chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT WAS GIVEN PFIZER ADULT 0.3ML AS SECOND DOSE, PATIENT HAD RECEIVED MODERNA AS FIRST DOSE. PPATIENT NEEDED TO COMPLETE SERIES FOR WORK AND WAS INFORMED THE CLINIC DID NOT HAVE ANY MODERNA VACCINES . PATIENT EXPRESSED WANTING THE VACCINE TODAY REGARDLESS OF CDC GUEDILINES.  NO SIDE EFFECTS OR REACTIONS REPORTED.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chest pain, Diarrhoea, Fatigue, Headache
Clinical narrative: The day of the last vaccine only pain in the arm but after a few weeks I began to feel exhaustion, muscle and joint pain. These pains have increased as the days went by, pain in the chest, dilated veins began to appear at the height of the ribs and in various areas of the body, very frequent headache and liquid stools.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pain in extremity, Varicose vein
Clinical narrative: The day of the last vaccine only pain in the arm but after a few weeks I began to feel exhaustion, muscle and joint pain. These pains have increased as the days went by, pain in the chest, dilated veins began to appear at the height of the ribs and in various areas of the body, very frequent headache and liquid stools.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect patient received a miss-handled vaccine that was stored out of temperature range
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Breast pain, Cough, Epistaxis, Fibrin D dimer
Clinical narrative: Bilateral breast pain, cough, congestion, sore throat and bloody noses.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: Bilateral breast pain, cough, congestion, sore throat and bloody noses.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal cord insertion, COVID-19, Delivery, Exposure during pregnancy, Foetal disorder
Clinical narrative: Patient presented for induction of labor at 37w3d gestation due to diagnosis of IUGR (1st percentile). Pregnancy also complicated by velamentous cord insertion, 2 vessel cord, fetal cleft lip/palate, bi-lobed placenta, and GDM. She did also have COVID-19 infection in 3rd trimester with positive test on 1/6/22. Normal labor and delivery on 1/22/2022. Birth weight 4 lb 14.1 oz. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Foetal growth restriction, Gestational diabetes, Labour induction, Normal labour, Placental disorder
Clinical narrative: Patient presented for induction of labor at 37w3d gestation due to diagnosis of IUGR (1st percentile). Pregnancy also complicated by velamentous cord insertion, 2 vessel cord, fetal cleft lip/palate, bi-lobed placenta, and GDM. She did also have COVID-19 infection in 3rd trimester with positive test on 1/6/22. Normal labor and delivery on 1/22/2022. Birth weight 4 lb 14.1 oz. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient presented for induction of labor at 37w3d gestation due to diagnosis of IUGR (1st percentile). Pregnancy also complicated by velamentous cord insertion, 2 vessel cord, fetal cleft lip/palate, bi-lobed placenta, and GDM. She did also have COVID-19 infection in 3rd trimester with positive test on 1/6/22. Normal labor and delivery on 1/22/2022. Birth weight 4 lb 14.1 oz. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Delivery, Maternal exposure during pregnancy, SARS-CoV-2 test positive
Clinical narrative: COVID breakthrough. Patient came in for delivery of baby and was tested for COVID as part of routine testing process. She did not have any symptoms. The baby was delivered on 3/25/22 at 39 weeks 1 day.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer administered after the BUD on 3/24/2022.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Knee arthroplasty, Laboratory test
Clinical narrative: patient was tested when admitted to hospital for knee replacement surgery
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Borrelia test negative, Erythema, Exercise tolerance decreased, Headache
Clinical narrative: A few days after receiving the second Moderna vaccine, I experienced a severe headache and neck pain/stiffness for 2-3 days in a rowa totally new experience for me. My immune system has always been excellent, and I'd never missed school or work since my early grammar school days. Anyway, my doctor ordered an MRI, an X-ray, an ultra sound, and a Lymn disease test for me. All tests were negative. After the initial 2-3 days, the headaches and neck stiffness were not as severe and became intermittent. Some days my symptoms were mild and other days they were moderate, but they lasted for months.   CONTINUED ON SECOND PAGE CONTINUED FROM FIRST PAGE:  After my 2-3 days of severe head and neck pain were over, I experience those and other mild-moderate symptoms until March 1, 2022. Other mild-moderate intermittent symptoms I experienced were (1) racing heart when I awoke, (2) leg cramps and throbbing while in bed, and (3) slight skin redness of extremities. I never had lung or stomach problems, except for an occasional mild lower abdomen pain. Also, I was never bed-ridden, but due to headaches I did go to bed early (between 5-7pm) maybe 4-6 times during the 10 months I had symptoms.  Note: I've been an avid biker for about 24 years who bikes hard for an approximately an hour, 4-5 days per week, and I could only bike maybe 2 days per week because of my headaches. The headache and neck pain were the only symptoms that persisted the full 10 months. The other symptoms weren't that bad and didn't persist for long.  I  was finally back to normal symptom-free health around March 1, 2022. As stated, my second Moderna vaccine was received on April 8, 2021, so my symptoms lasted for 10 months, although they started to subside significantly in early October, 2021, when thereafter I would go for days with only minor symptoms. However, I would still get moderate headache/neck symptoms every few days, until approximately March 1,2022.  CRONOLOGICAL SUMMARY OF EVENTS: First Moderna Vaccine: 3/10/21  Bad headache and neck pain:  4/10/2021 to 4/12/2021 First doctor visit:                    4/13/2021  Mild/moderate headache and neck pain:   4/13/2021 to 3/1/2022
