chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Walking aid user
Clinical narrative: Patient received his COVID-19 vaccine, the Johnson & Johnson brand, on 9/16/2021.  Following his vaccination, he has had worsening ascending weakness and paresthesia in the bilateral lower extremities.  This initially worsened to the point of requiring a cane, but as of 9-22-2021 he is unable to walk.   In addition, he has noted weakness of the facial muscles and trouble with speaking, swallowing, and breathing.  All of the symptoms have been persistent and worsening over the last several days.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Blood culture negative, Blood sodium decreased, COVID-19
Clinical narrative: Hospitalized (9.16.21);  COVID-19 positive (9.14.21);  fully vaccinated  Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/16/2021 Discharge Date: Sep 21, 2021 PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 67 year old male with a past medical history of HTN, HLD who presented with worsening shortness of breath x 2 weeks, found to be positive for COVID-19 (9/15). He has been vaccinated against COVID 19 (Pfizer x 2).  CTA thorax negative for PE, but showing extensive bilateral airspace disease consistent with Covid pneumonia. Blood cultures, Legionella antigen, Strep pneumonia antigen negative. Sputum cultures with normal respiratory flora. Patient was not a candidate for monoclonal antibody or Remdesivir. He did complete a 5 day course of antibiotics for CAP coverage.  Ten day dose of dexamethasone was also initiated and he was placed on HFNC and weaned steadily each day as tolerated. Patient worked with pulmonary rehabilitation and prone positioning during his hospitalization. He was able to wean to 3L nasal cannula 9/20 and to room air 9/21. Patient had also been experiencing diarrhea prior to admission. This symptom was improved during hospital stay without need for medication. Sodium of 129 on admission, likely due to hypovolemia. This improved with improved appetite. However, on last day of hospitalization it dropped back to 131. His primary care provider was notified and a follow up CBC within 1 week recommended to ensure that his sodium remains stable.    Of note, Patient agreed to participate in two trials during his hospitalization. For this reason he was provided Cyclosporine as part of the trial. He was provided with the information of the trial coordinator for any further follow up questions he may have and he is aware that he may opt out at any time. Pulmonary therapy met with patient 9/21 to evaluate and prepare him with his home oxygenation needs. Having completed his testing without any oxygen requirements, he will be returning home on room air.  He is provided with pulse oximeter and instructed to follow up with PCP if he sees his saturation below 91%. Upon evaluation, his vitals were stable and he was oxygenating well on room air. He is instructed to restart his statin upon return home and finish out his course of dexamethasone with 4 more tablets provided.  He had no further questions or concerns at discharge and felt comfortable returning home in stable condition to his family.   Discharge Disposition:  home health care   Active Issues Requiring Follow-up:  Low Sodium - follow up outpatient and further discussion with PCP Low Oxygenation - continue to monitor this with your pulse oximetry and follow up if dropping below 91%
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Clinical trial participant, Diarrhoea, Dyspnoea, Hypovolaemia
Clinical narrative: Hospitalized (9.16.21);  COVID-19 positive (9.14.21);  fully vaccinated  Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/16/2021 Discharge Date: Sep 21, 2021 PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 67 year old male with a past medical history of HTN, HLD who presented with worsening shortness of breath x 2 weeks, found to be positive for COVID-19 (9/15). He has been vaccinated against COVID 19 (Pfizer x 2).  CTA thorax negative for PE, but showing extensive bilateral airspace disease consistent with Covid pneumonia. Blood cultures, Legionella antigen, Strep pneumonia antigen negative. Sputum cultures with normal respiratory flora. Patient was not a candidate for monoclonal antibody or Remdesivir. He did complete a 5 day course of antibiotics for CAP coverage.  Ten day dose of dexamethasone was also initiated and he was placed on HFNC and weaned steadily each day as tolerated. Patient worked with pulmonary rehabilitation and prone positioning during his hospitalization. He was able to wean to 3L nasal cannula 9/20 and to room air 9/21. Patient had also been experiencing diarrhea prior to admission. This symptom was improved during hospital stay without need for medication. Sodium of 129 on admission, likely due to hypovolemia. This improved with improved appetite. However, on last day of hospitalization it dropped back to 131. His primary care provider was notified and a follow up CBC within 1 week recommended to ensure that his sodium remains stable.    Of note, Patient agreed to participate in two trials during his hospitalization. For this reason he was provided Cyclosporine as part of the trial. He was provided with the information of the trial coordinator for any further follow up questions he may have and he is aware that he may opt out at any time. Pulmonary therapy met with patient 9/21 to evaluate and prepare him with his home oxygenation needs. Having completed his testing without any oxygen requirements, he will be returning home on room air.  He is provided with pulse oximeter and instructed to follow up with PCP if he sees his saturation below 91%. Upon evaluation, his vitals were stable and he was oxygenating well on room air. He is instructed to restart his statin upon return home and finish out his course of dexamethasone with 4 more tablets provided.  He had no further questions or concerns at discharge and felt comfortable returning home in stable condition to his family.   Discharge Disposition:  home health care   Active Issues Requiring Follow-up:  Low Sodium - follow up outpatient and further discussion with PCP Low Oxygenation - continue to monitor this with your pulse oximetry and follow up if dropping below 91%
