chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Aortic valve incompetence, Asthenia, Blood lactic acid increased, Brain natriuretic peptide increased
Clinical narrative: The patient is an 85y/o w/pmh of hypopituitarism and macroprolactinoma, who presented w/weakness, chills after receiving her Covid booster on 10/4/2021, hypotension requiring pressors, possible UTI with 2+ leukoesterase, WBC 12.  She states she was awake the entire night w/chills denies fever, n/v or diarrhea chest pain, shortness of breath, cough or chest pain. On arrival to the ER she had a low grade temp and c/o bilateral leg pain. Chest X-ray shows no acute pulmonary processes. Lactate 2.49, BNP 9,325 s/p 1.8 liters of LR. She was admitted to ICU with hypotension requiring vasopressors, AKI 2/2 hypotension.Additional information for Item 18: Echo EF is estimated at 25-30 %. Moderate tricuspid regurgitation with RVSP of 67 mmHg consistent with severe pulmonary hypertension. Mild aortic regurgitation is present. In comparison to 6/18/20 EF 65-70%.  Diagnosed with stress cardiomyopathy.  Clinically recovering.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chills, Echocardiogram abnormal, Ejection fraction decreased, Hypotension
Clinical narrative: The patient is an 85y/o w/pmh of hypopituitarism and macroprolactinoma, who presented w/weakness, chills after receiving her Covid booster on 10/4/2021, hypotension requiring pressors, possible UTI with 2+ leukoesterase, WBC 12.  She states she was awake the entire night w/chills denies fever, n/v or diarrhea chest pain, shortness of breath, cough or chest pain. On arrival to the ER she had a low grade temp and c/o bilateral leg pain. Chest X-ray shows no acute pulmonary processes. Lactate 2.49, BNP 9,325 s/p 1.8 liters of LR. She was admitted to ICU with hypotension requiring vasopressors, AKI 2/2 hypotension.Additional information for Item 18: Echo EF is estimated at 25-30 %. Moderate tricuspid regurgitation with RVSP of 67 mmHg consistent with severe pulmonary hypertension. Mild aortic regurgitation is present. In comparison to 6/18/20 EF 65-70%.  Diagnosed with stress cardiomyopathy.  Clinically recovering.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Pain in extremity, Pulmonary hypertension, Pyrexia, Sleep disorder
Clinical narrative: The patient is an 85y/o w/pmh of hypopituitarism and macroprolactinoma, who presented w/weakness, chills after receiving her Covid booster on 10/4/2021, hypotension requiring pressors, possible UTI with 2+ leukoesterase, WBC 12.  She states she was awake the entire night w/chills denies fever, n/v or diarrhea chest pain, shortness of breath, cough or chest pain. On arrival to the ER she had a low grade temp and c/o bilateral leg pain. Chest X-ray shows no acute pulmonary processes. Lactate 2.49, BNP 9,325 s/p 1.8 liters of LR. She was admitted to ICU with hypotension requiring vasopressors, AKI 2/2 hypotension.Additional information for Item 18: Echo EF is estimated at 25-30 %. Moderate tricuspid regurgitation with RVSP of 67 mmHg consistent with severe pulmonary hypertension. Mild aortic regurgitation is present. In comparison to 6/18/20 EF 65-70%.  Diagnosed with stress cardiomyopathy.  Clinically recovering.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Stress cardiomyopathy, Tricuspid valve incompetence, Urine leukocyte esterase positive, White blood cell count increased
Clinical narrative: The patient is an 85y/o w/pmh of hypopituitarism and macroprolactinoma, who presented w/weakness, chills after receiving her Covid booster on 10/4/2021, hypotension requiring pressors, possible UTI with 2+ leukoesterase, WBC 12.  She states she was awake the entire night w/chills denies fever, n/v or diarrhea chest pain, shortness of breath, cough or chest pain. On arrival to the ER she had a low grade temp and c/o bilateral leg pain. Chest X-ray shows no acute pulmonary processes. Lactate 2.49, BNP 9,325 s/p 1.8 liters of LR. She was admitted to ICU with hypotension requiring vasopressors, AKI 2/2 hypotension.Additional information for Item 18: Echo EF is estimated at 25-30 %. Moderate tricuspid regurgitation with RVSP of 67 mmHg consistent with severe pulmonary hypertension. Mild aortic regurgitation is present. In comparison to 6/18/20 EF 65-70%.  Diagnosed with stress cardiomyopathy.  Clinically recovering.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Computerised tomogram, Dyspnoea, Electrocardiogram
Clinical narrative: Fatigue, shortness of breath and aches and pain.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: Fatigue, shortness of breath and aches and pain.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Dizziness, Fatigue, Feeding disorder, Gait disturbance
Clinical narrative: Has been getting the flu for 50 years.  Given high dose flu vaccine. Not told. Fever 103 degree, chills, body aches , heart palpatation, trouble walking, dizziness, fatigue, couldn't eat.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Pain, Palpitations, Pyrexia
Clinical narrative: Has been getting the flu for 50 years.  Given high dose flu vaccine. Not told. Fever 103 degree, chills, body aches , heart palpatation, trouble walking, dizziness, fatigue, couldn't eat.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Heavy menstrual bleeding, Menstrual disorder, Menstruation irregular, Ultrasound scan vagina
Clinical narrative: Irregular Menstruation. First period was late. The following months they have been very irregular. Some very long, some shorter. In September my period did not stop until after my October period ended. In other words I bled from Sept 10 to Oct 7.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Chest pain, Electrocardiogram, Electrocardiogram abnormal, Fibrin D dimer
Clinical narrative: Burning chest pain in center of chest x 4 days.  chest pain came on within 24 hours of pfizer booster vaccine given 10/15/2021, and has continued.   Abnormal EKG, sent to ER.  o/w Healthy female.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Laboratory test, Metabolic function test, Troponin
