chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Aphasia, Breath sounds absent, COVID-19, Cardiac arrest
Clinical narrative: Patient required hospitalization due to breakthrough infection. Patient received Pfizer vaccine (2nd dose in series) on 03/28/2021. Patient was hospitalized from 08/31/21 - 09/24/21.  Below is copied from patients discharge (death) summary:   Patient is a 73 y.o. female with PMH of RA/PMR and hypothyroidism who was initially admitted to the hospital on 8/31 for stroke like symptoms (left sided weakness, right facial droop and aphasia) for which she recieved TNK and had neuro ICU admission. MRI and stroke workup was unrevealing how patient remained enephalopathic with development of hypoxic respiratory failure requiring intubation from 9/5-9/14. Following extubation, patient was downgraded to hospitalist serevice for further management on 9/16. On 9/24, patient was admitted to MICU following cardiac arrest with asystole noted on telemetry. Patient recieved 6 rounds of CPR, epix3, bicarbx2, and calcium. She was intubated at that time and ROSC was achieved with post-resuscitation BP 100/50. Epi gtt was started and patient was admitted to MICU service. Immediately upon arrival to patient coded again at 4:21 AM with PEA arrest. She recieved Epix5, bicarbx3 with ROSC at 4:36. Upon achieving ROSC, patient again became pulseless with PEA arrest at which time an additional 3 rounds of CPR were performed however patient did not achieve ROSC and began to have copious blood return from ETT. Given patients anemia and active bleed, TNK was not administered as risks overweighed benefits. No further rounds of CPR performed. No  Subsequent spontaneous movements were present. There was no response to verbal or tactile stimuli. Pupils were dilated and fixed. No breath sounds were appreciated over either lung field. No carotid pulses or peripheral pulses were palpable. No heart sounds were auscultated over entire precordium. Patient pronounced dead at 5:16 AM.  Family was notified and condolensces were offered.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardio-respiratory arrest, Death, Encephalopathy, Endotracheal intubation, Endotracheal intubation complication
Clinical narrative: Patient required hospitalization due to breakthrough infection. Patient received Pfizer vaccine (2nd dose in series) on 03/28/2021. Patient was hospitalized from 08/31/21 - 09/24/21.  Below is copied from patients discharge (death) summary:   Patient is a 73 y.o. female with PMH of RA/PMR and hypothyroidism who was initially admitted to the hospital on 8/31 for stroke like symptoms (left sided weakness, right facial droop and aphasia) for which she recieved TNK and had neuro ICU admission. MRI and stroke workup was unrevealing how patient remained enephalopathic with development of hypoxic respiratory failure requiring intubation from 9/5-9/14. Following extubation, patient was downgraded to hospitalist serevice for further management on 9/16. On 9/24, patient was admitted to MICU following cardiac arrest with asystole noted on telemetry. Patient recieved 6 rounds of CPR, epix3, bicarbx2, and calcium. She was intubated at that time and ROSC was achieved with post-resuscitation BP 100/50. Epi gtt was started and patient was admitted to MICU service. Immediately upon arrival to patient coded again at 4:21 AM with PEA arrest. She recieved Epix5, bicarbx3 with ROSC at 4:36. Upon achieving ROSC, patient again became pulseless with PEA arrest at which time an additional 3 rounds of CPR were performed however patient did not achieve ROSC and began to have copious blood return from ETT. Given patients anemia and active bleed, TNK was not administered as risks overweighed benefits. No further rounds of CPR performed. No  Subsequent spontaneous movements were present. There was no response to verbal or tactile stimuli. Pupils were dilated and fixed. No breath sounds were appreciated over either lung field. No carotid pulses or peripheral pulses were palpable. No heart sounds were auscultated over entire precordium. Patient pronounced dead at 5:16 AM.  Family was notified and condolensces were offered.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extubation, Facial paralysis, Haemorrhage, Heart sounds abnormal, Hemiparesis
Clinical narrative: Patient required hospitalization due to breakthrough infection. Patient received Pfizer vaccine (2nd dose in series) on 03/28/2021. Patient was hospitalized from 08/31/21 - 09/24/21.  Below is copied from patients discharge (death) summary:   Patient is a 73 y.o. female with PMH of RA/PMR and hypothyroidism who was initially admitted to the hospital on 8/31 for stroke like symptoms (left sided weakness, right facial droop and aphasia) for which she recieved TNK and had neuro ICU admission. MRI and stroke workup was unrevealing how patient remained enephalopathic with development of hypoxic respiratory failure requiring intubation from 9/5-9/14. Following extubation, patient was downgraded to hospitalist serevice for further management on 9/16. On 9/24, patient was admitted to MICU following cardiac arrest with asystole noted on telemetry. Patient recieved 6 rounds of CPR, epix3, bicarbx2, and calcium. She was intubated at that time and ROSC was achieved with post-resuscitation BP 100/50. Epi gtt was started and patient was admitted to MICU service. Immediately upon arrival to patient coded again at 4:21 AM with PEA arrest. She recieved Epix5, bicarbx3 with ROSC at 4:36. Upon achieving ROSC, patient again became pulseless with PEA arrest at which time an additional 3 rounds of CPR were performed however patient did not achieve ROSC and began to have copious blood return from ETT. Given patients anemia and active bleed, TNK was not administered as risks overweighed benefits. No further rounds of CPR performed. No  Subsequent spontaneous movements were present. There was no response to verbal or tactile stimuli. Pupils were dilated and fixed. No breath sounds were appreciated over either lung field. No carotid pulses or peripheral pulses were palpable. No heart sounds were auscultated over entire precordium. Patient pronounced dead at 5:16 AM.  Family was notified and condolensces were offered.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Infection, Intensive care, Mydriasis, Neurological symptom, Pulse absent