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Muscle spasms, Musculoskeletal stiffness, Neck pain, Pain
Clinical narrative: A few days after receiving the second Moderna vaccine, I experienced a severe headache and neck pain/stiffness for 2-3 days in a rowa totally new experience for me. My immune system has always been excellent, and I'd never missed school or work since my early grammar school days. Anyway, my doctor ordered an MRI, an X-ray, an ultra sound, and a Lymn disease test for me. All tests were negative. After the initial 2-3 days, the headaches and neck stiffness were not as severe and became intermittent. Some days my symptoms were mild and other days they were moderate, but they lasted for months.   CONTINUED ON SECOND PAGE CONTINUED FROM FIRST PAGE:  After my 2-3 days of severe head and neck pain were over, I experience those and other mild-moderate symptoms until March 1, 2022. Other mild-moderate intermittent symptoms I experienced were (1) racing heart when I awoke, (2) leg cramps and throbbing while in bed, and (3) slight skin redness of extremities. I never had lung or stomach problems, except for an occasional mild lower abdomen pain. Also, I was never bed-ridden, but due to headaches I did go to bed early (between 5-7pm) maybe 4-6 times during the 10 months I had symptoms.  Note: I've been an avid biker for about 24 years who bikes hard for an approximately an hour, 4-5 days per week, and I could only bike maybe 2 days per week because of my headaches. The headache and neck pain were the only symptoms that persisted the full 10 months. The other symptoms weren't that bad and didn't persist for long.  I  was finally back to normal symptom-free health around March 1, 2022. As stated, my second Moderna vaccine was received on April 8, 2021, so my symptoms lasted for 10 months, although they started to subside significantly in early October, 2021, when thereafter I would go for days with only minor symptoms. However, I would still get moderate headache/neck symptoms every few days, until approximately March 1,2022.  CRONOLOGICAL SUMMARY OF EVENTS: First Moderna Vaccine: 3/10/21  Bad headache and neck pain:  4/10/2021 to 4/12/2021 First doctor visit:                    4/13/2021  Mild/moderate headache and neck pain:   4/13/2021 to 3/1/2022
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Ultrasound scan normal, X-ray normal
Clinical narrative: A few days after receiving the second Moderna vaccine, I experienced a severe headache and neck pain/stiffness for 2-3 days in a rowa totally new experience for me. My immune system has always been excellent, and I'd never missed school or work since my early grammar school days. Anyway, my doctor ordered an MRI, an X-ray, an ultra sound, and a Lymn disease test for me. All tests were negative. After the initial 2-3 days, the headaches and neck stiffness were not as severe and became intermittent. Some days my symptoms were mild and other days they were moderate, but they lasted for months.   CONTINUED ON SECOND PAGE CONTINUED FROM FIRST PAGE:  After my 2-3 days of severe head and neck pain were over, I experience those and other mild-moderate symptoms until March 1, 2022. Other mild-moderate intermittent symptoms I experienced were (1) racing heart when I awoke, (2) leg cramps and throbbing while in bed, and (3) slight skin redness of extremities. I never had lung or stomach problems, except for an occasional mild lower abdomen pain. Also, I was never bed-ridden, but due to headaches I did go to bed early (between 5-7pm) maybe 4-6 times during the 10 months I had symptoms.  Note: I've been an avid biker for about 24 years who bikes hard for an approximately an hour, 4-5 days per week, and I could only bike maybe 2 days per week because of my headaches. The headache and neck pain were the only symptoms that persisted the full 10 months. The other symptoms weren't that bad and didn't persist for long.  I  was finally back to normal symptom-free health around March 1, 2022. As stated, my second Moderna vaccine was received on April 8, 2021, so my symptoms lasted for 10 months, although they started to subside significantly in early October, 2021, when thereafter I would go for days with only minor symptoms. However, I would still get moderate headache/neck symptoms every few days, until approximately March 1,2022.  CRONOLOGICAL SUMMARY OF EVENTS: First Moderna Vaccine: 3/10/21  Bad headache and neck pain:  4/10/2021 to 4/12/2021 First doctor visit:                    4/13/2021  Mild/moderate headache and neck pain:   4/13/2021 to 3/1/2022
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Hypersensitivity
Clinical narrative: Allergic Reaction to the COVID-19 mRNA vaccine. Reporter to primary care in clinic. High severity reaction - angioedema.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Blood test normal, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: I had fever, cough, headache, SOB, low pulsus ox, and loss of smell. These symptoms lasted for about 10 days but the cough and loss of smell are ongoing. On Jan 4th, I tested positive for COVID-19. I was put in the hospital for 5 days. They did blood work, normal result. They also did x-ray, showed that I had pneumonia.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Oxygen saturation decreased, Pneumonia, Pyrexia
Clinical narrative: I had fever, cough, headache, SOB, low pulsus ox, and loss of smell. These symptoms lasted for about 10 days but the cough and loss of smell are ongoing. On Jan 4th, I tested positive for COVID-19. I was put in the hospital for 5 days. They did blood work, normal result. They also did x-ray, showed that I had pneumonia.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had fever, cough, headache, SOB, low pulsus ox, and loss of smell. These symptoms lasted for about 10 days but the cough and loss of smell are ongoing. On Jan 4th, I tested positive for COVID-19. I was put in the hospital for 5 days. They did blood work, normal result. They also did x-ray, showed that I had pneumonia.
