chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, EBZR
Symptoms: Pneumonia, Prohormone brain natriuretic peptide increased, Pyrexia, Renal transplant, SARS-CoV-2 test positive
Clinical narrative: 74 yo F with history of renal transplant on immunosuppresssion, IDDM, a-fib/flutter on apixaban, sick sinus syndrome s/p PM presents with acute onset of headache, cough, SOB, and generalized weakness.  Symptoms started about 3 days ago.  Associated with chills and diaphoeresis.  Denies fevers.  Cough has been dry, non-productive.  No N/V/D, no dysuria.  Her husband recently had a cold, but otherwise no sick contacts.  She had a renal transplant at the end of May and is currently on MMF, Tacrolimus, and 5mg Prednisone daily.  She received her first two shots of COVID prior to her transplant and got a booster shot in August (all Pfizer). Recently admitted here in October for ESBL E. Coli UTI for which she completed 30 days of Ertapenem at home and reports having two follow-up negative UAs.  Denies any recent lower urinary tract symptoms.      In the ED, she was hypoxic to 83% and had low-grade fever to 100.2F.  ABG 7.45/36/63/93% on 3L.  Labs notable for leukopenia, stable normocytic anemia, BUN/Cr 22/1.5 (improved from last labs), glucose 188, pro-BNP 1078.  Found to be COVID positive and CXR with bilateral patchy opacities consistent with early PNA.  Hospitalist consulted for admission.   PT IS AN IN-PATIENT AT THIS TIME.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, EBZR
Symptoms: Urinary tract infection, Urine analysis normal
Clinical narrative: 74 yo F with history of renal transplant on immunosuppresssion, IDDM, a-fib/flutter on apixaban, sick sinus syndrome s/p PM presents with acute onset of headache, cough, SOB, and generalized weakness.  Symptoms started about 3 days ago.  Associated with chills and diaphoeresis.  Denies fevers.  Cough has been dry, non-productive.  No N/V/D, no dysuria.  Her husband recently had a cold, but otherwise no sick contacts.  She had a renal transplant at the end of May and is currently on MMF, Tacrolimus, and 5mg Prednisone daily.  She received her first two shots of COVID prior to her transplant and got a booster shot in August (all Pfizer). Recently admitted here in October for ESBL E. Coli UTI for which she completed 30 days of Ertapenem at home and reports having two follow-up negative UAs.  Denies any recent lower urinary tract symptoms.      In the ED, she was hypoxic to 83% and had low-grade fever to 100.2F.  ABG 7.45/36/63/93% on 3L.  Labs notable for leukopenia, stable normocytic anemia, BUN/Cr 22/1.5 (improved from last labs), glucose 188, pro-BNP 1078.  Found to be COVID positive and CXR with bilateral patchy opacities consistent with early PNA.  Hospitalist consulted for admission.   PT IS AN IN-PATIENT AT THIS TIME.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron increased, Blood test abnormal
Clinical narrative: On October 26, 2021 I had labs drawn for a new insurance assessment and it took a couple of weeks for the results but when they came back in the mail there was a letter that stated my iron levels were very high and to follow up with my PCP as son as possible to get those looked at and see what's going on. I'm a nurse and work with physicians, so I asked them to look at the results and they said to see a GI specialist. I had my labs redrawn to make sure it wasn't a fluke or accident and also did extra tests and a whole panel and the only thing wrong was my iron level. I called a Gastroenterologist and went and had an appointment with him and he thought maybe I had hemochromatosis and he did a panel for that and it was negative as well. The only thing I have is high iron level and he can't explain why. He said I can donate blood every 6 weeks, and we will monitor it every few months.
