team met with wife on 3/7, and Pt passed on 3/11/22.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac monitoring abnormal, Chest X-ray normal, Diarrhoea, SARS-CoV-2 test positive
Clinical narrative: Narrative:  68 yo male with PMH significant for HTN, HLD, Gout, Impaired fasting glucose, CKD3a, and obesity admitted to VA for eval/managment of episodes of SVT seen on monitor after presenting to ED on 2/15.2022 w/ c/o Vomiting/Diarrhea and found to be COVID+. Patient initally left AMA from ED but returned 2hrs later for admission. COVID+ - possibly cause of vomiting/diarrhea. No current pulmonary symptoms, no hypoxia and CXR neg for infiltrates. Patient s/p monoclonal AB in ED. Pt received Vit C, Vit D and Zinc during hospital stay. Patient had noted intermittent sinus tachycardia during vomiting/diarrhea. Pt discharged to home on 2/16 w/ event monitor ordered.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus tachycardia, Supraventricular tachycardia, Vomiting
Clinical narrative: Narrative:  68 yo male with PMH significant for HTN, HLD, Gout, Impaired fasting glucose, CKD3a, and obesity admitted to VA for eval/managment of episodes of SVT seen on monitor after presenting to ED on 2/15.2022 w/ c/o Vomiting/Diarrhea and found to be COVID+. Patient initally left AMA from ED but returned 2hrs later for admission. COVID+ - possibly cause of vomiting/diarrhea. No current pulmonary symptoms, no hypoxia and CXR neg for infiltrates. Patient s/p monoclonal AB in ED. Pt received Vit C, Vit D and Zinc during hospital stay. Patient had noted intermittent sinus tachycardia during vomiting/diarrhea. Pt discharged to home on 2/16 w/ event monitor ordered.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Rash, Rash pruritic
Clinical narrative: Patient noticed rash forming on both arms approximately 15 minutes after vaccination. Reported that rash was itchy and had a burning sensation. Provider recommended that patient go home and take diphenhydramine for the reaction and seek urgent care if SOB developed. Vital signs were normal.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Intensive care, Mechanical ventilation, Renal failure
Clinical narrative: Narrative: 80yo male patient died on 3/16/2022 at community hospital outside facility after had  had presented to community hospital on 3/8/22. Chief compliant: Kidney Failure Pt was admitted and sent to ICU, sedated and on a vent with Palliative Care. On 3/16/2022 patient expired. Cause of death renal failure. Pt received a covid vaccine on 4/8/2021 (J&J). This death is not related to this vaccine given pt's advanced age and cause of death defined as renal failure.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Glycosylated haemoglobin normal, Hyperglycaemia, Polydipsia, Polyuria
Clinical narrative: 35 year old female reported going to the emergency room on 10/13/2021 for polyuria and polydipsia and hyperglycemia. Her A1c was 4.9 on 11/2020 and increased to 8.4 on 10/13/2021 and blood sugar of 500. Her blood sugar trended down with treatment with Insulin and normal saline
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Rash, Skin haemorrhage, Urticaria
Clinical narrative: Narrative: 75 y/o M with PMH of PTSD, HTN, HLD, and CVA. Received 1st COVID-19 vaccine (Pfizer) on 2/26/21, 2nd dose COVID-19 vaccine (Pfizer) on 3/19/21 with no reported adverse reactions. Received booster COVID-19 vaccine (Pfizer on 12/1/21, also received influenza vaccine same day. Within 1 day of receiving both vaccines, developed rash "all over body" that started on neck and spread. Used hydrocortisone cream OTC for some relief. Has had rash for 2 months, also with hives and some hives rupture skin and result in bleeding. No new meds or OTC, NKDA, no food allergies, no new cosmetics, clothes, pets.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Atrial fibrillation, Blood thyroid stimulating hormone decreased, Chills, Condition aggravated
Clinical narrative: Narrative:  56 yo F with PMH of afib. Reported diahrrea, chills, fever, and body aches following second dose of COVID-19 vaccine received in Jan 2021. Those  sx lasted about 1 week. About 6 months later, in June 2021, she was admitted for having palpitations. On admission, she was found to have tachycardia and  uncontrolled atrial fibrillation. She was also found to have a PE. On workup of Afib, she was found to have hyperthyroidism with TFTs showing TSH <0.01 and free T4: 4.32. The patient denies a prior history of hyperthyroidism. She has not been exposed to ionizing radiation in the past. She did receive iodinated contrast on admission with a CT angiogram to diagnose a PE. The patient denies any family history of thyroid problems. She has not had a viral URI recently and denies thyroid tenderness. Denies any history of autoimmune conditions. Has not  been on amiodarone or lithium. Unclear if vaccine contributed to patient's hyperthyroid. Treated with methimazole.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Hyperthyroidism, Pain, Palpitations, Pulmonary embolism
