chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Fungal infection, Rash, Thyroxine, Tri-iodothyronine
Clinical narrative: Skin rashes began to appear, and have not resolved. Physician believed to be fungal infection, however two months of treatment with no improvement currently. Also I am still under direct care of my primary care.  PCP does not believe me that this is vaccine related, however no other cause has been associated or discovered  Treatments thus far: multiple steroid regiments including prednisone taper, medrolpak 6 day, topical betamethasone and currently decadron (dexamethasone) 4mg oral PRN Multiple antifungal courses including diflucan, turbinifine, and now again on a 6 month regiment of diflucan as well as topical antifungal creams. Multiple antihistamines, hydroxyzine, benadryl,  and zyrtec all with no relief.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Lip pruritus, Mouth swelling, Oral herpes, Paraesthesia oral
Clinical narrative: When I received the vaccine I had a red spot that went from injection site to my elbow. It didn't hurt or bother me but it was not normal. I didn't take anything, but I did monitor it and it went away after a few days. I was fine for a few months then I started to have skin irritation in the first week of October. I noticed my lips starting to tingle and it felt as if I had a cold sore. It was itching and bothering me. It never had lesions but it didn't ever really heal. It would alternate swelling from inside to outside. At one point it spread to my face. I went to the dermatologist and she prescribed hydrocortisone and advised to use Vaseline.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Skin irritation, Swelling face
Clinical narrative: When I received the vaccine I had a red spot that went from injection site to my elbow. It didn't hurt or bother me but it was not normal. I didn't take anything, but I did monitor it and it went away after a few days. I was fine for a few months then I started to have skin irritation in the first week of October. I noticed my lips starting to tingle and it felt as if I had a cold sore. It was itching and bothering me. It never had lesions but it didn't ever really heal. It would alternate swelling from inside to outside. At one point it spread to my face. I went to the dermatologist and she prescribed hydrocortisone and advised to use Vaseline.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacturer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna is not age approved for younger then 18 year old.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Malaise, Nausea, Syncope, Tremor
Clinical narrative: Patient's companion mentioned that the patient has fainted with vaccines before and that's why he wants to be in the room with the patient. After I administered the patient and observed the patient for a few minutes and he said he felt fine. I then asked them to sit in the imz waiting area for 30 minutes. I asked the companion to keep an eye on the patient while I went in the pharmacy to get a technician to observe the patient.  As I was grabbing a technician. The technician was informed by another customer that the patient was not doing well. I rushed to the patient who was alert at this time.  The companion stated that the patient fainted (had his held tilted and his eyes closed)  and started to shake to which he nudged the patient who then regained consciousness. He stated that right before he nudged the patient he was shaking. I had my technician grab an ice pack and I applied it to his forehead. The patient appeared to be sweating and stated he was nauseous. He asked for something to drink or eat. I told him that since he's nauseous giving him food right now could cause problems. My technician paged code white and management arrived. At this point patient was feeling better and was alert. Since I did not like the fact that the patient was shaking, management called 911.  I explained to the 911 operator what had happened.   My technician stayed with management and they observed the patient till the paramedics arrived.  The paramedics checked his vitals and the patient signed a consent form stating that he did not want to go with them.  The patient later came to ask a question regarding his IMZ records and was feeling fine
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Antinuclear antibody positive, Arthralgia, Asthenia, Fatigue
Clinical narrative: The night of the vaccine I had a fever. I think it was gone by morning. I had debilitating fatigue for like 3 days. I had bad fatigue during the next 2 days. It got slowly better over the next few days. Roughly around 3 weeks later I had pain in every joint. The pain was so bad I couldn't even open lids of jars. I couldn't assist my husband either by holding some pipes. That happened at the end of March 2021. I went to see my doctor on April 23, 2021 for something separate, but I thought I would bring up my joint pain. She gave me a "scare me" kind of look and told me to go see a rheumatologist, which was set up about 5 months away. I didn't see my rheumatologist until October of 2021 but the joint pain was gone by then because I took it upon my own self to take ibuprofen and naproxen. The worst part of the pain went away except a little hip pain still ongoing today.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Grip strength decreased, Pyrexia, Rheumatoid factor
Clinical narrative: The night of the vaccine I had a fever. I think it was gone by morning. I had debilitating fatigue for like 3 days. I had bad fatigue during the next 2 days. It got slowly better over the next few days. Roughly around 3 weeks later I had pain in every joint. The pain was so bad I couldn't even open lids of jars. I couldn't assist my husband either by holding some pipes. That happened at the end of March 2021. I went to see my doctor on April 23, 2021 for something separate, but I thought I would bring up my joint pain. She gave me a "scare me" kind of look and told me to go see a rheumatologist, which was set up about 5 months away. I didn't see my rheumatologist until October of 2021 but the joint pain was gone by then because I took it upon my own self to take ibuprofen and naproxen. The worst part of the pain went away except a little hip pain still ongoing today.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Dizziness, Hypotension, Pallor, Syncope
Clinical narrative: Approximately 5 minutes after the vaccination, patient experienced syncope (lightheadedness, low blood pressure, pale and fainting). Her father requested emergency medical services. EMS arrived, and evaluated her blood pressure, heart rate, and blood sugar (all within normal limits). They determined patient was safe to return home. Total time of adverse event thru evaluation (5:15 pm to 5:45 pm).
