chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram normal, Magnetic resonance imaging neck, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Patient is a 31 year old  female who is referred for evaluation of  Left arm pain and paresthesias with onset in January 2021 and redolution of symptoms and then after the Covid vaccine, symptoms recurred in the left arm and although there has been some improvement, she still has numbness in hand and arm and pain disturbing her sleep..    Evaluation of a 31 year old right-handed woman with a distant history of right wrist fracture and overuse syndrome with right arm pain since 2020 (attributed to injury), who now presents with left arm pain since January 2021 with no clear trigger. Pain was initially in her in her anterior forearm. She initially suspected an overuse injury from compensating for her right arm injury. Then she started waking overnight with left medial arm numbness and worsened pain that would persist during the day. (Numbness would always resolve with repositioning.) Pain radiates from digits 4 and 5 (and slightly digit 3) with radiation all the way up her left medial arm. On symptom onset the pain would radiate to the shoulder and neck, but neck pain has resolved. Pain had initially improved then worsened in April 2021, with no improvement since then. As noted, between episodes of pain, she has no significant sensory loss. There is no weakness, though she does have pain with strong hand grip. On focused examination, muscle bulk and tone are normal. Strength is full in all muscles tested including bilateral deltoid, biceps, triceps, wrist extensors/flexors, pronation, supination, EDC, FDI, ADM, APB, finger flexors, hip flexors, TA, gastroc. Sensation in intact to light touch and pinprick throughout. Reflexes are 2+ in bilateral biceps, triceps, BR, patellae, and Achilles.  IMPRESSION:  Patient is a 31 year old year old female, who was seen today for evaluation of left arm pain and paresthesias.  Examination shows no deficits. EMG studies were normal.    Findings are most suggestive of brachial neuritis with relapse triggered by covid vaccine in April 2021.    PLAN and RECOMMENDATIONS:   (1) long discussion of diagnosis, favorable prognosis and management (2) trial of  Gabapentin 300 mg take 4 hs (3) We will see her in follow-up in 2 months.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Patient is a 31 year old  female who is referred for evaluation of  Left arm pain and paresthesias with onset in January 2021 and redolution of symptoms and then after the Covid vaccine, symptoms recurred in the left arm and although there has been some improvement, she still has numbness in hand and arm and pain disturbing her sleep..    Evaluation of a 31 year old right-handed woman with a distant history of right wrist fracture and overuse syndrome with right arm pain since 2020 (attributed to injury), who now presents with left arm pain since January 2021 with no clear trigger. Pain was initially in her in her anterior forearm. She initially suspected an overuse injury from compensating for her right arm injury. Then she started waking overnight with left medial arm numbness and worsened pain that would persist during the day. (Numbness would always resolve with repositioning.) Pain radiates from digits 4 and 5 (and slightly digit 3) with radiation all the way up her left medial arm. On symptom onset the pain would radiate to the shoulder and neck, but neck pain has resolved. Pain had initially improved then worsened in April 2021, with no improvement since then. As noted, between episodes of pain, she has no significant sensory loss. There is no weakness, though she does have pain with strong hand grip. On focused examination, muscle bulk and tone are normal. Strength is full in all muscles tested including bilateral deltoid, biceps, triceps, wrist extensors/flexors, pronation, supination, EDC, FDI, ADM, APB, finger flexors, hip flexors, TA, gastroc. Sensation in intact to light touch and pinprick throughout. Reflexes are 2+ in bilateral biceps, triceps, BR, patellae, and Achilles.  IMPRESSION:  Patient is a 31 year old year old female, who was seen today for evaluation of left arm pain and paresthesias.  Examination shows no deficits. EMG studies were normal.    Findings are most suggestive of brachial neuritis with relapse triggered by covid vaccine in April 2021.    PLAN and RECOMMENDATIONS:   (1) long discussion of diagnosis, favorable prognosis and management (2) trial of  Gabapentin 300 mg take 4 hs (3) We will see her in follow-up in 2 months.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Per client 1 week after receiving  Pfizer Covid vaccine (lot# EW0191), had one episode of palpitations. Client denied shortness of breath or chest pain at this time. Client reported palpitations lasting seconds and resolved on its own. Per Mother did not give medication or consult with medical provider. Per Mother no medical history, current medication is daily vitamin and no known allergies.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter
Clinical narrative: Moderna COVID-19 Vaccine EUA Four days after receiving the vaccine I had a fluttering heart for one day.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose normal, Dysarthria, Grip strength decreased, Pallor
