chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pain, Joint effusion, Laboratory test, Limb injury, Magnetic resonance imaging
Clinical narrative: Severe pain and decreased mobility left shoulder two days after injection. Progressed over the next week. Went back to urgent care for evaluation. Treated with anti-inflammatory medication, ice and referred to primary care. Recommended orthopedic provider if no improvement. No improvement with medication, oral steroids, rest and ice. Had MRI on 8/12/2020- showed large glenohumeral joint effusion. Sent to ER  by primary care provider on 8/13/2020 to rule out septic arthritis. Had synovial fluid analysis and lab work. Labs negative and synovial fluid was positive for inflammation and negative for septic arthhritis.  Continued treatment with anti-inflammatory medication, rest and ice. Began treatment with orthopedic provider. Got steroid injection  left shoulder in October 2020 with minimal relief. Have been in physical therapy from 8/2020 until May 2021. Currently scheduled for surgery on 5/24/21 for left shoulder tear repair. Will follow with physical therapy for rehab. Orthopedic provider states I also have cartilage damage level 2. Possible shoulder replacement if it progresses to level 4 in the future.   MRI 8/2020- large glenohumeral joint effusion. MRI- 1/2021- labrum tears and cartilage damage. Synovial fluid analysis in ER  8/2020- inflammation of left shoulder joint. Labwork in ER 8/2020- negative.
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Magnetic resonance imaging abnormal, Mobility decreased, Synovial fluid analysis
Clinical narrative: Severe pain and decreased mobility left shoulder two days after injection. Progressed over the next week. Went back to urgent care for evaluation. Treated with anti-inflammatory medication, ice and referred to primary care. Recommended orthopedic provider if no improvement. No improvement with medication, oral steroids, rest and ice. Had MRI on 8/12/2020- showed large glenohumeral joint effusion. Sent to ER  by primary care provider on 8/13/2020 to rule out septic arthritis. Had synovial fluid analysis and lab work. Labs negative and synovial fluid was positive for inflammation and negative for septic arthhritis.  Continued treatment with anti-inflammatory medication, rest and ice. Began treatment with orthopedic provider. Got steroid injection  left shoulder in October 2020 with minimal relief. Have been in physical therapy from 8/2020 until May 2021. Currently scheduled for surgery on 5/24/21 for left shoulder tear repair. Will follow with physical therapy for rehab. Orthopedic provider states I also have cartilage damage level 2. Possible shoulder replacement if it progresses to level 4 in the future.   MRI 8/2020- large glenohumeral joint effusion. MRI- 1/2021- labrum tears and cartilage damage. Synovial fluid analysis in ER  8/2020- inflammation of left shoulder joint. Labwork in ER 8/2020- negative.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine analysis abnormal
Clinical narrative: Had UTI, confirmed by hospital ER Doctor.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Decreased appetite, Headache, Insomnia
Clinical narrative: Fever, chills, achiness, loss of appetite, headache, cough, head congestion, insomnia all lasting 36 hours. Cough and head congestion persists into the second day.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Sinus congestion
Clinical narrative: Fever, chills, achiness, loss of appetite, headache, cough, head congestion, insomnia all lasting 36 hours. Cough and head congestion persists into the second day.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product temperature excursion issue
Clinical narrative: TEMPERATURE EXCURSION WITH VACCINE ADMINISTERED , OUTCOME UNKNOWN
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Limb discomfort, Magnetic resonance imaging
Clinical narrative: Heavy legs  approximately 3 hrs after vaccine taken ,heart beating fast.  The  heavy legs went away after few days but for the next several  weeks heavy legs came back &  continues more frequently up to now.  I went to see my doctor, on May 10, 2021,.,
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen, sore lymph node in left armpit
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Guillain-Barre syndrome, Hypoaesthesia, Hypoaesthesia teeth, Immunoglobulin therapy
Clinical narrative: Patient an onset of ascending numbess and weakness. It started from the legs upward, spread to her upper extremities and back. Her MRI for brain, thoracic, and lumbar, were negative for any suspicious lesions. Neuro exam showed strength as low as 1/5. Anterior teeth numbess. There was some shooting and burning pain. With neurology consulting it was presumed she had Guillan barre syndrome. 4 days of IVIG helped resolve her symptoms.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Neurological examination abnormal, Pain
Clinical narrative: Patient an onset of ascending numbess and weakness. It started from the legs upward, spread to her upper extremities and back. Her MRI for brain, thoracic, and lumbar, were negative for any suspicious lesions. Neuro exam showed strength as low as 1/5. Anterior teeth numbess. There was some shooting and burning pain. With neurology consulting it was presumed she had Guillan barre syndrome. 4 days of IVIG helped resolve her symptoms.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Product temperature excursion issue
Clinical narrative: Temperature excursion on vaccine administered.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Headache, Injection site erythema
Clinical narrative: Symptoms lasting 48  hours- High fever (>102 despite taking ibuprofen and acetaminophen), nausea and vomiting, diarrhea, chills, body aches, tooth aches (throbbing in each tooth), blurred vision, extreme dizziness and vertigo, headache and injection site exceptionally swollen, red and hot to the touch.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Mobility decreased, Nausea, Pain
Clinical narrative: Symptoms lasting 48  hours- High fever (>102 despite taking ibuprofen and acetaminophen), nausea and vomiting, diarrhea, chills, body aches, tooth aches (throbbing in each tooth), blurred vision, extreme dizziness and vertigo, headache and injection site exceptionally swollen, red and hot to the touch.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Toothache, Vertigo, Vision blurred, Vomiting
