chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Venous occlusion
Clinical narrative: She was on hormone replacement therapy since 2019 for menopausal symptoms, received a Covid vaccination mRNA 15 January and 2 February 2021  She also has a history of prior traveling frequently and had been more sedentary related to the pandemic as she was not teaching water aerobics as she normally had been prior to the pandemic  On 24 March 2021 due to some right lower extremity pain an ultrasound showed DVT proximal right deep femoral vein, and proximal right posterior tibial vein in the calf, the saphenous vein at right mid calf as well and the lesser saphenous vein had thrombosis proximal to mid, 3.4 cm from the popliteal vein with a left ankle cord and pain associated with superficial venous thrombophlebitis, Xarelto was instituted at that time, but stopped after a couple months with near resolution of symptoms   A follow-up right lower extremity ultrasound 23 April 2021 showed resolution of DVT in the femoral vein with chronic occlusion in the superficial thrombosis of the greater saphenous vein  Labs in June 2021 showed hemoglobin A1c 5.4, CBC normal, M spike 0.09 IgM kappa, JAK2 negative, protein C and protein S and Antithrombin normal, factor V Leiden negative, beta-2 glycoprotein antibodies negative, hexagonal lupus anticoagulant 11 (upper limit of normal but normal), DRVVT negative, TPO antibody negative, centromere antibodies were tested and low-level positive at 1.4 with normal less than 1, TSH was 0.09 and free T3 was elevated and PNH flow cytometry showed rare PNH clone of the RBC and granulocytes, recommend repeat in 6 to 12 months, ANA has been negative, HIV has been negative, TSH was 0.65 with titration of Synthroid as needed, normal CRP and ESR and negative RF and negative CCP antibodies of, and uric acid normal, August 2021 kappa lambda ratio normal, IgM 466, IgG slightly low at 701
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Skin discolouration, Swelling, Ultrasound scan
Clinical narrative: Onset of swelling, pain, color change to right lower extremity on 6/30/2021.   Presented to office for evaluation and to establish care on 9/13/2021
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site nodule, Injection site pruritus, Injection site swelling, International normalised ratio increased
Clinical narrative: Pt is on Warfarin. States her arm got "a knot" in the injection site about a hour and 15 minutes after injection. States It started itching that night and she scratched it and then a bruise started. The next day, she states her INR was increased. The patient has a home testing kit for INR checks. Her arm was swollen and badly bruised down right past her elbow. States she called her PCP and they told her to hold her Warfarin until it came down. Saw her PCP on 9/21/21.  States on 9/22/21 her INR is returning to normal and the bruising and swelling is going down.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: First Covid vaccine on 8/16/21. Menstrual period started 3 weeks later (which came 1 week early) Heavy bleeding and cramping for 11 days. On Oral contraceptives without missing any pills.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dyspnoea, Fatigue, Headache, Muscle spasms
Clinical narrative: Fever 101.6 Joint pain, leg cramps, headache, nausea, short of breath, fatigue. 3 days
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Fever 101.6 Joint pain, leg cramps, headache, nausea, short of breath, fatigue. 3 days
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Muscular weakness, Photophobia
Clinical narrative: Severe pressure headache for three days after vaccination, ongoing sensitivity to light, ongoing extreme fatigue, arm weakness on vaccinated side for four days after vaccination, excessive tiredness for three days after vaccination
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Musculoskeletal discomfort, Myalgia, Swelling, Tenderness
Clinical narrative: 1 day after receiving flu vaccine, developed R - sided neck tenderness & swelling. Feeling fatigued, muscle aches
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: INADVERTENTLY VACCINATED BEFORE AGE 12 YRS OLD. INFO COULD NOT BE CLARIFIED.  WRONG DATA ENTRY SUSPECTED.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electric shock sensation, Electromyogram, Eye movement disorder, Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling and numbness to my left, arm, fingers, toes, leg. Fluttering to my left eye. Electric shock feeling to entire body.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blepharospasm, Electroencephalogram, Electromyogram, Hypoaesthesia, Inappropriate schedule of product administration
Clinical narrative: Tingling and numbness to my left, arm, fingers, toes, leg. Fluttering to my left eye. Electric shock feeling to entire body.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Trichothiodystrophy, Ultrasound scan
Clinical narrative: Tingling and numbness to my left, arm, fingers, toes, leg. Fluttering to my left eye. Electric shock feeling to entire body.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Pain in extremity
