chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue, Underdose
Clinical narrative: While administering COVID vaccination syringe and needle became disconnected, resulting in loss of vaccine serum.  Patient received less than half a dose in her left deltoid. This RN consulted with RN clinic supervisor, who consulted the literature and recommended repeating dose. New syringe/needle combination was used to administer a repeat dose in the right deltoid without issue.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Metallic taste occurred roughly 15 mins after injection. Detected first mildly, then much more strongly on the tip of my tongue.  Within 1 and half hours, the taste is much stronger and has spread from the tip to the right side of tongue and roof of my mouth.   This was also the case (non-reported) for me during Covid I (lot number EW0164). In that instance, the taste lasted about 2 days and decreased significantly from onset approximately 24 hours later.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: UNKNOWN
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: No adverse effects that this time. The patient was given their second Moderna vaccine on 5/2/21, when their first was given on 4/15/21. The patient has dementia and did not remember the first dose, and the dose was not reported to immunization reporting tool and was not billed to the patient's insurance by the first facility.  Our facility had no indication that this was their second dose, and that it was too early.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Electrocardiogram normal, Muscular weakness
Clinical narrative: One week after receiving first dose, patient started to feel weak forearms. Client felt like he had pulled a muscle. Pain medications did not help patient. Patient went to PCP who conducted an EKG and blood work, all tests came back within normal range.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest discomfort, Chills, Echocardiogram, Electrocardiogram
Clinical narrative: I arrived at the ER complaining of tightness in the chest and nausea, having vomited an hour earlier. At triage, the EKG showed a weak heart rate. This was two and a half days after receiving the shot, and having had other symptoms including fever, chills, general soreness, all of which may have obscured an earlier onset of tightness in the chest. Eventually I was diagnosed with acute Pericarditis and prescribed Colchicine by mouth 2 times a day. I'll need to have follow-ups with a cardiologist, continue taking the Colchicine, and go easy on the heart for 6 weeks to 3 months. Long-term, it's expected I'll make a full recovery.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate abnormal, Nausea, Pain, Pericarditis, Pyrexia
Clinical narrative: I arrived at the ER complaining of tightness in the chest and nausea, having vomited an hour earlier. At triage, the EKG showed a weak heart rate. This was two and a half days after receiving the shot, and having had other symptoms including fever, chills, general soreness, all of which may have obscured an earlier onset of tightness in the chest. Eventually I was diagnosed with acute Pericarditis and prescribed Colchicine by mouth 2 times a day. I'll need to have follow-ups with a cardiologist, continue taking the Colchicine, and go easy on the heart for 6 weeks to 3 months. Long-term, it's expected I'll make a full recovery.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin, Vomiting
Clinical narrative: I arrived at the ER complaining of tightness in the chest and nausea, having vomited an hour earlier. At triage, the EKG showed a weak heart rate. This was two and a half days after receiving the shot, and having had other symptoms including fever, chills, general soreness, all of which may have obscured an earlier onset of tightness in the chest. Eventually I was diagnosed with acute Pericarditis and prescribed Colchicine by mouth 2 times a day. I'll need to have follow-ups with a cardiologist, continue taking the Colchicine, and go easy on the heart for 6 weeks to 3 months. Long-term, it's expected I'll make a full recovery.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Fatigue, Myalgia, SARS-CoV-2 test positive
Clinical narrative: Fatigue, soreness of muscles and joints, interrupted sleep, no appetite.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Fatigue, soreness of muscles and joints, interrupted sleep, no appetite.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor, Syncope, Tremor
Clinical narrative: Pt was shaking, fainted, pale and perfuse sweating at 10:10 -1030am  Treatment: no medication treatment needed,  pt was sent to the hospital via EMS.  Outcome: pt was sent to the hospital for further evaluation.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Rash, Rash morbilliform, Rash pruritic, Skin irritation
Clinical narrative: Full body rash that looks like a mix between hives and measles. Very itchy, red, and irritated. Steriod shot on 4/27/21, did not do anything for the rash.  Started taking 4 Allegra a day, stay out of the sun, heat, no sweating, etc....  on 5/3/21  by Dermatologist and Biopsy sent off.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Full body rash that looks like a mix between hives and measles. Very itchy, red, and irritated. Steriod shot on 4/27/21, did not do anything for the rash.  Started taking 4 Allegra a day, stay out of the sun, heat, no sweating, etc....  on 5/3/21  by Dermatologist and Biopsy sent off.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Malaise
Clinical narrative: ? tiredness ? headache ? muscle pain ? chills ? joint pain ? fever ? nausea ? feeling unwell
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: ? tiredness ? headache ? muscle pain ? chills ? joint pain ? fever ? nausea ? feeling unwell
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Myalgia, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: Cough  Muscle or body aches  Sore throat  Congestion or running nose
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Cough  Muscle or body aches  Sore throat  Congestion or running nose
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Vaccine was to be administered on or before 5/5/21 at 1500 and was given on 5/6/21 at 1000.  Reported to Pfizer as well.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pain, Skin burning sensation
Clinical narrative: Patient reports skin feels like on fire, hurts, cough 1 hour after vaccination