Clinical narrative: Patient required hospitalization due to breakthrough infection. Patient received Pfizer vaccine (2nd dose in series) on 03/28/2021. Patient was hospitalized from 08/31/21 - 09/24/21.  Below is copied from patients discharge (death) summary:   Patient is a 73 y.o. female with PMH of RA/PMR and hypothyroidism who was initially admitted to the hospital on 8/31 for stroke like symptoms (left sided weakness, right facial droop and aphasia) for which she recieved TNK and had neuro ICU admission. MRI and stroke workup was unrevealing how patient remained enephalopathic with development of hypoxic respiratory failure requiring intubation from 9/5-9/14. Following extubation, patient was downgraded to hospitalist serevice for further management on 9/16. On 9/24, patient was admitted to MICU following cardiac arrest with asystole noted on telemetry. Patient recieved 6 rounds of CPR, epix3, bicarbx2, and calcium. She was intubated at that time and ROSC was achieved with post-resuscitation BP 100/50. Epi gtt was started and patient was admitted to MICU service. Immediately upon arrival to patient coded again at 4:21 AM with PEA arrest. She recieved Epix5, bicarbx3 with ROSC at 4:36. Upon achieving ROSC, patient again became pulseless with PEA arrest at which time an additional 3 rounds of CPR were performed however patient did not achieve ROSC and began to have copious blood return from ETT. Given patients anemia and active bleed, TNK was not administered as risks overweighed benefits. No further rounds of CPR performed. No  Subsequent spontaneous movements were present. There was no response to verbal or tactile stimuli. Pupils were dilated and fixed. No breath sounds were appreciated over either lung field. No carotid pulses or peripheral pulses were palpable. No heart sounds were auscultated over entire precordium. Patient pronounced dead at 5:16 AM.  Family was notified and condolensces were offered.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulseless electrical activity, Pupil fixed, Respiratory failure, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: Patient required hospitalization due to breakthrough infection. Patient received Pfizer vaccine (2nd dose in series) on 03/28/2021. Patient was hospitalized from 08/31/21 - 09/24/21.  Below is copied from patients discharge (death) summary:   Patient is a 73 y.o. female with PMH of RA/PMR and hypothyroidism who was initially admitted to the hospital on 8/31 for stroke like symptoms (left sided weakness, right facial droop and aphasia) for which she recieved TNK and had neuro ICU admission. MRI and stroke workup was unrevealing how patient remained enephalopathic with development of hypoxic respiratory failure requiring intubation from 9/5-9/14. Following extubation, patient was downgraded to hospitalist serevice for further management on 9/16. On 9/24, patient was admitted to MICU following cardiac arrest with asystole noted on telemetry. Patient recieved 6 rounds of CPR, epix3, bicarbx2, and calcium. She was intubated at that time and ROSC was achieved with post-resuscitation BP 100/50. Epi gtt was started and patient was admitted to MICU service. Immediately upon arrival to patient coded again at 4:21 AM with PEA arrest. She recieved Epix5, bicarbx3 with ROSC at 4:36. Upon achieving ROSC, patient again became pulseless with PEA arrest at which time an additional 3 rounds of CPR were performed however patient did not achieve ROSC and began to have copious blood return from ETT. Given patients anemia and active bleed, TNK was not administered as risks overweighed benefits. No further rounds of CPR performed. No  Subsequent spontaneous movements were present. There was no response to verbal or tactile stimuli. Pupils were dilated and fixed. No breath sounds were appreciated over either lung field. No carotid pulses or peripheral pulses were palpable. No heart sounds were auscultated over entire precordium. Patient pronounced dead at 5:16 AM.  Family was notified and condolensces were offered.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient required hospitalization due to breakthrough infection. Patient received Pfizer vaccine (2nd dose in series) on 03/28/2021. Patient was hospitalized from 08/31/21 - 09/24/21.  Below is copied from patients discharge (death) summary:   Patient is a 73 y.o. female with PMH of RA/PMR and hypothyroidism who was initially admitted to the hospital on 8/31 for stroke like symptoms (left sided weakness, right facial droop and aphasia) for which she recieved TNK and had neuro ICU admission. MRI and stroke workup was unrevealing how patient remained enephalopathic with development of hypoxic respiratory failure requiring intubation from 9/5-9/14. Following extubation, patient was downgraded to hospitalist serevice for further management on 9/16. On 9/24, patient was admitted to MICU following cardiac arrest with asystole noted on telemetry. Patient recieved 6 rounds of CPR, epix3, bicarbx2, and calcium. She was intubated at that time and ROSC was achieved with post-resuscitation BP 100/50. Epi gtt was started and patient was admitted to MICU service. Immediately upon arrival to patient coded again at 4:21 AM with PEA arrest. She recieved Epix5, bicarbx3 with ROSC at 4:36. Upon achieving ROSC, patient again became pulseless with PEA arrest at which time an additional 3 rounds of CPR were performed however patient did not achieve ROSC and began to have copious blood return from ETT. Given patients anemia and active bleed, TNK was not administered as risks overweighed benefits. No further rounds of CPR performed. No  Subsequent spontaneous movements were present. There was no response to verbal or tactile stimuli. Pupils were dilated and fixed. No breath sounds were appreciated over either lung field. No carotid pulses or peripheral pulses were palpable. No heart sounds were auscultated over entire precordium. Patient pronounced dead at 5:16 AM.  