Clinical narrative: Symptoms lasting 48  hours- High fever (>102 despite taking ibuprofen and acetaminophen), nausea and vomiting, diarrhea, chills, body aches, tooth aches (throbbing in each tooth), blurred vision, extreme dizziness and vertigo, headache and injection site exceptionally swollen, red and hot to the touch.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: 3 hours after injection the left side of my face went numb and tingly
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Computerised tomogram head, Discomfort, Dyspnoea
Clinical narrative: She got the vaccine, felt like somebody was messing with her blood.  She never had that feeling before, and felt very heavy and not able to walk.  My heart was beating hard, shortness of breath and felt slowed down.  Catching her breath was very hard for her.  She could not more, she could not walk, just feeling sick.  She went to the ER and she had some tests, and X-rays of her legs, tests on her heart, and US of her heart, CAT scan of her head, blood work as well.  They told her that her thyroid was very low, they increased her medicine.  Her neck was swelling and said that she had fluid on her heart.  When she went for the  showed that the fluid was normal, but she still could not move well, and they had to hold her to walk.   They felt that she had arthritis and that she needed surgery on her knee.   She went back to the ER again for a check up of her heart and to see what was going on as she was still having problems.  The US showed that the fluid was not going to do anything to her.  She was considered to be OK.  She still has the heaviness feeling when she gets up, but if she sits down or lies down she is okay, but when she stands up she is not able to move.     She got an injection in her knee for the arthritis and also in her foot, she is now able to bend it, and due to favoring her left side now your right side hurts and is having pain in that leg.  They told her that she cannot stand on her own and is at risk of falling so she has to make sure that somebody is with her.  She does use a walker now.  She did not have any issues with arthritis or her knees prior to the vaccine.  She does have high blood pressure but was not having any problems with that.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Echocardiogram, Feeling abnormal, Gait disturbance, Hypothyroidism
Clinical narrative: She got the vaccine, felt like somebody was messing with her blood.  She never had that feeling before, and felt very heavy and not able to walk.  My heart was beating hard, shortness of breath and felt slowed down.  Catching her breath was very hard for her.  She could not more, she could not walk, just feeling sick.  She went to the ER and she had some tests, and X-rays of her legs, tests on her heart, and US of her heart, CAT scan of her head, blood work as well.  They told her that her thyroid was very low, they increased her medicine.  Her neck was swelling and said that she had fluid on her heart.  When she went for the  showed that the fluid was normal, but she still could not move well, and they had to hold her to walk.   They felt that she had arthritis and that she needed surgery on her knee.   She went back to the ER again for a check up of her heart and to see what was going on as she was still having problems.  The US showed that the fluid was not going to do anything to her.  She was considered to be OK.  She still has the heaviness feeling when she gets up, but if she sits down or lies down she is okay, but when she stands up she is not able to move.     She got an injection in her knee for the arthritis and also in her foot, she is now able to bend it, and due to favoring her left side now your right side hurts and is having pain in that leg.  They told her that she cannot stand on her own and is at risk of falling so she has to make sure that somebody is with her.  She does use a walker now.  She did not have any issues with arthritis or her knees prior to the vaccine.  She does have high blood pressure but was not having any problems with that.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Limb discomfort, Malaise, Mobility decreased, Pain in extremity
Clinical narrative: She got the vaccine, felt like somebody was messing with her blood.  She never had that feeling before, and felt very heavy and not able to walk.  My heart was beating hard, shortness of breath and felt slowed down.  Catching her breath was very hard for her.  She could not more, she could not walk, just feeling sick.  She went to the ER and she had some tests, and X-rays of her legs, tests on her heart, and US of her heart, CAT scan of her head, blood work as well.  They told her that her thyroid was very low, they increased her medicine.  Her neck was swelling and said that she had fluid on her heart.  When she went for the  showed that the fluid was normal, but she still could not move well, and they had to hold her to walk.   They felt that she had arthritis and that she needed surgery on her knee.   She went back to the ER again for a check up of her heart and to see what was going on as she was still having problems.  The US showed that the fluid was not going to do anything to her.  She was considered to be OK.  She still has the heaviness feeling when she gets up, but if she sits down or lies down she is okay, but when she stands up she is not able to move.     She got an injection in her knee for the arthritis and also in her foot, she is now able to bend it, and due to favoring her left side now your right side hurts and is having pain in that leg.  They told her that she cannot stand on her own and is at risk of falling so she has to make sure that somebody is with her.  She does use a walker now.  She did not have any issues with arthritis or her knees prior to the vaccine.  She does have high blood pressure but was not having any problems with that.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Swelling, X-ray limb
