chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac discomfort, Chest discomfort, Myocardial infarction, Sudden cardiac death
Clinical narrative: Patient felt a pressure, upon getting vaccinated,  like something was there on his heart.  He said to me, "I think the vaccine damaged my heart."  He said this twice on two different occasions at which time I urged him to see a doctor.  He said he could feel it "more" when he exerted himself.  I believe it was sometime late summer or early fall, maybe October, he again said he believed the vaccine had damaged his heart and said whatever he felt in there, felt like it was moving.  On December 9, 2021 he died suddenly of a massive heart attack. He had no history of heart disease and was not being treated for any heart problem, nor did any of his family have a history of heart disease.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Aura, Bone pain, Chills, Impaired driving ability
Clinical narrative: This patient had post covid19- Moderna reaction with now a fixed neurologic deficit.   AMB NEURO Office/Clinic Note  January 25, 2022 Chief Complaint New patient, tremors, R eye discomfort History of Present Illness. This is a 64 yo male, then AF for 22 yrs, retired as a CPT, with hx of polycythemia, hypothyroidism, HLD,  GERD, tremor, bipolar d.o.(on Depakote, Effexor) , hx of melanoma, referred for a tremor. However patient clarified that he doesn?t have a tremor- rather may get some post exercises tremulouness. Rather he is here for a referral by optho whom he saw summer 2021; he was found to have monocular OD, inferior nasal quadrant crescent visual field cut; again this is monocular and it came upon subacute within days, max deficits 3 weeks, following his 2nd moderna vaccination for COVID19. This was accompanied by a systemic illness of rigors, palpitations, bone and joint pains which abated over the 1st week; since then he has had nearly constant and recurring (in addition to the crescent visual field defect) visual blurriness/ snow, with intermittent scintillating scotomas of bright flashes; no fortification spectra. This can be impairing during his ADLs and driving, can last for minutes to hours at a time.  No symptoms like this prior to the vaccine; no hx of head trauma in his military;                                                                                                                       I suspect a branch retinal artery occlusion; however its surprising there was no findings on his formal ophtho exam (hence I will place referral to neuro-ophtho as well) ? and I am unsure how to tie in his 2nd covid vaccine with the onset of symptoms; but it is clear that he was symptoms free prior to the vaccination and the associated symptoms -will screen MRI brain with contrast in light of hx of melanoma; MRA head and neck to r/o vascular sources  -trial of lamictal for visual snow/mild headachy symptoms with visual aura   *patient on Depakote for mood stabilization; hence to inform his psychiatrist of being placed on lamictal, which down the road can become his replacement mood stabilizer if his BH provider sees fit  -referral to neuro-ophtho placed for confirm the ophtho findings; I would be strongly suspicious of branch retinal artery occlusion; hence I have also added vascular imaging**       2. Visual disturbance H53.9 Ordered:Basic Metabolic PanelMRI Brain w/wo Contrast 3. Monocular visual disturbance  Ordered: Basic Metabolic PanelMRI Brain w/wo Contrast Referral Ambulatory  4. Ocular migraine   Ordered:MRI Brain w/wo Contrast Referral Ambulatory 5. Vaccine reaction  Ordered:MRI Brain w/wo Contrast Referral Ambulatory 6. Visual snow syndrome
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Neurological symptom, Ocular discomfort, Palpitations, Photopsia
Clinical narrative: This patient had post covid19- Moderna reaction with now a fixed neurologic deficit.   AMB NEURO Office/Clinic Note  January 25, 2022 Chief Complaint New patient, tremors, R eye discomfort History of Present Illness. This is a 64 yo male, then AF for 22 yrs, retired as a CPT, with hx of polycythemia, hypothyroidism, HLD,  GERD, tremor, bipolar d.o.(on Depakote, Effexor) , hx of melanoma, referred for a tremor. However patient clarified that he doesn?t have a tremor- rather may get some post exercises tremulouness. Rather he is here for a referral by optho whom he saw summer 2021; he was found to have monocular OD, inferior nasal quadrant crescent visual field cut; again this is monocular and it came upon subacute within days, max deficits 3 weeks, following his 2nd moderna vaccination for COVID19. This was accompanied by a systemic illness of rigors, palpitations, bone and joint pains which abated over the 1st week; since then he has had nearly constant and recurring (in addition to the crescent visual field defect) visual blurriness/ snow, with intermittent scintillating scotomas of bright flashes; no fortification spectra. This can be impairing during his ADLs and driving, can last for minutes to hours at a time.  