Family was notified and condolensces were offered.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Chest pain, Electrocardiogram abnormal
Clinical narrative: Sudden onset sharp Pressure chest pain for 3 hours starting at 21:00 lasting until midnight on 6/Sept/2021.  She fell asleep at midnight after a regular dose of Advil and Tylenol given at 21:15. Her paediatrician  was notified and EKG performed same week on 9/Sept/2021 which confirmed arrhythmia. Paediatrician has sent out referral to cardiologist. Cardiologist  appointment still pending at this time. Chest pain has subsided but arrhythmia still present.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Death, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Vaccine Breakthrough Case - led to hospitalization and death   Vaccinated Moderna: 2/12/2021 & 3/12/2021  The individual tested positive for COVID-19 on several respiratory tests beginning on 9/10/21. Her symptoms began on 9/8/21, and she was admitted to the hospital on 9/10. She was found to have double pneumonia. The patient also had acute respiratory distress syndrome. The patient unfortunately passed away on 9/24/21.  The case has a positive test from 6/18/21, because she was supposed to go in for a procedure, but was asymptomatic at the time and tested negative on 6/23/21.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Vaccine Breakthrough Case - led to hospitalization and death   Vaccinated Moderna: 2/12/2021 & 3/12/2021  The individual tested positive for COVID-19 on several respiratory tests beginning on 9/10/21. Her symptoms began on 9/8/21, and she was admitted to the hospital on 9/10. She was found to have double pneumonia. The patient also had acute respiratory distress syndrome. The patient unfortunately passed away on 9/24/21.  The case has a positive test from 6/18/21, because she was supposed to go in for a procedure, but was asymptomatic at the time and tested negative on 6/23/21.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Injection site pain, Lip swelling
Clinical narrative: The day after the first shot I was tired and had extreme pain in the arm where I was injected. The pain in my arm lasted 4 days.  Since the following week after the first injection, I have shortness of breath when doing physical activity.   The day after the second shot, I had a headache, nausea, extreme pain in the arm where I was injected, and I was extremely tired.  Today (09/25/2021) at 4:30 am, I noticed extreme swelling in the lower left side of my face and lips. This is still occurring, along with pain at the side of the injection.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Swelling face
Clinical narrative: The day after the first shot I was tired and had extreme pain in the arm where I was injected. The pain in my arm lasted 4 days.  Since the following week after the first injection, I have shortness of breath when doing physical activity.   The day after the second shot, I had a headache, nausea, extreme pain in the arm where I was injected, and I was extremely tired.  Today (09/25/2021) at 4:30 am, I noticed extreme swelling in the lower left side of my face and lips. This is still occurring, along with pain at the side of the injection.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Hypoaesthesia, Muscle twitching, Paraesthesia
Clinical narrative: Tingling, numbness loss of strength in right hand, tiredness, pain in my joints, nerve twitches.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Neuralgia
Clinical narrative: Increasing joint pain, nerve pain. Debilitating joint pain.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Condition aggravated, Electrocardiogram abnormal, Fatigue
Clinical narrative: Seven hours after receiving the vaccine I began having excessive PVCs.   Prior to this, I had usually had only about 0-3 per minute....and they usually weren't noticeable.    I started having them after every few regular heartbeats....possibly 10 or more per minute....and they  were noticeable.  The PVCs and headache kept me from sleeping that first night. I also had side effects like others reported...headache, fever, backache, chills, fatigue. After two  days or so they subsided.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Insomnia, Pyrexia, Ventricular extrasystoles
Clinical narrative: Seven hours after receiving the vaccine I began having excessive PVCs.   Prior to this, I had usually had only about 0-3 per minute....and they usually weren't noticeable.    I started having them after every few regular heartbeats....possibly 10 or more per minute....and they  were noticeable.  The PVCs and headache kept me from sleeping that first night. I also had side effects like others reported...headache, fever, backache, chills, fatigue. After two  days or so they subsided.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray abnormal, Condition aggravated, Cough
