chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Blood pressure increased, Blood pressure measurement, Chills, Rash
Clinical narrative: Adverse event: Anaphylaxis reaction. High blood pressure. Body shivering. Rash on neck and chest.; Adverse event: Anaphylaxis reaction. High blood pressure. Body shivering. Rash on neck and chest.; Adverse event: Anaphylaxis reaction. High blood pressure. Body shivering. Rash on neck and chest.; Adverse event: Anaphylaxis reaction. High blood pressure. Body shivering. Rash on neck and chest.; Adverse event: Anaphylaxis reaction. High blood pressure. Body shivering. Rash on neck and chest.; This is a spontaneous report from a contactable consumer (patient).  A 59-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number EL9269), via an unspecified route of administration into left arm on 06Feb2021, at 15:15 as  first single dose for covid-19 immunization.  Medical history included high blood pressure from an unknown date, known allergies to peanuts, tree nuts from an unknown date (elaborated as allergies to peanuts, non-steroidal-anti-inflammatory drugs (NSAIDs), tree nuts, penicillin), from unknown dates.  Concomitant medication included lisinopril (MANUFACTURER UNKNOWN) and unspecified multivitamins. No other-vaccines were given with four weeks.  On 06Feb2021, at 15:45, the patient experienced adverse event: anaphylaxis reaction. high blood pressure. body shivering. rash on neck and chest. The events were serious as they were life-threatening. The events were noted as resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, and was  life threatening illness (immediate risk of death from the event). The patient underwent lab tests and procedures which included blood pressure measurement: high on 06Feb2021.  Therapeutic measures were taken as a result of the adverse events; dexamethasone sodium phos- diphenhydramine (BENADRYL), famotidine. No covid infection was noted prior to vaccination.  No covid test has been administered post vaccination. The outcome of events was recovered in Feb2021.
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Back pain, Blood culture, Blood lactic acid, Body temperature increased
Clinical narrative: Per reported event on 2/8/21: Pt presents to ED (on 2/8/21) from  assisted living facility for evaluation of falls x 2 this am. Pt received his first moderna injection Saturday 2/6/21 and reported chills and fever on Sunday 2/7/21. Today he rolled out of bed around 0400 but denies injury from the fall. The pt was reported to have pronounced generalized weakness. The second episode the parient was in a chair this am and couldn't get up. The staff assisted him to the toilet and his legs gave out and he went down again but the staff were able to control him and no injuries were noted. He normally ambulates independently and can still drive. He gets routine covid testing and he was negative on Friday. He presents today with a rectal temp of 100. Good rectal tone noted. He is able to lift each leg with no drift noted and able to meet resistance with his feet. He reports lower back pain and generalized body aches. Pt is alert and oriented x 3. No c/o diarrhea or vomiting. NO cough or shortness of breath.   Moderna Vaccine Lot # 032L20A  Note: Vaccine administration unknown; Patient was admitted to Hospital
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Chills, Fall, Full blood count, Gait disturbance
Clinical narrative: Per reported event on 2/8/21: Pt presents to ED (on 2/8/21) from  assisted living facility for evaluation of falls x 2 this am. Pt received his first moderna injection Saturday 2/6/21 and reported chills and fever on Sunday 2/7/21. Today he rolled out of bed around 0400 but denies injury from the fall. The pt was reported to have pronounced generalized weakness. The second episode the parient was in a chair this am and couldn't get up. The staff assisted him to the toilet and his legs gave out and he went down again but the staff were able to control him and no injuries were noted. He normally ambulates independently and can still drive. He gets routine covid testing and he was negative on Friday. He presents today with a rectal temp of 100. Good rectal tone noted. He is able to lift each leg with no drift noted and able to meet resistance with his feet. He reports lower back pain and generalized body aches. Pt is alert and oriented x 3. No c/o diarrhea or vomiting. NO cough or shortness of breath.   Moderna Vaccine Lot # 032L20A  Note: Vaccine administration unknown; Patient was admitted to Hospital
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Glycosylated haemoglobin, Metabolic function test normal, Mobility decreased, Muscular weakness, Pain
Clinical narrative: Per reported event on 2/8/21: Pt presents to ED (on 2/8/21) from  assisted living facility for evaluation of falls x 2 this am. Pt received his first moderna injection Saturday 2/6/21 and reported chills and fever on Sunday 2/7/21. Today he rolled out of bed around 0400 but denies injury from the fall. The pt was reported to have pronounced generalized weakness. The second episode the parient was in a chair this am and couldn't get up. The staff assisted him to the toilet and his legs gave out and he went down again but the staff were able to control him and no injuries were noted. He normally ambulates independently and can still drive. He gets routine covid testing and he was negative on Friday. He presents today with a rectal temp of 100. Good rectal tone noted. He is able to lift each leg with no drift noted and able to meet resistance with his feet. He reports lower back pain and generalized body aches. Pt is alert and oriented x 3. No c/o diarrhea or vomiting. NO cough or shortness of breath.   Moderna Vaccine Lot # 032L20A  Note: Vaccine administration unknown; Patient was admitted to Hospital