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Dyspnoea, Ear pain, Lymphadenopathy
Clinical narrative: Gland in throat swollen, sinus difficult breathing, ear pain. Sjogrens Syndrome diagnosed a year later I'll for past year since vaccination
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder, Sjogren's syndrome
Clinical narrative: Gland in throat swollen, sinus difficult breathing, ear pain. Sjogrens Syndrome diagnosed a year later I'll for past year since vaccination
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Vaginal bleeding
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Palpitations
Clinical narrative: Severe palpitations. Pain in the shoulder joints.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received expired vaccine but did not report any adverse reaction afterward.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema, Foreign body sensation in eyes, Neuralgia, Ophthalmic herpes zoster
Clinical narrative: 2/11/21 Foreign body sensation in Right eye, self treated for corneal abrasion but continued to worsen with erythema, photophobia. 2/22/21 Seen by ophthalmology. Possible corneal abrasion but not convinced. rec to return if no improvement. Symptoms worsened with right sided head neuralgia (especially tip of ear) and a blister lesion in between eyebrows 2/26/21 Seen by optho. Dx with opthomologic/corneal shingles Treated for 3 months with valtrex 3 gm, optho steriod drops. resolved by 4/6/21. Stopped all treatment Reoccurred July 4, 2021, retreated x1.5 months. Resolved 3rd COVID vax/booster given  10/1/21. Reoccurred 10/24/21 - now on suppression until 10/2022
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia
Clinical narrative: 2/11/21 Foreign body sensation in Right eye, self treated for corneal abrasion but continued to worsen with erythema, photophobia. 2/22/21 Seen by ophthalmology. Possible corneal abrasion but not convinced. rec to return if no improvement. Symptoms worsened with right sided head neuralgia (especially tip of ear) and a blister lesion in between eyebrows 2/26/21 Seen by optho. Dx with opthomologic/corneal shingles Treated for 3 months with valtrex 3 gm, optho steriod drops. resolved by 4/6/21. Stopped all treatment Reoccurred July 4, 2021, retreated x1.5 months. Resolved 3rd COVID vax/booster given  10/1/21. Reoccurred 10/24/21 - now on suppression until 10/2022
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The vaccine administered without the necessary dilution.
Age: 27.0
Sex: U
Vaccine: COVID19
Symptoms: Chest X-ray normal, Dyspnoea, Echocardiogram, Electrocardiogram ambulatory, Fatigue
Clinical narrative: Chest wall tenderness, sided, Shortness of breath on exertion, rash on abdomen, and fatigue. I am writing him up for possible Myocarditis: Echo/ Holter Monitor. Patient is improving, will also monitor for any more symptoms.
Age: 27.0
Sex: U
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Rash
Clinical narrative: Chest wall tenderness, sided, Shortness of breath on exertion, rash on abdomen, and fatigue. I am writing him up for possible Myocarditis: Echo/ Holter Monitor. Patient is improving, will also monitor for any more symptoms.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase, Asthenia, Back pain, Blood alkaline phosphatase, Blood bilirubin
Clinical narrative: After the first shot felt fine, just a sore arm. Second shot was not feeling the best very low energy. One January 19, 2022 I was at work sitting at my desk and I felt as if I was having a heart attack. My chest felt constricted, shortness of breath and my heart was pounding out of my chest. Pain was shooting from my chest directly to my back. Today, February 21,2022, I still have agonizing pain in my chest and upper middle back, shortness or breath, and pounding heart beats. I am a division 1 athlete and walking 30 feet takes my breath away. I have only ever felt my heart pound like this during conditioning practices.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron, Blood magnesium, Blood potassium, Blood sodium, Blood thyroid stimulating hormone
Clinical narrative: After the first shot felt fine, just a sore arm. Second shot was not feeling the best very low energy. One January 19, 2022 I was at work sitting at my desk and I felt as if I was having a heart attack. My chest felt constricted, shortness of breath and my heart was pounding out of my chest. Pain was shooting from my chest directly to my back. Today, February 21,2022, I still have agonizing pain in my chest and upper middle back, shortness or breath, and pounding heart beats. I am a division 1 athlete and walking 30 feet takes my breath away. I have only ever felt my heart pound like this during conditioning practices.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide, C-reactive protein, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: After the first shot felt fine, just a sore arm. Second shot was not feeling the best very low energy. One January 19, 2022 I was at work sitting at my desk and I felt as if I was having a heart attack. My chest felt constricted, shortness of breath and my heart was pounding out of my chest. Pain was shooting from my chest directly to my back. Today, February 21,2022, I still have agonizing pain in my chest and upper middle back, shortness or breath, and pounding heart beats. I am a division 1 athlete and walking 30 feet takes my breath away. I have only ever felt my heart pound like this during conditioning practices.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dyspnoea, Dyspnoea exertional, Electrocardiogram, Feeling abnormal