Clinical narrative: Pt. is a 65 y.o. female with past medical history of asthma, diabetes, morbid obesity with BMI of 55, hypertension, who presents to the Emergency Department with chief complaint of as mentioned above.   The patient has been sick for the last 1 week with fever, cough, shortness of breath.  She went to ER a couple times and was diagnosed with COVID-19 and viral pneumonia.  The patient was sent home with Decadron.  Despite the treatment, the patient progressively became more hypoxic with oxygen saturation of 70 to 80% at her baseline of 4 L of home O2.  The patient also continues to have fever 101 F.  Onset of her condition was gradual with moderate symptom.  Exertion aggravates her condition and oxygen helps   In the ER today, the patient has fever 101.5 Fahrenheit.  Blood pressure was mildly low between 90-110.  The patient had a chest x-ray today that showed stable diffuse patchy multi lobar lung infiltrate.  The patient at this point is being admitted for COVID-19, multi lobar pneumonia, acute on chronic hypoxic respiratory failure, failure of outpatient treatment.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypotension, Hypoxia, Lung infiltration, Malaise
Clinical narrative: Pt. is a 65 y.o. female with past medical history of asthma, diabetes, morbid obesity with BMI of 55, hypertension, who presents to the Emergency Department with chief complaint of as mentioned above.   The patient has been sick for the last 1 week with fever, cough, shortness of breath.  She went to ER a couple times and was diagnosed with COVID-19 and viral pneumonia.  The patient was sent home with Decadron.  Despite the treatment, the patient progressively became more hypoxic with oxygen saturation of 70 to 80% at her baseline of 4 L of home O2.  The patient also continues to have fever 101 F.  Onset of her condition was gradual with moderate symptom.  Exertion aggravates her condition and oxygen helps   In the ER today, the patient has fever 101.5 Fahrenheit.  Blood pressure was mildly low between 90-110.  The patient had a chest x-ray today that showed stable diffuse patchy multi lobar lung infiltrate.  The patient at this point is being admitted for COVID-19, multi lobar pneumonia, acute on chronic hypoxic respiratory failure, failure of outpatient treatment.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonia viral, Pyrexia
Clinical narrative: Pt. is a 65 y.o. female with past medical history of asthma, diabetes, morbid obesity with BMI of 55, hypertension, who presents to the Emergency Department with chief complaint of as mentioned above.   The patient has been sick for the last 1 week with fever, cough, shortness of breath.  She went to ER a couple times and was diagnosed with COVID-19 and viral pneumonia.  The patient was sent home with Decadron.  Despite the treatment, the patient progressively became more hypoxic with oxygen saturation of 70 to 80% at her baseline of 4 L of home O2.  The patient also continues to have fever 101 F.  Onset of her condition was gradual with moderate symptom.  Exertion aggravates her condition and oxygen helps   In the ER today, the patient has fever 101.5 Fahrenheit.  Blood pressure was mildly low between 90-110.  The patient had a chest x-ray today that showed stable diffuse patchy multi lobar lung infiltrate.  The patient at this point is being admitted for COVID-19, multi lobar pneumonia, acute on chronic hypoxic respiratory failure, failure of outpatient treatment.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, COVID-19, COVID-19 treatment, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Chest discomfort, Chest pain, Cough, Fibrin D dimer increased
Clinical narrative: Began having vague chest pain/pressure symptoms in April, come and go.  Around August 16 began having cough, worsening chest pressure .  On August 22 noticed swelling in left calf. Went to the ER and diagnosed with pulmonary emboli in my right lung
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pulmonary embolism, Ultrasound Doppler normal
Clinical narrative: Began having vague chest pain/pressure symptoms in April, come and go.  Around August 16 began having cough, worsening chest pressure .  On August 22 noticed swelling in left calf. Went to the ER and diagnosed with pulmonary emboli in my right lung
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: patient came in stating for first dose of COVID-19 vaccine.  reflected 1st dose.  Provider gave pfizer dose.  When support staff looked up pt. eligibility for incentive program in record showed pt. had J&J 3/28/21.  Pt. admitted to doing this because he heard pfizer was a better vaccine. incentive was not given.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated breakthrough case that ended up hospitalized and requiring treatment due to severity of symptoms.   Receive Pfizer Vaccine 2/16 & 3/8 - couldn't remember exactly where but thinks it was at Hospital  (the information can be accessed  if needed)  Case was hospitalized at  Medical Center from 9/22 to 9/24 and was given the monoclonal antibody treatment as a responsive treatment due to the severity of her symptoms. The  at the hospital can be called for further information regarding her symptoms.  Additional Contact Information:  MEDICAL CENTER -  Cases's emergency contact -- no phone # provided
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The first dose given on 09/21/2021 and the second dose given on 09/24/2021. ON 09/21 second dose was given at approximately 12pm. Child observed at clinic observation site immediately after administration and transferred to onsite clinic at 1pm for continuous observation.  No s/s of distress.   Findings per clinician  : Pt denies any symptoms, denies HA, ST, abd pain, cough, body aches, chills, fever. EOMI, PERL, LS clear, HEENT exam neg. Reflexes are good. Pt is asymptomatic.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Swelling face, Throat irritation, Tongue pruritus