Clinical narrative: Pt Became weak and pale, with slurring of speech, bilateral weak grip grip strength
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Dyspnoea, Fatigue, Hypersensitivity
Clinical narrative: Immediately after show injection site pain redness swelling. 6-7 hours after shot fever, chills, shortness of breath, and fatigue began. Day after the shot injection site swelling and redness were worse, it was hot to touch, and constantly burning with pain on a scale of 7/10, and fevers continued. One week after shot arm pain has not had an relief there is hard painful knot at the injection site. I am experiencing ulnar never pain with tingling and loss of feeling in pink and ring finger on left had that comes and goes. Sciatic never pain that radiates down my left leg numbness and tingling in pinky and fourth toes on my left foot. Fevers continue on and off,  averaging 101.5, improve with Tylenol.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site induration, Injection site nodule, Injection site pain
Clinical narrative: Immediately after show injection site pain redness swelling. 6-7 hours after shot fever, chills, shortness of breath, and fatigue began. Day after the shot injection site swelling and redness were worse, it was hot to touch, and constantly burning with pain on a scale of 7/10, and fevers continued. One week after shot arm pain has not had an relief there is hard painful knot at the injection site. I am experiencing ulnar never pain with tingling and loss of feeling in pink and ring finger on left had that comes and goes. Sciatic never pain that radiates down my left leg numbness and tingling in pinky and fourth toes on my left foot. Fevers continue on and off,  averaging 101.5, improve with Tylenol.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Neuralgia, Paraesthesia, Pyrexia
Clinical narrative: Immediately after show injection site pain redness swelling. 6-7 hours after shot fever, chills, shortness of breath, and fatigue began. Day after the shot injection site swelling and redness were worse, it was hot to touch, and constantly burning with pain on a scale of 7/10, and fevers continued. One week after shot arm pain has not had an relief there is hard painful knot at the injection site. I am experiencing ulnar never pain with tingling and loss of feeling in pink and ring finger on left had that comes and goes. Sciatic never pain that radiates down my left leg numbness and tingling in pinky and fourth toes on my left foot. Fevers continue on and off,  averaging 101.5, improve with Tylenol.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory loss, Ultrasound scan
Clinical narrative: Immediately after show injection site pain redness swelling. 6-7 hours after shot fever, chills, shortness of breath, and fatigue began. Day after the shot injection site swelling and redness were worse, it was hot to touch, and constantly burning with pain on a scale of 7/10, and fevers continued. One week after shot arm pain has not had an relief there is hard painful knot at the injection site. I am experiencing ulnar never pain with tingling and loss of feeling in pink and ring finger on left had that comes and goes. Sciatic never pain that radiates down my left leg numbness and tingling in pinky and fourth toes on my left foot. Fevers continue on and off,  averaging 101.5, improve with Tylenol.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: ENLARGED TENDER  SUPRACLAVICULAR LYMPH NODE RIGHT SIDE
Sex: U
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: diarrhea twice; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (diarrhea twice) in a  patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.    On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced DIARRHOEA (diarrhea twice). At the time of the report, DIARRHOEA (diarrhea twice) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.       Patient received the Moderna vaccine 3 months ago and on the first dose patient got diarrhea twice and it went away. When patient  got the 2nd dose one month later, patient  had diarrhea every day and  getting very fatigue.       This case was linked to MOD-2021-163580 (Patient Link).
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Flushing, Pallor
Clinical narrative: Vaccines administered without issue- patient took Rotavirus first without difficulty and tolerated well. He then received 3 IM injections listed above. After nurse left exam room, within 5 minutes of vaccine administration, nurse was called back to exam room by mom. She reported to nurse that he looked pale and nurse noted significant facial pallor and flushing of thighs. Flushing of thighs was resolved at the time of provider eval., but face did have some residual pallor that slowly improved over 5 minutes. Pulse ox. 100% and HR 150. He was breathing comfortably, alert. Cardiac and lung exam WNL. No overt breath holding spell witnessed, no perioral cyanosis. Possible vasovagal or pain response. Mom & provider comfortable with discharge home. Provider discussed with attending- felt this was possible HHE (hypotonic-hyporesponsive episode).