Clinical narrative: She got the vaccine, felt like somebody was messing with her blood.  She never had that feeling before, and felt very heavy and not able to walk.  My heart was beating hard, shortness of breath and felt slowed down.  Catching her breath was very hard for her.  She could not more, she could not walk, just feeling sick.  She went to the ER and she had some tests, and X-rays of her legs, tests on her heart, and US of her heart, CAT scan of her head, blood work as well.  They told her that her thyroid was very low, they increased her medicine.  Her neck was swelling and said that she had fluid on her heart.  When she went for the  showed that the fluid was normal, but she still could not move well, and they had to hold her to walk.   They felt that she had arthritis and that she needed surgery on her knee.   She went back to the ER again for a check up of her heart and to see what was going on as she was still having problems.  The US showed that the fluid was not going to do anything to her.  She was considered to be OK.  She still has the heaviness feeling when she gets up, but if she sits down or lies down she is okay, but when she stands up she is not able to move.     She got an injection in her knee for the arthritis and also in her foot, she is now able to bend it, and due to favoring her left side now your right side hurts and is having pain in that leg.  They told her that she cannot stand on her own and is at risk of falling so she has to make sure that somebody is with her.  She does use a walker now.  She did not have any issues with arthritis or her knees prior to the vaccine.  She does have high blood pressure but was not having any problems with that.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site pain
Clinical narrative: Vaccine was given too high on the pt's arm, about 1" down from shoulder.  Pt said there was immediate pain, that did not happen after the first COVID-19 vaccine, and questioned if vaccine was given to high and would need to be repeated.   Pt was reassured that vaccine would be fine and to take Tylenol for pain.     Pt returned the next day, providing a ride to someone else receiving the COVID-19 vaccine.  I measured that injection site, which was 1" down from shoulder.  Reassured that vaccine dose was affective and would not need to be repeated.  Let patient know that I was more concerned w/an arm injury.  She said her arm felt fine, and had no more pain.   Told patient I would call the Health Department to verify that the dose did not need to be repeated and fill out a VAERS report.  Followed up a few days later, after HD response.  Let her know HD said no repeat doses was needed and asked if she was experiencing any arm pain.  She had not issues w/pain or movement of her arm.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Nausea
Clinical narrative: Intermittent fever and chills, moderate to severe muscle and joint aches, moderate to severe headache, nausea. Time course was 36 hours, treated with acetaminophen, rest.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Intermittent fever and chills, moderate to severe muscle and joint aches, moderate to severe headache, nausea. Time course was 36 hours, treated with acetaminophen, rest.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Headache, Oral discomfort, Swollen tongue
Clinical narrative: AFTERNOON AFTER INJECTION SEVERE HEADACHE .. DAY 2 EVENING LOSS OF SMELL AND TASTE ALONG WITH UPPER LIP TIGHT AND TONGUE SWELLING AND JUST FEELS ODD.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased
Clinical narrative: Moderna COVID-19 Vaccine EUA - Rapid resting heart rate approx 12-14 hours after injection.  Tired/rundown approx 20 hours.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood albumin decreased, Blood creatinine increased, Blood smear test abnormal, Brain natriuretic peptide increased
Clinical narrative: Patient is a 44 y/o gentleman with acute renal failure, elevated BNP and LE edema. Pulmonary consulted for medical management.     Thrombocytopenia:  - plt count stable today, Hgb stable  - hematology consulted, appreciate recs: plan to send for serum antibodies to test for drug induced thrombocytopenia for carbamazepine and valproic acid  - will hold protonix as possible offender  - peripheral smear (Mercy OKC, 5/8/21): macrocytic red blood cells, moderate thrombocytopenia, rare focal platelet clumping present  - less likely vaccine induced TCP---usually this is seen with the AstraZenca and Johnson and Johnson vaccine, not in Pfizer vaccine  - if plt remains stable, may d/c home with plan for f/u with Dr outpt    COVID-19:  - case discussed with Health Department, COVID test for variant testing sent 5/6  - for now, will cont care in isolation  - patient with positive COVID-19 test   - positve COVID-19 test in January 2021, negative COVID-19 screen in April 2021  - pt with no active respiratory sx  AMS: unchanged  - waxing and waning mental status  - improved AMS with improved renal fxn     Acute renal failure: improving  - Cr: 1.64, cont PO intake     LE edema:  - unchanged, low albumin levels, need to increase protein intake  Chronic systolic heart failure: stable  - cont to hold diuresis  Disposition:  - cont care in COVID unit, Pulmonary to follow Estimated length of stay is 5 day(s).
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chronic left ventricular failure, Haemoglobin normal, Mental status changes, Oedema peripheral
Clinical narrative: Patient is a 44 y/o gentleman with acute renal failure, elevated BNP and LE edema. Pulmonary consulted for medical management.     Thrombocytopenia:  - plt count stable today, Hgb stable  - hematology consulted, appreciate recs: plan to send for serum antibodies to test for drug induced thrombocytopenia for carbamazepine and valproic acid  - will hold protonix as possible offender  - peripheral smear (Mercy OKC, 5/8/21): macrocytic red blood cells, moderate thrombocytopenia, rare focal platelet clumping present  - less likely vaccine induced TCP---usually this is seen with the AstraZenca and Johnson and Johnson vaccine, not in Pfizer vaccine  - if plt remains stable, may d/c home with plan for f/u with Dr outpt    COVID-19:  - case discussed with Health Department, COVID test for variant testing sent 5/6  - for now, will cont care in isolation  - patient with positive COVID-19 test   - positve COVID-19 test in January 2021, negative COVID-19 screen in April 2021  - pt with no active respiratory sx  AMS: unchanged  - waxing and waning mental status  - improved AMS with improved renal fxn     Acute renal failure: improving  - Cr: 1.64, cont PO intake     LE edema:  - unchanged, low albumin levels, need to increase protein intake  Chronic systolic heart failure: stable  - cont to hold diuresis  Disposition:  - cont care in COVID unit, Pulmonary to follow Estimated length of stay is 5 day(s).
