chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Burning sensation, Computerised tomogram, Eye pain, Hypoaesthesia
Clinical narrative: Migraine on left side of head, severe left eye pain(3 hours after injection) Day 2- no feeling in left arm, numbness, tingling, burning, all down left arm and into hand.  Day 3-Absolutely no feeling in left arm or hand, unable to use left arm , went to ER- admitted for stroke like symptoms
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Laboratory test, Magnetic resonance imaging, Migraine, Neurological symptom
Clinical narrative: Migraine on left side of head, severe left eye pain(3 hours after injection) Day 2- no feeling in left arm, numbness, tingling, burning, all down left arm and into hand.  Day 3-Absolutely no feeling in left arm or hand, unable to use left arm , went to ER- admitted for stroke like symptoms
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Urine analysis
Clinical narrative: Migraine on left side of head, severe left eye pain(3 hours after injection) Day 2- no feeling in left arm, numbness, tingling, burning, all down left arm and into hand.  Day 3-Absolutely no feeling in left arm or hand, unable to use left arm , went to ER- admitted for stroke like symptoms
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Pericarditis, Ultrasound scan, Urine analysis
Clinical narrative: Pericarditis Treated with Colchicine and Ibuprofen
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Pericarditis Treated with Colchicine and Ibuprofen
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: My son was incorrectly dosed with the Pfizer Covid 19 vaccine. I am waiting for guidance on what to do from Pfizer, the CDC Dept of Health (whether that first dose counts or if they have to repeat the first dose).
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Electric shock sensation, Muscle spasms, Pain, Paraesthesia
Clinical narrative: Exactly 14 days (Oct.29)after receiving my COVID booster injection, I started having a burning and prickling sensation on the left side of my abdomen. It continued to get worse over the weekend, with spasms or "electric shocks" on the left side of my abdomen and the left side of my back. On Nov. 1, I noticed the beginning of a red rash starting in the same area of the pain. I called my PCP and described the symptoms. He prescribed Valtrex and Lyrica, and I took the first two doses that day. The  red pustular rash continued to spread over my entire left side of my abdomen and left side of my back. I continued with the Valtrex until I completed the prescription today (Nov. 8). I still have the rash and the pain, but it doesn't appear to be spreading. Note: On October 29, I received a Pneumovax 23 injection IM in my left arm at 9:00 am.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pustular
Clinical narrative: Exactly 14 days (Oct.29)after receiving my COVID booster injection, I started having a burning and prickling sensation on the left side of my abdomen. It continued to get worse over the weekend, with spasms or "electric shocks" on the left side of my abdomen and the left side of my back. On Nov. 1, I noticed the beginning of a red rash starting in the same area of the pain. I called my PCP and described the symptoms. He prescribed Valtrex and Lyrica, and I took the first two doses that day. The  red pustular rash continued to spread over my entire left side of my abdomen and left side of my back. I continued with the Valtrex until I completed the prescription today (Nov. 8). I still have the rash and the pain, but it doesn't appear to be spreading. Note: On October 29, I received a Pneumovax 23 injection IM in my left arm at 9:00 am.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient was given her 2nd dose of the covid vaccine today which was Pfizer.  Her previous 1st dose given was from Moderna.  Patient was monitored for the 15 minutes after given the dose and had no symptoms and no adverse reactions.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Computerised tomogram thorax abnormal, Extra dose administered, Insomnia, Pain
Clinical narrative: The day after the shot, the vaccine site was swollen, hot and very painful. My husband and I both experienced swore upper bodies to our necks. I never had a fever. A few days after I started to notice sharp stabbing pains up the right side of my back. The pain kept me up all night. It was like someone stabbed me in the back periodically. I woke up the next morning and contacted my doctor. By the time I got to her office the pain had stopped. She did not believe the back pain was from the shot. She thought I had kidney stones and set me up with an CT Scan. While I was waiting for the scan, the pain started again. From the scan, they found I had no kidney stones, but I do have pulmonary nodules. My doctor's office told me they would test me again in 6 months. I had a CT Scan about 4 years ago and nothing was found. The pain stopped later that evening. My arm is still red but it is not swollen or painful. I think I have developed a sensitivity to the vaccine and I will not be getting another booster.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary mass, Urine analysis normal, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: The day after the shot, the vaccine site was swollen, hot and very painful. My husband and I both experienced swore upper bodies to our necks. I never had a fever. A few days after I started to notice sharp stabbing pains up the right side of my back. The pain kept me up all night. It was like someone stabbed me in the back periodically. I woke up the next morning and contacted my doctor. By the time I got to her office the pain had stopped. She did not believe the back pain was from the shot. She thought I had kidney stones and set me up with an CT Scan. While I was waiting for the scan, the pain started again. From the scan, they found I had no kidney stones, but I do have pulmonary nodules. My doctor's office told me they would test me again in 6 months. I had a CT Scan about 4 years ago and nothing was found. The pain stopped later that evening. My arm is still red but it is not swollen or painful. I think I have developed a sensitivity to the vaccine and I will not be getting another booster.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Petit mal epilepsy
