chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: A patient was administered an expired dose of Daptacel in error, no adverse event; Initial information regarding an unsolicited valid non-serious case was received from a nurse via physician via Medical Information (Reference number- 00640271).  This case involves a 1 years old male patient who was administered 0.5 ml dose of DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (lot C5624AA, expiry date: 10-Jun-2021) via intramuscular route in the right thigh for prophylactic vaccination on 14-Jun-2021 (Expired product administered)  Medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included PNEUMOCOCCAL VACCINE CONJ 13V (CRM197) (PREVNAR 13) and HIB VACCINE for prophylactic vaccination.  It was a case of an actual medication error due to Expired vaccine used (latency same day).  A Nurse reported that an expired dose of Daptacel was administered in error and was seeking a guidance.  At the time of report, no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Sex: F
Vaccine: RAB
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: The patient did not receive the second IMOVAX dose on day 7, no AE; Initial information regarding an unsolicited valid non-serious case was received from a other health care professional via Agency (Reference number- 00640450) and transmitted to Sanofi on 14-Jun-2021.  This case involves a female patient (age unspecified) who did not receive the second dose of RABIES (HDC) VACCINE [IMOVAX RABIES] on day 7 (Product dose omission issue)  Medical history, medical treatment(s), vaccination(s), concomitant medications and family history were not provided.   On 01-Jun-2021, the patient received a first dose of suspect RABIES (HDC) VACCINE lot number not reported via unknown route in unknown administration site for pre exposure immunisation.  It was a case of an actual medication error due to Missed dose (latency same day).  Nurse stated that a patient received the first dose of IMOVAX on the 1st of June and they are in today for their second dose but she was unable to find information or guidance on giving the dose on the 10th day instead of the recommended 7th. The health care professional (HCP) was verifying whether she could receive her second dose and does not have to restart the series.  At the time of report, no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.  There will be no information available on the batch number for this case.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was admininstered an expired dose of Daptacel with no AE; Initial information regarding an unsolicited valid non-serious case was received from a other healthcare professional (medical assistant) via Medical Information (GMI) (Reference number- 00640671).  This case involves a 4 year old male patient who was administered an expired dose (0.5 ml) of DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (lot number: C5624AA; expiry date: 10-JUN-2021) via intramuscular route in the left arm for prophylactic vaccination on 14-JUN-2021 (expired product administered).  Medical history, medical treatment(s), past vaccination(s) and family history were not provided.  It was a case of an actual medication error due to expired vaccine used (latency same day).  No other vaccines were administered.  At the time of report, no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Differential white blood cell count normal, Dizziness, Electrocardiogram normal, Feeling abnormal
Clinical narrative: Pt received his 1st Pfizer vaccine on 3/31/21 and presented to the emergency room with chest pain on 4/16/21 that was ongoing x 1 week. he also reported some shortness of breath. he reported a cold feeling on the side of his chest as well. he also was feeling his heart racing at times. he denied any recent illness, fever or chills or hx of covid 19 infection, he was evaluated and sent home to follow up with his primary care and cardiology if his chest pain returned. He then received his 2nd pfizer COVID-19 vaccine on 4/21/21 and called the hospital on 6/18/21 reporting that since the second vaccine he was experiencing a weird feeling of coldness to his ears, vertigo and dizziness and has suddenly developed a fixed, hard, kidney bean sized lymph node to the r side of his neck. he now has to have imaging and work up with possible biopsy of the lymph node. He reported he has not felt right since his vaccines were given .
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Fibrin D dimer normal, Full blood count normal, Haemoglobin, Lymphadenopathy
Clinical narrative: Pt received his 1st Pfizer vaccine on 3/31/21 and presented to the emergency room with chest pain on 4/16/21 that was ongoing x 1 week. he also reported some shortness of breath. he reported a cold feeling on the side of his chest as well. he also was feeling his heart racing at times. he denied any recent illness, fever or chills or hx of covid 19 infection, he was evaluated and sent home to follow up with his primary care and cardiology if his chest pain returned. He then received his 2nd pfizer COVID-19 vaccine on 4/21/21 and called the hospital on 6/18/21 reporting that since the second vaccine he was experiencing a weird feeling of coldness to his ears, vertigo and dizziness and has suddenly developed a fixed, hard, kidney bean sized lymph node to the r side of his neck. he now has to have imaging and work up with possible biopsy of the lymph node. He reported he has not felt right since his vaccines were given .