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: Patient is a 44 y/o gentleman with acute renal failure, elevated BNP and LE edema. Pulmonary consulted for medical management.     Thrombocytopenia:  - plt count stable today, Hgb stable  - hematology consulted, appreciate recs: plan to send for serum antibodies to test for drug induced thrombocytopenia for carbamazepine and valproic acid  - will hold protonix as possible offender  - peripheral smear (Mercy OKC, 5/8/21): macrocytic red blood cells, moderate thrombocytopenia, rare focal platelet clumping present  - less likely vaccine induced TCP---usually this is seen with the AstraZenca and Johnson and Johnson vaccine, not in Pfizer vaccine  - if plt remains stable, may d/c home with plan for f/u with Dr outpt    COVID-19:  - case discussed with Health Department, COVID test for variant testing sent 5/6  - for now, will cont care in isolation  - patient with positive COVID-19 test   - positve COVID-19 test in January 2021, negative COVID-19 screen in April 2021  - pt with no active respiratory sx  AMS: unchanged  - waxing and waning mental status  - improved AMS with improved renal fxn     Acute renal failure: improving  - Cr: 1.64, cont PO intake     LE edema:  - unchanged, low albumin levels, need to increase protein intake  Chronic systolic heart failure: stable  - cont to hold diuresis  Disposition:  - cont care in COVID unit, Pulmonary to follow Estimated length of stay is 5 day(s).
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Light pink rash appeared around injection site (upper right arm) two days after injection and is itchy.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Product temperature excursion issue
Clinical narrative: Temperature excursion with administered vaccine
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Blood test, Computerised tomogram, Hypersensitivity, Lymphadenopathy
Clinical narrative: An allergic reaction that required a visit to the Emergency Room. Shots were given at the hospital, so their response to treatment was swift. Given an IV of antihistamines, steroids, and something else. Given a CAT scan to ensure swelling was subsiding. Within 10 minutes after the second shot, my neck had a bulge the size of a softball.  This was day one.  As I type this message, it is now 22 days since that injection and I still have large swelling of my left lymph nodes on my neck and around my left shoulder blade causing me pain.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging, Swelling
Clinical narrative: An allergic reaction that required a visit to the Emergency Room. Shots were given at the hospital, so their response to treatment was swift. Given an IV of antihistamines, steroids, and something else. Given a CAT scan to ensure swelling was subsiding. Within 10 minutes after the second shot, my neck had a bulge the size of a softball.  This was day one.  As I type this message, it is now 22 days since that injection and I still have large swelling of my left lymph nodes on my neck and around my left shoulder blade causing me pain.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypersensitivity, Lymphadenopathy
Clinical narrative: An allergic reaction that required a visit to the Emergency Room. Shots were given at the hospital, so their response to treatment was swift. Given an IV of antihistamines, steroids, and something else. Given a CAT scan to ensure swelling was subsiding. Within 10 minutes after the second shot, my neck had a bulge the size of a softball.  This was day one.  As I type this message, it is now 22 days since that injection and I still have large swelling of my left lymph nodes on my neck and around my left shoulder blade causing me pain.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine approximately 2.5 hours outside 6-hour window (refrigerated). Contacted Manufacturer and stated" Janssen has not conducted studies to evaluate the efficacy or safety following administration of expired vaccine or vaccines stored outside of the recommended storage conditions." Representative asked to inform patients to contact their PCP.
