chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received .3 un diluted Pfizer dose. No immediate reaction was observed all 15 minutes
Age: 24.0
Sex: F
Vaccine: UNK
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain
Clinical narrative: About a day after the vaccine, the lymphnode in the armpit of the right arm where the vaccination took place was tender for a few days.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough event
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Mobility decreased, Muscular weakness, Pain in extremity
Clinical narrative: Weakness and pain in both legs. Limited mobility as a result. Less pain after taking Gabapentin and MethylPREDNISolone tablets ; however, I am still experiencing difficulty walking.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Dizziness, Dyspnoea, Electrocardiogram
Clinical narrative: Severe joint pain in back and hips.  Shortness of breath, dizziness. Pain and soreness when trying to take a deep breath.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Urine analysis
Clinical narrative: Severe joint pain in back and hips.  Shortness of breath, dizziness. Pain and soreness when trying to take a deep breath.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Erythema, Injection site erythema, Injection site swelling, Joint stiffness
Clinical narrative: Client is a 34yo male who received Moderna doses 1 and 2 on 4/23/21 and 5/21/21, and his Moderna booster on 11/30/21.  He states that he had mild systems after his first two doses which resolved within 48 hours.  After his booster dose, 2 weeks ago, he developed pretty marked soreness in his entire left arm where the vaccine was given.  By 2 days after the booster, pain and stiffness extended from his left neck (demonstrates C7 area) to his fingers.  He noted redness and swelling at the injection site in the left deltoid which has resolved.  He noted redness and swelling and stiffness in the left MCP which has improved some but is still present today.  It seemed to improve more over the weekend while away from work (works with hands in shop refurbishing engines). He denies any other joint pain at all, or stiffness.  He has no personal or family history of arthritis or similar inflammation.  He does not take NSAIDS due to history of stomach ulcers so has not taken anything for this.   He denies any injury or other illness.  When asked, he states his arm was a little itchy but denies any rash/hives, mouth or respiratory symptoms.  Felt chilled for about 36 hours after booster but did not check his temperature.  Denies vomiting or diarrhea, swollen lymph nodes or lumps/bumps.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Musculoskeletal stiffness, Neck pain, Pain in extremity, Pruritus
Clinical narrative: Client is a 34yo male who received Moderna doses 1 and 2 on 4/23/21 and 5/21/21, and his Moderna booster on 11/30/21.  He states that he had mild systems after his first two doses which resolved within 48 hours.  After his booster dose, 2 weeks ago, he developed pretty marked soreness in his entire left arm where the vaccine was given.  By 2 days after the booster, pain and stiffness extended from his left neck (demonstrates C7 area) to his fingers.  He noted redness and swelling at the injection site in the left deltoid which has resolved.  He noted redness and swelling and stiffness in the left MCP which has improved some but is still present today.  It seemed to improve more over the weekend while away from work (works with hands in shop refurbishing engines). He denies any other joint pain at all, or stiffness.  He has no personal or family history of arthritis or similar inflammation.  He does not take NSAIDS due to history of stomach ulcers so has not taken anything for this.   He denies any injury or other illness.  When asked, he states his arm was a little itchy but denies any rash/hives, mouth or respiratory symptoms.  Felt chilled for about 36 hours after booster but did not check his temperature.  Denies vomiting or diarrhea, swollen lymph nodes or lumps/bumps.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood ketone body, Discoloured vomit, Exposure during pregnancy, Fluid intake reduced
Clinical narrative: This is a 35y.o. G4P2103 at 27w1d who presents to L&D triage with CC of nausea and vomiting.  Pt states that she started having N/V last Thursday after eating a meal. The patient was seen at facility on Sunday for this issue and was discharged home. She states that she has not been able to keep anything down since Sunday. She states that she has been vomiting every 1-2 hours. She endorses abdominal pain and cramping. She states that this pain happens right before an episode of vomiting and improves with vomiting. She denies any diarrhea. She has not been able to drink water due to vomiting. The nurse noted that the patients vomit is dark in color and foul smelling. No metallic smell noted upon observation of vomit. She denies any headache, congestion, or cough. (Denies) contractions, (Denies) vaginal bleeding, (Denies) loss of fluid, (Denies) decreased fetal movement.   Pregnancy is complicated by Hx of PTD @ 25w2d, COVID during pregnancy, Obesity, Hx of gastric bypass, Rh neg, HSV2, GBS bacteruria, AMA, hx PPD The patient was transitioned to PO zofran and she will be discharged with a Rx for these medications including PR Phenergan and Ensure. Pt received Makena, Rhogam, and influenza vaccination while inpatient. Pt was discharged home on HD#4 and was instructed to follow up with her primary OBGYN within a week. All questions were answered before discharge.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Muscle spasms, Nausea, Vomiting, Weight decreased
