chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Magnetic resonance imaging abnormal, Metabolic function test, Muscle spasms, Muscular weakness
Clinical narrative: Pt was seen at ED on5/8 for L sided weakness in the setting of a headache. Pt?s mother reports that these symptoms began 2 days after receiving second dose of Pfizer COVID-19 vaccination in R deltoid. She says that on 5/6, pt complained of L arm weakness during cooking class at school, which was followed by a mild L sided headache later in the day. Symptoms resolved without intervention but recurred on 5/8 with associated L sided facial droop, slurred speech, L arm spasms, and L foot drag.  Pt was seen at  ED for this and had a HA (5/10 in severity) at that time -- workup was unremarkable with a normal head CT, laboratory workup, and resolution of symptoms. Pediatric Neurology evaluated the pt, deemed no further workup necessary, and advised outpatient follow up.   Pt presented again to the ED on 5/10 with concern for full tonic/clonic seizure, witnessed by pt?s mother. Mother reports that she heard pt fall and went upstairs to find pt seizing on his bed -- says that pt had shaking of bilateral upper extremities (in flexed position close to chest) and symmetric lower extremity shaking; eyes were closed without clear focality or eye deviation. Also some drooling, though no incontinence or tongue biting. Episode lasted for approximately 2 minutes; pt was confused and did not recall what happened immediately afterwards but improved within the next 8 minutes. He was taken to the ED by EMS.   By the time he arrived in the ED, he had left sided weakness again. He was given Keppra 1g, placed on EEG, and was admitted. EEG overnight was read "normal" and additional workup was unremarkable. Pt had MRI brain completed showing cortical abnormalities in the R parietal lobe, suspected to be related to recent seizure. MRA showed patent intracranial cerebral vasculature. MRV showed no evidence of dural venous sinus thrombosis. Weakness resolved by the morning and pt was back to baseline on morning of 5/11/21. However, around 9 AM, L sided weakness (face, arm>leg) with associated headache recurred. Mom says that this event was captured on EEG. He was then transferred to our facility. He was placed on pEEG and had repeat labs, imaging completed. Pt did have L sided facial droop, L arm weakness, and slurred speech on arrival, but this resolved within 24 hours. Pt had one additional episode of "wave" of L sided weakness including L sided facial droop and slurred speech at one other time during the hospitalization, but no additional seizure like activity. He was discharged on 5/14 with a normal neuro exam-- some labs (including labs of Rheum and Id workup were pending at time of discharge.) Primary and consulting teams elected to forgo steroids but reconsider should symptoms worsen or return. Pt was readmitted on 5/16-- had an episode of expressive aphasia + headache while at a social gathering; states that he became overwhelmed by the noise. No additional seizure like activity.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Mycobacterium tuberculosis complex test, Peroneal nerve palsy, Pleocytosis, Polymerase chain reaction, Red blood cell sedimentation rate normal
Clinical narrative: Pt was seen at ED on5/8 for L sided weakness in the setting of a headache. Pt?s mother reports that these symptoms began 2 days after receiving second dose of Pfizer COVID-19 vaccination in R deltoid. She says that on 5/6, pt complained of L arm weakness during cooking class at school, which was followed by a mild L sided headache later in the day. Symptoms resolved without intervention but recurred on 5/8 with associated L sided facial droop, slurred speech, L arm spasms, and L foot drag.  Pt was seen at  ED for this and had a HA (5/10 in severity) at that time -- workup was unremarkable with a normal head CT, laboratory workup, and resolution of symptoms. Pediatric Neurology evaluated the pt, deemed no further workup necessary, and advised outpatient follow up.   Pt presented again to the ED on 5/10 with concern for full tonic/clonic seizure, witnessed by pt?s mother. Mother reports that she heard pt fall and went upstairs to find pt seizing on his bed -- says that pt had shaking of bilateral upper extremities (in flexed position close to chest) and symmetric lower extremity shaking; eyes were closed without clear focality or eye deviation. Also some drooling, though no incontinence or tongue biting. Episode lasted for approximately 2 minutes; pt was confused and did not recall what happened immediately afterwards but improved within the next 8 minutes. He was taken to the ED by EMS.   By the time he arrived in the ED, he had left sided weakness again. He was given Keppra 1g, placed on EEG, and was admitted. EEG overnight was read "normal" and additional workup was unremarkable. Pt had MRI brain completed showing cortical abnormalities in the R parietal lobe, suspected to be related to recent seizure. MRA showed patent intracranial cerebral vasculature. MRV showed no evidence of dural venous sinus thrombosis. Weakness resolved by the morning and pt was back to baseline on morning of 5/11/21. However, around 9 AM, L sided weakness (face, arm>leg) with associated headache recurred. Mom says that this event was captured on EEG. He was then transferred to our facility. He was placed on pEEG and had repeat labs, imaging completed. Pt did have L sided facial droop, L arm weakness, and slurred speech on arrival, but this resolved within 24 hours. Pt had one additional episode of "wave" of L sided weakness including L sided facial droop and slurred speech at one other time during the hospitalization, but no additional seizure like activity. He was discharged on 5/14 with a normal neuro exam-- some labs (including labs of Rheum and Id workup were pending at time of discharge.) Primary and consulting teams elected to forgo steroids but reconsider should symptoms worsen or return. Pt was readmitted on 5/16-- had an episode of expressive aphasia + headache while at a social gathering; states that he became overwhelmed by the noise. No additional seizure like activity.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory rate, Respiratory syncytial virus test, Seizure, Tonic clonic movements, Treponema test negative