Age: 65.0
Sex: F
Vaccine: FLUC4
Symptoms: Extra dose administered
Clinical narrative: Patient was offered flu vaccine in today office visit, Pt accepted, filled out screening questionnaire. Flu vaccine was given by Medical assistant . When documenting vaccine, she noticed flu vaccine was already given on 11/02/21, Pt states she didn't remember it being given last month. Provider spoke w/ Pt over the phone regarding monitoring symptoms these next few days, Pt is to call us if she develops any  severe symptoms. Pt verbalized understanding.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Pharyngeal paraesthesia, Throat tightness
Clinical narrative: Patient felt lightheaded after first couple minutes of observation, vitals were normal, after 30 min, patient reported tingling in her throat and closing sensation, blood pressure was increased. Patient never lost consciousness, EMS was called to continue treatment
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Vomiting
Clinical narrative: tiredness, headache, chills, vomiting, diarhea
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Areflexia, Aspartate aminotransferase increased, Blood creatinine increased, Blood electrolytes abnormal
Clinical narrative: Cardiopulmonary arrest; shock 56-year-old female with a past medical history significant for ESRD in the setting of diabetes and hypertension, chronic diastolic heart failure, and other medical problems, who received hemodialysis treatments on a Monday, Wednesday, Friday regimen at dialysis facility, followed by Doctor. The patient became hypotensive and bradycardic during a routine outpatient dialysis session on 11/05/2021, and had struggled with this for several weeks according to outpatient dialysis nursing staff. In the past, she has responded to IV fluid bolus when her blood pressure gets low although on this occasion she was persistently hypotensive receiving 2-3 L of IV fluid prior to discontinuation of her treatment and arrival of EMS. The patient was arrested en route to the ED and was redirected to Hospital, where she was intubated, received one dose of ketamine, and started on Levophed, per report. Upon arrival, she was found to have systolic blood pressures in the 120 to 130 range on Levophed at >20 mcg's per minute. This was subsequently down titrated and she was on 2-6 mcg per minute with an SBP in the 130-150 range. Unfortunately she was found to be unresponsive with no spontaneous movement noted since her arrival, with no sedation administered since leaving the emergency department in Hospital.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Cardiac arrest, Cardio-respiratory arrest, Coma, Computerised tomogram
Clinical narrative: Cardiopulmonary arrest; shock 56-year-old female with a past medical history significant for ESRD in the setting of diabetes and hypertension, chronic diastolic heart failure, and other medical problems, who received hemodialysis treatments on a Monday, Wednesday, Friday regimen at dialysis facility, followed by Doctor. The patient became hypotensive and bradycardic during a routine outpatient dialysis session on 11/05/2021, and had struggled with this for several weeks according to outpatient dialysis nursing staff. In the past, she has responded to IV fluid bolus when her blood pressure gets low although on this occasion she was persistently hypotensive receiving 2-3 L of IV fluid prior to discontinuation of her treatment and arrival of EMS. The patient was arrested en route to the ED and was redirected to Hospital, where she was intubated, received one dose of ketamine, and started on Levophed, per report. Upon arrival, she was found to have systolic blood pressures in the 120 to 130 range on Levophed at >20 mcg's per minute. This was subsequently down titrated and she was on 2-6 mcg per minute with an SBP in the 130-150 range. Unfortunately she was found to be unresponsive with no spontaneous movement noted since her arrival, with no sedation administered since leaving the emergency department in Hospital.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Corneal reflex decreased, Dialysis, Electrocardiogram abnormal, Electrolyte imbalance, Endotracheal intubation
Clinical narrative: Cardiopulmonary arrest; shock 56-year-old female with a past medical history significant for ESRD in the setting of diabetes and hypertension, chronic diastolic heart failure, and other medical problems, who received hemodialysis treatments on a Monday, Wednesday, Friday regimen at dialysis facility, followed by Doctor. The patient became hypotensive and bradycardic during a routine outpatient dialysis session on 11/05/2021, and had struggled with this for several weeks according to outpatient dialysis nursing staff. In the past, she has responded to IV fluid bolus when her blood pressure gets low although on this occasion she was persistently hypotensive receiving 2-3 L of IV fluid prior to discontinuation of her treatment and arrival of EMS. The patient was arrested en route to the ED and was redirected to Hospital, where she was intubated, received one dose of ketamine, and started on Levophed, per report. Upon arrival, she was found to have systolic blood pressures in the 120 to 130 range on Levophed at >20 mcg's per minute. This was subsequently down titrated and she was on 2-6 mcg per minute with an SBP in the 130-150 range. Unfortunately she was found to be unresponsive with no spontaneous movement noted since her arrival, with no sedation administered since leaving the emergency department in Hospital.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperglycaemia, Hypokalaemia, Hypotension, Leukocytosis, Malaise