Clinical narrative: Second Pfizer Covid vaccine received 4 February 2021, later she had dental surgery, a post was placed (to prepare for implant), Eliquis was held for 2 days prior and then restarted post procedure, and shortly thereafter she noted acute onset of severe left calf pain  Further work-up revealed 7 May 2021 ultrasound showing acute occlusive deep vein thrombosis of the left calf and paired peroneal veins without extension to the femoral or popliteal veins  Ultrasound 16 August 2021 showed persistent occlusive DVT in one of the left peroneal veins, a second peroneal vein is now patent with improvement in thrombus burden  Due to age greater than 90, and weight less than 60 kg with recently having held Eliquis for her dental procedure (also recently having received Covid vaccines) she was continued on 2.5 mg twice daily Eliquis.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles breakout in the area of the injection only (limited to left arm)
Age: 59.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Asthenia, Chills, Dizziness, Erythema, Fatigue
Clinical narrative: Fever, Aches, Pain, Chills, Nausea, headache, Dizziness, Weakness, Fatigue,Somnolent. Arm pain, arm swelling, Arm Redness like a second degree burn on the left arm
Age: 59.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Headache, Nausea, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Fever, Aches, Pain, Chills, Nausea, headache, Dizziness, Weakness, Fatigue,Somnolent. Arm pain, arm swelling, Arm Redness like a second degree burn on the left arm
Age: 59.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Pyrexia, Somnolence
Clinical narrative: Fever, Aches, Pain, Chills, Nausea, headache, Dizziness, Weakness, Fatigue,Somnolent. Arm pain, arm swelling, Arm Redness like a second degree burn on the left arm
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Muscle spasms
Clinical narrative: MAJOR FATIGUE,BAD HEADACHE, MUSCLE CRAMPS, EVEN UP UNTIL 9-22.  SHE STATES IT TOOK HER 2 & 1/2 WEEKS TO HAVE RELIEF FROM THE 1ST DOSE AS WELL
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment, Vitreous floaters
Clinical narrative: Janssen COVID-19 Vaccine EUA     Approximately 37 hours after I got the J & J vaccine, I had all this black floating down my left eye.  At first I thought it was some bug/spider and then realized it was my eye.  Some shiny effects happened as well.  I didn't know what was happening to my eye.  I was able to finally see an eye doctor on Monday, March 15, 2021.  She examined my eye and said that they were floaters.  She tried to say that it was because of my age but I have never had anything wrong with my eyes.  PLEASE NOTE:  I have never been to an eye doctor, so this was the first time I had ever seen this type of doctor.  I asked her if she had any other patients that had this effect after the Covid vaccine and she said, yes.   The eye doctor siad that another patient around my age came in to see her after 2 weeks of getting a Covid 19 vaccine( it was not the J & J) and had floaters.  The doctor  dismissed this again as an age issue.  I found it deeply disturbing that this would not be reported.  How does the eye doctor know with certainty that these floaters that happened to me and any other patiients were not caused by the vaccine?    I called the number on the sheet after this first happend to report it, only to be told that a form needed to be filled out.   I was hoping that the floaters would be gone by now but they  are not completely gone.  It is much better than it was when it happened on  March 10, 2021 but it is still not completely better by this time.  I am reporting this because if this has happened to other people that have gotten the same vaccine as I did, that it can be looked into and studied more.  Plus,  I do not want this to happen again or to anyone else.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was accidentally given 0.3 mL of normal saline instead of a mixed Pfizer vaccine. Patient reported no problems associated with injection. She returned to the pharmacy the next day and received a mixed dose of the vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chest scan, Electrocardiogram normal, Eye swelling
Clinical narrative: My entire right eye swelled and drooped down along with my mouth around 8 AM 9/20, it got progressively better during the day 9/20 and then overnight I had heart attack like chest pains leading into 9/21.  It felt like an elephant was on my chest and I was having a heart attack. I went to the ER 9/21
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Eyelid ptosis, Facial paralysis, Pleurisy, Scan normal
Clinical narrative: My entire right eye swelled and drooped down along with my mouth around 8 AM 9/20, it got progressively better during the day 9/20 and then overnight I had heart attack like chest pains leading into 9/21.  It felt like an elephant was on my chest and I was having a heart attack. I went to the ER 9/21
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Hospitalisation, Oxygen therapy, SARS-CoV-2 test positive
Clinical narrative: Received x2 doses of Pfizer  1st dose 05/3/2021 2nd dose 5/24/2021  tested positive for COVID 9/20/2021 , required hospitalization for acute respiratory failure (o2 SAT 88% on RA upon arrival).  Patient on 3 L of oxygen at hospital.