Clinical narrative: Pt was seen at ED on5/8 for L sided weakness in the setting of a headache. Pt?s mother reports that these symptoms began 2 days after receiving second dose of Pfizer COVID-19 vaccination in R deltoid. She says that on 5/6, pt complained of L arm weakness during cooking class at school, which was followed by a mild L sided headache later in the day. Symptoms resolved without intervention but recurred on 5/8 with associated L sided facial droop, slurred speech, L arm spasms, and L foot drag.  Pt was seen at  ED for this and had a HA (5/10 in severity) at that time -- workup was unremarkable with a normal head CT, laboratory workup, and resolution of symptoms. Pediatric Neurology evaluated the pt, deemed no further workup necessary, and advised outpatient follow up.   Pt presented again to the ED on 5/10 with concern for full tonic/clonic seizure, witnessed by pt?s mother. Mother reports that she heard pt fall and went upstairs to find pt seizing on his bed -- says that pt had shaking of bilateral upper extremities (in flexed position close to chest) and symmetric lower extremity shaking; eyes were closed without clear focality or eye deviation. Also some drooling, though no incontinence or tongue biting. Episode lasted for approximately 2 minutes; pt was confused and did not recall what happened immediately afterwards but improved within the next 8 minutes. He was taken to the ED by EMS.   By the time he arrived in the ED, he had left sided weakness again. He was given Keppra 1g, placed on EEG, and was admitted. EEG overnight was read "normal" and additional workup was unremarkable. Pt had MRI brain completed showing cortical abnormalities in the R parietal lobe, suspected to be related to recent seizure. MRA showed patent intracranial cerebral vasculature. MRV showed no evidence of dural venous sinus thrombosis. Weakness resolved by the morning and pt was back to baseline on morning of 5/11/21. However, around 9 AM, L sided weakness (face, arm>leg) with associated headache recurred. Mom says that this event was captured on EEG. He was then transferred to our facility. He was placed on pEEG and had repeat labs, imaging completed. Pt did have L sided facial droop, L arm weakness, and slurred speech on arrival, but this resolved within 24 hours. Pt had one additional episode of "wave" of L sided weakness including L sided facial droop and slurred speech at one other time during the hospitalization, but no additional seizure like activity. He was discharged on 5/14 with a normal neuro exam-- some labs (including labs of Rheum and Id workup were pending at time of discharge.) Primary and consulting teams elected to forgo steroids but reconsider should symptoms worsen or return. Pt was readmitted on 5/16-- had an episode of expressive aphasia + headache while at a social gathering; states that he became overwhelmed by the noise. No additional seizure like activity.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Venogram, Viral test, West Nile virus test
Clinical narrative: Pt was seen at ED on5/8 for L sided weakness in the setting of a headache. Pt?s mother reports that these symptoms began 2 days after receiving second dose of Pfizer COVID-19 vaccination in R deltoid. She says that on 5/6, pt complained of L arm weakness during cooking class at school, which was followed by a mild L sided headache later in the day. Symptoms resolved without intervention but recurred on 5/8 with associated L sided facial droop, slurred speech, L arm spasms, and L foot drag.  Pt was seen at  ED for this and had a HA (5/10 in severity) at that time -- workup was unremarkable with a normal head CT, laboratory workup, and resolution of symptoms. Pediatric Neurology evaluated the pt, deemed no further workup necessary, and advised outpatient follow up.   Pt presented again to the ED on 5/10 with concern for full tonic/clonic seizure, witnessed by pt?s mother. Mother reports that she heard pt fall and went upstairs to find pt seizing on his bed -- says that pt had shaking of bilateral upper extremities (in flexed position close to chest) and symmetric lower extremity shaking; eyes were closed without clear focality or eye deviation. Also some drooling, though no incontinence or tongue biting. Episode lasted for approximately 2 minutes; pt was confused and did not recall what happened immediately afterwards but improved within the next 8 minutes. He was taken to the ED by EMS.   By the time he arrived in the ED, he had left sided weakness again. He was given Keppra 1g, placed on EEG, and was admitted. EEG overnight was read "normal" and additional workup was unremarkable. Pt had MRI brain completed showing cortical abnormalities in the R parietal lobe, suspected to be related to recent seizure. MRA showed patent intracranial cerebral vasculature. MRV showed no evidence of dural venous sinus thrombosis. Weakness resolved by the morning and pt was back to baseline on morning of 5/11/21. However, around 9 AM, L sided weakness (face, arm>leg) with associated headache recurred. Mom says that this event was captured on EEG. He was then transferred to our facility. He was placed on pEEG and had repeat labs, imaging completed. Pt did have L sided facial droop, L arm weakness, and slurred speech on arrival, but this resolved within 24 hours. Pt had one additional episode of "wave" of L sided weakness including L sided facial droop and slurred speech at one other time during the hospitalization, but no additional seizure like activity. He was discharged on 5/14 with a normal neuro exam-- some labs (including labs of Rheum and Id workup were pending at time of discharge.) Primary and consulting teams elected to forgo steroids but reconsider should symptoms worsen or return. Pt was readmitted on 5/16-- had an episode of expressive aphasia + headache while at a social gathering; states that he became overwhelmed by the noise. No additional seizure like activity.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Headache, Laboratory test
Clinical narrative: Headache and chest pains
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hypoaesthesia
Clinical narrative: HEADACHE CHILLS LEFT FACIAL NUMBESS
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Injection site pain, Injection site swelling
Clinical narrative: pain & swelling at injection site shortness of breath
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: S: while administering the vaccine, the needle came loose causing some medication to leak out B: Nurse feels that more than 1/2 of the vaccine went into the patient, per SHEMS the recommendation is to NOT revaccinate (but to submit a VAERS)
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: 2 months pregnant at the time of vaccine. Babies brain is not developing properly and miscarriage is expected.