Age: 14.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect patient received a miss-handled vaccine that was stored out of temperature range
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: COVID-19 booster vaccine given 5 days earlier before change in guidance.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer administered after the BUD 3/24/2022.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dehydration, Incontinence, Tremor
Clinical narrative: AT 5PM; PT BEGAN EXPERIENCING VIGOROUS SHAKES AND CHILLS AT HOME. PT ENDED UP UNABLE TO MAKE IT TO THE BATHROOM AND HAD AN ACCIDENT IN BED. CHILLS WERE UNABLE TO BE RESOLVED WITH HEAT PACK OR EXTRA BLANKETS. SYMPTOMS RESOLVED AT SOME TIME OVERNIGHT OF WHICH PT IS UNAWARE OF WHEN AS THEY WERE ASLEEP. PT IS CURRENTLY FEELIGN WELL AS OF 11AM 4/8/22 WITH ONLY SLIGHT DEHYDRATION.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Eye swelling, Herpes zoster, Ophthalmic herpes zoster, Rash
Clinical narrative: Pt developed herpes zoster 36hrs post vaccination w/ Left sided progressive red rash over L scalp, forehead, nose, eye and shoulder rash.  No lip/tongue swelling, no shortness of breath.  Pt also developed left eye swelling and blistering. Herpes zoster ophthalmicus without ocular involvement.  - + Hutchinson sign, vesicles involving forehead upper eyelid, but also extending out of V1 distribution. Not typical for HZO. - No epi defects or fluoescein staining. Pt given valacyclovir 1gTID x10days.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Pt developed herpes zoster 36hrs post vaccination w/ Left sided progressive red rash over L scalp, forehead, nose, eye and shoulder rash.  No lip/tongue swelling, no shortness of breath.  Pt also developed left eye swelling and blistering. Herpes zoster ophthalmicus without ocular involvement.  - + Hutchinson sign, vesicles involving forehead upper eyelid, but also extending out of V1 distribution. Not typical for HZO. - No epi defects or fluoescein staining. Pt given valacyclovir 1gTID x10days.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Diabetes mellitus, Infusion, Magnetic resonance imaging head normal
Clinical narrative: ED visit for COVID  (primary encounter diagnosis) and Multiple sclerosis exacerbation; treated and released. ED to hospital admission 7 days later for Multiple sclerosis with Acute exacerbation.  LE weakness improved after Solumedrol 1g Infusions, he completed for 3 days. MR brain and Spine done and did not show new lesions.  Neurology Evaluated the patient and recommend On Outpatient Steroid Taper and DC with  Follow up in 6 weeks. Pt is stable for discharge and will follow up with PCP in 1 week for diabetes Management and With Neurology In 6 weeks. ED visits and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal normal, Multiple sclerosis relapse, Muscular weakness
Clinical narrative: ED visit for COVID  (primary encounter diagnosis) and Multiple sclerosis exacerbation; treated and released. ED to hospital admission 7 days later for Multiple sclerosis with Acute exacerbation.  LE weakness improved after Solumedrol 1g Infusions, he completed for 3 days. MR brain and Spine done and did not show new lesions.  Neurology Evaluated the patient and recommend On Outpatient Steroid Taper and DC with  Follow up in 6 weeks. Pt is stable for discharge and will follow up with PCP in 1 week for diabetes Management and With Neurology In 6 weeks. ED visits and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer was administered after the BUD of 3/24/2022
Age: 15.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect patient received a miss-handled vaccine that was stored out of temperature range
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Product administration error
Clinical narrative: Medication Administration Error for non eligible age.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Blood test, Fibrin D dimer increased, Muscle tightness
Clinical narrative: Knee surgery was on 17DEC21, COVID booster was completed on 20DEC21. Symptoms started sometime around 20DEC21. Symptoms included calf tightness/soreness and escalated into pain by 0400 on 24DEC21. Patient went into the ER at approx 0430 on 24DEC21 where she was admitted with a positive DDimer test and sent to CT and Ultrasound for blood clots. Pt was diagnosed with Bilateral Pulmonary Embolism later that day and admitted to the hospital overnight. No heart damager was found, pt was released at 1300 on 25DEC21 with a prescription of blood thinners and additional follow-up appointments. It is unclear if PE was from the knee surgery, booster shot or combination of both. Pt is 29 y/o service member in good health.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pulmonary embolism, Scan with contrast abnormal, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Knee surgery was on 17DEC21, COVID booster was completed on 20DEC21. Symptoms started sometime around 20DEC21. Symptoms included calf tightness/soreness and escalated into pain by 0400 on 24DEC21. Patient went into the ER at approx 0430 on 24DEC21 where she was admitted with a positive DDimer test and sent to CT and Ultrasound for blood clots. Pt was diagnosed with Bilateral Pulmonary Embolism later that day and admitted to the hospital overnight. No heart damager was found, pt was released at 1300 on 25DEC21 with a prescription of blood thinners and additional follow-up appointments. It is unclear if PE was from the knee surgery, booster shot or combination of both. Pt is 29 y/o service member in good health.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear discomfort, Feeling abnormal, Nausea, Tinnitus