Clinical narrative: This is a 35y.o. G4P2103 at 27w1d who presents to L&D triage with CC of nausea and vomiting.  Pt states that she started having N/V last Thursday after eating a meal. The patient was seen at facility on Sunday for this issue and was discharged home. She states that she has not been able to keep anything down since Sunday. She states that she has been vomiting every 1-2 hours. She endorses abdominal pain and cramping. She states that this pain happens right before an episode of vomiting and improves with vomiting. She denies any diarrhea. She has not been able to drink water due to vomiting. The nurse noted that the patients vomit is dark in color and foul smelling. No metallic smell noted upon observation of vomit. She denies any headache, congestion, or cough. (Denies) contractions, (Denies) vaginal bleeding, (Denies) loss of fluid, (Denies) decreased fetal movement.   Pregnancy is complicated by Hx of PTD @ 25w2d, COVID during pregnancy, Obesity, Hx of gastric bypass, Rh neg, HSV2, GBS bacteruria, AMA, hx PPD The patient was transitioned to PO zofran and she will be discharged with a Rx for these medications including PR Phenergan and Ensure. Pt received Makena, Rhogam, and influenza vaccination while inpatient. Pt was discharged home on HD#4 and was instructed to follow up with her primary OBGYN within a week. All questions were answered before discharge.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Within 2 minutes of needle withdrawal from Influenza vaccination patient experienced sharp pain developed in left upper arm. Over the next 15 minutes pain progressed and intensified down arm and tingling was present in pinky and ring finger of left arm. Patient was being observed in waiting area of clinic where immunization was administered. Ice Pack provided and after 30  minutes employee was taken to Dr. for evaluation. Allergy physicial consulted.  4 day Course of steroids prescribed.  Employee returned Thursday 9th of December 2021 for evaluation. Symptoms were slightly improved in that patient had more mobility in left arm, Pain was unchanged. Patient returned for evaluation 13 December 2021, symptoms of pain and tingling remain. Feldene 1 PO QD for ten days prescribed.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given vaccine 5 days too early.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Pruritus, Rash, Rash macular, Rash pruritic
Clinical narrative: Pt. called c/o hives and itchiness.  States itchiness resolved, but now blotches at site and itchy rash all over abdomen.  Throat was scratchy, but seemed ok now.  Denies trouble breathing or swelling.  Instructed to go see her provider, go to ER is trouble breathing at all.  Pt. verbalized understanding.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Urticaria
Clinical narrative: Pt. called c/o hives and itchiness.  States itchiness resolved, but now blotches at site and itchy rash all over abdomen.  Throat was scratchy, but seemed ok now.  Denies trouble breathing or swelling.  Instructed to go see her provider, go to ER is trouble breathing at all.  Pt. verbalized understanding.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CHILD'S DATE OF BIRTH WRITTEN INCORRECTLY AND AGE WRITTEN AS 12 ON CONSENT SIGNED BY INDIVIDUAL IDENTIFYING AS DAD. CHILD IDENTIFIED IN DATABASE WITH A DIFFERENT DOB. CHILD TOO YOUNG FOR VACCINE IN SEPTEMBER 2021. VAERS TO FOLLOW FOR SECOND DOSE RECEIVED ON 10/06/2021.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Pallor
Clinical narrative: Prior to receiving  Pfizer Covid Pediatric vaccine mom cautioned that her son has in the past felt dizzy after receiving the flu vaccination and was apprehensive of this vaccine. She was cautioned by the RPH to have him wait 15 minutes which is the routine recommendation.  After receiving the vaccine he appeared a little pale.  Some minutes later  he was walking with mom and he felt dizzy and fell. He was still conscious and talking. His mom wanted him checked by paramedics hence they came and found he was doing well.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Paraesthesia oral
Clinical narrative: Bilateral facial numbness, tingling, paresthesia in chin/mouth area
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Asthenia, Blood albumin normal, Blood alkaline phosphatase increased, Blood cholesterol increased
Clinical narrative: About 8 hours after the third (booster) dose, malaise and low-grade fever began.  Temperature reached 100.1 degrees the next morning and persisted in that range for a day or two,  Over the subsequent eight weeks, low-grade fever has recurred almost daily, with temperatures in the 99.0-99.9 F range.  When temperature is elevated, associated symptoms are fatigue, malaise, weakness, loss of appetite, and rapid fluctuation between feeling hot and feeling cold.  These periods alternate with periods of normal temperature with resolution of the symptoms, except for mild persistent weakness and malaise.  Weight has decreased by less than five pounds, related to the decreased appetite.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, C-reactive protein normal, Chest X-ray normal, Decreased appetite, Fatigue
Clinical narrative: About 8 hours after the third (booster) dose, malaise and low-grade fever began.  Temperature reached 100.1 degrees the next morning and persisted in that range for a day or two,  Over the subsequent eight weeks, low-grade fever has recurred almost daily, with temperatures in the 99.0-99.9 F range.  When temperature is elevated, associated symptoms are fatigue, malaise, weakness, loss of appetite, and rapid fluctuation between feeling hot and feeling cold.  These periods alternate with periods of normal temperature with resolution of the symptoms, except for mild persistent weakness and malaise.  Weight has decreased by less than five pounds, related to the decreased appetite.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling of body temperature change, Full blood count normal, Glycosylated haemoglobin increased, Low density lipoprotein increased, Malaise