Age: 1.5
Sex: F
Vaccine: HIBV
Symptoms: Injection site cellulitis, Injection site induration
Clinical narrative: Patient is an 18 month old female who presented on May 17, 2021 with right outer thigh induration consistent with likely cellulitis s/p immunization with Hib on May 3rd, 2021.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pruritus
Clinical narrative: Pt c/o lightheadedness and minor itchiness in sternal area.  Pt ambulated to medical bay.  VSS.  Airway clear, free of swelling/redness.  APP notified and at bedside.  Pt c/o nausea briefly, N subsided.  APP approved pt for d/c to home w/ spouse.  Education provided to pt for when to seek medical attn.  No medications required per APP.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: Blood pressure increased. Was average 124/87 to high of 155/95 (average) this second shot has been going up and down and up and down. It is back to normal now.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Vial Mix up,  Janssen diluted and given instead of Pfizer.  Patient called and notified. working on plan to give appropriate 2nd dose vaccination
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Airway patency device insertion, Cardiac arrest, Intraosseous access placement, Loss of consciousness, Respiratory arrest
Clinical narrative: Patient is a 41 y.o. female, reported history of asthma, obesity, polysubstance use, is transferred to the hospital via EMS in cardiac arrest.  Per EMS report, the patient was found in an apartment complex by a neighbor unconscious.  The initial report was that she was breathing however EMS was called back and then told that she was not breathing and not responsive.  Estimated downtime was between 5 and 8 minutes before paramedics arrived and initiated CPR.  Due to the patient's body habitus, it did take approximately 15 minutes to get the patient transported to the hospital.  3 rounds of epinephrine were given in the field.  Her rhythm has been asystole prior to getting to the emergency department.  Intraosseous access is obtained.  There is an OPA in place.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Resuscitation, Unresponsive to stimuli
Clinical narrative: Patient is a 41 y.o. female, reported history of asthma, obesity, polysubstance use, is transferred to the hospital via EMS in cardiac arrest.  Per EMS report, the patient was found in an apartment complex by a neighbor unconscious.  The initial report was that she was breathing however EMS was called back and then told that she was not breathing and not responsive.  Estimated downtime was between 5 and 8 minutes before paramedics arrived and initiated CPR.  Due to the patient's body habitus, it did take approximately 15 minutes to get the patient transported to the hospital.  3 rounds of epinephrine were given in the field.  Her rhythm has been asystole prior to getting to the emergency department.  Intraosseous access is obtained.  There is an OPA in place.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever  101 deg F,  chills and shaking, body aches, arm sore at injection site, fatigue; Symptoms lasted about 24 hours after onset with gradual decrease in intensity.  Asprin helped reduce symptoms
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hypoaesthesia
Clinical narrative: 72 hours after receiving the 2nd Dose of the Moderna COVID19 vaccine, I've had constant chills, debilitating fatigue, and a slight bit of numbness in my hands. No fever or pain, just chills and fatigue. The chills and fatigue steadily got worse. 15 days have now passed since I received the second dose and these effects are MUCH worse than after the first 48 hours of the shot. I can't get warm. I've taken both Advil and Tylenol (different days) and they provide a tiny bit of relief from the chills, but no help with the fatigue or hand numbness.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Fatigue, Injection site pain, Lymph node pain
Clinical narrative: pain at injection site swollen & tender lymph nodes in underarm where injection given shortness of breath extremely weak & tired
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: pain at injection site swollen & tender lymph nodes in underarm where injection given shortness of breath extremely weak & tired
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Spotty rash all over my torso. It started as one spot on my stomach for maybe a week that got progressively larger (now the size of at least a quarter) and then small spots spread all over, mainly on my chest.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in ears, starting loudly in the right ear at 16hrs after vaccination and softer in the left ears. Left ear became louder over the next week. Called primary care doctor twice over the next couple days and saw ENT on 4/28/21 after vaccination. No hearing loss detected and no cure available for tinnitus.  ENT was unable to say if tinnitus will resolve over the next few weeks/months. Considering  it has been nearly 4 weeks, I consider this to be permanent damage.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Feeling abnormal, Headache, Influenza like illness