Clinical narrative: I was having dizziness which still persists, it comes and goes in waves without warning. I was also nauseous, I vomited a little bit. I also had brain fog and ear ringing that turned into a clicking.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I was having dizziness which still persists, it comes and goes in waves without warning. I was also nauseous, I vomited a little bit. I also had brain fog and ear ringing that turned into a clicking.
Age: 14.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: No adverse event
Clinical narrative: None according to parent (mom)
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Biopsy skin abnormal, Bloch-Sulzberger syndrome, Eczema, Eosinophil count
Clinical narrative: Generalized erythema multiforme and generalized "targetoid plaques" in both lower and upper extremities. They start as small red lesions that progress to larger dark scaly lesions. These lesions are very itchy, red and swollen.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil count normal, Erythema, Erythema multiforme, Excessive granulation tissue, Lichenoid keratosis
Clinical narrative: Generalized erythema multiforme and generalized "targetoid plaques" in both lower and upper extremities. They start as small red lesions that progress to larger dark scaly lesions. These lesions are very itchy, red and swollen.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocytic infiltration, Pruritus, Red blood cell vacuolisation, Skin swelling, Target skin lesion
Clinical narrative: Generalized erythema multiforme and generalized "targetoid plaques" in both lower and upper extremities. They start as small red lesions that progress to larger dark scaly lesions. These lesions are very itchy, red and swollen.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Severe sepsis without septic shock - He improved over hospital course with antibiotics.  ID was consulted and added on tick studies. ID recommended finishing 7 day course of doxycycline outpatient.  ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Surgery
Clinical narrative: On 01/26/2022 at 09:50 I had a Pre-op test where they did a routine COVID where results came back positive. I had no symptoms at all, not even a fever or cough and never developed any. I had an in-home test I did on either the 3rd or 4th of February that was negative. I didn't have any problems at all. I was able to have surgery on 03/28/2022 and they told me that if I had a positive test in the past 60 days that they were not going to re-test me. Why and how, I have no idea.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint range of motion decreased, Myalgia, Periarthritis, X-ray limb abnormal
Clinical narrative: Patient is new to office as of 4/7/2022.  He states that every since he received both hs pfizer covid vaccine last year, he has had issues with his left shoulder.  He did not seek medical care until now.  He states he immediately started with left shoulder/deltoid pain with the first vaccine.  He continue to soreness to area for months which led to progressive limitation with ROM of the left shoulder.  He has not dealt with it until now since he is getting worse.  He has limited left shoulder abduction.  X-ray from 4/7/2022 suggests frozen shoulder.  Encouraged to do home exercises everyday.  He does not want PT.  MRI is also planned.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Amnesia, Arthralgia, Blood culture, Blood thyroid stimulating hormone
Clinical narrative: She has had a constellation of symptoms (now to date about 1 year of duration), with onset to a milder extent since prior to her COVID 19 in October 2021.    The persistent, and most concerning symptoms: fatigue, non refreshing sleep and prolonged periods of sleeping, memory loss, dyspnea, always feeling as if she has a "cold" ( nasal and chest congestion), pains in her hands attributed to her arthritis   Other concerning symptoms that are described as intermittent: subjective fever (has not recorded temperature), chills, sore throat, diarrhea, dizziness (imbalance; head doesn't  "feel right"), finger tingling.   She had COVID 19 in Oct 2021 treated with casirivimab/imdevimab (did not require hospitalization), citing feeling very ill initially. Shortly after the infusion, her symptoms markedly improved, citing resolution of hand pains though since this initial improvement the above symptoms had returned and never fully resolved.   3/11/22, she had her first PFIZER COVID 19 vaccine, and ever since then all the above symptoms have returned in a substantial, severe fashion. In addition, since the vaccination, she has had chest pain at a particular spot on her right chest worse with breathing and relieved by lying flat; her left arm over the muscle hurts. 4/7/22, she has had new abdominal pain as well.  Headaches have become prominent.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Chest pain, Chills, Diarrhoea, Dizziness
