chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, C-reactive protein increased, Depression, Disorientation, Dyspnoea
Clinical narrative: Fever within a couple of hours. Crushing muscle aches and pain. (rating 9/10) Disorientation. Headache. Nausea. Extremely severe fatigue. Difficulty breathing (wheezing, a corset 6x too tight around torso and elephant sized weights on shoulders). Worst from hours 26-68.  Fatigue still lingers at a moderate level. Severe depression (without immediate previous prior indication) started after the 3 days of severe illness.  Depression still at a moderate to severe level.  Medical attention sought and anti-depressants prescribed. Ineffective.  Labs post injection showed a nearly 3x increase in hsCRP from prior to injection as well as ANA titer pattern change.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea, Pain
Clinical narrative: Fever within a couple of hours. Crushing muscle aches and pain. (rating 9/10) Disorientation. Headache. Nausea. Extremely severe fatigue. Difficulty breathing (wheezing, a corset 6x too tight around torso and elephant sized weights on shoulders). Worst from hours 26-68.  Fatigue still lingers at a moderate level. Severe depression (without immediate previous prior indication) started after the 3 days of severe illness.  Depression still at a moderate to severe level.  Medical attention sought and anti-depressants prescribed. Ineffective.  Labs post injection showed a nearly 3x increase in hsCRP from prior to injection as well as ANA titer pattern change.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Wheezing
Clinical narrative: Fever within a couple of hours. Crushing muscle aches and pain. (rating 9/10) Disorientation. Headache. Nausea. Extremely severe fatigue. Difficulty breathing (wheezing, a corset 6x too tight around torso and elephant sized weights on shoulders). Worst from hours 26-68.  Fatigue still lingers at a moderate level. Severe depression (without immediate previous prior indication) started after the 3 days of severe illness.  Depression still at a moderate to severe level.  Medical attention sought and anti-depressants prescribed. Ineffective.  Labs post injection showed a nearly 3x increase in hsCRP from prior to injection as well as ANA titer pattern change.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Headache, Musculoskeletal stiffness, Myalgia
Clinical narrative: In addition to commonly reported side effects (headache, mild muscle pain and stiffness), approximately 18 hours post-injection  distinctive systems normally associated with escitalopram withdrawal, mainly electric shock sensations in face and 'brain zaps,' began occurring.  Symptoms disappeared within approximately an hour of taking normal daily dose of escitalopram (20 mg). Approximately 10 hours later, symptoms reappeared with similar severity, and a half-dose of of escitalopram was taken (10 mg). Again, within about an hour symptoms disappeared. No further symptoms have occurred as of >48 hours post-injection. No additional effects observed, and overall recovery from other post-vaccine symptoms proceeded quickly.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Nodule, Pain, Pain in extremity
Clinical narrative: I didn't have any side affects except for pain and stinging my arm and a really hard lump that lasted for about four weeks. It's tiny now - I can still feel it but for the most part it's down to just a little lump. Went to   Urgent Care - about two weeks after the vaccine. Topical ointment was given to me and was told to take Benadryl. I took it for two days and then went to see the other doctor and he said that the ointment wouldn't do anything and it hadn't so I stopped taking the Benadryl and using the ointment. That doctor wrote down how big the lump was. It was a few cm around. His
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Oedema peripheral, Pain
Clinical narrative: I have swelling in my under arm on my left side. its painful and makes it difficult to sleep or move around
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 100+ Lasting 6 days post-shot
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Pulmonary embolism, Pulmonary infarction, Scan with contrast
Clinical narrative: Pulmonary Embolism  and Pulmonary Infarction
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Joint swelling, Pain in extremity, Peripheral swelling, Thrombosis
Clinical narrative: The evening of the shot I woke up with pain in my legs near my hips which lasted for a day. On 04/12/2021 my left leg was swollen and painful. I was already taking blood thinner. I went to the Emergency Room the next day and they found a blood clot in my leg. The Thrombosis was behind my left knee. My leg was swollen from the knee down and my ankle was very swollen. My Eliquis dosage has been increased from 2.5mg to 5mg twice daily. I did not have a repeat sonogram but my leg is no longer swollen.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: The evening of the shot I woke up with pain in my legs near my hips which lasted for a day. On 04/12/2021 my left leg was swollen and painful. I was already taking blood thinner. I went to the Emergency Room the next day and they found a blood clot in my leg. The Thrombosis was behind my left knee. My leg was swollen from the knee down and my ankle was very swollen. My Eliquis dosage has been increased from 2.5mg to 5mg twice daily. I did not have a repeat sonogram but my leg is no longer swollen.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Severe diarrhea next day and for the next 3 weeks. No fever or other effects. Started to subside day before booster shot, then it started again day after booster. 2 weeks later, it seems to be gradually lessening, but still a problem.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: RASH. 8 days after each shot. Rash after second shot was severe. Not at injection site. On both forearms, hands, and onto triceps. Palms, bottoms of feet, face, ears, and at the end, throat. Progressed for 8 days, then began to fade. (It is still detectable now, but nothing is inflamed.) Rash presented as either flat blotches or raised firm bumps.  All became red and inflamed. Some bumps formed a head, some popped, which became scabs. Very very itchy. Only alleviated by ice packs.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Pain in extremity