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Metabolic function test, Vertigo
Clinical narrative: Pt received his 1st Pfizer vaccine on 3/31/21 and presented to the emergency room with chest pain on 4/16/21 that was ongoing x 1 week. he also reported some shortness of breath. he reported a cold feeling on the side of his chest as well. he also was feeling his heart racing at times. he denied any recent illness, fever or chills or hx of covid 19 infection, he was evaluated and sent home to follow up with his primary care and cardiology if his chest pain returned. He then received his 2nd pfizer COVID-19 vaccine on 4/21/21 and called the hospital on 6/18/21 reporting that since the second vaccine he was experiencing a weird feeling of coldness to his ears, vertigo and dizziness and has suddenly developed a fixed, hard, kidney bean sized lymph node to the r side of his neck. he now has to have imaging and work up with possible biopsy of the lymph node. He reported he has not felt right since his vaccines were given .
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Additional Details: Within 5 minutes of received 2nd dose of Pfizer Covid-19 vaccine, patient became very dizzy and fainted.  We layed her down and elevated her feet and she immediately regained consciousness. The patient was assessed by paramedics and they did not transport her to the emergency room and instructed her to drink lots of water over the next 24 hours.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pruritus
Clinical narrative: Client verbalized itching to the right deltoid at vaccination site.  Client was evaluated by Paramedics.  Client was observed for additional 10 minutes.  Per paramedics, client doesn't need further evaluation.  Client exited the facility.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Injection site erythema, Nausea, Vomiting
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Injection site pain, Injection site pruritus
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Weakness-Mild
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain, Pruritus
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Weakness-Mild
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Computerised tomogram normal, Diarrhoea, Electrocardiogram normal, Headache
Clinical narrative: jun 30 -31 pain in arm and nauseous did not feel good  and Jun 7th my headache started  so bad I went to the ER - on jun 1o th -my. I had headache from Jun7th to 13 th. Stabbing pain behind my ears , my blood pressure was up and down, I was nauseous and diarrhea.I had migraine before  in 2017 and its took 2days only. This pain was different
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity
Clinical narrative: jun 30 -31 pain in arm and nauseous did not feel good  and Jun 7th my headache started  so bad I went to the ER - on jun 1o th -my. I had headache from Jun7th to 13 th. Stabbing pain behind my ears , my blood pressure was up and down, I was nauseous and diarrhea.I had migraine before  in 2017 and its took 2days only. This pain was different
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Medium
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Medium
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Client developed a reaction to 1st dose of COVID-19 vaccine. Client stated she felt shortness of breath, tightness of chest and trouble breathing at 10:43am. Fire Rescue assessed and evaluated the client.  After 15 minutes of additional observation, client was reassessed and based on evaluation client was free to go.  Client verbalized feeling better and exited the park at 11:15am.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Difficulty breathing at night/when I wake up
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Pt was a little shaking before the vaccination. Confirmed with pt that he had no problem with 1st vaccination of covid. Right after the vacciation of 2nd shot, pt told me he was feeling dizzy, sweating, and warm. He told me actually he is afraid of needles so he is not feeling nervse. Stay in the vaccination room wit hpt for about 5 to 10 min. pt felt better after 5 to 10 min. Have pt stay for additional 15min after, he stated he was totally fine now and thanks for my help.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test abnormal, Contusion, Headache, Platelet count decreased
Clinical narrative: Started seeing multiple bruises Headache Had blood tested platelets were 57,000
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Lethargy, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: patient passed out 3 times after giving the vaccine i checked her blood pressure and it was 92/62 i lift up her legs and offerd her the epipen but she refused.her parents tried to convience her to get epipen but she also refused.she spent about half hour in the store and she became good and went to home. i called her after 1 hour and she was fine