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Condition aggravated, Disability, Dizziness, Dyspnoea
Clinical narrative: I developed mild hives several days after the first shot, but I didn't know that this was an allergic reaction. Once I received the second shot on 1/6/21 (not knowing I was already allergic to it), a few minutes afterwards, my throat swelled up and felt tight. The next day, the hives were out of control all over my body and I kept having episodes of SOB and dizziness so I went to the ER again where I was put on a high dose of prednisone and Benadryl. I had a total of 3 rounds of prednisone and was seen in either the ER or Urgent Care 3 more times after this for the same thing. I've tried every Over-the-counter allergy medication, cream and ointment, have been seen by my PCP, a Dermatologist, have had steroid injections, an now followed by an Allergist and am on Immunotherapy injections every 3-4 weeks. Eight months later, I still have hives, my immune system is weakened, I get frequent UTIs and kidney infections, and my migraines are more severe and more frequent now. I have lost a lot of time at work because of it and have two disability claims out as well.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Immune system disorder, Impaired work ability, Kidney infection, Migraine, Pharyngeal swelling
Clinical narrative: I developed mild hives several days after the first shot, but I didn't know that this was an allergic reaction. Once I received the second shot on 1/6/21 (not knowing I was already allergic to it), a few minutes afterwards, my throat swelled up and felt tight. The next day, the hives were out of control all over my body and I kept having episodes of SOB and dizziness so I went to the ER again where I was put on a high dose of prednisone and Benadryl. I had a total of 3 rounds of prednisone and was seen in either the ER or Urgent Care 3 more times after this for the same thing. I've tried every Over-the-counter allergy medication, cream and ointment, have been seen by my PCP, a Dermatologist, have had steroid injections, an now followed by an Allergist and am on Immunotherapy injections every 3-4 weeks. Eight months later, I still have hives, my immune system is weakened, I get frequent UTIs and kidney infections, and my migraines are more severe and more frequent now. I have lost a lot of time at work because of it and have two disability claims out as well.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Scan normal, Throat tightness, Urinary tract infection, Urticaria
Clinical narrative: I developed mild hives several days after the first shot, but I didn't know that this was an allergic reaction. Once I received the second shot on 1/6/21 (not knowing I was already allergic to it), a few minutes afterwards, my throat swelled up and felt tight. The next day, the hives were out of control all over my body and I kept having episodes of SOB and dizziness so I went to the ER again where I was put on a high dose of prednisone and Benadryl. I had a total of 3 rounds of prednisone and was seen in either the ER or Urgent Care 3 more times after this for the same thing. I've tried every Over-the-counter allergy medication, cream and ointment, have been seen by my PCP, a Dermatologist, have had steroid injections, an now followed by an Allergist and am on Immunotherapy injections every 3-4 weeks. Eight months later, I still have hives, my immune system is weakened, I get frequent UTIs and kidney infections, and my migraines are more severe and more frequent now. I have lost a lot of time at work because of it and have two disability claims out as well.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral haemorrhage, Fall, Head injury, Loss of consciousness, Subarachnoid haemorrhage
Clinical narrative: Pt fell night of vaccine and again the next day. Took her walker down with her and fell again in June after those falls. First & second fall was after the second dose. Third fall was end of July, fell flat on her head and had a brain bleed. That fall led to ambulance ride to trauma center and now she?s been discharged into a rehab facility.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Walking aid user
Clinical narrative: Pt fell night of vaccine and again the next day. Took her walker down with her and fell again in June after those falls. First & second fall was after the second dose. Third fall was end of July, fell flat on her head and had a brain bleed. That fall led to ambulance ride to trauma center and now she?s been discharged into a rehab facility.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Fatigue, Injection site pain, Nausea, Vaccine positive rechallenge
Clinical narrative: Dizziness, nausea, fatique, injection site pain  ; 48 hours
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Rash