Clinical narrative: Patient has been experiencing horrible lower back pain that comes down into hips and side of leg
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood test, Blood test abnormal, Electrocardiogram, Liver function test abnormal
Clinical narrative: Went to ER twice after first shot. Blood work from physical came back unnormal. High elevations in platelet, liver, and kidney. Very sick for 3 weeks. 2nd shot: woke up next day ended in ER with fever over 102. Continuous pain, nausea, anxiety, and migraines. PCP and doctors keep denying the shot caused the issues and urged me to get the 2nd dose.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Migraine, Nausea, Pain, Platelet count increased
Clinical narrative: Went to ER twice after first shot. Blood work from physical came back unnormal. High elevations in platelet, liver, and kidney. Very sick for 3 weeks. 2nd shot: woke up next day ended in ER with fever over 102. Continuous pain, nausea, anxiety, and migraines. PCP and doctors keep denying the shot caused the issues and urged me to get the 2nd dose.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Renal function test abnormal, SARS-CoV-2 test negative, Ultrasound scan, X-ray
Clinical narrative: Went to ER twice after first shot. Blood work from physical came back unnormal. High elevations in platelet, liver, and kidney. Very sick for 3 weeks. 2nd shot: woke up next day ended in ER with fever over 102. Continuous pain, nausea, anxiety, and migraines. PCP and doctors keep denying the shot caused the issues and urged me to get the 2nd dose.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Asthenia
Clinical narrative: Severe lower abdominal pain and weakness for about 6-7 hours a day after vaccine administration.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy test negative, Dizziness, Erythema, Paraesthesia, Peripheral swelling
Clinical narrative: Within 5 minutes of getting shot, my right forearm and hand tingled, turned red and started swelling. Next, I felt dizzy and light headed. A nurse then placed a BP cuff on me and measured my BP at 185/150. My oxygen level was 98. My face, neck and arms turned very red and my face - cheeks, nose and lips started to swell. They gave me apple juice and crackers. After about 45 minutes, my right arm was normal, the color in my face, neck and arms returned to normal, my BP was 150/90. My cheeks, nose and lips remained swollen. After another hour passed, I felt ok, so I left. I took Zyrtec and then Benadril, but they didn't help. My doctor prescribed prednisone but took me off of it after 3 days as it had no affect. After a week, the swelling in my cheeks and nose subsided, but as of today 5-6-21 my lips are still swollen.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Within 5 minutes of getting shot, my right forearm and hand tingled, turned red and started swelling. Next, I felt dizzy and light headed. A nurse then placed a BP cuff on me and measured my BP at 185/150. My oxygen level was 98. My face, neck and arms turned very red and my face - cheeks, nose and lips started to swell. They gave me apple juice and crackers. After about 45 minutes, my right arm was normal, the color in my face, neck and arms returned to normal, my BP was 150/90. My cheeks, nose and lips remained swollen. After another hour passed, I felt ok, so I left. I took Zyrtec and then Benadril, but they didn't help. My doctor prescribed prednisone but took me off of it after 3 days as it had no affect. After a week, the swelling in my cheeks and nose subsided, but as of today 5-6-21 my lips are still swollen.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus
Clinical narrative: MY LEFT ARM IS SORE RED AND ITCHY.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intermenstrual bleeding, Menstruation irregular, Pregnancy test negative
Clinical narrative: Pt had a missed menstral period. Previously very regular, taking Lo estergen. Did not start cycle during sugar pills. Started new pack and began spotting 10 days later.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Hyperhidrosis, Pallor
Clinical narrative: PT reports sweating and stomach cramps 10 minutes after vaccination. PT was pale and diaphoretic upon arrival. PT did not eat prior to vaccination. Vitals checked and monitored.  1742 LYING BP 112/71 HR 65 Sp02 96% 1754 LYING BP 117/75 HR 60 Sp02 100% 18:03 STANDING BP 132/86 HR 66 Sp02 100%
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Muscle twitching, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Fever shaking muscle spasms  twitching leg pains. My arm still has raised area
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Fever shaking muscle spasms  twitching leg pains. My arm still has raised area
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Cough, Headache, Myalgia, Pyrexia
Clinical narrative: Fever for over 24 hours of 102. Sever muscle pains and headache. Also, sever paid under left armpit.  Random cough started too.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Memory impairment