Clinical narrative: After the first shot felt fine, just a sore arm. Second shot was not feeling the best very low energy. One January 19, 2022 I was at work sitting at my desk and I felt as if I was having a heart attack. My chest felt constricted, shortness of breath and my heart was pounding out of my chest. Pain was shooting from my chest directly to my back. Today, February 21,2022, I still have agonizing pain in my chest and upper middle back, shortness or breath, and pounding heart beats. I am a division 1 athlete and walking 30 feet takes my breath away. I have only ever felt my heart pound like this during conditioning practices.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Glycosylated haemoglobin, Human chorionic gonadotropin, Iron binding capacity total
Clinical narrative: After the first shot felt fine, just a sore arm. Second shot was not feeling the best very low energy. One January 19, 2022 I was at work sitting at my desk and I felt as if I was having a heart attack. My chest felt constricted, shortness of breath and my heart was pounding out of my chest. Pain was shooting from my chest directly to my back. Today, February 21,2022, I still have agonizing pain in my chest and upper middle back, shortness or breath, and pounding heart beats. I am a division 1 athlete and walking 30 feet takes my breath away. I have only ever felt my heart pound like this during conditioning practices.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Lipase, Lipids, Pain, Palpitations, SARS-CoV-2 test
Clinical narrative: After the first shot felt fine, just a sore arm. Second shot was not feeling the best very low energy. One January 19, 2022 I was at work sitting at my desk and I felt as if I was having a heart attack. My chest felt constricted, shortness of breath and my heart was pounding out of my chest. Pain was shooting from my chest directly to my back. Today, February 21,2022, I still have agonizing pain in my chest and upper middle back, shortness or breath, and pounding heart beats. I am a division 1 athlete and walking 30 feet takes my breath away. I have only ever felt my heart pound like this during conditioning practices.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin, Thyroxine free, Troponin, Vitamin B12, White blood cell count
Clinical narrative: After the first shot felt fine, just a sore arm. Second shot was not feeling the best very low energy. One January 19, 2022 I was at work sitting at my desk and I felt as if I was having a heart attack. My chest felt constricted, shortness of breath and my heart was pounding out of my chest. Pain was shooting from my chest directly to my back. Today, February 21,2022, I still have agonizing pain in my chest and upper middle back, shortness or breath, and pounding heart beats. I am a division 1 athlete and walking 30 feet takes my breath away. I have only ever felt my heart pound like this during conditioning practices.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain, Peripheral swelling
Clinical narrative: Patient has issues with finger movement of the left hand, sometimes stiff arm and pain,  The inside of the palm is slightly swollen. Patient did not report the issue until after the second shot.  Patient said daily duration of the daily  problem has become less  but  the arm is stiff during the day and she has to push on finger up sometimes.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenitis, Pain in extremity
Clinical narrative: Patient stated that about one week after her first dose of Moderna, she experienced a sore arm and pain in the lymph nodes under her arm pit and near her clavicle. She said they were inflamed.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Electrocardiogram normal, Erythema, Injection site induration, Injection site warmth
Clinical narrative: The evening following the vaccination (1/29), my arm was sore, red, and swollen. The following morning on 1/30, there was a 2-3 inch circle that surrounded the injection site that was hot and hard to the touch, but this subsided.  One week following my vaccination, I noticed red area that looked like welts/hives appearing on my face (around my eyes mostly). On 2/9, there were new hives appearing in my armpits and abdomen which were very itchy. The next morning the same sensation of itching and hives appeared on my hips and upper thighs. The rash and itching would appear in one place on my body and if I put calamine lotion on it, it would subside but then appear on another part of my body. The areas ranged from my scalp, ears, face, neck, chest, arms, abdomen, back, and thighs. I did a telehealth visit and was prescribed prednisone 20mg on a taper (40mg for 3 days, 20mg for 3 days, and 10mg for 3 days), along with triamcinolone 0.05% cream/ointment, and Benadryl 25-50mg as needed for itching. These medications helped with the itching, but the red spots continuously appeared. After completion of the steroid taper, the hives have subsided, but my body still gets itchy. If I scratch anywhere on my body, a few minutes later it appears as a raised red area (almost like a welt). My heart rate is also something that has seemed to be higher during this entire time.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pruritus, Rash, Urticaria