Clinical narrative: Narrative:  56 yo F with PMH of afib. Reported diahrrea, chills, fever, and body aches following second dose of COVID-19 vaccine received in Jan 2021. Those  sx lasted about 1 week. About 6 months later, in June 2021, she was admitted for having palpitations. On admission, she was found to have tachycardia and  uncontrolled atrial fibrillation. She was also found to have a PE. On workup of Afib, she was found to have hyperthyroidism with TFTs showing TSH <0.01 and free T4: 4.32. The patient denies a prior history of hyperthyroidism. She has not been exposed to ionizing radiation in the past. She did receive iodinated contrast on admission with a CT angiogram to diagnose a PE. The patient denies any family history of thyroid problems. She has not had a viral URI recently and denies thyroid tenderness. Denies any history of autoimmune conditions. Has not  been on amiodarone or lithium. Unclear if vaccine contributed to patient's hyperthyroid. Treated with methimazole.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Scan with contrast abnormal, Tachycardia, Thyroid function test abnormal, Thyroxine free normal
Clinical narrative: Narrative:  56 yo F with PMH of afib. Reported diahrrea, chills, fever, and body aches following second dose of COVID-19 vaccine received in Jan 2021. Those  sx lasted about 1 week. About 6 months later, in June 2021, she was admitted for having palpitations. On admission, she was found to have tachycardia and  uncontrolled atrial fibrillation. She was also found to have a PE. On workup of Afib, she was found to have hyperthyroidism with TFTs showing TSH <0.01 and free T4: 4.32. The patient denies a prior history of hyperthyroidism. She has not been exposed to ionizing radiation in the past. She did receive iodinated contrast on admission with a CT angiogram to diagnose a PE. The patient denies any family history of thyroid problems. She has not had a viral URI recently and denies thyroid tenderness. Denies any history of autoimmune conditions. Has not  been on amiodarone or lithium. Unclear if vaccine contributed to patient's hyperthyroid. Treated with methimazole.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: 81 year old male patient reports injection site pain for three days following his second pfizer COVID-19 vaccine on 02/19/2021. No issues reported following first pfizer vaccine on 01/29/2021
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Chest pain, Computerised tomogram thorax abnormal, Deep vein thrombosis
Clinical narrative: Narrative:  68-year-old male with PMH of Bilateral knee pain, Sensory hearing loss, Gastroesophageal reflux disease, History of gastrointestinal bleed, and Elevated blood-pressure reading without diagnosis of hypertension who presented to ED for chest pain. Approximately 1 hour prior to arrival, patient was walking down the stairs when he began feeling lightheadedness with a racing heart beat and palpitations. Palpitations were associated with moderate left-sided chest pain that did not radiate as well as difficulty taking a full inspiration. In addition, he described feeling generalized weakness with tingling of his right hand. These symptoms lasted approximately 5-10 minutes at their worst and subsequently started to improve. He does state that he has had nasal congestion over the past 4 days however denies fever or cough and states he has been in his normal health up until today. No history of anticoagulation, DVT, PE. When EMS arrived, patient was mildly tachycardic however able to ambulate and communicate in full. He is not hypotensive or hypoxic. Diagnosed with extensive PE and right RLE DVT. Treated with IV heparin, transitioned to oral apixaban.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Nasal congestion, Palpitations, Paraesthesia
Clinical narrative: Narrative:  68-year-old male with PMH of Bilateral knee pain, Sensory hearing loss, Gastroesophageal reflux disease, History of gastrointestinal bleed, and Elevated blood-pressure reading without diagnosis of hypertension who presented to ED for chest pain. Approximately 1 hour prior to arrival, patient was walking down the stairs when he began feeling lightheadedness with a racing heart beat and palpitations. Palpitations were associated with moderate left-sided chest pain that did not radiate as well as difficulty taking a full inspiration. In addition, he described feeling generalized weakness with tingling of his right hand. These symptoms lasted approximately 5-10 minutes at their worst and subsequently started to improve. He does state that he has had nasal congestion over the past 4 days however denies fever or cough and states he has been in his normal health up until today. No history of anticoagulation, DVT, PE. When EMS arrived, patient was mildly tachycardic however able to ambulate and communicate in full. He is not hypotensive or hypoxic. Diagnosed with extensive PE and right RLE DVT. Treated with IV heparin, transitioned to oral apixaban.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Right ventricular dysfunction, Tachycardia, Ultrasound Doppler abnormal