Clinical narrative: Burning chest pain in center of chest x 4 days.  chest pain came on within 24 hours of pfizer booster vaccine given 10/15/2021, and has continued.   Abnormal EKG, sent to ER.  o/w Healthy female.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Condition aggravated, Death
Clinical narrative: 7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Endotracheal intubation, Hyperhidrosis, Nausea, Positive airway pressure therapy
Clinical narrative: 7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Haemoptysis, Pain, Pyrexia
Clinical narrative: Contracted Covid. First sign was a fever. relocated to a hotel to quarantine. Body aches and pain first 2 - 3 days, coughing. then noticed bright red blood in mucus being coughed up lasted for approxmitaly 3 - 5 days then changed to a dark color like black and lasted another 4 - 5 days before clearing up.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Contracted Covid. First sign was a fever. relocated to a hotel to quarantine. Body aches and pain first 2 - 3 days, coughing. then noticed bright red blood in mucus being coughed up lasted for approxmitaly 3 - 5 days then changed to a dark color like black and lasted another 4 - 5 days before clearing up.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site haematoma
Clinical narrative: Pt developed hematoma left deltoid after Moderna vaccine.  Vital signs: BP 110/76, HR 64, RR 20, 96%O2Sat.  Pressure dressing applies to left deltoid.  recommended to patient to apply ice in 1 - 1 1/2 hours.  Patient discharged home with spouse.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Irritable bowel syndrome, Lumbar puncture, Magnetic resonance imaging head normal, Papilloedema
Clinical narrative: Within one week of receiving vaccine, IBS escalated from 1-2 days per week to 3-4 days per week.  One Jan 27, 2021, optometrist found swelling in optic nerve during annual eye exam.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Swelling
Clinical narrative: Swelling on right side of neck above clavicle about the size of my palm arched up. Swelling lasts a day or so and has reoccured about 4-5 more times until present (10/19/21).   I sent pictures and asked my PCP about it. She recommended I see an ENT. I saw Dr. and  it was a mystery to him so ordered an MRI of my neck and recommended I see a Rheumatologist. Got MRI ( I think, or a CT?) on April 9, 2021. Saw Dr. on April 21. Dr. also said my problem was a mystery to her.
Age: 76.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient wanted a COVID booster but received a flu vaccine.  Patient received the same fle vaccine on 9/23/21
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: SECOND DOSE OF PFIZER COVID VACCINE WAS ADMINISTERED 14 DAYS FROM THE FIRST DOSE
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt received Pfizer x2.  Pt tested COVID + on 10/14/21 and admitted to hospital for COVID on 10/14/2021. Pt receiving remdesivir and dexamethasone.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Condition aggravated, Feeling hot, Nausea, Presyncope
Clinical narrative: After receiving Pfizer vaccination via intramuscular injection, patient reported feelings of near syncope, nausea and vomiting, and general warmness. Patient was alert and oriented to person, time, place and event. Patient was ambulatory. Patient was waiting in her vehicle post vaccination when family member alerted crew of adverse reaction.   Patients blood pressure, oximetry, and heart rate where monitored along with level of consciousness. Patient reported history of hyperlipidemia, hypotension  and history of similar response to previous vaccinations.   Patient was offered emergency services however she stated that she would continue to monitor herself and if condition worsened she would seek further medical help. Patient left vaccination clinic with family member.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: After receiving Pfizer vaccination via intramuscular injection, patient reported feelings of near syncope, nausea and vomiting, and general warmness. Patient was alert and oriented to person, time, place and event. Patient was ambulatory. Patient was waiting in her vehicle post vaccination when family member alerted crew of adverse reaction.   Patients blood pressure, oximetry, and heart rate where monitored along with level of consciousness. Patient reported history of hyperlipidemia, hypotension  and history of similar response to previous vaccinations.   Patient was offered emergency services however she stated that she would continue to monitor herself and if condition worsened she would seek further medical help. Patient left vaccination clinic with family member.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Induration, Pain in extremity, Peripheral swelling
Clinical narrative: its been one week.  My arm is still swollen , painful, red/blue( bruised like) and I feel a hard spot in the center
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient seen in the emergency department for shortness of breath beginning that morning. Patient had COVID-19 PCR test and was found to be positive. Patient did not meet criteria for admission and received monoclonal antibodies prior to discharge. Patient died on 10/16/21 which is the same day she was discharged home.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: No adverse events, no treatments. Patient is doing well.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Discomfort, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient Covid + on 10/18/2021. Received Pfizer vaccine with 1st dose on 04/02/2021 and 2nd dose on 04/23/2021.  Per ED Note: History of Present Illness     Patient is a 59-year-old male with a past medical history significant for MS, coming from nursing facility for concern of COVID-19 and hypoxia.  Patient states he was told he was Covid positive.  Patient denies use of oxygen at home.  Per EMS the patient was at 85% on room air requiring 4 L of oxygen.  Patient states he just generally feels uncomfortable and malaise.  Patient denies chest pain, palpitations, headache, unilateral weakness or sensory changes.  Patient states he has had a cough but denies outright shortness of breath.
