chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Flushing, Hypoaesthesia, Hypoaesthesia eye, Hypoaesthesia oral
Clinical narrative: Patient came in today to receive her Covid-19 vaccine Pfizer dose #1 for a requirement for her EMS participation. She had a medical exception to Covid-19 vaccine in the past but her doctors recently decided that she could get the vaccine. She does report having a shellfish allergy with anaphylactic reaction so she was recommended to wait for 30 minutes post vaccination. She reports being nervous to get the vaccine due to the concern of having a reaction. Pfizer, 0.3mL Lot # 320308D was given at approximately 10:40am in her left deltoid. At 10:45 a.m. this was approached reporting that she was getting an itchy throat and tongue. She was escorted to a cot to rest and given 1 diphenhydramine tablet (25mg) orally with water at 10:45 am. Blood pressure was 167/119 and pulse 85. No flushing or paleness noted. She reports that her throat was starting to tighten some and feeling itchy, but she could still breathe without issue, "slowly". She chose to sit on the cot vs. lie down. Patient reports needing to keep her breathing calm to prevent anxiety from setting in. They offered to call the ambulance and she responded that she thought that would be good. 911 was called at 10:48 a.m. to dispatch ambulance. 10:50 a.m. She reports that her tongue also felt like it was swelling and her face was starting to feel itchy. She continues to deny increased difficulty with breathing. 10:54 a.m. BP was 165/124 and patient's face is now red/flushed. She reports increased numbness and it moving to her tongue, lips, sinuses/eyes and forehead. She adds that this is what it felt like when she reacts to shellfish. They can hear ambulance sirens, but then they go away.They discussed administering epinephrine to her and she states that she needs to have epi administered now since she is familiar with how her body reacted and felt with her shellfish reaction in the past. 10:59 a.m.they administered 0.3mg epinephrine IM in mid-outer left thigh. Patient reports that she is also feeling very cold now. 11:00 a.m. facility hears ambulance sirens again and the ambulance arrives with a minute or 2 after the administration of epi reports off to the ambulance crew who then took over her care and the ambulance took her away in their rig.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swollen tongue, Throat irritation, Throat tightness, Tongue pruritus
Clinical narrative: Patient came in today to receive her Covid-19 vaccine Pfizer dose #1 for a requirement for her EMS participation. She had a medical exception to Covid-19 vaccine in the past but her doctors recently decided that she could get the vaccine. She does report having a shellfish allergy with anaphylactic reaction so she was recommended to wait for 30 minutes post vaccination. She reports being nervous to get the vaccine due to the concern of having a reaction. Pfizer, 0.3mL Lot # 320308D was given at approximately 10:40am in her left deltoid. At 10:45 a.m. this was approached reporting that she was getting an itchy throat and tongue. She was escorted to a cot to rest and given 1 diphenhydramine tablet (25mg) orally with water at 10:45 am. Blood pressure was 167/119 and pulse 85. No flushing or paleness noted. She reports that her throat was starting to tighten some and feeling itchy, but she could still breathe without issue, "slowly". She chose to sit on the cot vs. lie down. Patient reports needing to keep her breathing calm to prevent anxiety from setting in. They offered to call the ambulance and she responded that she thought that would be good. 911 was called at 10:48 a.m. to dispatch ambulance. 10:50 a.m. She reports that her tongue also felt like it was swelling and her face was starting to feel itchy. She continues to deny increased difficulty with breathing. 10:54 a.m. BP was 165/124 and patient's face is now red/flushed. She reports increased numbness and it moving to her tongue, lips, sinuses/eyes and forehead. She adds that this is what it felt like when she reacts to shellfish. They can hear ambulance sirens, but then they go away.They discussed administering epinephrine to her and she states that she needs to have epi administered now since she is familiar with how her body reacted and felt with her shellfish reaction in the past. 10:59 a.m.they administered 0.3mg epinephrine IM in mid-outer left thigh. Patient reports that she is also feeling very cold now. 11:00 a.m. facility hears ambulance sirens again and the ambulance arrives with a minute or 2 after the administration of epi reports off to the ambulance crew who then took over her care and the ambulance took her away in their rig.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient got booster dose when immunocompromised and should have received additional full dose
Sex: U
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Asthenia, Blood test abnormal, Impaired work ability, Iron deficiency anaemia