Clinical narrative: Patient received the [1st] COVID vaccine (Pfizer Lot # ER8732). RN 1 reported to RN 2 that client had a reaction within the 4 hours following administration of first dose. RN 2 responded. Client report experiencing fatigue, dizziness and that the "floor looked funny" approximately 5 minutes after vaccination. Client reports she was offered EMS and client denies. Today she admits to some shortness of breath that lasted about 1 minute and that she does not fully recall what the EMTs and Nurses were telling her. RN 2 consulted with medical team who determined that this client is not eligible for Pfizer as 2nd dose. Medical team determined client can be offered Janssen as 2nd Dose. RN 2 reported to client that her name and phone number would be sent to our scheduling team for her second dose Janssen. Client verbalized understanding. Client denied additional concerns.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Blood culture, Blood test, Computerised tomogram, Erythema
Clinical narrative: My son his paralyzed t12 and his left hip swelled up within 24 hours of injection, then he used a hand massager to loosen it up and the leg and knee became bright red, swollen even more, and the pain in the leg became unbearable he couldn't move without intense pain, he was taken to ER, where he was treated for possible infection, and they noticed his hemoglobin was dropping and his leg was getting larger, he received 3 units of blood during his stay, A hematoma developed and was growing in the left thigh. He was given Vancomycin, then Doxy. The blood stabilized day 6 and he was discharged day 7 to home to continued recovery.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Haematoma, Haemoglobin decreased, Joint swelling, Pain, Pain in extremity
Clinical narrative: My son his paralyzed t12 and his left hip swelled up within 24 hours of injection, then he used a hand massager to loosen it up and the leg and knee became bright red, swollen even more, and the pain in the leg became unbearable he couldn't move without intense pain, he was taken to ER, where he was treated for possible infection, and they noticed his hemoglobin was dropping and his leg was getting larger, he received 3 units of blood during his stay, A hematoma developed and was growing in the left thigh. He was given Vancomycin, then Doxy. The blood stabilized day 6 and he was discharged day 7 to home to continued recovery.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Paralysis, Peripheral swelling, Transfusion, Ultrasound Doppler, X-ray
Clinical narrative: My son his paralyzed t12 and his left hip swelled up within 24 hours of injection, then he used a hand massager to loosen it up and the leg and knee became bright red, swollen even more, and the pain in the leg became unbearable he couldn't move without intense pain, he was taken to ER, where he was treated for possible infection, and they noticed his hemoglobin was dropping and his leg was getting larger, he received 3 units of blood during his stay, A hematoma developed and was growing in the left thigh. He was given Vancomycin, then Doxy. The blood stabilized day 6 and he was discharged day 7 to home to continued recovery.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure systolic increased, Haemorrhage intracranial, Hemiparesis, Platelet count decreased, Unresponsive to stimuli
Clinical narrative: 65 year old man with HTN received second shot of Pfizer COVID 19 vaccine on 5/3/2021.  He was found unresponsive on 5/4/2021.  He was diagnosed with left intracranial hemorrhage with resulting right hemiparesis.  His admission platelets was 46.  His admission systolic blood pressure was 220.  He only responds to touch and pain.  He does not track movement.  He is currently comfort care and on hospice
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: patient reported to have hives 1 hour after getting vaccine and stated that hives went away the following day.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Chest X-ray abnormal, Chest pain, Chills, Computerised tomogram thorax
Clinical narrative: Fever, chills, sweats, rigors, cough, shortness of breath, right sided chest pain, pneumonia- confirmed on cxr and Ct chest, small pleural effusion, hypoxia, decreased BP.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Full blood count, Hyperhidrosis, Hypoxia
Clinical narrative: Fever, chills, sweats, rigors, cough, shortness of breath, right sided chest pain, pneumonia- confirmed on cxr and Ct chest, small pleural effusion, hypoxia, decreased BP.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Pleural effusion, Pneumonia, Pyrexia
Clinical narrative: Fever, chills, sweats, rigors, cough, shortness of breath, right sided chest pain, pneumonia- confirmed on cxr and Ct chest, small pleural effusion, hypoxia, decreased BP.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Acute respiratory failure, Alanine aminotransferase normal, Angiogram pulmonary abnormal, Anticoagulant therapy
Clinical narrative: Details of Hospital Stay   History of Present Illness  The patient is a 79-year-old woman with a past medical history of hypertension, hypothyroidism, lumbar compression fracture, hiatal hernia, metastatic adenocarcinoma primary lung to bone and question liver, on immunotherapy pembrolizumab started 12/3/2019, changed to osimertinib, right leg superficial thrombosis, on Xarelto presented to hospital on 3/10/2020 with complaints of 2 months duration shortness of breath, worsened over a 4-day period. She was admitted to the hospital with a diagnosis of acute respiratory failure with concerns of acute PE. For all details regarding the patient's initial presentation please refer to history and physical exam dated 3/10/2021.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic valve incompetence, Aspartate aminotransferase normal, Basophil count normal, Basophil percentage, Blood alkaline phosphatase normal