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Urine analysis
Clinical narrative: Per reported event on 2/8/21: Pt presents to ED (on 2/8/21) from  assisted living facility for evaluation of falls x 2 this am. Pt received his first moderna injection Saturday 2/6/21 and reported chills and fever on Sunday 2/7/21. Today he rolled out of bed around 0400 but denies injury from the fall. The pt was reported to have pronounced generalized weakness. The second episode the parient was in a chair this am and couldn't get up. The staff assisted him to the toilet and his legs gave out and he went down again but the staff were able to control him and no injuries were noted. He normally ambulates independently and can still drive. He gets routine covid testing and he was negative on Friday. He presents today with a rectal temp of 100. Good rectal tone noted. He is able to lift each leg with no drift noted and able to meet resistance with his feet. He reports lower back pain and generalized body aches. Pt is alert and oriented x 3. No c/o diarrhea or vomiting. NO cough or shortness of breath.   Moderna Vaccine Lot # 032L20A  Note: Vaccine administration unknown; Patient was admitted to Hospital
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Back pain, Body temperature increased, Chills, Dysstasia
Clinical narrative: Per reported event on 2/8/21: Pt presents to ED (on 2/8/21) from  assisted living facility for evaluation of falls x 2 this am. Pt received his first moderna injection Saturday 2/6/21 and reported chills and fever on Sunday 2/7/21. Today he rolled out of bed around 0400 but denies injury from the fall. The pt was reported to have pronounced generalized weakness. The second episode the parient was in a chair this am and couldn't get up. The staff assisted him to the toilet and his legs gave out and he went down again but the staff were able to control him and no injuries were noted. He normally ambulates independently and can still drive. He gets routine covid testing and he was negative on Friday. He presents today with a rectal temp of 100. Good rectal tone noted. He is able to lift each leg with no drift noted and able to meet resistance with his feet. He reports lower back pain and generalized body aches. Pt is alert and oriented x 3. No c/o diarrhea or vomiting. NO cough or shortness of breath.   Moderna Vaccine Lot # 032L20A  Note: Vaccine administration unknown; Patient was admitted to Hospital
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Failure to thrive, Fall, Pain, Pyrexia
Clinical narrative: Per reported event on 2/8/21: Pt presents to ED (on 2/8/21) from  assisted living facility for evaluation of falls x 2 this am. Pt received his first moderna injection Saturday 2/6/21 and reported chills and fever on Sunday 2/7/21. Today he rolled out of bed around 0400 but denies injury from the fall. The pt was reported to have pronounced generalized weakness. The second episode the parient was in a chair this am and couldn't get up. The staff assisted him to the toilet and his legs gave out and he went down again but the staff were able to control him and no injuries were noted. He normally ambulates independently and can still drive. He gets routine covid testing and he was negative on Friday. He presents today with a rectal temp of 100. Good rectal tone noted. He is able to lift each leg with no drift noted and able to meet resistance with his feet. He reports lower back pain and generalized body aches. Pt is alert and oriented x 3. No c/o diarrhea or vomiting. NO cough or shortness of breath.   Moderna Vaccine Lot # 032L20A  Note: Vaccine administration unknown; Patient was admitted to Hospital
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Palpitations
Clinical narrative: pt stated 8 minutes after rcvg vax she started having heart palpitations, SOB, wheezing, and tightness in the chest.  Pt was taken to the Urgent Care where she was treated by a physician that admitted her for overnight observation.  She was treated w/  Acetaminophen, Albuterol, Benadryl, epi pen, Pepcid, prednisone .  Pt was released to go home and FU w/ PCP on 2/11 where she video visit.  She was told to continue taking the prednisone and Pepcid.  Pt still have extreme fatigue, headaches, and SOB.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest discomfort, Dyspnoea, Fatigue, Headache
Clinical narrative: pt stated 8 minutes after rcvg vax she started having heart palpitations, SOB, wheezing, and tightness in the chest.  Pt was taken to the Urgent Care where she was treated by a physician that admitted her for overnight observation.  She was treated w/  Acetaminophen, Albuterol, Benadryl, epi pen, Pepcid, prednisone .  Pt was released to go home and FU w/ PCP on 2/11 where she video visit.  She was told to continue taking the prednisone and Pepcid.  Pt still have extreme fatigue, headaches, and SOB.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Wheezing
Clinical narrative: pt stated 8 minutes after rcvg vax she started having heart palpitations, SOB, wheezing, and tightness in the chest.  Pt was taken to the Urgent Care where she was treated by a physician that admitted her for overnight observation.  She was treated w/  Acetaminophen, Albuterol, Benadryl, epi pen, Pepcid, prednisone .  Pt was released to go home and FU w/ PCP on 2/11 where she video visit.  She was told to continue taking the prednisone and Pepcid.  Pt still have extreme fatigue, headaches, and SOB.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Computerised tomogram abdomen, Computerised tomogram neck, Computerised tomogram thorax, Lymphadenopathy
Clinical narrative: Left supraclavicular adenopathy of significance including virchow's nodes.  (Also a fever, that was expected, of 100.7.)