Clinical narrative: The evening following the vaccination (1/29), my arm was sore, red, and swollen. The following morning on 1/30, there was a 2-3 inch circle that surrounded the injection site that was hot and hard to the touch, but this subsided.  One week following my vaccination, I noticed red area that looked like welts/hives appearing on my face (around my eyes mostly). On 2/9, there were new hives appearing in my armpits and abdomen which were very itchy. The next morning the same sensation of itching and hives appeared on my hips and upper thighs. The rash and itching would appear in one place on my body and if I put calamine lotion on it, it would subside but then appear on another part of my body. The areas ranged from my scalp, ears, face, neck, chest, arms, abdomen, back, and thighs. I did a telehealth visit and was prescribed prednisone 20mg on a taper (40mg for 3 days, 20mg for 3 days, and 10mg for 3 days), along with triamcinolone 0.05% cream/ointment, and Benadryl 25-50mg as needed for itching. These medications helped with the itching, but the red spots continuously appeared. After completion of the steroid taper, the hives have subsided, but my body still gets itchy. If I scratch anywhere on my body, a few minutes later it appears as a raised red area (almost like a welt). My heart rate is also something that has seemed to be higher during this entire time.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: The adverse event is Dermatographic urticaria. The symptoms of Dermatographia began on January 23rd, 2022. The symptoms are still on going as of February 21st, 2022.  Antihistamines such as Cetirizine (Zyrtec) relieve the itchiness symptom however they do not prevent the distinct welts that occurs from pressure being applied to the skin. In other words, the antihistamines make the itchiness go away but they don't prevent the welts from occurring.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient came in with father for Pfizer booster; he received booster dose too early by 2 days from second dose on 9/26/21. Patient received booster on day 148 instead of day 150 or more. RPH spoke to parents on the phone after the incident, explained that patient received Pfizer booster dose 2 days earlier than standard schedule; RPH reassured parents that would not affect patient adversely and parents were being notified as standard communication. Patient's parents were notified of the event by RPH on duty and had no questions or concerns.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Influenza like illness, Injection site erythema, Injection site swelling
Clinical narrative: Tetanus Vaccine administer on 02/19/2022 at 13:14. Pt reporting reactions began on 02/20/2022 at 18:00 which includes flu like symptoms, left upper arm with redness and swelling at site of injection measuring 1.5 x 2.25 inches with skin intact and no drainage.  Pt's temperature noted at 99.7 degrees Fahrenheit on 02/21/22 at 6:36 PM. Pt counseled on application of cold compress for swelling, the importance of seeking emergency treatment in the event of an anaphylaxis reaction, Medical Staff follow up and Medical Director review of adverse event. Pt verbalized understanding, denies respiratory distress or any other complications at this time and departed the facility in stable condition.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dyspepsia, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: The symptoms began after the second dose of the Moderna vaccine. I experienced a fever in of nearly 104 degrees, which lasted for about 36 hours. I was too weak to move from bed until about 48 hours after the vaccination. Beginning 2 days after vaccination once I could move again, I started to experience episodes of periodic profound fatigue, usually lasting only a day or two at a time, usually following minor exertion (such as gardening, paddle boarding,  painting, for example).  Then, about 2 months after the 2nd dose, I suddenly became much worse. The fatigue became constant, and I could no longer stand without becoming dizzy and my heart feeling like it would beat out of my chest.  Even driving was too much, as blood would pool in my arms and legs.  I had recurring headaches, digestive problems that came out of nowhere. These symptoms started to get better in August, very gradually. I was diagnosed with POTS in September after tilt table test. I received a Pfizer booster in October at the recommendation of my cardiologist, who believed that covid posed a greater risk than the side effects from the vaccine. The symptoms again worsened.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram, Fatigue, Headache, Impaired driving ability, Postural orthostatic tachycardia syndrome
Clinical narrative: The symptoms began after the second dose of the Moderna vaccine. I experienced a fever in of nearly 104 degrees, which lasted for about 36 hours. I was too weak to move from bed until about 48 hours after the vaccination. Beginning 2 days after vaccination once I could move again, I started to experience episodes of periodic profound fatigue, usually lasting only a day or two at a time, usually following minor exertion (such as gardening, paddle boarding,  painting, for example).  Then, about 2 months after the 2nd dose, I suddenly became much worse. The fatigue became constant, and I could no longer stand without becoming dizzy and my heart feeling like it would beat out of my chest.  Even driving was too much, as blood would pool in my arms and legs.  I had recurring headaches, digestive problems that came out of nowhere. These symptoms started to get better in August, very gradually. I was diagnosed with POTS in September after tilt table test. I received a Pfizer booster in October at the recommendation of my cardiologist, who believed that covid posed a greater risk than the side effects from the vaccine. The symptoms again worsened.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tilt table test