Clinical narrative: After second dose (Feb) felt normal aches and pains and slight fever. I then developed a sharp pain in my abdomen that felt like someone jabbing me with a pencil from the inside. I told me doctor who thought it may be due to me becoming anemic (I had been practicing veganism for 3 years). I was given iron infusions, the pain lessened but was still dull at times. I then received my 3rd dose of vaccine and the pain came back with a severity I hadn't had before. This time I cannot do work at times and my energy is zapped. The pain radiates at times throughout my abdomen and to my back. I have spoken to my Dr again about the Oct 19th, she ordered an endoscopy. I have been taking OTC medications like  Omeprazole, Paracetamol, Gas X, Probiotics, to no avail. It doesn't seem tied to any particular food. Went to Urgent Care when visiting there, no help was given
Sex: U
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: After second dose (Feb) felt normal aches and pains and slight fever. I then developed a sharp pain in my abdomen that felt like someone jabbing me with a pencil from the inside. I told me doctor who thought it may be due to me becoming anemic (I had been practicing veganism for 3 years). I was given iron infusions, the pain lessened but was still dull at times. I then received my 3rd dose of vaccine and the pain came back with a severity I hadn't had before. This time I cannot do work at times and my energy is zapped. The pain radiates at times throughout my abdomen and to my back. I have spoken to my Dr again about the Oct 19th, she ordered an endoscopy. I have been taking OTC medications like  Omeprazole, Paracetamol, Gas X, Probiotics, to no avail. It doesn't seem tied to any particular food. Went to Urgent Care when visiting there, no help was given
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received booster dose 13 days prior to 6 months. No adverse symptoms noted. Patient made aware of the situation via the phone after event was discovered.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Pt. recieved vaccine greater than 12 hours after being drawn up. MD contacted pt. no adverse event. no need for revaccination.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU4, HIBV, PNC13
Symptoms: Electroencephalogram abnormal, Full blood count, Magnetic resonance imaging normal, Metabolic function test, Partial seizures
Clinical narrative: Patient with seizure at home 20-30 minutes later  Admitted to Hospital with status epilepticus.  Normal MRI, Abnormal EEG  Started on Keppra and Phenobarbitol
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU4, HIBV, PNC13
Symptoms: SARS-CoV-2 test negative, Seizure, Status epilepticus
Clinical narrative: Patient with seizure at home 20-30 minutes later  Admitted to Hospital with status epilepticus.  Normal MRI, Abnormal EEG  Started on Keppra and Phenobarbitol
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID breakthrough. Patient is asymptomatic and tested for unrelated reason but came back COVID positive.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: COVID19 vaccine vial was prepared on 11/06 at 12pm. Vaccine was administered on 11/08 at 1pm. Vial was kept in the refrigerator during this time frame.  Patient was informed and did not report any adverse events.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: On the night of November 11th my left arm was swollen, very hot and very red.  It was also very painful.  I took advil and benedryl and iced the arm.  The next day it wasn't as red but was still painful.  I continued with ice, tylenol and benedryl.   I did not seek medical attention.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt. recieved vaccine greater than 12 hours after being drawn up. MD contacted pt. no adverse event. pt. declines revaccination.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Lymphadenopathy
Clinical narrative: swollen lymph nodes in neck area above collarbone. persisted for months?from 7/24/21 or earlier - present 11/18/2021?
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Cough, Dyspnoea, Headache
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include SOB, cough, sore throat, headache, loss of taste and smell, body aches, was dx originally 11/10/21.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Pain, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include SOB, cough, sore throat, headache, loss of taste and smell, body aches, was dx originally 11/10/21.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalization with covid after being fully vaccinated
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute disseminated encephalomyelitis, Immunoglobulin therapy, Magnetic resonance imaging abnormal, Multiple sclerosis, Visual impairment
Clinical narrative: Causality difficult to determine, but patient history was overall unremarkable, except for admission with vision changes, and abnormal MRI a few months after vaccination from Moderna COVID-19 vaccine. Patient was diagnosed with acute disseminated encephalomyelitis, and treated over the course of stay with high dose steroids, and IVIG. Through additional work-up, patient has been diagnosed with MS.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia, Throat irritation, Vomiting
Clinical narrative: Vomited multiple times 5 minutes after receiving the vaccine. Also felt dizziness, tingling, and throat tickle.