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram normal, Computerised tomogram thorax, Lymphadenopathy, Mammogram
Clinical narrative: Left supraclavicular adenopathy of significance including virchow's nodes.  (Also a fever, that was expected, of 100.7.)
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Ultrasound breast
Clinical narrative: Left supraclavicular adenopathy of significance including virchow's nodes.  (Also a fever, that was expected, of 100.7.)
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Grip strength decreased, Hypoaesthesia, Paraesthesia
Clinical narrative: Injection site developed numbness and tingling of left arm that began 45-60 minutes after reciving the vaccine on 2/8/2021. Resolved within an hour or so, then no strength between thumb and index finger. Symptoms resolved that night. On 2/10/2021 patient had difficulty picking up things and had less strength than usual. Patient stated he felt clumsy.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Clumsiness, Injection site hypoaesthesia, Injection site paraesthesia, Loss of personal independence in daily activities, Neuropathy peripheral
Clinical narrative: Injection site developed numbness and tingling of left arm that began 45-60 minutes after reciving the vaccine on 2/8/2021. Resolved within an hour or so, then no strength between thumb and index finger. Symptoms resolved that night. On 2/10/2021 patient had difficulty picking up things and had less strength than usual. Patient stated he felt clumsy.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Pharyngeal swelling
Clinical narrative: Swelling of throat and tightness of chest. Swelling of lips
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray, Chest discomfort, Electrocardiogram, Lip swelling
Clinical narrative: Swelling of throat and tightness of chest. Swelling of lips
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: Swelling of throat and tightness of chest. Swelling of lips
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Pain, Pain in extremity, Pyrexia
Clinical narrative: extreme headache, extreme chills,high fever  that fluxuated from 100 - 104 during the night. joint pain in hands.face turned red from neck up looking like a sunburn. duration approx 48 hours,primary notified no visit was needed per MD
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Erythema, Feeling cold, Headache, Pain in extremity
Clinical narrative: extreme headache, extreme chills,high fever  that fluxuated from 100 - 104 during the night. joint pain in hands.face turned red from neck up looking like a sunburn. duration approx 48 hours,primary notified no visit was needed per MD
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: extreme headache, extreme chills,high fever  that fluxuated from 100 - 104 during the night. joint pain in hands.face turned red from neck up looking like a sunburn. duration approx 48 hours,primary notified no visit was needed per MD
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness
Clinical narrative: 1340 reporting dizzyness
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Dizziness, Erythema, Headache, Incorrect route of product administration
Clinical narrative: Patient given the vaccine subcutaneous instead of intramuscular and had reaction of heat and pain.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Nausea, Skin warm
Clinical narrative: Patient given the vaccine subcutaneous instead of intramuscular and had reaction of heat and pain.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Feeling hot, Incorrect route of product administration, Pain
Clinical narrative: Patient given the vaccine subcutaneous instead of intramuscular and had reaction of heat and pain.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: rash on L arm where she had recent COVID vaccination.  She had the vaccine on Feb 3rd around 14:30 at SNHU.  The moderna vaccine was administered in the L arm.   She noted 8 days later that a small rash was forming in the area.  It then began to get bigger.  It is itchy and non painful.  She denies it feeling hot to the touch.  No fever or chills.  Overall feeling well.  Denies any other rashes on the body.  No history of negative reactions to other vaccines.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: rash on L arm where she had recent COVID vaccination.  She had the vaccine on Feb 3rd around 14:30 at SNHU.  The moderna vaccine was administered in the L arm.   She noted 8 days later that a small rash was forming in the area.  It then began to get bigger.  It is itchy and non painful.  She denies it feeling hot to the touch.  No fever or chills.  Overall feeling well.  Denies any other rashes on the body.  No history of negative reactions to other vaccines.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immune thrombocytopenia
Clinical narrative: Received vaccine on 2/12/2021.  On 2/13/2021 fatigued and developed petechial rash.  Seen in local ER and noted a platelet count of 2K.  Developed discolored urine and discovered hematuria that eventually became gross hematuria.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chromaturia, Fatigue, Haematuria, Petechiae, Platelet count decreased
Clinical narrative: Received vaccine on 2/12/2021.  On 2/13/2021 fatigued and developed petechial rash.  Seen in local ER and noted a platelet count of 2K.  Developed discolored urine and discovered hematuria that eventually became gross hematuria.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: The problem is that it was administered well below my deltoid (mid way between my shoulder & elbow).
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site warmth, Product administered at inappropriate site
Clinical narrative: The problem is that it was administered well below my deltoid (mid way between my shoulder & elbow).
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: The problem is that it was administered well below my deltoid (mid way between my shoulder & elbow).
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Induration, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: The problem is that it was administered well below my deltoid (mid way between my shoulder & elbow).