Clinical narrative: About 8 hours after the third (booster) dose, malaise and low-grade fever began.  Temperature reached 100.1 degrees the next morning and persisted in that range for a day or two,  Over the subsequent eight weeks, low-grade fever has recurred almost daily, with temperatures in the 99.0-99.9 F range.  When temperature is elevated, associated symptoms are fatigue, malaise, weakness, loss of appetite, and rapid fluctuation between feeling hot and feeling cold.  These periods alternate with periods of normal temperature with resolution of the symptoms, except for mild persistent weakness and malaise.  Weight has decreased by less than five pounds, related to the decreased appetite.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Pyrexia, Red blood cell sedimentation rate normal, Urine analysis normal, Weight decreased
Clinical narrative: About 8 hours after the third (booster) dose, malaise and low-grade fever began.  Temperature reached 100.1 degrees the next morning and persisted in that range for a day or two,  Over the subsequent eight weeks, low-grade fever has recurred almost daily, with temperatures in the 99.0-99.9 F range.  When temperature is elevated, associated symptoms are fatigue, malaise, weakness, loss of appetite, and rapid fluctuation between feeling hot and feeling cold.  These periods alternate with periods of normal temperature with resolution of the symptoms, except for mild persistent weakness and malaise.  Weight has decreased by less than five pounds, related to the decreased appetite.
Age: 54.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient was given Moderna 0.5ml instead of 0.25ml for booster. His initial COVID vaccine was Johnson & Johnson/Jannsen given March 2021.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dyspnoea, Muscle spasms, Nausea
Clinical narrative: On going nausea, dizziness, no energy , muscle cramps , and winded easily
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Axillary pain, Chills, Cough, Dizziness, Dyspnoea
Clinical narrative: Coughing, shortness of breath, migraine type headache, fever, under arm/armpit pain, swollen lymph nodes under arm, blurred vision, tiredness, dizziness, nausea, chills.   Alternated taking tylenol and Advil for 48 hours.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Lymphadenopathy, Migraine, Nausea, Pyrexia
Clinical narrative: Coughing, shortness of breath, migraine type headache, fever, under arm/armpit pain, swollen lymph nodes under arm, blurred vision, tiredness, dizziness, nausea, chills.   Alternated taking tylenol and Advil for 48 hours.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vision blurred
Clinical narrative: Coughing, shortness of breath, migraine type headache, fever, under arm/armpit pain, swollen lymph nodes under arm, blurred vision, tiredness, dizziness, nausea, chills.   Alternated taking tylenol and Advil for 48 hours.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Bursitis, Incorrect route of product administration, Limb discomfort, Pain in extremity
Clinical narrative: Aching in my left arm that lasted for weeks. Could not straighten arm and I had to do telehealth call first then went to urgent care a few days later and was misdiagnosed with carpal tunnel. A few days after that I went to an ortho and was told that shot was given too high or too deep and diagnosed with bursitis. I had to go to physical therapy 5 times after that. The doctor thinks injection was just given too high and not from actual medication.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Fall, Loss of consciousness
Clinical narrative: She felt dizzy as she walked away from the exam room, " blackened out"  (ie lost consciousness), and crumpled to the floor but her father was walking  beside her and broke the fall, the was taken back to the exam room and laid supine for about 10 minutes, during which time she remained well oriented, asked if she wanted something to drink, she said yes and was given a cup of water. Upon further questioning she said she remembered feeling dizzy but did not recall going down.  She fully recovered and was discharged home . fool up calls to the parents indicated she had no further symptoms and resumed her normal activity.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Erythema, Feeling abnormal, Injection site pruritus, Pruritus
Clinical narrative: 3/11/2021 vaccination at 11am. About an hour later, the dermatitis spot on chest, as I was driving home it started to itch more and more. When I looked in mirror, it was bright red. I called dermatologist and they got me right in. He prescribed topical ointment. It was flaring, miserable. In the middle of the night, I was really itchy under the arms about 3am. It looked like I was sunburn neck and arms, like I was wearing a tank top. 2" diameter around the injection site and the dermatitis spot on chest were about the same. The dermatologist the next day prescribed prednisone, stopped the topical cream. 3/12/2021 Woke up middle of night as top of feet were itchy, like I was having allergic hives. 3/13/2021 Internal medical Claritin, Benadryl, Pepcid course of treatment for 10days. *booster was nervous. Referred to allergist. Thought it was related to the dermatitis was making immune response. Recommended Allegra and Pepcid starting 2 days before and week after booster shot and I was fine.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Reaction to previous exposure to any vaccine, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperpyrexia, Peripheral swelling, Pruritus, Rash
