chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Insomnia, Mobility decreased, Myalgia
Clinical narrative: ARM SORE THAT NIGHT THAT INJECTION WAS GIVEN, AND SMALL KNOT FELT UNDERSKIN. THE NEXT DAY, I WAS COMPLETELY UNABLE TO GET UP OUT OF BED DUE TO BODY ACHES. BY MONDAY THE BODY ACHES WERE GONE BUT ARM, SHOULDER AND NECK ON THE LEFT SIDE REMAINED EXTREMELY SORE. IT FELT LIKE MUSCLE PAIN FOR A LITTLE OVER A WEEK AND THEN I STARTED HAVING A LOT OF BURNING GONE DOWN MY ARM AND SPARATIC SHARP PAINS, IT SEEMED TO HURT WORSE AT NIGHT MAKING IT UNBEARABLE TO SLEEP. THURSDAY MORNING 8/4/2022 THE RED CLUSTERED RASH APPEARED, DIAGNOSED BY PROVIDER AND PRESCRIBED VALTREX, GABAPENTIN AND AMITRYPLINE (FOR SLEEP). RASH IS SPREADING DOWN THE ARM TODAY AND ON THE BACK OF SHOULDER. VERY PAINFUL
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Nodule, Pain, Pain in extremity, Rash erythematous
Clinical narrative: ARM SORE THAT NIGHT THAT INJECTION WAS GIVEN, AND SMALL KNOT FELT UNDERSKIN. THE NEXT DAY, I WAS COMPLETELY UNABLE TO GET UP OUT OF BED DUE TO BODY ACHES. BY MONDAY THE BODY ACHES WERE GONE BUT ARM, SHOULDER AND NECK ON THE LEFT SIDE REMAINED EXTREMELY SORE. IT FELT LIKE MUSCLE PAIN FOR A LITTLE OVER A WEEK AND THEN I STARTED HAVING A LOT OF BURNING GONE DOWN MY ARM AND SPARATIC SHARP PAINS, IT SEEMED TO HURT WORSE AT NIGHT MAKING IT UNBEARABLE TO SLEEP. THURSDAY MORNING 8/4/2022 THE RED CLUSTERED RASH APPEARED, DIAGNOSED BY PROVIDER AND PRESCRIBED VALTREX, GABAPENTIN AND AMITRYPLINE (FOR SLEEP). RASH IS SPREADING DOWN THE ARM TODAY AND ON THE BACK OF SHOULDER. VERY PAINFUL
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Injected limb mobility decreased, Musculoskeletal stiffness, Nausea
Clinical narrative: The patient stated that the morning after her vaccination her arm was so stiff and painful she could not raise it above her head. By the following morning it was still sore, but she could raise it above her head. She also reports significant fatigue, loss of appetite, and moderate nausea the day following the vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: The patient stated that the morning after her vaccination her arm was so stiff and painful she could not raise it above her head. By the following morning it was still sore, but she could raise it above her head. She also reports significant fatigue, loss of appetite, and moderate nausea the day following the vaccine.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Abnormal dreams, Asthenia, Chills, Disturbance in attention, Fatigue
Clinical narrative: I was feeling very tired in the evening.  When I went to bed, I felt exhaused, but was unable to fall asleep.  I started feeling hot then cold then hot all night long.  When I was able to sleep, I kept having to wake up because my dreams were what I have always considered "Fever dreams" - ones that made no sense and were not comforting at all, but felt dangerous.  My body started aching during the night, feeling like I had been run over by a truck. I also had a headache.  I was supposed to go golfing in the morning, but with the body temperature being out of whack, having had bad dreams, and my body aching, and absolutely no energy,  I told my husband I could not play. After sleeping a couple more hours, I got up but the shivering off and on continued during the day and evening until around 8:30 PM.  I had taken a Tylenol when I got out of bed which relieved the headache for the most part.  But I was listless, had no evergy and was unable to concentrate during the day, even took an hour's nap.It wasn't until about 9:30 PM when I stopped having any reactions.  Just as a note I had had no adverse reactions when I received the first Shingrix vaccine shot.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling of body temperature change, Headache, Listless, Loss of personal independence in daily activities, Malaise
Clinical narrative: I was feeling very tired in the evening.  When I went to bed, I felt exhaused, but was unable to fall asleep.  I started feeling hot then cold then hot all night long.  When I was able to sleep, I kept having to wake up because my dreams were what I have always considered "Fever dreams" - ones that made no sense and were not comforting at all, but felt dangerous.  My body started aching during the night, feeling like I had been run over by a truck. I also had a headache.  I was supposed to go golfing in the morning, but with the body temperature being out of whack, having had bad dreams, and my body aching, and absolutely no energy,  I told my husband I could not play. After sleeping a couple more hours, I got up but the shivering off and on continued during the day and evening until around 8:30 PM.  I had taken a Tylenol when I got out of bed which relieved the headache for the most part.  But I was listless, had no evergy and was unable to concentrate during the day, even took an hour's nap.It wasn't until about 9:30 PM when I stopped having any reactions.  Just as a note I had had no adverse reactions when I received the first Shingrix vaccine shot.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Sleep disorder, Somnolence