Clinical narrative: Details of Hospital Stay   History of Present Illness  The patient is a 79-year-old woman with a past medical history of hypertension, hypothyroidism, lumbar compression fracture, hiatal hernia, metastatic adenocarcinoma primary lung to bone and question liver, on immunotherapy pembrolizumab started 12/3/2019, changed to osimertinib, right leg superficial thrombosis, on Xarelto presented to hospital on 3/10/2020 with complaints of 2 months duration shortness of breath, worsened over a 4-day period. She was admitted to the hospital with a diagnosis of acute respiratory failure with concerns of acute PE. For all details regarding the patient's initial presentation please refer to history and physical exam dated 3/10/2021.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine increased, Blood glucose normal
Clinical narrative: Details of Hospital Stay   History of Present Illness  The patient is a 79-year-old woman with a past medical history of hypertension, hypothyroidism, lumbar compression fracture, hiatal hernia, metastatic adenocarcinoma primary lung to bone and question liver, on immunotherapy pembrolizumab started 12/3/2019, changed to osimertinib, right leg superficial thrombosis, on Xarelto presented to hospital on 3/10/2020 with complaints of 2 months duration shortness of breath, worsened over a 4-day period. She was admitted to the hospital with a diagnosis of acute respiratory failure with concerns of acute PE. For all details regarding the patient's initial presentation please refer to history and physical exam dated 3/10/2021.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood phosphorus normal, Blood potassium normal, Blood sodium normal, Blood urea increased
Clinical narrative: Details of Hospital Stay   History of Present Illness  The patient is a 79-year-old woman with a past medical history of hypertension, hypothyroidism, lumbar compression fracture, hiatal hernia, metastatic adenocarcinoma primary lung to bone and question liver, on immunotherapy pembrolizumab started 12/3/2019, changed to osimertinib, right leg superficial thrombosis, on Xarelto presented to hospital on 3/10/2020 with complaints of 2 months duration shortness of breath, worsened over a 4-day period. She was admitted to the hospital with a diagnosis of acute respiratory failure with concerns of acute PE. For all details regarding the patient's initial presentation please refer to history and physical exam dated 3/10/2021.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Cardiac failure congestive, Cardiac hypertrophy, Chronic kidney disease, Deep vein thrombosis
Clinical narrative: Details of Hospital Stay   History of Present Illness  The patient is a 79-year-old woman with a past medical history of hypertension, hypothyroidism, lumbar compression fracture, hiatal hernia, metastatic adenocarcinoma primary lung to bone and question liver, on immunotherapy pembrolizumab started 12/3/2019, changed to osimertinib, right leg superficial thrombosis, on Xarelto presented to hospital on 3/10/2020 with complaints of 2 months duration shortness of breath, worsened over a 4-day period. She was admitted to the hospital with a diagnosis of acute respiratory failure with concerns of acute PE. For all details regarding the patient's initial presentation please refer to history and physical exam dated 3/10/2021.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased, Eosinophil count decreased, Eosinophil percentage
Clinical narrative: Details of Hospital Stay   History of Present Illness  The patient is a 79-year-old woman with a past medical history of hypertension, hypothyroidism, lumbar compression fracture, hiatal hernia, metastatic adenocarcinoma primary lung to bone and question liver, on immunotherapy pembrolizumab started 12/3/2019, changed to osimertinib, right leg superficial thrombosis, on Xarelto presented to hospital on 3/10/2020 with complaints of 2 months duration shortness of breath, worsened over a 4-day period. She was admitted to the hospital with a diagnosis of acute respiratory failure with concerns of acute PE. For all details regarding the patient's initial presentation please refer to history and physical exam dated 3/10/2021.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Haematocrit decreased, Haemoglobin decreased, Left ventricular dysfunction, Lymphocyte count decreased
Clinical narrative: Details of Hospital Stay   History of Present Illness  The patient is a 79-year-old woman with a past medical history of hypertension, hypothyroidism, lumbar compression fracture, hiatal hernia, metastatic adenocarcinoma primary lung to bone and question liver, on immunotherapy pembrolizumab started 12/3/2019, changed to osimertinib, right leg superficial thrombosis, on Xarelto presented to hospital on 3/10/2020 with complaints of 2 months duration shortness of breath, worsened over a 4-day period. She was admitted to the hospital with a diagnosis of acute respiratory failure with concerns of acute PE. For all details regarding the patient's initial presentation please refer to history and physical exam dated 3/10/2021.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage decreased, Mitral valve incompetence, Monocyte count increased, Monocyte percentage increased, Neutrophil count decreased
Clinical narrative: Details of Hospital Stay   History of Present Illness  The patient is a 79-year-old woman with a past medical history of hypertension, hypothyroidism, lumbar compression fracture, hiatal hernia, metastatic adenocarcinoma primary lung to bone and question liver, on immunotherapy pembrolizumab started 12/3/2019, changed to osimertinib, right leg superficial thrombosis, on Xarelto presented to hospital on 3/10/2020 with complaints of 2 months duration shortness of breath, worsened over a 4-day period. She was admitted to the hospital with a diagnosis of acute respiratory failure with concerns of acute PE. For all details regarding the patient's initial presentation please refer to history and physical exam dated 3/10/2021.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count normal, Pancytopenia, Peripheral vein occlusion, Platelet count decreased, Polyuria