Age: 45.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Headache, Hypersomnia, Loss of consciousness, Pain, Pyrexia
Clinical narrative: Passed out at 6:00 on 11/17/2021 .  Also, I had a high fever for 24 hours (102+), body aches, severe headache (still have) and excessive sleeping (slept for almost 36 hours)
Sex: F
Vaccine: COVID19
Symptoms: Angioedema
Clinical narrative: Patient reports angioedema reaction to Moderna vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Pain, Pyrexia
Clinical narrative: From post vaccine 7 hours through 48 hours, I had aches, chills, low grade fever (below 101) and felt bad. This resolved eventually. I took Tylenol to help.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache, Pain, Pyrexia
Clinical narrative: 11/15 - body aches starting at 6 pm 11/16 body ache, head ache, fever, weakness all day 11/17 slight body ache until 2 pm. then body aches, head ache, fever, weakness 11/18 body ache, head ache, weakness
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Rhinorrhoea, Wheezing
Clinical narrative: Received COVID vaccine at 11:00 yesterday morning; at 8:00 that night started with runny nose, cough and wheeze.  Also with c/o fatiguw.  Seen today (11/18/2021) at PCP
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt. recieved vaccine greater than 12 hours after being drawn up. MD contacted pt. pt. declines revaccination. no adverse event
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: Patient indicated she thought the vaccination was administered to high in the arm toward the shoulder
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, COVID-19, Death
Clinical narrative: pt to ED with increasing weakness; positive for COVID; CA pt on chemotherapy; septic shock; AHRF; ARF; started on remdesivir, dexamethasone, barcitinib; unable to tolerate dialysis, became hypotensive and hypoxic; DNR; pt died in the hospital
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dialysis related complication, Hypotension, Hypoxia, SARS-CoV-2 test positive, Septic shock
Clinical narrative: pt to ED with increasing weakness; positive for COVID; CA pt on chemotherapy; septic shock; AHRF; ARF; started on remdesivir, dexamethasone, barcitinib; unable to tolerate dialysis, became hypotensive and hypoxic; DNR; pt died in the hospital
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyperhidrosis, Laboratory test, Rash, Skin discolouration
Clinical narrative: INCREASED SWEATING, WAS WORSE AFTER THE 3RD BOOSTER. FINGERTIPS AND TOES ARE BRIGHT PURPLE/BUE, ULCER TYPE RASH ON TIPS OF FINGERS, RASH ON BOTH FOREARMS, EXTREME TOE PAIN, ULCER LIKE WOUND, BIG TOE IS COMPLETELY PURPLE
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Underdose
Clinical narrative: Patient received Moderna booster but has crohn's and should have received full additional dose
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Grip strength decreased, Hypoaesthesia, Muscular weakness, Pruritus
Clinical narrative: The evening of the 2nd dose he experienced bilateral tinnitus, generalized itching, and left hand numbness and weakness.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: The evening of the 2nd dose he experienced bilateral tinnitus, generalized itching, and left hand numbness and weakness.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Dizziness, Vertigo, Vestibular disorder
Clinical narrative: I had experienced the continual dizziness from the night of 4/10/2021. I went to my PCP first and they went ahead and told me to go to a neurologist department, and was then directed to go to an ENT for a hearing test, Hx of 14% hearing loss in left ear. Passed vertigo test and seems to be more of a vestibular issue per diagnosis, I was then sent to vestibular therapy and have gone twice, and I do at home PT as well. If I am not strapped by the waist during therapy, I can easily fall. Sporadic relief and improvement however everyday 24/7/ I am dizzy.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Formulation was mixed with .3 of  diluent instead of the 1.3 of diluent. Instead of pt receiving the recommended 10mcg dose of the vaccine, pt received 20mcg dose.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Dyspnoea, Fatigue
Clinical narrative: Increased fatigue and SOB 1 week after receiving vaccine, Acute MI 4 weeks after vaccine administration
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough covid infection. Patient tested positive on July 6 2021. Patient fully vaccinated Feb 3, 2021.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Urticaria
Clinical narrative: Intense hives; burning, itching, red and white raised welts; hives showed up the evening of the day after vaccination and were covering entire body by the morning of the day after that. Went to the ER for treatment was given benadryl and a prescription of prednisone. Hives almost went away for several how's after taking prednisone, but returned and continued for a week and a half.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma
Clinical narrative: Event: Severe acute asthma exacerbation Treatment: Prednisone and Albuterol Outcome: Patient is still having symptoms as of today (11/18/2021
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include weakness.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: PATIENT IS 17 YEARS AND 3 MONTHS OLD AND WAS GIVE A PFIZER BOOSTER SHOT-( NO UNUSUAL SIDE EFFECTS WERE REPORTED)
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: none Patient is fine nothing happened to him. His mom says he is perfectly fine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Condition aggravated, Constipation, Dysstasia, Fatigue