Clinical narrative: I was feeling very tired in the evening.  When I went to bed, I felt exhaused, but was unable to fall asleep.  I started feeling hot then cold then hot all night long.  When I was able to sleep, I kept having to wake up because my dreams were what I have always considered "Fever dreams" - ones that made no sense and were not comforting at all, but felt dangerous.  My body started aching during the night, feeling like I had been run over by a truck. I also had a headache.  I was supposed to go golfing in the morning, but with the body temperature being out of whack, having had bad dreams, and my body aching, and absolutely no energy,  I told my husband I could not play. After sleeping a couple more hours, I got up but the shivering off and on continued during the day and evening until around 8:30 PM.  I had taken a Tylenol when I got out of bed which relieved the headache for the most part.  But I was listless, had no evergy and was unable to concentrate during the day, even took an hour's nap.It wasn't until about 9:30 PM when I stopped having any reactions.  Just as a note I had had no adverse reactions when I received the first Shingrix vaccine shot.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Fever up to 102.6, vomit, fatigue, light headed, chest heavy, cough, diarrhea
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever up to 102.6, vomit, fatigue, light headed, chest heavy, cough, diarrhea
Age: 25.0
Sex: M
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Pt was administered expired flu vaccine. Expiration date 6/30/22
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Developed a rash on face morning after receiving vaccine.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: Patient caregiver provided incorrect birthday at the time of vaccine.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Muscle spasms
Clinical narrative: Lymph node swelling, pain, and cramping under left armpit.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Injection site pain, Pain
Clinical narrative: feeling warm, no actual fever, body pain, injection site pain, tiredness   concervative treatment
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Blood test, Erythema, Musculoskeletal stiffness, Pain, Pneumonia
Clinical narrative: Redness and swelling. Stiffness. Extremely sore and achy. Went to the ER and was diagnosed with Pneumonia
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Swelling, Urine analysis, X-ray
Clinical narrative: Redness and swelling. Stiffness. Extremely sore and achy. Went to the ER and was diagnosed with Pneumonia
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: THE VACCINE WAS NOT RECONSTITUED WITH 1.3 ML OF DILUENT, IT WAS GIVEN DIRECTY  0.2 ML FROM THE ORANGE CAP VIAL WITH NO DILUTION  I informed the mom and she said that her daughter didn't get any side effect yet
Age: 71.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Local reaction, Peripheral swelling, Skin warm
Clinical narrative: LOCALIZED REACTION IN UPPER DELTOID, RED, SWOLLEN WARM TO TOUCH
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder cancer, Computerised tomogram, General symptom, Nephrolithiasis, Pathology test
Clinical narrative: I hate to be one of these people. But, I dont smoke, drink, do drugs and live a healthy active lifestyle.   Cancer does not run in my family and I am not exposed to paint or chemicals.   I was diagnosed with high grade t1 kidney and bladder cancer in July 2022. Symptoms started around May. Last June I did get a kidney stone which is rare for me as well. Again, not a crazy blame vaccine person but this seems very odd.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Renal cancer, Ultrasound scan
Clinical narrative: I hate to be one of these people. But, I dont smoke, drink, do drugs and live a healthy active lifestyle.   Cancer does not run in my family and I am not exposed to paint or chemicals.   I was diagnosed with high grade t1 kidney and bladder cancer in July 2022. Symptoms started around May. Last June I did get a kidney stone which is rare for me as well. Again, not a crazy blame vaccine person but this seems very odd.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: THE VACCINE WAS NOT RECONSTIUTED WITH 1.3 MLS OF DILUENT , IT WAS GIVEN DIRECTLY 0.2 ML FROM THE ORANGE CAP VIAL WITH NO DILUTION I INFORMED THE MOM AND SHE SAAID HER SON DIDN'T GET ANY SIDE EFFECT YET
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Fall, Hypoacusis, Visual impairment, Vomiting
Clinical narrative: Around 3:15-3:20pm, after patient had received her first dose of Pfizer Covid vaccine, she was reading paperwork about her vaccine and started to feel anxious. her vision and hearing started to be affected/muffled and she came up to the counter to let the pharmacy staff know. After doing so, she did not make it back to her chair before falling to the ground. Rx technician witnessed this. 911 was called by front store management and EMS was en route. Patient states she may have lost consciousness for a few seconds but remembers being helped up and seated in chair. 911 operator instructed pharmacist not to administer epinephrine. A short time later, the patient vomited. With her permission, her father was informed and left work to meet her at the pharmacy. She contacted him when EMS arrived to discuss whether she should go to the hospital as she was feeling much better. She declined going to hospital and was monitored by pharmacy staff until her father arrived about an hour later.