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Legionella test, Lung disorder, Prone position, SARS-CoV-2 test positive, Sputum culture
Clinical narrative: Hospitalized (9.16.21);  COVID-19 positive (9.14.21);  fully vaccinated  Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/16/2021 Discharge Date: Sep 21, 2021 PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 67 year old male with a past medical history of HTN, HLD who presented with worsening shortness of breath x 2 weeks, found to be positive for COVID-19 (9/15). He has been vaccinated against COVID 19 (Pfizer x 2).  CTA thorax negative for PE, but showing extensive bilateral airspace disease consistent with Covid pneumonia. Blood cultures, Legionella antigen, Strep pneumonia antigen negative. Sputum cultures with normal respiratory flora. Patient was not a candidate for monoclonal antibody or Remdesivir. He did complete a 5 day course of antibiotics for CAP coverage.  Ten day dose of dexamethasone was also initiated and he was placed on HFNC and weaned steadily each day as tolerated. Patient worked with pulmonary rehabilitation and prone positioning during his hospitalization. He was able to wean to 3L nasal cannula 9/20 and to room air 9/21. Patient had also been experiencing diarrhea prior to admission. This symptom was improved during hospital stay without need for medication. Sodium of 129 on admission, likely due to hypovolemia. This improved with improved appetite. However, on last day of hospitalization it dropped back to 131. His primary care provider was notified and a follow up CBC within 1 week recommended to ensure that his sodium remains stable.    Of note, Patient agreed to participate in two trials during his hospitalization. For this reason he was provided Cyclosporine as part of the trial. He was provided with the information of the trial coordinator for any further follow up questions he may have and he is aware that he may opt out at any time. Pulmonary therapy met with patient 9/21 to evaluate and prepare him with his home oxygenation needs. Having completed his testing without any oxygen requirements, he will be returning home on room air.  He is provided with pulse oximeter and instructed to follow up with PCP if he sees his saturation below 91%. Upon evaluation, his vitals were stable and he was oxygenating well on room air. He is instructed to restart his statin upon return home and finish out his course of dexamethasone with 4 more tablets provided.  He had no further questions or concerns at discharge and felt comfortable returning home in stable condition to his family.   Discharge Disposition:  home health care   Active Issues Requiring Follow-up:  Low Sodium - follow up outpatient and further discussion with PCP Low Oxygenation - continue to monitor this with your pulse oximetry and follow up if dropping below 91%
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Streptococcus test negative
Clinical narrative: Hospitalized (9.16.21);  COVID-19 positive (9.14.21);  fully vaccinated  Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/16/2021 Discharge Date: Sep 21, 2021 PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 67 year old male with a past medical history of HTN, HLD who presented with worsening shortness of breath x 2 weeks, found to be positive for COVID-19 (9/15). He has been vaccinated against COVID 19 (Pfizer x 2).  CTA thorax negative for PE, but showing extensive bilateral airspace disease consistent with Covid pneumonia. Blood cultures, Legionella antigen, Strep pneumonia antigen negative. Sputum cultures with normal respiratory flora. Patient was not a candidate for monoclonal antibody or Remdesivir. He did complete a 5 day course of antibiotics for CAP coverage.  Ten day dose of dexamethasone was also initiated and he was placed on HFNC and weaned steadily each day as tolerated. Patient worked with pulmonary rehabilitation and prone positioning during his hospitalization. He was able to wean to 3L nasal cannula 9/20 and to room air 9/21. Patient had also been experiencing diarrhea prior to admission. This symptom was improved during hospital stay without need for medication. Sodium of 129 on admission, likely due to hypovolemia. This improved with improved appetite. However, on last day of hospitalization it dropped back to 131. His primary care provider was notified and a follow up CBC within 1 week recommended to ensure that his sodium remains stable.    Of note, Patient agreed to participate in two trials during his hospitalization. For this reason he was provided Cyclosporine as part of the trial. He was provided with the information of the trial coordinator for any further follow up questions he may have and he is aware that he may opt out at any time. Pulmonary therapy met with patient 9/21 to evaluate and prepare him with his home oxygenation needs. Having completed his testing without any oxygen requirements, he will be returning home on room air.  He is provided with pulse oximeter and instructed to follow up with PCP if he sees his saturation below 91%. Upon evaluation, his vitals were stable and he was oxygenating well on room air. He is instructed to restart his statin upon return home and finish out his course of dexamethasone with 4 more tablets provided.  He had no further questions or concerns at discharge and felt comfortable returning home in stable condition to his family.   Discharge Disposition:  home health care   Active Issues Requiring Follow-up:  Low Sodium - follow up outpatient and further discussion with PCP Low Oxygenation - continue to monitor this with your pulse oximetry and follow up if dropping below 91%