Clinical narrative: absence seizure
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperacusis, Tinnitus
Clinical narrative: When I was Vaccinated on March 15, 2021 with the Pfizer vaccine I noticed a high pitch sound in my ears about three days later.  I was vaccinated with my second dose on 4/7/2021 and the tinnitus got worse, I continued to hear the frequency type sound for about three months it began to subside.  I had my booster in October, and with in a day began to hear the tinnitus in my left ear again. It has not stopped.  I am a pfizer share holder, I and my entire family are fully vaccinated. I am the only one that experienced this.  I assumed it was vaccine related but could not confirm it until it returned directly after my booster. I assume it will subside as it did the first time.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling
Clinical narrative: Patient contacted pharmacy 24 hours after vaccination reporting itchy feet. When queried about swelling, patient says there is some swelling. Recommended that patient contact PCP & seek medical help immediately if symptoms worsened. Follow up phone call with patient on 11/8 (6 days after vaccination) showed improvement (90% per patient) with daily cold pack & elevation of feet. Patient did not seek help from PCP, just from a friend that worked at a vaccination clinic. Recommended patient notify PCP. Patient also reporting via VSAFE.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: She has redness, tenderness and induration around injection site with pain radiated down the L UE, axilla and upper back.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: She has redness, tenderness and induration around injection site with pain radiated down the L UE, axilla and upper back.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal uterine bleeding
Clinical narrative: daily abnormal/excessive uterine bleeding
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Constant mild frontal headache lasting 10 days now
Age: 54.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin induration, Skin warm
Clinical narrative: severe arm pain, swollen, arm very red, hot, and hard
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Client presented to the vaccination site on 11/04/2021. The client notified Marisela RN that she received COVID vaccine on 04/29/2021 in another country.  RN submitted a medical consult via text message to Vaccine Operations Leads, requesting to proceed with the Janssen COVID vaccine. Per CDC guidance, approval to proceed with COVID vaccine Janssen was obtained from medical consult team. Client received COVID vaccine (Janssen, Lot# 1855194) on 11/04/2021 at 11:59 am. The client did not report any symptoms during the 30 minute observation period.  RN educated client on possible adverse reactions and when to seek medical care. The client left the vaccination site at 12:30 pm, walking with steady gait.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: I was giving a Pfizer Covid vaccine to a 6 year old patient. The mother was holding the patient in the chair and was holding the patient's left arm down. As I was administering the vaccine, the patient jerked her arm very quickly. Some of the vaccine was not administered as it was on the outside of her arm. I estimated that over 50 percent of the vaccine was administered, so I did not do a second dose.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Extra dose administered, Fatigue, Hyperhidrosis, Injection site pain
Clinical narrative: 10/20/2021: Series 3/Booster. 1st sympt: fatigue in late afternoon; 2nd sympt: very sore injection site. 10/21/2021: extreme chills/uncontrollable shaking; severe muscular pains in back and hip; Tylenol/H2O 10/22/2021: finally slept and ate; woke completely drenched; no more symptoms. I am single/divorced/mother/grandmother, live in a retirement village apartment and am physically active but 5'4''/200lb. With degrees from four different universities in music/counseling/special education, my medical experience is only as a surgical patient every four years beginning in 1944 when I survived the polio pandemic but began losing tonsils/appendix/uterous/both breasts and then began acquiring plates/screws and a new knee.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myalgia, Tremor
Clinical narrative: 10/20/2021: Series 3/Booster. 1st sympt: fatigue in late afternoon; 2nd sympt: very sore injection site. 10/21/2021: extreme chills/uncontrollable shaking; severe muscular pains in back and hip; Tylenol/H2O 10/22/2021: finally slept and ate; woke completely drenched; no more symptoms. I am single/divorced/mother/grandmother, live in a retirement village apartment and am physically active but 5'4''/200lb. With degrees from four different universities in music/counseling/special education, my medical experience is only as a surgical patient every four years beginning in 1944 when I survived the polio pandemic but began losing tonsils/appendix/uterous/both breasts and then began acquiring plates/screws and a new knee.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site discomfort, Injection site haemorrhage, Injection site pain, Injection site scab
Clinical narrative: Adverse symptoms experienced: odd discomfort getting dose, felt like skin was splitting, Or that something was slicing skin  ( more like getting TB test than injection), bled for a while,  blistered and scabbed; never any muscle soreness  but skin eruption and scabbing, bruising; had fever 3 days later otherwise no other symptoms