Age: 65.0
Sex: M
Vaccine: FLUA4
Symptoms: Arthralgia, Product administered at inappropriate site
Clinical narrative: Reports left shoulder pain that began within hours of vaccination.  States that it felt like vaccine "hit the bone" upon administration.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: PATIENT EXPIRED ON 10/19/2021
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Cough, Diarrhoea, Fatigue
Clinical narrative: July 31st I started feeling very fatigued, cough, body aches, loss of taste, runny nose, and diarrhea; on 8/2/2021 I contacted my employer and they told me that another employee that I had travelled with days before tested positive for COVID-19; they required me to get tested before coming to work; I went to where they tested me for COVID-19, and I tested positive; The P.A. prescribed me antibiotics to prevent a secondary infection.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: July 31st I started feeling very fatigued, cough, body aches, loss of taste, runny nose, and diarrhea; on 8/2/2021 I contacted my employer and they told me that another employee that I had travelled with days before tested positive for COVID-19; they required me to get tested before coming to work; I went to where they tested me for COVID-19, and I tested positive; The P.A. prescribed me antibiotics to prevent a secondary infection.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site mass, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Hot, itching, swelling, lump at injection site, fatigue, legs tired
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: Hot, itching, swelling, lump at injection site, fatigue, legs tired
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Chills, Diarrhoea, Headache
Clinical narrative: This applies to both vaccines:  Within less than 12 hours, i had  local injection site soreness, severe muscle weakness and aches in bilat legs, fever, chills, lower back pain,  all-over joint/muscle pain, diarrhea, headache, nausea .  All symptoms lasted approx 24-30 hours.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Muscular weakness, Myalgia, Nausea, Pyrexia
Clinical narrative: This applies to both vaccines:  Within less than 12 hours, i had  local injection site soreness, severe muscle weakness and aches in bilat legs, fever, chills, lower back pain,  all-over joint/muscle pain, diarrhea, headache, nausea .  All symptoms lasted approx 24-30 hours.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: This applies to both vaccines:  Within less than 12 hours, i had  local injection site soreness, severe muscle weakness and aches in bilat legs, fever, chills, lower back pain,  all-over joint/muscle pain, diarrhea, headache, nausea .  All symptoms lasted approx 24-30 hours.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Hypoaesthesia, Magnetic resonance imaging, Pain
Clinical narrative: From emergency report: Patient reports she woke up Saturday morning with a fever of 101 which was resolved with Ibuprofen.  Sunday morning she developed an intermittent headache.  At 12:50 am Monday, she had onset of shooting pain in her right arm and leg.  She later woke up with the same tingling and numbness in the right extremities.  Stayed constant throughout the day.  Pain in leg worse with walking.  Consistent headache not relieved by ibuprofen.  Was advised by doctor to go to the emergency room.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Pyrexia, Ultrasound scan
Clinical narrative: From emergency report: Patient reports she woke up Saturday morning with a fever of 101 which was resolved with Ibuprofen.  Sunday morning she developed an intermittent headache.  At 12:50 am Monday, she had onset of shooting pain in her right arm and leg.  She later woke up with the same tingling and numbness in the right extremities.  Stayed constant throughout the day.  Pain in leg worse with walking.  Consistent headache not relieved by ibuprofen.  Was advised by doctor to go to the emergency room.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Mass
Clinical narrative: I developed a lump on the inside of my left elbow. I went to the doctor and they stuck some needles on it to see if it was something that could be drained. It was not. They did an MRI on it, they said it was nothing to worry about but if it bothers me they could cut it out.