Age: 5.0
Sex: F
Vaccine: HEPA, IPV, MMRV, TDAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Boostrix was inadvertently administered instead of Kinrix - child received TDap instead of DTap which was not appropriate for age. The child experienced no complications with administration or following administration.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Breast pain, Lymphadenopathy, Tenderness
Clinical narrative: Two days after receiving my vaccine, I started to have pain around my right breast because my lymph nodes were swollen. It was painful to the touch. I could not sleep on my right side. I went to the doctor and she told me to wait a week and if it did not get better, I would have a mammogram done. The pain lasted about 5-6 days and I took Tylenol and applied heat to help with the pain. I noticed that I am losing more hair since my vaccines as well.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Incorrect route of product administration, Peripheral swelling
Clinical narrative: Vaccine was administered subcutaneous instead of in right deltoid. Causing some swelling and bruising on the arm
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: INFO COULD NOT BE CLARIFIED.  WRONG DATA ENTRY SUSPECTED.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine exp. on 09/19/2021.  Vaccine given on 09/21/2021.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Throat irritation
Clinical narrative: After receiving the vaccine, during the observation  period, developed itchiness in the throat and SOB. Taken to observation, IV started, 4L O2 by NC placed, EpiPen given Observed and then discharged home in stable condition
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was covid-19 positive 9/14/2020 with no hospitalization. Received 2 doses Moderna covid-19 vaccine January 2021 and February 2021. Patient tested positive for covid-19 on 8/26/2021 with mild symtpoms and no hospitalization or other complications.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest pain, Fatigue, Headache, Influenza like illness
Clinical narrative: I started having flu likes symptoms, I had a headache, a fever of 101, I started throwing up. As I got better I developed pain in my left chest and upper left abdomen, extreme fatigue, muscle pain, soreness. It got worse after a day or two. It has been the same for the past week and a half. When I started throwing up and having the chest pain I went to the doctor they said it could be myocarditis because of the vaccine. They prescribed ibuprofen and another medication. I took that for a week but the symptoms will not go away. Yesterday I went to the ER and they did tests and an x-ray but they did not find anything out of the ordinary. They prescribed Tylenol for the pain.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Myalgia, Pain, Vomiting, X-ray normal
Clinical narrative: I started having flu likes symptoms, I had a headache, a fever of 101, I started throwing up. As I got better I developed pain in my left chest and upper left abdomen, extreme fatigue, muscle pain, soreness. It got worse after a day or two. It has been the same for the past week and a half. When I started throwing up and having the chest pain I went to the doctor they said it could be myocarditis because of the vaccine. They prescribed ibuprofen and another medication. I took that for a week but the symptoms will not go away. Yesterday I went to the ER and they did tests and an x-ray but they did not find anything out of the ordinary. They prescribed Tylenol for the pain.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Demyelination, Electromyogram abnormal, Guillain-Barre syndrome, Muscular weakness, Paraesthesia
Clinical narrative: Paresthesias, muscle weakness: Guillian Barre syndrome. Onset 12 days following first COVID vaccination. No other acute illness typically associated with GB.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient became ill and tested PCR positive for Covid > 14 days after the completion of vaccine series
Age: 17.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Arthralgia, Blood fibrinogen normal, Blood triglycerides normal, C-reactive protein increased, Chest pain
Clinical narrative: On 11/3/17, he received his first dose of MCV4 at age 13.  On 11/12/17 (9 days later), he developed severe myalgia and arthralgia.  No rash.  On 11/13/17 he developed fever to 103 and severe sore throat.  Throat culture for GAS was negative.  On 11/14/17 he developed substernal chest pain (8/10).  It was worse lying down, better sitting up and leaning forward.  Those symptoms persisted and he was seen, EKG was ?consistent with pericarditis? (I do not have the actual read) and he was admitted to the ICU.  Troponin was slightly elevated.  ECHO showed only a very small pericardial effusion.  CRP was very high.  No ferritin obtained.  He was hospitalized from 11/18/17 to 11/24/17, diagnosed with acute pericarditis (which may or may not have been accurate), treated with ibuprofen and colchicine and discharged, with no recurrence of his symptoms until 4 years later (see below). About 4 years later, on 8/5/21, he received his second dose of MCV4. On 8/14/21 (9 days later), he developed fever to 102, severe sore throat, muscle aches, loss of appetite, and vomiting. The next day he had severe substernal chest pain which was worse when lying down and better when he sat up and leaned forward. This pain was very similar to the pain he felt 4 years ago when he was diagnosed with pericarditis. He was seen and tested for strep and that was negative.  He was seen on 11/18/21 in an ED, EKG was read as ?consistent with pericarditis.?  He was admitted here on 9/1/21 when his symptoms persisted. Our cardiologist read the EKG from 8/18/21 as NL.  His EKG here on 9/1/21 was also NL.  He had a NL ECHO here as well.  5 days prior to admission here, his fevers resolved (after he had been febrile for 10 days) and he developed a maculopapular rash, confluent in some areas, particularly over his joints.  His joints were extremely tender but no joint swelling (i.e., no arthritis).  He had bilateral conjunctival injection.  His CRP was again very high.  Ferritin was 13,000.  CBC was normal except for a leukocytosis with left shift.  No cytopenias.  NL TG and fibrinogen.  Troponin minimally above the normal range. Infectious diseases workup was negative.  Rheumatology recommended high dose steroids despite no diagnosis.  After one dose of IV methylprednisone, his sore throat was better, rash started to resolve, arthralgia disappeared, and conjunctival injection cleared.  His ferritin went from 13,000 to 9000 in 2 days and he was discharged on a tapering dose of oral prednisone.  In follow up in clinic 5 days later, he was afebrile and without arthralgia or sore throat; no rash and no conjunctival injection.  Repeat CRP was normal and ferritin was much better at 2000.  Complement (C3 and C4) were low during his illness (consumption) but normal 5 days after discharge.