Clinical narrative: Cardiopulmonary arrest; shock 56-year-old female with a past medical history significant for ESRD in the setting of diabetes and hypertension, chronic diastolic heart failure, and other medical problems, who received hemodialysis treatments on a Monday, Wednesday, Friday regimen at dialysis facility, followed by Doctor. The patient became hypotensive and bradycardic during a routine outpatient dialysis session on 11/05/2021, and had struggled with this for several weeks according to outpatient dialysis nursing staff. In the past, she has responded to IV fluid bolus when her blood pressure gets low although on this occasion she was persistently hypotensive receiving 2-3 L of IV fluid prior to discontinuation of her treatment and arrival of EMS. The patient was arrested en route to the ED and was redirected to Hospital, where she was intubated, received one dose of ketamine, and started on Levophed, per report. Upon arrival, she was found to have systolic blood pressures in the 120 to 130 range on Levophed at >20 mcg's per minute. This was subsequently down titrated and she was on 2-6 mcg per minute with an SBP in the 130-150 range. Unfortunately she was found to be unresponsive with no spontaneous movement noted since her arrival, with no sedation administered since leaving the emergency department in Hospital.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Motor dysfunction, Multimorbidity, Myocardial infarction, Pupillary light reflex tests abnormal, Renal failure
Clinical narrative: Cardiopulmonary arrest; shock 56-year-old female with a past medical history significant for ESRD in the setting of diabetes and hypertension, chronic diastolic heart failure, and other medical problems, who received hemodialysis treatments on a Monday, Wednesday, Friday regimen at dialysis facility, followed by Doctor. The patient became hypotensive and bradycardic during a routine outpatient dialysis session on 11/05/2021, and had struggled with this for several weeks according to outpatient dialysis nursing staff. In the past, she has responded to IV fluid bolus when her blood pressure gets low although on this occasion she was persistently hypotensive receiving 2-3 L of IV fluid prior to discontinuation of her treatment and arrival of EMS. The patient was arrested en route to the ED and was redirected to Hospital, where she was intubated, received one dose of ketamine, and started on Levophed, per report. Upon arrival, she was found to have systolic blood pressures in the 120 to 130 range on Levophed at >20 mcg's per minute. This was subsequently down titrated and she was on 2-6 mcg per minute with an SBP in the 130-150 range. Unfortunately she was found to be unresponsive with no spontaneous movement noted since her arrival, with no sedation administered since leaving the emergency department in Hospital.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Transaminases increased, Troponin increased, Unresponsive to stimuli
Clinical narrative: Cardiopulmonary arrest; shock 56-year-old female with a past medical history significant for ESRD in the setting of diabetes and hypertension, chronic diastolic heart failure, and other medical problems, who received hemodialysis treatments on a Monday, Wednesday, Friday regimen at dialysis facility, followed by Doctor. The patient became hypotensive and bradycardic during a routine outpatient dialysis session on 11/05/2021, and had struggled with this for several weeks according to outpatient dialysis nursing staff. In the past, she has responded to IV fluid bolus when her blood pressure gets low although on this occasion she was persistently hypotensive receiving 2-3 L of IV fluid prior to discontinuation of her treatment and arrival of EMS. The patient was arrested en route to the ED and was redirected to Hospital, where she was intubated, received one dose of ketamine, and started on Levophed, per report. Upon arrival, she was found to have systolic blood pressures in the 120 to 130 range on Levophed at >20 mcg's per minute. This was subsequently down titrated and she was on 2-6 mcg per minute with an SBP in the 130-150 range. Unfortunately she was found to be unresponsive with no spontaneous movement noted since her arrival, with no sedation administered since leaving the emergency department in Hospital.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Complaint of  single hive on face
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler
Clinical narrative: Lower extremity DVT diagnosed on 12/10/2021
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site vesicles, Rash
Clinical narrative: Skin eruption filled with liquid on injection site
Age: 1.33
Sex: M
Vaccine: FLU4, HEPA, HIBV, PNC13
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Patient developed local swelling , described as "golf ball sized" in L leg following the Hep A and Flu vaccines. Patient also developed a fever of 103.9F and was inconsolable for 2 hours afterwards. It is reported in the Allergy work-up documentation that local swelling has also occurred after doses of DTaP (infanrix) and MMR. Even when vaccines are spaced out, it appears that the same reaction occurs. The allergy clinic recommended pre-treating vaccinations with oral antihistamines  prior to or topical steroids status-post vaccination to lessen swelling.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing
Clinical narrative: FLUSHED, DIZZINESS
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest discomfort, Chills, Cough, Decreased appetite
Clinical narrative: 11/26/2021  presenting today for Cough (cough, fever - has been exposed - pt tested pos for Covid at home last night) and Covid-19 Positive   c/o nasal congestion/drainage, cough x 4 days. States her husband tested positive for covid 4 days ago. She had a positive covid test at home today. She is requesting regeneron IV therapy, she has history of asthma. States she has gotten covid vaccine 11/26/21  Review of Systems  Constitutional: Positive for chills. Negative for activity change, appetite change, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sinus pain. Negative for ear discharge, ear pain, facial swelling, postnasal drip, sinus pressure, sore throat, trouble swallowing and voice change.   Eyes: Negative for photophobia, pain, discharge, redness and itching.  Respiratory: Positive for cough and chest tightness. Negative for shortness of breath, wheezing and stridor.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for decreased urine volume.  Musculoskeletal: Negative for back pain, myalgias, neck pain and neck stiffness.  Skin: Negative for rash.  Neurological: Negative for dizziness, weakness and headaches.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Nasal congestion, Pyrexia, Rhinorrhoea