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Systemic: Death-Severe, Additional Details: Patient's wife called and told us that on the day that he passed (6/13/21), he did yard work all morning, then came in for a meal and to watch the soccer game. He then went to their bedroom to lay down and about 15 mins later she heard a strage noise and went check on him. Upon entering the room is when she found that he had passed. Cause of death is unknown
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: My periods are always regular, in terms of length, and in terms of amount of blood. I generally would have about 2 - 4 hours of heavy blood per period (total period lasting 4 days). After the second dose, the 2nd and 3rd day of my period were extremely bloody (menhorragia) for the full two days. I was soaking through super tampons or super Thinx underwear in an hour. The clots were larger and more plentiful than usual, and the blood had a different quality -the blood itself was very thin and watery, with the clots being thick and gelatinous. By the third day of my period, the menhorragia had returned to a normal amount.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Loss of consciousness, Syncope, Tachycardia
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Mild, Systemic: Tachycardia-Mild, Additional Details: EVENT OCCURED WITHIN 5 MINUTES OF ADMINISTRATION.  DURATION OF LOSS OF CONCIOUSNESS LESS THAN 10-15 SECONDS.  PULSE PRESENT AT WRIST IMMEDIATELY FOLLOWING REGAIN OF CONCIOUSNESS. PER PATIENT AND CAREGIVER, PATIENT HAS HISTORY OF SYNCOPE WITH IMMUNIZATION/BLOOD DRAWS.  PATIENT ABLE TO WALK OUT OF BUILDING FOLLOWING 30 MINUTES OF OBSERVATION INCLUDING ELEVATION OF FEET, EVALUATION OF BP/PULSE (104/60 MMHG/87 BPM), AND INGESTION OF WATER AND CRACKERS.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Orthostatic heart rate response increased, Rash, SARS-CoV-2 test
Clinical narrative: Started at 1 am with chills, followed by 38.3 temperature. At 3 AM, fever sank to 37.4 and tachycardia with up to 125 bpm began. Blood pressure 160/74. Rash covered face and neck. Treated with Aconitum D30 (homeopathic medicine), lowered pulse rate to the 90's. Still suffered orthostatic peaks of 125. With stable higher blood pressures of 145/80, at 6 AM took 1,25 mg bisoprolol. This took the pulse down to the 80's. Orthostatic elevated pulse continued throughout the day and into the evening. In the evening, normal blood pressure, pulse and temperature. Rash was gone.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Started at 1 am with chills, followed by 38.3 temperature. At 3 AM, fever sank to 37.4 and tachycardia with up to 125 bpm began. Blood pressure 160/74. Rash covered face and neck. Treated with Aconitum D30 (homeopathic medicine), lowered pulse rate to the 90's. Still suffered orthostatic peaks of 125. With stable higher blood pressures of 145/80, at 6 AM took 1,25 mg bisoprolol. This took the pulse down to the 80's. Orthostatic elevated pulse continued throughout the day and into the evening. In the evening, normal blood pressure, pulse and temperature. Rash was gone.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Hyperventilation, Movement disorder, Nausea
Clinical narrative: Systemic: Body Aches Generalized-Medium, Systemic: Hyperventilation-Medium, Systemic: Joint Pain-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Pt began to display symptoms related to anxiety that progressed to hyperventilation/nausea/full on body aches/ pt states she was then unable to move her arms/legs/hands due to body aches.  Pt reported that her body was aching and that she was feeling nauseated.  Pt's fingers were turning blue due to intense clenching.  Paramedics/Ambulance called for so pt can be further evaluated.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Skin discolouration, Tremor
Clinical narrative: Systemic: Body Aches Generalized-Medium, Systemic: Hyperventilation-Medium, Systemic: Joint Pain-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Pt began to display symptoms related to anxiety that progressed to hyperventilation/nausea/full on body aches/ pt states she was then unable to move her arms/legs/hands due to body aches.  Pt reported that her body was aching and that she was feeling nauseated.  Pt's fingers were turning blue due to intense clenching.  Paramedics/Ambulance called for so pt can be further evaluated.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: My periods are always regular, in terms of length, and in terms of amount of blood. I generally would have about 2 - 4 hours of heavy blood per period (total period lasting 4 days). After the first  dose (and before the 2nd dose), the 3rd and 4th day of my period were extremely bloody (menhorragia) for the full two days. I was soaking through super tampons or super Thinx underwear in an hour. The clots were larger and more plentiful than usual, and the blood had a different quality -the blood itself was very thin and watery, with the clots being thick and gelatinous. My period is always over by Day 5, but this cycle, I bled for an extra day.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Migraine, Nausea, Pain in extremity