No symptoms like this prior to the vaccine; no hx of head trauma in his military;                                                                                                                       I suspect a branch retinal artery occlusion; however its surprising there was no findings on his formal ophtho exam (hence I will place referral to neuro-ophtho as well) ? and I am unsure how to tie in his 2nd covid vaccine with the onset of symptoms; but it is clear that he was symptoms free prior to the vaccination and the associated symptoms -will screen MRI brain with contrast in light of hx of melanoma; MRA head and neck to r/o vascular sources  -trial of lamictal for visual snow/mild headachy symptoms with visual aura   *patient on Depakote for mood stabilization; hence to inform his psychiatrist of being placed on lamictal, which down the road can become his replacement mood stabilizer if his BH provider sees fit  -referral to neuro-ophtho placed for confirm the ophtho findings; I would be strongly suspicious of branch retinal artery occlusion; hence I have also added vascular imaging**       2. Visual disturbance H53.9 Ordered:Basic Metabolic PanelMRI Brain w/wo Contrast 3. Monocular visual disturbance  Ordered: Basic Metabolic PanelMRI Brain w/wo Contrast Referral Ambulatory  4. Ocular migraine   Ordered:MRI Brain w/wo Contrast Referral Ambulatory 5. Vaccine reaction  Ordered:MRI Brain w/wo Contrast Referral Ambulatory 6. Visual snow syndrome
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Retinal artery occlusion, Tremor, Vision blurred, Visual snow syndrome
Clinical narrative: This patient had post covid19- Moderna reaction with now a fixed neurologic deficit.   AMB NEURO Office/Clinic Note  January 25, 2022 Chief Complaint New patient, tremors, R eye discomfort History of Present Illness. This is a 64 yo male, then AF for 22 yrs, retired as a CPT, with hx of polycythemia, hypothyroidism, HLD,  GERD, tremor, bipolar d.o.(on Depakote, Effexor) , hx of melanoma, referred for a tremor. However patient clarified that he doesn?t have a tremor- rather may get some post exercises tremulouness. Rather he is here for a referral by optho whom he saw summer 2021; he was found to have monocular OD, inferior nasal quadrant crescent visual field cut; again this is monocular and it came upon subacute within days, max deficits 3 weeks, following his 2nd moderna vaccination for COVID19. This was accompanied by a systemic illness of rigors, palpitations, bone and joint pains which abated over the 1st week; since then he has had nearly constant and recurring (in addition to the crescent visual field defect) visual blurriness/ snow, with intermittent scintillating scotomas of bright flashes; no fortification spectra. This can be impairing during his ADLs and driving, can last for minutes to hours at a time.  No symptoms like this prior to the vaccine; no hx of head trauma in his military;                                                                                                                       I suspect a branch retinal artery occlusion; however its surprising there was no findings on his formal ophtho exam (hence I will place referral to neuro-ophtho as well) ? and I am unsure how to tie in his 2nd covid vaccine with the onset of symptoms; but it is clear that he was symptoms free prior to the vaccination and the associated symptoms -will screen MRI brain with contrast in light of hx of melanoma; MRA head and neck to r/o vascular sources  -trial of lamictal for visual snow/mild headachy symptoms with visual aura   *patient on Depakote for mood stabilization; hence to inform his psychiatrist of being placed on lamictal, which down the road can become his replacement mood stabilizer if his BH provider sees fit  -referral to neuro-ophtho placed for confirm the ophtho findings; I would be strongly suspicious of branch retinal artery occlusion; hence I have also added vascular imaging**       2. Visual disturbance H53.9 Ordered:Basic Metabolic PanelMRI Brain w/wo Contrast 3. Monocular visual disturbance  Ordered: Basic Metabolic PanelMRI Brain w/wo Contrast Referral Ambulatory  4. Ocular migraine   Ordered:MRI Brain w/wo Contrast Referral Ambulatory 5. Vaccine reaction  Ordered:MRI Brain w/wo Contrast Referral Ambulatory 6. Visual snow syndrome
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Neck pain
Clinical narrative: Patient received expired vaccine. Clinic and Pfizer recommend revaccination. Patient was contacted to schedule an appointment. She rescheduled for 2/24/2022. States she has experienced Right neck pain since injection.