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Exposure during pregnancy, Foetal death, Haemorrhage, Premature separation of placenta
Clinical narrative: patient received first dose of moderna covid vaccine in pregnancy at 19 wks gestation. she started to have bleeding 6 days later with subsequent abruption , fetal demise and delivery 2 wks later.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse events were noted. This report is being submitted due to the administration error of vaccinating a 12-year-old while the vaccine only goes as low as 16 years old right now.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Head discomfort, Hemiplegic migraine, Hypoaesthesia, Paraesthesia oral
Clinical narrative: it felt like i had a ministroke or a hemiplegic migraine. partial blurred vision in one eye, right side of face was numb, pressure in the back of head, mouth tasted like metal, and some lip tingling hours after the initial incident.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: it felt like i had a ministroke or a hemiplegic migraine. partial blurred vision in one eye, right side of face was numb, pressure in the back of head, mouth tasted like metal, and some lip tingling hours after the initial incident.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Breast pain, Migraine, Vomiting
Clinical narrative: Left arm never stopped hurting, injection site always red and whelty.  10 days later, inablitiy to move ankles, knuckles or knees beyond the smallest of bends.  Went to the ER on 4/27/2021.  I was given steroids 50mg for 5 days.  It worked perfectly.  I stopped taking it on   05/02/2021.  On 5/3/2021-5/6/2021 I had severe migraine, my stomach would only empty via vomiting. 2 times on 5/3/2020, 7 times on 5/4/21, 2 x on 5/5/2021.  I lost 9 lbs from 5/2-5/6/2021. When I vomited, the pain in my breast area felt like a vise grip tightening on my ribs and heart area.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I have developed tinnitus since receiving the vaccine. It is a constant ringing in my ears.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Decreased appetite, Erythema, Fatigue
Clinical narrative: Arm swelling, redness, and pain - 4 days Headache - 72 hours No appetite - 72 hours Extreme fatigue - 72 hours  Extreme all over body pain  - 48  hours Weakness in legs - 48 hours Fever - 18 hours Nausea - 18 hours (on and off) Chills - 6 hours (on and off) Cold Sweat - 6 hours (on and off)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscular weakness, Nausea, Pain, Pain of skin
Clinical narrative: Arm swelling, redness, and pain - 4 days Headache - 72 hours No appetite - 72 hours Extreme fatigue - 72 hours  Extreme all over body pain  - 48  hours Weakness in legs - 48 hours Fever - 18 hours Nausea - 18 hours (on and off) Chills - 6 hours (on and off) Cold Sweat - 6 hours (on and off)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: Arm swelling, redness, and pain - 4 days Headache - 72 hours No appetite - 72 hours Extreme fatigue - 72 hours  Extreme all over body pain  - 48  hours Weakness in legs - 48 hours Fever - 18 hours Nausea - 18 hours (on and off) Chills - 6 hours (on and off) Cold Sweat - 6 hours (on and off)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Feeling hot, Loss of consciousness, Syncope, Urinary incontinence
Clinical narrative: patient received Janssen covid 19 vaccine. she informed me before she received it that she gets dizzy with needles and has fainted in the past with drawing blood. I gave the vaccine and pt said she was okay. a couple minutes later she said she was feeling very warm and asked for something to fan herself with. I asked another pharmacist is get her a cold compress. When she came back with it and went to give it to the patient she fainted and slumped in her chair; she did not fall out of the chair. she was unconscious for less than 30 seconds and lost bladder control. I continued to rub her wrists and neck with the cold paper towel and she regained consciousness and said she was okay. we observed her for at least 20 minutes more and then she left. she said she did not require any further medical attention.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthma, Dyskinesia, Headache, Injection site haemorrhage
Clinical narrative: After receiving my first vaccine on 4/13/21, I had a small asthma attack after about 20 minutes that went away quickly. After my second dose, I started feeling out of control of my muscles almost immediately. I also noticed the injection site was bleeding more than the first shot. 30 minutes later, the shaking became extensive and uncontrollable. I returned to clinic and the paramedics told me I was having an anxiety attack. The shaking continued on and at about 4:00pm I felt that my throat was puffing up. I went to the hospital and they put me on a variety of medications (Benadryl, Pepcid, and methylprednisolone). I felt better soon after. The next morning I have a sore throat, feel feverish and have a headache.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Oropharyngeal pain, Pyrexia, Tremor
Clinical narrative: After receiving my first vaccine on 4/13/21, I had a small asthma attack after about 20 minutes that went away quickly. After my second dose, I started feeling out of control of my muscles almost immediately. I also noticed the injection site was bleeding more than the first shot. 30 minutes later, the shaking became extensive and uncontrollable. I returned to clinic and the paramedics told me I was having an anxiety attack. The shaking continued on and at about 4:00pm I felt that my throat was puffing up. I went to the hospital and they put me on a variety of medications (Benadryl, Pepcid, and methylprednisolone). I felt better soon after. The next morning I have a sore throat, feel feverish and have a headache.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: patient felt light headed after vaccination
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral
Clinical narrative: Two days after my 2nd vaccine I was unable to hear out of my left ear (same side I received the shot) Doctor prescribed antibiotics feeling it may be a severe bacterial infection. I've taken for 7 days and no improvement in hearing out of my left ear.  It's been over two weeks and I am unable now to hear out of my left ear. I've never had ear infections or issues hearing, however, since the 2nd vaccine I can not hear out of my left ear!