Clinical narrative: Migrane: Started next day around 2pm. Took extra strength Tylenol and slept.  Sore arm: started later the same day as vaccination.  Slight nausea: took promethazine as needed for nausea.   Sweaty: tried to keep cool with air conditioning and fans.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in left ear shortly after vaccine
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Achey, fever of 102 at highest
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: was given at age of 16 years of age and not approved for this age.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Vaccine positive rechallenge
Clinical narrative: Swollen lymph node in collar bone started 4 to 5 days after first injection.  Seemed to partially resolve after a week, but after second shot was swollen again.  Still remains palpable 6.5 weeks after second shot.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperacusis, Menstrual disorder, Nausea, Tinnitus
Clinical narrative: Headache and nausea on day of vaccine. 10 days after vaccine, got period although I am in menopause. Tinnitus and hearing problems noticeably increased (I would say doubled). Ringing in ears is twice as loud as before.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Cardiac telemetry, Chest pain, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: His troponin peaked at 7.8, and waxed and waned over his stay. On day three, it steadily decreased to 1.2.  CRP was also elevated with a max at 5.3, but was <1 on discharge. He remained on telemetry throughout his stay, and had occasional pvcs but no true ectopy. Two echos and multiple EKGs were normal.  His chest pain resolved by HD 2 and he felt well after that.  He was started on high dose ibuprofen and pepsid, which he should remain on for a total of 7 days.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Ventricular extrasystoles
Clinical narrative: His troponin peaked at 7.8, and waxed and waned over his stay. On day three, it steadily decreased to 1.2.  CRP was also elevated with a max at 5.3, but was <1 on discharge. He remained on telemetry throughout his stay, and had occasional pvcs but no true ectopy. Two echos and multiple EKGs were normal.  His chest pain resolved by HD 2 and he felt well after that.  He was started on high dose ibuprofen and pepsid, which he should remain on for a total of 7 days.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein, Cardiac telemetry, Chest pain, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: Troponin on admission was found to be elevated at 4.07.  CRP was also elevated on admission at 4.06. Patient was admitted for telemetry monitoring and cardiac evaluation. The echocardiogram showed normal heart function and no pericardial effusion.  Given the clinical description of his chest pain, the likely diagnosis was myopericarditis. Patient was initially prescribed scheduled nonsteroidal anti-inflammatories but this was subsequently discontinued as patient was chest pain-free.  Patient was started on colchicine. Serial EKGs were obtained which showed subtle changes but no pathologic findings. A repeat echocardiogram prior to discharge showed was normal.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Troponin increased
Clinical narrative: Troponin on admission was found to be elevated at 4.07.  CRP was also elevated on admission at 4.06. Patient was admitted for telemetry monitoring and cardiac evaluation. The echocardiogram showed normal heart function and no pericardial effusion.  Given the clinical description of his chest pain, the likely diagnosis was myopericarditis. Patient was initially prescribed scheduled nonsteroidal anti-inflammatories but this was subsequently discontinued as patient was chest pain-free.  Patient was started on colchicine. Serial EKGs were obtained which showed subtle changes but no pathologic findings. A repeat echocardiogram prior to discharge showed was normal.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash all over both feet
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Infection, Joint swelling, Ultrasound scan
Clinical narrative: Major swelling of ankles. Continued until infection a month later. Needed antibiotic
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Chest pain, Costochondritis, Dizziness, Dyspnoea