Clinical narrative: The day of the vaccine I was told that my arm might be sore. I felt sore right away and as soon as I got in the car to drive home I was extremely tired and I slept for the entire six hour car ride home. I was very fatigued that night and then I got a bad headache, fever and it lasted for 48 hours. After that, the headache was less intense and they were intermittent but my arm still hurt and I couldn't lay on it. I was still fatigued for a week. On the fourth day I started to get a weird feeling of vibrations and twitching all over my body. It is especially worse in my temple. It has been a month but I still get the twitching in different parts of my body. My face, arms, legs and temples. It is in different places. It happens less often now, it is not all day but it is still daily and mostly in my head and my legs. I had it happen in my temples last night.  I had my menstrual cycle since the vaccine and it was about three days later than expected. I had a lot of blood clots which was unusual for me. I have had flu like symptoms this week and I have a cough, runny nose and headaches but I am planning on trying to go to the doctor this week.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed, Muscle twitching, Pain in extremity, Pyrexia, Rhinorrhoea
Clinical narrative: The day of the vaccine I was told that my arm might be sore. I felt sore right away and as soon as I got in the car to drive home I was extremely tired and I slept for the entire six hour car ride home. I was very fatigued that night and then I got a bad headache, fever and it lasted for 48 hours. After that, the headache was less intense and they were intermittent but my arm still hurt and I couldn't lay on it. I was still fatigued for a week. On the fourth day I started to get a weird feeling of vibrations and twitching all over my body. It is especially worse in my temple. It has been a month but I still get the twitching in different parts of my body. My face, arms, legs and temples. It is in different places. It happens less often now, it is not all day but it is still daily and mostly in my head and my legs. I had it happen in my temples last night.  I had my menstrual cycle since the vaccine and it was about three days later than expected. I had a lot of blood clots which was unusual for me. I have had flu like symptoms this week and I have a cough, runny nose and headaches but I am planning on trying to go to the doctor this week.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: The day of the vaccine I was told that my arm might be sore. I felt sore right away and as soon as I got in the car to drive home I was extremely tired and I slept for the entire six hour car ride home. I was very fatigued that night and then I got a bad headache, fever and it lasted for 48 hours. After that, the headache was less intense and they were intermittent but my arm still hurt and I couldn't lay on it. I was still fatigued for a week. On the fourth day I started to get a weird feeling of vibrations and twitching all over my body. It is especially worse in my temple. It has been a month but I still get the twitching in different parts of my body. My face, arms, legs and temples. It is in different places. It happens less often now, it is not all day but it is still daily and mostly in my head and my legs. I had it happen in my temples last night.  I had my menstrual cycle since the vaccine and it was about three days later than expected. I had a lot of blood clots which was unusual for me. I have had flu like symptoms this week and I have a cough, runny nose and headaches but I am planning on trying to go to the doctor this week.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received both doses of Pfizer COVID19 vaccine and post 14 days tested positive for COVID19 via nasal swab 05May
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dizziness, Fatigue, Palpitations
Clinical narrative: The day after the first dose -I experienced extreme fatigue and  increased episodes of self aware A-fib. I slip into and out of A-fib many times a day, but usually am not aware when it's happening, but after the vaccine, the A-fib signs were much stronger than usual and I was very well aware when I went into A-fib. This became even stronger after the 2nd dose. My electrophysiologist's office said they are getting similar reports from other patients as well. They've scheduled an appt for a holter monitor for Friday May 21st and a video appt with the Dr for June 1st.  Also, within 10 minutes of the 2nd dose I became very dizzy and my heart was racing. The nurse had me stay at the clinic until my heart rate settled down. The dizziness persisted into the next day. The day after the 1st dose, my peripheral neuropathy worsened, and within 8 hours of getting the 2nd dose it became considerably worse than it had gotten after the 1st dose.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchospasm, Chest discomfort, Cough, Nausea, Wheezing
Clinical narrative: Within 5 minutes nausea and tightness of chest started.  The nurse gave me Zofran for nausea.  After 30 minutes I seemed to be fine.  On the way home i started severe coughing and bronchial spasm.  I went home and took benadryl which stopped it.  I took another dose that night.  I was fine until 3/17/2021 within minutes of arriving at work I started severe cough, tightness of chest and wheezing.  I took cetirizine.  After 45 minutes cough stopped.  I continued to take cetirizine for 2 weeks and a very old prescription of Singulair.  I had not had any severe allergy symptoms for 11 years.  I was back on all foods except 2.  During this 2 weeks I had to go back off all know allergy foods.  After the 2 weeks
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Chest discomfort, Cough, Wheezing
Clinical narrative: Client reports about 6 pm the night she got the vaccine she had asthma like symptoms. Wheezing, chest tightness, etc. She does cough while I am on the phone today.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: NAUSEA/VOMIT
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Hyperhidrosis, Loss of consciousness