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute motor-sensory axonal neuropathy, CSF test, Electromyogram abnormal, Guillain-Barre syndrome, Immunoglobulin therapy
Clinical narrative: Guillain Barre Acute severe bilateral leg pain (3/30/2021), tingling, subsequent foot drop (4/13/21)
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia, Peroneal nerve palsy
Clinical narrative: Guillain Barre Acute severe bilateral leg pain (3/30/2021), tingling, subsequent foot drop (4/13/21)
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Syncope
Clinical narrative: PATIENT RECEIVED 2ND COVID VACCINE AND WAS TOLD TO SIT DOWN FOR 15 MINUTES. SHE WAS WITH 3 OTHER FRIENDS AND SHE DECIDED TO WATCH ONE OF HER FRIENDS RECEIVE HER VACCINE. WHILE STANDING, SHE SUDDENLY FAINTED. SHE WAS OUT FOR A FEW MINUTES AND WAS SURROUNDED BY HER FRIENDS. SHE CAME TO AFTER A COUPLE OF MINUTES AND WAS COHERENT. I ASKED HER A FEW QUESTIONS AND SHE RESPONDED WELL. EMS SHOWED UP AND TOOK VITALS, ALL NORMAL. EMS TOOK HER BY STRETCHER TO THEIR MOBILE UNIT TO MONITOR HER. SHE DID RECEIVE A BUMP ON THE HEAD DUE TO THE FALL. NO BLOOD, NO SWELLING, JUST REDNESS AROUND THE AREA.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed shingles (multidermatomal herpes zoster).
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Rash, Rash erythematous, Rash papular
Clinical narrative: After my vaccine, I experienced redness sensation to my arm. My left arm was swollen and raised bump with a rash. I called my doctor and he thought it was possible cellulitis. He prescribed Prednisone and an antibiotic for seven days. After the seven days my rash was gone but I still had the raised bump. I went to an urgent care facility where they performed an ultrasound of left upper extremity and no blood clot was found. I was told to apply warm compresses to my left arm once a day. To this day I still have an aching sensation to my left arm and is also sore and my left arm is still red but flat in shape.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: After my vaccine, I experienced redness sensation to my arm. My left arm was swollen and raised bump with a rash. I called my doctor and he thought it was possible cellulitis. He prescribed Prednisone and an antibiotic for seven days. After the seven days my rash was gone but I still had the raised bump. I went to an urgent care facility where they performed an ultrasound of left upper extremity and no blood clot was found. I was told to apply warm compresses to my left arm once a day. To this day I still have an aching sensation to my left arm and is also sore and my left arm is still red but flat in shape.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Headache, Myalgia
Clinical narrative: Fever or Chills  Cough  Fatigue  Muscle or body aches  Headache
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever or Chills  Cough  Fatigue  Muscle or body aches  Headache
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Injection site pain
Clinical narrative: Fatigue, dizziness, headache, fever, nausea, severe pain around injection site and arm of injection site, chills, aches
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Fatigue, dizziness, headache, fever, nausea, severe pain around injection site and arm of injection site, chills, aches
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dehydration, Headache, Myalgia, Vomiting
Clinical narrative: Severe headache, joint pain, muscle ache. Vomiting regularly for 8 hours. Severe dehydration. Did not seek medical care. Symptoms subsided in the late evening and were clear by the next day.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Loss of consciousness
Clinical narrative: Patient received her vaccine and almost immediately blacked out for 10-15 seconds. Patient regained consciousness and was initially unaware of surrounding. We supported the patient and she remained upright in her seat. She was given orange juice and instructed to relax and take deep breaths. After a few minutes she felt better and moved to the observation area. After 15 more minutes the patient was back to herself and left the clinic with her significant other.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Nausea, headache, fatigue, low grade fever, dizziness/vertigo,
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Nausea, headache, fatigue, low grade fever, dizziness/vertigo,
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Flushing, Pyrexia, Seizure, Tremor
Clinical narrative: Pt stated the next day after getting her covid vaccine he gave herself a COPAXONE injection and then started getting flushing, shortness of breath that increased into shakes/convulsions and a fever that would spike and then fall and then spike again.  It went on for a few hours until she finally vomited and then started to get better until it just stopped.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Pt stated the next day after getting her covid vaccine he gave herself a COPAXONE injection and then started getting flushing, shortness of breath that increased into shakes/convulsions and a fever that would spike and then fall and then spike again.  It went on for a few hours until she finally vomited and then started to get better until it just stopped.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: Arm pain - two days Body aches - 36 hours Fatigue - ongoing  Headache - ongoing Swollen/sore glands - 40 hours
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Full blood count normal, Headache, Laboratory test abnormal, Prothrombin time