Clinical narrative: She has had a constellation of symptoms (now to date about 1 year of duration), with onset to a milder extent since prior to her COVID 19 in October 2021.    The persistent, and most concerning symptoms: fatigue, non refreshing sleep and prolonged periods of sleeping, memory loss, dyspnea, always feeling as if she has a "cold" ( nasal and chest congestion), pains in her hands attributed to her arthritis   Other concerning symptoms that are described as intermittent: subjective fever (has not recorded temperature), chills, sore throat, diarrhea, dizziness (imbalance; head doesn't  "feel right"), finger tingling.   She had COVID 19 in Oct 2021 treated with casirivimab/imdevimab (did not require hospitalization), citing feeling very ill initially. Shortly after the infusion, her symptoms markedly improved, citing resolution of hand pains though since this initial improvement the above symptoms had returned and never fully resolved.   3/11/22, she had her first PFIZER COVID 19 vaccine, and ever since then all the above symptoms have returned in a substantial, severe fashion. In addition, since the vaccination, she has had chest pain at a particular spot on her right chest worse with breathing and relieved by lying flat; her left arm over the muscle hurts. 4/7/22, she has had new abdominal pain as well.  Headaches have become prominent.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Epstein-Barr virus antigen positive, Epstein-Barr virus test, Fatigue, Headache
Clinical narrative: She has had a constellation of symptoms (now to date about 1 year of duration), with onset to a milder extent since prior to her COVID 19 in October 2021.    The persistent, and most concerning symptoms: fatigue, non refreshing sleep and prolonged periods of sleeping, memory loss, dyspnea, always feeling as if she has a "cold" ( nasal and chest congestion), pains in her hands attributed to her arthritis   Other concerning symptoms that are described as intermittent: subjective fever (has not recorded temperature), chills, sore throat, diarrhea, dizziness (imbalance; head doesn't  "feel right"), finger tingling.   She had COVID 19 in Oct 2021 treated with casirivimab/imdevimab (did not require hospitalization), citing feeling very ill initially. Shortly after the infusion, her symptoms markedly improved, citing resolution of hand pains though since this initial improvement the above symptoms had returned and never fully resolved.   3/11/22, she had her first PFIZER COVID 19 vaccine, and ever since then all the above symptoms have returned in a substantial, severe fashion. In addition, since the vaccination, she has had chest pain at a particular spot on her right chest worse with breathing and relieved by lying flat; her left arm over the muscle hurts. 4/7/22, she has had new abdominal pain as well.  Headaches have become prominent.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Myalgia, Nasal congestion, Oropharyngeal pain, Painful respiration
Clinical narrative: She has had a constellation of symptoms (now to date about 1 year of duration), with onset to a milder extent since prior to her COVID 19 in October 2021.    The persistent, and most concerning symptoms: fatigue, non refreshing sleep and prolonged periods of sleeping, memory loss, dyspnea, always feeling as if she has a "cold" ( nasal and chest congestion), pains in her hands attributed to her arthritis   Other concerning symptoms that are described as intermittent: subjective fever (has not recorded temperature), chills, sore throat, diarrhea, dizziness (imbalance; head doesn't  "feel right"), finger tingling.   She had COVID 19 in Oct 2021 treated with casirivimab/imdevimab (did not require hospitalization), citing feeling very ill initially. Shortly after the infusion, her symptoms markedly improved, citing resolution of hand pains though since this initial improvement the above symptoms had returned and never fully resolved.   3/11/22, she had her first PFIZER COVID 19 vaccine, and ever since then all the above symptoms have returned in a substantial, severe fashion. In addition, since the vaccination, she has had chest pain at a particular spot on her right chest worse with breathing and relieved by lying flat; her left arm over the muscle hurts. 4/7/22, she has had new abdominal pain as well.  Headaches have become prominent.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pulmonary congestion, Pyrexia, Sleep disorder, Troponin
Clinical narrative: She has had a constellation of symptoms (now to date about 1 year of duration), with onset to a milder extent since prior to her COVID 19 in October 2021.    The persistent, and most concerning symptoms: fatigue, non refreshing sleep and prolonged periods of sleeping, memory loss, dyspnea, always feeling as if she has a "cold" ( nasal and chest congestion), pains in her hands attributed to her arthritis   Other concerning symptoms that are described as intermittent: subjective fever (has not recorded temperature), chills, sore throat, diarrhea, dizziness (imbalance; head doesn't  "feel right"), finger tingling.   She had COVID 19 in Oct 2021 treated with casirivimab/imdevimab (did not require hospitalization), citing feeling very ill initially. Shortly after the infusion, her symptoms markedly improved, citing resolution of hand pains though since this initial improvement the above symptoms had returned and never fully resolved.   3/11/22, she had her first PFIZER COVID 19 vaccine, and ever since then all the above symptoms have returned in a substantial, severe fashion. In addition, since the vaccination, she has had chest pain at a particular spot on her right chest worse with breathing and relieved by lying flat; her left arm over the muscle hurts. 4/7/22, she has had new abdominal pain as well.  Headaches have become prominent.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect patient received a miss-handled vaccine that was stored out of temperature range