Age: 54.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Magnetic resonance imaging normal, Middle ear effusion, Tinnitus
Clinical narrative: Ears filled with fluid 11/24/21 - 11/29/21 with no other symptoms, went to 1st choice urgent care on 11/28, did not start medication 11/29/21 as directed as ears clears.   Tinnitus in started 12/13/2021.   Have been given numerous medications in an attempt to reverse, MRI was performed, no health issues found, no ear infection, Tinnitus still present as of 2/22/22, since all medical reasons have been eliminated and due to the short time between vaccination and inner ear fluid, I am believing the vaccination started a domino effect of events ending in Tinnitus which seems to be permanent.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Pfizer recommend revaccination. Patient was contacted to schedule an appointment. Patient will contact us at a later time.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint lock, Mobility decreased, Muscle spasms, Pain
Clinical narrative: She reports after the 2nd vaccine she received the vaccine, went home, took a nap and woke up with excruciating pain that lasted for 4 to 5 days with really bad body aches, unable to move or get up.  She was down for about a week.  The cramping and locked hands lasted for 4 to 5 days. He left hand now hurts pretty often of a dull ache with joint pain. (none of this is documeted since she did not seek medical care due to lack of insurance at the time)
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: She reports after the 2nd vaccine she received the vaccine, went home, took a nap and woke up with excruciating pain that lasted for 4 to 5 days with really bad body aches, unable to move or get up.  She was down for about a week.  The cramping and locked hands lasted for 4 to 5 days. He left hand now hurts pretty often of a dull ache with joint pain. (none of this is documeted since she did not seek medical care due to lack of insurance at the time)
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. DH and Pfizer recommend revaccination. Patient was contacted to schedule an appointment. Will schedule soon.
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood lactate dehydrogenase, Petechiae, Rash, Skin haemorrhage
Clinical narrative: rash on the body (petechiae) caused by some bleeding  in skin (similar to a bruise)
Age: 66.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Dyspnoea exertional, Heart rate increased, Pulmonary embolism
Clinical narrative: Shortness of breath for 2 weeks or so leading up to the event. On day of event, serious shortness of breath during activity that shouldn't have caused it. Elevated pulse rate. Normal blood pressure. Elevated breathing rate. No chest pain. No heart strain. Seasonal flu vaccine received same day (10/27/2021 as COVID-19 booster. Manufacturer unknown.
Age: 66.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Respiratory rate increased, Scan with contrast abnormal
Clinical narrative: Shortness of breath for 2 weeks or so leading up to the event. On day of event, serious shortness of breath during activity that shouldn't have caused it. Elevated pulse rate. Normal blood pressure. Elevated breathing rate. No chest pain. No heart strain. Seasonal flu vaccine received same day (10/27/2021 as COVID-19 booster. Manufacturer unknown.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Agency and Pfizer recommend revaccination. Patient was contacted to schedule an appointment. Patient scheduled appointment.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. DH and Pfizer recommend revaccination. Patient was contacted to schedule an appointment. Patient will call back to schedule.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Insomnia, Myalgia, Oropharyngeal pain
Clinical narrative: Fever, sore throat, cough, muscle aches, chest pain so severe I could not sleep the first night. I still have chest pain today.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, sore throat, cough, muscle aches, chest pain so severe I could not sleep the first night. I still have chest pain today.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Pfizer recommend revaccination. Patient was contacted to schedule an appointment. Appointment was scheduled.
Age: 42.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. DH and Pfizer recommend revaccination. Patient was contacted to schedule an appointment. Patient scheduled appointment.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Cardiac function test normal, Dyspnoea, Fatigue, Headache
Clinical narrative: Tiredness and shortness of breath, heart palpitations, and severe headaches. vertigo Excessive sweating with minimal exertion Also sweat smells extra bad. has since progressed into swelling and stiffness of both ankles and severe itching. Family doctor tested heart and lungs and a serious of blood test and found nothing. Was evaluated for POTS but a blood test revealed that I had PBC which is an autoimmune disease of the liver. For all intent and purpose this vacine has killed me but I'm forced to suffer
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Joint stiffness, Joint swelling, Palpitations, Primary biliary cholangitis
Clinical narrative: Tiredness and shortness of breath, heart palpitations, and severe headaches. vertigo Excessive sweating with minimal exertion Also sweat smells extra bad. has since progressed into swelling and stiffness of both ankles and severe itching. Family doctor tested heart and lungs and a serious of blood test and found nothing. Was evaluated for POTS but a blood test revealed that I had PBC which is an autoimmune disease of the liver. For all intent and purpose this vacine has killed me but I'm forced to suffer
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Pulmonary function test normal, Skin odour abnormal, Vertigo
Clinical narrative: Tiredness and shortness of breath, heart palpitations, and severe headaches. vertigo Excessive sweating with minimal exertion Also sweat smells extra bad. has since progressed into swelling and stiffness of both ankles and severe itching. Family doctor tested heart and lungs and a serious of blood test and found nothing. Was evaluated for POTS but a blood test revealed that I had PBC which is an autoimmune disease of the liver. For all intent and purpose this vacine has killed me but I'm forced to suffer
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PATIENT RECEIVED 0.5MLS INSTEAD OF 0.25MLS  OF VACCINE
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Tachycardia
Clinical narrative: PATIENT COMPLAINING OF TACHYCARDIA AND SHORTNESS OF BREATH. PATIENT CALLED HER PRIMARY CARE PHYSICIAN. PATIENT  WILL  TAKE PRESCRIPTON PRESCRIBED FOR HIGH BLOOD PRESSURE.  PATIENT STATES BLOOD PRESSURE IS CURRENTLY 124/85.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Injection site pruritus
Clinical narrative: Patient called from home. Reports of Redness, warmth, itching at site of injection. Border reaction site with skin marker to monitor Area, heat packs, Antihistamine. Patient Never returned f/u call. Resolved?