Age: 17.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Complement factor C3 decreased, Complement factor C4 decreased, Condition aggravated, Conjunctival hyperaemia, Decreased appetite
Clinical narrative: On 11/3/17, he received his first dose of MCV4 at age 13.  On 11/12/17 (9 days later), he developed severe myalgia and arthralgia.  No rash.  On 11/13/17 he developed fever to 103 and severe sore throat.  Throat culture for GAS was negative.  On 11/14/17 he developed substernal chest pain (8/10).  It was worse lying down, better sitting up and leaning forward.  Those symptoms persisted and he was seen, EKG was ?consistent with pericarditis? (I do not have the actual read) and he was admitted to the ICU.  Troponin was slightly elevated.  ECHO showed only a very small pericardial effusion.  CRP was very high.  No ferritin obtained.  He was hospitalized from 11/18/17 to 11/24/17, diagnosed with acute pericarditis (which may or may not have been accurate), treated with ibuprofen and colchicine and discharged, with no recurrence of his symptoms until 4 years later (see below). About 4 years later, on 8/5/21, he received his second dose of MCV4. On 8/14/21 (9 days later), he developed fever to 102, severe sore throat, muscle aches, loss of appetite, and vomiting. The next day he had severe substernal chest pain which was worse when lying down and better when he sat up and leaned forward. This pain was very similar to the pain he felt 4 years ago when he was diagnosed with pericarditis. He was seen and tested for strep and that was negative.  He was seen on 11/18/21 in an ED, EKG was read as ?consistent with pericarditis.?  He was admitted here on 9/1/21 when his symptoms persisted. Our cardiologist read the EKG from 8/18/21 as NL.  His EKG here on 9/1/21 was also NL.  He had a NL ECHO here as well.  5 days prior to admission here, his fevers resolved (after he had been febrile for 10 days) and he developed a maculopapular rash, confluent in some areas, particularly over his joints.  His joints were extremely tender but no joint swelling (i.e., no arthritis).  He had bilateral conjunctival injection.  His CRP was again very high.  Ferritin was 13,000.  CBC was normal except for a leukocytosis with left shift.  No cytopenias.  NL TG and fibrinogen.  Troponin minimally above the normal range. Infectious diseases workup was negative.  Rheumatology recommended high dose steroids despite no diagnosis.  After one dose of IV methylprednisone, his sore throat was better, rash started to resolve, arthralgia disappeared, and conjunctival injection cleared.  His ferritin went from 13,000 to 9000 in 2 days and he was discharged on a tapering dose of oral prednisone.  In follow up in clinic 5 days later, he was afebrile and without arthralgia or sore throat; no rash and no conjunctival injection.  Repeat CRP was normal and ferritin was much better at 2000.  Complement (C3 and C4) were low during his illness (consumption) but normal 5 days after discharge.
Age: 17.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Echocardiogram normal, Electrocardiogram abnormal, Full blood count abnormal, Illness, Inflammatory marker increased
Clinical narrative: On 11/3/17, he received his first dose of MCV4 at age 13.  On 11/12/17 (9 days later), he developed severe myalgia and arthralgia.  No rash.  On 11/13/17 he developed fever to 103 and severe sore throat.  Throat culture for GAS was negative.  On 11/14/17 he developed substernal chest pain (8/10).  It was worse lying down, better sitting up and leaning forward.  Those symptoms persisted and he was seen, EKG was ?consistent with pericarditis? (I do not have the actual read) and he was admitted to the ICU.  Troponin was slightly elevated.  ECHO showed only a very small pericardial effusion.  CRP was very high.  No ferritin obtained.  He was hospitalized from 11/18/17 to 11/24/17, diagnosed with acute pericarditis (which may or may not have been accurate), treated with ibuprofen and colchicine and discharged, with no recurrence of his symptoms until 4 years later (see below). About 4 years later, on 8/5/21, he received his second dose of MCV4. On 8/14/21 (9 days later), he developed fever to 102, severe sore throat, muscle aches, loss of appetite, and vomiting. The next day he had severe substernal chest pain which was worse when lying down and better when he sat up and leaned forward. This pain was very similar to the pain he felt 4 years ago when he was diagnosed with pericarditis. He was seen and tested for strep and that was negative.  He was seen on 11/18/21 in an ED, EKG was read as ?consistent with pericarditis.?  He was admitted here on 9/1/21 when his symptoms persisted. Our cardiologist read the EKG from 8/18/21 as NL.  His EKG here on 9/1/21 was also NL.  He had a NL ECHO here as well.  5 days prior to admission here, his fevers resolved (after he had been febrile for 10 days) and he developed a maculopapular rash, confluent in some areas, particularly over his joints.  His joints were extremely tender but no joint swelling (i.e., no arthritis).  He had bilateral conjunctival injection.  His CRP was again very high.  Ferritin was 13,000.  CBC was normal except for a leukocytosis with left shift.  No cytopenias.  NL TG and fibrinogen.  Troponin minimally above the normal range. Infectious diseases workup was negative.  Rheumatology recommended high dose steroids despite no diagnosis.  After one dose of IV methylprednisone, his sore throat was better, rash started to resolve, arthralgia disappeared, and conjunctival injection cleared.  His ferritin went from 13,000 to 9000 in 2 days and he was discharged on a tapering dose of oral prednisone.  In follow up in clinic 5 days later, he was afebrile and without arthralgia or sore throat; no rash and no conjunctival injection.  Repeat CRP was normal and ferritin was much better at 2000.  Complement (C3 and C4) were low during his illness (consumption) but normal 5 days after discharge.