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Crying, Decreased appetite, Haematochezia, Intussusception, Irritability
Clinical narrative: Pt admitted to Hospital 5/20 (seen in ER 5/19 and transferred) for Intussusception  3mo p/w bloody stool x2 and +intusseception on US last night at 8pm. The first symptom was increased crying and fussiness 2 nights ago but was still eating ok. 24 hours ago had blood in stool. Later on yesterday had anther BM with more blood. Decreased appetite for the last 16 hours.   had 5cm RUQ intussusception. Sent here. No vomiting. No distress. Only pulled legs to chest when examined at UC. The US was at approx 8PM last night.
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Ultrasound scan
Clinical narrative: Pt admitted to Hospital 5/20 (seen in ER 5/19 and transferred) for Intussusception  3mo p/w bloody stool x2 and +intusseception on US last night at 8pm. The first symptom was increased crying and fussiness 2 nights ago but was still eating ok. 24 hours ago had blood in stool. Later on yesterday had anther BM with more blood. Decreased appetite for the last 16 hours.   had 5cm RUQ intussusception. Sent here. No vomiting. No distress. Only pulled legs to chest when examined at UC. The US was at approx 8PM last night.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles developed 7 days after COVID vaccine #2
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Beginning 5:00 pm on the date of vaccination, I experienced 100.4 F fever, severe body aches, headache, and chills lasting over 30 hours. Symptoms are improving, but still present.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: patient came in to get moderna 2nd dose ( 0.5 ml) and got booster dose moderna half dose 0.25 ml . No adverse symtoms . patient was notified to come in to get remaining half dose right away but did not come in
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received an expired dose of Pfizer covid 19 vaccination ndc 59267-1025-04. Dose was expired by about 17 hours.    No adverse reactions have been reported at this time.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pyrexia
Clinical narrative: 101 fever, aches, swelling in lymph nodes around arm pit and neck.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Immune thrombocytopenia, Platelet count decreased
Clinical narrative: My son, 3 years old, had blood work done 2 weeks after getting his 1st dose of Pfizer vaccine.  His body was attacking his platelets (count at 45) and he previously had 0 health issues.  We have seen a Pediatric Hematologist who is almost certain that he now has ITP.
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Blood creatinine, Blood glucose, Blood urea, Differential white blood cell count, Electrocardiogram
Clinical narrative: Symptoms:: Rash developed at first on the left eye lid and then spread over to stomach and lower abdomen , groin and thighs and hand area. A few hours later to the neck area and also on the back side. Itching all over the body at various places Treatment at ER: diphenhydrAMINE (BENADRYL) , Famotidine (PEPCID) and methylPREDNISolone Sod Succ (PF) ( SOLU-Medrol PF) and Sodium Chloride 0.9 %   all given Intravenously Diagnosis: URTICARIA (HIVES)
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Full blood count, Laboratory test, Pruritus, Rash, Urticaria
Clinical narrative: Symptoms:: Rash developed at first on the left eye lid and then spread over to stomach and lower abdomen , groin and thighs and hand area. A few hours later to the neck area and also on the back side. Itching all over the body at various places Treatment at ER: diphenhydrAMINE (BENADRYL) , Famotidine (PEPCID) and methylPREDNISolone Sod Succ (PF) ( SOLU-Medrol PF) and Sodium Chloride 0.9 %   all given Intravenously Diagnosis: URTICARIA (HIVES)
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Vitamin B12, White blood cell count
Clinical narrative: Symptoms:: Rash developed at first on the left eye lid and then spread over to stomach and lower abdomen , groin and thighs and hand area. A few hours later to the neck area and also on the back side. Itching all over the body at various places Treatment at ER: diphenhydrAMINE (BENADRYL) , Famotidine (PEPCID) and methylPREDNISolone Sod Succ (PF) ( SOLU-Medrol PF) and Sodium Chloride 0.9 %   all given Intravenously Diagnosis: URTICARIA (HIVES)
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received a dose of Pfizer covid 19 immunization that was expired by about 17 hours. No adverse reaction has been reported at this time.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Student was under-immunized. Vaccination for ages 6mos<5y (maroon cao) was mistaken for the 5-11y vial (orange cap) and diluted with 1.3 ml and 0.2 ml were injected into patient (dose was .47mg). No adverse effects were experience by patient.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Chills, Headache, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Fever, body aches, chills, headaches, achy skin, swelling at injection sight, redness at injection site.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Pain of skin, Pyrexia
Clinical narrative: Fever, body aches, chills, headaches, achy skin, swelling at injection sight, redness at injection site.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Student was under-immunized. Vaccination for ages 6mos<5y (maroon cao) was mistaken for the 5-11y vial (orange cap) and diluted with 1.3 ml and 0.2 ml were injected into patient (dose was .47mg). No adverse effects were experience by patient.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Student was under-immunized. Vaccination for ages 6mos<5y (maroon cao) was mistaken for the 5-11y vial (orange cap) and diluted with 1.3 ml and 0.2 ml were injected into patient (dose was .47mg). No adverse effects were experience by patient.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Emely received her primary COVID vaccines at age 11yr, she came in today for her booster and the pediatric (orange) 0.2ml was given.  Where she should have received the 12yr COVID vaccine.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Patient was administered influenza vaccine on day 07/29/2022 and on day 08/03/2022. We realized when patient called, that the vaccine expired on day 06/30/2022.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: High fever up to 104 degrees lasting 24 hours and improved down to 100 degree x 2 more days then resolved
Age: 86.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Pruritus
Clinical narrative: Pt developed large red  itchy patch on whole upper arm area
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypersensitivity, Joint swelling, Pain, Peripheral swelling
Clinical narrative: Narrative: 9/7/21: Moderna COVID-19 vaccine dose #1 10/14/21: Moderna COVID-19 vaccine dose #2 10/18/21 Per note, pt c/o hives, swelling and itching starting yesterday, spreading up from feet up the ankles. Pt believes is a reaction to COVID vaccine she received 5 days ago (10/14/21). Pt reports she does not have allergies and has never had an allergic reaction before. Pt has trailed OTC Zyrtec and topical hydrocortisone cream w/ some relief. No severe emergent symptoms. 10/22/21: Seen by provider for "F/U ER visit on 10/18/21 for allergic reaction from getting Moderna COVID vaccine. Symptoms included fever, hives, throat swelling, redness, itchiness and pain. At ER, pt was prescribed a steroid mediation and symptoms have improved since then. Says she is still having some itchiness left and is still taking the steroid medication."