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood pressure increased, Headache, Hypertension, Impaired driving ability
Clinical narrative: Starting mid June, I started having daily headaches and nausea and blurry vision. I went to my PCP because they were not controlled by Tylenol, Advil, or excedrin. The PCP prescribed Eletriptan and Zofran and that did not work either. She then prescribed Topamax which also did not work. She then ordered a brain MRI and spine MRI which both showed non-specific spots. A lumbar puncture was ordered but my BP spiked to 240/140 so I went to the ER. I was admitted and treated for HTN. I received gabapentin for my headaches which helped some and I was given Nifedipine and Clonidine for my BP which helped some. A lumbar puncture and many other tests were completed and they have all come back negative. I have since been discharged on the medicine listed above. My vision is still blurry (I can't drive or work), and I am still following up with multiple doctors. My blood pressure also remains high. I used to be completely healthy and had always had normal BP (including when I went to see my PCP initially about my headaches). A retinologist mentioned that this may be due to the covid vaccine since it can affect the vascular system. My diagnosis has yet to be determined.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Laboratory test normal, Lumbar puncture normal, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal
Clinical narrative: Starting mid June, I started having daily headaches and nausea and blurry vision. I went to my PCP because they were not controlled by Tylenol, Advil, or excedrin. The PCP prescribed Eletriptan and Zofran and that did not work either. She then prescribed Topamax which also did not work. She then ordered a brain MRI and spine MRI which both showed non-specific spots. A lumbar puncture was ordered but my BP spiked to 240/140 so I went to the ER. I was admitted and treated for HTN. I received gabapentin for my headaches which helped some and I was given Nifedipine and Clonidine for my BP which helped some. A lumbar puncture and many other tests were completed and they have all come back negative. I have since been discharged on the medicine listed above. My vision is still blurry (I can't drive or work), and I am still following up with multiple doctors. My blood pressure also remains high. I used to be completely healthy and had always had normal BP (including when I went to see my PCP initially about my headaches). A retinologist mentioned that this may be due to the covid vaccine since it can affect the vascular system. My diagnosis has yet to be determined.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vision blurred
Clinical narrative: Starting mid June, I started having daily headaches and nausea and blurry vision. I went to my PCP because they were not controlled by Tylenol, Advil, or excedrin. The PCP prescribed Eletriptan and Zofran and that did not work either. She then prescribed Topamax which also did not work. She then ordered a brain MRI and spine MRI which both showed non-specific spots. A lumbar puncture was ordered but my BP spiked to 240/140 so I went to the ER. I was admitted and treated for HTN. I received gabapentin for my headaches which helped some and I was given Nifedipine and Clonidine for my BP which helped some. A lumbar puncture and many other tests were completed and they have all come back negative. I have since been discharged on the medicine listed above. My vision is still blurry (I can't drive or work), and I am still following up with multiple doctors. My blood pressure also remains high. I used to be completely healthy and had always had normal BP (including when I went to see my PCP initially about my headaches). A retinologist mentioned that this may be due to the covid vaccine since it can affect the vascular system. My diagnosis has yet to be determined.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Induration, Menstruation irregular, Pyrexia, Rash
Clinical narrative: Patient said the 1st dose caused her to be sick in bed for 1.5 weeks with a fever over 100, early menses and red hard bumps on her face. She did not seek treatment and reported when she came in for her 2nd dose.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Patient said the 1st dose caused her to be sick in bed for 1.5 weeks with a fever over 100, early menses and red hard bumps on her face. She did not seek treatment and reported when she came in for her 2nd dose.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: NO ADVERSE EVENT - ONLY VACCINE ADMINISTRATION DEVIATION. Administrator named provided what was believed to be the 1st dose of an mRNA COVID-19 (Pfizer) vaccine when it was reveled to them after the fact that the Pt received a first dose of a different mRNA COVID-19 vaccine (Moderna), months prior. The administrator named was not able to locate any information for the 1st dose in the COVID Vaccine Management System or any health records.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Feeling abnormal, Loss of personal independence in daily activities, Mobility decreased, Muscular weakness