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Hypoaesthesia, Paraesthesia
Clinical narrative: Intermittent tingling & Numbness of Right arm approx 10 minutes after injection to Left arm. Dizziness and generalized weakness ~ 10 minutes after injection.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Asthenia, Blood test abnormal, Dizziness, Dyspnoea
Clinical narrative: Shoulder to elbow areas sore, swelling at the top of shoulder blade to collar bone, extremely weak, fatigue, trouble walking, dizziness, weakened eye sight, night sweats, and trouble breathing. Currently ongoing testing/ bloodwork.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Night sweats, Pain in extremity, Swelling
Clinical narrative: Shoulder to elbow areas sore, swelling at the top of shoulder blade to collar bone, extremely weak, fatigue, trouble walking, dizziness, weakened eye sight, night sweats, and trouble breathing. Currently ongoing testing/ bloodwork.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Shoulder to elbow areas sore, swelling at the top of shoulder blade to collar bone, extremely weak, fatigue, trouble walking, dizziness, weakened eye sight, night sweats, and trouble breathing. Currently ongoing testing/ bloodwork.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Alphavirus test, Back pain, Biopsy bone abnormal, Bone marrow necrosis, Dengue virus test
Clinical narrative: Subacute/chronic systemic inflammatory process with Myalgias: Symptoms started after Moderna booster without definitive diagnosis. Acute ITP: Suspect 2/2 inflammatory process: Platelet count month prior to admission was 130-150. Platelet count on admission 10k with petechial rash reported on extremities and buccal mucosa. LDH on admission  980. Haptoglobin, fibrinogen, coagulation WNL. HIV/hepatitis negative. Smears with <1 schistocyte. Dengue Neg/chikungunya serology pending. Bone marrow biopsy 1/31/2022 completely necrotic, repeat biopsy and aspirate per VIR on 2/2/2022 showed necrosis as well, no malignant cells.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Electromyogram normal, HIV test negative, Immunoglobulin therapy, Laboratory test normal, Myalgia
Clinical narrative: Subacute/chronic systemic inflammatory process with Myalgias: Symptoms started after Moderna booster without definitive diagnosis. Acute ITP: Suspect 2/2 inflammatory process: Platelet count month prior to admission was 130-150. Platelet count on admission 10k with petechial rash reported on extremities and buccal mucosa. LDH on admission  980. Haptoglobin, fibrinogen, coagulation WNL. HIV/hepatitis negative. Smears with <1 schistocyte. Dengue Neg/chikungunya serology pending. Bone marrow biopsy 1/31/2022 completely necrotic, repeat biopsy and aspirate per VIR on 2/2/2022 showed necrosis as well, no malignant cells.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Oral mucosal eruption, Petechiae, Platelet count decreased, Rash, Smear test
Clinical narrative: Subacute/chronic systemic inflammatory process with Myalgias: Symptoms started after Moderna booster without definitive diagnosis. Acute ITP: Suspect 2/2 inflammatory process: Platelet count month prior to admission was 130-150. Platelet count on admission 10k with petechial rash reported on extremities and buccal mucosa. LDH on admission  980. Haptoglobin, fibrinogen, coagulation WNL. HIV/hepatitis negative. Smears with <1 schistocyte. Dengue Neg/chikungunya serology pending. Bone marrow biopsy 1/31/2022 completely necrotic, repeat biopsy and aspirate per VIR on 2/2/2022 showed necrosis as well, no malignant cells.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Back pain, Blood alkaline phosphatase increased, Blood lactate dehydrogenase increased, C-reactive protein increased
Clinical narrative: Subacute/chronic systemic inflammatory process with Myalgias: Symptoms started after Moderna booster without definitive diagnosis. Acute ITP: Suspect 2/2 inflammatory process: Platelet count month prior to admission was 130-150. Platelet count on admission 10k with petechial rash reported on extremities and buccal mucosa. LDH on admission  980. Haptoglobin, fibrinogen, coagulation WNL. HIV/hepatitis negative. Smears with <1 schistocyte. Dengue Neg/chikungunya serology pending. Bone marrow biopsy 1/31/2022 completely necrotic, repeat biopsy and aspirate per VIR on 2/2/2022 showed necrosis as well, no malignant cells.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Chest pain, Helicobacter infection, Helicobacter test positive, Immunology test normal, Multisystem inflammatory syndrome