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Pruritus, Pyrexia, Urticaria
Clinical narrative: Narrative: 9/7/21: Moderna COVID-19 vaccine dose #1 10/14/21: Moderna COVID-19 vaccine dose #2 10/18/21 Per note, pt c/o hives, swelling and itching starting yesterday, spreading up from feet up the ankles. Pt believes is a reaction to COVID vaccine she received 5 days ago (10/14/21). Pt reports she does not have allergies and has never had an allergic reaction before. Pt has trailed OTC Zyrtec and topical hydrocortisone cream w/ some relief. No severe emergent symptoms. 10/22/21: Seen by provider for "F/U ER visit on 10/18/21 for allergic reaction from getting Moderna COVID vaccine. Symptoms included fever, hives, throat swelling, redness, itchiness and pain. At ER, pt was prescribed a steroid mediation and symptoms have improved since then. Says she is still having some itchiness left and is still taking the steroid medication."
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, General symptom
Clinical narrative: Narrative: presented to ER w/ c/o progressive weakness on 7/8/22 reporting symptoms started 2-3 days prior and getting progressively worse -- additional details provided in another section of this report. Patient received Shingrix and PPSV23 vaccines in different arms on 6/27.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness
Clinical narrative: Narrative:  Patient became "woozy" about 30 mins after administration of vaccine. Patient thought could be low blood sugar (non-diabetic patient). Had head lowered/feet elevated for 20 mins. Patient slowly transitioned to upright seated position and then standing. Denied symptoms returning and had no trouble walking.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Purpura, Rash, Skin discolouration, Urticaria
Clinical narrative: Rash, UrticariaPruritus, Purpura, Vitiligo over her entire body Narrative:  She had a rash the day after her second vaccine. She saw her doctor 4 days after her second vaccine and was diagnosed with Vitiligo. She has patches of discolored scarred skin throughout her entire body. This continues to cause her problems.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Vitiligo
Clinical narrative: Rash, UrticariaPruritus, Purpura, Vitiligo over her entire body Narrative:  She had a rash the day after her second vaccine. She saw her doctor 4 days after her second vaccine and was diagnosed with Vitiligo. She has patches of discolored scarred skin throughout her entire body. This continues to cause her problems.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Headache
Clinical narrative: Narrative:  patient having a vaccination yesterday, with resultant erythema, his symptoms are likely secondary to local immune reaction. This has been discussed with the patient and his wife. Patient has been offered steroids versus meloxicam in the emergency department for his symptoms. Patient has been informed that steroids may decrease his immune reaction therefore decreasing his immunity to shingles in the future. At this time patient has elected to have steroids emergency department. Patient has received Decadron 10 mg orally in the emergency department for his symptoms. Patient will also be sent with Mobic, 7.5 mg daily for the next 5 days. Patient has been instructed to start this medication tomorrow. Patient has been instructed to not take this medication in addition to other NSAIDs as it can cause GI upset. Patient has been informed that if he needs additional pain relief to take Tylenol. Subjective/Chief Complaint: right arm pain and redness after having shingle vaccine on Monday. Pt. had a sever head ache yesterday that has resolved.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 72.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Narrative:  N-Herpes Zoster Vaccine administered in clinic. Rash observed by nurse and PCP
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Transient ischaemic attack
Clinical narrative: Narrative: Per notes in CPRS as documented by RN, patient received second booster (4th dose) of covid vaccine on 5/5/22 and then at a TIA/stroke 4 days later on 5/9/22. Decision made to document this as an ADR to the covid vaccine.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Swelling face
Clinical narrative: Narrative:  At Mental Health visit, patient showed picture of lip and facial swelling that occurred 12 hours post-booster to nurse. No further details given.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax normal, Deep vein thrombosis, Peripheral artery occlusion, Ultrasound Doppler abnormal, Venous thrombosis
Clinical narrative: Narrative: DATE OF ADMISSION: 5/20/2022 DATE OF DISCHARGE: 5/22/2022
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Intensive care, Pulmonary embolism
Clinical narrative: Narrative:  Admitted to hospital, icu admission for Pulmonary embolism. Presented with shortness of breath after his second covid shot.