Clinical narrative: Severe itching, arm was swollen for one week, rash, high fever for two days, and chills
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Prophylaxis
Clinical narrative: Patient recently received treatment for prophylaxis post exposure COVID with regeneron.  Then  received COVID Vaccination within the defer time period.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Injection site bruising, Injection site haemorrhage, Injection site pain
Clinical narrative: Progressive injection site reaction.  First shot: minimal.  Second shot:  increased bruising, bleeding, soreness.  Third shot:  significant bruising, bleeding, soreness.  Rating:  1 - 4 - 7, respectively, per shot, on a 10 point scale.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid vaccine breakthrough case
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Received 1st vaccine at doctors office, mom took paperwork to childs schools showing that he took the vaccine. 4 days later he went to school and the nurse gave him another vaccine.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CHILD'S DATE OF BIRTH WRITTEN INCORRECTLY AND AGE WRITTEN AS 12 ON SIGNED CONSENT. CHILD IDENTIFIED IN DATABASE WITH A DIFERENT DOB CHILD TOO YOUNG FOR VACCINE IN 10/2021.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Dehydration, Dyspnoea
Clinical narrative: Patient is a 69-year-old female with a history of a kidney transplant that was performed at Hospital in 2018 presents the emergency department ambulatory complaining of shortness of breath as well as dehydration.  Over the last 3 days she has not been able to sleep well.  She states that she has been drinking up to a liter to a liter and a half of water every day and has not been able to pee yet.  She is also complaining of some shortness of breath.  She has been vaccinated for COVID-19 including a booster.  She is currently on antirejection medications.  Husband states that she has been very short of breath especially when she lays down.  Patient denies any chest pain Associated Symptoms: chills, fatigue, fever, orthopnea, shortness of breath, URI symptoms, weakness
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Orthopnoea, Pyrexia, Respiratory failure
Clinical narrative: Patient is a 69-year-old female with a history of a kidney transplant that was performed at Hospital in 2018 presents the emergency department ambulatory complaining of shortness of breath as well as dehydration.  Over the last 3 days she has not been able to sleep well.  She states that she has been drinking up to a liter to a liter and a half of water every day and has not been able to pee yet.  She is also complaining of some shortness of breath.  She has been vaccinated for COVID-19 including a booster.  She is currently on antirejection medications.  Husband states that she has been very short of breath especially when she lays down.  Patient denies any chest pain Associated Symptoms: chills, fatigue, fever, orthopnea, shortness of breath, URI symptoms, weakness
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory symptom, Sleep disorder, Urinary retention
Clinical narrative: Patient is a 69-year-old female with a history of a kidney transplant that was performed at Hospital in 2018 presents the emergency department ambulatory complaining of shortness of breath as well as dehydration.  Over the last 3 days she has not been able to sleep well.  She states that she has been drinking up to a liter to a liter and a half of water every day and has not been able to pee yet.  She is also complaining of some shortness of breath.  She has been vaccinated for COVID-19 including a booster.  She is currently on antirejection medications.  Husband states that she has been very short of breath especially when she lays down.  Patient denies any chest pain Associated Symptoms: chills, fatigue, fever, orthopnea, shortness of breath, URI symptoms, weakness
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Crying, Headache, Pyrexia
Clinical narrative: I took the vaccine on Friday mourning and started having a headache and small fever ~3:30pm and took an ibuprofen and felt fine up until Saturday mourning around ~8:00am I started feeling a mild chest pain. I don't usually eat breakfast so It was just a bit odd and felt about a 2/10 on the pain scale. It gradually got worse and worse throughout the day and I took two tums at 1:00pm until around 3:00pm it was hurting about a 6/10  (I took two tum's again at this time) and around 5:00 it got to about an 8/10 on the pain scale to the point I was grabbing my chest constantly and crying from the pain and was thinking about going to the ER. I decided to take two Advil at that point and around 6:00pm or 7:00pm the pain had subsided down to about a 2/10 scale again. The pain was completely gone the next day and have had no issues since.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: I took the vaccine on Friday mourning and started having a headache and small fever ~3:30pm and took an ibuprofen and felt fine up until Saturday mourning around ~8:00am I started feeling a mild chest pain. I don't usually eat breakfast so It was just a bit odd and felt about a 2/10 on the pain scale. It gradually got worse and worse throughout the day and I took two tums at 1:00pm until around 3:00pm it was hurting about a 6/10  (I took two tum's again at this time) and around 5:00 it got to about an 8/10 on the pain scale to the point I was grabbing my chest constantly and crying from the pain and was thinking about going to the ER. I decided to take two Advil at that point and around 6:00pm or 7:00pm the pain had subsided down to about a 2/10 scale again. The pain was completely gone the next day and have had no issues since.