Clinical narrative: Subacute/chronic systemic inflammatory process with Myalgias: Symptoms started after Moderna booster without definitive diagnosis. Acute ITP: Suspect 2/2 inflammatory process: Platelet count month prior to admission was 130-150. Platelet count on admission 10k with petechial rash reported on extremities and buccal mucosa. LDH on admission  980. Haptoglobin, fibrinogen, coagulation WNL. HIV/hepatitis negative. Smears with <1 schistocyte. Dengue Neg/chikungunya serology pending. Bone marrow biopsy 1/31/2022 completely necrotic, repeat biopsy and aspirate per VIR on 2/2/2022 showed necrosis as well, no malignant cells.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Myalgia, Platelet count decreased, Red blood cell sedimentation rate increased, Serum ferritin increased
Clinical narrative: Subacute/chronic systemic inflammatory process with Myalgias: Symptoms started after Moderna booster without definitive diagnosis. Acute ITP: Suspect 2/2 inflammatory process: Platelet count month prior to admission was 130-150. Platelet count on admission 10k with petechial rash reported on extremities and buccal mucosa. LDH on admission  980. Haptoglobin, fibrinogen, coagulation WNL. HIV/hepatitis negative. Smears with <1 schistocyte. Dengue Neg/chikungunya serology pending. Bone marrow biopsy 1/31/2022 completely necrotic, repeat biopsy and aspirate per VIR on 2/2/2022 showed necrosis as well, no malignant cells.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Alphavirus test, Aspiration bone marrow, Biopsy bone marrow abnormal, Blood fibrinogen normal, Blood lactate dehydrogenase decreased
Clinical narrative: Subacute/chronic systemic inflammatory process with Myalgias: Symptoms started after Moderna booster without definitive diagnosis. Acute ITP: Suspect 2/2 inflammatory process: Platelet count month prior to admission was 130-150. Platelet count on admission 10k with petechial rash reported on extremities and buccal mucosa. LDH on admission  980. Haptoglobin, fibrinogen, coagulation WNL. HIV/hepatitis negative. Smears with <1 schistocyte. Dengue Neg/chikungunya serology pending. Bone marrow biopsy 1/31/2022 completely necrotic, repeat biopsy and aspirate per VIR on 2/2/2022 showed necrosis as well, no malignant cells.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Blood smear test abnormal, Bone marrow necrosis, Chest pain, Coagulation test normal, Dengue virus test negative
Clinical narrative: Subacute/chronic systemic inflammatory process with Myalgias: Symptoms started after Moderna booster without definitive diagnosis. Acute ITP: Suspect 2/2 inflammatory process: Platelet count month prior to admission was 130-150. Platelet count on admission 10k with petechial rash reported on extremities and buccal mucosa. LDH on admission  980. Haptoglobin, fibrinogen, coagulation WNL. HIV/hepatitis negative. Smears with <1 schistocyte. Dengue Neg/chikungunya serology pending. Bone marrow biopsy 1/31/2022 completely necrotic, repeat biopsy and aspirate per VIR on 2/2/2022 showed necrosis as well, no malignant cells.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: HIV test negative, Haptoglobin normal, Hepatitis viral test negative, Immune thrombocytopenia, Myalgia
Clinical narrative: Subacute/chronic systemic inflammatory process with Myalgias: Symptoms started after Moderna booster without definitive diagnosis. Acute ITP: Suspect 2/2 inflammatory process: Platelet count month prior to admission was 130-150. Platelet count on admission 10k with petechial rash reported on extremities and buccal mucosa. LDH on admission  980. Haptoglobin, fibrinogen, coagulation WNL. HIV/hepatitis negative. Smears with <1 schistocyte. Dengue Neg/chikungunya serology pending. Bone marrow biopsy 1/31/2022 completely necrotic, repeat biopsy and aspirate per VIR on 2/2/2022 showed necrosis as well, no malignant cells.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Petechiae, Platelet count decreased, Red blood cell schistocytes present, Systemic inflammatory response syndrome
Clinical narrative: Subacute/chronic systemic inflammatory process with Myalgias: Symptoms started after Moderna booster without definitive diagnosis. Acute ITP: Suspect 2/2 inflammatory process: Platelet count month prior to admission was 130-150. Platelet count on admission 10k with petechial rash reported on extremities and buccal mucosa. LDH on admission  980. Haptoglobin, fibrinogen, coagulation WNL. HIV/hepatitis negative. Smears with <1 schistocyte. Dengue Neg/chikungunya serology pending. Bone marrow biopsy 1/31/2022 completely necrotic, repeat biopsy and aspirate per VIR on 2/2/2022 showed necrosis as well, no malignant cells.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Fatigue, Headache