Clinical narrative: Three hours later fever, body aches and major fatigue lasted three days, really bad. It lessened but I still had a lot of nausea and triggered my migraine. For ten days to two weeks, I developed severe pain in spine, neck and had vision disturbance. Went into my arms and legs and I can't stand. I can't hold things well, constipation really bad, bouts of urinary incontinence. Same symptoms for 2nd dose. Guillain-Barré Syndrome since 20s after the vaccine and was ok with flu vaccines and did the COVID-19 vaccines. Went to Urgent Care around November 2, 2021. It was not a UTI. Went to primary again, yesterday it was worse than ever, and now I need a walker to walk.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Grip strength decreased, Migraine, Nausea, Neck pain, Pain
Clinical narrative: Three hours later fever, body aches and major fatigue lasted three days, really bad. It lessened but I still had a lot of nausea and triggered my migraine. For ten days to two weeks, I developed severe pain in spine, neck and had vision disturbance. Went into my arms and legs and I can't stand. I can't hold things well, constipation really bad, bouts of urinary incontinence. Same symptoms for 2nd dose. Guillain-Barré Syndrome since 20s after the vaccine and was ok with flu vaccines and did the COVID-19 vaccines. Went to Urgent Care around November 2, 2021. It was not a UTI. Went to primary again, yesterday it was worse than ever, and now I need a walker to walk.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Spinal pain, Urinary incontinence, Urine analysis
Clinical narrative: Three hours later fever, body aches and major fatigue lasted three days, really bad. It lessened but I still had a lot of nausea and triggered my migraine. For ten days to two weeks, I developed severe pain in spine, neck and had vision disturbance. Went into my arms and legs and I can't stand. I can't hold things well, constipation really bad, bouts of urinary incontinence. Same symptoms for 2nd dose. Guillain-Barré Syndrome since 20s after the vaccine and was ok with flu vaccines and did the COVID-19 vaccines. Went to Urgent Care around November 2, 2021. It was not a UTI. Went to primary again, yesterday it was worse than ever, and now I need a walker to walk.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment, Walking aid user
Clinical narrative: Three hours later fever, body aches and major fatigue lasted three days, really bad. It lessened but I still had a lot of nausea and triggered my migraine. For ten days to two weeks, I developed severe pain in spine, neck and had vision disturbance. Went into my arms and legs and I can't stand. I can't hold things well, constipation really bad, bouts of urinary incontinence. Same symptoms for 2nd dose. Guillain-Barré Syndrome since 20s after the vaccine and was ok with flu vaccines and did the COVID-19 vaccines. Went to Urgent Care around November 2, 2021. It was not a UTI. Went to primary again, yesterday it was worse than ever, and now I need a walker to walk.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection. Patient fully vaccinated on March 13, 2021. Patient tested positive for COVID on August 23, 2021
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Chest discomfort, Cough, Dyspnoea, Fatigue
Clinical narrative: The night of getting my booster shot, I woke up with tightness in my chest and shortness of breath that led to having to use an inhaler. The tightness in chest and shortness of breath and using inhaler lasted several days after. I also ended up with a cough that I've continued to have since, fatigue and not feeling normal. On 11/16/21, I went to a walk in because the cough felt worse and having to use inhaler. The dr said I had crackling in my lower lungs, took x rays and it shows I have findings of Covid 19 pneumonia versus bibasilar atelectasis. I've tested negative for Covid. Now, I'm on two inhalers, cough medicine, antibiotics. This all started after the booster shot and has progressively gotten worse.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Rales, SARS-CoV-2 test negative, X-ray abnormal
Clinical narrative: The night of getting my booster shot, I woke up with tightness in my chest and shortness of breath that led to having to use an inhaler. The tightness in chest and shortness of breath and using inhaler lasted several days after. I also ended up with a cough that I've continued to have since, fatigue and not feeling normal. On 11/16/21, I went to a walk in because the cough felt worse and having to use inhaler. The dr said I had crackling in my lower lungs, took x rays and it shows I have findings of Covid 19 pneumonia versus bibasilar atelectasis. I've tested negative for Covid. Now, I'm on two inhalers, cough medicine, antibiotics. This all started after the booster shot and has progressively gotten worse.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Rash
Clinical narrative: Breakouts & rash under arms, armpit area. swollen lymphnodes in underarms, breakout starts in center of armpit on affected arm, travels outward in circle around armpit - then travelled a few days later to other armpit
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Malaise, Mental status changes, Pyrexia
Clinical narrative: Hospitalized for mental status changes with chest pain, fever, and malaise.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: pt. received vaccine greater than 12 hours after being drawn up. No adverse event
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Formulation was made with .3 of diluent instead of 1.3 of diluent. Patient received a 20mcg dose of the vaccine instead of the recommended 10mcg of the vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Balance disorder, Dysphagia, Dyspnoea, Fatigue