Clinical narrative: On the Thursday after my vaccine a reaction started on my face in my chin area-itching. Friday it started again but covering my whole face and then my entire body. I received a steroid shot and steroid pack from my doctor. I also had shortness of breath and a tight chest. Saturday I just had a little of the rash left. Sunday morning I woke up at 1 AM not being able to breathe like normal. My chest was tight and I could only take small breathes. I ended up in the ER receiving tests and blood work. To be told I had a reaction to the vaccine causing an entire body rash and not being able t breathe with my chest being tight.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Antibody test negative, Heparin-induced thrombocytopenia test, Immunoglobulin therapy, Platelet count decreased
Clinical narrative: Patient had Pfizer covid vaccine #2 on 5/7/21.  He presented with low platelet count of reportedly 4 on Thursday 7/22/2021.  He presented to ED on 7/24/2021.  plt 6 on 7/24/21.  He received IVIG 400 mg/kg  x 1 day.  Dexamethasone 40 mg oral daily day 1 - 4.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint lock, Magnetic resonance imaging, X-ray
Clinical narrative: approximately a couple of weeks after the vaccine in left arm I began having pain in left knee and left hip. I normally have some level of pain, I assume from arthritis but this was extreme and lasted until beginning of August. For the first few weeks my knee felt as if it was needing to crack but it did not. After a few weeks, it did crack and then started locking each time I got up and needed to straighten the knee. I waited two months to see if it would get better and it did not so went to doctor. I had MRI and x ray. No torn meniscus and said my cartilage was fine. It did start to improve on its own over time at the same time the hip pain also lessened. After 4 months, there knee has stopped locking and the hip and knee have no more pain. There was no other explanation such as injury to explain this incident.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Chills, Pain, Paraesthesia, Pyrexia
Clinical narrative: Chills, fever, body aches, tingling sensation in hands, eye twitching
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse food reaction, Anxiety, Chest discomfort, Dyspnoea, Fatigue
Clinical narrative: Strong reactions to foods and symptoms in line with MCAS. Daily migraines, severe brain fog, chest tightness, difficulty breathing, and fatigue. After consumption of certain foods, severe brain fog, head rush, anxiety, heart palpitations, and flushing. All symptoms never experienced before vaccine. I have experienced migraines every day for the past two months now in addition to extreme fatigue, and can only eat a limited number of foods without severe reaction.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Flushing, Migraine, Neurological symptom, Palpitations
Clinical narrative: Strong reactions to foods and symptoms in line with MCAS. Daily migraines, severe brain fog, chest tightness, difficulty breathing, and fatigue. After consumption of certain foods, severe brain fog, head rush, anxiety, heart palpitations, and flushing. All symptoms never experienced before vaccine. I have experienced migraines every day for the past two months now in addition to extreme fatigue, and can only eat a limited number of foods without severe reaction.
Sex: U
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: my arm is very red and slightly; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (my arm is very red and slightly) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unknown) for COVID-19 vaccination.     The patient's past medical history included Redness (arm is very red and slightly).    On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ERYTHEMA (my arm is very red and slightly). At the time of the report, ERYTHEMA (my arm is very red and slightly) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.       Concomitant medication not reported.  Treatment medication not reported.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival swelling, Headache, Lymphadenopathy, Pyrexia, Vaccine positive rechallenge
Clinical narrative: Very strong Headache (worse than what occurred with dose 1 or 2), Fever 101F (also had fever with dose 2, but not this high, afebrile after dose 1), Visually swollen lymph nodes/glands (similar to what happened after dose 1 and 2), swollen gums (new symptom with dose 3 that was not previously present). Swollen gums are very uncomfortable.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Strawberry rash under breast, no symptoms, localized, not diffuse.  Almost gone after 24 days.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea, Menstrual disorder
Clinical narrative: After I received my 2nd dose of the Pfizer vaccine I experienced cramping two weeks before my period  . This is very abnormal for me because I  only experience cramping when my cycle is about to start . I?ve also noticed changes in my period
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arthralgia, Fatigue
Clinical narrative: Joint pain and the worst fatigue until now
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Inflammation, Peripheral swelling, Skin warm
Clinical narrative: Three days after I was vaccinated my arm became inflamed, red, hot, swollen.  I researched the symptoms and it appears to be ?Covid Arm? I took an Advil, Zyrtec?.and applied and ice pack.  Today is day 1.  Should I continue to report the  side effects the next few days