Clinical narrative: Narrative:  68-year-old male with PMH of Bilateral knee pain, Sensory hearing loss, Gastroesophageal reflux disease, History of gastrointestinal bleed, and Elevated blood-pressure reading without diagnosis of hypertension who presented to ED for chest pain. Approximately 1 hour prior to arrival, patient was walking down the stairs when he began feeling lightheadedness with a racing heart beat and palpitations. Palpitations were associated with moderate left-sided chest pain that did not radiate as well as difficulty taking a full inspiration. In addition, he described feeling generalized weakness with tingling of his right hand. These symptoms lasted approximately 5-10 minutes at their worst and subsequently started to improve. He does state that he has had nasal congestion over the past 4 days however denies fever or cough and states he has been in his normal health up until today. No history of anticoagulation, DVT, PE. When EMS arrived, patient was mildly tachycardic however able to ambulate and communicate in full. He is not hypotensive or hypoxic. Diagnosed with extensive PE and right RLE DVT. Treated with IV heparin, transitioned to oral apixaban.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immunisation reaction, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Had slight headache and slight nausea which went away after a few hours. As the evening wore on my arm at the injection site started to hurt. I removed the bandaid and felt the site and there was a small hard lump. This morning, my arm hurt and felt itchy and swollen. I looked at the injection site and there was a band of red across the top of my arm which was swollen and hard and itchy. My sister is a physician on her hospital's COVID vaccine task force and I sent her a photo of the arm. She said it looks like "a robust antibody reaction." She told me to put hydrocortisone creme on it. I did. It isn't as itchy or red but it's still slightly swollen. After 1st injection on 3/8/2021 I developed what they called COVID arm. I had a sharp pain for 2 weeks on and off at the sit of the injection and developed a slight rash on my shoulder and the back of my neck but not on my arm. My arm just hurt a lot and then it subsided and went away.  No problems at all with the 2nd shot or the 1st booster.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Nausea, Peripheral swelling, Pruritus
Clinical narrative: Had slight headache and slight nausea which went away after a few hours. As the evening wore on my arm at the injection site started to hurt. I removed the bandaid and felt the site and there was a small hard lump. This morning, my arm hurt and felt itchy and swollen. I looked at the injection site and there was a band of red across the top of my arm which was swollen and hard and itchy. My sister is a physician on her hospital's COVID vaccine task force and I sent her a photo of the arm. She said it looks like "a robust antibody reaction." She told me to put hydrocortisone creme on it. I did. It isn't as itchy or red but it's still slightly swollen. After 1st injection on 3/8/2021 I developed what they called COVID arm. I had a sharp pain for 2 weeks on and off at the sit of the injection and developed a slight rash on my shoulder and the back of my neck but not on my arm. My arm just hurt a lot and then it subsided and went away.  No problems at all with the 2nd shot or the 1st booster.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Had slight headache and slight nausea which went away after a few hours. As the evening wore on my arm at the injection site started to hurt. I removed the bandaid and felt the site and there was a small hard lump. This morning, my arm hurt and felt itchy and swollen. I looked at the injection site and there was a band of red across the top of my arm which was swollen and hard and itchy. My sister is a physician on her hospital's COVID vaccine task force and I sent her a photo of the arm. She said it looks like "a robust antibody reaction." She told me to put hydrocortisone creme on it. I did. It isn't as itchy or red but it's still slightly swollen. After 1st injection on 3/8/2021 I developed what they called COVID arm. I had a sharp pain for 2 weeks on and off at the sit of the injection and developed a slight rash on my shoulder and the back of my neck but not on my arm. My arm just hurt a lot and then it subsided and went away.  No problems at all with the 2nd shot or the 1st booster.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot, Illness, Laboratory test, Nausea
Clinical narrative: Hot then nausea within 10 minutes. Claritin was given. Had a hard time breathing. Paramedics were called and Benadryl and Epi. Transport to the hospital for 4-6 hour for observation. Participant stated she was sick for more than a month.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood follicle stimulating hormone, Blood luteinising hormone, Dysmenorrhoea, Hysteroscopy normal, Intermenstrual bleeding
Clinical narrative: I am in menopause.  I had not had a period for 2 years prior to receiving the vaccine.  Within 4 hours of receiving the shot I started having menstrual cramping and spotting (bleeding).  By the following morning, I had a full menstrual period that continued bleeding for the next 6 days.  I contacted my GP and she told me to contact a gynecologist who then did an ultra sound, pap smear, and ultimately, a hysteroscopy. All tests came back normal.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Smear cervix normal, Ultrasound Doppler normal, Ultrasound pelvis normal, Ultrasound scan vagina normal