Age: 40.0
Sex: F
Vaccine: DTAP
Symptoms: Mass, Pain, Swelling
Clinical narrative: Localized swelling with formation of large, well circumscribed mass and associated pain (Adacel)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash on my left arm near the injection site
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Feeling jittery, Hyperventilation
Clinical narrative: Pt came for Pfizer covid booster. Had an adverse reaction. States the first two shots she had a reaction as well. Pt stayed in the office for about 50 minutes. The vaccinator and the on call provider, M.D. were monitoring her. Pt had chills, jitters, and a bit of hyperventilation. States this happened last time as well. Pt states her body just needed time to adjust to it. After 50 minutes she was feeling much better. Checked her BP twice per M.D. request. It was lower the second time. No other concerns.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Haemangioma of skin, Interchange of vaccine products, Lymphadenopathy, Myalgia
Clinical narrative: This was the Moderna Booster (039D21A), originally I was given the Johnson and Johnson Vaccine 3/13/21.  The evening I received the booster I had a slight fever and extreme back pain between the shoulder blades and other muscle aches. The pain in my back was so excruciating I was on the floor for hours.  The next day the pain had resolved completely and no fever. But a few weeks later my lymph nodes in different areas were swollen starting in my right leg then to the collar bone areas then head.  This lasted fora  few weeks.  It was then I made a doctor appointment because during this time red spots appeared in different areas of the body.  When I saw my doctor originally he did not think the spots were a rash, he wanted us to wait and see if they went away.  But the number increased, and the older spots did not go away.  I contacted the doctor and told him and he then prescribed me a medication for a rash, I told him I did not think it was a rash, and since I had an upcoming dermatology appoint we waited to get that doctor's opinion.  She diagnosed the spots as cherry angiomas and said I did not need to worry.  My lymph nodes are no longer swollen, the angiomas are still present.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: This was the Moderna Booster (039D21A), originally I was given the Johnson and Johnson Vaccine 3/13/21.  The evening I received the booster I had a slight fever and extreme back pain between the shoulder blades and other muscle aches. The pain in my back was so excruciating I was on the floor for hours.  The next day the pain had resolved completely and no fever. But a few weeks later my lymph nodes in different areas were swollen starting in my right leg then to the collar bone areas then head.  This lasted fora  few weeks.  It was then I made a doctor appointment because during this time red spots appeared in different areas of the body.  When I saw my doctor originally he did not think the spots were a rash, he wanted us to wait and see if they went away.  But the number increased, and the older spots did not go away.  I contacted the doctor and told him and he then prescribed me a medication for a rash, I told him I did not think it was a rash, and since I had an upcoming dermatology appoint we waited to get that doctor's opinion.  She diagnosed the spots as cherry angiomas and said I did not need to worry.  My lymph nodes are no longer swollen, the angiomas are still present.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth, Pain in extremity
Clinical narrative: PATIENT HAD REDNESS AND HEAT AT INJECTION SITE OF ARM FOR A FEW DAYS.  IT WENT AWAY AND THEN 5 DAYS AGO FROM TODAY SHE STATED THAT SHE FEELS PAIN AGAIN AT HER ARM.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Feeling abnormal, Headache, Visual impairment
Clinical narrative: Felt odd the evening of 4/1/2021.  When i go up the next morning had a sensation of feeling off like when you stand up too quick and you feel of a little dizzy but not dizzy.  Has not gone away.  Having more headaches.  Vision is strange.  Almost magnified so I feel unbalanced. My doctor wanted me to get my eyes checked.  Went to my ophthalmologist to run tests.  Nothing had changed from my previous visit prior to taking the shot.  Sometimes it intensifies.  Has never gone away.  Makes me feel out of control.  I can't quiet my brain.  I have never been one to hum.  Now I hum constantly. I can't control it.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID CASE
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Adult failure to thrive, Asthenia, Blood chloride increased, Blood creatinine increased, Blood lactic acid