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, COVID-19, Chest X-ray abnormal, Diarrhoea, Hypokalaemia
Clinical narrative: Patient is an 80 yo female with a history of small cell pancreatic and lung cancer currently on chemotherapy, tobacco dependence, emphysema, generalized anxiety disorder, abdominal aortic aneurysm, restless leg syndrome, secondary polycythemia, HLD, HTN, carotid artery stenosis, hypercalcemia, who presented to the ED complaining of hypoxia at home, at 85% on 8/21/21. She does not use oxygen at home. Patient is fully vaccinated with Moderna in February 2021. She was diagnosed with COVID on 8/17/21. She had no prior diagnosis of COVID.  She complains of scratchy throat and diarrhea; however, no SOB, fever/chills, loss of sense of taste or smell, abdominal pain. Patient is currently on 4L. CXR on 8/17/21 showed patchy airspace disease in both lungs. CXR on 8/21/21 showed mild worsening of multifocal pneumonia. CTA chest showed no evidence of pulmonary embolus. Stable right lower lobe mass. Stable midlung nodule. Interval new bilateral peripheral patchy but extensive infiltrates consistent with atypical/viral pneumonitis. Tiny right pleural effusion. Multiple mediastinal and hilar lymph nodes show interval increase in size. Laboratory values revealed pancytopenia, hyponatremia, and hypokalemia.  She was started on remdesivir and dexamethasone.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Hypoxia, Lung infiltration, Lymphadenopathy, Pancytopenia
Clinical narrative: Patient is an 80 yo female with a history of small cell pancreatic and lung cancer currently on chemotherapy, tobacco dependence, emphysema, generalized anxiety disorder, abdominal aortic aneurysm, restless leg syndrome, secondary polycythemia, HLD, HTN, carotid artery stenosis, hypercalcemia, who presented to the ED complaining of hypoxia at home, at 85% on 8/21/21. She does not use oxygen at home. Patient is fully vaccinated with Moderna in February 2021. She was diagnosed with COVID on 8/17/21. She had no prior diagnosis of COVID.  She complains of scratchy throat and diarrhea; however, no SOB, fever/chills, loss of sense of taste or smell, abdominal pain. Patient is currently on 4L. CXR on 8/17/21 showed patchy airspace disease in both lungs. CXR on 8/21/21 showed mild worsening of multifocal pneumonia. CTA chest showed no evidence of pulmonary embolus. Stable right lower lobe mass. Stable midlung nodule. Interval new bilateral peripheral patchy but extensive infiltrates consistent with atypical/viral pneumonitis. Tiny right pleural effusion. Multiple mediastinal and hilar lymph nodes show interval increase in size. Laboratory values revealed pancytopenia, hyponatremia, and hypokalemia.  She was started on remdesivir and dexamethasone.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Pneumonia, Pneumonia viral, Pulmonary mass, Small airways disease
Clinical narrative: Patient is an 80 yo female with a history of small cell pancreatic and lung cancer currently on chemotherapy, tobacco dependence, emphysema, generalized anxiety disorder, abdominal aortic aneurysm, restless leg syndrome, secondary polycythemia, HLD, HTN, carotid artery stenosis, hypercalcemia, who presented to the ED complaining of hypoxia at home, at 85% on 8/21/21. She does not use oxygen at home. Patient is fully vaccinated with Moderna in February 2021. She was diagnosed with COVID on 8/17/21. She had no prior diagnosis of COVID.  She complains of scratchy throat and diarrhea; however, no SOB, fever/chills, loss of sense of taste or smell, abdominal pain. Patient is currently on 4L. CXR on 8/17/21 showed patchy airspace disease in both lungs. CXR on 8/21/21 showed mild worsening of multifocal pneumonia. CTA chest showed no evidence of pulmonary embolus. Stable right lower lobe mass. Stable midlung nodule. Interval new bilateral peripheral patchy but extensive infiltrates consistent with atypical/viral pneumonitis. Tiny right pleural effusion. Multiple mediastinal and hilar lymph nodes show interval increase in size. Laboratory values revealed pancytopenia, hyponatremia, and hypokalemia.  She was started on remdesivir and dexamethasone.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Patient is an 80 yo female with a history of small cell pancreatic and lung cancer currently on chemotherapy, tobacco dependence, emphysema, generalized anxiety disorder, abdominal aortic aneurysm, restless leg syndrome, secondary polycythemia, HLD, HTN, carotid artery stenosis, hypercalcemia, who presented to the ED complaining of hypoxia at home, at 85% on 8/21/21. She does not use oxygen at home. Patient is fully vaccinated with Moderna in February 2021. She was diagnosed with COVID on 8/17/21. She had no prior diagnosis of COVID.  She complains of scratchy throat and diarrhea; however, no SOB, fever/chills, loss of sense of taste or smell, abdominal pain. Patient is currently on 4L. CXR on 8/17/21 showed patchy airspace disease in both lungs. CXR on 8/21/21 showed mild worsening of multifocal pneumonia. CTA chest showed no evidence of pulmonary embolus. Stable right lower lobe mass. Stable midlung nodule. Interval new bilateral peripheral patchy but extensive infiltrates consistent with atypical/viral pneumonitis. Tiny right pleural effusion. Multiple mediastinal and hilar lymph nodes show interval increase in size. Laboratory values revealed pancytopenia, hyponatremia, and hypokalemia.  She was started on remdesivir and dexamethasone.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Photosensitivity reaction