Clinical narrative: I am in menopause.  I had not had a period for 2 years prior to receiving the vaccine.  Within 4 hours of receiving the shot I started having menstrual cramping and spotting (bleeding).  By the following morning, I had a full menstrual period that continued bleeding for the next 6 days.  I contacted my GP and she told me to contact a gynecologist who then did an ultra sound, pap smear, and ultimately, a hysteroscopy. All tests came back normal.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Anorectal operation, Blood test abnormal, Condition aggravated, Crohn's disease
Clinical narrative: The inflammation in my intestines that the vaccine triggered is now causing me to have the large intestine and rectum removed by surgery. I am having protococolectomy to reduce inflammatory burden. I continue to have partial bowel obstruction and dysfunction. The doctors have tried entyvio infusion (biologic) and prednisone. The inflammation has increased.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Endoscopy abnormal, Endoscopy small intestine, Functional gastrointestinal disorder, Gastrointestinal inflammation, Intestinal obstruction
Clinical narrative: The inflammation in my intestines that the vaccine triggered is now causing me to have the large intestine and rectum removed by surgery. I am having protococolectomy to reduce inflammatory burden. I continue to have partial bowel obstruction and dysfunction. The doctors have tried entyvio infusion (biologic) and prednisone. The inflammation has increased.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Large intestine operation, Proctocolectomy, Sigmoidoscopy abnormal
Clinical narrative: The inflammation in my intestines that the vaccine triggered is now causing me to have the large intestine and rectum removed by surgery. I am having protococolectomy to reduce inflammatory burden. I continue to have partial bowel obstruction and dysfunction. The doctors have tried entyvio infusion (biologic) and prednisone. The inflammation has increased.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Information is unavailable.  Patient died in their home, cause of death listed as Covid.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: requested medical records, but did not receive them; pt had a positive COVID TEST ON 9/7/21; per death certificate, pt died in the hospital with the causes of death being COVID 19 and Pneumonia
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: requested medical records, but never received them; pt had a positive COVID test on 9/28/21; per death certificate pt died in the  nursing home facility with the causes of death being Acute Respiratory Failure and COVID 19
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Auditory disorder, Bell's palsy, Diarrhoea, Dizziness, Epistaxis
Clinical narrative: I went home, and exactly 5 hours after the shot, I started getting really loud ringing in my ears, the left was always louder. About 26 hours afterwards, I started vomiting, diarrhea, and a bloody nose. About a week later, I developed jaw pain. I went to my Doctor and she said it was Bels Palsy and she told me to take an anti-inflammatory OTC medicine, I think I took a Motrin for it. About two weeks later, the tightening of the jaw got better. April 13th, I developed very strong dizziness that lasted for a few days. I waited a few months for the ringing to go away, but The tinnitus persisted and I saw an ENT who couldn't find anything and sent me to an audiologist on 10/26/21. Audiologist that there was a part of my left inner ear was missing the acoustic reflex threshold. Said I needed to return every 3-6 month to monitor.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Pain in jaw, Tinnitus, Vomiting
Clinical narrative: I went home, and exactly 5 hours after the shot, I started getting really loud ringing in my ears, the left was always louder. About 26 hours afterwards, I started vomiting, diarrhea, and a bloody nose. About a week later, I developed jaw pain. I went to my Doctor and she said it was Bels Palsy and she told me to take an anti-inflammatory OTC medicine, I think I took a Motrin for it. About two weeks later, the tightening of the jaw got better. April 13th, I developed very strong dizziness that lasted for a few days. I waited a few months for the ringing to go away, but The tinnitus persisted and I saw an ENT who couldn't find anything and sent me to an audiologist on 10/26/21. Audiologist that there was a part of my left inner ear was missing the acoustic reflex threshold. Said I needed to return every 3-6 month to monitor.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Palpitations, Respiration abnormal, Tremor
Clinical narrative: after the 30 minute wait period, I  experienced heart palpitations, numbness in my lips and legs, blurry vision in left eye, rapid breathing, and  shaking
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: after the 30 minute wait period, I  experienced heart palpitations, numbness in my lips and legs, blurry vision in left eye, rapid breathing, and  shaking