Clinical narrative: The symptoms began after the second dose of the Moderna vaccine. I experienced a fever in of nearly 104 degrees, which lasted for about 36 hours. I was too weak to move from bed until about 48 hours after the vaccination. Beginning 2 days after vaccination once I could move again, I started to experience episodes of periodic profound fatigue, usually lasting only a day or two at a time, usually following minor exertion (such as gardening, paddle boarding,  painting, for example).  Then, about 2 months after the 2nd dose, I suddenly became much worse. The fatigue became constant, and I could no longer stand without becoming dizzy and my heart feeling like it would beat out of my chest.  Even driving was too much, as blood would pool in my arms and legs.  I had recurring headaches, digestive problems that came out of nowhere. These symptoms started to get better in August, very gradually. I was diagnosed with POTS in September after tilt table test. I received a Pfizer booster in October at the recommendation of my cardiologist, who believed that covid posed a greater risk than the side effects from the vaccine. The symptoms again worsened.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alcohol poisoning, Alcohol test positive, Atelectasis, Blood lactic acid
Clinical narrative: 1/8/22 Patient was admitted to the hospital for 5 days Patient is a 61 y.o. male patient, of CNP with history of hypertension, hyperlipidemia, alcohol abuse with multiple previous admissions for altered mental status or alcoholism presented to the emergency room after he passed out while drinking stop while in the ER patient was hypoxic and tested positive for COVID-19 infection is being admitted for further management under observation.   Acute hypoxic respiratory failure COVID-19 pneumonia Covid-19 Virus Infection Date of onset of symptoms: 1/8/2022 Symptoms present on admission: Hypoxia Date of covid positive test: 1/8/2022 Vaccination status: vaccinated Imaging: Chest x-ray concerning for early infiltrates Oxygen requirements on admission: 3 L Current oxygen requirements:  Room air weaned 1/12/22 Medical therapy: steroids Consultants following:    Hypertensive crisis/emergency, uncontrolled Poorly controlled Medication were adjusted to Coreg dose to 12.5 p.o., twice daily lisinopril to 40 mg daily Imdur 120 mg daily Nifedipine   Alcohol intoxication and syncopal episode Alcohol abuse: Alcohol level on presentation 370 Keep patient on Agency protocol Seen by addiction medicine, discharged on Topromate Patient received multivitamin bag in the ER, continue oral thiamine.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Condition aggravated, Hypertensive crisis
Clinical narrative: 1/8/22 Patient was admitted to the hospital for 5 days Patient is a 61 y.o. male patient, of CNP with history of hypertension, hyperlipidemia, alcohol abuse with multiple previous admissions for altered mental status or alcoholism presented to the emergency room after he passed out while drinking stop while in the ER patient was hypoxic and tested positive for COVID-19 infection is being admitted for further management under observation.   Acute hypoxic respiratory failure COVID-19 pneumonia Covid-19 Virus Infection Date of onset of symptoms: 1/8/2022 Symptoms present on admission: Hypoxia Date of covid positive test: 1/8/2022 Vaccination status: vaccinated Imaging: Chest x-ray concerning for early infiltrates Oxygen requirements on admission: 3 L Current oxygen requirements:  Room air weaned 1/12/22 Medical therapy: steroids Consultants following:    Hypertensive crisis/emergency, uncontrolled Poorly controlled Medication were adjusted to Coreg dose to 12.5 p.o., twice daily lisinopril to 40 mg daily Imdur 120 mg daily Nifedipine   Alcohol intoxication and syncopal episode Alcohol abuse: Alcohol level on presentation 370 Keep patient on Agency protocol Seen by addiction medicine, discharged on Topromate Patient received multivitamin bag in the ER, continue oral thiamine.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertensive emergency, Hypoxia, Influenza A virus test negative, Influenza B virus test, Loss of consciousness
Clinical narrative: 1/8/22 Patient was admitted to the hospital for 5 days Patient is a 61 y.o. male patient, of CNP with history of hypertension, hyperlipidemia, alcohol abuse with multiple previous admissions for altered mental status or alcoholism presented to the emergency room after he passed out while drinking stop while in the ER patient was hypoxic and tested positive for COVID-19 infection is being admitted for further management under observation.   Acute hypoxic respiratory failure COVID-19 pneumonia Covid-19 Virus Infection Date of onset of symptoms: 1/8/2022 Symptoms present on admission: Hypoxia Date of covid positive test: 1/8/2022 Vaccination status: vaccinated Imaging: Chest x-ray concerning for early infiltrates Oxygen requirements on admission: 3 L Current oxygen requirements:  Room air weaned 1/12/22 Medical therapy: steroids Consultants following:    Hypertensive crisis/emergency, uncontrolled Poorly controlled Medication were adjusted to Coreg dose to 12.5 p.o., twice daily lisinopril to 40 mg daily Imdur 120 mg daily Nifedipine   Alcohol intoxication and syncopal episode Alcohol abuse: Alcohol level on presentation 370 Keep patient on Agency protocol Seen by addiction medicine, discharged on Topromate Patient received multivitamin bag in the ER, continue oral thiamine.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Syncope