Age: 17.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Laboratory test normal, Leukocytosis, Myalgia, Oropharyngeal pain, Pericarditis
Clinical narrative: On 11/3/17, he received his first dose of MCV4 at age 13.  On 11/12/17 (9 days later), he developed severe myalgia and arthralgia.  No rash.  On 11/13/17 he developed fever to 103 and severe sore throat.  Throat culture for GAS was negative.  On 11/14/17 he developed substernal chest pain (8/10).  It was worse lying down, better sitting up and leaning forward.  Those symptoms persisted and he was seen, EKG was ?consistent with pericarditis? (I do not have the actual read) and he was admitted to the ICU.  Troponin was slightly elevated.  ECHO showed only a very small pericardial effusion.  CRP was very high.  No ferritin obtained.  He was hospitalized from 11/18/17 to 11/24/17, diagnosed with acute pericarditis (which may or may not have been accurate), treated with ibuprofen and colchicine and discharged, with no recurrence of his symptoms until 4 years later (see below). About 4 years later, on 8/5/21, he received his second dose of MCV4. On 8/14/21 (9 days later), he developed fever to 102, severe sore throat, muscle aches, loss of appetite, and vomiting. The next day he had severe substernal chest pain which was worse when lying down and better when he sat up and leaned forward. This pain was very similar to the pain he felt 4 years ago when he was diagnosed with pericarditis. He was seen and tested for strep and that was negative.  He was seen on 11/18/21 in an ED, EKG was read as ?consistent with pericarditis.?  He was admitted here on 9/1/21 when his symptoms persisted. Our cardiologist read the EKG from 8/18/21 as NL.  His EKG here on 9/1/21 was also NL.  He had a NL ECHO here as well.  5 days prior to admission here, his fevers resolved (after he had been febrile for 10 days) and he developed a maculopapular rash, confluent in some areas, particularly over his joints.  His joints were extremely tender but no joint swelling (i.e., no arthritis).  He had bilateral conjunctival injection.  His CRP was again very high.  Ferritin was 13,000.  CBC was normal except for a leukocytosis with left shift.  No cytopenias.  NL TG and fibrinogen.  Troponin minimally above the normal range. Infectious diseases workup was negative.  Rheumatology recommended high dose steroids despite no diagnosis.  After one dose of IV methylprednisone, his sore throat was better, rash started to resolve, arthralgia disappeared, and conjunctival injection cleared.  His ferritin went from 13,000 to 9000 in 2 days and he was discharged on a tapering dose of oral prednisone.  In follow up in clinic 5 days later, he was afebrile and without arthralgia or sore throat; no rash and no conjunctival injection.  Repeat CRP was normal and ferritin was much better at 2000.  Complement (C3 and C4) were low during his illness (consumption) but normal 5 days after discharge.
Age: 17.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Pyrexia, Rash maculo-papular, Serum ferritin increased, Shift to the left, Streptococcus test negative
Clinical narrative: On 11/3/17, he received his first dose of MCV4 at age 13.  On 11/12/17 (9 days later), he developed severe myalgia and arthralgia.  No rash.  On 11/13/17 he developed fever to 103 and severe sore throat.  Throat culture for GAS was negative.  On 11/14/17 he developed substernal chest pain (8/10).  It was worse lying down, better sitting up and leaning forward.  Those symptoms persisted and he was seen, EKG was ?consistent with pericarditis? (I do not have the actual read) and he was admitted to the ICU.  Troponin was slightly elevated.  ECHO showed only a very small pericardial effusion.  CRP was very high.  No ferritin obtained.  He was hospitalized from 11/18/17 to 11/24/17, diagnosed with acute pericarditis (which may or may not have been accurate), treated with ibuprofen and colchicine and discharged, with no recurrence of his symptoms until 4 years later (see below). About 4 years later, on 8/5/21, he received his second dose of MCV4. On 8/14/21 (9 days later), he developed fever to 102, severe sore throat, muscle aches, loss of appetite, and vomiting. The next day he had severe substernal chest pain which was worse when lying down and better when he sat up and leaned forward. This pain was very similar to the pain he felt 4 years ago when he was diagnosed with pericarditis. He was seen and tested for strep and that was negative.  He was seen on 11/18/21 in an ED, EKG was read as ?consistent with pericarditis.?  He was admitted here on 9/1/21 when his symptoms persisted. Our cardiologist read the EKG from 8/18/21 as NL.  His EKG here on 9/1/21 was also NL.  He had a NL ECHO here as well.  5 days prior to admission here, his fevers resolved (after he had been febrile for 10 days) and he developed a maculopapular rash, confluent in some areas, particularly over his joints.  His joints were extremely tender but no joint swelling (i.e., no arthritis).  He had bilateral conjunctival injection.  His CRP was again very high.  Ferritin was 13,000.  CBC was normal except for a leukocytosis with left shift.  No cytopenias.  NL TG and fibrinogen.  Troponin minimally above the normal range. Infectious diseases workup was negative.  Rheumatology recommended high dose steroids despite no diagnosis.  After one dose of IV methylprednisone, his sore throat was better, rash started to resolve, arthralgia disappeared, and conjunctival injection cleared.  His ferritin went from 13,000 to 9000 in 2 days and he was discharged on a tapering dose of oral prednisone.  In follow up in clinic 5 days later, he was afebrile and without arthralgia or sore throat; no rash and no conjunctival injection.  Repeat CRP was normal and ferritin was much better at 2000.  Complement (C3 and C4) were low during his illness (consumption) but normal 5 days after discharge.