Age: 0.25
Sex: M
Vaccine: HEPA
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: RECOMENDED AGE FOR FIRST ADMINISTRATION IS  12 MONTHS, PT RECEIVED DOSE AT 3 MONTHS OF AGE
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: PT c/o n/v/d, chills, and fever after 2nd dose of Moderna COVID-19 vaccine beginning 5/13/21 approx 1000 pm and ongoing this morning.  Pt advised by telephone to increase fluids, rest, and take tylenol/benadryl prn.  Pt verbalized understanding
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles on stomach and right side
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lymphadenopathy, Rotator cuff syndrome
Clinical narrative: tendinitis in right shoulder and swollen lymph nodes in right shoulder and neck.  Pain from tendinitis began ~12 days after second injection
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypersensitivity, Injection site erythema, Injection site induration, Rash
Clinical narrative: 8 days after injection I had a delayed hypersensitivity reaction (?covid vaccine arm?), symptoms included firmness and a red patch on my upper arm near the injection site. The following morning, I woke up feeling well with the rash still on my arm (no change). 2 hours later I began feeling dizzy and fainted. I was unconscious for 5 to 10 seconds. When I woke up, the rash had vanished and the firmness was gone. No signs of the reaction were present after waking.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: 8 days after injection I had a delayed hypersensitivity reaction (?covid vaccine arm?), symptoms included firmness and a red patch on my upper arm near the injection site. The following morning, I woke up feeling well with the rash still on my arm (no change). 2 hours later I began feeling dizzy and fainted. I was unconscious for 5 to 10 seconds. When I woke up, the rash had vanished and the firmness was gone. No signs of the reaction were present after waking.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Delirium, Dysphagia, Headache, Malaise, Migraine
Clinical narrative: Headache turned to migraine I middle of night. Felt delirious , couldn?t even sip water, dry heaves, extreme nausea, literally thought I was going to die, until after several hrs, was able to swallow an imitrex for migraines.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Retching
Clinical narrative: Headache turned to migraine I middle of night. Felt delirious , couldn?t even sip water, dry heaves, extreme nausea, literally thought I was going to die, until after several hrs, was able to swallow an imitrex for migraines.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product temperature excursion issue
Clinical narrative: TEMPERATURE EXCURSION WITH VACCINE ADMINISTERED , OUTCOME UNKNOWN.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine approximately 2.5 hours outside 6-hour window (refrigerated). Contacted Manufacturer and stated" Janssen has not conducted studies to evaluate the efficacy or safety following administration of expired vaccine or vaccines stored outside of the recommended storage conditions." Representative asked to inform patients to contact their PCP.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash, Urethritis, Urinary tract infection
Clinical narrative: RASH ALL OVER , LEFT SIDE OF BODY COMPLETE SORENESS LIKE FLU ARE WORSE, URETHRITIS ARE UTI
Age: 47.0
Sex: U
Vaccine: COVID19
Symptoms: Product temperature excursion issue
Clinical narrative: Temperature excursion with administered vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered invalid 2nd dose of Pfizer vaccine (vaccine was stored 5 days beyond recommended freezing time). Pfizer was contacted and recommended that the patient receive a booster in the opposite arm. Patient can receive booster immediately and will be contacted to schedule booster dose.
Age: 79.0
Sex: M
Vaccine: FLU4
Symptoms: Acute motor-sensory axonal neuropathy, Asthenia, Guillain-Barre syndrome, Haematoma, Haemorrhage
Clinical narrative: Symptoms of weakness started about 6 weeks after influenza vaccine. Admitted to the hospital for altered mental status and weakness. Was diagnosed with axonal variant of Guillain-Barré syndrome (acute motor and sensory axonal neuropathy), completed 5 days of therapeutic plasma exchange with improvement of motor function. Per the neurologist, it  is possible for patients to develop Guillain Barre syndrome 4 - 6 weeks after the influenza vaccine, but the true incidence is unknown and is difficult to prove it was the vaccine that triggered this syndrome. However, given the severity of his symptoms, the patient wanted us to report to VAERs just in case as he is a retired doctor.  Of note, the patient was hospitalized for other issues in addition to this (purpura with hematoma, heparin induced bleeding, systemic inflammatory syndrome) , so the hospitalization itself was not entirely due to the Guillain-Barre syndrome. Also, the patient had received the influenza vaccine many times in the past (gets it almost every year) and did not have this reaction.
Age: 79.0
Sex: M
Vaccine: FLU4
Symptoms: Mental status changes, Plasmapheresis, Purpura, Systemic inflammatory response syndrome
Clinical narrative: Symptoms of weakness started about 6 weeks after influenza vaccine. Admitted to the hospital for altered mental status and weakness. Was diagnosed with axonal variant of Guillain-Barré syndrome (acute motor and sensory axonal neuropathy), completed 5 days of therapeutic plasma exchange with improvement of motor function. Per the neurologist, it  is possible for patients to develop Guillain Barre syndrome 4 - 6 weeks after the influenza vaccine, but the true incidence is unknown and is difficult to prove it was the vaccine that triggered this syndrome. However, given the severity of his symptoms, the patient wanted us to report to VAERs just in case as he is a retired doctor.  Of note, the patient was hospitalized for other issues in addition to this (purpura with hematoma, heparin induced bleeding, systemic inflammatory syndrome) , so the hospitalization itself was not entirely due to the Guillain-Barre syndrome. Also, the patient had received the influenza vaccine many times in the past (gets it almost every year) and did not have this reaction.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Aphasia, Arteriogram carotid normal, Cerebral infarction, Cerebral small vessel ischaemic disease