Clinical narrative: 11/26/2021  presenting today for Cough (cough, fever - has been exposed - pt tested pos for Covid at home last night) and Covid-19 Positive   c/o nasal congestion/drainage, cough x 4 days. States her husband tested positive for covid 4 days ago. She had a positive covid test at home today. She is requesting regeneron IV therapy, she has history of asthma. States she has gotten covid vaccine 11/26/21  Review of Systems  Constitutional: Positive for chills. Negative for activity change, appetite change, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sinus pain. Negative for ear discharge, ear pain, facial swelling, postnasal drip, sinus pressure, sore throat, trouble swallowing and voice change.   Eyes: Negative for photophobia, pain, discharge, redness and itching.  Respiratory: Positive for cough and chest tightness. Negative for shortness of breath, wheezing and stridor.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for decreased urine volume.  Musculoskeletal: Negative for back pain, myalgias, neck pain and neck stiffness.  Skin: Negative for rash.  Neurological: Negative for dizziness, weakness and headaches.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sinus pain
Clinical narrative: 11/26/2021  presenting today for Cough (cough, fever - has been exposed - pt tested pos for Covid at home last night) and Covid-19 Positive   c/o nasal congestion/drainage, cough x 4 days. States her husband tested positive for covid 4 days ago. She had a positive covid test at home today. She is requesting regeneron IV therapy, she has history of asthma. States she has gotten covid vaccine 11/26/21  Review of Systems  Constitutional: Positive for chills. Negative for activity change, appetite change, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sinus pain. Negative for ear discharge, ear pain, facial swelling, postnasal drip, sinus pressure, sore throat, trouble swallowing and voice change.   Eyes: Negative for photophobia, pain, discharge, redness and itching.  Respiratory: Positive for cough and chest tightness. Negative for shortness of breath, wheezing and stridor.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for decreased urine volume.  Musculoskeletal: Negative for back pain, myalgias, neck pain and neck stiffness.  Skin: Negative for rash.  Neurological: Negative for dizziness, weakness and headaches.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Lip swelling, Pyrexia, Rash
Clinical narrative: Rash the night of vaccination. Responded to diphenhydramine. Started limping the day after vaccination. Fevers noted the day after vaccination. Lip swelling and hip pain noted 2 days after vaccination
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was inadvertently given the vaccine approved for ages 12+. PCP notified patient of event 12/14/2021. MOC denied any adverse side effects.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient received adult dose when child dose should have been administered
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza like illness, Nausea, Pyrexia
Clinical narrative: Day 1: Flu-like symptoms day after. Fatigue; nausea; headache; slight fever Day 2: Diminished almost completely except for slight fatigue Day 3: slight fatigue Day 4: slight fatigue; headache
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Fatigue
Clinical narrative: 12/13/21 Pt presents today for cough, generalized body aches x 1 day.  She has not lost taste and smell Denies known ill contacts She has been vaccinated against Covid-19 She does work as a restaurant server Review of Systems  Constitutional: Positive for activity change, chills, fatigue and fever. Negative for appetite change.  HENT: Positive for congestion, postnasal drip and sore throat. Negative for ear discharge, ear pain, rhinorrhea, sinus pressure, sinus pain and trouble swallowing.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for chest tightness, shortness of breath and wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Positive for diarrhea. Negative for abdominal pain, nausea and vomiting.  Skin: Negative for rash.  Neurological: Positive for headaches. Negative for dizziness, weakness, light-headedness and numbness.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: 12/13/21 Pt presents today for cough, generalized body aches x 1 day.  She has not lost taste and smell Denies known ill contacts She has been vaccinated against Covid-19 She does work as a restaurant server Review of Systems  Constitutional: Positive for activity change, chills, fatigue and fever. Negative for appetite change.  HENT: Positive for congestion, postnasal drip and sore throat. Negative for ear discharge, ear pain, rhinorrhea, sinus pressure, sinus pain and trouble swallowing.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for chest tightness, shortness of breath and wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Positive for diarrhea. Negative for abdominal pain, nausea and vomiting.  Skin: Negative for rash.  Neurological: Positive for headaches. Negative for dizziness, weakness, light-headedness and numbness.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: 12/13/21 Pt presents today for cough, generalized body aches x 1 day.  She has not lost taste and smell Denies known ill contacts She has been vaccinated against Covid-19 She does work as a restaurant server Review of Systems  Constitutional: Positive for activity change, chills, fatigue and fever. Negative for appetite change.  HENT: Positive for congestion, postnasal drip and sore throat. Negative for ear discharge, ear pain, rhinorrhea, sinus pressure, sinus pain and trouble swallowing.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for chest tightness, shortness of breath and wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Positive for diarrhea. Negative for abdominal pain, nausea and vomiting.  Skin: Negative for rash.  Neurological: Positive for headaches. Negative for dizziness, weakness, light-headedness and numbness.