Clinical narrative: Patient vaccinated for COVID 11/23/2021, 2/24/2021, 1/27/2021. Hospitalized with COVID +  and symptoms 2/21/22
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Nausea, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated for COVID 11/23/2021, 2/24/2021, 1/27/2021. Hospitalized with COVID +  and symptoms 2/21/22
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated for COVID 11/23/2021, 2/24/2021, 1/27/2021. Hospitalized with COVID +  and symptoms 2/21/22
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Patient admitted for inpatient observation and tested positive for COVID
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient admitted for inpatient observation and tested positive for COVID
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID vaccine breakthrough case
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Injection site hypoaesthesia, Product administered to patient of inappropriate age
Clinical narrative: Patient was administered the first dose of the COVID vaccine series with Moderna (0.5 mL). The patient is 16 years old, and Moderna COVID vaccines are not approved for use in anyone less than 18 years of age at this time. No reported side effects. Unclear if barcoding technology was used and how vaccine was ordered.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was administered the first dose of the COVID vaccine series with Moderna (0.5 mL). The patient is 16 years old, and Moderna COVID vaccines are not approved for use in anyone less than 18 years of age at this time. No reported side effects. Unclear if barcoding technology was used and how vaccine was ordered.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blood cholesterol normal, Blood triglycerides normal, Glycosylated haemoglobin, Headache, Pain in extremity
Clinical narrative: I receieved the Moderna booster on 11/27/ 2021.  THe next day I had severe headaches on the very top of my head. Later, a blood clot developed in my right leg, from the upper thigh down to below the calf.  I am not an anti vaccine type.  I got the 2 Moderna shots and then did the booster.  By the grace of God I took a lot of aspirin.  I assumed my pain and swelling in my leg were due to a bad knee and the weather.  There is a very strong correlation here that i feel I need to mention.  Now I am on blood thinners.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Thrombosis
Clinical narrative: I receieved the Moderna booster on 11/27/ 2021.  THe next day I had severe headaches on the very top of my head. Later, a blood clot developed in my right leg, from the upper thigh down to below the calf.  I am not an anti vaccine type.  I got the 2 Moderna shots and then did the booster.  By the grace of God I took a lot of aspirin.  I assumed my pain and swelling in my leg were due to a bad knee and the weather.  There is a very strong correlation here that i feel I need to mention.  Now I am on blood thinners.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Discomfort, Dizziness, Headache, Lymphadenopathy
Clinical narrative: ~10 hours after shot, fever/aches/chills. These resolved within 24 hours  Had headache for around a week.  Skin on the roof of my mouth peeled off around 5 days after the shot. Very uncomfortable.  Swollen lymph nodes in neck and general sort of occasional light-headedness for around 1 month post-shot.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Skin exfoliation
Clinical narrative: ~10 hours after shot, fever/aches/chills. These resolved within 24 hours  Had headache for around a week.  Skin on the roof of my mouth peeled off around 5 days after the shot. Very uncomfortable.  Swollen lymph nodes in neck and general sort of occasional light-headedness for around 1 month post-shot.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chapped lips, Gingival swelling, Lip dry, Thirst, Throat irritation
Clinical narrative: Lip dry & crack; throat feel burn & thirsty; gum feel like swollen & toothache since Monday 02/21/2022
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: Lip dry & crack; throat feel burn & thirsty; gum feel like swollen & toothache since Monday 02/21/2022
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electric shock sensation, Feeling abnormal, Insomnia, Laboratory test abnormal, Magnetic resonance imaging head normal