Clinical narrative: 9/20 at 2:45pm at HCF.  Pt received a Pfizer #1 dose IM Lot Number FD 8448.  The vaccine was mixed at 2:15pm as per protocol.  At 3:05, Pt notified the student volunteer that she was having a itchiness in throat and around face. I arrived.  She explained that she has history of allergy and followed by an allergist. She takes Singular daily  and Benadryl as needed. She has an Epi-Pen and knows how to use.   She drove to herself to the COVID-19 vaccine clinic.  On assessment, no difficulty breathing, no stridor, able to talk with ease.  Escorted (walked) to another area of the clinic for privacy and observation.   Underneath the face mask, the client had a fine red rash in a butterfly shape over the cheeks and slight red in the forehead.  She stated that she was itchy on the tongue, no airway restriction, speech not affected. Based on assessment, I administered 25mg of Benadryl IM followed by 30 minute observation.   Benadryl 25mg administered in right deltoid..  Observed client for signs of increased symptoms. Rash became almost pink in color and faded toward the check line. No signs of distressed, syncope.  At 3:20  client walked outside of clinic area to parking lot to retrieve laptop.  Client spoke to on personal cell phone.   At 3:40 discussed dismissal options and giving an additional 25 mg of Benadryl.  Client elected to go home and contact provider.  Reinforced client to continue taking Benadryl every 6 hours.   Instructed client to see medical attention with primary care provider or urgent care if symptoms persist.  Client left at 3:42.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Swelling
Clinical narrative: PATIENT EXPERIENCED LOTS OF SWELLING IN THE ARMPIT NOT ASSOCIATED WITH LYMPH NODES
Age: 65.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: The patient experienced rash, swelling, burning sensation, pain  on her left arm (3 inches below the injection site).  She came and reported it on 9/24/21. She stated tylenol  has helped her to control the pain. We provided her with benadryl and advised her to start benadryl : 1st dose of 50mg, then may repeat if needed 25mg q4-6 hours, and apply  some ice on the burning sensation areas. We followed up with her a few hours later. she stated her conditions has improved.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Electrocardiogram abnormal, Wandering pacemaker
Clinical narrative: About a week after receiving the second dose of the Moderna COVID-19 vaccine, I started to have pain in my heart that I have never felt before. It was like a stabbing pain right over my heart. The pain did not radiate. It would happen randomly throughout the day and usually last about 10 minutes. It started to get worse around June 2021, so I contacted my doctor. My doctor prescribed a non-steroid anti-inflammatory, Naproxen. After finishing 2 weeks on Naproxen, my symptoms were almost completely gone. Now, in September 2021, my symptoms are pretty much gone.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: Patient is a 68 y.o. male with past medical history of hypertension, anxiety, depression, who presents to the Emergency Department with chief complaint of as mentioned above.   Patient had first Covid vaccination injection on March 2.  After the injection, he had some malaise.  For the last 1 week, the patient has shortness of breath with exertion, generalized weakness, productive cough and feeling sick in general.  He has no significant cough or chest pain or leg edema, calf tenderness.  Patient has no urinary complaint.  Onset his condition was gradual with moderate symptoms.  Exertion aggravates his condition and oxygen helps   In the ER, the patient was hypoxic with oxygen saturation dropped down to the low 80s with ambulation.  He requires a couple liters of oxygen.  His viral panel was positive for COVID-19.  He had a chest x-ray and a CT scan of the chest.  The studies show right side pneumonia.  The patient was given dexamethasone in ER and subsequently was admitted to the hospital for COVID-19 infection, pneumonia, respiratory failure.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Hypoxia, Malaise, Oxygen saturation decreased, Pneumonia
Clinical narrative: Patient is a 68 y.o. male with past medical history of hypertension, anxiety, depression, who presents to the Emergency Department with chief complaint of as mentioned above.   Patient had first Covid vaccination injection on March 2.  After the injection, he had some malaise.  For the last 1 week, the patient has shortness of breath with exertion, generalized weakness, productive cough and feeling sick in general.  He has no significant cough or chest pain or leg edema, calf tenderness.  Patient has no urinary complaint.  Onset his condition was gradual with moderate symptoms.  Exertion aggravates his condition and oxygen helps   In the ER, the patient was hypoxic with oxygen saturation dropped down to the low 80s with ambulation.  He requires a couple liters of oxygen.  His viral panel was positive for COVID-19.  He had a chest x-ray and a CT scan of the chest.  The studies show right side pneumonia.  The patient was given dexamethasone in ER and subsequently was admitted to the hospital for COVID-19 infection, pneumonia, respiratory failure.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Respiratory failure, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: Patient is a 68 y.o. male with past medical history of hypertension, anxiety, depression, who presents to the Emergency Department with chief complaint of as mentioned above.   Patient had first Covid vaccination injection on March 2.  After the injection, he had some malaise.  For the last 1 week, the patient has shortness of breath with exertion, generalized weakness, productive cough and feeling sick in general.  He has no significant cough or chest pain or leg edema, calf tenderness.  Patient has no urinary complaint.  Onset his condition was gradual with moderate symptoms.  Exertion aggravates his condition and oxygen helps   In the ER, the patient was hypoxic with oxygen saturation dropped down to the low 80s with ambulation.  He requires a couple liters of oxygen.  His viral panel was positive for COVID-19.  He had a chest x-ray and a CT scan of the chest.  The studies show right side pneumonia.  The patient was given dexamethasone in ER and subsequently was admitted to the hospital for COVID-19 infection, pneumonia, respiratory failure.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Computerised tomogram, Headache