Clinical narrative: Possible Sun sensitivity increased.  Sun burned 2 times this year. This last one today was only in the sun for a combined 30 minutes.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Biopsy bone marrow abnormal, C-reactive protein increased, COVID-19, Chest X-ray normal
Clinical narrative: Patient is an 87 year old male with a history of dementia, COPD, anemia, duodenal ulcer due to meloxicam use 11/2020, s/p hemoclips, injection with epinephrine, and argon plasma coagulation, s/p IR embolization of gastric duodenal artery, vitamin B12 deficiency, childhood asthma, hearing impairment, hypertension, hyperlipidemia, coronary Artery Disease s/p coronary stent, prostate CA, thoracic aortic aneurysm, who returns to hospital on 8/16/21 with anemia requiring blood transfusion. Hgb was 6.8 upon admission. He is on ASA.  There is no reports of hematemesis, melena, or hematochezia. Patient was seen last month by Hematology because of the same anemia but no GI bleeding was identified.  Bone marrow biopsy as outpatient was considered before he was released. He underwent bone marrow biopsy this time and it showed MDS. Only supportive measures are recommended currently. He had COVID infection in January 2021, s/p remdesivir and dexamethasone. He is also fully vaccinated with Pfizer, first dose 1/23/21 and second dose 2/13/21. Patient was tested positive x 2 positive (8/18/21 and 8/19/21) before transferring back to SNF. CRP and ferritin are also elevated. However, patient had not required increase in oxygen from baseline line, and CXR clear. He currently does not require treatments. Patient is cleared to be discharged pending placement.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Haemoglobin decreased, Myelodysplastic syndrome, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: Patient is an 87 year old male with a history of dementia, COPD, anemia, duodenal ulcer due to meloxicam use 11/2020, s/p hemoclips, injection with epinephrine, and argon plasma coagulation, s/p IR embolization of gastric duodenal artery, vitamin B12 deficiency, childhood asthma, hearing impairment, hypertension, hyperlipidemia, coronary Artery Disease s/p coronary stent, prostate CA, thoracic aortic aneurysm, who returns to hospital on 8/16/21 with anemia requiring blood transfusion. Hgb was 6.8 upon admission. He is on ASA.  There is no reports of hematemesis, melena, or hematochezia. Patient was seen last month by Hematology because of the same anemia but no GI bleeding was identified.  Bone marrow biopsy as outpatient was considered before he was released. He underwent bone marrow biopsy this time and it showed MDS. Only supportive measures are recommended currently. He had COVID infection in January 2021, s/p remdesivir and dexamethasone. He is also fully vaccinated with Pfizer, first dose 1/23/21 and second dose 2/13/21. Patient was tested positive x 2 positive (8/18/21 and 8/19/21) before transferring back to SNF. CRP and ferritin are also elevated. However, patient had not required increase in oxygen from baseline line, and CXR clear. He currently does not require treatments. Patient is cleared to be discharged pending placement.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Transfusion
Clinical narrative: Patient is an 87 year old male with a history of dementia, COPD, anemia, duodenal ulcer due to meloxicam use 11/2020, s/p hemoclips, injection with epinephrine, and argon plasma coagulation, s/p IR embolization of gastric duodenal artery, vitamin B12 deficiency, childhood asthma, hearing impairment, hypertension, hyperlipidemia, coronary Artery Disease s/p coronary stent, prostate CA, thoracic aortic aneurysm, who returns to hospital on 8/16/21 with anemia requiring blood transfusion. Hgb was 6.8 upon admission. He is on ASA.  There is no reports of hematemesis, melena, or hematochezia. Patient was seen last month by Hematology because of the same anemia but no GI bleeding was identified.  Bone marrow biopsy as outpatient was considered before he was released. He underwent bone marrow biopsy this time and it showed MDS. Only supportive measures are recommended currently. He had COVID infection in January 2021, s/p remdesivir and dexamethasone. He is also fully vaccinated with Pfizer, first dose 1/23/21 and second dose 2/13/21. Patient was tested positive x 2 positive (8/18/21 and 8/19/21) before transferring back to SNF. CRP and ferritin are also elevated. However, patient had not required increase in oxygen from baseline line, and CXR clear. He currently does not require treatments. Patient is cleared to be discharged pending placement.