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood glucose decreased, Glassy eyes, Heart rate increased, Injection site pain, Tremor
Clinical narrative: Pt indicated that she'd had previous adverse event when administered vaccination. Pt reported "typically eat and use clonazepam for dentist, dermatologist, blood draws and vaccinations". Pt was w/o full meal in more than 9 hours and did not have above mentioned clonazepam with her as she was in a hurry to leave her home for vaccination. Pt advised clinician that symptoms were hand shaking post vaccination with no respiratory problems. "I shake for a while, and then I'm fine." Vaccination administered. Twenty minutes later Pt's hands began to tremble; she was placed supine on a gurney. BP/HR/Blood glucose were collected. Pt was lucent and in no respiratory distress. EKG was normal. Pt was given a glucose tablet and she ingested  (while holding) 12 ounces of Coca Cola. After 45 minutes Pt's hands stopped shaking; she ambulated well, and left the clinic.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram normal, Tremor
Clinical narrative: Pt indicated that she'd had previous adverse event when administered vaccination. Pt reported "typically eat and use clonazepam for dentist, dermatologist, blood draws and vaccinations". Pt was w/o full meal in more than 9 hours and did not have above mentioned clonazepam with her as she was in a hurry to leave her home for vaccination. Pt advised clinician that symptoms were hand shaking post vaccination with no respiratory problems. "I shake for a while, and then I'm fine." Vaccination administered. Twenty minutes later Pt's hands began to tremble; she was placed supine on a gurney. BP/HR/Blood glucose were collected. Pt was lucent and in no respiratory distress. EKG was normal. Pt was given a glucose tablet and she ingested  (while holding) 12 ounces of Coca Cola. After 45 minutes Pt's hands stopped shaking; she ambulated well, and left the clinic.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram, Hypertension, Tachycardia, Tremor
Clinical narrative: Pt indicated that she'd had previous adverse event when administered vaccination. Pt reported "typically eat and use clonazepam for dentist, dermatologist, blood draws and vaccinations". Pt was w/o full meal in more than 9 hours and did not have above mentioned clonazepam with her as she was in a hurry to leave her home for vaccination. Pt advised clinician that symptoms were hand shaking post vaccination with no respiratory problems. "I shake for a while, and then I'm fine." Vaccination administered. Twenty minutes later Pt's hands began to tremble; she was placed supine on a gurney. BP/HR/Blood glucose were collected. Pt was lucent and in no respiratory distress. EKG was normal. Pt was given a glucose tablet and she ingested  (while holding) 12 ounces of Coca Cola. After 45 minutes Pt's hands stopped shaking; she ambulated well, and left the clinic.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunisation, Incorrect dose administered, No adverse event
Clinical narrative: No adverse event reported. It was determined that only air was administered at time of vaccination.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Vaccination error
Clinical narrative: No adverse event reported. It was determined that only air was administered at time of vaccination.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site rash, Injection site warmth, Rash erythematous, Rash macular
Clinical narrative: COVID arm, red splotchy rash around injection sight about 3 inches, hard at first and warm to touch
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Fever of 99.1 when normal is 97.1, headache, dizziness, chills, and nausea started 24 hours after shot. Tylenol did not help.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: Sore arm w/in 2 hours. Lasted 24 hrs Fatigue,  w/in 2 hours, lasted  24 hrs Muscle aches, began in 12 hrs, lasted 12 Headache, began in 12 hrs, lasted 6
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood folate normal, Blood iron normal, Blood smear test normal, Blood urine present
Clinical narrative: This is a 37 y.o. woman who developed an episode of acute self-limited hemolysis just over a week following her second injection of the Pfizer COVID-19 vaccine.  She has been treated with ciprofloxacin and phenazopyridine immediately prior to the episode for a urinary tract infection.  She had no history of hemolysis prior to this episode.  She was in her usual state of health and received COVID-19 vaccines on 12/24 and 1/14 with the Pfizer vaccine and had no serious side effects at that time.  She then developed dysuria and was seen by telehleath by her primary care physician who prescribed ciprofloxacin and phenazopyridine for her for 3 days ending 1/22.  She took these and her dysuria resolved, however the day after developed what appeared to be blood in her urine.  Then in the following 2 days which were a weekend this worsened and she started feeling poorly.  She also noted that she appeared yellow.  On Monday 1/25 her boyfriend took her to urgent care and she was subsequently sent to an ER at the hospital that referred her to our hospital.  There she was evaluated for gross hematuria with no evidence of urinary bleeding and found to be anemic due to hemolysis.  Her hemoglobin was in the 5's and she received 2 units of PRBCs.  She was transferred here to Medical Center for further management.  After the initial transfusion she did not require blood transfusion and her hemoglobin continued to increase until it was 10.4 on 2/1 which was the day of discharge.  At a follow up appointment on 2/8/2021 she was recovering and feeling well.   Her jaundice had resolved.   No treatment was given from the hemolysis aside from the blood transfusion and it was self-limited.  It is most likely that her acute hemolysis was due to the phenazopyridine as this agent is known to cause hemolysis and she took it for 3 days prior to the onset of hemolysis.  She has no prior history of drug induced hemolysis and had not taken this medication previously.  As this occurred just over a week following her second vaccination I cannot exclude that is could be related to the vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Coombs direct test, Dysuria, Feeling abnormal, Flow cytometry, Glucose-6-phosphate dehydrogenase abnormal