Clinical narrative: Presents for vaccine allergy evaluation. Patient reports extreme tiredness, sore throat, difficulty swallowing, diaphoresis, shortness of breath with stair walking after receiving 1st dose of Moderna COVID-19 vaccine on 10/29/21. Pt reports symptoms started 30 minutes after vaccine. Mild nausea during the 30 minute waiting period. Muscle aches, back pain and headache started on 10/30/2021. Menstrual cycle also restarted. Throat symptoms lasted 1-2 days. Took Tylenol which did not help; went to urgent care. Seen at urgent care and treated with antibiotics for UTI and ibuprofen. She reports a second visit to patient first 2 days later due to ongoing heacache, muscle aches and extreme tiredness. COVID-19 test was negative at that time. Complaints of balance issues and persistent pruritus since receiving vaccine. Patient had COVID-19 in 03/2020. No known reaction to Miralax or other colonoscopy prep drinks. Denies history of vaccine allergy.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: Presents for vaccine allergy evaluation. Patient reports extreme tiredness, sore throat, difficulty swallowing, diaphoresis, shortness of breath with stair walking after receiving 1st dose of Moderna COVID-19 vaccine on 10/29/21. Pt reports symptoms started 30 minutes after vaccine. Mild nausea during the 30 minute waiting period. Muscle aches, back pain and headache started on 10/30/2021. Menstrual cycle also restarted. Throat symptoms lasted 1-2 days. Took Tylenol which did not help; went to urgent care. Seen at urgent care and treated with antibiotics for UTI and ibuprofen. She reports a second visit to patient first 2 days later due to ongoing heacache, muscle aches and extreme tiredness. COVID-19 test was negative at that time. Complaints of balance issues and persistent pruritus since receiving vaccine. Patient had COVID-19 in 03/2020. No known reaction to Miralax or other colonoscopy prep drinks. Denies history of vaccine allergy.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Polymenorrhoea, Pruritus, Urinary tract infection
Clinical narrative: Presents for vaccine allergy evaluation. Patient reports extreme tiredness, sore throat, difficulty swallowing, diaphoresis, shortness of breath with stair walking after receiving 1st dose of Moderna COVID-19 vaccine on 10/29/21. Pt reports symptoms started 30 minutes after vaccine. Mild nausea during the 30 minute waiting period. Muscle aches, back pain and headache started on 10/30/2021. Menstrual cycle also restarted. Throat symptoms lasted 1-2 days. Took Tylenol which did not help; went to urgent care. Seen at urgent care and treated with antibiotics for UTI and ibuprofen. She reports a second visit to patient first 2 days later due to ongoing heacache, muscle aches and extreme tiredness. COVID-19 test was negative at that time. Complaints of balance issues and persistent pruritus since receiving vaccine. Patient had COVID-19 in 03/2020. No known reaction to Miralax or other colonoscopy prep drinks. Denies history of vaccine allergy.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for covid 11/17/21- asymptomatic
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Seizure like phenomena, Wheezing
Clinical narrative: 11/16/21 Seizure-like activity reported by charge nurse approximately 20 minutes following Moderna booster vaccine. 11/17/21 Shortness of breath/wheezes noted by charge nurse. New orders obtained from LONG TERM CARE for Duoneb 0.5mg-3 ml every 6 hours PRN
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic stroke, Magnetic resonance imaging head abnormal
Clinical narrative: Ischemic stroke of the right corona radiata and right thalamus demonstrated on MRI after his symptoms started. Symptoms started the morning of the day after the injection.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: I gave the patient a Moderna 0.5 ml dose instead of a 0.25 ml dose. Patient was monitored for 30 mins while she was at work at the Health Dept.. She had no adverse effects
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Blood test, Chest pain, Deep vein thrombosis, Pain in extremity
Clinical narrative: Acute DVD and bilateral Pulmonary embolism. Chest pain and leg pain prior to dx. Symptoms started 2 days prior to admission on 11/16/2021.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Vascular test
Clinical narrative: Acute DVD and bilateral Pulmonary embolism. Chest pain and leg pain prior to dx. Symptoms started 2 days prior to admission on 11/16/2021.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection. Pt fully vaccinated on April 4 2021. Pt tested positive for COVID on August 29 2021
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Malaise
Clinical narrative: Pt. In observation area after receiving a Covid vaccine.  Pt. stated "I do not feel well."  Pt. Taken to gurney to lay down at 1841 pulse oximeter applied.  Mother of pt. is a physician and is at bedside for emotional support.  Mother stated that Pt. has anemia.  Pulse was 154 and pt.stated "I felt a jolt in my chest." Heart rate returned to 109-120s with slower breathing and talking through anxiety. Pt asked for juice and drank apple juice. HR then went up to 150-160s again x2 with Pt. Not feeling well again. Oxygen saturation remained 99-100% on RA.  ER contacted to alert arrival of patient for more observation for elevated HR.   Pt. Transferred to ER on campus.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Fatigue, Pain, Pruritus
Clinical narrative: I am 5 months pregnant. Have body aches. Tired and itching everywhere. No redness or rash. Just persistent itch that won?t go away. I have had 3 Benadryl and am seeing a doctor