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site vesicles, Pain of skin, Pyrexia, Rash
Clinical narrative: Adverse symptoms experienced: odd discomfort getting dose, felt like skin was splitting, Or that something was slicing skin  ( more like getting TB test than injection), bled for a while,  blistered and scabbed; never any muscle soreness  but skin eruption and scabbing, bruising; had fever 3 days later otherwise no other symptoms
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Dyspnoea, Heart rate increased, Immunodeficiency, Palpitations
Clinical narrative: short of breath,  feeling like heart beating faster, and sometimes fluttering, or pounding heart
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Lymphadenopathy, Swelling face
Clinical narrative: Pt had swelling of the face/lymph nodes and dizziness
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Injection site mass, Injection site reaction, Lipoma, Pain
Clinical narrative: I am not sure if this is an adverse event, but a few weeks ago I began noticing soreness in both shoulders (which is where I received the two vaccines listed above).  I have not had shoulder pain in the past.  The pain is not debilitating but is noticeable, and comes and goes with motion or movement.  I also have a very small lump in my right deltoid muscle near, or perhaps right where, I received the first Pfizer injection and this too was not present before I was vaccinated for Covid-19.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan normal
Clinical narrative: I am not sure if this is an adverse event, but a few weeks ago I began noticing soreness in both shoulders (which is where I received the two vaccines listed above).  I have not had shoulder pain in the past.  The pain is not debilitating but is noticeable, and comes and goes with motion or movement.  I also have a very small lump in my right deltoid muscle near, or perhaps right where, I received the first Pfizer injection and this too was not present before I was vaccinated for Covid-19.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient had a very sore arm the day after the vaccine and is now experiencing shooting pain to the toes.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Syncope, Vomiting
Clinical narrative: The nurse in observation found the patient laying down on the floor accompanied by the mother. Patient vomited, was diaphoretic, awake, oriented, able to follow commands. Vitals signs were completed, water , crackers were offered patient tolerated well. Observation time was extended, Patient reported feeling better minutes after nursing interventions. Patient left on stable condition, accompanied by his mother.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Throat tightness
Clinical narrative: Patient is a 10 year old female who has completed a 3 minutes-minute observation period with the following signs and symptoms of an adverse reaction: sensation of throat swelling or throat closure. Pfizer-BioNTech COVID-19 vaccine #1 in series administered.  Action(s) taken: Another drug administered - Benadryl 25 mg  Allergy to COVID-19 vaccine documented in Allergies activity: No, will sent message to PCP for Advise   Patient mom advised to discuss second dose considerations with a clinician  RN  {IMPORTANT:  If patient has any one of the following:   sensation of throat swelling or throat closing in  Consulted Dr  Administer Benadryl 25 mg by mouth as ordered    Associate order with diagnosis code, VACCINATION FOR SARS-COV-2 [659210]. If patient is observed for 45 minutes or longer:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: She reports that she had the Covid vaccine on 11/2/2021. On 11/8/2021 she started to have period like symptoms. She had ended her last period on 11/2/2021. She is usually very regular. She would like this reported as a vaccine reaction.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: On 11/06/2021 patient was administered 0.3 ml, Intramuscular of the adult  Pfizer Biontech COVID19 vaccine. Mother and Physician where aware of incident at the time. Patient was monitored 15 minutes after injection. Patient did not have any adverse reaction to vaccine. On 11/08/2021 I called Mother and she stated patient is doing well. Patient only complained of pain on the arm of the injection site on day one. Denies fever, fatigue, and headaches.  Overall condition, is stable.    Our office has taken measures and separated the vaccine for the adults and children. Reviewed Pfizer-Biontech "Standing Orders for Administering Vaccine" and have purchased additional orange round labels to place on syringes.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis, Chest X-ray abnormal, Cough, Headache, Impaired work ability
Clinical narrative: I had aches and pains and I expected that but the following Monday I had a rough cough that would leave me light headache 18th of October. I didn't see a doctor on until the 23rd of Saturday. They prescribe Azithromycin 5 Day Dose Pack and a cough suppressant every 8 hours about 3x times daily for a week. I've been out of work since this last past Thursday.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test negative
Clinical narrative: I had aches and pains and I expected that but the following Monday I had a rough cough that would leave me light headache 18th of October. I didn't see a doctor on until the 23rd of Saturday. They prescribe Azithromycin 5 Day Dose Pack and a cough suppressant every 8 hours about 3x times daily for a week. I've been out of work since this last past Thursday.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pericardial effusion, Pericarditis
Clinical narrative: Pericarditis and moderate pericardial effusion
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Tremor