Clinical narrative: This is a 37 y.o. woman who developed an episode of acute self-limited hemolysis just over a week following her second injection of the Pfizer COVID-19 vaccine.  She has been treated with ciprofloxacin and phenazopyridine immediately prior to the episode for a urinary tract infection.  She had no history of hemolysis prior to this episode.  She was in her usual state of health and received COVID-19 vaccines on 12/24 and 1/14 with the Pfizer vaccine and had no serious side effects at that time.  She then developed dysuria and was seen by telehleath by her primary care physician who prescribed ciprofloxacin and phenazopyridine for her for 3 days ending 1/22.  She took these and her dysuria resolved, however the day after developed what appeared to be blood in her urine.  Then in the following 2 days which were a weekend this worsened and she started feeling poorly.  She also noted that she appeared yellow.  On Monday 1/25 her boyfriend took her to urgent care and she was subsequently sent to an ER at the hospital that referred her to our hospital.  There she was evaluated for gross hematuria with no evidence of urinary bleeding and found to be anemic due to hemolysis.  Her hemoglobin was in the 5's and she received 2 units of PRBCs.  She was transferred here to Medical Center for further management.  After the initial transfusion she did not require blood transfusion and her hemoglobin continued to increase until it was 10.4 on 2/1 which was the day of discharge.  At a follow up appointment on 2/8/2021 she was recovering and feeling well.   Her jaundice had resolved.   No treatment was given from the hemolysis aside from the blood transfusion and it was self-limited.  It is most likely that her acute hemolysis was due to the phenazopyridine as this agent is known to cause hemolysis and she took it for 3 days prior to the onset of hemolysis.  She has no prior history of drug induced hemolysis and had not taken this medication previously.  As this occurred just over a week following her second vaccination I cannot exclude that is could be related to the vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Haematuria, Haemoglobin decreased, Haemolysis, Jaundice, Packed red blood cell transfusion
Clinical narrative: This is a 37 y.o. woman who developed an episode of acute self-limited hemolysis just over a week following her second injection of the Pfizer COVID-19 vaccine.  She has been treated with ciprofloxacin and phenazopyridine immediately prior to the episode for a urinary tract infection.  She had no history of hemolysis prior to this episode.  She was in her usual state of health and received COVID-19 vaccines on 12/24 and 1/14 with the Pfizer vaccine and had no serious side effects at that time.  She then developed dysuria and was seen by telehleath by her primary care physician who prescribed ciprofloxacin and phenazopyridine for her for 3 days ending 1/22.  She took these and her dysuria resolved, however the day after developed what appeared to be blood in her urine.  Then in the following 2 days which were a weekend this worsened and she started feeling poorly.  She also noted that she appeared yellow.  On Monday 1/25 her boyfriend took her to urgent care and she was subsequently sent to an ER at the hospital that referred her to our hospital.  There she was evaluated for gross hematuria with no evidence of urinary bleeding and found to be anemic due to hemolysis.  Her hemoglobin was in the 5's and she received 2 units of PRBCs.  She was transferred here to Medical Center for further management.  After the initial transfusion she did not require blood transfusion and her hemoglobin continued to increase until it was 10.4 on 2/1 which was the day of discharge.  At a follow up appointment on 2/8/2021 she was recovering and feeling well.   Her jaundice had resolved.   No treatment was given from the hemolysis aside from the blood transfusion and it was self-limited.  It is most likely that her acute hemolysis was due to the phenazopyridine as this agent is known to cause hemolysis and she took it for 3 days prior to the onset of hemolysis.  She has no prior history of drug induced hemolysis and had not taken this medication previously.  As this occurred just over a week following her second vaccination I cannot exclude that is could be related to the vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Paroxysmal nocturnal haemoglobinuria, Transfusion, Urinary tract infection, Vitamin B12 normal, Yellow skin
Clinical narrative: This is a 37 y.o. woman who developed an episode of acute self-limited hemolysis just over a week following her second injection of the Pfizer COVID-19 vaccine.  She has been treated with ciprofloxacin and phenazopyridine immediately prior to the episode for a urinary tract infection.  She had no history of hemolysis prior to this episode.  She was in her usual state of health and received COVID-19 vaccines on 12/24 and 1/14 with the Pfizer vaccine and had no serious side effects at that time.  She then developed dysuria and was seen by telehleath by her primary care physician who prescribed ciprofloxacin and phenazopyridine for her for 3 days ending 1/22.  She took these and her dysuria resolved, however the day after developed what appeared to be blood in her urine.  Then in the following 2 days which were a weekend this worsened and she started feeling poorly.  She also noted that she appeared yellow.  On Monday 1/25 her boyfriend took her to urgent care and she was subsequently sent to an ER at the hospital that referred her to our hospital.  There she was evaluated for gross hematuria with no evidence of urinary bleeding and found to be anemic due to hemolysis.  Her hemoglobin was in the 5's and she received 2 units of PRBCs.  She was transferred here to Medical Center for further management.  After the initial transfusion she did not require blood transfusion and her hemoglobin continued to increase until it was 10.4 on 2/1 which was the day of discharge.  At a follow up appointment on 2/8/2021 she was recovering and feeling well.   Her jaundice had resolved.   No treatment was given from the hemolysis aside from the blood transfusion and it was self-limited.  It is most likely that her acute hemolysis was due to the phenazopyridine as this agent is known to cause hemolysis and she took it for 3 days prior to the onset of hemolysis.  She has no prior history of drug induced hemolysis and had not taken this medication previously.  As this occurred just over a week following her second vaccination I cannot exclude that is could be related to the vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pallor, Injection site pruritus, Injection site swelling
Clinical narrative: Approximately 1 week after vaccine injection, I have developed redness, swelling, calor, itchiness, tenderness, and slight soreness with movement just below original injection site.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Approximately 1 week after vaccine injection, I have developed redness, swelling, calor, itchiness, tenderness, and slight soreness with movement just below original injection site.