Clinical narrative: Client reports she received a TDAP vaccine on 9/8/2021, reports her arm was sore for a couple days after, then on 9/11/2021 her arm became red and warm to the touch, she reports the area of redness was from her shoulder to her elbow, reports going to the emergency room on 9/12/2021, reports ER doctor looked at site and did an ultrasound and told client it was a normal reaction,  client reports the next day 9/13/2021 the area of redness had spread and she was feeling worse, reports she then went to a local medical provider, reports she was also experiencing pain, and weakness in that arm, reports she could not lift her arm to even dress herself for a few days,  reports doctor prescribed an antibiotic-Keflex, reports she was also: "babbling and felt "brain dead" for a few days, reports sleeping for "46 out of 48 hours during this time", reports she also had edema during this time, does report that she gets edema at times and has a prescription for lasix that she takes,  reports she started the antibiotics on 9/14/2021, reports the redness decreased a couple days later,  reports her strength increased and pain decreased, client reports that redness is gone, reports confusion is now better
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema, Pain in extremity, Skin warm, Speech disorder, Ultrasound scan
Clinical narrative: Client reports she received a TDAP vaccine on 9/8/2021, reports her arm was sore for a couple days after, then on 9/11/2021 her arm became red and warm to the touch, she reports the area of redness was from her shoulder to her elbow, reports going to the emergency room on 9/12/2021, reports ER doctor looked at site and did an ultrasound and told client it was a normal reaction,  client reports the next day 9/13/2021 the area of redness had spread and she was feeling worse, reports she then went to a local medical provider, reports she was also experiencing pain, and weakness in that arm, reports she could not lift her arm to even dress herself for a few days,  reports doctor prescribed an antibiotic-Keflex, reports she was also: "babbling and felt "brain dead" for a few days, reports sleeping for "46 out of 48 hours during this time", reports she also had edema during this time, does report that she gets edema at times and has a prescription for lasix that she takes,  reports she started the antibiotics on 9/14/2021, reports the redness decreased a couple days later,  reports her strength increased and pain decreased, client reports that redness is gone, reports confusion is now better
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Chest pain, Extra dose administered, Nausea
Clinical narrative: I got back from vaccine and everything was fine, I fell asleep and woke up around 2 am. When I woke up it felt like something was being ripped open from chest and abdomen. The pain has still been there except 2 weeks ago the chest pain eased up but the abdomen pain is still there. I feel very weak and nauseated. I have seen Dr gave me a few prescriptions, on the 13 of September.  A different Dr told me to go see a gastroenterologist, on September 28th.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Tested NAAT positive for COVID on 9/20/21 after being fully vaccinated.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Head discomfort, Headache, Muscle spasms
Clinical narrative: My first reaction started out as chills. I became very cold while cooking dinner. I had on an oversized hoodie, fuzzy socks, and pants and still could not stop shaking. From that point my teeth started chattering and my back started having spasms from the shaking so I laid down. I could not get warm or stop shaking even while fully dressed and covering up with two blankets. The next two days I had very bad muscle aches, was very fatigued, and had a headache, I couldn't keep my head up.  I tried reporting this at the time, but it did not work.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Tremor
Clinical narrative: My first reaction started out as chills. I became very cold while cooking dinner. I had on an oversized hoodie, fuzzy socks, and pants and still could not stop shaking. From that point my teeth started chattering and my back started having spasms from the shaking so I laid down. I could not get warm or stop shaking even while fully dressed and covering up with two blankets. The next two days I had very bad muscle aches, was very fatigued, and had a headache, I couldn't keep my head up.  I tried reporting this at the time, but it did not work.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Intermenstrual bleeding
Clinical narrative: spotting blood, menstrual cycle, abdominal pain
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Postmenopausal haemorrhage
Clinical narrative: spotting blood, menstrual cycle, abdominal pain
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Full blood count normal, Heavy menstrual bleeding, Hypomenorrhoea, Menstruation delayed
Clinical narrative: I get my period one to days after my sugar pill, end 2021, my period was 6 days late and there was other symptoms just late. Apr2021, I got my period 5 days early. May2021 it was one full week late. In June 2021 it was a full week early and it was light and lasted a long time for 2 weeks. This continued till the beginning of Sep. 2 Sep2021 and got a physical and couldn't find anything.  I had sinus infections but I do feel good.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Sinusitis, Thyroid function test normal
Clinical narrative: I get my period one to days after my sugar pill, end 2021, my period was 6 days late and there was other symptoms just late. Apr2021, I got my period 5 days early. May2021 it was one full week late. In June 2021 it was a full week early and it was light and lasted a long time for 2 weeks. This continued till the beginning of Sep. 2 Sep2021 and got a physical and couldn't find anything.  I had sinus infections but I do feel good.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema
Clinical narrative: PATIENT HAD A (50 CENT PIECE SIZED) RED CIRCLE AROUND THE INJECTION SITE,  RED MARK HAD SPREAD TO ELBOW. ADVISTED PT TO SEE PROVIDER.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Discomfort, Palpitations