Clinical narrative: patient reports "tremors/seizures" starting  the day following the vaccination. I inquired about fever, but patient was unsure if she was running a fever. Recommended acetaminophen to control fevers below 101. Recommended prompt follow up with ER or PCP.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient was given a full dose of the pfizer vaccine instead of the pediatric dose
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: My 5 year old daughter was dosed incorrectly at Pharmacy and we are awaiting guidance from Pfizer, the CDC and the Dept of Health as to whether this first dose will count of if she will need to repeat the first dose.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Gastric disorder, Pain in extremity
Clinical narrative: felt spaced out, chills, fever, pain in legs, brain for, tired, stomach issues
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: felt spaced out, chills, fever, pain in legs, brain for, tired, stomach issues
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Headache, Hypoaesthesia, Hypoaesthesia oral, Pain
Clinical narrative: Fever body, aches, head ache- 2 days- mild Numbness in left arm and left side of lower part of face and mouth. -2 hours -moderate Next days after vaccine, and presently on and off.- minutes  Rashes all over body (itchy and burn sensation)- 1 week-moderate
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: Fever body, aches, head ache- 2 days- mild Numbness in left arm and left side of lower part of face and mouth. -2 hours -moderate Next days after vaccine, and presently on and off.- minutes  Rashes all over body (itchy and burn sensation)- 1 week-moderate
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: 2 days after the vaccine, 11/03/2021, In the morning while I was getting dressed, I noticed a green bruise on my right arm. I called the pharmacist. She said she was not concerned and keep an eye out on it. Then I found a 2nd bruise on the top, front, left side of my left leg. Then I called my doctor. He said to keep an eye on it. He did not think it would be serious he offered to do blood work but did not think it was anything serious. I did not go for the blood work. 11/08/2021 the bruises are there very faintly.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Swollen tongue
Clinical narrative: Patient tongue was swelling
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pain, Gastrooesophageal reflux disease, Headache
Clinical narrative: Patient reported having headache, eye pain, and acid reflux ongoing since shortly after receiving vaccine. Patient said he tried APAP, ibuprofen and Excedrin for the headache and eye pain but it was not working. He also said he took Nexium OTC for the acid reflux but it did not provide relief. Patient was advised to contact his primary care physician.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Dyspnoea, Fatigue, Pneumonia
Clinical narrative: Patient developed Shortness of breath, fatigue, weight loss, loss of sense of smell, wheezing
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Weight decreased, Wheezing
Clinical narrative: Patient developed Shortness of breath, fatigue, weight loss, loss of sense of smell, wheezing
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Neurological examination
Clinical narrative: Sudden onset dizziness. Continued light headedness through 11/6/21 - now resolved
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Blood lactic acid increased, Blood potassium increased, Blood sodium decreased, Brain natriuretic peptide increased
Clinical narrative: Hospitalized 10/27/2021; COVID-19 positive 10/28/2021; fully vaccinated  BRIEF OVERVIEW Discharge Provider: Doctor Primary Care Provider at Discharge: Doctor Admission Date: 10/27/2021 Discharge Date: 10/29/2021 DETAILS OF HOSPITAL STAY PRESENTING PROBLEM: COVID-19 virus infection COVID-19   HOSPITAL COURSE: Patient is a 63 y.o. male with a past medical history of type 2 diabetes, stroke, persistent atrial fibrillation, obstructive sleep apnea, hyperlipidemia, hypertension, and chronic kidney disease stage 3 who presents today with shortness of Breath.   the emergency department patient was afebrile, and tachypneic.  He was hypoxic and did require supplemental oxygen support 2 L via nasal cannula.  Pertinent lab findings include elevated lactic acid at 2.1 which decreased to 1.2 at recheck.  No leukocytosis noted at 8.9.  Sodium was low at 131, potassium was elevated at 5.4.  BNP was 208. Troponins were normal at 21 and then 20 at recheck.  EKG showed normal sinus rhythm.  D-dimer was noted to be elevated at 14 70.  Due to concerns of a pulmonary embolism, CT angiogram was ordered which showed no pulmonary embolism, no pericardial effusion, no thoracic aortic dissection.  Lungs did show patchy areas of peripherally located areas of ground-glass areas of parenchymal opacification comparable with does commonly associated COVID pneumonitis.  No pleural effusion no pneumothorax.  Patient was given fluids and initiated on steroids.  Due to concerns of acute respiratory failure secondary to COVID-19 pneumonia, patient was admitted to hospitalist service.  He was placed on remdesivir/dexamethasone.  He was placed on supplemental oxygen and over the course of hospitalization improved.  The patient was afebrile, hemodynamically stable and normoxic on room air.  He was discharged home on 10/29/2021 with follow-up with his cardiologist and primary care physician.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Carpal tunnel decompression, Dyspnoea, Electrocardiogram normal, Fibrin D dimer increased