Clinical narrative: Severe headache developed on evening of vaccine. The next morning, patient developed an itchy bumpy raised red rash on her Right forearm while at school.  Benadryl helped a little.  A worsening headache, cough and wheeze started evening 4/27/21.  She took Tylenol and used her Albuterol inhaler.  She slept poorly due to itch, headache, bad cough & wheezing. On 4/29/21, 4 hrs after taking Benadryl, she developed an urticarial rash on her Left forearm (right arm improved by then). A pruritic, extensive petechial Left-sided facial rash began that evening which worsened the next am and spread to right side of face. Headache comes and goes. Rash spread to upper arms 5/3/21 despite daily Claritin. Facial rash is fading
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic, Sleep disorder
Clinical narrative: Severe headache developed on evening of vaccine. The next morning, patient developed an itchy bumpy raised red rash on her Right forearm while at school.  Benadryl helped a little.  A worsening headache, cough and wheeze started evening 4/27/21.  She took Tylenol and used her Albuterol inhaler.  She slept poorly due to itch, headache, bad cough & wheezing. On 4/29/21, 4 hrs after taking Benadryl, she developed an urticarial rash on her Left forearm (right arm improved by then). A pruritic, extensive petechial Left-sided facial rash began that evening which worsened the next am and spread to right side of face. Headache comes and goes. Rash spread to upper arms 5/3/21 despite daily Claritin. Facial rash is fading
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Wheezing
Clinical narrative: Severe headache developed on evening of vaccine. The next morning, patient developed an itchy bumpy raised red rash on her Right forearm while at school.  Benadryl helped a little.  A worsening headache, cough and wheeze started evening 4/27/21.  She took Tylenol and used her Albuterol inhaler.  She slept poorly due to itch, headache, bad cough & wheezing. On 4/29/21, 4 hrs after taking Benadryl, she developed an urticarial rash on her Left forearm (right arm improved by then). A pruritic, extensive petechial Left-sided facial rash began that evening which worsened the next am and spread to right side of face. Headache comes and goes. Rash spread to upper arms 5/3/21 despite daily Claritin. Facial rash is fading
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute sinusitis, Angiogram pulmonary abnormal, Anticoagulant therapy, Back pain, Blood fibrinogen decreased
Clinical narrative: Vaccine Induced Thrombotic Thrombocytopenia - confirmed with Lab testing Elisa PF4 highly positive  1.chills, generalized body aches, and noted that some glands in her neck were swollen. for 24-48 hours post vaccine  2. 4/27/2021,  worsening headaches, bifrontal, along with some bruising in her right leg and left wrist area. Evaluated at ER. white count was 6.1, her hemoglobin was 12.5 and her platelet count was 91,000.( PLT previously 301,000). MR venogram of the head was performed with and without contrast.  There was no dural, venous, sinus thrombosis or significant stenosis.  The clinical impression at the time of the treating ER physician was that she had acute sinusitis 3. 4/30/2021 PCP visit  Additional testing was obtained PLT 149,000. white count and hemoglobin were in the normal ranges.   D-dimer was elevated at greater than 20.  The fibrinogen was low at 143. Heparin platelet antibody test - lab - Negative  4. 5/3/2021 presents to Hospital.  12 to 16-hour history of back pain, bilaterally, left greater than right.  It also was very painful to take a deep breath.  She also noted that her fatigue was progressively worsening. CT Pulmonary Angiogram shows Thrombus within multiple right lower lobe, right middle lobe and posterior left upper lobe and medial left lower lobe pulmonary arteries. white count of 11.4, a hemoglobin of 13, and a platelet count of 254,000.  Her ANC was 9.  Her reticulocyte count was 1.3 and absolute reticulocytes were 0.06.  Treated with Non heparin anticoagulant - argatroban IV infusion titrated to PTT lab results Discharged from Hospital with rivaroxaban ( Xarelto) 5/6/2021
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Contusion, Fatigue, Fibrin D dimer increased, Haemoglobin normal
Clinical narrative: Vaccine Induced Thrombotic Thrombocytopenia - confirmed with Lab testing Elisa PF4 highly positive  1.chills, generalized body aches, and noted that some glands in her neck were swollen. for 24-48 hours post vaccine  2. 4/27/2021,  worsening headaches, bifrontal, along with some bruising in her right leg and left wrist area. Evaluated at ER. white count was 6.1, her hemoglobin was 12.5 and her platelet count was 91,000.( PLT previously 301,000). MR venogram of the head was performed with and without contrast.  There was no dural, venous, sinus thrombosis or significant stenosis.  The clinical impression at the time of the treating ER physician was that she had acute sinusitis 3. 4/30/2021 PCP visit  Additional testing was obtained PLT 149,000. white count and hemoglobin were in the normal ranges.   D-dimer was elevated at greater than 20.  The fibrinogen was low at 143. Heparin platelet antibody test - lab - Negative  4. 5/3/2021 presents to Hospital.  12 to 16-hour history of back pain, bilaterally, left greater than right.  It also was very painful to take a deep breath.  She also noted that her fatigue was progressively worsening. CT Pulmonary Angiogram shows Thrombus within multiple right lower lobe, right middle lobe and posterior left upper lobe and medial left lower lobe pulmonary arteries. white count of 11.4, a hemoglobin of 13, and a platelet count of 254,000.  Her ANC was 9.  Her reticulocyte count was 1.3 and absolute reticulocytes were 0.06.  Treated with Non heparin anticoagulant - argatroban IV infusion titrated to PTT lab results Discharged from Hospital with rivaroxaban ( Xarelto) 5/6/2021