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Injection site swelling, Urticaria
Clinical narrative: Pt calls in to nurse triage at 12:06 pm on 4/8/22 with concerns of Tdap immunization reaction. She got an intramuscular injection in the left deltoid. Pt states she feels like she has a painless bump around the site and some localized hives on that arm. Pt was advised of pt home care advice at this time. She was negative for all emergent protocol symptoms at this time.   HOME CARE: You should be able to treat this at home.  TD OR TDAP VACCINATION LUMP:  * A painless lump (or nodule) sometimes develops at the Td or Tdap injection site 1 or 2 weeks later. * It is harmless and usually will disappear in about 2 months.  CALL BACK IF: * Fever lasts more than 3 days * Pain lasts more than 3 days * Injection site starts to look infected * You become worse  TETANUS-DIPHTHERIA-PERTUSSIS (TDAP) VACCINE: * Pain and tenderness at the injection site (in 66%).  * Mild redness and mild swelling at the injection site (in 20%).  * Fever over 100.4 F (38.0 C) (in 1 %) and fever over 102 F (38.9 C) (in 0.4%). * Malaise, nausea, headache, body aches.  TETANUS-DIPHTHERIA-PERTUSSIS (TDAP) VACCINE: * Anaphylactic reaction (acute severe allergic reaction with wheezing, shock) Original Version: TETANUS-DIPHTHERIA-PERTUSSIS (TDAP) VACCINE:          * Anaphylactic reaction (acute severe allergic reaction with wheezing, urticaria, shock)  TETANUS-DIPHTHERIA (TD) VACCINE: * Anaphylactic reaction (acute severe allergic reaction with wheezing, shock)  * Brachial plexus neuropathy (deep ongoing upper arm pain with muscle atrophy and weakness) * Guillain Barre Syndrome * Sterile abscess  Pt was advised to take benedryl at this time. She was advised if she were to have any swelling in her face and lips, developed difficulty breathing, signs of infection as detailed with patient she was to seek emergency department or call EMS. Pt verbally agrees to understanding. Writer contacted patient again at 12:22 to check on her status and she had not yet taken any medication as advised but reported her status as being the same as time of call.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Angiogram cerebral abnormal, Anticoagulant therapy, Arteriogram carotid abnormal, Cerebral infarction
Clinical narrative: Acute cerebrovascular accident - MRI brain showed findings suggestive of acute or early subacute infarct involving posterior medial left thalamus with posterior inferior focal extension. Stroke Neurology consulted and assisted with stroke work up. CTAngio Head and Neck with findings of acute thrombus in distal R vertebral artery and patient was started on Heparin drip per Stroke Neurology recommendations. Then started on po Warfarin with Lovenox bridge until INR therapeutic as pt pulling at Heparin gtt with confusion. Patient has been medically stable and placement for STR has been secured but likely will transition to LTC with ongoing dementia type behaviors. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Confusional state, Magnetic resonance imaging head abnormal, Vertebral artery thrombosis
Clinical narrative: Acute cerebrovascular accident - MRI brain showed findings suggestive of acute or early subacute infarct involving posterior medial left thalamus with posterior inferior focal extension. Stroke Neurology consulted and assisted with stroke work up. CTAngio Head and Neck with findings of acute thrombus in distal R vertebral artery and patient was started on Heparin drip per Stroke Neurology recommendations. Then started on po Warfarin with Lovenox bridge until INR therapeutic as pt pulling at Heparin gtt with confusion. Patient has been medically stable and placement for STR has been secured but likely will transition to LTC with ongoing dementia type behaviors. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient was given the Pfizer COVID-19 vaccine 8 days after the extended expiration date.  The patient did well during the waiting period after the vaccine. PRIVATE was called and message was left on the patient's phone to return call to our facility.  We plan to re-vaccinate per guidance from the PRIVATE Center.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect patient received a miss-handled vaccine that was stored out of temperature range
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Atrial fibrillation, Cystitis, Dizziness
Clinical narrative: Atrial fibrillation with rapid ventricular response. Patient who was discharged form the hospital yesterday for atrial fib with RVR reports to the clinic today c/o dizziness.  Metoprolol and digoxin where added during her last hospitalizations.  Pt states she went home and felt ok.  This morning she as had dizziness, worse when sitting up.  She denies any chest pain.   She occasionally has some shortness of breath.   She has not eaten today due to dizziness. Admitted for weakness/Dizziness. But we will for now treat her as Uncomplicated cystitis to complete with Cefdinir X total 5 days.   She is refusing PT/OT eval at this time and states she has no problem with Ambulation.  Her warfarin dose to be adjusted as INR this am is 3.1, Likely Interaction with Ceftriaxone. ED visit 7 days later for dizziness - treated and released. Hospital admission and ED visit within 6 weeks of receiving the COVID vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypophagia, International normalised ratio increased