Clinical narrative: Hospitalized 10/27/2021; COVID-19 positive 10/28/2021; fully vaccinated  BRIEF OVERVIEW Discharge Provider: Doctor Primary Care Provider at Discharge: Doctor Admission Date: 10/27/2021 Discharge Date: 10/29/2021 DETAILS OF HOSPITAL STAY PRESENTING PROBLEM: COVID-19 virus infection COVID-19   HOSPITAL COURSE: Patient is a 63 y.o. male with a past medical history of type 2 diabetes, stroke, persistent atrial fibrillation, obstructive sleep apnea, hyperlipidemia, hypertension, and chronic kidney disease stage 3 who presents today with shortness of Breath.   the emergency department patient was afebrile, and tachypneic.  He was hypoxic and did require supplemental oxygen support 2 L via nasal cannula.  Pertinent lab findings include elevated lactic acid at 2.1 which decreased to 1.2 at recheck.  No leukocytosis noted at 8.9.  Sodium was low at 131, potassium was elevated at 5.4.  BNP was 208. Troponins were normal at 21 and then 20 at recheck.  EKG showed normal sinus rhythm.  D-dimer was noted to be elevated at 14 70.  Due to concerns of a pulmonary embolism, CT angiogram was ordered which showed no pulmonary embolism, no pericardial effusion, no thoracic aortic dissection.  Lungs did show patchy areas of peripherally located areas of ground-glass areas of parenchymal opacification comparable with does commonly associated COVID pneumonitis.  No pleural effusion no pneumothorax.  Patient was given fluids and initiated on steroids.  Due to concerns of acute respiratory failure secondary to COVID-19 pneumonia, patient was admitted to hospitalist service.  He was placed on remdesivir/dexamethasone.  He was placed on supplemental oxygen and over the course of hospitalization improved.  The patient was afebrile, hemodynamically stable and normoxic on room air.  He was discharged home on 10/29/2021 with follow-up with his cardiologist and primary care physician.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Lung opacity, SARS-CoV-2 test positive, Tachypnoea, Tendon sheath incision
Clinical narrative: Hospitalized 10/27/2021; COVID-19 positive 10/28/2021; fully vaccinated  BRIEF OVERVIEW Discharge Provider: Doctor Primary Care Provider at Discharge: Doctor Admission Date: 10/27/2021 Discharge Date: 10/29/2021 DETAILS OF HOSPITAL STAY PRESENTING PROBLEM: COVID-19 virus infection COVID-19   HOSPITAL COURSE: Patient is a 63 y.o. male with a past medical history of type 2 diabetes, stroke, persistent atrial fibrillation, obstructive sleep apnea, hyperlipidemia, hypertension, and chronic kidney disease stage 3 who presents today with shortness of Breath.   the emergency department patient was afebrile, and tachypneic.  He was hypoxic and did require supplemental oxygen support 2 L via nasal cannula.  Pertinent lab findings include elevated lactic acid at 2.1 which decreased to 1.2 at recheck.  No leukocytosis noted at 8.9.  Sodium was low at 131, potassium was elevated at 5.4.  BNP was 208. Troponins were normal at 21 and then 20 at recheck.  EKG showed normal sinus rhythm.  D-dimer was noted to be elevated at 14 70.  Due to concerns of a pulmonary embolism, CT angiogram was ordered which showed no pulmonary embolism, no pericardial effusion, no thoracic aortic dissection.  Lungs did show patchy areas of peripherally located areas of ground-glass areas of parenchymal opacification comparable with does commonly associated COVID pneumonitis.  No pleural effusion no pneumothorax.  Patient was given fluids and initiated on steroids.  Due to concerns of acute respiratory failure secondary to COVID-19 pneumonia, patient was admitted to hospitalist service.  He was placed on remdesivir/dexamethasone.  He was placed on supplemental oxygen and over the course of hospitalization improved.  The patient was afebrile, hemodynamically stable and normoxic on room air.  He was discharged home on 10/29/2021 with follow-up with his cardiologist and primary care physician.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin normal
Clinical narrative: Hospitalized 10/27/2021; COVID-19 positive 10/28/2021; fully vaccinated  BRIEF OVERVIEW Discharge Provider: Doctor Primary Care Provider at Discharge: Doctor Admission Date: 10/27/2021 Discharge Date: 10/29/2021 DETAILS OF HOSPITAL STAY PRESENTING PROBLEM: COVID-19 virus infection COVID-19   HOSPITAL COURSE: Patient is a 63 y.o. male with a past medical history of type 2 diabetes, stroke, persistent atrial fibrillation, obstructive sleep apnea, hyperlipidemia, hypertension, and chronic kidney disease stage 3 who presents today with shortness of Breath.   the emergency department patient was afebrile, and tachypneic.  He was hypoxic and did require supplemental oxygen support 2 L via nasal cannula.  Pertinent lab findings include elevated lactic acid at 2.1 which decreased to 1.2 at recheck.  No leukocytosis noted at 8.9.  Sodium was low at 131, potassium was elevated at 5.4.  BNP was 208. Troponins were normal at 21 and then 20 at recheck.  EKG showed normal sinus rhythm.  D-dimer was noted to be elevated at 14 70.  Due to concerns of a pulmonary embolism, CT angiogram was ordered which showed no pulmonary embolism, no pericardial effusion, no thoracic aortic dissection.  Lungs did show patchy areas of peripherally located areas of ground-glass areas of parenchymal opacification comparable with does commonly associated COVID pneumonitis.  No pleural effusion no pneumothorax.  Patient was given fluids and initiated on steroids.  Due to concerns of acute respiratory failure secondary to COVID-19 pneumonia, patient was admitted to hospitalist service.  He was placed on remdesivir/dexamethasone.  He was placed on supplemental oxygen and over the course of hospitalization improved.  The patient was afebrile, hemodynamically stable and normoxic on room air.  He was discharged home on 10/29/2021 with follow-up with his cardiologist and primary care physician.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Heavy menstrual bleeding, Laboratory test, Menstruation irregular
Clinical narrative: Irregular and heavy menstrual cycles and heavy hair loss on scalp
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Lip pruritus, Pruritus
Clinical narrative: dizziness, itchy lips and fingers x15 minutes (30 minutes post immunization)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Bone swelling, Joint swelling, Peripheral swelling, Tenderness