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Wrong vaccine was given. Was supposed to receive the shingles vaccine, instead they gave me COVID vaccine 43 days after my booster shot. My right arm was very sore and itchy that evening after my vaccine. The following day my chest was hurting, headache/migraine, nauseous, and continued right arm pain and itchiness. I?m still experiencing right arm pain where I got the vaccine. There is still a lump in my arm where I had the 4th dose that I wasn?t supposed to get.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Extra dose administered, Headache, Mass, Migraine
Clinical narrative: Wrong vaccine was given. Was supposed to receive the shingles vaccine, instead they gave me COVID vaccine 43 days after my booster shot. My right arm was very sore and itchy that evening after my vaccine. The following day my chest was hurting, headache/migraine, nauseous, and continued right arm pain and itchiness. I?m still experiencing right arm pain where I got the vaccine. There is still a lump in my arm where I had the 4th dose that I wasn?t supposed to get.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain in extremity, Pruritus, Wrong product administered
Clinical narrative: Wrong vaccine was given. Was supposed to receive the shingles vaccine, instead they gave me COVID vaccine 43 days after my booster shot. My right arm was very sore and itchy that evening after my vaccine. The following day my chest was hurting, headache/migraine, nauseous, and continued right arm pain and itchiness. I?m still experiencing right arm pain where I got the vaccine. There is still a lump in my arm where I had the 4th dose that I wasn?t supposed to get.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin, Pruritus, Rash
Clinical narrative: Having the last booster shot on 10/07/21, in about a week it will be 6 months I?ve been suffering the side effects from the last shot. I stayed with the Pfizer shot because all the experts kept saying, don?t switch to a different kind of shot, stay with the one you started with. The only time I had complete relief from the itching and rash was when I was on Prednisone, (4 times in the last year) but everything came back in 2-3 days when I would get off of the Prednisone. My dermatologist, Dr and my other doctors, doesn?t want to put me on Prednisone again because of the long term effect it can have on a person. She also did 2 biopsy?s on me to make sure it wasn?t a skin disease and she determined it is a reaction from the Covid shot. Just can?t seem to get it out of my system.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Biopsy, Pruritus, Rash, Vaccine positive rechallenge
Clinical narrative: Having the last booster shot on 10/07/21, in about a week it will be 6 months I?ve been suffering the side effects from the last shot. I stayed with the Pfizer shot because all the experts kept saying, don?t switch to a different kind of shot, stay with the one you started with. The only time I had complete relief from the itching and rash was when I was on Prednisone, (4 times in the last year) but everything came back in 2-3 days when I would get off of the Prednisone. My dermatologist, Dr and my other doctors, doesn?t want to put me on Prednisone again because of the long term effect it can have on a person. She also did 2 biopsy?s on me to make sure it wasn?t a skin disease and she determined it is a reaction from the Covid shot. Just can?t seem to get it out of my system.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Pain, X-ray
Clinical narrative: Shot was given too high in the arm. Now can?t raise arm over head with out extreme amount of pain
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Product administered at inappropriate site, Shoulder injury related to vaccine administration
Clinical narrative: Shot was given too high in the arm. Now can?t raise arm over head with out extreme amount of pain
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Groin pain, Liposuction, SARS-CoV-2 test positive, Sepsis
Clinical narrative: 1/23/22 presents to ED for "Fever, Surgical Wound Infection". PMHx of "liposuction on 12/29 complicated by abscess s/p irrigation and debridement on 1/10" "Asherman syndrome"
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abscess, COVID-19, Debridement, Irrigation therapy, Liposuction
Clinical narrative: 1/23/22 presents to ED for "Fever, Surgical Wound Infection". PMHx of "liposuction on 12/29 complicated by abscess s/p irrigation and debridement on 1/10" "Asherman syndrome"
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Postoperative wound infection, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 1/23/22 presents to ED for "Fever, Surgical Wound Infection". PMHx of "liposuction on 12/29 complicated by abscess s/p irrigation and debridement on 1/10" "Asherman syndrome"
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Chest discomfort, Intensive care, Palpitations, Sleep disorder