Clinical narrative: ED Note: "presents to the ED via RRT from pre-op after having a left SI injection with complaints of a stroke alert. at 1132 this morning. Per NP from pre-op, the pt received the injection without issue. After the injection she was developed groin numbness, which progressed into a headache, and chest pain. She then became aphasic, with left sided weakness and numbness. BS was 154 at that time. Per husband at bedside, the pt had numbness and tingling after injection but was otherwise at baseline. While the pt was getting dressed, the husband went to get the car. He notes the pt is on Xarelto secondary to PE and has taken it as prescribed. He denies any missed doses but states he is unsure of what time the last dose was. He states that the pt has no lasting deficits from her prior stroke. Of note, the pt is able to respond by nodding yes or no but is unable to speak.  Pt able to write on a white board. She states she was taken off the Xarelto 3 months ago. The pt states she is unable to talk. She endorses left arm and leg weakness. The pt states she has a prior stoke years ago with weakness but has no lasting deficits. "   Admitted to the hospital  Diagnoses:   -Dysphasia -Small vessel cerebrovascular disease -Bereavement -Vitamin-D deficiency
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Chest pain, Computerised tomogram head normal, Echocardiogram normal, Headache
Clinical narrative: ED Note: "presents to the ED via RRT from pre-op after having a left SI injection with complaints of a stroke alert. at 1132 this morning. Per NP from pre-op, the pt received the injection without issue. After the injection she was developed groin numbness, which progressed into a headache, and chest pain. She then became aphasic, with left sided weakness and numbness. BS was 154 at that time. Per husband at bedside, the pt had numbness and tingling after injection but was otherwise at baseline. While the pt was getting dressed, the husband went to get the car. He notes the pt is on Xarelto secondary to PE and has taken it as prescribed. He denies any missed doses but states he is unsure of what time the last dose was. He states that the pt has no lasting deficits from her prior stroke. Of note, the pt is able to respond by nodding yes or no but is unable to speak.  Pt able to write on a white board. She states she was taken off the Xarelto 3 months ago. The pt states she is unable to talk. She endorses left arm and leg weakness. The pt states she has a prior stoke years ago with weakness but has no lasting deficits. "   Admitted to the hospital  Diagnoses:   -Dysphasia -Small vessel cerebrovascular disease -Bereavement -Vitamin-D deficiency
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiparesis, Hypoaesthesia, Magnetic resonance imaging head abnormal, Muscular weakness, Musculoskeletal discomfort
Clinical narrative: ED Note: "presents to the ED via RRT from pre-op after having a left SI injection with complaints of a stroke alert. at 1132 this morning. Per NP from pre-op, the pt received the injection without issue. After the injection she was developed groin numbness, which progressed into a headache, and chest pain. She then became aphasic, with left sided weakness and numbness. BS was 154 at that time. Per husband at bedside, the pt had numbness and tingling after injection but was otherwise at baseline. While the pt was getting dressed, the husband went to get the car. He notes the pt is on Xarelto secondary to PE and has taken it as prescribed. He denies any missed doses but states he is unsure of what time the last dose was. He states that the pt has no lasting deficits from her prior stroke. Of note, the pt is able to respond by nodding yes or no but is unable to speak.  Pt able to write on a white board. She states she was taken off the Xarelto 3 months ago. The pt states she is unable to talk. She endorses left arm and leg weakness. The pt states she has a prior stoke years ago with weakness but has no lasting deficits. "   Admitted to the hospital  Diagnoses:   -Dysphasia -Small vessel cerebrovascular disease -Bereavement -Vitamin-D deficiency
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Vitamin D deficiency
Clinical narrative: ED Note: "presents to the ED via RRT from pre-op after having a left SI injection with complaints of a stroke alert. at 1132 this morning. Per NP from pre-op, the pt received the injection without issue. After the injection she was developed groin numbness, which progressed into a headache, and chest pain. She then became aphasic, with left sided weakness and numbness. BS was 154 at that time. Per husband at bedside, the pt had numbness and tingling after injection but was otherwise at baseline. While the pt was getting dressed, the husband went to get the car. He notes the pt is on Xarelto secondary to PE and has taken it as prescribed. He denies any missed doses but states he is unsure of what time the last dose was. He states that the pt has no lasting deficits from her prior stroke. Of note, the pt is able to respond by nodding yes or no but is unable to speak.  Pt able to write on a white board. She states she was taken off the Xarelto 3 months ago. The pt states she is unable to talk. She endorses left arm and leg weakness. The pt states she has a prior stoke years ago with weakness but has no lasting deficits. "   Admitted to the hospital  Diagnoses:   -Dysphasia -Small vessel cerebrovascular disease -Bereavement -Vitamin-D deficiency
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite
Clinical narrative: Lose of Appetite,  Weakness, no desire to do anything for about 24 hrs.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Vomiting
Clinical narrative: Chills, extreme fatigue, vomiting, loss of appetite
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Fatigue, Headache, Pain
Clinical narrative: Lump under left armpit, headache, tiredness and body aches.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Fatigue, Feeling of body temperature change, Headache
Clinical narrative: Approximately 9 days after the vaccine, I began to experience mild fatigue. This became worse. I showed signs of a fever, but I did not have one. Symptoms were: hot/cold flashes, sweating through clothes, loss of appetite, headache and fatigue. On 5/3, I went to the local urgent care and got a rapid COVID test, which came back negative. My symptoms have slowly started to get better, except for the extreme fatigue I constantly feel. I have very little energy and continue to experience it to this day 5/14/21. My second vaccine is schedule for 5/18/21. I sent a request to my primary care physician to see if I should have some bloodwork done.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, SARS-CoV-2 test negative
Clinical narrative: Approximately 9 days after the vaccine, I began to experience mild fatigue. This became worse. I showed signs of a fever, but I did not have one. Symptoms were: hot/cold flashes, sweating through clothes, loss of appetite, headache and fatigue. On 5/3, I went to the local urgent care and got a rapid COVID test, which came back negative. My symptoms have slowly started to get better, except for the extreme fatigue I constantly feel. I have very little energy and continue to experience it to this day 5/14/21. My second vaccine is schedule for 5/18/21. I sent a request to my primary care physician to see if I should have some bloodwork done.