Clinical narrative: patient received 1 vaccine, went to sit in waiting area for 15 min, about 3 minutes into it he passed out and fell over. We went out there and he woke up. Sweating alot. called ambulance and they checked him out and let him go.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Presyncope, Syncope
Clinical narrative: Syncope, Flushing/sweating. Post vaccination pt had a vaso vagal/syncopal episode in her seat in observation.  Pt did not fall.  Pt was wheeled back in supine position.  VS stable.  Patient recovered, drank juice.  When stable, patient was released from the vaccination site.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood smear test normal, Chromaturia, Computerised tomogram abdomen abnormal, Cough
Clinical narrative: Patient admitted for left flank pain.  Was treated for urinary tract infection, although never had symptoms of a UTI.  No dysuria, frequency or urgency.  Urine is dark. Irregular menses.  Has had cough, sore throat, vomiting, headache over past week.  Mild epistaxis and heavy menses last month.  CBC shows  anemia and thrombocytopenia.  Imaging showed splenomegaly with small acute splenic infarct.  Hematology/oncology consulted and TTP ruled out.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Flank pain, Haematocrit decreased, Haemoglobin decreased, Headache
Clinical narrative: Patient admitted for left flank pain.  Was treated for urinary tract infection, although never had symptoms of a UTI.  No dysuria, frequency or urgency.  Urine is dark. Irregular menses.  Has had cough, sore throat, vomiting, headache over past week.  Mild epistaxis and heavy menses last month.  CBC shows  anemia and thrombocytopenia.  Imaging showed splenomegaly with small acute splenic infarct.  Hematology/oncology consulted and TTP ruled out.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Hepatomegaly, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin increased, Mean cell volume increased
Clinical narrative: Patient admitted for left flank pain.  Was treated for urinary tract infection, although never had symptoms of a UTI.  No dysuria, frequency or urgency.  Urine is dark. Irregular menses.  Has had cough, sore throat, vomiting, headache over past week.  Mild epistaxis and heavy menses last month.  CBC shows  anemia and thrombocytopenia.  Imaging showed splenomegaly with small acute splenic infarct.  Hematology/oncology consulted and TTP ruled out.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Menstruation irregular, Oropharyngeal pain, Ovarian cyst, Platelet count decreased
Clinical narrative: Patient admitted for left flank pain.  Was treated for urinary tract infection, although never had symptoms of a UTI.  No dysuria, frequency or urgency.  Urine is dark. Irregular menses.  Has had cough, sore throat, vomiting, headache over past week.  Mild epistaxis and heavy menses last month.  CBC shows  anemia and thrombocytopenia.  Imaging showed splenomegaly with small acute splenic infarct.  Hematology/oncology consulted and TTP ruled out.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count decreased, Red cell distribution width increased, Splenic infarction, Splenomegaly, Thrombocytopenia
Clinical narrative: Patient admitted for left flank pain.  Was treated for urinary tract infection, although never had symptoms of a UTI.  No dysuria, frequency or urgency.  Urine is dark. Irregular menses.  Has had cough, sore throat, vomiting, headache over past week.  Mild epistaxis and heavy menses last month.  CBC shows  anemia and thrombocytopenia.  Imaging showed splenomegaly with small acute splenic infarct.  Hematology/oncology consulted and TTP ruled out.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Vomiting, White blood cell count decreased
Clinical narrative: Patient admitted for left flank pain.  Was treated for urinary tract infection, although never had symptoms of a UTI.  No dysuria, frequency or urgency.  Urine is dark. Irregular menses.  Has had cough, sore throat, vomiting, headache over past week.  Mild epistaxis and heavy menses last month.  CBC shows  anemia and thrombocytopenia.  Imaging showed splenomegaly with small acute splenic infarct.  Hematology/oncology consulted and TTP ruled out.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nasopharyngitis
Clinical narrative: received the second dose of COVID vaccine Pfizer lot # ER2613(expiration date 7/30/2021) at 1306. Client reported to EMT table that he felt "cold and lightheaded". EMT and RN responded to client. @1313 Patient reported feeling cold and light headed after his first dose. Patient was sat in a zero gravity chair where an EMT applied ice packs to the posterior neck and left side. This was done after patient reported ice packs being helpful the "last time he experienced the same feelings". The last time the client experienced similar symptoms was "over two months ago" while his blood was being drawn. At this time the patient's vitals were BP: 154/100 P: 113 RR: 22. At 1321 Client reported feeling okay and vitals were BP: 144/94, P:99, RR:20. @1326 Vitals BP: 130/80, P: 94, RR: 16. Another set of vials were taken at 1331 Vitals BP: 130/90 P: 102 RR: 8 Patient was still in gravity chair and taking long and deep breaths. @1338 Vitals BP: 124/90 P: 115 RR: 10. Patient reported symptoms have resolved and is ready to leave. Pt was educated to observe for signs of allergic reactions and informed to call emergency medical services, as well as following up with his healthcare provider. No s/sx of allergic reactions were observed and patient denied EMS. Patient left site at 1341 with an observed steady gait and drove himself home.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Pyrexia, Vomiting