Age: 71.0
Sex: M
Vaccine: TDAP
Symptoms: Cardio-respiratory arrest, Cerebellar haemorrhage, Unresponsive to stimuli
Clinical narrative: Narrative: 70 year old male with uncontrolled hypertension presented to primary care clinic to re-establish care. BP was elevated upon check in (166/112) - was offered TDaP vaccine. A few minutes after vaccine administration, patient became unresponsive and a code was called. Patient was transferred to ED where he was diagnosed with right cerebellar hemorrhage. Patient transferred to another hospital for higher level of care and neurosurgical services for likely surgery.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: AST/ALT ratio, Alanine aminotransferase normal, Bilirubin conjugated, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: Narrative:  Patient with tingling and pain in his bilateral palms and base of his feet for 5-6 days. Developed gradual onset of burning sensation in bilateral feet and palms of hands along with decreased sensation and feeling of discoordination. He and his daughter also noted slowed mentation with worse recall than normal. He had tried gabapentin for these symptoms but did not find the medication helpful. On day of presentation to ED, he was unable to close left eye and noted left-sided facial droop. He denied any recent viral illness or vaccinations. Neurology was consulted and patient diagnosed with acute sensorimotor polyneuropathy - Guillain-Barre syndrome and treated with IVIG. Patient was hospitalized 10/18 through 11/2/21. Hospital course complicated by delirium with hallucinations and hyponatremia (suspected secondary to IVIG). Transferred to extended care 11/2 through 11/30/21 for continued care and rehabilitation. Discharged to home after that time. Vaccine ADR entered by primary care nurse practitioner following this patient's hospitalization and extended care stay. Neurologist is doubtful of association of GBS with vaccination 10 weeks prior.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood bilirubin normal, Blood chloride normal, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: Narrative:  Patient with tingling and pain in his bilateral palms and base of his feet for 5-6 days. Developed gradual onset of burning sensation in bilateral feet and palms of hands along with decreased sensation and feeling of discoordination. He and his daughter also noted slowed mentation with worse recall than normal. He had tried gabapentin for these symptoms but did not find the medication helpful. On day of presentation to ED, he was unable to close left eye and noted left-sided facial droop. He denied any recent viral illness or vaccinations. Neurology was consulted and patient diagnosed with acute sensorimotor polyneuropathy - Guillain-Barre syndrome and treated with IVIG. Patient was hospitalized 10/18 through 11/2/21. Hospital course complicated by delirium with hallucinations and hyponatremia (suspected secondary to IVIG). Transferred to extended care 11/2 through 11/30/21 for continued care and rehabilitation. Discharged to home after that time. Vaccine ADR entered by primary care nurse practitioner following this patient's hospitalization and extended care stay. Neurologist is doubtful of association of GBS with vaccination 10 weeks prior.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood urea normal, Bradyphrenia, Burning sensation, CSF glucose increased, CSF protein increased
Clinical narrative: Narrative:  Patient with tingling and pain in his bilateral palms and base of his feet for 5-6 days. Developed gradual onset of burning sensation in bilateral feet and palms of hands along with decreased sensation and feeling of discoordination. He and his daughter also noted slowed mentation with worse recall than normal. He had tried gabapentin for these symptoms but did not find the medication helpful. On day of presentation to ED, he was unable to close left eye and noted left-sided facial droop. He denied any recent viral illness or vaccinations. Neurology was consulted and patient diagnosed with acute sensorimotor polyneuropathy - Guillain-Barre syndrome and treated with IVIG. Patient was hospitalized 10/18 through 11/2/21. Hospital course complicated by delirium with hallucinations and hyponatremia (suspected secondary to IVIG). Transferred to extended care 11/2 through 11/30/21 for continued care and rehabilitation. Discharged to home after that time. Vaccine ADR entered by primary care nurse practitioner following this patient's hospitalization and extended care stay. Neurologist is doubtful of association of GBS with vaccination 10 weeks prior.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: CSF test, CSF white blood cell count negative, Carbon dioxide decreased, Coordination abnormal, Delirium
Clinical narrative: Narrative:  Patient with tingling and pain in his bilateral palms and base of his feet for 5-6 days. Developed gradual onset of burning sensation in bilateral feet and palms of hands along with decreased sensation and feeling of discoordination. He and his daughter also noted slowed mentation with worse recall than normal. He had tried gabapentin for these symptoms but did not find the medication helpful. On day of presentation to ED, he was unable to close left eye and noted left-sided facial droop. He denied any recent viral illness or vaccinations. Neurology was consulted and patient diagnosed with acute sensorimotor polyneuropathy - Guillain-Barre syndrome and treated with IVIG. Patient was hospitalized 10/18 through 11/2/21. Hospital course complicated by delirium with hallucinations and hyponatremia (suspected secondary to IVIG). Transferred to extended care 11/2 through 11/30/21 for continued care and rehabilitation. Discharged to home after that time. Vaccine ADR entered by primary care nurse practitioner following this patient's hospitalization and extended care stay. Neurologist is doubtful of association of GBS with vaccination 10 weeks prior.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Diffusion-weighted brain MRI normal, Eyelid function disorder, Facial paralysis, Full blood count, Guillain-Barre syndrome