Age: 35.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Bell's palsy
Clinical narrative: Pt became symptomatic with Bell's Palsy two weeks after receiving her flu vaccine. Pt will be treated with steroids over several weeks and comfort measures to be provided to assist with symptoms.
Age: 54.0
Sex: F
Vaccine: FLUR4
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: About 2 hours after receiving the flu vaccine- left arm at injection site became redness about the size of a silver dollar, feverish and swollen.  Immediately took Benadryl 25 mg, also had taken Tylenol 500mg prior to vaccine.   7 hours later at bedtime (10:30pm)- beginning to have redness radiate down the arm and redness at injection site was the size of an orange; repeated Benadryl 25mg.  Next morning, redness at injection site was size of a grapefruit and repeated Benadryl and additional Tylenol.  Afternoon, repeated Tylenol - injection site was about the same, applied ice pack. In PM, repeated Benadryl and tylenol.  On next day (Sunday) injection site redness had decreased to the size of an orange, and benadryl and tylenol were repeated.  Sunday pm- repeated Benadryl and tylenol.  Monday am- took tylenol - color of injection site fading, was pink not red. Monday pm- repeated benadryl and tylenol. Tuesday am- redness had dissipated completely, no swelling present.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Anosmia, Asthenia, Blood test, Chest X-ray abnormal
Clinical narrative: I experienced pneumonia, wracking cough, severe headache, gastrointestinal problems, complete incontinence, extreme weakness, loss of appetite, loss of sense of smell. I have an issue with anemia but my issues with bruising and muscle pain were significant. At the time the only thing I did not have was sore throat and vomiting. I did not need oxygen to breathe, but it had gotten to a point that the doctor was going to order it. I was given steroids and antibiotics. I expected the sore arm which I did get. With the 2nd dose, I was sick within a 24hr period. I experienced every symptom, and nothing seemed to be responding. My decline was also much quicker. Every day did not seem to get better no matter what I did. I experienced this for 6-8 weeks. My breathing would get better but as soon as I stopped the steroids, it was back to worse again. My doctor said these symptoms were expected but the duration was not. I feel like my symptoms resurface because they will go but soon after they will reoccur.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Cough, Decreased appetite, Gastrointestinal disorder, Headache
Clinical narrative: I experienced pneumonia, wracking cough, severe headache, gastrointestinal problems, complete incontinence, extreme weakness, loss of appetite, loss of sense of smell. I have an issue with anemia but my issues with bruising and muscle pain were significant. At the time the only thing I did not have was sore throat and vomiting. I did not need oxygen to breathe, but it had gotten to a point that the doctor was going to order it. I was given steroids and antibiotics. I expected the sore arm which I did get. With the 2nd dose, I was sick within a 24hr period. I experienced every symptom, and nothing seemed to be responding. My decline was also much quicker. Every day did not seem to get better no matter what I did. I experienced this for 6-8 weeks. My breathing would get better but as soon as I stopped the steroids, it was back to worse again. My doctor said these symptoms were expected but the duration was not. I feel like my symptoms resurface because they will go but soon after they will reoccur.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incontinence, Malaise, Myalgia, Pain in extremity, Pneumonia
Clinical narrative: I experienced pneumonia, wracking cough, severe headache, gastrointestinal problems, complete incontinence, extreme weakness, loss of appetite, loss of sense of smell. I have an issue with anemia but my issues with bruising and muscle pain were significant. At the time the only thing I did not have was sore throat and vomiting. I did not need oxygen to breathe, but it had gotten to a point that the doctor was going to order it. I was given steroids and antibiotics. I expected the sore arm which I did get. With the 2nd dose, I was sick within a 24hr period. I experienced every symptom, and nothing seemed to be responding. My decline was also much quicker. Every day did not seem to get better no matter what I did. I experienced this for 6-8 weeks. My breathing would get better but as soon as I stopped the steroids, it was back to worse again. My doctor said these symptoms were expected but the duration was not. I feel like my symptoms resurface because they will go but soon after they will reoccur.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Chest X-ray normal, Dyspnoea, Electrocardiogram abnormal, Extra dose administered
Clinical narrative: At 9PM on 9/30/21, Aprox. 4 hours after my 3rd dose, I got serious heart palpitations and shortness of breath, and elevated heart rate which I was put into the emergency room for. I was given a EKG, chest X-ray, blood tests, and continuous heart monitoring. Afterwards we ruled out other things like heart attack, and was sent home with a referral to get a heart monitor put on. I am currently wearing the monitor at the time of submitting this, but I am still having heart palpitations just not as frequent as the night of the vaccine.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Palpitations, Tachycardia, White blood cell count increased
Clinical narrative: At 9PM on 9/30/21, Aprox. 4 hours after my 3rd dose, I got serious heart palpitations and shortness of breath, and elevated heart rate which I was put into the emergency room for. I was given a EKG, chest X-ray, blood tests, and continuous heart monitoring. Afterwards we ruled out other things like heart attack, and was sent home with a referral to get a heart monitor put on. I am currently wearing the monitor at the time of submitting this, but I am still having heart palpitations just not as frequent as the night of the vaccine.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt received Moderna x2.  Pt tested COVID + on 10/11/21 and admitted to hospital for COVID on 10/11/2021. Pt receiving remdesivir and dexamethasone.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray normal, Gastrointestinal disorder, Inflammatory marker increased
Clinical narrative: 10/18/21 ID physician Dr. note: "Pneumonia due to COVID-19 in vaccinated host- Pfizer in March and April of 2021; with fever and GI symptoms on admit, was stable on RA; rapid strep negative.  Cxray normal - ->now w/ rapid progression since am, bilat infiltrates and markedly increased O2 req's covid hs PCR with cycle number 20 covid inflammatory labs elevated. Started on remdesivir D3/5; dexamethasone D4/10 anticipated; s/p TCZ x1 10/17; remains on BIPAP. S/p ceftriaxone 10/14-10/15".