Clinical narrative: Severe headache still after 8 weeks after 2nd dose and it moves around
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Pain assessment, SARS-CoV-2 test
Clinical narrative: Severe headache still after 8 weeks after 2nd dose and it moves around
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Feeling hot, Paraesthesia
Clinical narrative: A couple minutes after the dose  When I was sitting there I got this overwhelming hot/tingling sensation all over my body like started in my head and went down to my toes. I got super dizzy and thought I was going to pass out. It was hard to breathe so pulled my mask down under my nose and just started taking deep breathes. I?ve never had that before and it was kinda scary. Happened twice while sitting there.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Chest discomfort, Chest pain, Electrocardiogram, Heart rate increased
Clinical narrative: Chest pain / tight and heart rate fast at resting position
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Ultrasound abdomen
Clinical narrative: Chest pain / tight and heart rate fast at resting position
Age: 24.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Headache, Injection site induration, Injection site mass, Injection site pain
Clinical narrative: Headache, body aches, fatigue  Covid arm: hard painful lump at injection site, itching, tingling and rash
Age: 24.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Paraesthesia, Pruritus, Rash, Vaccination complication
Clinical narrative: Headache, body aches, fatigue  Covid arm: hard painful lump at injection site, itching, tingling and rash
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Feet swelled a lot (not huge) if not elevated. Lasted a couple of months.  Normally I don't have that problem.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Immense pain in injected arm, unable to move arm as day progressed.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Injection site erythema, Injection site pain
Clinical narrative: 20 weeks pregnant. Painful, red under where injection given. Painful to touch
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Feeling abnormal, Headache, Hyperhidrosis
Clinical narrative: 1:00 incontrollable shaking and chills, excessive sweating fever,  diarrhea, brain fog severe headache most only lasted about 24 hours  the headache is on going as is the sweating
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: 1:00 incontrollable shaking and chills, excessive sweating fever,  diarrhea, brain fog severe headache most only lasted about 24 hours  the headache is on going as is the sweating
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral, Fatigue, Headache, Irritability, Tremor
Clinical narrative: Right ear muffled, tremors, headaches, irritability, fatigue
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Massive body aches, fever of 102, chills.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Facial discomfort, Facial paralysis, Incorrect dose administered, Laboratory test
Clinical narrative: the evening after receiving both vaccines patient experience shortness of breath but thought it was related to her asthma. Patient reports the next couple days she thought her face felt funny and "droopy" but when asking other family/friends they said she did not have any visible changes. Patient noticed visible facial change on 9/11/21 and went to ER for complete workup where they ruled out TIA, lyme disease etc.  Patient was given valtrex and prednisone tapers for treatment she is currently completing
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Electrocardiogram normal, Heart rate decreased, Hypotension
Clinical narrative: Momentarily lost consciousness within seconds following vaccination. Remained pale and light-headed with low blood pressure for at least 15 minutes after regaining consciousness. Paramedics came about 15 minutes after vaccination and removed him from the store.  I called the patient this afternoon and he said he is okay today but was dehydrated yesterday.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor
Clinical narrative: Momentarily lost consciousness within seconds following vaccination. Remained pale and light-headed with low blood pressure for at least 15 minutes after regaining consciousness. Paramedics came about 15 minutes after vaccination and removed him from the store.  I called the patient this afternoon and he said he is okay today but was dehydrated yesterday.
Age: 81.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: Patient reached out to clinic to reports severe arm pain since receiving the vaccine, which had not abated since 9/17 on 9/23/2021. She denies fever or chills or redness at the site. SHe reports the pain is significant and woke her from sleep.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy
Clinical narrative: Patient miscarried in the 11 days following vaccine administration.  Patient does have a history of miscarriage.