Clinical narrative: Narrative:  Patient with tingling and pain in his bilateral palms and base of his feet for 5-6 days. Developed gradual onset of burning sensation in bilateral feet and palms of hands along with decreased sensation and feeling of discoordination. He and his daughter also noted slowed mentation with worse recall than normal. He had tried gabapentin for these symptoms but did not find the medication helpful. On day of presentation to ED, he was unable to close left eye and noted left-sided facial droop. He denied any recent viral illness or vaccinations. Neurology was consulted and patient diagnosed with acute sensorimotor polyneuropathy - Guillain-Barre syndrome and treated with IVIG. Patient was hospitalized 10/18 through 11/2/21. Hospital course complicated by delirium with hallucinations and hyponatremia (suspected secondary to IVIG). Transferred to extended care 11/2 through 11/30/21 for continued care and rehabilitation. Discharged to home after that time. Vaccine ADR entered by primary care nurse practitioner following this patient's hospitalization and extended care stay. Neurologist is doubtful of association of GBS with vaccination 10 weeks prior.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hallucination, Hypoaesthesia, Hyponatraemia
Clinical narrative: Narrative:  Patient with tingling and pain in his bilateral palms and base of his feet for 5-6 days. Developed gradual onset of burning sensation in bilateral feet and palms of hands along with decreased sensation and feeling of discoordination. He and his daughter also noted slowed mentation with worse recall than normal. He had tried gabapentin for these symptoms but did not find the medication helpful. On day of presentation to ED, he was unable to close left eye and noted left-sided facial droop. He denied any recent viral illness or vaccinations. Neurology was consulted and patient diagnosed with acute sensorimotor polyneuropathy - Guillain-Barre syndrome and treated with IVIG. Patient was hospitalized 10/18 through 11/2/21. Hospital course complicated by delirium with hallucinations and hyponatremia (suspected secondary to IVIG). Transferred to extended care 11/2 through 11/30/21 for continued care and rehabilitation. Discharged to home after that time. Vaccine ADR entered by primary care nurse practitioner following this patient's hospitalization and extended care stay. Neurologist is doubtful of association of GBS with vaccination 10 weeks prior.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Immunoglobulin therapy, Magnetic resonance imaging head normal, Memory impairment, Metabolic function test, Pain in extremity
Clinical narrative: Narrative:  Patient with tingling and pain in his bilateral palms and base of his feet for 5-6 days. Developed gradual onset of burning sensation in bilateral feet and palms of hands along with decreased sensation and feeling of discoordination. He and his daughter also noted slowed mentation with worse recall than normal. He had tried gabapentin for these symptoms but did not find the medication helpful. On day of presentation to ED, he was unable to close left eye and noted left-sided facial droop. He denied any recent viral illness or vaccinations. Neurology was consulted and patient diagnosed with acute sensorimotor polyneuropathy - Guillain-Barre syndrome and treated with IVIG. Patient was hospitalized 10/18 through 11/2/21. Hospital course complicated by delirium with hallucinations and hyponatremia (suspected secondary to IVIG). Transferred to extended care 11/2 through 11/30/21 for continued care and rehabilitation. Discharged to home after that time. Vaccine ADR entered by primary care nurse practitioner following this patient's hospitalization and extended care stay. Neurologist is doubtful of association of GBS with vaccination 10 weeks prior.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Paraesthesia, Peripheral motor neuropathy, Peripheral sensory neuropathy, Platelet count increased, Sensory loss
Clinical narrative: Narrative:  Patient with tingling and pain in his bilateral palms and base of his feet for 5-6 days. Developed gradual onset of burning sensation in bilateral feet and palms of hands along with decreased sensation and feeling of discoordination. He and his daughter also noted slowed mentation with worse recall than normal. He had tried gabapentin for these symptoms but did not find the medication helpful. On day of presentation to ED, he was unable to close left eye and noted left-sided facial droop. He denied any recent viral illness or vaccinations. Neurology was consulted and patient diagnosed with acute sensorimotor polyneuropathy - Guillain-Barre syndrome and treated with IVIG. Patient was hospitalized 10/18 through 11/2/21. Hospital course complicated by delirium with hallucinations and hyponatremia (suspected secondary to IVIG). Transferred to extended care 11/2 through 11/30/21 for continued care and rehabilitation. Discharged to home after that time. Vaccine ADR entered by primary care nurse practitioner following this patient's hospitalization and extended care stay. Neurologist is doubtful of association of GBS with vaccination 10 weeks prior.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: White blood cell count increased