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heparin-induced thrombocytopenia, Immunology test, Infusion, Lymphadenopathy
Clinical narrative: Vaccine Induced Thrombotic Thrombocytopenia - confirmed with Lab testing Elisa PF4 highly positive  1.chills, generalized body aches, and noted that some glands in her neck were swollen. for 24-48 hours post vaccine  2. 4/27/2021,  worsening headaches, bifrontal, along with some bruising in her right leg and left wrist area. Evaluated at ER. white count was 6.1, her hemoglobin was 12.5 and her platelet count was 91,000.( PLT previously 301,000). MR venogram of the head was performed with and without contrast.  There was no dural, venous, sinus thrombosis or significant stenosis.  The clinical impression at the time of the treating ER physician was that she had acute sinusitis 3. 4/30/2021 PCP visit  Additional testing was obtained PLT 149,000. white count and hemoglobin were in the normal ranges.   D-dimer was elevated at greater than 20.  The fibrinogen was low at 143. Heparin platelet antibody test - lab - Negative  4. 5/3/2021 presents to Hospital.  12 to 16-hour history of back pain, bilaterally, left greater than right.  It also was very painful to take a deep breath.  She also noted that her fatigue was progressively worsening. CT Pulmonary Angiogram shows Thrombus within multiple right lower lobe, right middle lobe and posterior left upper lobe and medial left lower lobe pulmonary arteries. white count of 11.4, a hemoglobin of 13, and a platelet count of 254,000.  Her ANC was 9.  Her reticulocyte count was 1.3 and absolute reticulocytes were 0.06.  Treated with Non heparin anticoagulant - argatroban IV infusion titrated to PTT lab results Discharged from Hospital with rivaroxaban ( Xarelto) 5/6/2021
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count increased, Pain, Painful respiration, Platelet count decreased, Pulmonary artery thrombosis
Clinical narrative: Vaccine Induced Thrombotic Thrombocytopenia - confirmed with Lab testing Elisa PF4 highly positive  1.chills, generalized body aches, and noted that some glands in her neck were swollen. for 24-48 hours post vaccine  2. 4/27/2021,  worsening headaches, bifrontal, along with some bruising in her right leg and left wrist area. Evaluated at ER. white count was 6.1, her hemoglobin was 12.5 and her platelet count was 91,000.( PLT previously 301,000). MR venogram of the head was performed with and without contrast.  There was no dural, venous, sinus thrombosis or significant stenosis.  The clinical impression at the time of the treating ER physician was that she had acute sinusitis 3. 4/30/2021 PCP visit  Additional testing was obtained PLT 149,000. white count and hemoglobin were in the normal ranges.   D-dimer was elevated at greater than 20.  The fibrinogen was low at 143. Heparin platelet antibody test - lab - Negative  4. 5/3/2021 presents to Hospital.  12 to 16-hour history of back pain, bilaterally, left greater than right.  It also was very painful to take a deep breath.  She also noted that her fatigue was progressively worsening. CT Pulmonary Angiogram shows Thrombus within multiple right lower lobe, right middle lobe and posterior left upper lobe and medial left lower lobe pulmonary arteries. white count of 11.4, a hemoglobin of 13, and a platelet count of 254,000.  Her ANC was 9.  Her reticulocyte count was 1.3 and absolute reticulocytes were 0.06.  Treated with Non heparin anticoagulant - argatroban IV infusion titrated to PTT lab results Discharged from Hospital with rivaroxaban ( Xarelto) 5/6/2021
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Reticulocyte count normal, Scan with contrast normal, Thrombosis, Vaccination complication, Venogram normal
Clinical narrative: Vaccine Induced Thrombotic Thrombocytopenia - confirmed with Lab testing Elisa PF4 highly positive  1.chills, generalized body aches, and noted that some glands in her neck were swollen. for 24-48 hours post vaccine  2. 4/27/2021,  worsening headaches, bifrontal, along with some bruising in her right leg and left wrist area. Evaluated at ER. white count was 6.1, her hemoglobin was 12.5 and her platelet count was 91,000.( PLT previously 301,000). MR venogram of the head was performed with and without contrast.  There was no dural, venous, sinus thrombosis or significant stenosis.  The clinical impression at the time of the treating ER physician was that she had acute sinusitis 3. 4/30/2021 PCP visit  Additional testing was obtained PLT 149,000. white count and hemoglobin were in the normal ranges.   D-dimer was elevated at greater than 20.  The fibrinogen was low at 143. Heparin platelet antibody test - lab - Negative  4. 5/3/2021 presents to Hospital.  12 to 16-hour history of back pain, bilaterally, left greater than right.  It also was very painful to take a deep breath.  She also noted that her fatigue was progressively worsening. CT Pulmonary Angiogram shows Thrombus within multiple right lower lobe, right middle lobe and posterior left upper lobe and medial left lower lobe pulmonary arteries. white count of 11.4, a hemoglobin of 13, and a platelet count of 254,000.  Her ANC was 9.  Her reticulocyte count was 1.3 and absolute reticulocytes were 0.06.  Treated with Non heparin anticoagulant - argatroban IV infusion titrated to PTT lab results Discharged from Hospital with rivaroxaban ( Xarelto) 5/6/2021