Clinical narrative: Pt came into observation area after receiving the COVID-19 vaccine. Pt started complaining of chest pressure and palpitations. Vital signs were started on pt. Pt was given water, instructed to take deep breaths, and legs were elevated. Pt states that chest pressure was decreasing but was starting to feel ?heaviness? throughout her body. Vital signs were all in normal range. EMS was called when no relief was attained by the pt. Pt left by EMS with her mother at her side.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Heart beating rapidly would last for a few minutes happened a couple of times
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Glomerular filtration rate decreased, Headache
Clinical narrative: nausea vomiting headache chills diarrhea exhaustion lasting for 3 weeks  still not recovered stamina.  sore injection site nominal
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Renal function test, Vomiting
Clinical narrative: nausea vomiting headache chills diarrhea exhaustion lasting for 3 weeks  still not recovered stamina.  sore injection site nominal
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium decreased, Hypocalcaemia
Clinical narrative: Patient developed severe symptomatic hypocalcemia requiring ER evaluation and treatment about 2 weeks after the second COVID-19 vaccine from Pfizer.  He had no prior self, nor family history of calcium metabolism dysfunction.  He is still on high doses of oral calcium, calcitriol, magnesium, and hydrochlorothiazide to raise his serum calcium which has been very difficult for him and still his calcium is not at goal of at least 8.8 mg/dL.   He now needs parathyroid hormone, Natpara which is very difficult to get coverage from his health insurance and very expensive.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Malaise
Clinical narrative: Patient was administered an expired COVID vaccine. Patient stated not feeling very well.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Lymph node pain, Lymphadenopathy
Clinical narrative: Pfizer Covid-19 shot - The lymph node in my neck swelled up and is tender, along with a lymph node on the front of my shoulder, which usually just gets sore.  It is swollen and sore with this shot.  The lymph node in my neck gets swollen and sore for a few days after I have a flu shot.  This is typical for me.  However, I was advised to report this if it is different in any way.  The difference is 2 swollen lymph nodes.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Insomnia
Clinical narrative: Insomnia; arm pain at injection site
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No adverse event. No signs, symptoms.  Error:   Pt given COVID-19 Pfizer vaccine 9/22/21. Pt had received the JJ/Janssen COVID 19 vaccine on 9/16/21
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Injection site pain
Clinical narrative: left deltoid pain, mild increase in temperature that was intermittent after patient received vaccine and persistent from 9/21-9/22, causing her to seek appointment at PCP office.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Eye pain, Herpes zoster, Impaired work ability
Clinical narrative: About a week after the vaccine my eye got severely irritated which progressively got worse. It felt as if I had something in my eye causing me to rub it frequently. It got so painful I went to local ER where they told me I scratched my Cornea and referred me to an Eye Dr. I went and it was treated but it didn't get any better and from there I was diagnosed as having Shingles in the eye and asked if I had been vaccinated which I had been for both Shingles and COVID. I couldn't see and had to miss work. This persisted about 2-3 weeks.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for COVID 19 09/21/2021
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, Malaise, Nasal congestion
Clinical narrative: Patient was at a family gathering weekend of 9/11/21. His brother tested positive on 9/15/21. Patient tested positive on 9/16/21. Became ill on 9/17/21 with body aches; cough, stuffy nose; sneezing and fatigue. Received Moderna vaccine on 2/15/21 and 3/15/21 . Lot # is unknown
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, SARS-CoV-2 test positive, Sneezing
Clinical narrative: Patient was at a family gathering weekend of 9/11/21. His brother tested positive on 9/15/21. Patient tested positive on 9/16/21. Became ill on 9/17/21 with body aches; cough, stuffy nose; sneezing and fatigue. Received Moderna vaccine on 2/15/21 and 3/15/21 . Lot # is unknown
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/26/2021. Hospitalized 8/26/2021 for unknown duration. Death 9/9/2021
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Patient called our clinic (where she received the vaccine - she is not a patient of our clinic but is an employee of our main organization and we are a site where employees can receive the J&J vaccine) to report that she has had tingling in both of her feet. This is not affecting her ability to perform her daily activities and she is seeing her PCP to follow up.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Intensive care, Pneumonia, Positive airway pressure therapy
Clinical narrative: Presented with worsening SOB, admitted to ICU on bi-pap, was able to wean O2, transfer to medical floor. Pt did receive Remdesivir, is currently still in pt.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling face
Clinical narrative: After 5 day of taking the vaccine, a skin rash developed on most of my body with swelling in the face .  Went to the ER the next day and they gave me a steroid shot and pepsin . Two hours later and the rash still persists .