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Formulation was made with .3 of diluent instead of 1.3 of diluent. Patient received a 20mcg dose of the vaccine instead of the recommended 10mcg of the vaccine.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Pruritus, Urticaria
Clinical narrative: He received his second dose after 4 days he got hives and he was very itchy.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: pt. recieved vaccine greater than 12 hours after being drawn up. MD contacted pt. no adverse event. pt. will do revaccination but not at this time.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Aspiration joint, Back pain, Gait disturbance, Impaired work ability
Clinical narrative: SUDDEN ONSET IN NIGHT OF SEVERE BACK PAIN, KNEE PAIN AND SWELLING WITH NO PROVOCATION IN THE NIGHT OF 11/1/2021. WOKE UP FROM SLEEP UNABLE TO FIND ANY POSITION THAT WASN'T PAINFUL.  UNABLE TO SLEEP. LEFT KNEE SWELLED SO I COULD NOT COMPLETELY STRAIGHTEN OR FLEX. HAD NO SYMPOTMS 11/1/2021 - NORMAL WORK DAY BAD ENOUGH THAT I COULD NOT WALK - MISSED 2 DAYS OF WORK DUE TO SEVERITY. CONTINUED WITH SYMPTOMS UNTIL THEY COMPLETELY RESOLVED 11/15.   SAW MY ORTHOPEDIST 11/4/2021 - HAD 40 CC FLUID TAKEN OFF MY KNEE AND COMPLETED MY VISCOSUP INJECTION SERIES.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Joint swelling, Mobility decreased, Pain, Sleep disorder
Clinical narrative: SUDDEN ONSET IN NIGHT OF SEVERE BACK PAIN, KNEE PAIN AND SWELLING WITH NO PROVOCATION IN THE NIGHT OF 11/1/2021. WOKE UP FROM SLEEP UNABLE TO FIND ANY POSITION THAT WASN'T PAINFUL.  UNABLE TO SLEEP. LEFT KNEE SWELLED SO I COULD NOT COMPLETELY STRAIGHTEN OR FLEX. HAD NO SYMPOTMS 11/1/2021 - NORMAL WORK DAY BAD ENOUGH THAT I COULD NOT WALK - MISSED 2 DAYS OF WORK DUE TO SEVERITY. CONTINUED WITH SYMPTOMS UNTIL THEY COMPLETELY RESOLVED 11/15.   SAW MY ORTHOPEDIST 11/4/2021 - HAD 40 CC FLUID TAKEN OFF MY KNEE AND COMPLETED MY VISCOSUP INJECTION SERIES.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Cold sweat, Dizziness, Loss of consciousness, Nausea
Clinical narrative: Patient received her vaccine, approximately 10 minutes into her waiting time afterwards she became nauseas, dizzy and slid off the couch onto the floor and passed out. She became tachypnic, clammy, unresponsive although later she said she never went completely unconscious as she could still "hear your voices". After the Physician assessed her and confirmed patient was not recovering in a satisfactory way as she remained nauseas and unsteady and our clinic does not offer long term monitoring as we are a walk in clinic. Patient agreed to be transferred to the hospital for a higher level of car.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Tachypnoea, Unresponsive to stimuli
Clinical narrative: Patient received her vaccine, approximately 10 minutes into her waiting time afterwards she became nauseas, dizzy and slid off the couch onto the floor and passed out. She became tachypnic, clammy, unresponsive although later she said she never went completely unconscious as she could still "hear your voices". After the Physician assessed her and confirmed patient was not recovering in a satisfactory way as she remained nauseas and unsteady and our clinic does not offer long term monitoring as we are a walk in clinic. Patient agreed to be transferred to the hospital for a higher level of car.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Aphasia, Chest X-ray, Computerised tomogram, Dysarthria
Clinical narrative: Patient experienced slurred speech and difficulty with work finding. Dx by hospital with TIA. Resolution within 24-48 hours of onset.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: Patient experienced slurred speech and difficulty with work finding. Dx by hospital with TIA. Resolution within 24-48 hours of onset.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood test abnormal, Chronic kidney disease, Renal tubular necrosis
Clinical narrative: Acute Kidney Injury.      Acute Tubular Necrosis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Herpes zoster, Pain in extremity, Rash
Clinical narrative: Sore arm  Three weeks after vaccine developed a rash on right hip down to right leg.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Chills, Cough, Dyspnoea
Clinical narrative: Positive COVID test. Sx. Difficulty breathing, Cough, malaise, chills, sore skin, stomach sore (but no vomiting)  required albuterol inhaler a week later due to continued tightness. After taking that for 2 days symptoms fully resolved
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain of skin, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Positive COVID test. Sx. Difficulty breathing, Cough, malaise, chills, sore skin, stomach sore (but no vomiting)  required albuterol inhaler a week later due to continued tightness. After taking that for 2 days symptoms fully resolved
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Resident became unresponsive
Age: 16.0
Sex: F
Vaccine: FLU4, MENB, MNQ, FLU3, MENB, MNQ
Symptoms: Chills, Headache, Hypotension, Nausea, Pain
Clinical narrative: about an hour after receiving vaccinations, patient called back and reported a headache 10/10.  She took ibuprofen and reported the headache was down to a 6/10- about 30 minutes later patient called back with vomiting, nausea, body shakes.  She was directed to go the Emergency Department where she presented tachycardic and hypotensive.  She received Zofran and Tylenol for supportive measures and an IV was initiated and she was given a normal saline bolus as well as IV Benadryl in the Emergency Department.  After these interventions she felt markedly improved and tolerated oral intake.  She no longer had headache, body aches or chills.  Her nausea and vomiting had resolved.  Her vital signs normalized and she was discharged home in stable condition.