Sex: U
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: tingling pains that keep occurring randomly throughout my arms & my legs; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA (tingling pains that keep occurring randomly throughout my arms & my legs) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination.     No Medical History information was reported.    On 22-May-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PARAESTHESIA (tingling pains that keep occurring randomly throughout my arms & my legs). At the time of the report, PARAESTHESIA (tingling pains that keep occurring randomly throughout my arms & my legs) outcome was unknown.            Concomitant medications were not provided.  Treatment information was not provided.
Sex: U
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: headache; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (headache) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unknown) for COVID-19 vaccination.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On an unknown date, the patient experienced HEADACHE (headache). At the time of the report, HEADACHE (headache) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown.       Treatment information not provided   Reporter did not allow further contact
Sex: M
Vaccine: COVID19
Symptoms: Intentional dose omission
Clinical narrative: not willing to get second dose; This spontaneous case was reported by a patient family member or friend and describes the occurrence of INTENTIONAL DOSE OMISSION (not willing to get second dose) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unknown) for COVID-19 vaccination.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage form. On an unknown date, the patient experienced INTENTIONAL DOSE OMISSION (not willing to get second dose). At the time of the report, INTENTIONAL DOSE OMISSION (not willing to get second dose) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       No treatment or concomitant products reported
Sex: U
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue
Clinical narrative: diarrhea every day; very fatigue; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of DIARRHEA (diarrhea every day) and FATIGUE (very fatigue) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination.     No Medical History information was reported.   On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced DIARRHEA (diarrhea every day) and FATIGUE (very fatigue). At the time of the report, DIARRHEA (diarrhea every day) and FATIGUE (very fatigue) outcome was unknown.            No concomitant and treatment information was provided.   This case was linked to MOD-2021-163575 (Patient Link).
Sex: U
Vaccine: COVID19
Symptoms: Product dose omission issue
Clinical narrative: i missed an appointment for my second dose that was supposed to be on friday.; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (i missed an appointment for my second dose that was supposed to be on friday.) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On 21-May-2021, the patient experienced PRODUCT DOSE OMISSION ISSUE (i missed an appointment for my second dose that was supposed to be on friday.). On 21-May-2021, PRODUCT DOSE OMISSION ISSUE (i missed an appointment for my second dose that was supposed to be on friday.) had resolved.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fatigue, Pregnancy test, Vomiting
Clinical narrative: Diarrhea; dizziness; vomits; tiredness; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHEA (Diarrhea), DIZZINESS (dizziness), VOMITING (vomits) and FATIGUE (tiredness) in a 37-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 019B21A) for COVID-19 vaccination.     Concomitant products included METOPROLOL, MINERALS NOS, VITAMINS NOS (PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]) and CETIRIZINE for an unknown indication.    On 12-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-May-2021, the patient experienced DIARRHEA (Diarrhea), DIZZINESS (dizziness), VOMITING (vomits) and FATIGUE (tiredness). At the time of the report, DIARRHEA (Diarrhea), DIZZINESS (dizziness), VOMITING (vomits) and FATIGUE (tiredness) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 22-May-2021, Pregnancy test: other (Negative) negative.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.       No treatment medications provided
Sex: U
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: been itching really bad all over; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (been itching really bad all over) in a  patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination.     No Medical History information was reported.    On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-May-2021, the patient experienced PRURITUS (been itching really bad all over). At the time of the report, PRURITUS (been itching really bad all over) outcome was unknown.            No concomitant medications were reported.  No treatment medications were reported.  Action taken with mRNA-1273 in response to the events was not applicable.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site erythema, Vaccination site pruritus, Vaccination site rash, Vaccination site warmth
Clinical narrative: warm and itchy at injection site; warm and itchy at injection site; rash 3 days after 2nd dose; 3 days after 2nd dose redness on arm of the shot; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (warm and itchy at injection site), VACCINATION SITE PRURITUS (warm and itchy at injection site), VACCINATION SITE RASH (rash 3 days after 2nd dose) and VACCINATION SITE ERYTHEMA (3 days after 2nd dose redness on arm of the shot) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031B21A and 04SB21A) for COVID-19 vaccination.     Concomitant products included LORAZEPAM for an unknown indication.   On 20-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 21-May-2021, the patient experienced VACCINATION SITE WARMTH (warm and itchy at injection site), VACCINATION SITE PRURITUS (warm and itchy at injection site), VACCINATION SITE RASH (rash 3 days after 2nd dose) and VACCINATION SITE ERYTHEMA (3 days after 2nd dose redness on arm of the shot). At the time of the report, VACCINATION SITE WARMTH (warm and itchy at injection site), VACCINATION SITE PRURITUS (warm and itchy at injection site), VACCINATION SITE RASH (rash 3 days after 2nd dose) and VACCINATION SITE ERYTHEMA (3 days after 2nd dose redness on arm of the shot) outcome was unknown.