Clinical narrative: Started with pins and needle sensations in extremities and muscle twitches in various parts of the body.  This lasted many weeks, and eventually progressed to feeling like I had a low voltage electrical current running through my body all the time.  Sometimes I really felt bad, like something was really wrong.  After months of feeling like this it progressed to feeling like something was always moving inside me (like I had an engine in me with a rough idle).  This feeling never goes away and makes it difficult to get comfortable to sleep.  I was perfectly healthy before the vaccines, and now I've had this reaction that never goes away for one year.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle twitching, Nerve conduction studies normal, Paraesthesia
Clinical narrative: Started with pins and needle sensations in extremities and muscle twitches in various parts of the body.  This lasted many weeks, and eventually progressed to feeling like I had a low voltage electrical current running through my body all the time.  Sometimes I really felt bad, like something was really wrong.  After months of feeling like this it progressed to feeling like something was always moving inside me (like I had an engine in me with a rough idle).  This feeling never goes away and makes it difficult to get comfortable to sleep.  I was perfectly healthy before the vaccines, and now I've had this reaction that never goes away for one year.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous, Rash papular, Skin lesion
Clinical narrative: Received Moderna COVID-19 booster dose 9 December 2021. Since 23 December she has complained of recurrent episodes of localized itching and rashes described as raised, red, itchy whelts which worsens where her skin is scraped or scratched. Lesions spare her face, last less than 24 hours, occasionally affect her palms, and resolve without post-inflammatory changes. On December 27 she presented to the ER where she received oral antihistamines and oral corticosteroid; she did not continue the oral corticosteroid. She denies generalized cutaneous, laryngeal, pulmonary, GI/GU, neurologic, and cardiovascular symptoms with these episodes. Episodes not associated with exercise, heat, sweating, cold, foods, medications, NSAIDs, IV contrast, latex exposure, infections, or insect bites/stings. She received her Moderna COVID-19 vaccine booster dose on 9 December, 14 days prior to onset of symptoms. She has used oral antihistamines with benefit. She denies constitutional symptoms. score today is 16 (1, 2, 1, 2, 3, 4, 1, 2). She feels that her symptoms are gradually improving
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Received Moderna COVID-19 booster dose 9 December 2021. Since 23 December she has complained of recurrent episodes of localized itching and rashes described as raised, red, itchy whelts which worsens where her skin is scraped or scratched. Lesions spare her face, last less than 24 hours, occasionally affect her palms, and resolve without post-inflammatory changes. On December 27 she presented to the ER where she received oral antihistamines and oral corticosteroid; she did not continue the oral corticosteroid. She denies generalized cutaneous, laryngeal, pulmonary, GI/GU, neurologic, and cardiovascular symptoms with these episodes. Episodes not associated with exercise, heat, sweating, cold, foods, medications, NSAIDs, IV contrast, latex exposure, infections, or insect bites/stings. She received her Moderna COVID-19 vaccine booster dose on 9 December, 14 days prior to onset of symptoms. She has used oral antihistamines with benefit. She denies constitutional symptoms. score today is 16 (1, 2, 1, 2, 3, 4, 1, 2). She feels that her symptoms are gradually improving
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Erythema, Pruritus, Skin irritation, Skin swelling
Clinical narrative: Chronic urticaria. Red, itchy, swollen skin. Irritated and inflamed when scratching, all over the body.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria chronic
Clinical narrative: Chronic urticaria. Red, itchy, swollen skin. Irritated and inflamed when scratching, all over the body.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Multiple sclerosis, Multiple sclerosis relapse, Physical examination
Clinical narrative: He had a slight relapse in his multiple sclerosis condition, he started with tingling in his face, vision problems, dizziness, motor problems.