Clinical narrative: 1/8/22 Patient was admitted to the hospital for 5 days Patient is a 61 y.o. male patient, of CNP with history of hypertension, hyperlipidemia, alcohol abuse with multiple previous admissions for altered mental status or alcoholism presented to the emergency room after he passed out while drinking stop while in the ER patient was hypoxic and tested positive for COVID-19 infection is being admitted for further management under observation.   Acute hypoxic respiratory failure COVID-19 pneumonia Covid-19 Virus Infection Date of onset of symptoms: 1/8/2022 Symptoms present on admission: Hypoxia Date of covid positive test: 1/8/2022 Vaccination status: vaccinated Imaging: Chest x-ray concerning for early infiltrates Oxygen requirements on admission: 3 L Current oxygen requirements:  Room air weaned 1/12/22 Medical therapy: steroids Consultants following:    Hypertensive crisis/emergency, uncontrolled Poorly controlled Medication were adjusted to Coreg dose to 12.5 p.o., twice daily lisinopril to 40 mg daily Imdur 120 mg daily Nifedipine   Alcohol intoxication and syncopal episode Alcohol abuse: Alcohol level on presentation 370 Keep patient on Agency protocol Seen by addiction medicine, discharged on Topromate Patient received multivitamin bag in the ER, continue oral thiamine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Breast tenderness, Menstrual disorder, Menstruation delayed, Premenstrual syndrome
Clinical narrative: Menstrual changes for 3 cycles after the booster. I have been having pretty serious PMS symptoms with no history of PMS symptoms ever. My period has been a couple of days late each time. I am on hormonal birth control so this is very unusual. The week before my period onset, I had serious anxiety symptoms and breast tenderness.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Chest discomfort, Chest pain, Localised oedema, Oedema peripheral
Clinical narrative: I started getting fluid around my ankles and on the sides of my feet the day after my first dose of Pfizer COVID-19 on 11/27/2021. Then about two days later I started having fluid in my abdomen it seemed to be more on the right side than the left , but  was on both sides it just seemed like more swelling from it in the right. I also around this time began having pressure deep at my chest bone in the middle of my chest. My heart didn?t hurt only my chest in the middle deep inside my chest near the bone. It has been almost 3 months. The fluid around my abdomen has left I believe and the chest pain has subsided, but the fluid abs swelling at my feet and ankles has not went away. They are still swollen with fluid the same as they have been ever since the day after I received my first dose. I waited 5 weeks to take the second dose I had to have it for work. I had no wires symptoms or new symptoms with the second dose, but like I said the swelling from the first dose hasn?t left. I  do NOT have  any health problems. I do NOT have high blood pressure and I?ve NEVER had swollen ankles or fluid ever in my life except when I was pregnant 15 years ago. I do not have health insurance and couldn?t find any help to afford any tests, but I think by what I?ve read and  I have been dealing with mild pericarditis caused from the vaccine. I would love to get help to get rid of the fluid on my feet.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium decreased, Computerised tomogram head normal, Generalised tonic-clonic seizure, IgA nephropathy, Magnetic resonance imaging head abnormal
Clinical narrative: Swelling of hands and lower legs after first 2 vaccines prior to diagnosis of iga nephropathy. Admitted 2 weeks later for low sodium. After 7 mos course of prednisone putting iga into remission received 3rd vaccine and developed edema again. Placed on lasix 20 mg 1-2 x daily and was decreasing that when on 25th day developed 2 grand mal seizures within 18 hours of each other and low sodium of 123. Sodium was stable and in 130?s months prior to vaccine.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema, Peripheral swelling
Clinical narrative: Swelling of hands and lower legs after first 2 vaccines prior to diagnosis of iga nephropathy. Admitted 2 weeks later for low sodium. After 7 mos course of prednisone putting iga into remission received 3rd vaccine and developed edema again. Placed on lasix 20 mg 1-2 x daily and was decreasing that when on 25th day developed 2 grand mal seizures within 18 hours of each other and low sodium of 123. Sodium was stable and in 130?s months prior to vaccine.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Heart rate increased, Nausea, Pyrexia
Clinical narrative: Shortly after the 2nd dose of Pfizer, my son started getting headaches, nausea and fever. About 1 week after the 2nd dose, my son started getting rapid heartbeats and trouble breathing. Waiting to see a cardiologist March 7th. I wish we could see one tomorrow. This is very upsetting.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Erythema, Mechanical urticaria, Pruritus
Clinical narrative: Hives outbreak on day 12 (Feb 4). On Feb 5 I experienced diarrhea and stomach pain. On Mon Feb 6 I went to urgent care and was prescribed prednisone. I took 4 tablets daily for 3 days, then 2 tablets daily for 3 days, and then 1 tablet daily for 3 days. I took Zyrtec on occasion after that to help with the itchiness and used a cortisone topical cream. I am still experiencing redness, itchiness, and dermatographia.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives outbreak on day 12 (Feb 4). On Feb 5 I experienced diarrhea and stomach pain. On Mon Feb 6 I went to urgent care and was prescribed prednisone. I took 4 tablets daily for 3 days, then 2 tablets daily for 3 days, and then 1 tablet daily for 3 days. I took Zyrtec on occasion after that to help with the itchiness and used a cortisone topical cream. I am still experiencing redness, itchiness, and dermatographia.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Paraesthesia, Peripheral swelling, Skin warm