Clinical narrative: forearm was swollen, pink, resembles a burn, left wrist bone swollen and tender
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Client  presented to the vaccination site on 11/04/2021. The client notified  RN that he received COVID vaccine on 04/29/2021.  RN submitted a medical consult via text message to Vaccine Operations Leads, requesting to proceed with the Janssen COVID vaccine. Per CDC guidance, approval to proceed with COVID vaccine Janssen was obtained from medical consult team. Client received COVID vaccine (Janssen, Lot# 1855194) on 11/04/2021 at 12:04 pm. The client did not report any symptoms during the 30 minute observation period.  RN educated client on possible adverse reactions and when to seek medical care. The client left the vaccination site at 12:40 pm, walking with steady gait.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pruritus, Injection site warmth, Paraesthesia, Peripheral swelling
Clinical narrative: Two days after getting the shot I noticed my right arm/hand were swollen with a tingling sensation. There is also a lump at the injection site that is warm to touch and itchy.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Bowel movement irregularity, Diarrhoea, Fatigue
Clinical narrative: Pain at Injection site and feverish (Friday); Saturday - I couldn't move my arm - pain was very severe from fingers to shoulder blade. I was taking two pills every four hours of Tylenol.  Had 100.3 fever on Saturday. Pain had spread to both arms I couldn't lift anything or hold anything on Sunday. Sunday fever was 100.5 to 100.7 -on Sunday. Pain had started receding on Friday evening. On Monday, it was receding still, but I still couldn't grip anything. On Tuesday, I had hard time grabbing anything, but pain was still receding. Wednesday - couldn't feel the pain anymore. Temperature dropped on Monday in the evening - it was just at 100.3. Tuesday it was 100 degrees and headache started that day slight pain in arms and muscle aches and tired. I went back to work on Wednesday no temperature. I was still feeling muscle ache; and headache had started on Tuesday, and I still had it. On Thursday, I woke up with a pain in my left side. I may have been dehydrated but was drinking and drinking water. At work, after about an hour, the pain got very bad and spread to right side and guts were feeling like they were on fire. I was very nauseated; I couldn't walk or see straight. My husband took me to ER where I started throwing up. My guts were still felt burning and I felt like I had a temperature but their temperature on the touch temperature was not showing a fever. ER couldn't figure out what was wrong with me. I told them I was still having reaction to vaccine. They prescribed antibiotics and gave me some pain relief and then released me. When I came home that day my ear thermometer was showing 100.3. They gave me IV saline at ER to hydrate me, but I still couldn't urinate that day. I was only about to do it sometime during the night. The painkillers helped some but my guts my insides were feeling like they were on Friday and Thursday before that. Diarrhea started Friday late afternoon. I was still having a temperature of 100.3 on Friday and Saturday. And then I started feeling better. My stomach is hurt and upset still but that can happen when I'm antibiotic. I felt better today and went back to work. I missed work last Thursday and Friday again. The sharp pain I had felt was gone by Friday. No muscle aches right now but just upset stomach and very, very tired. I try to eat. Bowels are not regular yet, but they are soft and not water anymore, at least. I'm still on the antibiotic which I started on Thursday.  I'm going to see a gynecologist about the cyst.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Flank pain, Grip strength decreased, Headache, Impaired work ability, Injection site pain
Clinical narrative: Pain at Injection site and feverish (Friday); Saturday - I couldn't move my arm - pain was very severe from fingers to shoulder blade. I was taking two pills every four hours of Tylenol.  Had 100.3 fever on Saturday. Pain had spread to both arms I couldn't lift anything or hold anything on Sunday. Sunday fever was 100.5 to 100.7 -on Sunday. Pain had started receding on Friday evening. On Monday, it was receding still, but I still couldn't grip anything. On Tuesday, I had hard time grabbing anything, but pain was still receding. Wednesday - couldn't feel the pain anymore. Temperature dropped on Monday in the evening - it was just at 100.3. Tuesday it was 100 degrees and headache started that day slight pain in arms and muscle aches and tired. I went back to work on Wednesday no temperature. I was still feeling muscle ache; and headache had started on Tuesday, and I still had it. On Thursday, I woke up with a pain in my left side. I may have been dehydrated but was drinking and drinking water. At work, after about an hour, the pain got very bad and spread to right side and guts were feeling like they were on fire. I was very nauseated; I couldn't walk or see straight. My husband took me to ER where I started throwing up. My guts were still felt burning and I felt like I had a temperature but their temperature on the touch temperature was not showing a fever. ER couldn't figure out what was wrong with me. I told them I was still having reaction to vaccine. They prescribed antibiotics and gave me some pain relief and then released me. When I came home that day my ear thermometer was showing 100.3. They gave me IV saline at ER to hydrate me, but I still couldn't urinate that day. I was only about to do it sometime during the night. The painkillers helped some but my guts my insides were feeling like they were on Friday and Thursday before that. Diarrhea started Friday late afternoon. I was still having a temperature of 100.3 on Friday and Saturday. And then I started feeling better. My stomach is hurt and upset still but that can happen when I'm antibiotic. I felt better today and went back to work. I missed work last Thursday and Friday again. The sharp pain I had felt was gone by Friday. No muscle aches right now but just upset stomach and very, very tired. I try to eat. Bowels are not regular yet, but they are soft and not water anymore, at least. I'm still on the antibiotic which I started on Thursday.  I'm going to see a gynecologist about the cyst.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Mobility decreased, Myalgia, Nephrolithiasis, Ovarian cyst