Age: 17.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Troponin increased, Vomiting
Clinical narrative: On 11/3/17, he received his first dose of MCV4 at age 13.  On 11/12/17 (9 days later), he developed severe myalgia and arthralgia.  No rash.  On 11/13/17 he developed fever to 103 and severe sore throat.  Throat culture for GAS was negative.  On 11/14/17 he developed substernal chest pain (8/10).  It was worse lying down, better sitting up and leaning forward.  Those symptoms persisted and he was seen, EKG was ?consistent with pericarditis? (I do not have the actual read) and he was admitted to the ICU.  Troponin was slightly elevated.  ECHO showed only a very small pericardial effusion.  CRP was very high.  No ferritin obtained.  He was hospitalized from 11/18/17 to 11/24/17, diagnosed with acute pericarditis (which may or may not have been accurate), treated with ibuprofen and colchicine and discharged, with no recurrence of his symptoms until 4 years later (see below). About 4 years later, on 8/5/21, he received his second dose of MCV4. On 8/14/21 (9 days later), he developed fever to 102, severe sore throat, muscle aches, loss of appetite, and vomiting. The next day he had severe substernal chest pain which was worse when lying down and better when he sat up and leaned forward. This pain was very similar to the pain he felt 4 years ago when he was diagnosed with pericarditis. He was seen and tested for strep and that was negative.  He was seen on 11/18/21 in an ED, EKG was read as ?consistent with pericarditis.?  He was admitted here on 9/1/21 when his symptoms persisted. Our cardiologist read the EKG from 8/18/21 as NL.  His EKG here on 9/1/21 was also NL.  He had a NL ECHO here as well.  5 days prior to admission here, his fevers resolved (after he had been febrile for 10 days) and he developed a maculopapular rash, confluent in some areas, particularly over his joints.  His joints were extremely tender but no joint swelling (i.e., no arthritis).  He had bilateral conjunctival injection.  His CRP was again very high.  Ferritin was 13,000.  CBC was normal except for a leukocytosis with left shift.  No cytopenias.  NL TG and fibrinogen.  Troponin minimally above the normal range. Infectious diseases workup was negative.  Rheumatology recommended high dose steroids despite no diagnosis.  After one dose of IV methylprednisone, his sore throat was better, rash started to resolve, arthralgia disappeared, and conjunctival injection cleared.  His ferritin went from 13,000 to 9000 in 2 days and he was discharged on a tapering dose of oral prednisone.  In follow up in clinic 5 days later, he was afebrile and without arthralgia or sore throat; no rash and no conjunctival injection.  Repeat CRP was normal and ferritin was much better at 2000.  Complement (C3 and C4) were low during his illness (consumption) but normal 5 days after discharge.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient under 18 at time of vaccine administration.  No adverse reaction or medical emergency.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Paranasal sinus discomfort, Rhinorrhoea
Clinical narrative: Patient fully vaccinated with Pfizer COVID vaccine at  on 12/30/20 and 1/20/21. Pt. reports COVID symptoms of Sinus Pressure, Cough, Headache, runny nose starting on 9/16/21 and tested COVID PCR positive via NP swab on 9/17/21.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated with Pfizer COVID vaccine at  on 12/30/20 and 1/20/21. Pt. reports COVID symptoms of Sinus Pressure, Cough, Headache, runny nose starting on 9/16/21 and tested COVID PCR positive via NP swab on 9/17/21.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine exp. on 09/19/2021.  Vaccine given on 09/21/2021.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oral discomfort, Rash, Rash pruritic, Sleep disorder
Clinical narrative: Within 2 days of the 1st vaccine, I developed a rash across upper chest, arm and back. Basically like a short cape. After the 2nd vaccine the rash extended down to my elbow  on my right arm. This rash has not gone away. It is extremely   itchy and nothing has resolved it that has been tried.  My sleep is often disrupted due to the itching.  There has been a change in my body chemistry such that foods and beverages  I was normally eating cause a burning sensation in my mouth. The deodorant I have used for years now makes me itch. In general there is a feeling of just not feeling well.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Syncope
Clinical narrative: Patient fainted after first dose of Moderna within  a few minutes. He was nervous to get vaccine and said he had fainted when getting blood taken before.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Herpes zoster
Clinical narrative: About a week after the last vaccine, I became extremely fatigued and it just comes and goes. I still have that fatigue on occasion. It had began to bother me more so after July 6th 2021, that is when I started the Shingles symptoms as well. I thought, I would wait a little while but I went to my DR. I went to the DR on July 2021 sometime, I am not sure of the exact date. Well now it is September and my Shingles are gone. By the time I went to the DR, I did not receive medication for that. Also I have had Hepaticis C for 15 years, I took EPCLUSA in 2018 and have been fine since then. The fatigue I started to experience after the vaccine reminds me of the fatigue I experienced when I had Hepaticis C.