Age: 77.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Limb injury, Neuralgia, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: patient reports pain in arm from time of second injection; pt reported to us on 2/14; 27 days after second injection.  complains of pain in arm at night; he reports it being a nerve pain.  Rph and language speaking technician gave otc recommendations as well as to recommend seeing an md.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted to inpatient facility with covid infection
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood calcium decreased, Chest X-ray normal, Chest pain, Computerised tomogram thorax abnormal
Clinical narrative: On 1/16-17, he started to have left arm/shoulder pain that slowly migrated and became chest pain 2/21: chest pain, nausea, vomiting, fevers
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Full blood count, Haemoglobin decreased, Nausea, Pain in extremity
Clinical narrative: On 1/16-17, he started to have left arm/shoulder pain that slowly migrated and became chest pain 2/21: chest pain, nausea, vomiting, fevers
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Pericardial effusion, Pyrexia, Right ventricular enlargement, Troponin normal, Vomiting
Clinical narrative: On 1/16-17, he started to have left arm/shoulder pain that slowly migrated and became chest pain 2/21: chest pain, nausea, vomiting, fevers
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Injury, SARS-CoV-2 test positive
Clinical narrative: vaccinated pt admitted for trauma with positive covid infection
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pruritus, Rash
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anxiety, Blood test normal, Gastrointestinal disorder, Impaired work ability, Sleep disorder
Clinical narrative: Developed tinnitus in both ears several hours after receiving the booster vaccine. Started having major anxiety and intestinal issues within 3 days of receiving booster. Doctor has prescribed medications for anxiety Lexapro and to help with sleep Trazodone. Medications have helped marginally with anxiety but sleep issues have continued without resolution. Intestinal issues continue.  Unable to attend work on a regular basis due to symptoms.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tinnitus, Ultrasound abdomen normal
Clinical narrative: Developed tinnitus in both ears several hours after receiving the booster vaccine. Started having major anxiety and intestinal issues within 3 days of receiving booster. Doctor has prescribed medications for anxiety Lexapro and to help with sleep Trazodone. Medications have helped marginally with anxiety but sleep issues have continued without resolution. Intestinal issues continue.  Unable to attend work on a regular basis due to symptoms.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anxiety, Blood test, Depression, Tinnitus, Weight decreased
Clinical narrative: Developed tinnitus in both ears several hours after receiving the booster vaccine. Started having major anxiety and intestinal issues within 3 days of receiving booster. Doctor has prescribed medications for anxiety Lexapro and to help with sleep Trazodone. Medications have helped marginally with anxiety but sleep issues have continued without resolution. Intestinal issues continue.  Unable to attend work on a regular basis due to symptoms.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anxiety, Blood bilirubin increased, Blood test, Cognitive disorder, Coordination abnormal
Clinical narrative: Developed tinnitus in both ears several hours after receiving the booster vaccine. Started having major anxiety and intestinal issues within 3 days of receiving booster. Doctor has prescribed medications for anxiety Lexapro and to help with sleep Trazodone. Medications have helped marginally with anxiety but sleep issues have continued without resolution. Intestinal issues continue.  Unable to attend work on a regular basis due to symptoms.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Depression, Disturbance in attention, Dysgraphia, Fatigue, Magnetic resonance imaging
Clinical narrative: Developed tinnitus in both ears several hours after receiving the booster vaccine. Started having major anxiety and intestinal issues within 3 days of receiving booster. Doctor has prescribed medications for anxiety Lexapro and to help with sleep Trazodone. Medications have helped marginally with anxiety but sleep issues have continued without resolution. Intestinal issues continue.  Unable to attend work on a regular basis due to symptoms.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Memory impairment, Pain in extremity, Sleep disorder, Tinnitus, Ultrasound abdomen
Clinical narrative: Developed tinnitus in both ears several hours after receiving the booster vaccine. Started having major anxiety and intestinal issues within 3 days of receiving booster. Doctor has prescribed medications for anxiety Lexapro and to help with sleep Trazodone. Medications have helped marginally with anxiety but sleep issues have continued without resolution. Intestinal issues continue.  Unable to attend work on a regular basis due to symptoms.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ultrasound liver, Weight decreased
Clinical narrative: Developed tinnitus in both ears several hours after receiving the booster vaccine. Started having major anxiety and intestinal issues within 3 days of receiving booster. Doctor has prescribed medications for anxiety Lexapro and to help with sleep Trazodone. Medications have helped marginally with anxiety but sleep issues have continued without resolution. Intestinal issues continue.  Unable to attend work on a regular basis due to symptoms.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Heavy menstrual bleeding
Clinical narrative: I had severe stomach cramping. I felt a gush of blood and found that my IUD came out in a huge blood clot. I have since had abnormally heavy periods with clots.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient presented who is a former smokerhome oxygen 2-3 lt at night time. She was admitted to the hospital for 3 days with the chief complaint of shortness of breath. She states that she developed cough and shortness of breath about 2 days ago and has been getting worse because of which she came to the ER. In hospital, initially she was on Solumedrol 40 mg every 8 hr>>changed to prednisone 40 mg daily for 5 doses at discharge. Pantoprazole 40 mg daily while on steroids.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: vaccinated pt admitted with covid infection
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test abnormal, Chronic kidney disease
Clinical narrative: No symptoms but blood test revealed chronic kidney disease
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 69.0
Sex: M
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 8.0
Sex: M
Vaccine: MMR
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient was up to date on his MMR vaccine, and was mistakenly given the  MMR vaccine. The Intended  Vaccine was for Varicella.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: vaccinated pt admitted to inpatient hospital with covid infection
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Breast cancer female, Chemotherapy
Clinical narrative: Breast cancer
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Expired product administered
Clinical narrative: On 2/22/22, administered expired Proquad vaccines. Vaccine expired 2/15/22. Writer did not document the Lot, manufacturer.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Vaccinated pt admitted to inpatient setting with covid infection