Age: 49.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site pain, Mobility decreased, Musculoskeletal stiffness, Sleep disorder
Clinical narrative: More intense pain at shot site than in previous experiences with the ful shot.  Within 24 hours stiffness of the arm began.  I was struggling to lift the arm to reach things above my shoulder.  The next night I began having trouble sleeping due to pain.  The stiffness and pain increased as the days went on.  I tried over the counter Tylenol, ice packs, rest, but the pain continued and the arm became stiffer as the days went on.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Fatigue, Headache, Influenza like illness
Clinical narrative: Fatigue nausea headache flu like symptoms for 4 days after very sick, ibs pain in knee, now still fatigue ibs.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Irritable bowel syndrome, Malaise, Nausea, Thyroid function test
Clinical narrative: Fatigue nausea headache flu like symptoms for 4 days after very sick, ibs pain in knee, now still fatigue ibs.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing and pain in ears.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure diastolic increased
Clinical narrative: My diastolic blood pressure reading has been steadily increasing since my first and second dose. I didn't relate the reading to the vaccine until my husband suggested a possible connection.  My diastolic readings were ranging from high 60's to high 70's.  I am now getting readings in the 80's and 90's.  The number is consistently increasing.  I'm reaching out to my dr. However, I wanted to alert you and hope there is some explanation and remedy for what I am experiencing.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dyspepsia, Injection site rash, Lip swelling, Pain
Clinical narrative: 53 year old female with history of hypertension, reactive airway disease presenting for evaluation of rash for the past 2 days.  Patient reports that she has had a rash to her inner thighs/groin, arms, abdomen, back of legs for the past 2 days.  Reports that she has triamcinolone cream at home which she has tried with minimal improvement.  Reports that she also took benadryl a few times yesterday which helped but the rash is still very itchy.  Denies any fevers/chills.  Reports has history of rashes as she has sensitive skin but nothing this bad.  Denies any facial swelling, lip or tongue swelling, difficulty swallowing, chest pain or shortness of breath.  Patient denies any new foods, detergents, creams, lotions, medications, exposures.  Patient reports she originally had her second Pfizer vaccine scheduled for today but rescheduled for Saturday as she wanted to make sure it was still okay for her to get it with this rash.  Reports had her first dose on 3/24/21 and only had a local rash around the vaccine site.  Patient is a 53 y.o. female with history of sensitive skin and occasional urticaria presenting with 2 week history of severe urticaria not responsive to antihistamines or prednisone.    Received 1st dose of Pfizer COVID-19 vaccine on March 24 Hives started around April 11th   She normally gets transient hives because she has very sensitive skin She was not worried at first, but these hives persisted for longer than usual 2-3 hours. Started in inner thighs near inguinal folds Migrated to different areas including face/eyes, calves, hips, thighs, and back Hives were horrible; very large and "angry"    Went to urgent care on April 14th  Held off on getting second COVID vaccine dose  Prednisone 40 mg x4 days which did nothing No change after stopping prednisone  Also tried hydroxyzine, did not like how it made her feel   Reports severe heart burn and anxiety as well Onset was around same time as hives  She was advised to go to ER on 4/19 due to progression of hives to face, some lip swelling, and throat feeling "funny". Went to the ER where she was evaluated in the waiting area due to overcrowding and was advised that she could leave as she was not in immediate danger.   Finally evaluated by dermatology on 4/22, who agreed her rash was "angry hives", and started on triamcinolone cream as well as 4 zyrtec/day, Pepcid. Symptoms improved around day 3 of triamcinolone cream  Last night was first night that hives were not terrible but did have 2 flare ups today    History of sensitive skin She cannot use perfumes or scented products  Uses detergents and soaps without fragrance or dyes.   Has had intermittent mild hives over 10-15 years  Never had flare 2/2 infection    She has not notice any other triggers for hives.  Often had hives with no identified trigger. In the past, hives improved with benadryl  These hives did not respond to benadryl   1st dose of Pfizer COVID 19 vaccine 03/24/21  Went to bed early, a little bit aching, then felt better in 1.5 days
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Throat irritation, Urticaria