Age: 73.0
Sex: M
Vaccine: FLU4
Symptoms: Syringe issue
Clinical narrative: Syringe malfunction. most of dose leaked out of the syringe where it meets the needle. A second dose was administered per the CDC recommendations. Patient over 65 but wanted to get the regular strength vaccine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Symptoms include: fever, chills, ache, and headache.  Please note that headache lasted 2 additional days after shot
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Gait disturbance, Impaired work ability, Mobility decreased, Pain
Clinical narrative: On 08/20/2021 progressively became worse, it got harder and harder for me to roll over at night, I could barely walk . The 1st time I went to he chiropractor 09/01/2021 to try to get some relief.  I cant get in and out of the car. I could barely get out of bed, I could barely walk. I have not been able to work since this happened. On 09/02/2021 and 09/03/2021 I went back to the chiropractor. They did an x-ray and said my sciatic nerve was irritated and they adjusted me and called it a lower lumbar decompression. I went back the chiropractor on  09/08/2021,  09/10/2021, & the  09/11/2021,  I told him I could not stand the pain and he told me I would have to see a doctor to get any type of pain relief. On 09/13/2021 I went to Family Care. They gave me a steroid shot and pain shot,  muscle relaxer- Metho Carbamol 750 mg and a steroid pack, Prednisone-I had to take for a week . As soon as those steroids wore off I had to go back again which was 09/19/2021. On 09/19/2021- they gave me another steroid shot and pain shot and 2 different types of medications: Mobic, & Tramadol.  It feels like a lightning bolt from my buttocks, down my Left leg, down my calf, to my foot. There is nothing I did that caused it, as far as me doing something physical. I can't even function. It's just painful.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Sciatica, Spinal decompression, X-ray
Clinical narrative: On 08/20/2021 progressively became worse, it got harder and harder for me to roll over at night, I could barely walk . The 1st time I went to he chiropractor 09/01/2021 to try to get some relief.  I cant get in and out of the car. I could barely get out of bed, I could barely walk. I have not been able to work since this happened. On 09/02/2021 and 09/03/2021 I went back to the chiropractor. They did an x-ray and said my sciatic nerve was irritated and they adjusted me and called it a lower lumbar decompression. I went back the chiropractor on  09/08/2021,  09/10/2021, & the  09/11/2021,  I told him I could not stand the pain and he told me I would have to see a doctor to get any type of pain relief. On 09/13/2021 I went to Family Care. They gave me a steroid shot and pain shot,  muscle relaxer- Metho Carbamol 750 mg and a steroid pack, Prednisone-I had to take for a week . As soon as those steroids wore off I had to go back again which was 09/19/2021. On 09/19/2021- they gave me another steroid shot and pain shot and 2 different types of medications: Mobic, & Tramadol.  It feels like a lightning bolt from my buttocks, down my Left leg, down my calf, to my foot. There is nothing I did that caused it, as far as me doing something physical. I can't even function. It's just painful.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: No recommendation on receiving Moderna Covid-19  after Janssen Covid-19
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Tenderness, Tremor
Clinical narrative: very tender, feels like something moving inside, arm shaking
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous
Clinical narrative: miscarriage
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Patient was accidentally given 0.3 mL of normal saline instead of a mixed vaccine. She did not report any issues. She returned to the pharmacy for a mixed vaccine the next day.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Lymphadenopathy, Pruritus, X-ray
Clinical narrative: started getting extreme itching of the back of my scalp and then the lymph nodes in the back of my neck started to swell and more going up the back of my head. Was put on several different medications and ointments over the course of 2 months, special shampoo to use, after 2.5 to 3 months it all went away
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Erythema, Fatigue, Fear
Clinical narrative: Right after receiving the vaccine I had to drive an hour away to get home. Before I got home I was already feeling tired, fatigued, weak, and I had a sore arm. All I wanted to do was go to bed. Day 2 I started to get flu like symptoms that lasted for about a week. My arm started to get redder during the first week. Day 8 I ended up in the hospital because I couldn't breathe and my arm was really red and infected. The doctors gave me antibiotics and IVs to treat it. They gave me antibiotics for 10 days and then my arm started to get better. I can still feel the lump on my arm  where I got the vaccine, but it doesn't bother me anymore. I don't feel like I have fully recovered from my breathing issues and they have gotten worst since I got the vaccine. I didn't get the second dose because my doctor said the second dose could be worst than the first one because of my reaction I already had from the first dose. They said my body isn't ready right now to get the second dose, but I could possibly get it some time later. I'm not against getting the vaccine I'm just a little scared of getting it because of what I have already experienced with the first dose.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Infection, Influenza like illness, Pain in extremity, Vaccination site mass
Clinical narrative: Right after receiving the vaccine I had to drive an hour away to get home. Before I got home I was already feeling tired, fatigued, weak, and I had a sore arm. All I wanted to do was go to bed. Day 2 I started to get flu like symptoms that lasted for about a week. My arm started to get redder during the first week. Day 8 I ended up in the hospital because I couldn't breathe and my arm was really red and infected. The doctors gave me antibiotics and IVs to treat it. They gave me antibiotics for 10 days and then my arm started to get better. I can still feel the lump on my arm  where I got the vaccine, but it doesn't bother me anymore. I don't feel like I have fully recovered from my breathing issues and they have gotten worst since I got the vaccine. I didn't get the second dose because my doctor said the second dose could be worst than the first one because of my reaction I already had from the first dose. They said my body isn't ready right now to get the second dose, but I could possibly get it some time later. I'm not against getting the vaccine I'm just a little scared of getting it because of what I have already experienced with the first dose.