Age: 46.0
Sex: F
Vaccine: UNK
Symptoms: Hyperhidrosis, Injection site erythema, Injection site swelling, Pain, Pyrexia
Clinical narrative: Fever, body aches, sweating, redness and swelling at injection site
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokinesia, Impaired work ability, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: Hot to touch, pain and swelling, redness,  next day after injection 02/09/21. pain is worse and redness spreading down from shoulder to antecubital area, hurts to move arm 02/10/21. was sent home from work on 02/11/21 due to the symptoms I was having and couldn't perform job. 02/12/21 went to urgent care for evaluation. informed by urgent care MD I was having reaction to Moderna vaccine. place me on 800mg Motrin TID for 5 days. 02/13/21 still painfull but went back to work. 02/14/21 still going to work and pain is lessening.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Hot to touch, pain and swelling, redness,  next day after injection 02/09/21. pain is worse and redness spreading down from shoulder to antecubital area, hurts to move arm 02/10/21. was sent home from work on 02/11/21 due to the symptoms I was having and couldn't perform job. 02/12/21 went to urgent care for evaluation. informed by urgent care MD I was having reaction to Moderna vaccine. place me on 800mg Motrin TID for 5 days. 02/13/21 still painfull but went back to work. 02/14/21 still going to work and pain is lessening.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Pain and swelling at the injection site
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: I am the patient. No treatment. Will my doctor tomorrow
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Body temperature increased, Erythema, Fatigue
Clinical narrative: Temp of 103.5, joint pain, nausea,  red splotch on arm, severe pain in arm even in arm pit, slight headache, fatigue.  I had a clue shot on January 11 don?t know the lot number in the same (left) arm. I can?t input the info on next page because I don?t know it. First Covid shot in right arm.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain in extremity, Rash macular
Clinical narrative: Temp of 103.5, joint pain, nausea,  red splotch on arm, severe pain in arm even in arm pit, slight headache, fatigue.  I had a clue shot on January 11 don?t know the lot number in the same (left) arm. I can?t input the info on next page because I don?t know it. First Covid shot in right arm.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site rash, Injection site reaction
Clinical narrative: Exactly 7 days from receiving the moderna vaccine on my left arm, I developed an itchy red rash/lump below the injection site. This reaction is currently ongoing.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Headache, Pain in extremity, Rash
Clinical narrative: Day 1: 6:00 PM - arm soreness began, had great pain when reaching overhead.  Subsided by noon 2/12/2021 8-8:30 PM - chills began, no fever. Day 2: 7:45 AM - woke with moderate headache; not a migraine. Treated with twice throughout the day with 1-500 mg  ES Tylenol; 2-200 mg ibuprofen.  Was gone at approx. 5 PM Day 3: 10:00 PM - Discovered rash under breast area, all around lower abdominal area, into upper thighs. Did not itch, but once clothing was removed, the swelling began and my clothing became an irritant. Thinking it was a food allergy, I treated with 2-25 mg Benedryl.  Continued into Day 4. Day 4:  AM/PM - still very red and swollen causing discomfort, no itching or burning. still treating off and on with Benedryl and added Cortisone Ointment. The rash has spread but not near as bright red or mass like, found on back of thighs, down inside of arms, behind knees. Also took Colloidal Oatmeal bath, with minimal affect.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Day 1: 6:00 PM - arm soreness began, had great pain when reaching overhead.  Subsided by noon 2/12/2021 8-8:30 PM - chills began, no fever. Day 2: 7:45 AM - woke with moderate headache; not a migraine. Treated with twice throughout the day with 1-500 mg  ES Tylenol; 2-200 mg ibuprofen.  Was gone at approx. 5 PM Day 3: 10:00 PM - Discovered rash under breast area, all around lower abdominal area, into upper thighs. Did not itch, but once clothing was removed, the swelling began and my clothing became an irritant. Thinking it was a food allergy, I treated with 2-25 mg Benedryl.  Continued into Day 4. Day 4:  AM/PM - still very red and swollen causing discomfort, no itching or burning. still treating off and on with Benedryl and added Cortisone Ointment. The rash has spread but not near as bright red or mass like, found on back of thighs, down inside of arms, behind knees. Also took Colloidal Oatmeal bath, with minimal affect.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rash, Somnolence
Clinical narrative: Extensive Rash 4 days after 1 st shot. Took Benadryl. Got headache. Sleepy. Rash ongoing
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Hyperhidrosis, Injection site pain
Clinical narrative: Injection site soreness; headache (front of forehead across top of head all the way back to ears); sinus ache under eyes; muscle ache across shoulders; hint of nausea; early morning awoke to profuse sweating; tired.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Sinus pain, Sleep disorder