Clinical narrative: Narrative:  Patient with tingling and pain in his bilateral palms and base of his feet for 5-6 days. Developed gradual onset of burning sensation in bilateral feet and palms of hands along with decreased sensation and feeling of discoordination. He and his daughter also noted slowed mentation with worse recall than normal. He had tried gabapentin for these symptoms but did not find the medication helpful. On day of presentation to ED, he was unable to close left eye and noted left-sided facial droop. He denied any recent viral illness or vaccinations. Neurology was consulted and patient diagnosed with acute sensorimotor polyneuropathy - Guillain-Barre syndrome and treated with IVIG. Patient was hospitalized 10/18 through 11/2/21. Hospital course complicated by delirium with hallucinations and hyponatremia (suspected secondary to IVIG). Transferred to extended care 11/2 through 11/30/21 for continued care and rehabilitation. Discharged to home after that time. Vaccine ADR entered by primary care nurse practitioner following this patient's hospitalization and extended care stay. Neurologist is doubtful of association of GBS with vaccination 10 weeks prior.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Tenderness
Clinical narrative: Narrative: Patient contacted PCP via phone to report experiencing swollen, itch, tenderness, and redness on his left arm after receiving COVID booster dose on 6/7/22. Patient declined triage at this time. all has improved besides the redness.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia
Clinical narrative: Narrative:  zoster vaccine given 5/10; the following was noted on presentation to ER w/ subsequent admission on 7/11: pt c/o progressive weakness x3-4 weeks; note that date of event is estimated based on patient's report
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Narrative: Primary care nurse administered dose of COVID vaccine that had been prepared the previous day at 0700. BUD on syringe was 12 hours making it "expired" at 1900 on 6/2/2022. Dose was not turned into pharmacy properly for wasting and was administered the following morning around 1030 on 6/3/2022. No adverse effects to pt noted. Called manufacturer of vaccine for recommendation on effectiveness of dose given and whether it should be repeated. Awaiting analysis of the lot number to make clinical recommendation on repeating dose (3-5 business days for info per Moderna)
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Narrative:  Patient reports "Arm swelled up to size of egg" after administration of a COVID vaccination. Patient previously reported no issues with vaccine series. As patient had not received a dose of vaccine in 12 months, unclear if patient received a booster at outside facility undocumented or if reaction to 2nd dose in 2021 was incorrectly documented at previous visit.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling
Clinical narrative: Narrative:  Patient was administered Pneumovax-23 and Boostrix as part of her standard vaccines for her age and comorbidities, however later that afternoon she presented with swelling in her left arm. As both vaccines were given in the left arm it is unclear whether this reaction was to the Pneumovax or the Boostrix injection, however the Urgent Care physician who evaluated the patient noted that this reaction in more common with Pneumovax than Boostrix and the patient had previously received TDAP immunizations without issue.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood creatinine, Blood test, Fatigue, Lethargy
Clinical narrative: Few months later, following the initial 1x Johnson and Johnson Covid vaccine, and 1 booster vaccine of Pfizer, I began feeling lethargic, tired, lacking any energy so had blood lab done at a HCF lab at my doctors request.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Fatigue, Immunisation, Vaccination site pain
Clinical narrative: COVID-19 illness; COVID-19 illness; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 47-year-old male patient received BNT162b2 (BNT162B2), on 11Sep2020 at 08:00 as dose 1, single (Lot number: P2203950068L), in left arm, on 02Oct2020 at 08:00 as dose 2, single (Lot number: P2203950068L), in left arm and on 06Dec2021 at 19:00 as dose 3 (booster), single (Lot number: JR1620) at the age of 47 years, in left arm, all intramuscular for covid-19 immunisation. The patient had no relevant medical history. Concomitant medication(s) included: ROSUVASTATIN; FISH OIL. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 02Aug2022 at 16:00, outcome "recovering" and all described as "COVID-19 illness". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (02Aug2022) Negative, notes: Nasal Swab; (03Aug2022) Positive, notes: Nasal Swab. Therapeutic measures were taken as a result of vaccination failure, covid-19.  Clinical course: No vaccine in 4 weeks, Other medications in two weeks: rosuvastatin 5m/day, fish oil 1000mg/day, Ae treatment: Paxlovid, no covid prior vaccination and covid tested post vaccination and no other medical history.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