Clinical narrative: Vomiting, fever 102.6, heart rate 140.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Janssen vial diluted and given to patient.  Vial mix up. vial was mistaken to be Pfizer by tech
Age: 73.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Influenza virus test, Respiratory syncytial virus test, SARS-CoV-2 test positive
Clinical narrative: Pt presented to the ED with complaints of SOB. Pt was found to be COVID positive post vaccination. Pt required supplemental oxygen and was hospitalized for COVID.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Fatigue, Headache, Heart rate increased
Clinical narrative: FATIGUE, SEVERE BODY ACHES, INCREASED PAIN IN AREAS WITH PROBLEMS, FREEZING COLD WITH 4 THICK BLANKETS ON, WEAK, UP TO 36 HOURS IN BED  CONTINUALLY.  BAD DREAMS CONSTANT  THEN OUT OF BALANCE NAUSEATED, OUT OF SORTS, ACHY  FOR THE SECOND COMPLETE DAY, BAD DREAMS . LIGHT HEADACHE ALL DAY THIRD DAY (I DONT USUALLY GET HEADACHES .  FOURTH DAY I NOTICE MY HEART BEAT SEEMS A BIT ERRATIC. I CAN FEEL IT MORE THAN NORMAL AT TIMES.TODAY SOME RACING HEART BEATS NOT TERRIBLE BUT DIFFERENT
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Nasopharyngitis, Nausea, Nightmare, Pain
Clinical narrative: FATIGUE, SEVERE BODY ACHES, INCREASED PAIN IN AREAS WITH PROBLEMS, FREEZING COLD WITH 4 THICK BLANKETS ON, WEAK, UP TO 36 HOURS IN BED  CONTINUALLY.  BAD DREAMS CONSTANT  THEN OUT OF BALANCE NAUSEATED, OUT OF SORTS, ACHY  FOR THE SECOND COMPLETE DAY, BAD DREAMS . LIGHT HEADACHE ALL DAY THIRD DAY (I DONT USUALLY GET HEADACHES .  FOURTH DAY I NOTICE MY HEART BEAT SEEMS A BIT ERRATIC. I CAN FEEL IT MORE THAN NORMAL AT TIMES.TODAY SOME RACING HEART BEATS NOT TERRIBLE BUT DIFFERENT
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Rash, Skin warm
Clinical narrative: Palms, skin around nails, back of hands are hot and at same time, palms and skin around finger nails are very red. Accompanying feeling feels like how face feels when running fever. Fingernails feel very warm to touch. Face feels hot and same burning feeling also to eyes, neck, chest, back of upper arms. Rash. Filled out vsafe form this morning but forgot to add these.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dizziness, Feeling abnormal, Nausea, Vomiting
Clinical narrative: Diarrhea, vomiting on third day after vaccine, nausea, light-headedness, foggy brain, given Zofran for nausea
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling hot, Pain, Pruritus
Clinical narrative: Felt very warm/hot within a few hours after the shot followed by chills at night and general body aches without a fever. Since Sunday April 25 to date I have kept on feeling an itch (without rash or hives) underneath my skin, mostly in between fingers and toes but also in stomach, back, chest.  There's nothing visible in my skin, just this itchy sensation.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Pruritus, Urticaria
Clinical narrative: Pfizer-BioNTech Covid-19 Vaccine EUA.   On the evening of 2/16/21 I started itching on my hips. I noticed the following morning I had welts on my hips and it continued to spread  that day and for the next 3 days to my trunk, arms, face, chest, thighs and my upper lip swelled the evening of 2/19/21. I started taking Benadryl on 2/17/21 and discontinued it 2/19/21.  I started a Medrol Dose Pak on 2/18/21. The steroids started clearing up the welts on 2/19/21 and they were totally gone on 2/21/21.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Fear of injection, Flushing, Hyperhidrosis
Clinical narrative: Pt w/ a hx of unknown Advil reaction.  Flushing/sweating, dizziness, vasovagal episode.  Pt had a vasovagal reaction from fear of needles/anxiety.  Placed patient in Trendelenburg position and felt normal/baseline.  OJ given.  BP 103/61, HR 102, RR 18 -- > 115/63, 89, 18.  Pt stable and released from vaccination site.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Pt w/ a hx of unknown Advil reaction.  Flushing/sweating, dizziness, vasovagal episode.  Pt had a vasovagal reaction from fear of needles/anxiety.  Placed patient in Trendelenburg position and felt normal/baseline.  OJ given.  BP 103/61, HR 102, RR 18 -- > 115/63, 89, 18.  Pt stable and released from vaccination site.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Injection site pain
Clinical narrative: Shot site pain, Low fever ,diarrhea, headache, shivering, bad general body aching, fatique All gone in about 24 hours
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Shot site pain, Low fever ,diarrhea, headache, shivering, bad general body aching, fatique All gone in about 24 hours
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Disturbance in attention, Feeling drunk, Laboratory test normal, Neck pain
Clinical narrative: By 7:30, I felt drunk. My brain was not functioning normally and had a fever all night. By 7:15 I felt fine, with the exception for random joint pain. The following Friday, April 9th, I had bloodwork done. It felt like I had hit my funny bone. I had shooting pain up my arm and into my neck and down my spine. I thought it was just the blood draw, so I suffered all weekend. My husband made me go to the doctor on Monday. My doctor said I had the same symptoms of a blood clot. They sent me to the hospital for an ultrasound and blood tests recommended, but everything was negative. She told me to just watch out for any changes and it went away after a few days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Spinal pain, Ultrasound scan normal