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Positive airway pressure therapy, Pyrexia, SARS-CoV-2 test, Streptococcus test negative
Clinical narrative: 10/18/21 ID physician Dr. note: "Pneumonia due to COVID-19 in vaccinated host- Pfizer in March and April of 2021; with fever and GI symptoms on admit, was stable on RA; rapid strep negative.  Cxray normal - ->now w/ rapid progression since am, bilat infiltrates and markedly increased O2 req's covid hs PCR with cycle number 20 covid inflammatory labs elevated. Started on remdesivir D3/5; dexamethasone D4/10 anticipated; s/p TCZ x1 10/17; remains on BIPAP. S/p ceftriaxone 10/14-10/15".
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Injection site pain, Menstrual disorder, Neuralgia
Clinical narrative: Nineteen hours after vaccination, I experienced heavy menstrual bleeding down my legs when I wasn't due for my period. Approximately, twelve hours after that, I had another gush of blood down my legs. Later on that evening, my arm was extremely sore at the injection site (on my left arm). Thirty six hours after vaccination, I felt nerve pain that ran from underneath my left armpit, along the inside of my arm, and down to my fingertips. These sensations lasted 3 days. On 9/21, I experienced the same type of nerve pain in my right arm that lasted on/off for 5 days. The pain subsided until 10/16. On the night of 10/16, I again experience nerve pain that ran from underneath my right armpit, alongside the inside of my arm, and down to my fingertips.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Slow speech
Clinical narrative: Patient states that around 30 to 45 minutes after the vaccine her leg and foot became numb and her speech seemed slow .  Patient called us on phone and stated she was going to the emergency room
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Joint range of motion decreased, Mobility decreased, Product administered at inappropriate site, Swelling
Clinical narrative: Patient came into the office the morning off Friday, October 15th with her son. Both patient and her son received a flu vaccination given by MA. According to the nursing note, the shot was given to patient in the right deltoid without difficulty/reaction and the patient left without complaint. The patient also did not call in on Friday afternoon complaining of any pain.   Patient called in the morning of October 18th complaining of pain in the same shoulder she received the flu shot in, telling MA she believed it was from the vaccine she got on Friday. MA made her appointment to see APRN the next day 10/19/2021 as APRN was doing the COAT program on Monday. Patient then called the next morning, Tuesday October 19th letting us know she was seen in the ER of Medical Center the night before and canceled her appointment for that day with APRN. Patient sent a MyChart message a few hours later at 11:35 that read:  "Good morning Doctor   I am following up with your office after a flu shot visit with the nurse on Friday. I have been to the Medical Center emergency room yesterday and they confirmed that the shot was given too high on the shoulder and grazed the bursa sac. My shoulder swelled and was very tender on the top of my shoulder.  I had no range of motion and could not lift anything of weight. They gave me a shot of Toradol along with a prescription for it. Told me to keep it in the sling and ice it. He gave me a referral to an orthopedic, if it becomes necessary. I'm just following up to let you know that this happened. Everyone makes mistakes, with that said,  maybe  it would be good for you to address it with her. I will let you know if I continue to have problems and if indeed I do need to go to the orthopedist.  Thank you."  The message was forwarded to APRN who reached out to the patient - thanking her for letting her know and that some education would be reinforced. APRN then forwarded the message to me.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Tenderness
Clinical narrative: Patient came into the office the morning off Friday, October 15th with her son. Both patient and her son received a flu vaccination given by MA. According to the nursing note, the shot was given to patient in the right deltoid without difficulty/reaction and the patient left without complaint. The patient also did not call in on Friday afternoon complaining of any pain.   Patient called in the morning of October 18th complaining of pain in the same shoulder she received the flu shot in, telling MA she believed it was from the vaccine she got on Friday. MA made her appointment to see APRN the next day 10/19/2021 as APRN was doing the COAT program on Monday. Patient then called the next morning, Tuesday October 19th letting us know she was seen in the ER of Medical Center the night before and canceled her appointment for that day with APRN. Patient sent a MyChart message a few hours later at 11:35 that read:  "Good morning Doctor   I am following up with your office after a flu shot visit with the nurse on Friday. I have been to the Medical Center emergency room yesterday and they confirmed that the shot was given too high on the shoulder and grazed the bursa sac. My shoulder swelled and was very tender on the top of my shoulder.  