Age: 30.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Loss of consciousness, Seizure
Clinical narrative: After 5 to 10 minutes of receiving vaccines, she lost consciousness, woke up and went into seizures for duration less than a minute. Emergency Medical Services was contacted; however, patient refused to go to the hospital.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Vaginal Bleeding 2 days after the shot
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Incontinence, Injection site pain, Nausea, Pyrexia
Clinical narrative: THIRD PFIZER DOSE, MD PRESCRIBED; FIRST TWO DOSES WERE GIVEN ON 2/22/21 AND 3/15/21; POSSIBLE VACCINE REACTION BEGAN WITH MILD NAUSEA THE EVENING OF 9/21/21 AND BEGAN REPEATED EMESIS, UNRELIEVED BY ANTIEMETIC, EARLY AM ON 9/22/21; BECAME FEBRILE, 100.9, THE NEXT MORNING, 9/22/21 09:00; RIGHT DELTOID "SORE" AT INJECTION SITE; ANTIGEN COVID TESTED NEGATIVE; MD ORDERED LAB AND RADIOLGY AT CARE FACILITY; RESIDENT CONTINUED TO HAVE SYMPTOMS THE MORNING OF 9/22/21 AND WHEN HE WAS CONTINUING TO HAVE SYMPTOMS OF UNCHARACTERISTIC CONFUSION AND UNCHARACHTERISTIC INCONTINENCE THE MD ORDERED FOR HIM TO BE TRANSPORTED TO HOSPITAL FOR EVALUATION; HE WAS ADMITTED ON 9/22 AND RETURNED ON 9/24/21.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Vomiting
Clinical narrative: THIRD PFIZER DOSE, MD PRESCRIBED; FIRST TWO DOSES WERE GIVEN ON 2/22/21 AND 3/15/21; POSSIBLE VACCINE REACTION BEGAN WITH MILD NAUSEA THE EVENING OF 9/21/21 AND BEGAN REPEATED EMESIS, UNRELIEVED BY ANTIEMETIC, EARLY AM ON 9/22/21; BECAME FEBRILE, 100.9, THE NEXT MORNING, 9/22/21 09:00; RIGHT DELTOID "SORE" AT INJECTION SITE; ANTIGEN COVID TESTED NEGATIVE; MD ORDERED LAB AND RADIOLGY AT CARE FACILITY; RESIDENT CONTINUED TO HAVE SYMPTOMS THE MORNING OF 9/22/21 AND WHEN HE WAS CONTINUING TO HAVE SYMPTOMS OF UNCHARACTERISTIC CONFUSION AND UNCHARACHTERISTIC INCONTINENCE THE MD ORDERED FOR HIM TO BE TRANSPORTED TO HOSPITAL FOR EVALUATION; HE WAS ADMITTED ON 9/22 AND RETURNED ON 9/24/21.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Condition aggravated, Fatigue, Headache
Clinical narrative: All symptoms appeared within 18 hours of receiving vaccine Back pain that gradually began and increased in severity for 2 weeks. It then developed into painful spasms on left side of spine near kidney, which lasted for 4 more days. Ankle joint pain - lasted 2 weeks Elbow  joint pain - lasted 1 week Appearance of two cold sores, which lasted 3 days Exhaustion - lasted 3 days Headache - lasted 1 day
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Muscle spasms, Oral herpes
Clinical narrative: All symptoms appeared within 18 hours of receiving vaccine Back pain that gradually began and increased in severity for 2 weeks. It then developed into painful spasms on left side of spine near kidney, which lasted for 4 more days. Ankle joint pain - lasted 2 weeks Elbow  joint pain - lasted 1 week Appearance of two cold sores, which lasted 3 days Exhaustion - lasted 3 days Headache - lasted 1 day
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Capillary disorder, Joint swelling, Peripheral swelling, Rash
Clinical narrative: On left foot and ankle, slight swelling accompanied by a rash, apparently caused by inflammation of capillaries under the skin.  Treated with low dose of Prednisone for 3 days.   Much improved at end of that time; prednisone ceased; resolved (gone) within a few more days.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Fever 100.3, swollen lymph node under armpit on injection site for 5 days, body aches, tiredness lasting 3 days
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Disorientation, Dizziness, Dyspnoea
Clinical narrative: High Fever 105.8, High Blood Pressure, Disorientation, Nausea, shortness of breath,  tighness/heaviness in chest, severe muscle aches and pains headache, Pale, Shaking, unreponsiveness, Blueish/Purple feet, ringing in ears, dizziness, vomiting, hands and lips, redness rash and swelling from shoulder to elbow
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Hypertension, Myalgia, Nausea
Clinical narrative: High Fever 105.8, High Blood Pressure, Disorientation, Nausea, shortness of breath,  tighness/heaviness in chest, severe muscle aches and pains headache, Pale, Shaking, unreponsiveness, Blueish/Purple feet, ringing in ears, dizziness, vomiting, hands and lips, redness rash and swelling from shoulder to elbow
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Peripheral swelling, Pyrexia, Rash, Skin discolouration
Clinical narrative: High Fever 105.8, High Blood Pressure, Disorientation, Nausea, shortness of breath,  tighness/heaviness in chest, severe muscle aches and pains headache, Pale, Shaking, unreponsiveness, Blueish/Purple feet, ringing in ears, dizziness, vomiting, hands and lips, redness rash and swelling from shoulder to elbow
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Tremor, Unresponsive to stimuli, Vomiting
Clinical narrative: High Fever 105.8, High Blood Pressure, Disorientation, Nausea, shortness of breath,  tighness/heaviness in chest, severe muscle aches and pains headache, Pale, Shaking, unreponsiveness, Blueish/Purple feet, ringing in ears, dizziness, vomiting, hands and lips, redness rash and swelling from shoulder to elbow
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site necrosis