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Vaccine Induced Thrombotic Thrombocytopenia - confirmed with Lab testing Elisa PF4 highly positive  1.chills, generalized body aches, and noted that some glands in her neck were swollen. for 24-48 hours post vaccine  2. 4/27/2021,  worsening headaches, bifrontal, along with some bruising in her right leg and left wrist area. Evaluated at ER. white count was 6.1, her hemoglobin was 12.5 and her platelet count was 91,000.( PLT previously 301,000). MR venogram of the head was performed with and without contrast.  There was no dural, venous, sinus thrombosis or significant stenosis.  The clinical impression at the time of the treating ER physician was that she had acute sinusitis 3. 4/30/2021 PCP visit  Additional testing was obtained PLT 149,000. white count and hemoglobin were in the normal ranges.   D-dimer was elevated at greater than 20.  The fibrinogen was low at 143. Heparin platelet antibody test - lab - Negative  4. 5/3/2021 presents to Hospital.  12 to 16-hour history of back pain, bilaterally, left greater than right.  It also was very painful to take a deep breath.  She also noted that her fatigue was progressively worsening. CT Pulmonary Angiogram shows Thrombus within multiple right lower lobe, right middle lobe and posterior left upper lobe and medial left lower lobe pulmonary arteries. white count of 11.4, a hemoglobin of 13, and a platelet count of 254,000.  Her ANC was 9.  Her reticulocyte count was 1.3 and absolute reticulocytes were 0.06.  Treated with Non heparin anticoagulant - argatroban IV infusion titrated to PTT lab results Discharged from Hospital with rivaroxaban ( Xarelto) 5/6/2021
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Fatigue, Feeling cold
Clinical narrative: I got my 1st dose at 9:35 A.M., then at 5:00 P.M. I started to felt slight fatigue, then continued to super fatigue. I took my blood pressure, first it reach 150/84, then 20 minutes after it reached 160/90 which made me concerned. And I was so real fatigue. So I lay down. The whole night of 4/12/21, my BP was high 145/84, 150/84.  I had a slight feeling of body cold, so i dressed warm. The following day which is 4/13/21, my BP is still high in between 140/84 to 150/84.  On 4/14/21, my BP was 145/84 which a bit bitter compared to the previous days.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Urticaria
Clinical narrative: hives from 4/28 to 5/1 - from morning, sporadic, all over body (elbows, legs, arms, stomach, butt) - would go away once I took benedryl or zyrtec or claritin; followed by a sore throat 5/3 to present
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site nodule, Injection site pain
Clinical narrative: 4" knot at injection site. Large, hard, red lump on left shoulder. It is sore and tender to touch, with a slight burning sensation. It hurts when my arm is moved at all, especially if reaching. It first occurred the night of the 2nd injection. About 8-9 hours after the shot. It has gotten larger as the day goes on. It is now 12:25pm the following day.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: 4" knot at injection site. Large, hard, red lump on left shoulder. It is sore and tender to touch, with a slight burning sensation. It hurts when my arm is moved at all, especially if reaching. It first occurred the night of the 2nd injection. About 8-9 hours after the shot. It has gotten larger as the day goes on. It is now 12:25pm the following day.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site reaction, Injection site swelling, Injection site warmth, Rash pruritic
Clinical narrative: A rash on the arm in which the vaccination was given. The rash was itchy, hot to the touch, swollen. It spread over the course of the first 72 hours or so.  It resolved in about 7 days.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo. Feels like I'm spinning,
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was administered Moderna Covid Vaccine and is only 17 years old.  The patient did not have an adverse event to the vaccine. We are only reporting that she was given the vaccine at 17 years and 7 months of age.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Pain, Pyrexia
Clinical narrative: Fever or Chills  Cough  Muscle or body aches  Headache
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Fever or Chills  Cough  Muscle or body aches  Headache
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Itchy red swelling at infection  site, hot to the touch
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Patient is a 28 year old male in the observation area presents tingling sensation from right hand that jumped to left arm then to left leg then resolved after 2-3 minutes. Endorsed had the same  No CP, SOB, angioedema, blurry vision, slurry of speech, facial droop. Physical exam unremarkable. Vital signs stable. Neuro intact. Given ED precautions for CP, SOB, angioedema, sudden focal weakness. Sent home stable with resolved symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Pt seen with right arm spasms in observation post 1st dose of vaccine at 3:36 pm. I was called and escorted patient to the ground, spasms lasted for 11 minutes. Husband at side and made us aware of seizure hx & keppra use. 128/74 100% RRT called.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Loss of consciousness, Pallor, Syncope