Age: 16.0
Sex: F
Vaccine: FLU4, MENB, MNQ, FLU3, MENB, MNQ
Symptoms: Tachycardia, Tremor, Vomiting
Clinical narrative: about an hour after receiving vaccinations, patient called back and reported a headache 10/10.  She took ibuprofen and reported the headache was down to a 6/10- about 30 minutes later patient called back with vomiting, nausea, body shakes.  She was directed to go the Emergency Department where she presented tachycardic and hypotensive.  She received Zofran and Tylenol for supportive measures and an IV was initiated and she was given a normal saline bolus as well as IV Benadryl in the Emergency Department.  After these interventions she felt markedly improved and tolerated oral intake.  She no longer had headache, body aches or chills.  Her nausea and vomiting had resolved.  Her vital signs normalized and she was discharged home in stable condition.
Age: 16.0
Sex: F
Vaccine: FLU4, MENB, MNQ, FLU3, MENB, MNQ
Symptoms: Chills, Headache, Hypertension, Hypotension, Nausea
Clinical narrative: about an hour after receiving vaccinations, patient called back and reported a headache 10/10.  She took ibuprofen and reported the headache was down to a 6/10- about 30 minutes later patient called back with vomiting, nausea, body shakes.  She was directed to go the Emergency Department where she presented tachycardic and hypotensive.  She received Zofran and Tylenol for supportive measures and an IV was initiated and she was given a normal saline bolus as well as IV Benadryl in the Emergency Department.  After these interventions she felt markedly improved and tolerated oral intake.  She no longer had headache, body aches or chills.  Her nausea and vomiting had resolved.  Her vital signs normalized and she was discharged home in stable condition.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection. Patient fully vaccinated July 7, 2021. Patient tested positive for COVID on Oct 18, 2021.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Joint pain.  Both knees, right elbow, both wrists/hands
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Facial pain, Induration, Pain, Swelling face
Clinical narrative: This was a Moderna booster. I woke up the following morning (11/12/2021) and the right side of my face was completely blown up, hard and so sore that I could not chew. I also had chills and severe body aches. These symptoms persisted until the morning of 11/15/2021, when my face finally returned to normal.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Pt received first dose of Pfizer vaccine on 11/8 at the pharmacy. Four hours later, she developed severe neck stiffness, severe headache, chills, body aches, severe fatigue and injection site arm pain (right). She notified her PCP of symptoms and was prescribed a medrol dose pak. Pt has pmh hashimoto, thyroid nodule, rare antibodies, chronic anemia, mvp and gene mutation. Pt reports that was allergy tested on 11/4/21 with an allergist (local Dr.) and tested positive for J & J vaccine, but was informed that the Pfizer vaccine should be okay. She is feeling better after taking the steroids and headache and fatigue has improved. She called OOW for three days but plan to return tomorrow 11/19.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: Pt received first dose of Pfizer vaccine on 11/8 at the pharmacy. Four hours later, she developed severe neck stiffness, severe headache, chills, body aches, severe fatigue and injection site arm pain (right). She notified her PCP of symptoms and was prescribed a medrol dose pak. Pt has pmh hashimoto, thyroid nodule, rare antibodies, chronic anemia, mvp and gene mutation. Pt reports that was allergy tested on 11/4/21 with an allergist (local Dr.) and tested positive for J & J vaccine, but was informed that the Pfizer vaccine should be okay. She is feeling better after taking the steroids and headache and fatigue has improved. She called OOW for three days but plan to return tomorrow 11/19.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Impaired work ability, Loss of personal independence in daily activities, Migraine
Clinical narrative: Pt received first dose of Pfizer vaccine on 11/8 at the pharmacy. Four hours later, she developed severe neck stiffness, severe headache, chills, body aches, severe fatigue and injection site arm pain (right). She notified her PCP of symptoms and was prescribed a medrol dose pak. Pt has pmh hashimoto, thyroid nodule, rare antibodies, chronic anemia, mvp and gene mutation. Pt reports that was allergy tested on 11/4/21 with an allergist (local Dr.) and tested positive for J & J vaccine, but was informed that the Pfizer vaccine should be okay. She is feeling better after taking the steroids and headache and fatigue has improved. She called OOW for three days but plan to return tomorrow 11/19.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Neck pain