Clinical narrative: Details of Hospital Stay   History of Present Illness  The patient is a 79-year-old woman with a past medical history of hypertension, hypothyroidism, lumbar compression fracture, hiatal hernia, metastatic adenocarcinoma primary lung to bone and question liver, on immunotherapy pembrolizumab started 12/3/2019, changed to osimertinib, right leg superficial thrombosis, on Xarelto presented to hospital on 3/10/2020 with complaints of 2 months duration shortness of breath, worsened over a 4-day period. She was admitted to the hospital with a diagnosis of acute respiratory failure with concerns of acute PE. For all details regarding the patient's initial presentation please refer to history and physical exam dated 3/10/2021.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Thrombophlebitis superficial, Thrombosis, Ultrasound Doppler abnormal, White blood cell count decreased
Clinical narrative: Details of Hospital Stay   History of Present Illness  The patient is a 79-year-old woman with a past medical history of hypertension, hypothyroidism, lumbar compression fracture, hiatal hernia, metastatic adenocarcinoma primary lung to bone and question liver, on immunotherapy pembrolizumab started 12/3/2019, changed to osimertinib, right leg superficial thrombosis, on Xarelto presented to hospital on 3/10/2020 with complaints of 2 months duration shortness of breath, worsened over a 4-day period. She was admitted to the hospital with a diagnosis of acute respiratory failure with concerns of acute PE. For all details regarding the patient's initial presentation please refer to history and physical exam dated 3/10/2021.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: LARGE AREA OF REDNESS EXTENDING FROM DELTOID TO ELBOW, COVERING BICEP DEVELOPING ABOUT 10 DAYS AFTER VACCINE. NO PAIN OR ITCHING, NO OTHER SYMPTOMS.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Hypertension, Pruritus
Clinical narrative: flushing dizziness itching sweaty
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal uterine bleeding, Oligomenorrhoea, Pregnancy test negative
Clinical narrative: I continued to have my period since the vaccine. I was on day 6 or 7 of period when I received the second COVID 19 vaccine.  I am currently on week 3 with continued abnormal uterine bleeding. I have only had a day or two break twice during the last 3 weeks but every time, my period restarts. Currently still bleeding and waiting to see an OB-GYN specialist. I have always had regular monthly periods prior to the vaccine.  I am a physician myself. I completed pregnancy test and it is negative. Waiting on further studies and evaluation.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Tremor
Clinical narrative: Pt c/o nausea, chills, and rigors. Water given at 1435. At 1439 pt c/o shaking. BP taken 180/74. BP retaken 190/86 at 1440.  SpO2 98%, Temp 36.8C 1448: BP 187/83 1454 BP 175/77, HR 86, Temp 98.8
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Injection site erythema, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Patient noticed a small red rash around the injection site and her arm felt warm to her. Denies itching, shortness of breath, throat or face swelling. Redness observed around the injection site, no swelling, warm to the touch, localized rash. Blood pressure elevated at 172/108, pulse 73, oxygen saturation 100%. Doctor on site called and 10mg Zyrtec administered sublingual. Patient's blood pressure decreased over time and patient's symptoms resolved.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Electrocardiogram normal, Pain
Clinical narrative: Consistent traveling  body pain (forearms, triceps, quads, hamstrings, lower breasts, shins, calves, some feet/tips of fingers). Tightness in chest since 5/2.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dysmenorrhoea, Fatigue, Headache
Clinical narrative: Onset of period the next morning. The heaviest and most painful of my life.  ONGOING: Scull splitting headache, Sinus cavity congestion and contribution to headache, Chills to sweats back and forth. Extreme fatigue, muscle and joint pain
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Hyperhidrosis, Myalgia, Sinus congestion
Clinical narrative: Onset of period the next morning. The heaviest and most painful of my life.  ONGOING: Scull splitting headache, Sinus cavity congestion and contribution to headache, Chills to sweats back and forth. Extreme fatigue, muscle and joint pain
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chromaturia, Haematuria
Clinical narrative: dark urine, back pain, hematuria
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event noted.  Vaccine accidently given at 22 days instead of 28 day interval.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: 7 days late period, which is otherwise very regular.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2 dose of vaccine given at 14 days. No reactions or side effects
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Mobility decreased
Clinical narrative: Moderna 2nd shot. Lower, left back pain. Never had any back issues before. Still having pain 17 days later. Pain is between top of hip to spine and about 3-4 inches above top of hip. So painful. Very difficult to move at times. Sleep interrupted by the pain nightly.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Oropharyngeal discomfort
Clinical narrative: pt received vaccine Moderna on 5/3 in Left deltoid; pt received Moderna vaccine 5/5 Right deltoid.    pt completed consent form x 2 and did not report already receiving the vaccine.  It was found when the pt was entered into system.  Six hours later pt reported a "throat' problem but nothing observable.  Benadryl given.  No other symptoms or concerns.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Head injury, Headache, Loss of consciousness