Age: 12.0
Sex: M
Vaccine: FLUA4
Symptoms: Injection site swelling, Urticaria
Clinical narrative: Hives and swelling at the injection site
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Client received a booster dose of Moderna (0.25ml) (Lot #035C21A and exp: 12/30/2021) in the left arm at 3:32PM administered by RN. After administration, RN noted the client was supposed to receive a 2nd dose of Moderna (0.5mL) and alerted RN. RN elevated the information to Vaccine Operations Lead. Per CDC guidance Vaccine Operations Lead, recommended administration of a Moderna dose (0.25mL) in the opposite arm. RN provided education to the client regarding error and CDC recommendation of administration of a dose of Moderna (0.25mL) in the right arm. RN also provided education regarding s/s of anaphylaxis and when to seek EMS. The client voiced understanding of this education and provided verbal consent to receive a dose of Moderna (0.25mL) in the right arm. The client received a dose of Moderna (0.25mL)(Lot #035C21A and exp: 12/30/2021) in the right arm. The client did not report any symptoms during the observation period. The time the client left was not noted.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest discomfort, Dizziness, Headache
Clinical narrative: 2/17/2021 I had a headache for a week and heart palpitations. Turned into dizziness, and chest tightness.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Physical examination
Clinical narrative: 2/17/2021 I had a headache for a week and heart palpitations. Turned into dizziness, and chest tightness.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site scab, Injection site scar, Pain in extremity, Rash
Clinical narrative: Patient returned to pharmacy on 12/14/21 due to arm. Vaccine was on 12/01, patient states had arm soreness for a few days which resolved then noticed on 12/11/21 that arm had rash/sore/scabs. Patient reports no changes over the last 3 days. Patient has area around injection site that is red, scabbed over, with scarring in some areas. Patient denied any itching, fever, swelling, pain at the site.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Scab
Clinical narrative: Patient returned to pharmacy on 12/14/21 due to arm. Vaccine was on 12/01, patient states had arm soreness for a few days which resolved then noticed on 12/11/21 that arm had rash/sore/scabs. Patient reports no changes over the last 3 days. Patient has area around injection site that is red, scabbed over, with scarring in some areas. Patient denied any itching, fever, swelling, pain at the site.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient received adult dose when it should have been pediatric dose
Age: 81.0
Sex: M
Vaccine: UNK
Symptoms: Fatigue, Myalgia, Pyrexia
Clinical narrative: Fever, muscle aches, fatigue
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Palpitations, Swelling face, Vaccination complication
Clinical narrative: I experienced significant adverse side effects after receiving the J&J COVID vaccine, including facial swelling, numbness of my extremity (this lasted a few weeks) and ongoing sever heart palpitations.  I've been trying to get into a cardiologist for treatment and I have an appointment in January.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea started on 12-11-21.  Lasted until 12-14-21.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Haemorrhage, Heavy menstrual bleeding
Clinical narrative: Patient reported heavy menstrual bleeding beginning 24 to 36 hours after administration of both Janssen vaccines. Bleeding continued in intensity for 5 days then stopped after 9 days. This was 4-5 and 10-11 away from patient's normal cycle. Patient reported using heavy adult diapers to contain blood and presence of blood clots and cramping. Patient said she might have become anemic but did not present to clinic for testing.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeling of body temperature change, Headache, Hot flush
Clinical narrative: On 2/2/2021, I got my first dose of Moderna at 5:30PM. At around 5:30AM on 2/3/2021, I woke up shaking, freezing, and aching all over. I was shaking so hard that my bed shook, too. I alternated between freezing and feeling like I was burning up and sweating; when I was hot, I couldn't cool off fast enough and I would pass out. After that, I would then begin freezing again. I was also extremely dizzy. My symptoms were so intense that they felt worse than flu symptoms. I had an extreme headache, which gradually became less intense as the day progressed; I took Tylenol, which helped some with the headache pain. The body aches, shaking, chills, hot flashes, and headache all lasted until about 6:30PM that evening. I was then so exhausted that I slept for the following 12 hours. The next day, the symptoms were all gone and everything was back to normal.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Pain, Tremor
Clinical narrative: On 2/2/2021, I got my first dose of Moderna at 5:30PM. At around 5:30AM on 2/3/2021, I woke up shaking, freezing, and aching all over. I was shaking so hard that my bed shook, too. I alternated between freezing and feeling like I was burning up and sweating; when I was hot, I couldn't cool off fast enough and I would pass out. After that, I would then begin freezing again. I was also extremely dizzy. My symptoms were so intense that they felt worse than flu symptoms. I had an extreme headache, which gradually became less intense as the day progressed; I took Tylenol, which helped some with the headache pain. The body aches, shaking, chills, hot flashes, and headache all lasted until about 6:30PM that evening. I was then so exhausted that I slept for the following 12 hours. The next day, the symptoms were all gone and everything was back to normal.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: After 24 hours of vaccination patient noticed a rash of hives all over her body with itching. Patient self treated with loratadine and had some relief. Patient presented to the pharmacy 15 days after the vaccine to notify pharmacy that the hives were still present and was still itching. Patient was recommended to see a doctor.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site rash, Injection site swelling, Pain in extremity