Clinical narrative: Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Additional Details: patient came into pharmacy today and told pharmacist that she had atrial fibrillation a couple of hours after getting second c19 pfizer vaccine.  She was taken to emergency room and she claimed she was in ICU for a few hours.  She is being seeen by a doctor after er visit
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Cardiac disorder
Clinical narrative: Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Additional Details: patient came into pharmacy today and told pharmacist that she had atrial fibrillation a couple of hours after getting second c19 pfizer vaccine.  She was taken to emergency room and she claimed she was in ICU for a few hours.  She is being seeen by a doctor after er visit
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Computerised tomogram, Fatigue, Headache, Hypersomnia
Clinical narrative: Seizures
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Memory impairment, Myalgia, Nausea, Seizure
Clinical narrative: Seizures
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: Seizures
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Seizure
Clinical narrative: Seizures
Sex: U
Vaccine: MMRV
Symptoms: Expired product administered, No adverse event
Clinical narrative: No other adverse events reported; an expired PROQUAD was administered to three different patients today; This spontaneous report has been received from a medical assistant and refers to a patient of unknown age and gender. The patient's pertinent medical history, concurrent conditions, previous drug reactions or allergies and concomitant medications were not provided.  On 10-MAR-2022, an expired measles, mumps, rubella and varicella (Oka-Merck) virus vaccine live (PROQUAD), 1 dose, was administered as prophylaxis (route of administration and anatomical location were not provided; lot number T030760 has been verified to be valid, expiration date 08-MAR-2022) to three different patients (expired product administered). It was confirmed that the vaccines were properly stored up through time of administration. No additional adverse events were reported.  This is one of several reports received from the same reporter. ; Sender's Comments:  US-009507513-2203USA003958: US-009507513-2203USA003811:
Sex: U
Vaccine: MMRV
Symptoms: Product storage error
Clinical narrative: no adverse event; patient was administered PROQUAD after a temperature excursion; This spontaneous report as received from a nurse practitioner refers to a patient of unknown age and gender. On 12-JAN-2022, the patient was vaccinated with a 0.5 mL dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) (lot # U019287 exp date 15-DEC-2022) (route not reported) after a temperature excursion. The temperature of excursion was 12.4°F for a time frame of 20 minutes. The previous temperature excursion was 6°F to 14°F (11.6F) for 25 minutes.  This is one of several reports received from the same source.; Sender's Comments:  US-009507513-2203USA010843: US-009507513-2203USA010696: US-009507513-2203USA010795: US-009507513-2203USA010654: US-009507513-2203USA010652: US-009507513-2203USA010658: US-009507513-2203USA010686:
Sex: U
Vaccine: VARCEL
Symptoms: Product storage error
Clinical narrative: no adverse event; patient was administered VARIVAX after a temperature excursion; This spontaneous report as received from a registered nurse refers to a patient of unknown age and gender. On 07-JAN-2022, the patient was vaccinated with a 0.5 mL dose of varicella virus vaccine live (Oka/Merck) (VARIVAX) (lot # U019904 exp date 24-JUN-2023) (route not reported) after a temperature excursion. The temperature of excursion was 12.4°F for a time frame of 20 minutes. The previous temperature excursion was 6°F to 14°F (11.6F) for 25 minutes.  This is one of several reports received from the same source.; Sender's Comments:  US-009507513-2203USA010794: US-009507513-2203USA010843: US-009507513-2203USA010696: US-009507513-2203USA010654: US-009507513-2203USA010652: US-009507513-2203USA010658: US-009507513-2203USA010686:
Sex: U
Vaccine: FLUX
Symptoms: Pain in extremity
Clinical narrative: arm hurt for three days, much worse than a flu shot; This case was reported by a consumer via interactive digital media and described the occurrence of pain in arm in a patient who received Flu unspecified (Flu vaccine) for prophylaxis.   On an unknown date, the patient received Flu vaccine. On an unknown date, unknown after receiving Flu vaccine, the patient experienced pain in arm. On an unknown date, the outcome of the pain in arm was unknown.   It was unknown if the reporter considered the pain in arm to be related to Flu vaccine.     Linked case(s) involving the same patient:  US2022AMR056415   Additional Information: GSK Receipt Date: 25-MAR-2022 Reporter's Comment: The patient self-reported this case via interactive digital media. The patient received Flu shot and experienced pain in arm. The patient stated that the Shingles shot was not too much worse than a flu shot. Additional supportive information: The follow-up would not possible, as no contact details were available. This case has been linked to the case US2022AMR056415 reported by the same reporter.; Sender's Comments:  US-GLAXOSMITHKLINE-US2022AMR056415:same reporter