Clinical narrative: At approximately 9 AM on the morning after receiving the second dose, the patient became dizzy at school.  As she was walking to the teacher's desk, she lost consciousness and fainted, hitting her head on a desk, scraping her neck on a desk, and suffering several other minor injuries from the fall.  She was immediately seen by school nurse and released to my care for the rest of the day. She rested at home and then was seen in at Walk-In Clinic to be evaluated for a concussion.  On Day 2 after receiving the vaccine, the patient reported a sore throat, but no other symptoms.  She was seen on the third day post-vaccine by our pediatrician's office for possible strep.  She tested negative for strep and a concussion from her fainting episode was confirmed due to the lingering headache.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Neck injury, Oropharyngeal pain, Scratch, Streptococcus test negative, Syncope
Clinical narrative: At approximately 9 AM on the morning after receiving the second dose, the patient became dizzy at school.  As she was walking to the teacher's desk, she lost consciousness and fainted, hitting her head on a desk, scraping her neck on a desk, and suffering several other minor injuries from the fall.  She was immediately seen by school nurse and released to my care for the rest of the day. She rested at home and then was seen in at Walk-In Clinic to be evaluated for a concussion.  On Day 2 after receiving the vaccine, the patient reported a sore throat, but no other symptoms.  She was seen on the third day post-vaccine by our pediatrician's office for possible strep.  She tested negative for strep and a concussion from her fainting episode was confirmed due to the lingering headache.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone, Differential white blood cell count, Full blood count, Hypoaesthesia, Magnetic resonance imaging spinal
Clinical narrative: Progressive numbness and tingling in fingers and toes, concern for sensory neuropathy.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neurological examination, Platelet count, Ultrasound thyroid
Clinical narrative: Progressive numbness and tingling in fingers and toes, concern for sensory neuropathy.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disturbance in attention, Fatigue, Headache, Hyperacusis, Malaise
Clinical narrative: After the second does that night I had a really bad headache and felt like I was getting sick. It was hard to focus on doing work and bright lights and loud noises made the headache worse. The next morning, I felt very fatigued and got very tired after even walking short distances. The headache was much lessened but still present. Advil was taken for the headache that night and the next day and helped a bit. Just rest was the most effective. My arm was sore for a couple days after each dose and went away over time. Period was late, as it was due in-between the doses but did not arrive until the day after the second dose (This could have been stress related but is very abnormal)
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation delayed, Pain in extremity, Photophobia
Clinical narrative: After the second does that night I had a really bad headache and felt like I was getting sick. It was hard to focus on doing work and bright lights and loud noises made the headache worse. The next morning, I felt very fatigued and got very tired after even walking short distances. The headache was much lessened but still present. Advil was taken for the headache that night and the next day and helped a bit. Just rest was the most effective. My arm was sore for a couple days after each dose and went away over time. Period was late, as it was due in-between the doses but did not arrive until the day after the second dose (This could have been stress related but is very abnormal)
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Joint swelling, Limb discomfort, Pain
Clinical narrative: I have had every side effect over the last 9 days including fever chills achy swollen joints headache heaviness and fatigue in limbs.  but at day 8 I broke out in hives. Started on the same side as the shot (right) but spread throughout torso and arms. Very little on legs.  Took benedryl 4 hours after onset and they were gone for about 12 hours then started to come back.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urticaria
Clinical narrative: I have had every side effect over the last 9 days including fever chills achy swollen joints headache heaviness and fatigue in limbs.  but at day 8 I broke out in hives. Started on the same side as the shot (right) but spread throughout torso and arms. Very little on legs.  Took benedryl 4 hours after onset and they were gone for about 12 hours then started to come back.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Fever, chills, headache, vertigo, nausea, fatigue, heart palpitations, muscle & joint pain.  All symptoms except headache, vertigo, and fatigue have resolved as of 05/06/2021.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Pyrexia, Vertigo
Clinical narrative: Fever, chills, headache, vertigo, nausea, fatigue, heart palpitations, muscle & joint pain.  All symptoms except headache, vertigo, and fatigue have resolved as of 05/06/2021.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: 11:00 am tiredness, dizziness 1-7pm fever, tiredness
Sex: U
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Diarrhoea, Dizziness, Headache
Clinical narrative: 4 days after 2nd dose experienced post menopausal bleeding, bloating, abdominal pain, muscle aches, sharp pains throughout body, lighthead, diarrhea and headaches.