Clinical narrative: Pain at Injection site and feverish (Friday); Saturday - I couldn't move my arm - pain was very severe from fingers to shoulder blade. I was taking two pills every four hours of Tylenol.  Had 100.3 fever on Saturday. Pain had spread to both arms I couldn't lift anything or hold anything on Sunday. Sunday fever was 100.5 to 100.7 -on Sunday. Pain had started receding on Friday evening. On Monday, it was receding still, but I still couldn't grip anything. On Tuesday, I had hard time grabbing anything, but pain was still receding. Wednesday - couldn't feel the pain anymore. Temperature dropped on Monday in the evening - it was just at 100.3. Tuesday it was 100 degrees and headache started that day slight pain in arms and muscle aches and tired. I went back to work on Wednesday no temperature. I was still feeling muscle ache; and headache had started on Tuesday, and I still had it. On Thursday, I woke up with a pain in my left side. I may have been dehydrated but was drinking and drinking water. At work, after about an hour, the pain got very bad and spread to right side and guts were feeling like they were on fire. I was very nauseated; I couldn't walk or see straight. My husband took me to ER where I started throwing up. My guts were still felt burning and I felt like I had a temperature but their temperature on the touch temperature was not showing a fever. ER couldn't figure out what was wrong with me. I told them I was still having reaction to vaccine. They prescribed antibiotics and gave me some pain relief and then released me. When I came home that day my ear thermometer was showing 100.3. They gave me IV saline at ER to hydrate me, but I still couldn't urinate that day. I was only about to do it sometime during the night. The painkillers helped some but my guts my insides were feeling like they were on Friday and Thursday before that. Diarrhea started Friday late afternoon. I was still having a temperature of 100.3 on Friday and Saturday. And then I started feeling better. My stomach is hurt and upset still but that can happen when I'm antibiotic. I felt better today and went back to work. I missed work last Thursday and Friday again. The sharp pain I had felt was gone by Friday. No muscle aches right now but just upset stomach and very, very tired. I try to eat. Bowels are not regular yet, but they are soft and not water anymore, at least. I'm still on the antibiotic which I started on Thursday.  I'm going to see a gynecologist about the cyst.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Ultrasound scan, Urinary retention, White blood cell count increased
Clinical narrative: Pain at Injection site and feverish (Friday); Saturday - I couldn't move my arm - pain was very severe from fingers to shoulder blade. I was taking two pills every four hours of Tylenol.  Had 100.3 fever on Saturday. Pain had spread to both arms I couldn't lift anything or hold anything on Sunday. Sunday fever was 100.5 to 100.7 -on Sunday. Pain had started receding on Friday evening. On Monday, it was receding still, but I still couldn't grip anything. On Tuesday, I had hard time grabbing anything, but pain was still receding. Wednesday - couldn't feel the pain anymore. Temperature dropped on Monday in the evening - it was just at 100.3. Tuesday it was 100 degrees and headache started that day slight pain in arms and muscle aches and tired. I went back to work on Wednesday no temperature. I was still feeling muscle ache; and headache had started on Tuesday, and I still had it. On Thursday, I woke up with a pain in my left side. I may have been dehydrated but was drinking and drinking water. At work, after about an hour, the pain got very bad and spread to right side and guts were feeling like they were on fire. I was very nauseated; I couldn't walk or see straight. My husband took me to ER where I started throwing up. My guts were still felt burning and I felt like I had a temperature but their temperature on the touch temperature was not showing a fever. ER couldn't figure out what was wrong with me. I told them I was still having reaction to vaccine. They prescribed antibiotics and gave me some pain relief and then released me. When I came home that day my ear thermometer was showing 100.3. They gave me IV saline at ER to hydrate me, but I still couldn't urinate that day. I was only about to do it sometime during the night. The painkillers helped some but my guts my insides were feeling like they were on Friday and Thursday before that. Diarrhea started Friday late afternoon. I was still having a temperature of 100.3 on Friday and Saturday. And then I started feeling better. My stomach is hurt and upset still but that can happen when I'm antibiotic. I felt better today and went back to work. I missed work last Thursday and Friday again. The sharp pain I had felt was gone by Friday. No muscle aches right now but just upset stomach and very, very tired. I try to eat. Bowels are not regular yet, but they are soft and not water anymore, at least. I'm still on the antibiotic which I started on Thursday.  I'm going to see a gynecologist about the cyst.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Cardiomyopathy, Death
Clinical narrative: Cardiomyopathy resulting a cardiac event that lead to death.