Clinical narrative: Atrial fibrillation with rapid ventricular response. Patient who was discharged form the hospital yesterday for atrial fib with RVR reports to the clinic today c/o dizziness.  Metoprolol and digoxin where added during her last hospitalizations.  Pt states she went home and felt ok.  This morning she as had dizziness, worse when sitting up.  She denies any chest pain.   She occasionally has some shortness of breath.   She has not eaten today due to dizziness. Admitted for weakness/Dizziness. But we will for now treat her as Uncomplicated cystitis to complete with Cefdinir X total 5 days.   She is refusing PT/OT eval at this time and states she has no problem with Ambulation.  Her warfarin dose to be adjusted as INR this am is 3.1, Likely Interaction with Ceftriaxone. ED visit 7 days later for dizziness - treated and released. Hospital admission and ED visit within 6 weeks of receiving the COVID vaccine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer was administered after the BUD on 3/24/2022
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: VACCINE WAS MIXED WITH 0.7 OF STERILE WATER AND 0.3 ML SHOT WAS GIVEN. NO ISSUES AT THIS TIME
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Muscular weakness
Clinical narrative: Pain at injection site 2 hours after vaccination that lasted for 4 days & did not improve with otc pain relievers; approximately 18 hours after vaccine -extreme fatigue, chills, low grade fever, extreme body aches, severe headache, shooting pain down right arm, stiff neck, & muscle weakness, which increased in intensity over a 48hr period. Most symptoms subsided 4 days after onset (5 days after vaccine was received). Muscle weakness, and fatigue did not subside for 8 days after onset. Headaches have not subsided
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain, Pain in extremity, Pyrexia
Clinical narrative: Pain at injection site 2 hours after vaccination that lasted for 4 days & did not improve with otc pain relievers; approximately 18 hours after vaccine -extreme fatigue, chills, low grade fever, extreme body aches, severe headache, shooting pain down right arm, stiff neck, & muscle weakness, which increased in intensity over a 48hr period. Most symptoms subsided 4 days after onset (5 days after vaccine was received). Muscle weakness, and fatigue did not subside for 8 days after onset. Headaches have not subsided
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: NO adverse events or symptoms was seen after patient received her dosage, patient just got a full dose (0.5 ml) of moderna and this was her 4th dose, she had previously gotten a full dose (0.5ml) for her previous 3 doses since she is immunocompromised. I was unaware that the 4th dose, even though she is immunocompromised had to be 1/2 dose(0.25 ml) instead of 0.5 ml.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Corneal disorder, Visual impairment
Clinical narrative: Systemic: Visual Changes/Disturbances-Severe, Additional Details: patient stated that she could not see out of her left eye and that her eye doctor told her that her cornea was completely dried out
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Hypersensitivity
Clinical narrative: I had a histamine response to the vaccine and have to take anti-histamine everyday, twice a day. I have been prescribed Zyrtec for treatment.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache non stop since vaccine was given.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given pediatric dose of vaccine rather than the adult dose. The pediatric dose was being stored where the adult dose normally was stored. The vaccine was drawn up by one nurse but given by another. The dose amount was verified, however the vial was not. Patient outcome was fine, rescheduled for full adult dose to be given.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect patient received a miss-handled vaccine that was stored out of temperature range
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: Asymptomatic +
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer was administered after the BUD of 03/24/2022
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: medication was not diluted. Patient had no reaction to vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19, HEP
Symptoms: Agitation, Injection site erythema, Injection site oedema, Injection site warmth, Insomnia
Clinical narrative: agitation and insomnia 2 days after vaccines along with erythema, edema, warmth at injection sites
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient given a 2nd booster 2 days after his 1st booster.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect patient received a miss-handled vaccine that was stored out of temperature range
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Product storage error
Clinical narrative: Patient experienced tingling sensation. After administration it was discovered that the vaccine given was expired.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Nausea, Product preparation issue
Clinical narrative: PFIZER VACCINE WAS MIXED WITH 0.7 STERILE WATER INSTEAD OF NACL PT. GOT 2.5 TIMES THE DOSE. PT HAVING SOME NAUSEA
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient was given the Pfizer COVID-19 vaccine 8 days after the extended expiration date.  The patient did well during the waiting period after the vaccine. PRIVATE Control was called and message was left on the patient's phone to return call to our facility.  We plan to re-vaccinate per guidance from the PRIVATE Control Center.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood creatine phosphokinase increased, Fall, Hip fracture, Internal fixation of fracture