Sex: U
Vaccine: COVID19
Symptoms: Myalgia, Pain, Postmenopausal haemorrhage
Clinical narrative: 4 days after 2nd dose experienced post menopausal bleeding, bloating, abdominal pain, muscle aches, sharp pains throughout body, lighthead, diarrhea and headaches.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Pt Reports numbness in right hand radiating up to elbow and Armpit numbness. No reduction in mobility, just "numb, lack of feeling entirely in fingers"
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Technician placed needle into appropriate vaccine site on patients left deltoid. He went to plunge the dose into patient arm however, the syringe was empty. He removed the syringe from patient's arm. Explained to patient the clean, new, needle that was placed into his arm contained no vaccine. He did not have any air injected into arm. Technician alerted pharmacist, who had pre-drawn doses set aside. She stated that the syringe was taken out of the wrapper and was placed in the mix of syringes that were pre-drawn with the proper dosage of vaccine. Patient wanted to proceed with the 0.3ml of Covid Pfizer into the same left arm. Patient is well and happy to have received the correct dosage.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt received the incorrect second COV 19 Vaccination today. Pt did not report any adverse s/sx after administration. Pt was advised that vaccine series is considered complete, and they had no further questions. Pt verbalized understanding.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient didn't bring vaccine card to 2nd dose appointment. Pharmacist asked him if it was 28 days and due for 2nd dose and patient said yes. Patient falsified information. When we typed up the vaccine information we discovered we already had a profile for him and noticed that the 1st dose was given at a different store of ours on 04/21//21 (15 days prior).  We called patient and asked how he got an appointment at our store at 15 days.  He told us his wife scheduled it.  He did not follow procedure of clicking the link to select Moderna vaccine and have our scheduler app book appt at original store on day 28.  He was under the impression he had waited the correct duration of time when we spoke to him on follow up.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Inadvertently given to patient one month prior to 16th birthday
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-GAD antibody positive, Immune thrombocytopenia
Clinical narrative: Idiopathic Thrombocytopenia Purpura
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: I received the first dose of the Pfizer Covid-19 vaccine on April 12, 2021. I was on birth control and my period is very regular. My period should have started on or around April 18, 2021.  To date, I have yet to receive my period. I am 19 days late and 100% not pregnant.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Muscle twitching, Nausea, Pallor, Vomiting
Clinical narrative: I asked the patient how he felt after the injection and he said that he felt a little lightheaded and nauseous.  He said he had a little too much to drink last night because his buddies were moving West.  I asked him to lay on the floor but he refused.  He said, "I just want to sit for a while".  Within minutes the patient turned pale and started twitching. I asked another pharmacist to help to move him to the ground.  911 was called while patient was on the ground lying sideways because I was afraid that he may choke on his vomit.  In a few minutes, patient sat up and asked for a bucket to throw up in.  The Fire department came and took his blood pressure  (BP120/?) and asked him some questions. They his blood pressure was good and advised him not to drive home.  They helped him to get back on the chair. He stayed in the vaccination booth for us to keep an eye out until his friend showed up to take him home (30 minutes later). We had a male associate escort him out because he said he was still nauseous.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Headache/dizziness, vitals wnl. Given juice and crackers.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Eyelid margin crusting, Pruritus, Swelling of eyelid, Urticaria
Clinical narrative: Hives with itching about 4 to 5 days before it got better but still happening today (very minor).  Eyelids swelled lasted about 2 days. Left eye was worse, swelled completely shut. Both eyes had crusting.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is not experinceing any adverse event.  she is 16 yrs and 2 months and received the moderna covid vaccine which is for 18 yrs and above
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache
Clinical narrative: Somewhere between half an hour and 45 min after my shot I developed a slight headache and intermittent moderate joint pain in my lower back and left  elbow.  The joint pain is there for a few seconds then it goes away. May be triggered by movement. Nothing wrong with my joints, nothing recent to stress it.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphonia, Tinnitus
Clinical narrative: After the initial dose, I noticed my tinnitus worsened -- higher pitch and louder.  It improved before the second dose.  After the second dose, it again immediately worsened and I have noticeably worse tinnitus still. I now have severe tinnitus.  The effects came on quickly.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Endotracheal intubation, Intensive care, Respiratory distress