Clinical narrative: Projectile vomiting at 4:50 am, headache onset overnight became severe, tingling/pins and needles hands all next day, then arm of injection became red, swollen and warm to touch
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting projectile
Clinical narrative: Projectile vomiting at 4:50 am, headache onset overnight became severe, tingling/pins and needles hands all next day, then arm of injection became red, swollen and warm to touch
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram thorax, Fibrin D dimer increased, Injection site erythema, Injection site induration
Clinical narrative: High racing heart rate began at 6 pm after shot was peaked at highest at 530 am with 155 bpm at rest went to er d diner elevated ct of chest taken was clear sent home. Continued to have little spikes of high hr for about 7 days. Also site was swollen and rock hard about size of orange  red and itchy . Red and itchy for seven days and warm to touch. Hard knot that took 1 month to completely go away
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site nodule, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: High racing heart rate began at 6 pm after shot was peaked at highest at 530 am with 155 bpm at rest went to er d diner elevated ct of chest taken was clear sent home. Continued to have little spikes of high hr for about 7 days. Also site was swollen and rock hard about size of orange  red and itchy . Red and itchy for seven days and warm to touch. Hard knot that took 1 month to completely go away
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ageusia, Anosmia, Antinuclear antibody positive, Arthralgia, Blood test
Clinical narrative: Positive ANA  Whole body pain and inflammation Joint and muscle pain Fatigue No taste no smell, still over a year later
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Inflammation, Myalgia, Pain
Clinical narrative: Positive ANA  Whole body pain and inflammation Joint and muscle pain Fatigue No taste no smell, still over a year later
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Ringing in both ears are now worse (louder)
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient administered an expired vaccine.  Pfizer recommend revaccination. The patient was contacted to schedule an appointment.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blindness, Eye pain, Herpes ophthalmic, Vision blurred
Clinical narrative: Following dose 2 of vaccine I developed herpectic keratitis of the right eye. I had loss of vision, blurred vision and eye pain. Following these side effects I sought treatment by a cornea specialist and will now be on life long antiviral medicine in hopes of suppressing it reoccurring.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Agency and Pfizer recommend revaccination. Patient was contacted to do so.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received expired vaccine. Pfizer recommend revaccination. Patient was contacted to schedule an appointment.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Hypersensitivity vasculitis, Metabolic function test, Petechiae, Red blood cell sedimentation rate normal
Clinical narrative: Patient developed petechial rash of legs &trunk after 2nd COVID vaccine on 03/09/2021. Saw 2 different dermatologists who gave steroid cream with some effect. They did not think biopsy needed. after COVID Booster 12/28/21 rash recurred petechial and  worse than before. Consistent with allergic vasculitis
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Blood immunoglobulin A abnormal, Blood immunoglobulin G, Corneal irritation, Eye irritation
Clinical narrative: Irritation in RIGHT EYE (like corneal scratch). Visited ophthalmologist, and his diagnosis was IRITIS (rheumatoid arthritis (RA). He prescribed PREDNISOLONE AC 1% OPTH SUSP eyedrops for 1-month. Irritation cleared up (on both occurrences).   Patient was referred to rheumatologist, who ordered a battery of blood tests for RA. Test results for ANTI-CCP Ab. IgG/IgA was 39 - ABNORMAL.   2nd dose Moderna received 3/11/2021 ADVERSE EVENT: IRITIS in right eye occurred 04/05/2021. 3rd dose Moderna (Booster) Received 11/05/2021 at pharmacy. ADVERSE EVENT: IRITIS in right eye reoccurred 01/08/2022.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Iritis, Rheumatoid arthritis
Clinical narrative: Irritation in RIGHT EYE (like corneal scratch). Visited ophthalmologist, and his diagnosis was IRITIS (rheumatoid arthritis (RA). He prescribed PREDNISOLONE AC 1% OPTH SUSP eyedrops for 1-month. Irritation cleared up (on both occurrences).   Patient was referred to rheumatologist, who ordered a battery of blood tests for RA. Test results for ANTI-CCP Ab. IgG/IgA was 39 - ABNORMAL.   2nd dose Moderna received 3/11/2021 ADVERSE EVENT: IRITIS in right eye occurred 04/05/2021. 3rd dose Moderna (Booster) Received 11/05/2021 at pharmacy. ADVERSE EVENT: IRITIS in right eye reoccurred 01/08/2022.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Thrombosis
Clinical narrative: Blood clotting and stroke
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Polymenorrhoea