Clinical narrative: COVID-19 illness; COVID-19 illness; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 47-year-old male patient received BNT162b2 (BNT162B2), on 11Sep2020 at 08:00 as dose 1, single (Lot number: P2203950068L), in left arm, on 02Oct2020 at 08:00 as dose 2, single (Lot number: P2203950068L), in left arm and on 06Dec2021 at 19:00 as dose 3 (booster), single (Lot number: JR1620) at the age of 47 years, in left arm, all intramuscular for covid-19 immunisation. The patient had no relevant medical history. Concomitant medication(s) included: ROSUVASTATIN; FISH OIL. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 02Aug2022 at 16:00, outcome "recovering" and all described as "COVID-19 illness". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (02Aug2022) Negative, notes: Nasal Swab; (03Aug2022) Positive, notes: Nasal Swab. Therapeutic measures were taken as a result of vaccination failure, covid-19.  Clinical course: No vaccine in 4 weeks, Other medications in two weeks: rosuvastatin 5m/day, fish oil 1000mg/day, Ae treatment: Paxlovid, no covid prior vaccination and covid tested post vaccination and no other medical history.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Axillary pain, Biopsy breast abnormal, Biopsy lymph gland, Blood test, Headache
Clinical narrative: patient could not raise her left arm for 3 days/next day she could hardly use it; could not raise her left arm for 3 days because it was swollen; she had a sore arm for a week; This spontaneous case was reported by a patient and describes the occurrence of MOBILITY DECREASED (patient could not raise her left arm for 3 days/next day she could hardly use it), PERIPHERAL SWELLING (could not raise her left arm for 3 days because it was swollen) and PAIN IN EXTREMITY (she had a sore arm for a week) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) for COVID-19 vaccination.     The patient's past medical history included Breast cancer (27 years cancer free) in 1991. Concurrent medical conditions included Iodine allergy, Blood pressure and Acid reflux (esophageal). Concomitant products included ESOMEPRAZOLE SODIUM (NEXIUM [ESOMEPRAZOLE SODIUM]) for Acid reflux (esophageal), HYDROCHLOROTHIAZIDE for Blood pressure, VITAMINS NOS for an unknown indication.    On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Jan-2021, the patient experienced MOBILITY DECREASED (patient could not raise her left arm for 3 days/next day she could hardly use it), PERIPHERAL SWELLING (could not raise her left arm for 3 days because it was swollen) and PAIN IN EXTREMITY (she had a sore arm for a week). On 31-Jan-2021, MOBILITY DECREASED (patient could not raise her left arm for 3 days/next day she could hardly use it) and PERIPHERAL SWELLING (could not raise her left arm for 3 days because it was swollen) had resolved. On 02-Feb-2021, PAIN IN EXTREMITY (she had a sore arm for a week) had resolved.        mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The patient never had COVID positive test or diagnosis. No other vaccines were given within 1 month prior to Moderna COVID-19 vaccine. On 29-Jan-2021, patient could hardly use her left arm and it resolved on the same day. Patient put ice on the arm. No treatment drug was reported.   This case was linked to MOD-2022-618345, MOD-2022-618346, MOD-2022-618347 (Patient Link).
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Injected limb mobility decreased, Injection site swelling, Lymphadenectomy, Lymphadenopathy, Mammogram
Clinical narrative: patient could not raise her left arm for 3 days/next day she could hardly use it; could not raise her left arm for 3 days because it was swollen; she had a sore arm for a week; This spontaneous case was reported by a patient and describes the occurrence of MOBILITY DECREASED (patient could not raise her left arm for 3 days/next day she could hardly use it), PERIPHERAL SWELLING (could not raise her left arm for 3 days because it was swollen) and PAIN IN EXTREMITY (she had a sore arm for a week) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) for COVID-19 vaccination.     The patient's past medical history included Breast cancer (27 years cancer free) in 1991. Concurrent medical conditions included Iodine allergy, Blood pressure and Acid reflux (esophageal). Concomitant products included ESOMEPRAZOLE SODIUM (NEXIUM [ESOMEPRAZOLE SODIUM]) for Acid reflux (esophageal), HYDROCHLOROTHIAZIDE for Blood pressure, VITAMINS NOS for an unknown indication.    On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Jan-2021, the patient experienced MOBILITY DECREASED (patient could not raise her left arm for 3 days/next day she could hardly use it), PERIPHERAL SWELLING (could not raise her left arm for 3 days because it was swollen) and PAIN IN EXTREMITY (she had a sore arm for a week). On 31-Jan-2021, MOBILITY DECREASED (patient could not raise her left arm for 3 days/next day she could hardly use it) and PERIPHERAL SWELLING (could not raise her left arm for 3 days because it was swollen) had resolved. On 02-Feb-2021, PAIN IN EXTREMITY (she had a sore arm for a week) had resolved.        mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The patient never had COVID positive test or diagnosis. No other vaccines were given within 1 month prior to Moderna COVID-19 vaccine. On 29-Jan-2021, patient could hardly use her left arm and it resolved on the same day. Patient put ice on the arm. No treatment drug was reported.   This case was linked to MOD-2022-618345, MOD-2022-618346, MOD-2022-618347 (Patient Link).