Clinical narrative: Patient developed COVID pneumonia 5/6/2021 and admitted to ICU via ED.  Patient intubated due to severe respiratory distress.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient developed COVID pneumonia 5/6/2021 and admitted to ICU via ED.  Patient intubated due to severe respiratory distress.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Patient developed COVID pneumonia 5/6/2021 and admitted to ICU via ED.  Patient intubated due to severe respiratory distress.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: Nausea/diarrhea started soon after.  Later chills, fever of 102, headache, extreme fatigue.  This lasted through the night and into the next day.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Nausea/diarrhea started soon after.  Later chills, fever of 102, headache, extreme fatigue.  This lasted through the night and into the next day.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: Patient reported headache and nausea
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Human chorionic gonadotropin
Clinical narrative: Miscarriage at 8 WGA
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: I am experiencing an irregular menstrual cycle.  The last day of last period was 04/27/2021.  I received my 2nd dose of the Pfizer Covid-19 vaccine shot on 05/05/2021.  My period started again with a heavy menstrual flow on 05/06/2021.  I have not experienced an irregular period prior to receiving the Pfizer covid vaccine shot.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, HIV test, Lymphadenopathy, Mandibular mass, Metabolic function test
Clinical narrative: Patient developed bilateral cervical lymphadenopathy on 4/21. She was started on Augmentin 4/23 without improvement. At time of my exam on 4/27/21 she had a large right fixed submandibular neck mass. CBC 4/27/21 showed mild monocytosis, and US 4/27/21 showed bilateral hypoechoic LNs (R>L with largest node adjacent to R submandibular gland 3.2cm in size) concerning for systemic abnormality such as lymphoma or metastatic disease. Patient was switched to clindamycin on 4/27/21, but developed drug rash, so was ultimately treated with 10-day course of Augmentin and Bactrim with complete resolution of lymphadenopathy when next examined 5/6/21.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Monocytosis, Red blood cell sedimentation rate, Ultrasound scan
Clinical narrative: Patient developed bilateral cervical lymphadenopathy on 4/21. She was started on Augmentin 4/23 without improvement. At time of my exam on 4/27/21 she had a large right fixed submandibular neck mass. CBC 4/27/21 showed mild monocytosis, and US 4/27/21 showed bilateral hypoechoic LNs (R>L with largest node adjacent to R submandibular gland 3.2cm in size) concerning for systemic abnormality such as lymphoma or metastatic disease. Patient was switched to clindamycin on 4/27/21, but developed drug rash, so was ultimately treated with 10-day course of Augmentin and Bactrim with complete resolution of lymphadenopathy when next examined 5/6/21.
Age: 84.0
Sex: M
Vaccine: UNK
Symptoms: Loss of consciousness
Clinical narrative: After receiving vaccination, passed out and was transported to ED.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Hyperhidrosis, Syncope
Clinical narrative: Patient fainted about 5-10mins after shot.  Was sweating profusely and seemed very weak. Could sit up and was conscious and could answer his name and where he was.    Paramedics were called and hooked him up to heart monitor and then took him to hospital.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Bone pain, Myalgia
Clinical narrative: Patient states he has bone and muscle pain on the left-side of his body.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush
Clinical narrative: Hot flash.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cardiac arrest, Chills, Pain in extremity, Unresponsive to stimuli
Clinical narrative: 34 y/o male with no PMHx presenting in cardiac arrest from home.  Per pt's wife, he received 2nd dose of the Pfizer vaccine roughly 24 hours prior.  He complained of arm soreness yesterday afternoon and some chills this morning, took Tylenol for these symptoms.  She found him unresponsive in bed after speaking to him roughly 2 hours earlier.  Per EMS, patient was in asystole upon their arrival.  He received ~ 30 minutes of prehospital ACLS and an additional 20 minutes in the ED and remained in asystole throughout.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cardiac arrest, Chills, Death, Feeling abnormal, Pyrexia
Clinical narrative: 34 y/o male with no PMHx presenting in cardiac arrest from home.  Per pt's wife, he received 2nd dose of the Pfizer vaccine roughly 24 hours prior.  He complained of arm soreness yesterday afternoon and some chills this morning, took Tylenol for these symptoms.  She found him unresponsive in bed after speaking to him roughly 2 hours earlier.  Per EMS, patient was in asystole upon their arrival.  He received ~ 30 minutes of prehospital ACLS and an additional 20 minutes in the ED and remained in asystole throughout.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cardiac arrest, Death, Respiratory arrest, Unresponsive to stimuli
Clinical narrative: 34 y/o male with no PMHx presenting in cardiac arrest from home.  Per pt's wife, he received 2nd dose of the Pfizer vaccine roughly 24 hours prior.  He complained of arm soreness yesterday afternoon and some chills this morning, took Tylenol for these symptoms.  She found him unresponsive in bed after speaking to him roughly 2 hours earlier.  Per EMS, patient was in asystole upon their arrival.  He received ~ 30 minutes of prehospital ACLS and an additional 20 minutes in the ED and remained in asystole throughout.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cardiac arrest, Chills, Pain in extremity, Unresponsive to stimuli
Clinical narrative: described as "felt like I was hit by a truck," fevers, chills, cardiac arrest, death
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cardiac arrest, Chills, Death, Feeling abnormal, Pyrexia
Clinical narrative: described as "felt like I was hit by a truck," fevers, chills, cardiac arrest, death