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Blood pressure measurement, Dizziness, Flushing, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Immediately following injection, pt. became dizzy and lightheaded.  Placed in Trendelenburg position and given sips of water. Was flushed and diaphoretic.  She reports having similar issues with other immunizations.  After about 30 minutes she recovered and returned to class.  Teacher and school nurse involved in decision to release her.
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Trendelenburg position
Clinical narrative: Immediately following injection, pt. became dizzy and lightheaded.  Placed in Trendelenburg position and given sips of water. Was flushed and diaphoretic.  She reports having similar issues with other immunizations.  After about 30 minutes she recovered and returned to class.  Teacher and school nurse involved in decision to release her.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Paraesthesia
Clinical narrative: Mild episode of paresthesia and weakness to right arm that resolved after several minutes. Occurred 3 times on different days within 5 days of 2nd vaccine dose. Asymptomatic at this time with no neurological deficits
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Muscular weakness, Pyrexia
Clinical narrative: Fever, Headache, tired and loss of muscle control thru whole body (this lasted for approximately 10 days). I had no control of bladder muscle and still have issues with this. My arms and legs felt like they were made of jelly.  I would get very shaky and would have to concentrate hard to get control of them. I told my husband that I didn't feel like myself and wanted "ME" back which took almost 2 weeks/
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Urinary incontinence
Clinical narrative: Fever, Headache, tired and loss of muscle control thru whole body (this lasted for approximately 10 days). I had no control of bladder muscle and still have issues with this. My arms and legs felt like they were made of jelly.  I would get very shaky and would have to concentrate hard to get control of them. I told my husband that I didn't feel like myself and wanted "ME" back which took almost 2 weeks/
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Nausea, headache, extreme tiredness, muscle and joint aches, and chills.  Swelling and rash, soreness on injection arm.  Injection site warm to the touch.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Myalgia, Nausea, Rash, Swelling
Clinical narrative: Nausea, headache, extreme tiredness, muscle and joint aches, and chills.  Swelling and rash, soreness on injection arm.  Injection site warm to the touch.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Laboratory test, Postmenopausal haemorrhage, Ultrasound scan vagina, Uterine haemorrhage
Clinical narrative: On 31 Aug 2021 after aprox 24 hours of the first Covid-19 vaccine dose, an unexpected postmenopausal  vaginal blessing started and after two days it became heavier and I went to Emergency  Room on 02 Sep2021. (Note: My last menstrual cycle was two years ago). Laboratory tests and  Ultrasounds (Pelvis Limited Transabdominal and Pelvis Trasvaginal) were completed. No assignable  caused were identified for the postmenopausal dysfunctional uterine bleeding and Dr. prescribed  (Norethindone) to stop the bleeding. I started the treatment on 03 Sep2021 and the bleeding basically  stop after 2 days of treatment. I completed the treatment as required. I sent all results to my  gynecologist  On 20 Sep2021, I received the 2nd doses of Covid 19 Pfizer vaccine (Lot # FF2588) on my left arm. This vaccination occurred in the same location as the previous one. On 21Sep2021, I had a headache and at night I had fever (100F). On 22 Sep2021, an unexpected postmenopausal bleeding started again.   I appreciate your further evaluation of the effect of this vaccine in post menopaused woman. Let me know if additional information is required. You can contact me or my gynecologist for additional information.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arterial disorder, Cerebral infarction, Colitis, Deep vein thrombosis, Haematoma
Clinical narrative: Deep vein thrombosis (and subsequent infarcts)  History of CNS lymphoma, and poor PS, 12 February and 11 March 2021 Pfizer Covid vaccines, February 2021 new diagnosis of CNS lymphoma, Treated with immunotherapy with nivolumab complicated by colitis, 7 April 2021 bilateral calf near occlusive DVT, 17 May 2021 new tiny recent cerebral infarcts, 19 July 2021 more cerebral infarcts, 15 September 2021 renal infarcts, splenic infarct, 16 September 2021 opacification of superficial femoral artery, with coiling of left deep femoral artery, in setting of hematoma
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Lymphoma, Nervous system disorder, Peripheral artery haematoma, Peripheral artery stenosis
Clinical narrative: Deep vein thrombosis (and subsequent infarcts)  History of CNS lymphoma, and poor PS, 12 February and 11 March 2021 Pfizer Covid vaccines, February 2021 new diagnosis of CNS lymphoma, Treated with immunotherapy with nivolumab complicated by colitis, 7 April 2021 bilateral calf near occlusive DVT, 17 May 2021 new tiny recent cerebral infarcts, 19 July 2021 more cerebral infarcts, 15 September 2021 renal infarcts, splenic infarct, 16 September 2021 opacification of superficial femoral artery, with coiling of left deep femoral artery, in setting of hematoma