Clinical narrative: 53 year old female with history of hypertension, reactive airway disease presenting for evaluation of rash for the past 2 days.  Patient reports that she has had a rash to her inner thighs/groin, arms, abdomen, back of legs for the past 2 days.  Reports that she has triamcinolone cream at home which she has tried with minimal improvement.  Reports that she also took benadryl a few times yesterday which helped but the rash is still very itchy.  Denies any fevers/chills.  Reports has history of rashes as she has sensitive skin but nothing this bad.  Denies any facial swelling, lip or tongue swelling, difficulty swallowing, chest pain or shortness of breath.  Patient denies any new foods, detergents, creams, lotions, medications, exposures.  Patient reports she originally had her second Pfizer vaccine scheduled for today but rescheduled for Saturday as she wanted to make sure it was still okay for her to get it with this rash.  Reports had her first dose on 3/24/21 and only had a local rash around the vaccine site.  Patient is a 53 y.o. female with history of sensitive skin and occasional urticaria presenting with 2 week history of severe urticaria not responsive to antihistamines or prednisone.    Received 1st dose of Pfizer COVID-19 vaccine on March 24 Hives started around April 11th   She normally gets transient hives because she has very sensitive skin She was not worried at first, but these hives persisted for longer than usual 2-3 hours. Started in inner thighs near inguinal folds Migrated to different areas including face/eyes, calves, hips, thighs, and back Hives were horrible; very large and "angry"    Went to urgent care on April 14th  Held off on getting second COVID vaccine dose  Prednisone 40 mg x4 days which did nothing No change after stopping prednisone  Also tried hydroxyzine, did not like how it made her feel   Reports severe heart burn and anxiety as well Onset was around same time as hives  She was advised to go to ER on 4/19 due to progression of hives to face, some lip swelling, and throat feeling "funny". Went to the ER where she was evaluated in the waiting area due to overcrowding and was advised that she could leave as she was not in immediate danger.   Finally evaluated by dermatology on 4/22, who agreed her rash was "angry hives", and started on triamcinolone cream as well as 4 zyrtec/day, Pepcid. Symptoms improved around day 3 of triamcinolone cream  Last night was first night that hives were not terrible but did have 2 flare ups today    History of sensitive skin She cannot use perfumes or scented products  Uses detergents and soaps without fragrance or dyes.   Has had intermittent mild hives over 10-15 years  Never had flare 2/2 infection    She has not notice any other triggers for hives.  Often had hives with no identified trigger. In the past, hives improved with benadryl  These hives did not respond to benadryl   1st dose of Pfizer COVID 19 vaccine 03/24/21  Went to bed early, a little bit aching, then felt better in 1.5 days
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dyspnoea, Ear disorder, Heart rate decreased, Mydriasis
Clinical narrative: PATIENT WAS NOT NERVOUS ABOUT RECEIVING HIS FIRST DOSE. OUR IMMUNIZATION CERTIFIED PHARMACY TECH ADMINISTERED THE DOSE. ABOUT 2 MINUTES LATER HE STATED HE WAS FEELING TINGLY AND HIS EAR TURNED A WHITE COLOR. THE TECHNICIAN CALLED ME INTO THE ROOM WHERE I EXAMINED THE PATIENT. HE WAS NOT RESPONDING AND HIS EYES WERE DILATED. HE WAS TRYING TO BREATH BUT HE WAS HAVING DIFFICULTY. WE MOVED HIM TO THE GROUND AND PLACED HIM ON HIS SIDE TO MAKE SURE HE DID NOT ASPERATE. AFTER ABOUT 20 SECONDS OF BEING ON THE GROUD HE STARTED BREATHING NORMALLY AND WAS CONSCIOUS. THE ENTIRE EPISODE LASTED ABOUT 1 MINUTE (MAYBE SLIGHLY LONGER). EMS ARRIVED A FEW MINUTES LATER. HIS PULSE WAS LOW (ABOUT 50 BPM PER EMS) BUT HIS BLOOD PRESSURE WAS NORMAL (UNSURE OF THE VALUE). HE SAID HE REMEMBERED TALKING TO US AND THE NEXT THING HE KNEW HE WAS LAYING ON THE GROUND. HE WAS VERY NAUSEOUS AFTERWARDS FOR ABOUT 45 MINUTES (HE THREW UP TWICE). WE CONTACTED THE PATIENT THE DAY AFTER AND HE SAID HE WAS FINE AND THAT HE ONLY HAD A SORE ARM. WE BELIEVE THAT HIS BLOOD PRESSURE DROPPED TOO LOW AND CAUSED A VASOVAGAL TYPE RESPONSE.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Paraesthesia, Presyncope, Unresponsive to stimuli
Clinical narrative: PATIENT WAS NOT NERVOUS ABOUT RECEIVING HIS FIRST DOSE. OUR IMMUNIZATION CERTIFIED PHARMACY TECH ADMINISTERED THE DOSE. ABOUT 2 MINUTES LATER HE STATED HE WAS FEELING TINGLY AND HIS EAR TURNED A WHITE COLOR. THE TECHNICIAN CALLED ME INTO THE ROOM WHERE I EXAMINED THE PATIENT. HE WAS NOT RESPONDING AND HIS EYES WERE DILATED. HE WAS TRYING TO BREATH BUT HE WAS HAVING DIFFICULTY. WE MOVED HIM TO THE GROUND AND PLACED HIM ON HIS SIDE TO MAKE SURE HE DID NOT ASPERATE. AFTER ABOUT 20 SECONDS OF BEING ON THE GROUD HE STARTED BREATHING NORMALLY AND WAS CONSCIOUS. THE ENTIRE EPISODE LASTED ABOUT 1 MINUTE (MAYBE SLIGHLY LONGER). EMS ARRIVED A FEW MINUTES LATER. HIS PULSE WAS LOW (ABOUT 50 BPM PER EMS) BUT HIS BLOOD PRESSURE WAS NORMAL (UNSURE OF THE VALUE). HE SAID HE REMEMBERED TALKING TO US AND THE NEXT THING HE KNEW HE WAS LAYING ON THE GROUND. HE WAS VERY NAUSEOUS AFTERWARDS FOR ABOUT 45 MINUTES (HE THREW UP TWICE). WE CONTACTED THE PATIENT THE DAY AFTER AND HE SAID HE WAS FINE AND THAT HE ONLY HAD A SORE ARM. WE BELIEVE THAT HIS BLOOD PRESSURE DROPPED TOO LOW AND CAUSED A VASOVAGAL TYPE RESPONSE.