I had no range of motion and could not lift anything of weight. They gave me a shot of Toradol along with a prescription for it. Told me to keep it in the sling and ice it. He gave me a referral to an orthopedic, if it becomes necessary. I'm just following up to let you know that this happened. Everyone makes mistakes, with that said,  maybe  it would be good for you to address it with her. I will let you know if I continue to have problems and if indeed I do need to go to the orthopedist.  Thank you."  The message was forwarded to APRN who reached out to the patient - thanking her for letting her know and that some education would be reinforced. APRN then forwarded the message to me.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: A little over 2 months after the shot I have pain in my arm in the area of the injection.  It is also itchy. The area is also red and feels warm.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: After the second dose i had swelling in the arm and my arm was in a lot of pain, I could not even pick up my arm at all. I was struggling for a long time and since the second dose it is the same until now. I went to the doctor but i have another appointment soon to see what is wrong with the arm. I just had ibuprofen and other home remedies. The right arm is the worst than the left arm
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Atelectasis, Fibrin D dimer increased, Pulmonary embolism
Clinical narrative: D-dimer was elevated to 14,368 which indicated a CTA of the chest showing bilateral lower lobe segmental and subsegmental pulmonary emboli with moderate overall clot burden and no evidence of right heart strain, and mild bibasilar atelectasis.  The patient is on a heparin drip and is admitted to the hospital.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray, Computerised tomogram, Cough, Dyspnoea
Clinical narrative: D-dimer was elevated to 14,368 which indicated a CTA of the chest showing bilateral lower lobe segmental and subsegmental pulmonary emboli with moderate overall clot burden and no evidence of right heart strain, and mild bibasilar atelectasis.  The patient is on a heparin drip and is admitted to the hospital.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Flank pain, Pain in extremity, Painful respiration, Pulmonary embolism
Clinical narrative: D-dimer was elevated to 14,368 which indicated a CTA of the chest showing bilateral lower lobe segmental and subsegmental pulmonary emboli with moderate overall clot burden and no evidence of right heart strain, and mild bibasilar atelectasis.  The patient is on a heparin drip and is admitted to the hospital.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary thrombosis, Thrombosis
Clinical narrative: D-dimer was elevated to 14,368 which indicated a CTA of the chest showing bilateral lower lobe segmental and subsegmental pulmonary emboli with moderate overall clot burden and no evidence of right heart strain, and mild bibasilar atelectasis.  The patient is on a heparin drip and is admitted to the hospital.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Woke up with half my face paralyzed, was diagonal with Bells Palsy on my left side
Age: 66.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Pt recieved pfizer-BioNtech COVID-19 Vaccine mixed with the wrong diluent. It was mixed with sterile water instead of 0.9% NaCL (NS) and administered to the pt.  No adverse events reported or detected by patient Provider Dr. made aware. No further action warranted.   I called Pfizer to receive further instructions. Pfizer reported that they do not have information regarding sterile water as diluent. Instructed to report with Vaers.  Filled out a report with Pfizer.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Headache
Clinical narrative: COVID EXACERBATION, HEADACHE, INCREASED THIRST, CHANGE IN TASTE, DRY COUGH, INCREASING SHORTNESS OF BREATH, DIARRHEA, FEVER
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Taste disorder, Thirst
Clinical narrative: COVID EXACERBATION, HEADACHE, INCREASED THIRST, CHANGE IN TASTE, DRY COUGH, INCREASING SHORTNESS OF BREATH, DIARRHEA, FEVER
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Pyrexia, White blood cell count decreased
Clinical narrative: Last Friday, October 9, my daughter was vaccinated at about 12pm, during the day she reported strong headache episodes, she took paracetamol 750mg, on Saturday she felt tired and weak for the whole day, but at night she felt a little better so she decided to go out a little, she came back home due to a fever, on Sunday, she had high fever, the whole day so in the evening she entered the emergency room they found her white cells very low, so she went straight to clinic, on Wednesday she was discharged but she is still hospitalized we are treating her with antibiotics but she is still has a fever, I would like to know if her condition has any relation with the vaccine, if there are other cases reported and how it is been treated.  I am looking forward to hearing from you asap.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt c/o lightheadedness after vaccination.  Vital signs: BP 122/85, HR 92,  RR 20, 98%O2Sate.  Skin warm and dry.  Pt given oral fluids and snacks.  Encouraged patient to increase fluids and eat food.  Only had a granola bar for breakfast.  Patient dischargehome wiht parents.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site papule, Injection site reaction, Skin abrasion
Clinical narrative: Erythematous distal to injection site 3cm X 2cm, papules, excoriated, 1.5cm X 1 cm area where vaccine was administered.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriospasm coronary, Catheterisation cardiac, Chest pain, Condition aggravated, Laboratory test