Clinical narrative: patient fainted after immediately after getting Moderna Covid-19 vaccination and became unconscious for about 15 seconds and woke up. patient skin color became pale and reported feeling light headed and dizzy.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Hypoaesthesia, Inflammation, Muscular weakness, Pain
Clinical narrative: Arm and body pain that does not go away with medication, inflammation, leg pain left side of body feels hot and arm is starting to feel numb/weak and it is spreading to face and the rest of the left side of the body.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Arm and body pain that does not go away with medication, inflammation, leg pain left side of body feels hot and arm is starting to feel numb/weak and it is spreading to face and the rest of the left side of the body.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Patient received her vaccination shot on a Sunday, then by Tuesday she noticed a red circle around the injection site so she drew a border around it to measure if it grows. It did not. It was slightly itchy and hurt when pressure was applied on it. She did not visit a hospital or administer any treatment but spoke to a healthcare provider. By Saturday, the mark was gone.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage subcutaneous, Platelet count
Clinical narrative: Two weeks after 2nd Pfizer shot I cut my finger and had a hard time controlling the bleeding. I arranged to get a blood test to measure my platelets and I had dropped 50% from the previous test a month before. (From 444 to 200). I have another appointment on 05/10/2021 to test my platelet levels again. This is very unusual for me because I take medication to lower my platelet numbers since I make too many.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Shoulder injury related to vaccine administration
Clinical narrative: Following the injection I developed persistent shoulder pain consistent with SIRVA (Shoulder Injury Resulting from Vaccine Administration). That pain has continued for more than two months although it is diminishing. I did have a normal reaction to the vaccine the day following the injection. I wish to know whether the possible injection of the vaccine into the bursa rather than muscle has compromised the efficacy of the vaccine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Dizziness, Headache, Tinnitus
Clinical narrative: 4/20/21 hearing loss R ear, ringing in R ear, dizziness, headaches went to ER, then was referred to  ENT- Dr. diagnosed with sudden hearing loss. Recommend steroids (oral or injectable) which she has not yet started Caller reports she will not be getting 2nd vaccine
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Erythema, Night sweats, Ocular hyperaemia, Pyrexia
Clinical narrative: He received the 1st dose of the Pfizer COVID vaccine on 4/22/21 and within 5 minutes, developed coughing, sneezing, and rhinorrhea. Within 2-3 hours, symptoms progressed into pt having swollen and red cheeks and red eyes.  Denies any sob, tongue or lip swelling, hives, abd pain, dizziness. His BP was his normal, O2 was normal and he was sent home. He did not take any Benadryl or use epinephrine. That night he had subjective fever and night sweats. The symptoms lasted for 2 days and pt used Tylenol for symptomatic relief. Sx resolved by the 3rd day
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, Sneezing, Swelling face
Clinical narrative: He received the 1st dose of the Pfizer COVID vaccine on 4/22/21 and within 5 minutes, developed coughing, sneezing, and rhinorrhea. Within 2-3 hours, symptoms progressed into pt having swollen and red cheeks and red eyes.  Denies any sob, tongue or lip swelling, hives, abd pain, dizziness. His BP was his normal, O2 was normal and he was sent home. He did not take any Benadryl or use epinephrine. That night he had subjective fever and night sweats. The symptoms lasted for 2 days and pt used Tylenol for symptomatic relief. Sx resolved by the 3rd day
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Isolated nausea about 8 minutes after her shot.   No emesis. No other symptoms to suggest a vasovagal reaction. No SOB, CP, dizziness, or sense of asthma attack.   No wheezing. Nausea spontaneous resolved within about 5 minutes. VSS throughout.  No orthostasis.   Initial BP- 110/81, Pulse - 68, O2 sat - 100%
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Dyspnoea, Fibrin D dimer, Laboratory test abnormal
Clinical narrative: I became very short of breath, both actively and at rest.  Thinking it was stress related, I waited a few days for it to pass.  When it did not I reported it to FNP and she sent me for labs including a D-dimer.  The results were abnormal and she sent me for a CT Chest w/contrast.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity, Hypoaesthesia, Hypoaesthesia oral, Pain in extremity
Clinical narrative: After about 20-30 minutes after receiving a shot in my left arm I began to feel a very minor allergic reaction. The left side of my face, neck, and mouth became slightly numb, similar to how it feels after the anesthesia in your mouth begins to subside after an appointment to the doctor's office. This lasted for about 60 minutes. No other symptoms were present outside of my left arm being somewhat sore.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Hyperhidrosis, Vision blurred
Clinical narrative: Blurry vision, diaphoretic, hearing loss