Clinical narrative: Patient is a 95y.o. female it was a history of CHF, advanced dementia, A. Fib not on any anticoagulation, recent community-acquired pneumonia who was brought into the emergency room by EMS for complaints of generalized weakness, decreased appetite and failure to thrive and hypoxia.             On examination patient does have advanced dementia, very poor historian patient is alert did not answer any questions limited history available secondary to her status per EMS note at the facility patient wasn't eating and drinking for the past 1 week and noted to have oxygen saturation of 81% place the patient on oxygen and brought her to the emergency room for evaluation and management. ED course sodium-164 hypernatremia, potassium hypokalemic-2.6, hyperchloremic-114, CO2-38, elevated BUN/creatinine creatinine view and 30, creatinine 0.78, pro calcitonin plasma-0.06, lactic acid-1.7, WBC-11.0, hemoglobin-11.3, platelet-330, covid-positive, patient fully vaccinated with the 2 doses of  Vaccine  in March.chest x-ray-no improvement from previous improving bilateral patchy airspace opacities, probably small pleural effusion,   Past Medical History:
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood sodium normal, Blood urea increased, COVID-19, Carbon dioxide increased
Clinical narrative: Patient is a 95y.o. female it was a history of CHF, advanced dementia, A. Fib not on any anticoagulation, recent community-acquired pneumonia who was brought into the emergency room by EMS for complaints of generalized weakness, decreased appetite and failure to thrive and hypoxia.             On examination patient does have advanced dementia, very poor historian patient is alert did not answer any questions limited history available secondary to her status per EMS note at the facility patient wasn't eating and drinking for the past 1 week and noted to have oxygen saturation of 81% place the patient on oxygen and brought her to the emergency room for evaluation and management. ED course sodium-164 hypernatremia, potassium hypokalemic-2.6, hyperchloremic-114, CO2-38, elevated BUN/creatinine creatinine view and 30, creatinine 0.78, pro calcitonin plasma-0.06, lactic acid-1.7, WBC-11.0, hemoglobin-11.3, platelet-330, covid-positive, patient fully vaccinated with the 2 doses of  Vaccine  in March.chest x-ray-no improvement from previous improving bilateral patchy airspace opacities, probably small pleural effusion,   Past Medical History:
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure, Chest X-ray abnormal, Condition aggravated, Decreased appetite, Dehydration
Clinical narrative: Patient is a 95y.o. female it was a history of CHF, advanced dementia, A. Fib not on any anticoagulation, recent community-acquired pneumonia who was brought into the emergency room by EMS for complaints of generalized weakness, decreased appetite and failure to thrive and hypoxia.             On examination patient does have advanced dementia, very poor historian patient is alert did not answer any questions limited history available secondary to her status per EMS note at the facility patient wasn't eating and drinking for the past 1 week and noted to have oxygen saturation of 81% place the patient on oxygen and brought her to the emergency room for evaluation and management. ED course sodium-164 hypernatremia, potassium hypokalemic-2.6, hyperchloremic-114, CO2-38, elevated BUN/creatinine creatinine view and 30, creatinine 0.78, pro calcitonin plasma-0.06, lactic acid-1.7, WBC-11.0, hemoglobin-11.3, platelet-330, covid-positive, patient fully vaccinated with the 2 doses of  Vaccine  in March.chest x-ray-no improvement from previous improving bilateral patchy airspace opacities, probably small pleural effusion,   Past Medical History:
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Dementia, Echocardiogram abnormal, Ejection fraction normal, Fall, Gait disturbance
Clinical narrative: Patient is a 95y.o. female it was a history of CHF, advanced dementia, A. Fib not on any anticoagulation, recent community-acquired pneumonia who was brought into the emergency room by EMS for complaints of generalized weakness, decreased appetite and failure to thrive and hypoxia.             On examination patient does have advanced dementia, very poor historian patient is alert did not answer any questions limited history available secondary to her status per EMS note at the facility patient wasn't eating and drinking for the past 1 week and noted to have oxygen saturation of 81% place the patient on oxygen and brought her to the emergency room for evaluation and management. ED course sodium-164 hypernatremia, potassium hypokalemic-2.6, hyperchloremic-114, CO2-38, elevated BUN/creatinine creatinine view and 30, creatinine 0.78, pro calcitonin plasma-0.06, lactic acid-1.7, WBC-11.0, hemoglobin-11.3, platelet-330, covid-positive, patient fully vaccinated with the 2 doses of  Vaccine  in March.chest x-ray-no improvement from previous improving bilateral patchy airspace opacities, probably small pleural effusion,   Past Medical History:
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hyperchloraemia, Hypernatraemia, Hypertension, Hypokalaemia