Age: 31.0
Sex: M
Vaccine: TDAP
Symptoms: Hypotension, Loss of consciousness, Syncope
Clinical narrative: SYNCOPE WITHIN 10 MINUTES. PATIENT REGAINED CONSCIOUSNESS ALMOST IMMEDIATELY. EMS RESPONDED AND BLOOD PRESSURE REMAINED VERY LOW FOR ANOTHER 15 MINUTES. SUBJECT WAS REFERRED TO AN URGENT CARE CLINIC
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Impaired work ability, Influenza like illness, Nausea
Clinical narrative: I got a sudden BAD red hot itchy rash 3 nights after my injection - Was near injection site, but not on...Felt & still feels like someone hit me with a hammer on my arm. Arm is still slightly red, but no longer is hot/itchy.  I also got a Headache 3 hours after shot was administered & woke with cold/flu-like symptoms the following day that kept me home from work with sore throat, runny nose, diarrhea/nausea...  Headache lasted approx. 2.5 days. Cold Flu symptoms went away in approx. 10 hours
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity, Rash erythematous, Rash pruritic, Rhinorrhoea
Clinical narrative: I got a sudden BAD red hot itchy rash 3 nights after my injection - Was near injection site, but not on...Felt & still feels like someone hit me with a hammer on my arm. Arm is still slightly red, but no longer is hot/itchy.  I also got a Headache 3 hours after shot was administered & woke with cold/flu-like symptoms the following day that kept me home from work with sore throat, runny nose, diarrhea/nausea...  Headache lasted approx. 2.5 days. Cold Flu symptoms went away in approx. 10 hours
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: I got a sudden BAD red hot itchy rash 3 nights after my injection - Was near injection site, but not on...Felt & still feels like someone hit me with a hammer on my arm. Arm is still slightly red, but no longer is hot/itchy.  I also got a Headache 3 hours after shot was administered & woke with cold/flu-like symptoms the following day that kept me home from work with sore throat, runny nose, diarrhea/nausea...  Headache lasted approx. 2.5 days. Cold Flu symptoms went away in approx. 10 hours
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Pain, Pain in extremity
Clinical narrative: Under my left arm it was throbbing the next morning, it took about 3 weeks to go down. It was painful and went to my DR and I was advised that it was due to the vaccine, I went to see my doctor 11/03/2021 and she told me I my hemoglobin was 10.8 and it has never been that low, I also had flu shot for seniors 15 days after the COVID-19 vaccine and I don't know if it was the flu vaccine. My doctor wanted me to get a bone biopsy, but I will be holding off on that for another weeks just in case if I feel better.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure diastolic increased, Dizziness, Headache, Interchange of vaccine products, Palpitations
Clinical narrative: Patient previously vaccinated with Moderna vaccine asked to received the Pfizer booster . Patient reported that he felt weak heart palpitations and dizzy right after. Patient has a hx of HTN which is evident in vitals assessed by covid vaccine clinic staff. Vitals were as follows 165/85 86bpm 97% on RA 18rr. Patient states "I didn't take my medicine today and I didn't have any thing to eat since about 130am." pt was given a light snack and allowed to rest Vitals were assessed again after an hr and showed no change. Patient stated he felt better and proceeded to get up but he experienced a headache and had to sit back down and wait for his Wife to come to pick him up. vitals were assessed again in an hr and the diastolic pressure had risen to 100. patient refused medical attention outside of the vital assessment and stated he will be fine after he takes his meds and eat. Pt's wife arrived and he left the facility.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, No adverse event
Clinical narrative: The booster dose for this patient was given just under 1 month too early. We shouldn't have given the Moderna Booster to her until sometime after 12/02/21 and we gave her the Booster on 11/04/21. No adverse events occurred and no treatments were needed.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Gait inability, Inflammation, Insomnia, Neuropathy peripheral
Clinical narrative: worsening neuropathy, inability to walk and severe pain, insomnia, felt inflamed
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: worsening neuropathy, inability to walk and severe pain, insomnia, felt inflamed
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: rash, hives
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Mobility decreased, Pain in extremity
Clinical narrative: I felt back pain and arm pain around 21:30 on Friday. I could not raise my arm on Saturday.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Dyspnoea, Electric shock sensation, Injected limb mobility decreased
Clinical narrative: When they injected me with the shot, I felt a quick electric shock rush through my arm that went away instantly. I am still experiencing this till this day. It happens randomly. I feel it 4 times a day and I notice it more often when I am active during the day. I began to experience very bad pain injection pain at the injection site 3 to 4 days. Around 10:30 I had trouble raising my arm above eye level. Pain in my legs. 5 days after the vaccine, I began to develop a cough pain in my chest, trouble breathing and wheezing in the lungs.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity, Ultrasound Doppler, Wheezing
Clinical narrative: When they injected me with the shot, I felt a quick electric shock rush through my arm that went away instantly. I am still experiencing this till this day. It happens randomly. I feel it 4 times a day and I notice it more often when I am active during the day. I began to experience very bad pain injection pain at the injection site 3 to 4 days. Around 10:30 I had trouble raising my arm above eye level. Pain in my legs. 5 days after the vaccine, I began to develop a cough pain in my chest, trouble breathing and wheezing in the lungs.