Clinical narrative: Fat necrosis at injection site.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: 30 minutes after initial vaccination I got a bad headache which lasted about 3 hours. The next morning I woke up and the injection site was red and sore. As the day went on I began feeling tired and at about 3:30 pm started developing a fever. As the night went on my fever increased and the chills and body aches started about 7pm. At 8 pm my headache came back and did not go away until 4:30am. My fever finally broke about 8:15 am. It is now 12:10 pm and my headache is back.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: 30 minutes after initial vaccination I got a bad headache which lasted about 3 hours. The next morning I woke up and the injection site was red and sore. As the day went on I began feeling tired and at about 3:30 pm started developing a fever. As the night went on my fever increased and the chills and body aches started about 7pm. At 8 pm my headache came back and did not go away until 4:30am. My fever finally broke about 8:15 am. It is now 12:10 pm and my headache is back.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error: Mixed series mRNA vaccine Pfizer and Moderna.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nasal congestion
Clinical narrative: severe headache, nasal congestion, dizziness, tiredness all lasting 3 days
Age: 12.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: pt had no adverse reaction, however he is 12 years old and the vaccine is not approved for those under 18. Pt was in the clinic for 20 mins after vaccine administration with no adverse reaction. Pt mother was called 2 hours later and she states child is fine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Limb discomfort, Muscle twitching, Paraesthesia
Clinical narrative: Legs Felt Tingly, numb sleepy, & Heavy.   For about a week had random twitching in my legs
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Hypertension, Laboratory test, Magnetic resonance imaging, Neurological symptom
Clinical narrative: Vertigo, vomiting, high blood pressure, stroke like symptoms
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Ophthalmological examination, Scan brain, Vertigo, Vomiting
Clinical narrative: Vertigo, vomiting, high blood pressure, stroke like symptoms
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Crying, Dermatitis, Dyspepsia, Erythema, Fatigue
Clinical narrative: Within 1.5 hours of receiving the vaccine, pt. was tired and quiet. Personality was changed.  He also had a red swelling on his left arm (not at injection site but same arm. )A few hours later I noticed the red swellings on his legs at well.  The next day  (Thursday) he was lethargic and weepy.  Friday  he woke up very pale and lethargic, he also had severe congestion. This went on a few days . Monday he  had a severe heartburn like pain and threw up. Wednesday he seemed to feel better but was still tired. The following monday he began developing ulcer like lesions on his left elbow. They were about penny sized, oozing and rapidly spreading. By the following week they began to appear on his right elbow. He was taken to both his Doctor and dermatologist,, The Dermotologist said it was inflammatory reaction. He prescribed a steriod.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Inflammation, Lethargy, Pallor, Peripheral swelling, Personality change
Clinical narrative: Within 1.5 hours of receiving the vaccine, pt. was tired and quiet. Personality was changed.  He also had a red swelling on his left arm (not at injection site but same arm. )A few hours later I noticed the red swellings on his legs at well.  The next day  (Thursday) he was lethargic and weepy.  Friday  he woke up very pale and lethargic, he also had severe congestion. This went on a few days . Monday he  had a severe heartburn like pain and threw up. Wednesday he seemed to feel better but was still tired. The following monday he began developing ulcer like lesions on his left elbow. They were about penny sized, oozing and rapidly spreading. By the following week they began to appear on his right elbow. He was taken to both his Doctor and dermatologist,, The Dermotologist said it was inflammatory reaction. He prescribed a steriod.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Respiratory tract congestion, Skin lesion, Skin weeping, Vomiting
Clinical narrative: Within 1.5 hours of receiving the vaccine, pt. was tired and quiet. Personality was changed.  He also had a red swelling on his left arm (not at injection site but same arm. )A few hours later I noticed the red swellings on his legs at well.  The next day  (Thursday) he was lethargic and weepy.  Friday  he woke up very pale and lethargic, he also had severe congestion. This went on a few days . Monday he  had a severe heartburn like pain and threw up. Wednesday he seemed to feel better but was still tired. The following monday he began developing ulcer like lesions on his left elbow. They were about penny sized, oozing and rapidly spreading. By the following week they began to appear on his right elbow. He was taken to both his Doctor and dermatologist,, The Dermotologist said it was inflammatory reaction. He prescribed a steriod.
Age: 57.0
Sex: M
Vaccine: FLU4
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Inflammation and tenderness of the lymph node by the left collarbone. This had little impact other than being quite painful when the seat belt caught it on hard braking.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: fever 100.3, body aches, tiredness, dizziness lasting 3 days. Swollen lymph node under left arm pit for 8 days.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular, Muscle spasms, Premenstrual syndrome
Clinical narrative: I had an extremely irregular period following my second vaccine (August). Severe PMS cramping and excessive heavy bleeding for 3 days which has never happened before. This was the first month after receiving the second vaccine. This month (September) my period is back to normal and not heavy with very little PMS symptoms. I didn?t think anything of it but after reading that this could be a side effect I wanted to report it to help with the clinical research.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Truncal rash
Age: 16.0
Sex: M
Vaccine: FLU4
Symptoms: Electrocardiogram normal, Laboratory test normal, Syncope
Clinical narrative: Vasovagal syncope