Clinical narrative: Patient is a 95y.o. female it was a history of CHF, advanced dementia, A. Fib not on any anticoagulation, recent community-acquired pneumonia who was brought into the emergency room by EMS for complaints of generalized weakness, decreased appetite and failure to thrive and hypoxia.             On examination patient does have advanced dementia, very poor historian patient is alert did not answer any questions limited history available secondary to her status per EMS note at the facility patient wasn't eating and drinking for the past 1 week and noted to have oxygen saturation of 81% place the patient on oxygen and brought her to the emergency room for evaluation and management. ED course sodium-164 hypernatremia, potassium hypokalemic-2.6, hyperchloremic-114, CO2-38, elevated BUN/creatinine creatinine view and 30, creatinine 0.78, pro calcitonin plasma-0.06, lactic acid-1.7, WBC-11.0, hemoglobin-11.3, platelet-330, covid-positive, patient fully vaccinated with the 2 doses of  Vaccine  in March.chest x-ray-no improvement from previous improving bilateral patchy airspace opacities, probably small pleural effusion,   Past Medical History:
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Hypoxia, Left ventricular dysfunction, Lung opacity, Platelet count normal
Clinical narrative: Patient is a 95y.o. female it was a history of CHF, advanced dementia, A. Fib not on any anticoagulation, recent community-acquired pneumonia who was brought into the emergency room by EMS for complaints of generalized weakness, decreased appetite and failure to thrive and hypoxia.             On examination patient does have advanced dementia, very poor historian patient is alert did not answer any questions limited history available secondary to her status per EMS note at the facility patient wasn't eating and drinking for the past 1 week and noted to have oxygen saturation of 81% place the patient on oxygen and brought her to the emergency room for evaluation and management. ED course sodium-164 hypernatremia, potassium hypokalemic-2.6, hyperchloremic-114, CO2-38, elevated BUN/creatinine creatinine view and 30, creatinine 0.78, pro calcitonin plasma-0.06, lactic acid-1.7, WBC-11.0, hemoglobin-11.3, platelet-330, covid-positive, patient fully vaccinated with the 2 doses of  Vaccine  in March.chest x-ray-no improvement from previous improving bilateral patchy airspace opacities, probably small pleural effusion,   Past Medical History:
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Pneumonia, Polyuria, Procalcitonin, Productive cough
Clinical narrative: Patient is a 95y.o. female it was a history of CHF, advanced dementia, A. Fib not on any anticoagulation, recent community-acquired pneumonia who was brought into the emergency room by EMS for complaints of generalized weakness, decreased appetite and failure to thrive and hypoxia.             On examination patient does have advanced dementia, very poor historian patient is alert did not answer any questions limited history available secondary to her status per EMS note at the facility patient wasn't eating and drinking for the past 1 week and noted to have oxygen saturation of 81% place the patient on oxygen and brought her to the emergency room for evaluation and management. ED course sodium-164 hypernatremia, potassium hypokalemic-2.6, hyperchloremic-114, CO2-38, elevated BUN/creatinine creatinine view and 30, creatinine 0.78, pro calcitonin plasma-0.06, lactic acid-1.7, WBC-11.0, hemoglobin-11.3, platelet-330, covid-positive, patient fully vaccinated with the 2 doses of  Vaccine  in March.chest x-ray-no improvement from previous improving bilateral patchy airspace opacities, probably small pleural effusion,   Past Medical History:
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Skin laceration, White blood cell count increased
Clinical narrative: Patient is a 95y.o. female it was a history of CHF, advanced dementia, A. Fib not on any anticoagulation, recent community-acquired pneumonia who was brought into the emergency room by EMS for complaints of generalized weakness, decreased appetite and failure to thrive and hypoxia.             On examination patient does have advanced dementia, very poor historian patient is alert did not answer any questions limited history available secondary to her status per EMS note at the facility patient wasn't eating and drinking for the past 1 week and noted to have oxygen saturation of 81% place the patient on oxygen and brought her to the emergency room for evaluation and management. ED course sodium-164 hypernatremia, potassium hypokalemic-2.6, hyperchloremic-114, CO2-38, elevated BUN/creatinine creatinine view and 30, creatinine 0.78, pro calcitonin plasma-0.06, lactic acid-1.7, WBC-11.0, hemoglobin-11.3, platelet-330, covid-positive, patient fully vaccinated with the 2 doses of  Vaccine  in March.chest x-ray-no improvement from previous improving bilateral patchy airspace opacities, probably small pleural effusion,   Past Medical History:
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: Facial twitching in left cheek, just left of mouth. It will either twitch or steadily pull my mouth to the left and make it appear I'm smirking. I have not sought medical treatment or seen a doctor at this point as I'm hoping it goes away. It started the morning after the second covid shot on December 3rd. I have no history of twitches, muscle spasms or ticks.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Gastrointestinal disorder, Injection site pain, Lymph node pain
Clinical narrative: Digestional  issue  started fairly soon after I received my shot and were resolved within 7 hours. I do not know if this was related to the vaccine shot.soreness at I je toon site on the arm started 9-10 hours after vaccination.  Fever, chills, moderate to severe body aches, swollen/painful lymph node in armpit of left arm onset approximately 24 hours after shot. All are being  managed with Tylenol and have not completely subsided now 24 hours out from their onset.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Digestional  issue  started fairly soon after I received my shot and were resolved within 7 hours. I do not know if this was related to the vaccine shot.soreness at I je toon site on the arm started 9-10 hours after vaccination.  Fever, chills, moderate to severe body aches, swollen/painful lymph node in armpit of left arm onset approximately 24 hours after shot. All are being  managed with Tylenol and have not completely subsided now 24 hours out from their onset.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received pediatric dose instead of Adult Pfizer dose. Mother called and scheduled children for the pediatric clinic. When documenting in MAR noted that patient was 14.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Vomiting
Clinical narrative: Vomiting, fatigue, diarrhea.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: Exactly 2 weeks after receiving my Moderna booster shot, I started experiencing dermatographia. I have been experiencing this for over a week now.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid vaccine monitoring documentation.  PT admitted 12/5/21 ? 12/12/21. POC SARS COV2 ANTIGEN POS 12/5/21. Pfizer dose 1 4/18/21 Lot EW0150. Pfizer dose 2 Lot EW0150 on 5/9/21. Pfizer dose 3 on 9/30/21 Lot EW0164.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Human chorionic gonadotropin normal, Thrombosis, Ultrasound scan normal, Vaginal haemorrhage
Clinical narrative: Pregnancy through IVF due date 8/12/21 Approximately an hour after receiving the vaccine, I started having severe vaginal bleeding (more than 1 pad per hour) with large blood clots consistent with a miscarriage. The heavy bleeding lasted for approximately 5 hours and then lightened to a medium period rate, by the next morning it was just spotting and as of today (12/13) I am still experiencing some spotting.  An ultrasound and HCG test showed that there is still one healthy embryo. A second ultrasound will be taken on 12/15 to confirm. It is uncertain if there had original been multiples or what caused the bleeding. A tissue sample was not taken.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Head discomfort, Oropharyngeal pain, Pain, SARS-CoV-2 test positive
Clinical narrative: SORE THROAT, HEAD CONGESTION, BODY ACHES
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Eructation, Feeling abnormal, Flatulence, Immediate post-injection reaction
Clinical narrative: relatively immediate reaction was more anxiety type symptoms: feelings of unease, or just not right, deep breathes and water helped as well as distraction. However, gassy response (belching and flatulence) was shortly after within 40 minutes of shot. I do not normally have these symptoms. The gas got worse as time wore on. 4 hours  (around 8 PM) after shot the gas was so bad, I was doubled over in pain. Then had 4 hours of diarrhea (8PM to midnight). Was able to sleep that night after midnight. I ate bland foods and drank coconut water and electrolyte fluids for several days to be sure diarrhea was over which it was. However, the belching continued though not as strong as the beginning. However, the belching has never fully gone away. Even after just drinking water or eating a cracker.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: relatively immediate reaction was more anxiety type symptoms: feelings of unease, or just not right, deep breathes and water helped as well as distraction. However, gassy response (belching and flatulence) was shortly after within 40 minutes of shot. I do not normally have these symptoms. The gas got worse as time wore on. 4 hours  (around 8 PM) after shot the gas was so bad, I was doubled over in pain. Then had 4 hours of diarrhea (8PM to midnight). Was able to sleep that night after midnight. I ate bland foods and drank coconut water and electrolyte fluids for several days to be sure diarrhea was over which it was. However, the belching continued though not as strong as the beginning. However, the belching has never fully gone away. Even after just drinking water or eating a cracker.