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Breath sounds absent, Death, Pulse abnormal, Syncope
Clinical narrative: EMS CALLED TO NH FOR SYNCOPAL EPISODE ON 7/7/2021. PT IS DNR. ON ARRIVAL TO ER, NO CHEST WALL MOVEMENT NOTED NOR BREATH SOUNDS HEARD. WEAK CAROTOID PULSE; BP UNABLE TO BE DETECTD. PT PRONOUNCED AT 8:00:00 EXPIRED.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pain in extremity
Clinical narrative: Developed bilateral hand and finger pains that comes and goes.  Has started to increase more and has a burning sensation.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphemia, Memory impairment, Neuropathy peripheral
Clinical narrative: Neuropathy in feet, stuttering during speaking, memory problems
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Muscle spasms, Peripheral swelling
Clinical narrative: I noticed the next day when I woke up my left foot was swollen, I took pictures and went to the emergency room and the doctor said it was a muscle spasm. I did see my primary care physician a few times about it and he never had much to say either. I had no tests done.   The swelling went down but I still have a huge lump on the inside of my left knee.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized for some other reason. pt incidentally tested positive at admission and received oxygen as well as Decadron and Remdesivir
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Neck pain
Clinical narrative: Has been over two weeks now and I am having arthritis symptoms in my left elbow elbow, and now in my neck. I?ve never had any of those type of symptoms call mom and I haven?t done anything outside of my normal routine. Elbow has a  constant bad ache.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Palpitations, Rash
Clinical narrative: racing heart (pulse 115), shortness of breath, vomiting, headache, itchy painful rash/hives.  Both #1 and #2 injections gave me the COVID arm.  Have ongoing headache still since these events, and extreme tiredness.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Urticaria, Vaccination complication, Vomiting
Clinical narrative: racing heart (pulse 115), shortness of breath, vomiting, headache, itchy painful rash/hives.  Both #1 and #2 injections gave me the COVID arm.  Have ongoing headache still since these events, and extreme tiredness.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Pain
Clinical narrative: Progressive (stabbing) joint pain in left side:  shoulder, groin, thigh, chest, back; followed by extreme fatigue for over 24 hours
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Headache, fever, fatigue, muscle pain, pain at injection site
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Condition aggravated
Clinical narrative: 8/7/2021 tested for COVID-19 and was positive, was admitted to medical center with lethargy, minimally responsive, no oral intake.  She expired 8/22/2021 with pneumonia due to COVID-19, Acute hypoxemic respiratory failure, systolic heart failure, difficulty in walking, pleural effusion, bilateral, muscle weakness, atrial fibrillation, diabetes mellitus, and dementia
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Dementia, Diabetes mellitus, Gait disturbance, Hypophagia
Clinical narrative: 8/7/2021 tested for COVID-19 and was positive, was admitted to medical center with lethargy, minimally responsive, no oral intake.  She expired 8/22/2021 with pneumonia due to COVID-19, Acute hypoxemic respiratory failure, systolic heart failure, difficulty in walking, pleural effusion, bilateral, muscle weakness, atrial fibrillation, diabetes mellitus, and dementia
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza A virus test, Influenza B virus test, Left ventricular failure, Lethargy, Muscular weakness
Clinical narrative: 8/7/2021 tested for COVID-19 and was positive, was admitted to medical center with lethargy, minimally responsive, no oral intake.  She expired 8/22/2021 with pneumonia due to COVID-19, Acute hypoxemic respiratory failure, systolic heart failure, difficulty in walking, pleural effusion, bilateral, muscle weakness, atrial fibrillation, diabetes mellitus, and dementia
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pleural effusion, Respiratory syncytial virus test, SARS-CoV-2 test positive, Slow response to stimuli
Clinical narrative: 8/7/2021 tested for COVID-19 and was positive, was admitted to medical center with lethargy, minimally responsive, no oral intake.  She expired 8/22/2021 with pneumonia due to COVID-19, Acute hypoxemic respiratory failure, systolic heart failure, difficulty in walking, pleural effusion, bilateral, muscle weakness, atrial fibrillation, diabetes mellitus, and dementia
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Cardiac failure congestive, Death, Dyspnoea
Clinical narrative: 8/7/2021 tested for COVID-19 and was positive, was admitted to medical center with lethargy, minimally responsive, no oral intake.  She expired 8/22/2021 with pneumonia due to COVID-19, Acute hypoxemic respiratory failure, systolic heart failure, difficulty in walking, pleural effusion, bilateral, muscle weakness, atrial fibrillation, diabetes mellitus, and dementia
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 2nd Dose of Moderna Vaccine administered on 9/6/21 from Lot #011A21A expired 8/16/21.  *Site leadership consulted with the Safety Department and received the below confirmation: * If the dose given in error is the first dose, a second dose should be administered 28 days later. If this dose is the second dose, the series is complete and no additional doses are needed.