Clinical narrative: By 7:30, I felt drunk. My brain was not functioning normally and had a fever all night. By 7:15 I felt fine, with the exception for random joint pain. The following Friday, April 9th, I had bloodwork done. It felt like I had hit my funny bone. I had shooting pain up my arm and into my neck and down my spine. I thought it was just the blood draw, so I suffered all weekend. My husband made me go to the doctor on Monday. My doctor said I had the same symptoms of a blood clot. They sent me to the hospital for an ultrasound and blood tests recommended, but everything was negative. She told me to just watch out for any changes and it went away after a few days.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: She was unresponsive for 10 to 15 seconds. Once she became responsive, she laid on the floor and we waited for EMS to arrive. She had no other reaction and refused further care after EMS checked on her.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Prenatal screening test abnormal, Ultrasound scan abnormal
Clinical narrative: At the time I received my 1st Pfizer vaccine I was pregnant. I recently found out my unborn child has a birth defect called spina bifida. I am 18 weeks pregnant and my due date is 10/18/2021.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Influenza A virus test negative, Influenza B virus test
Clinical narrative: 5/2/21 Pt was hospitalized for 2 days for COVID  is a 89 y.o. male patient of , MD with history of steroid and oxygen dependent COPD with chronic hypoxic respiratory failure on 6 L, coronary artery disease, gout, hypertension, hyperlipidemia, BPH, and recent exacerbation of his COPD who presents with fevers, body aches, generalized weakness for 5 days found to have COVID-19 infection   Acute on chronic hypoxic respiratory failure Due to COVID-19 infection.  On home requirement of 6L NC.  Expect he may have a milder course given vaccinated status (though not fully vaccinated until 5/7/21). Update 05/4/2021 Patient stated that he feels that he is  back to his baseline Currently on 6 L nasal cannula oxygen His sats was~98 %t rest, with no evidence of respiratory distress     Covid-19 Virus Infection Date of onset of symptoms: 4/28/21,  Symptoms present on admission: fevers, myalgias, dyspnea, weakness Date of covid positive test: 5/2/21 Vaccination status: vaccinated on 4/1 and 4/23/21 but had exposure on 4/22/21 Imaging: CXR with low lung volumes with bronchovascular crowing and strandy bibasilar pneumonia with small pleural effusions Oxygen requirements on admission: 6L Current oxygen requirements: 6L Medical therapy: Received x3 doses of remdesivir while in the hospital, will complete total 10 days of dexamethasone treatment Consultants following: pulmonary Anticipated special isolation end date: 5/8/21   Generalized weakness Due to above issues -PT/OT consults   COPD with chronic hypoxic respiratory failure GOLD grade 3, group D, follows with Dr. as an outpatient and recently completed a course of prednisone taper and augmentin on 5/1/21.Chronically declines PFTs in the past. He is on chronic prednisone at 5mg daily and uses 4-6L NC continuously at home. Pneumovax 2010, prevnar 2015.  -Continue home spiriva, symbicort, singulair, and albuterol MDI 4x daily -ST consulted, recommended chopped/NDD 3, thin liquids -Discharge home to complete total 10 days of dexamethasone -Can restart his home prednisone afterwards
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Legionella test, Metabolic function test, Myalgia, Pain, Pleural effusion
Clinical narrative: 5/2/21 Pt was hospitalized for 2 days for COVID  is a 89 y.o. male patient of , MD with history of steroid and oxygen dependent COPD with chronic hypoxic respiratory failure on 6 L, coronary artery disease, gout, hypertension, hyperlipidemia, BPH, and recent exacerbation of his COPD who presents with fevers, body aches, generalized weakness for 5 days found to have COVID-19 infection   Acute on chronic hypoxic respiratory failure Due to COVID-19 infection.  On home requirement of 6L NC.  Expect he may have a milder course given vaccinated status (though not fully vaccinated until 5/7/21). Update 05/4/2021 Patient stated that he feels that he is  back to his baseline Currently on 6 L nasal cannula oxygen His sats was~98 %t rest, with no evidence of respiratory distress     Covid-19 Virus Infection Date of onset of symptoms: 4/28/21,  Symptoms present on admission: fevers, myalgias, dyspnea, weakness Date of covid positive test: 5/2/21 Vaccination status: vaccinated on 4/1 and 4/23/21 but had exposure on 4/22/21 Imaging: CXR with low lung volumes with bronchovascular crowing and strandy bibasilar pneumonia with small pleural effusions Oxygen requirements on admission: 6L Current oxygen requirements: 6L Medical therapy: Received x3 doses of remdesivir while in the hospital, will complete total 10 days of dexamethasone treatment Consultants following: pulmonary Anticipated special isolation end date: 5/8/21   Generalized weakness Due to above issues -PT/OT consults   COPD with chronic hypoxic respiratory failure GOLD grade 3, group D, follows with Dr. as an outpatient and recently completed a course of prednisone taper and augmentin on 5/1/21.Chronically declines PFTs in the past. He is on chronic prednisone at 5mg daily and uses 4-6L NC continuously at home. Pneumovax 2010, prevnar 2015.  -Continue home spiriva, symbicort, singulair, and albuterol MDI 4x daily -ST consulted, recommended chopped/NDD 3, thin liquids -Discharge home to complete total 10 days of dexamethasone -Can restart his home prednisone afterwards
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory failure, SARS-CoV-2 test positive, Streptococcus test negative, Urine analysis