Sex: U
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: enlarge lymph node; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of LYMPHADENOPATHY (enlarge lymph node) in a  patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.   On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced LYMPHADENOPATHY (enlarge lymph node). At the time of the report, LYMPHADENOPATHY (enlarge lymph node) outcome was unknown.            No concomitant drugs and treatment medications were reported.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Product administered at inappropriate site
Clinical narrative: vaccine administered in the left hip due to their timed-release 7 day patches applied on their upper arm; normal soreness; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (vaccine administered in the left hip due to their timed-release 7 day patches applied on their upper arm) and MYALGIA (normal soreness) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026B21A) for COVID-19 vaccination.     No medical history was given.  Concomitant products included BUPRENORPHINE, MORPHINE, IBUPROFEN (MOTRIN CHILDREN) and MENTHOL (BIOFREEZE [MENTHOL]) for an unknown indication.    On 06-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Apr-2021, the patient experienced PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (vaccine administered in the left hip due to their timed-release 7 day patches applied on their upper arm) and MYALGIA (normal soreness). The patient was treated with IBUPROFEN at an unspecified dose and frequency and MENTHOL (BIOFREEZE [MENTHOL]) at an unspecified dose and frequency. On 06-Apr-2021, PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (vaccine administered in the left hip due to their timed-release 7 day patches applied on their upper arm) had resolved. On 08-Apr-2021, MYALGIA (normal soreness) had resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   concomitant medications included over the counter pain medications. Treatment medications include pain patches, prescription pain medications and pain killers.   Most recent FOLLOW-UP information incorporated above includes: On 27-Jul-2021: Non Significant Followup was received.
Sex: U
Vaccine: COVID19
Symptoms: Blood glucose increased
Clinical narrative: My sugar jump up to 144 when it always been 70-100; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of BLOOD GLUCOSE INCREASED (My sugar jump up to 144 when it always been 70-100) in a  patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination.     No Medical History information was reported.    On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage form. On an unknown date, the patient experienced BLOOD GLUCOSE INCREASED (My sugar jump up to 144 when it always been 70-100). At the time of the report, BLOOD GLUCOSE INCREASED (My sugar jump up to 144 when it always been 70-100) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       No concomitant medications or treatment details provided.   Reporter did not allow further contact
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Lethargy, Malaise, Nausea, Somnolence
Clinical narrative: Not feeling good; Very light headed/get dizzy; Only want to sleep; Very lethargic; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (Not feeling good), DIZZINESS (Very light headed/get dizzy), SOMNOLENCE (Only want to sleep), LETHARGY (Very lethargic) and NAUSEA (Nausea) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022BZ1A) for COVID-19 vaccination.     The patient's past medical history included Depression and Anxiety. Concomitant products included ATORVASTATIN CALCIUM (LIPITOR), VITAMIN D [VITAMIN D NOS], CLONAZEPAM (KLONOPIN), DEXLANSOPRAZOLE (DEXILANT), GABAPENTIN and MAGNESIUM for an unknown indication.    On 20-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-May-2021, the patient experienced MALAISE (Not feeling good), DIZZINESS (Very light headed/get dizzy), SOMNOLENCE (Only want to sleep), LETHARGY (Very lethargic) and NAUSEA (Nausea). At the time of the report, MALAISE (Not feeling good), DIZZINESS (Very light headed/get dizzy), SOMNOLENCE (Only want to sleep), LETHARGY (Very lethargic) and NAUSEA (Nausea) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Treatment information was not provided.  Company comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
Sex: U
Vaccine: COVID19
Symptoms: Abdominal discomfort
Clinical narrative: stomach issues; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL DISCOMFORT (stomach issues) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 immunisation.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced ABDOMINAL DISCOMFORT (stomach issues). At the time of the report, ABDOMINAL DISCOMFORT (stomach issues) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       No concomitant medications were reported. No treatment information was reported.   Reporter did not allow further contact.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in the ears; This spontaneous case was reported by a consumer and describes the occurrence of TINNITUS (Ringing in the ears) in a 54-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 025520A and 139Y20K) for COVID-19 vaccination.     No Medical History information was reported.   On 28-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced TINNITUS (Ringing in the ears). At the time of the report, TINNITUS (Ringing in the ears) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant and treatment medications were reported.