Clinical narrative: So on July the 13th I was getting ready to go for an appointment for a massage and I started hurting mid-chest, just below the breast bone. I thought at first that maybe it was indigestion or something. I took tums. After that my arm was hurting and I got my husband to take me to the ER. I was monitored and they called in a cardiologist, I stayed overnight and had a cardiac cath the next day. The pain lasted about 50 minutes after I arrived at the ER by the way, so they had kept me there. They wanted to watch me because my troponin levels were high. I also got a severe migraine for about 8 hours and they had given me something to go to sleep. They let me go home on July 14th 2021. After that, I followed up with my PCD and the cardiologist. The cardiologist thought it was a coronary artery spasm but they are unsure. They put me on a calcium channel blocker.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain in extremity, Troponin increased
Clinical narrative: So on July the 13th I was getting ready to go for an appointment for a massage and I started hurting mid-chest, just below the breast bone. I thought at first that maybe it was indigestion or something. I took tums. After that my arm was hurting and I got my husband to take me to the ER. I was monitored and they called in a cardiologist, I stayed overnight and had a cardiac cath the next day. The pain lasted about 50 minutes after I arrived at the ER by the way, so they had kept me there. They wanted to watch me because my troponin levels were high. I also got a severe migraine for about 8 hours and they had given me something to go to sleep. They let me go home on July 14th 2021. After that, I followed up with my PCD and the cardiologist. The cardiologist thought it was a coronary artery spasm but they are unsure. They put me on a calcium channel blocker.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Cough, Dyspnoea, Headache, Oropharyngeal pain
Clinical narrative: headache, sore throat, cough, fever, chills, shortness of breath, body aches, chest congestion. starting on 10/16/21
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pulmonary congestion, Pyrexia
Clinical narrative: headache, sore throat, cough, fever, chills, shortness of breath, body aches, chest congestion. starting on 10/16/21
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: 41yr old patient previously received COVID-19 J&J (Janssen) Vaccine on 3/12/21 (LOT # 1802070).  After reading about increase of breakthrough cases after 8months, patient scheduled COVID-19 Moderna vaccine appointment.  On 8/20/21, LPN administered COVID-19 Moderna vaccine (LOT # 007C21A) to patient's left deltoid.  Order for Moderna SARS-CoV-2 (COVID-19) Vaccine authorized by NP.  Patient returned to clinic on 10/8/21 for second dose of Moderna vaccine.  Of note, COVID-19 Janssen vaccine is a one dose series and the patient would not need another COVID 19 vaccine series.  Error was identified prior to second Moderna vaccine administration.  Patient informed that COVID leadership would be contacted to clarify if patient should continue Moderna series.  No patient harm noted.  Decision not to administer second dose of Moderna series until more guidance from FDA/CDC regarding interchangability of vaccines.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, General physical health deterioration, Oxygen saturation decreased
Clinical narrative: pt presented to ED via EMS with dyspnea and low O2 saturation, placed on non-rebreather; positive for COVID; hx of stage III CKD, DMT2, Alzheimers; condition worsened, placed on BiPAP; condition continued to deteriorate, pt died in the hospital
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: pt presented to ED via EMS with dyspnea and low O2 saturation, placed on non-rebreather; positive for COVID; hx of stage III CKD, DMT2, Alzheimers; condition worsened, placed on BiPAP; condition continued to deteriorate, pt died in the hospital
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Muscular weakness, Pain in extremity, X-ray limb
Clinical narrative: Left arm pain weakness unable to lift arm
Age: 62.0
Sex: F
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Pharmacist administered vaccine then upon filling out provider section of VAR noticed that vaccine expired 8/22/21
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles: right side, back and side
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Extra dose administered, Fatigue, Gait disturbance
Clinical narrative: As with the 1st 2 covid shots, I was tired and very weak for 3-5 days.  However after the booster, my right leg and right arm were so weak it felt like I had had a stroke.  I was unable to sit up our walk without assistance.  My right leg is always weak from my MS and I use a cane normally but this was so much worse.  My husband had to lift me up from the couch and place me in a wheelchair to go to the bathroom for the first 36 hours after the booster.  The effects slowly wore off and by 7 days later I had resumed almost all of my previous mobility.  By 10 days I was 100% back to my previous normal.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiparesis, Multiple sclerosis