Clinical narrative: Patient received his second Covid vaccine booster on 4/5/2022.  On 4/6/2022 around midnight, he fell at home.  He experienced left hip pain and was unable to get up off the floor.  Approximately 12 hours later, a friend found him and he was transported to the hospital.  He had a left hip fracture and had hip repair with a gamma nail on 4/7/2022.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased
Clinical narrative: Patient received his second Covid vaccine booster on 4/5/2022.  On 4/6/2022 around midnight, he fell at home.  He experienced left hip pain and was unable to get up off the floor.  Approximately 12 hours later, a friend found him and he was transported to the hospital.  He had a left hip fracture and had hip repair with a gamma nail on 4/7/2022.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect patient received a miss-handled vaccine that was stored out of temperature range
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: Case's spouse reported that case has a sore throat, cough, fatigue, congestion. Hospitalized 04/08/2022 with COVID induced pneumonia.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Brain death, COVID-19, COVID-19 pneumonia, Cardio-respiratory arrest
Clinical narrative: EMS called to pt's home when she was found unresponsive; CPR started; bradycardic PEA; ROSC obtained; coded 4 more times in the ED; pt found to be positive for COVID; COVID pneumonia; intubated; admitted to hosp; found to be brain dead; pt coded again and did not survive
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Pulseless electrical activity, Resuscitation, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: EMS called to pt's home when she was found unresponsive; CPR started; bradycardic PEA; ROSC obtained; coded 4 more times in the ED; pt found to be positive for COVID; COVID pneumonia; intubated; admitted to hosp; found to be brain dead; pt coded again and did not survive
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect patient received a miss-handled vaccine that was stored out of temperature range
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient was given a .2ml dose of the orange cap age 5-11 undiluted. No treatment at this time. Explained to patient that an extra dose was given and if they had trouble to please contact us.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect patient received a miss-handled vaccine that was stored out of temperature range
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Hypoxia
Clinical narrative: Received Pfizer COVID vaccines on 1/21/2022 and 2/11/2022. Hospitalized at Hospital on 9/9/2021 with COVID-19, COVID pneumonia, hypoxia
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Eating disorder, Oral mucosal blistering, Tongue blistering
Clinical narrative: My symptoms started at evening after being vaccinated. I had got blister all in my mouth and on my tongue. I had it for 7 days. I could barely eat.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect patient received a miss-handled vaccine that was stored out of temperature range
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer was administered after the BUD on 3/24/2022
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Hypoxia, Pneumonia bacterial
Clinical narrative: Pfizer COVID vaccine received on 8/26/2021 Hospitalized at Hospital on 9/12/2021-9/13/2021, tested positive for COVID 19 for 13 days UTI, hypoxia, weakness, confusion, bacterial pneumonia
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Pfizer COVID vaccine received on 8/26/2021 Hospitalized at Hospital on 9/12/2021-9/13/2021, tested positive for COVID 19 for 13 days UTI, hypoxia, weakness, confusion, bacterial pneumonia
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunisation reaction, Inappropriate schedule of product administration
Clinical narrative: Pfizer COVID vaccine received on 02/28/2021, the second Pfizer COVID vaccine was received after the adverse reaction(9/17/2021)  on 10/2/2021 Hospitalized on 9/17/2021 at Hospital
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect patient received a miss-handled vaccine that was stored out of temperature range
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given the Pfizer COVID-19 vaccine 8 days after the extended expiration date.  The patient did well during the waiting period after the vaccine.  Poison Control was called .  We planned to re-vaccinate per guidance from the Poison Control Center.   At this time the patient has declined re-vaccination.  She stated that she felt the vaccine would be sufficient .
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Pneumonia, Pneumonia viral
Clinical narrative: Received Moderna vaccines on 1/29/2021 and 2/26/2021. ER visit to Hospital on 9/24/2021 diagnosed with COVID-19 and bilateral viral pneumonia requiring 5 L O2. Transferred to Hospital on 9/25/2021 per family request.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19 pneumonia, Cardio-respiratory arrest, Death
Clinical narrative: Presented to the ER 10/9 with c/o SOB; admitted 10/9 for acute hypoxic resp failure & PNA d/t COVID & tx w/steroids, zinc, Vit C, & pepcid; 10/10 added Zithromax; 10/11 added Cefipime; 10/12 tx to ICU d/t increased resp demand & increased WOB on Max AirVo settings.  Pt also developed AKI and was started on dialysis; 10/23 pt coded and ROSC unable to be achieved & pt expired.