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Patient reports chills, headache, and fever as high as 103 F.  I advised patient to call PCP
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Sleep disorder
Clinical narrative: Initially I had arm pain at the site of the injection.  Over time I noticed I had shoulder pain that was causing me to lose sleep.  About a month from the shot I setup up an appointment with my orthopedic group.  Before my appointment time I thought my arm was feeling better so I cancelled my appointment.  The pain seemed to come back even worse so in April I scheduled an appointment with the ortho doctor.  Ortho doc thought maybe I had a torn rotator cuff so he ordered an MRI.  The MRI came back negative for structural damage but apparently the doctor was able to determine the bursa was inflamed.  I received an injection (cortisone?) today and have a followup in two weeks.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: No adverse reaction noted at this time, however it was discovered after the shot was administered that there was inaccurate vaccine history given and patient had actually already received their 2nd dose (booster shot) of the Moderna vaccine.  The dose administered on 5/5/21 was the THIRD dose  the patient received.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Attention deficit hyperactivity disorder, Fragile X syndrome, Hunger, Hypotension
Clinical narrative: 26 y/o female hx fragile x syndrome, ADHD, anxiety who presents with syncope after receiving her first covid vaccine. She reports a similar episode in 2019 after a flu shot where she fainted. This episode was witnessed by her mother, as well as several others. A Rapid response was called, she was unrespsive for about 1 minute and required sternal rub. She was mildly hypotensive at the time, IV was placed and given 500 cc bolus, cart team took her to the ED. Since then she has been asymptomatic, only complaining of hunger. She denies dizziness upon standing, no chest pain or dyspnea. No known hx of anemia.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: 26 y/o female hx fragile x syndrome, ADHD, anxiety who presents with syncope after receiving her first covid vaccine. She reports a similar episode in 2019 after a flu shot where she fainted. This episode was witnessed by her mother, as well as several others. A Rapid response was called, she was unrespsive for about 1 minute and required sternal rub. She was mildly hypotensive at the time, IV was placed and given 500 cc bolus, cart team took her to the ED. Since then she has been asymptomatic, only complaining of hunger. She denies dizziness upon standing, no chest pain or dyspnea. No known hx of anemia.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood creatinine increased, Blood fibrinogen increased
Clinical narrative: Developed fever, SOB and chest pain 3 days after second vaccine dose.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, C-reactive protein increased, Chest pain, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Developed fever, SOB and chest pain 3 days after second vaccine dose.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Pyrexia, Serum ferritin increased, Troponin increased
Clinical narrative: Developed fever, SOB and chest pain 3 days after second vaccine dose.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dysstasia, Gait disturbance, Headache
Clinical narrative: Fever, chills, headache, nausea beginning at 9pm.  Additional nausea and lightheadedness, hard to stand up upon waking in am at 7. Took DayQuil to alleviate symptoms.  All resolved by 2pm day after shot.   Felt muscle soreness for three days after shot at injection site.  felt weak and headache two days after injection.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, chills, headache, nausea beginning at 9pm.  Additional nausea and lightheadedness, hard to stand up upon waking in am at 7. Took DayQuil to alleviate symptoms.  All resolved by 2pm day after shot.   Felt muscle soreness for three days after shot at injection site.  felt weak and headache two days after injection.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, Lung disorder, Pneumonia, Pyrexia
Clinical narrative: Client has a history of former tobacco abuse, CAD, DVT on apixaban, PAD s/p stenting, COPD, end-stage interstitial lung disease, chronic hypoxic respiratory failure (4L), sepsis complicated by aorto-embolic lower extremity thrombosis ultimately requiring L BKA, aorto-embolic RUE embolism treated with thrombectomy, RLE stent thrombosis while on anticoagul ation, GERD, steroid-induced diabetes, C difficile colitis, stress-induced cardiomyopathy. Client presented to the Emergency Room with shortness of breath, fever, and respiratory failure in the setting of COVID-19 and severe underlying pulmonary illness.  Admitted with: Severe COVID-19 bronchopneumonitis
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure
Clinical narrative: Client has a history of former tobacco abuse, CAD, DVT on apixaban, PAD s/p stenting, COPD, end-stage interstitial lung disease, chronic hypoxic respiratory failure (4L), sepsis complicated by aorto-embolic lower extremity thrombosis ultimately requiring L BKA, aorto-embolic RUE embolism treated with thrombectomy, RLE stent thrombosis while on anticoagul ation, GERD, steroid-induced diabetes, C difficile colitis, stress-induced cardiomyopathy. Client presented to the Emergency Room with shortness of breath, fever, and respiratory failure in the setting of COVID-19 and severe underlying pulmonary illness.  Admitted with: Severe COVID-19 bronchopneumonitis