Clinical narrative: Sore arm, swelling and rash at injection site, about 2 inches in diameter, headache
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: patient received adult dose when it should have been pediatric
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: As the patient was receiving her injection she moved and the needle dislodge resulting in the patient getting less then the required dose.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Formication, Nausea, Pruritus
Clinical narrative: The client received the vaccine at 1459 and started feeling nauseous at 1415. She was given water and advised to stay additional 15 minutes for detailed observation. At 12:30, she c/o of itching and "bugs crawling under her skin." Bright red erythema spots were noted on the chest, back, and hands. BP was measured to be 126/62. No wheezing or SOB. Called EMS. EMS instructed to activate EMS, and administer epinephrine. Epi-pen was administered along with 50 mg of diphenhydramine at 1440. BP measured post Epi administration 140/60, O2 99% HR 90. No SOB or wheezing. Patient reported itching has stopped as evidenced by a decrease in erythema on patient's chest, back, and hands.  BP at 1500 was measured. 110/60, HR90, O2 99%. Paramedics arrived at 1506 and took the patient at 1508. No vitals were checked on the spot.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site mass, Pyrexia
Clinical narrative: lump on side of injection site, fever, chilla,
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium increased, Cerebral thrombosis, Cerebrovascular accident, Computerised tomogram, Death
Clinical narrative: Patient was going to or from hot tub in the backyard on 9/12/21 about 11 PM.  Found her 9/14/21 at about 7PM laying in her backyard.  Had been there about 45 hours.  Ambulance transported her to Medical Center where she was diagnosed with a large blood clot in her brain that caused a massive stroke on the right side of her brain.  Was then intubated and placed in a medical induced coma until 9/28/21 when she was transferred from ICU to Hospice and extubated.  She expired 10/2/21 at 23:15 pm.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram, Endotracheal intubation, Intensive care, Magnetic resonance imaging head abnormal, Medical induction of coma
Clinical narrative: Patient was going to or from hot tub in the backyard on 9/12/21 about 11 PM.  Found her 9/14/21 at about 7PM laying in her backyard.  Had been there about 45 hours.  Ambulance transported her to Medical Center where she was diagnosed with a large blood clot in her brain that caused a massive stroke on the right side of her brain.  Was then intubated and placed in a medical induced coma until 9/28/21 when she was transferred from ICU to Hospice and extubated.  She expired 10/2/21 at 23:15 pm.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: None listed
Age: 67.0
Sex: M
Vaccine: FLUA4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: pt states arm still hurts and can barely lift arm after 2 months
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: left axillary swelling
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Arthropathy, C-reactive protein, Inflammation, Laboratory test
Clinical narrative: Onset of a chronic inflammatory arthropathic eventually diagnosed as rheumatoid arthritis
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate, Rheumatoid arthritis, Rheumatoid factor
Clinical narrative: Onset of a chronic inflammatory arthropathic eventually diagnosed as rheumatoid arthritis
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Dehydration, Dizziness, Fatigue
Clinical narrative: On 3/2/2021, I got my second dose of Moderna at 4:30PM. At 4:30AM on 3/3/2021, I woke up shaking, freezing, aching all over, nauseous, dizzy, sweating, and with an intense headache. I alternated between freezing and feeling as if I were burning up. The symptoms gradually worsened until about 10:30AM, when my husband took me to the ER at Hospital. When I got to the ER, I was hooked up to an IV, as I was a little dehydrated. I underwent a chest X-ray and bloodwork and was given a vitamin shot. The test results indicated no abnormalities. I was also given a sublingual tablet to treat my nausea. Since no abnormalities were detected in the tests, the doctors concluded that my symptoms were a reaction to the Moderna vaccine. I was kept for 3 hours in the ER and then released. The symptoms lasted all day, and I was given nothing to treat them save some sublingual anti-nausea tablets to take home. The symptoms were resolved by 3/4/2021, but I was so fatigued after my experience that I took off from work for 3 days.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Feeling hot, Headache, Hyperhidrosis, Impaired work ability
Clinical narrative: On 3/2/2021, I got my second dose of Moderna at 4:30PM. At 4:30AM on 3/3/2021, I woke up shaking, freezing, aching all over, nauseous, dizzy, sweating, and with an intense headache. I alternated between freezing and feeling as if I were burning up. The symptoms gradually worsened until about 10:30AM, when my husband took me to the ER at Hospital. When I got to the ER, I was hooked up to an IV, as I was a little dehydrated. I underwent a chest X-ray and bloodwork and was given a vitamin shot. The test results indicated no abnormalities. I was also given a sublingual tablet to treat my nausea. Since no abnormalities were detected in the tests, the doctors concluded that my symptoms were a reaction to the Moderna vaccine. I was kept for 3 hours in the ER and then released. The symptoms lasted all day, and I was given nothing to treat them save some sublingual anti-nausea tablets to take home. The symptoms were resolved by 3/4/2021, but I was so fatigued after my experience that I took off from work for 3 days.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Tremor