Clinical narrative: Pt received first dose of Pfizer vaccine on 11/8 at the pharmacy. Four hours later, she developed severe neck stiffness, severe headache, chills, body aches, severe fatigue and injection site arm pain (right). She notified her PCP of symptoms and was prescribed a medrol dose pak. Pt has pmh hashimoto, thyroid nodule, rare antibodies, chronic anemia, mvp and gene mutation. Pt reports that was allergy tested on 11/4/21 with an allergist (local Dr.) and tested positive for J & J vaccine, but was informed that the Pfizer vaccine should be okay. She is feeling better after taking the steroids and headache and fatigue has improved. She called OOW for three days but plan to return tomorrow 11/19.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Within four hours of the vaccine, she developed severe migraine, neck pain and stiffness , extreme fatigue and chills. She was prescribed steroids and recommended Ganoderma Lucidum for it's anti-inflammatory effects. She could not go to work for 7 days after the vaccine. There are lingering migraine and the worst symptom is fatigue, limiting her ability to take care of herself and her daily work. She sleeps 12 hours per day.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: Within four hours of the vaccine, she developed severe migraine, neck pain and stiffness , extreme fatigue and chills. She was prescribed steroids and recommended Ganoderma Lucidum for it's anti-inflammatory effects. She could not go to work for 7 days after the vaccine. There are lingering migraine and the worst symptom is fatigue, limiting her ability to take care of herself and her daily work. She sleeps 12 hours per day.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Impaired work ability, Loss of personal independence in daily activities, Migraine
Clinical narrative: Within four hours of the vaccine, she developed severe migraine, neck pain and stiffness , extreme fatigue and chills. She was prescribed steroids and recommended Ganoderma Lucidum for it's anti-inflammatory effects. She could not go to work for 7 days after the vaccine. There are lingering migraine and the worst symptom is fatigue, limiting her ability to take care of herself and her daily work. She sleeps 12 hours per day.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Neck pain
Clinical narrative: Within four hours of the vaccine, she developed severe migraine, neck pain and stiffness , extreme fatigue and chills. She was prescribed steroids and recommended Ganoderma Lucidum for it's anti-inflammatory effects. She could not go to work for 7 days after the vaccine. There are lingering migraine and the worst symptom is fatigue, limiting her ability to take care of herself and her daily work. She sleeps 12 hours per day.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection. Patient fully vaccinated July 7, 2021. Patient tested positive for COVID on Oct 18, 2021.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Formulation was made with .3 of diluent instead of 1.3 of diluent. Patient received a 20mcg dose of the vaccine instead of the recommended 10mcg of the vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review.  SxS includes "feeling ill" Friday PTA, tested positive for COVID.  Dialysis M, W, F, however the dialysis clinic would not accept with + result.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Dyspnoea, Electrocardiogram normal, Head discomfort
Clinical narrative: pt stated a couple of days after taking the 2nd covid vax, she woke up with pressure and tingling in the top part of her should and around the breast plate, causing SOB.  She had pressure around her head like a band was around it causing her to have a severe headache. She took Aleve and Excedrin Migraine for these symptoms.  Pt went to Urgent Care on 10/4/21 via ambulance.  She took blood  work and did EKG.  Test results were normal.  They asked her is she felt like she was having a panic attack, which she knew it was not the case.  They hold her FU w/ a PCP but she is still waiting to get into see one.  The headaches lasted about three days but had flu symptoms about nine days.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Paraesthesia
Clinical narrative: pt stated a couple of days after taking the 2nd covid vax, she woke up with pressure and tingling in the top part of her should and around the breast plate, causing SOB.  She had pressure around her head like a band was around it causing her to have a severe headache. She took Aleve and Excedrin Migraine for these symptoms.  Pt went to Urgent Care on 10/4/21 via ambulance.  She took blood  work and did EKG.  Test results were normal.  They asked her is she felt like she was having a panic attack, which she knew it was not the case.  They hold her FU w/ a PCP but she is still waiting to get into see one.  The headaches lasted about three days but had flu symptoms about nine days.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cellulitis, Computerised tomogram, Condition aggravated, Injection site pain
Clinical narrative: Facial cellulitis Also swollen arm /soreness at injection site Nausea
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Peripheral swelling
Clinical narrative: Facial cellulitis Also swollen arm /soreness at injection site Nausea
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: pt. recieved vaccine greater than 12 hours after being drawn up. MD contacted pt. no adverse event. pt. wanted antibody test which was ordered.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient experienced fainted 4 minutes after receiving dose.
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Electrocardiogram, Hyperventilation, Tachycardia
Clinical narrative: Patient experiencing tachycardia with rates in the 150's, shortness of breath and hyperventilation.