Clinical narrative: Injection site soreness; headache (front of forehead across top of head all the way back to ears); sinus ache under eyes; muscle ache across shoulders; hint of nausea; early morning awoke to profuse sweating; tired.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus, Skin lesion, Urticaria
Clinical narrative: Left arm soreness 1-2 days following injection. Red itchy welt 9 days after injection. Large red lesion 10 days after injection, no longer itchy. Not painful. No treatment for symptom. Currently pregnant. Due date 07/01/2021.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Rashes/hives on left wrist, left elbow crease, upper right collar bone, right bicep, right elbow crease, back of the neck, various locations on the back, largest rashes on left and right inner thighs.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Moderna COVID-19 Vaccine  I had a rash show up 8 days after my vaccine right around the area of the site of injection. It continued to grow over the weekend and is now covering a large part of my arm. I looked it up and it matched the pictures of ?COVID arm?
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Loss of consciousness
Clinical narrative: Maybe 5:00 a.m. woke up and needed to use the restroom, got up slowly and walked to the Bathroom slowly; I passed out and fell on the floor; not sure if my head hit the floor or just the trash barrel. I fell on my right side and the bathtub was at my back. When I realized where I was, I knew I still needed to use the restroom; I meneuvered myself slowly and carefully; I did use the restroom and then I carefully went back to bed.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Discomfort
Clinical narrative: Developed a lump in left axilla(lymph node?) about golf ball sized. Lasted about 24 hours before began to resolve. Over next 48 hours resolved completely. Extreme discomfort!
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness bilateral, Fatigue, Pain in extremity
Clinical narrative: Arm soreness 2hrs after shot administered; subsided by hour 36 Fatigue 24hrs after shot administered lasting at least 24hrs Slight loss of hearing in left and then right ear 48hrs later, restored 12hrs later
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash erythematous, Rash pruritic, Swelling
Clinical narrative: Pain for 2 days.  On second day red rash  and swollen and a bit itchy
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus, Rash
Clinical narrative: ABOUT TWO DAYS AFTER THE VACCINATION, I NOTICE SMALL ITCHING SPOT ALL OVER MY BODY. TOP LIP WAS THE MOST BOTHERSOME.  BOTH MY FEET FELT LIKE NEEDLES FOR ABOUT 2HOURS.  BUT EVEN TODAY, 2/14/2021, THE ITCHING HAS CONTINUED.  DOES NOT ITCH TO THE POINT THAT MAKES ME WANT TO SCRATCH; BUT NOTICEABLE. BOTH ARMS AND LEGS MOSTLY.  I HAVE NOT NOTICED A RASH.  I HAVE NOT TAKEN ANY MEDICATIONS FOR THIS ITCHING.  I AM HOWEVER WORRIED ABOUT TAKING THE 2ND DOSE.  AS A MATTER OF FACT, I AM LEANING AGAINST TAKING THE SECOND DOSE.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Full blood count, HIV test, Hepatitis B surface antigen, Hepatitis C virus test
Clinical narrative: Patient at primary care provider's office on 2/13/21 for workup before planned intervention for PVD.  Lab results from 2/12 blood draw showed platelets=15k.  Unexpected thrombocytopenia.  Patient had NOT had URTI/cold/flu symptoms.  No bleeding.  No blood in stool. No tarry-black stools.  No fever or chills.  No headache.  Provider sent patient immediately to the emergency room for a repeat CBC.  Platelets=3k (1 day after the result of 15k).  Patient admitted to hospital.   Hematologist consulted.  Dexamethasone 40 mg po q day prescribed (to take 2/13-2/17).     Discharged from hospital 2/15 as platelets had risen to 21k.  Expected follow up with hematologist (Dr.) within a few days.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: International normalised ratio increased, Peripheral vascular disorder, Platelet count increased, Prothrombin time shortened, Thrombocytopenia
Clinical narrative: Patient at primary care provider's office on 2/13/21 for workup before planned intervention for PVD.  Lab results from 2/12 blood draw showed platelets=15k.  Unexpected thrombocytopenia.  Patient had NOT had URTI/cold/flu symptoms.  No bleeding.  No blood in stool. No tarry-black stools.  No fever or chills.  No headache.  Provider sent patient immediately to the emergency room for a repeat CBC.  Platelets=3k (1 day after the result of 15k).  Patient admitted to hospital.   Hematologist consulted.  Dexamethasone 40 mg po q day prescribed (to take 2/13-2/17).     Discharged from hospital 2/15 as platelets had risen to 21k.  Expected follow up with hematologist (Dr.) within a few days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dry mouth, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Fatigue 9pm Chills 10pm Headache, dry mouth, body aches 1am woke me from sleep Headache, nausea, fever, sweating, body aches, tingling 8am Slept 30 hours and then felt better just very mild fever and left sided neck pain