Clinical narrative: On 3/2/2021, I got my second dose of Moderna at 4:30PM. At 4:30AM on 3/3/2021, I woke up shaking, freezing, aching all over, nauseous, dizzy, sweating, and with an intense headache. I alternated between freezing and feeling as if I were burning up. The symptoms gradually worsened until about 10:30AM, when my husband took me to the ER at Hospital. When I got to the ER, I was hooked up to an IV, as I was a little dehydrated. I underwent a chest X-ray and bloodwork and was given a vitamin shot. The test results indicated no abnormalities. I was also given a sublingual tablet to treat my nausea. Since no abnormalities were detected in the tests, the doctors concluded that my symptoms were a reaction to the Moderna vaccine. I was kept for 3 hours in the ER and then released. The symptoms lasted all day, and I was given nothing to treat them save some sublingual anti-nausea tablets to take home. The symptoms were resolved by 3/4/2021, but I was so fatigued after my experience that I took off from work for 3 days.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Hypersomnia, Impaired work ability, Pyrexia
Clinical narrative: The morning after receiving the vaccine, I woke up feeling under the weather. I took my temperature and received a reading of approx. 102F. I waited 15 minutes, rechecked, and received the same result. I took Tylenol (1000mg PO) and rested on the couch. Throughout the day, my fever continually rose and, at one point, I spent over ten hours with a fever over 104.5F (despite continual doses of Tylenol and ibuprofen). I did a Telehealth visit with a provider who said that as long as I was conscious and not hallucinating, I was able to stay home -- otherwise he recommended I immediately call 911. Thankfully, though my temperature was very high, I didn't need additional medical care. My wife said I slept 34 hours in the 48 hours after receiving the dose. By Monday morning, though, I was able to return to work as my symptoms had nearly fully resolved.  I have a primary immune disease (Common Variable Immune Disease) and, speaking with a healthcare provider I see at the NIH, they believe this reaction was likely caused by the vaccine reacting with a dose of IVIG (Gamunex-C) that I received the day before my vaccine. Their working theory is that there were fresh COVID antibodies in the IVIG and the vaccine reacted to those antibodies.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Discomfort, Gait disturbance, Hypoaesthesia, Joint swelling
Clinical narrative: The morning after my covid booster shot (3rd dose of Pfizer vaccine) I woke up with a very swollen ankle and leg on the side of my body that the vaccine was injected into. It has been 5 days now and the swelling has not gone down and my leg hurts more. There is a pain that goes up my leg to my knee and up to my thigh. It is all swollen and sometimes feels numb and tingly.  I have a lot of discomfort walking.  The swollen ankle is probably 2-3X  as big as the other ankle and really hurts.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Peripheral swelling, Ultrasound Doppler
Clinical narrative: The morning after my covid booster shot (3rd dose of Pfizer vaccine) I woke up with a very swollen ankle and leg on the side of my body that the vaccine was injected into. It has been 5 days now and the swelling has not gone down and my leg hurts more. There is a pain that goes up my leg to my knee and up to my thigh. It is all swollen and sometimes feels numb and tingly.  I have a lot of discomfort walking.  The swollen ankle is probably 2-3X  as big as the other ankle and really hurts.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: tired
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Herpes zoster, Hypoaesthesia
Clinical narrative: A few weeks after vaccine I had numbness and pain on my back and went to urgent care and was diagnosed with shingles. I was prescribed valacyclovir. I took this medication for 7 days and the symptoms went away at 1.5 weeks to 2 weeks after the medication.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac imaging procedure, Cough, Dyspnoea, Heart rate increased, Nasopharyngitis
Clinical narrative: elevated traponin levels; elevated heart rate above 100 for several days; trouble breathing
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary imaging procedure, SARS-CoV-2 test negative, Troponin increased
Clinical narrative: elevated traponin levels; elevated heart rate above 100 for several days; trouble breathing
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia
Clinical narrative: Headache, muscle soreness, and chills
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Fatigue, Headache, Lethargy
Clinical narrative: Fever, body and muscle aches, weakness, fatigue, loss of appetite, lethargic, headache She did not have this with Pfizer 1 and 2 doses
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: Fever, body and muscle aches, weakness, fatigue, loss of appetite, lethargic, headache She did not have this with Pfizer 1 and 2 doses
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Extra dose administered, Head discomfort, Heart rate increased