Clinical narrative: 5/2/21 Pt was hospitalized for 2 days for COVID  is a 89 y.o. male patient of , MD with history of steroid and oxygen dependent COPD with chronic hypoxic respiratory failure on 6 L, coronary artery disease, gout, hypertension, hyperlipidemia, BPH, and recent exacerbation of his COPD who presents with fevers, body aches, generalized weakness for 5 days found to have COVID-19 infection   Acute on chronic hypoxic respiratory failure Due to COVID-19 infection.  On home requirement of 6L NC.  Expect he may have a milder course given vaccinated status (though not fully vaccinated until 5/7/21). Update 05/4/2021 Patient stated that he feels that he is  back to his baseline Currently on 6 L nasal cannula oxygen His sats was~98 %t rest, with no evidence of respiratory distress     Covid-19 Virus Infection Date of onset of symptoms: 4/28/21,  Symptoms present on admission: fevers, myalgias, dyspnea, weakness Date of covid positive test: 5/2/21 Vaccination status: vaccinated on 4/1 and 4/23/21 but had exposure on 4/22/21 Imaging: CXR with low lung volumes with bronchovascular crowing and strandy bibasilar pneumonia with small pleural effusions Oxygen requirements on admission: 6L Current oxygen requirements: 6L Medical therapy: Received x3 doses of remdesivir while in the hospital, will complete total 10 days of dexamethasone treatment Consultants following: pulmonary Anticipated special isolation end date: 5/8/21   Generalized weakness Due to above issues -PT/OT consults   COPD with chronic hypoxic respiratory failure GOLD grade 3, group D, follows with Dr. as an outpatient and recently completed a course of prednisone taper and augmentin on 5/1/21.Chronically declines PFTs in the past. He is on chronic prednisone at 5mg daily and uses 4-6L NC continuously at home. Pneumovax 2010, prevnar 2015.  -Continue home spiriva, symbicort, singulair, and albuterol MDI 4x daily -ST consulted, recommended chopped/NDD 3, thin liquids -Discharge home to complete total 10 days of dexamethasone -Can restart his home prednisone afterwards
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Consciousness fluctuating, Dysstasia, Fall, Gastrointestinal injury
Clinical narrative: Patient received moderna vaccine at 12:45 pm and at 12:47 after he went to sit down in the observation chair he passed out. Patient fell to the ground on his stomach and I rushed over to turn him on his back. He tried getting up and looked like he had no strength and kept falling back and trying again. The other pharmacist raised his legs while I supported his neck and checked for pulse. Initially we thought it was a seizure but patient was saying he just could not raise his head up and kept going in and out of consciousness. We stayed with the patient for 30 minutes and he felt perfectly fine. Gave him an ice pack for his forehead, but the shoulder took the brunt of the impact.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Limb injury, Posture abnormal, Syncope
Clinical narrative: Patient received moderna vaccine at 12:45 pm and at 12:47 after he went to sit down in the observation chair he passed out. Patient fell to the ground on his stomach and I rushed over to turn him on his back. He tried getting up and looked like he had no strength and kept falling back and trying again. The other pharmacist raised his legs while I supported his neck and checked for pulse. Initially we thought it was a seizure but patient was saying he just could not raise his head up and kept going in and out of consciousness. We stayed with the patient for 30 minutes and he felt perfectly fine. Gave him an ice pack for his forehead, but the shoulder took the brunt of the impact.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Menstrual cycle altered. Late by 12 days (uaul cycle: 26-32 days).
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Clinic contacted patient date of death: 05/09/2021. No other information on symptoms, signs experienced prior to time of death.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient under age of 18 years old received Moderna COVID-19 Vaccine. 1st dose given mistakenly at this age. 2nd dose was given in this instance after guidance from CDC to continue with 2nd dose.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Post vaccine pt became dizzy and lightheaded. Pt transferred to med obs via wc. Pt reports immediately feeling better after sitting down on litter. Vitals obtained and monitored. Pt  had no complaint of chest pain. Pt had no complaint of SOB. Pt released at 14:01. Vitals as follows: 1349 SITTING BP 126/84 HR 70 RR 16 SpO2 98% 1400 STANDING BP 110/76 HR 71 RR 16 SpO2 98%
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: I have rash all over my body, redness and itches
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was 11 years old at time of vaccination. Her mother falsified her age information on the consent form.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Janssen vial diluted and given to patient.  Vial mix up. vial was mistaken to be Pfizer by tech
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Throat clearing
Clinical narrative: C/O throat closing "like an egg in my throat" clearing thraot -- no c/o SOB, HA, itching, swelling externally. 25mg Diphenhydramine PO w/ effect after 10 minutes
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: my tinnitus elevated to a high level the next day and now 3 months later has not come down or diminished .
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Anembryonic gestation, Exposure during pregnancy
Clinical narrative: Pregnancy that ended in blighted ovum. Vaccine given right about time of fertilization.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Lymphadenopathy, Skin warm
Clinical narrative: Pfizer- right lymph node behind ear become red and swollen; hot to the touch