Age: 57.0
Sex: F
Vaccine: PNC13, TDAP
Symptoms: Laboratory test normal, Rash
Clinical narrative: nonurticarial rash started in the evening - L chest. next day, spread to torso, both arms.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Clonus, Electromyogram, Gait disturbance
Clinical narrative: within weeks of vaccine,  i experienced severe right hip pain, right leg and arm clonus,  muscle fasciculation, hyperreflexia and general right leg weakness.  unable to walk un-assisted
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperreflexia, Magnetic resonance imaging, Muscle contractions involuntary, Pain in extremity
Clinical narrative: within weeks of vaccine,  i experienced severe right hip pain, right leg and arm clonus,  muscle fasciculation, hyperreflexia and general right leg weakness.  unable to walk un-assisted
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram normal, Troponin increased
Clinical narrative: Five days after 2nd dose of pfizer vaccine, patient presented to Urgent care with substernal chest pain, found to have elevated troponins concerning for myocarditis, no evidence of heart failure, transferred to hospital for serial troponin measurements, which were down trending and echocardiogram which was normal.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received the Pfizer vaccine on 12/21/20 and 1/13/21 so was fully vaccinated when they tested positive for COVID-19 on 9/16/21.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Feeling hot, Full blood count, Hyperthyroidism
Clinical narrative: A little over a week after the vaccine my throat got sore which progressed to a cough.  My jaw and throat area was painful.  I was tested for COVID but it was negative.  My body would get really warm at times and I would get winded and had heart palpitations.  I went to see my PCP who ran various test and diagnosed me with having an overactive thyroid.  I was treated with meds and further test and over a month later I began feeling a little better
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in jaw, Palpitations, SARS-CoV-2 test negative, Ultrasound thyroid
Clinical narrative: A little over a week after the vaccine my throat got sore which progressed to a cough.  My jaw and throat area was painful.  I was tested for COVID but it was negative.  My body would get really warm at times and I would get winded and had heart palpitations.  I went to see my PCP who ran various test and diagnosed me with having an overactive thyroid.  I was treated with meds and further test and over a month later I began feeling a little better
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Chest pain, Fatigue
Clinical narrative: Chest pain, a fib, extremely fatigued
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dyspnoea, Lip swelling, Periorbital swelling
Clinical narrative: Our Health Dept secretary expressed she bumped into the pt's mom over the weekend and the mom proceeded to tell our secretary that her child had a reaction from the Pfizer vaccine that was taken 4 days ago.  It was reported to me Monday am, 9/20/2021.  I reached out to the mom but got no response, I left a message on her cell's voice mail to call me back.  Mom called back on 9/21/21 @ 9:08 am.  I asked the mom to explain to me what happened to her daughter and stated " my daughter lips swelled up and her eyes were puffy". When asked at what time this occurred, mom replied "she woke up the next morning like that, I gave her some Benadryl and Tylenol and she lay back down, when she got up later in the day, she was alright".  I asked the mom did the pt experience any trouble breathing, mom replied, "oh yeah, she did a little bit, her asthma was trying to act up, so I gave her her Albuterol Inh and like I said, when she woke up later in the afternoon , she was fine".  I asked mom did she take the pt to the ER, mom stated "no I didn't".  I advised the mom on pt had having what seemed to be and Anaphylaxis reaction to the Pfizer vaccine and she is not to receive it ever again unless under the care of her PCP.  I advised mom that we wouldn't be able to complete that series of Pfizer d/t her reaction.  I advised mom to seek any medical attention from ER or the Pediatrician's office of any other problems were to occur.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood pressure increased, Blood test, Chest X-ray, Computerised tomogram
Clinical narrative: Tiredness started at 6PM the day of vaccination went to bed at 7.45 and woke up around 10 because of pulse rate of 112 and BP 149/101 these symptoms lasted for about 5 hours.  Next morning I call the Pharmacist and she told me to keep monitoring my pulse and BP and that she thought it would stabilized by that afternoon.  BP and pulse continued to be high throughout the day. At midnight I started having pain in my left upper back and left rib cage and was unable to take a deep breath bc of the intense pain even that I had been taking aspirins through the night the pain continued so in the morning (Sunday) I went to an urgent care clinic and saw Dr. who listen to my lungs and did a chest X Ray. X Ray was clear but he sent me to an ER for possible PE secondary to COVID19 vaccine.  In the ER they did blood test to look for blood clots and it was positive so they performed a CT scan with contrast to look for blood clots. CT scan was negative so they sent me home and to follow up with Dr since my Blood Pressure was still high and my pulse was still in the 90s. I followed up with another Dr. and now I am on BP medication.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Heart rate increased, Musculoskeletal chest pain
Clinical narrative: Tiredness started at 6PM the day of vaccination went to bed at 7.45 and woke up around 10 because of pulse rate of 112 and BP 149/101 these symptoms lasted for about 5 hours.  Next morning I call the Pharmacist and she told me to keep monitoring my pulse and BP and that she thought it would stabilized by that afternoon.  BP and pulse continued to be high throughout the day. At midnight I started having pain in my left upper back and left rib cage and was unable to take a deep breath bc of the intense pain even that I had been taking aspirins through the night the pain continued so in the morning (Sunday) I went to an urgent care clinic and saw Dr. who listen to my lungs and did a chest X Ray. X Ray was clear but he sent me to an ER for possible PE secondary to COVID19 vaccine.  In the ER they did blood test to look for blood clots and it was positive so they performed a CT scan with contrast to look for blood clots. CT scan was negative so they sent me home and to follow up with Dr since my Blood Pressure was still high and my pulse was still in the 90s. I followed up with another Dr. and now I am on BP medication.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Vertigo
Clinical narrative: Vertigo . Dizziness . Passed out .