Clinical narrative: after the second dose got early period (18 days in the cycle); Period is heavy associated with painful cramping; Period is heavy associated with painful cramping; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 38 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 28Apr2021 15:30 (Lot number: ER8736) at the age of 38 years as dose 2, single for covid-19 immunisation. The patient had no relevant medical history. Concomitant medication(s) included: FISH OIL. Vaccination history included: Bnt162b2 (Lot number=EW0158, Administration time=03:30 PM, Dose number=1, Vaccine location=Left arm), administration date: 07Apr2021, when the patient was 38 years old, for COVID-19 IMMUNISATION, reaction(s): "period was delayed". The following information was reported: POLYMENORRHOEA (non-serious) with onset 2021, outcome "unknown", described as "after the second dose got early period (18 days in the cycle)"; HEAVY MENSTRUAL BLEEDING (non-serious), DYSMENORRHOEA (non-serious) all with onset 2021, outcome "unknown" and all described as "Period is heavy associated with painful cramping". Therapeutic measures were not taken as a result of polymenorrhoea, heavy menstrual bleeding, dysmenorrhoea.  Additional information: The patient didn't take any other vaccine in four weeks. Other medications in two weeks included Multi Vitamins, Fish Oil. Adverse event: Period was delayed by 5 days (33 days in the cycle) after the first dose and after the second dose got early period (18 days in the cycle). Period was heavy associated with painful cramping. Her regular cycle length was 26 days. The patient didn't have covid prior vaccination. The patient was not tested for covid post vaccination. The patient did not had known allergies.   No follow-up attempts are possible. No further information is expected.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site pain, Vaccination site rash
Clinical narrative: A group of rashes in area below the injection point.; Feeling mild pain in this area.; This is a spontaneous report received from a contactable Consumer or other non HCP. The reporter is the patient.  A 76 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 07May2021 13:30 (Lot number: EWO170) at the age of 76 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "known allergies : Honey" (unspecified if ongoing); "Stents" (unspecified if ongoing), notes: Verbatim: Stents. The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose: 1st, product=COVID 19, brand=Pfizer, lot number=EWO170, administration time=09:30 PM,, vaccine location=Left arm), administration date: 14Apr2021, when the patient was 76 years old, for COVID-19 immunization. The following information was reported: VACCINATION SITE RASH (non-serious) with onset 14May2021 13:30, outcome "not recovered", described as "A group of rashes in area below the injection point."; VACCINATION SITE PAIN (non-serious) with onset 14May2021 13:30, outcome "recovering", described as "Feeling mild pain in this area.". Therapeutic measures were not taken as a result of vaccination site rash, vaccination site pain.  Additional information: The patient did not receive any other vaccine in four weeks. The patient did not had COVID prior vaccination and Since the vaccination, patient had not tested with covid 19. Device Date mentioned as 19May2021.  No follow-up attempts are possible. No further information is expected.
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: This is a spontaneous report received from a contactable consumer or other non-HCP. A female patient received the 1st dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, batch/lot# unknown), on Mar 17, 2021, single dose, for COVID-19 immunisation. Medical history included tinnitus (unspecified if ongoing). Concomitant medications not reported. The patient experienced tinnitus (spike in tinnitus), onset 2021, with outcome of unknown. Additional information: The reporter queried why the Pfizer COVID-19 vaccine causes some people to experience tinnitus. She reported receiving the first injection of the Pfizer COVID-19 vaccine on Mar 17, 2021, then experiencing a spike in tinnitus. No follow-up attempts possible. Information about batch/lot number cannot be obtained. No further information expected.
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: My right eye is blurry; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 65 year-old male patient received bnt162b2 (BNT162B2), administered in arm left (Lot number: EW0168) as dose 2, single for covid-19 immunisation. Relevant medical history included: "Chronic sinusitis" (unspecified if ongoing), notes: other medical history: Chronic Sinusitis; "Known allergies: Penicillin" (unspecified if ongoing), notes: Known allergies: Penicillin. Concomitant medication(s) included: SIMVASTATIN; VALSARTAN; METOPROLOL. Vaccination history included: Bnt162b2 (covid vaccine details , product=COVID 19, brand=Pfizer ,, lot number=EW0175,, lot unknown=False,, administration date=25Apr2021,, administration time=09:00 AM,, dose number=1), when the patient was 65 years old, for COVID-19 immunization. The following information was reported: VISION BLURRED (non-serious) with onset 16May2021 11:00, outcome "unknown", described as "My right eye is blurry". Therapeutic measures were not taken as a result of vision blurred. Additional information:  Prior vaccinations within 4 weeks were reported as none. Prior to vaccination, patient was not diagnosed with COVID-19 and since the vaccination, the patient has not been tested for COVID-19.  No follow-up attempts are possible. No further information is expected.