Clinical narrative: Client  received the COVID Booster vaccine Pfizer at 1:35 pm.  Client received 1st COVID vaccine Janssen on 06/09/2021.  At 2:15 pm client made EMT aware she was feeling dizzy and had pressure in head, "behind eyes and bottom of forehead" , rates pressure 3/10 on scale.  Client placed in gravity chair.  Vital signs @ 2:17pm:  blood pressure is 110/78, pulse 68, oxygen saturation 98%.   Client reports  she had the same head pressure in pregnancy when her blood pressure was low.  Client denies any trouble breathing, no throat tightening, no trouble swallowing.  Client denies similar reaction to 1st COVID vaccine.  Client denies any allergies, not taking medications.  Client offered and given a snack and juice.  Vital signs @ 2:30 pm:  blood pressure 100/70, pulse 67, oxygen saturation 99 %.  Blood pressure repeated with digital blood pressure monitor and is 113/77.  Client reports at this time that she feels her heart rate elevating, states she feels it's related to feeling anxious.  Client denies any trouble breathing.    At 2:34 pm, client reports 0/10 head pressure, states she feels her heart rate increasing, denies dizziness, denies trouble breathing.  Vital signs at 2:45 pm:  blood pressure 110/63, pulse 78, oxygen saturation 97%.  At 2:48 pm, client reports no longer feeling heart rate accelerate, no dizziness, no head pressure.  Client educated on ER precautions and to follow up with primary care provider if symptoms return.  Client leaves observation area at 2:50 pm, walks with steady gait.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Client  received the COVID Booster vaccine Pfizer at 1:35 pm.  Client received 1st COVID vaccine Janssen on 06/09/2021.  At 2:15 pm client made EMT aware she was feeling dizzy and had pressure in head, "behind eyes and bottom of forehead" , rates pressure 3/10 on scale.  Client placed in gravity chair.  Vital signs @ 2:17pm:  blood pressure is 110/78, pulse 68, oxygen saturation 98%.   Client reports  she had the same head pressure in pregnancy when her blood pressure was low.  Client denies any trouble breathing, no throat tightening, no trouble swallowing.  Client denies similar reaction to 1st COVID vaccine.  Client denies any allergies, not taking medications.  Client offered and given a snack and juice.  Vital signs @ 2:30 pm:  blood pressure 100/70, pulse 67, oxygen saturation 99 %.  Blood pressure repeated with digital blood pressure monitor and is 113/77.  Client reports at this time that she feels her heart rate elevating, states she feels it's related to feeling anxious.  Client denies any trouble breathing.    At 2:34 pm, client reports 0/10 head pressure, states she feels her heart rate increasing, denies dizziness, denies trouble breathing.  Vital signs at 2:45 pm:  blood pressure 110/63, pulse 78, oxygen saturation 97%.  At 2:48 pm, client reports no longer feeling heart rate accelerate, no dizziness, no head pressure.  Client educated on ER precautions and to follow up with primary care provider if symptoms return.  Client leaves observation area at 2:50 pm, walks with steady gait.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Rash, Rash pruritic, SARS-CoV-2 test, Wheezing
Clinical narrative: I started with a rash and itching all over that worsened over 2-3 days,and resulted in significant inflammation of my right hand and wrist that increased up towards my elbow quickly on day 4 of reaction.  I was seen by my primary care office via telehealth initially was prescribed a tapering dose of prednisone starting with 40mg, told to take Pepcid for a histamine blocker, Zyrtec twice daily and Benadryl as needed. And use hydrocortisone cream.  I was unable to sleep through the night and missed 2-3 days of work over 2 weeks.  The itching only lessened with the use of all medication, with the most relief coming towards end of steroids.  I?m still itchy now that steroifds are completed but it improved; a little nervous it will get worse Now that tapering steroid Cousy is completed.  I felt like there might be inflammation inside my neck around day 5-7 as I would wake in the night unable to swallow my saliva -very weird - I have never experienced something like that before.  Sometimes I felt like I was wheezing, but the  wheezing didn?t feel like it was in my chest but maybe my neck.  The swelling that occurred in my right hand and wrist was concerning and progressed quickly so I went to Urgent Care where they treated me with another 20mg of prednisone on day1.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrioventricular block complete, Cardiac pacemaker insertion
Clinical narrative: The patient developed complete AV block requiring placement of a pacemaker.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling of body temperature change, Headache, Hyperhidrosis, Nausea
Clinical narrative: On 10/23/2021 at 2:30PM, I received my Moderna booster. On 10/24/2021 at 2:30AM, I woke up alternating between freezing and feeling like I was burning up and sweating. I also had mild nausea and a very mild headache. The symptoms lasted all day, and they resolved at about 5:36PM that day. Afterwards, I was exhausted and slept for 12 hours. On 10/25/2021, I felt better, and everything was back to normal.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: After Whole Body pain
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test normal, Ovarian cyst ruptured, Ultrasound abdomen, Ultrasound scan vagina
Clinical narrative: 10/20 Had severe abdominal pain and went to ER. There, I had a Abdominal and Transvaginal Ultrasound. There were also blood and urine test. After this discovery, follow up was scheduled for 12/14/2021 Ovarian Cyst ruptured and a few fibroids was left. Birth control was prescribed to prevent future cyst development.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal, Uterine leiomyoma
Clinical narrative: 10/20 Had severe abdominal pain and went to ER. There, I had a Abdominal and Transvaginal Ultrasound. There were also blood and urine test. After this discovery, follow up was scheduled for 12/14/2021 Ovarian Cyst ruptured and a few fibroids was left. Birth control was prescribed to prevent future cyst development.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Urticaria
Clinical narrative: pain and itchiness on soles of feet (12/10/21), hives on feet (12/11/21), hives on hands (12/13/21), itching on hands (12/14/21), hive on face near left eye (12/14/21). Treated at home with Benadryl and ibuprofen 12/13/21, visited GP 12/14/21: urticaria, keeping an eye on possible hand-foot-mouth symptoms. Received Rx for hydroxyzine hcl
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Local reaction
Clinical narrative: Large local Reaction
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blister, Erythema, Immediate post-injection reaction, Pruritus, Swelling
Clinical narrative: Large local Reaction