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram, Magnetic resonance imaging, Pain in extremity, Peripheral swelling, X-ray
Clinical narrative: arm started to swell, very painful feel like a needle,
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dyspnoea, Fatigue, Headache
Clinical narrative: Systemic Rash all over the body, headache, soreness, chills, aches, fever, fatigue, loss of appetite, and shortness of breath.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash, Vaccine positive rechallenge
Clinical narrative: Systemic Rash all over the body, headache, soreness, chills, aches, fever, fatigue, loss of appetite, and shortness of breath.
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Anticoagulant therapy, Blood test, Computerised tomogram, Hypoaesthesia, Magnetic resonance imaging
Clinical narrative: Right arm went numb.  Called EMS they airflighted me medical center.  Gave me tpa
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: About a week after the first COVID shot, I developed a rash on my neck. It was just one spot but I noticed it getting bigger and rounder. It did not itch or cause any discomfort so I just left it alone. About two weeks later, I noticed I was getting more little spots?they kind of looked like bug bites. I went to urgent care about the big one on my neck as it was kind of looking like ringworm?the NP said it looked like ringworm or excema. She prescribed me Oxiconazole for ringworm. The same day I saw her I got my 2nd COVID shot and began applying the antifungal cream that night. It?s been about a week since that last shot and the antifungal cream is not working?kind of making things worse. The rash may or may not be a side effect from the shot but I am just informing you.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness, Impaired work ability, Sudden hearing loss, Tinnitus
Clinical narrative: 1st shot: I developed inflammation in right side of my body after having shot in my right arm. My right breast became enlarged and painful with nods in it. As of today 9/22/21 it is still lumpy and painful. I am very uncomfortable with having one breast larger than the other, and it is still painful.   2nd shot: I developed tinnitus in right ear about a week or week and a half following vaccine. The tinnitus was extremely loud and I missed work due to the distress and inability to hear. After another week it occurred sometimes in left ear as well.   Once I could get an appointment to see an ENT doctor (4/19), I was then  diagnosed as having a reaction to the Pfizer shot. I was then tested at Audiology and told I had "sudden onset hearing loss" in the 4000-6000 Hz frequency in my right ear as well as the tinnitus. ENT doctor told me this was a reaction to the Pfizer vaccine I had just taken.  As of today 9/22/21 I still have tinnitus in both ears though it is not as loud as initially.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination complication
Clinical narrative: 1st shot: I developed inflammation in right side of my body after having shot in my right arm. My right breast became enlarged and painful with nods in it. As of today 9/22/21 it is still lumpy and painful. I am very uncomfortable with having one breast larger than the other, and it is still painful.   2nd shot: I developed tinnitus in right ear about a week or week and a half following vaccine. The tinnitus was extremely loud and I missed work due to the distress and inability to hear. After another week it occurred sometimes in left ear as well.   Once I could get an appointment to see an ENT doctor (4/19), I was then  diagnosed as having a reaction to the Pfizer shot. I was then tested at Audiology and told I had "sudden onset hearing loss" in the 4000-6000 Hz frequency in my right ear as well as the tinnitus. ENT doctor told me this was a reaction to the Pfizer vaccine I had just taken.  As of today 9/22/21 I still have tinnitus in both ears though it is not as loud as initially.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient reports itching that began in back and moved throughout body
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received the Moderna vaccine on 2/2/21 and 3/2/21 so was fully vaccinated when they tested positive for COVID-19 on 9/16/21.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Nausea, Pain, Pyrexia
Clinical narrative: fever above 102, nausea, vomiting for 3 days. managed conservatively.   joint pain, soreness , De Quervain's tenosynovitis of b/l wrists that self resolved in 45-60 days. only OTC meds were taken. did not require steroid injections. known previous history of De Quervain's tenosynovitis 3 years ago that required steroid shots but had since resolved.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Tenosynovitis stenosans, Vomiting
Clinical narrative: fever above 102, nausea, vomiting for 3 days. managed conservatively.   joint pain, soreness , De Quervain's tenosynovitis of b/l wrists that self resolved in 45-60 days. only OTC meds were taken. did not require steroid injections. known previous history of De Quervain's tenosynovitis 3 years ago that required steroid shots but had since resolved.