Clinical narrative: As with the 1st 2 covid shots, I was tired and very weak for 3-5 days.  However after the booster, my right leg and right arm were so weak it felt like I had had a stroke.  I was unable to sit up our walk without assistance.  My right leg is always weak from my MS and I use a cane normally but this was so much worse.  My husband had to lift me up from the couch and place me in a wheelchair to go to the bathroom for the first 36 hours after the booster.  The effects slowly wore off and by 7 days later I had resumed almost all of my previous mobility.  By 10 days I was 100% back to my previous normal.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue
Clinical narrative: After the second vaccine I experienced fatigue, muscle aches, and a little fever that lasted for about a day. On September 13th I had developed a cough, a fever of 102.6 degrees, body aches, and I was very tired. I tested positive for covid on September 15th. I had lost my taste and smell for about a week. On September 18th I received the monoclonal antibody treatment. The next day I started to feel better, and my fever went down. About a week later, I got a urinary tract infection.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: After the second vaccine I experienced fatigue, muscle aches, and a little fever that lasted for about a day. On September 13th I had developed a cough, a fever of 102.6 degrees, body aches, and I was very tired. I tested positive for covid on September 15th. I had lost my taste and smell for about a week. On September 18th I received the monoclonal antibody treatment. The next day I started to feel better, and my fever went down. About a week later, I got a urinary tract infection.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Glossodynia, Lip disorder, Tongue disorder
Clinical narrative: This was a 3rd shot / booster  I developed painful raised white bumps on the tip of my tongue and a couple of bumps on inside of lips --- I would doubt this is serious but wanted to report it. As of 10/19/2021 I still have painful bumps on tip of tongue but on the right instead of left side
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Body tinea, Condition aggravated, Ingrown hair, Oral herpes
Clinical narrative: This might seem benign, but shortly after getting the vaccine (and I don't know the exact dates, so the value entered is just a rough estimate) I got a cold sore, which I haven't had in 30 years; and I also got ring worm, which I've never had (and still have it today); and I'm also getting a ton of ingrown hairs - all over.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling cold, Headache, Hypoaesthesia, Lip swelling, Pain
Clinical narrative: Per Patient: Severe headache with aches and pains all over my body! Uncontrollable violent shaking , freezing, arms and hands going to sleep , vomiting , feeling like I was going to pass out and extreme swollen lip when I woke up yesterday morning! This went on for 11 hours!
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Presyncope, Tremor, Vomiting
Clinical narrative: Per Patient: Severe headache with aches and pains all over my body! Uncontrollable violent shaking , freezing, arms and hands going to sleep , vomiting , feeling like I was going to pass out and extreme swollen lip when I woke up yesterday morning! This went on for 11 hours!
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site pruritus, Injection site reaction, Injection site swelling, Rash macular
Clinical narrative: Swollen upper left arm at and below injection site. Large red blotches, very itchy. Using hydrocortisone cream to relieve itching.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient presented to the vaccination site on 10/18/21. The client notified RN that she received a single dose of the (Cansino) COVID vaccine in (April 2021). RN submitted a medical consult via text message to Vaccine Operations Leads, requesting to proceed with the COVID vaccine Pfizer. Per CDC guidance, approval to proceed with COVID vaccine Pfizer first dose with 30 minute observation was obtained from medical consult team, Vaccine Operations Lead via text message. Client received COVID vaccine Pfizer Lot# 30145BA on 10/18/2021. The client did not report any symptoms during the observation period. The client left the vaccination site at 1947.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Chest pain, Pericarditis
Clinical narrative: Patient received first Moderna dose on 9/19/21 from pharmacy then presented to Hospital Emergency room on 9/24-25 with several days of Chest Pain, and dx'ed with acute idiopathic pericarditis  Dr. was contacted by patient on 10/08 via telephone and discussed recent ED visit after 1st dose; seeking guidance on if she should try to obtain a 2nd dose given ED visit after 1st - advised patient to discuss with Cardiology prior to scheduling a 2nd dose
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Bell's palsy, Facial paralysis, Hypoaesthesia
Clinical narrative: Started on October 7 with muscle pain in low back with radiating pain down legs, October 8th more back pain with it between low neck and shoulder pains radiating down arms.  October 9 skin sensitivity around chest line and on legs as well.  October 10-15 increase in muscle pain unable to sleep.  October 15 facial numbness started on right side, went to ER labs/imaging ok and discharged.  October 16 increases pain in muscles in legs and now facial drooping.  October 19 checking into ER unable to sleep due to pain in legs, back, and head, probable Bell's Palsy on right side of face.