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Pain, Paraesthesia, Pyrexia
Clinical narrative: Fatigue 9pm Chills 10pm Headache, dry mouth, body aches 1am woke me from sleep Headache, nausea, fever, sweating, body aches, tingling 8am Slept 30 hours and then felt better just very mild fever and left sided neck pain
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Chills, Fatigue, Headache, Nausea
Clinical narrative: I was very sick with all the regular symptoms for 2 days; headache, all over pain, nausea, fatigue, extremely cold feet, chills.  In addition to symptoms above, I also loss part of my vision. I couldn?t read because I couldn?t see the entire print. I did not go to hospital or call doctor. I went to bed because I felt so bad. The next morning my vision was back to normal.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral coldness
Clinical narrative: I was very sick with all the regular symptoms for 2 days; headache, all over pain, nausea, fatigue, extremely cold feet, chills.  In addition to symptoms above, I also loss part of my vision. I couldn?t read because I couldn?t see the entire print. I did not go to hospital or call doctor. I went to bed because I felt so bad. The next morning my vision was back to normal.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Chills, Decreased appetite, Dehydration, Dyspnoea
Clinical narrative: 10:30pm to midnight of feb 1st- chills, fever- extremely high- didn?t get out of bed to take temperature,  extreme pain under left armpit, nausea  Fevers up to 101.5  nausea, loss of appetite, headache until February 4th. February 5th- dehydration, tachycardia, shortness of breath- lasting entire day. Better by February 6th
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Headache, Nausea, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 10:30pm to midnight of feb 1st- chills, fever- extremely high- didn?t get out of bed to take temperature,  extreme pain under left armpit, nausea  Fevers up to 101.5  nausea, loss of appetite, headache until February 4th. February 5th- dehydration, tachycardia, shortness of breath- lasting entire day. Better by February 6th
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia
Clinical narrative: 10:30pm to midnight of feb 1st- chills, fever- extremely high- didn?t get out of bed to take temperature,  extreme pain under left armpit, nausea  Fevers up to 101.5  nausea, loss of appetite, headache until February 4th. February 5th- dehydration, tachycardia, shortness of breath- lasting entire day. Better by February 6th
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pain, Rash macular
Clinical narrative: Blotchy redness at and around vaccine site, soreness on vaccine arm, fatigue
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Erythema, Herpes zoster, Oedema, Pruritus
Clinical narrative: Patient had shingles which took a year to resolve and was fully better December of 2020 before she had the first inoculation of Covid.  On 1/20/21 had the Pfizer jab and on 2/9/21 the shingles rash had returned in the same area as before.  Redness, edema, and complaint of itchy patch.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Nausea, Pruritus, Swelling face
Clinical narrative: Face swollen on right side, itches, feel nauseous, tired, weak.
Age: 79.0
Sex: F
Vaccine: UNK
Symptoms: Pruritus
Clinical narrative: Intense itching over entire body. including but limited to scalp, face, eyes, ears , extremities for past 8 days
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Covid "arm'.  I am 13 days out from 1st injection.  Arm is redish about 4x6 inches.  Still tender to touch  and warm to touch.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Headache, Insomnia
Clinical narrative: normal arm soreness, then weakness, aches, chill, no sleep, night sweats, then no energy all next day. Continued aches, headache. Other aches and pains throughout body. about 10pm took Tylenol, some sleep night 2, - up at 11am, seemed ok, then later at 6pm started aches in joints again.  More Tylenol. went to bed and tried to sleep. FIled this info 1am Monday 15th
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Night sweats, Pain, Pain in extremity
Clinical narrative: normal arm soreness, then weakness, aches, chill, no sleep, night sweats, then no energy all next day. Continued aches, headache. Other aches and pains throughout body. about 10pm took Tylenol, some sleep night 2, - up at 11am, seemed ok, then later at 6pm started aches in joints again.  More Tylenol. went to bed and tried to sleep. FIled this info 1am Monday 15th
Age: 38.0
Sex: M
Vaccine: UNK
Symptoms: Blood test, Erythema, Pain
Clinical narrative: Redness and pain
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Fever 101.8,chills, treated with Tylenol, lasted 2 days
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness unilateral, Condition aggravated, Dry skin, Eye inflammation, Eye pain
Clinical narrative: Won't let me type everything. Long story short. Face tingled for a few days after shot, forehead skin got tight and dry, now I've lost vision in my right eye! Today is exactly 2 weeks after 1st vaccine and sight in my right eye is worse and painful