Clinical narrative: 13 y/o F with hx of exercise-induced asthma BIB mom for dizziness and chest pain s/p Pfizer COVID-19 vaccine received yesterday. Pt endorses nausea, HA, chest pain and SOB. No fever. Chest pain currently. Pt took albuterol 1.5 hours PTA. Pt usually only needs albuterol with physical activity. NO PMH/PSH. Vaccines UTD. NKDA.   Differential Diagnosis: vaccine reaction, myocarditis, pericarditis, costochondritis. After assessment and treatment, pt is well appearing, explained to mom on reassessment symptoms have resolved, no chest pain currently. Explained symptoms likely secondary to vaccine reaction, explained normal heart enzymes and normal EKG, strict return precautions given including chest pain and fever.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Headache, Myocardial necrosis marker normal, Myocarditis, Nausea
Clinical narrative: 13 y/o F with hx of exercise-induced asthma BIB mom for dizziness and chest pain s/p Pfizer COVID-19 vaccine received yesterday. Pt endorses nausea, HA, chest pain and SOB. No fever. Chest pain currently. Pt took albuterol 1.5 hours PTA. Pt usually only needs albuterol with physical activity. NO PMH/PSH. Vaccines UTD. NKDA.   Differential Diagnosis: vaccine reaction, myocarditis, pericarditis, costochondritis. After assessment and treatment, pt is well appearing, explained to mom on reassessment symptoms have resolved, no chest pain currently. Explained symptoms likely secondary to vaccine reaction, explained normal heart enzymes and normal EKG, strict return precautions given including chest pain and fever.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis, Product administered at inappropriate site
Clinical narrative: 13 y/o F with hx of exercise-induced asthma BIB mom for dizziness and chest pain s/p Pfizer COVID-19 vaccine received yesterday. Pt endorses nausea, HA, chest pain and SOB. No fever. Chest pain currently. Pt took albuterol 1.5 hours PTA. Pt usually only needs albuterol with physical activity. NO PMH/PSH. Vaccines UTD. NKDA.   Differential Diagnosis: vaccine reaction, myocarditis, pericarditis, costochondritis. After assessment and treatment, pt is well appearing, explained to mom on reassessment symptoms have resolved, no chest pain currently. Explained symptoms likely secondary to vaccine reaction, explained normal heart enzymes and normal EKG, strict return precautions given including chest pain and fever.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Feeling abnormal, Myalgia
Clinical narrative: excessive fatigue, brain fog, hair shedding more than usual, constant muscle aches/fatigue, shortness of breath and high heart rate during low/moderate activity. I am an avid cyclist and do not drink or smoke and all of these are unusual for me to be having and started after my doses of the vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Lymph node enlargement at the left axilla
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Electrocardiogram normal, Headache
Clinical narrative: 16 y/o F with hx of autoimmune disorder and Tourette's syndrome BIB mom for dizziness s/p Pfizer COVID-19 vaccine received yesterday. Pt endorses muscle pain, nausea, sinus pain, throat pain, and HA. Pt with fever (Tmax 100.2F) onset this AM. Denies chest pain and difficulty breathing. Pt reports she feels a little out of breath. Mom has a heart rate monitor at home and states pt's HR has been in the 140s. No medications taken. NKDA. Differential Diagnosis: vaccine reactions, myocarditis, pericarditis. After physical assessment and management, pt is well appearing, explained to mom on reassessment symptoms have improved, no longer dizzy or having trouble breathing. Pt still feels a little myalgia. Explained symptoms likely from vaccine reaction, explained normal heart enzymes and normal EKG, strict return precautions given including chest pain and persistent fever.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Myalgia, Myocardial necrosis marker normal, Oropharyngeal pain, Pyrexia
Clinical narrative: 16 y/o F with hx of autoimmune disorder and Tourette's syndrome BIB mom for dizziness s/p Pfizer COVID-19 vaccine received yesterday. Pt endorses muscle pain, nausea, sinus pain, throat pain, and HA. Pt with fever (Tmax 100.2F) onset this AM. Denies chest pain and difficulty breathing. Pt reports she feels a little out of breath. Mom has a heart rate monitor at home and states pt's HR has been in the 140s. No medications taken. NKDA. Differential Diagnosis: vaccine reactions, myocarditis, pericarditis. After physical assessment and management, pt is well appearing, explained to mom on reassessment symptoms have improved, no longer dizzy or having trouble breathing. Pt still feels a little myalgia. Explained symptoms likely from vaccine reaction, explained normal heart enzymes and normal EKG, strict return precautions given including chest pain and persistent fever.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electroencephalogram normal, Headache, Ischaemic cerebral infarction, Ultrasound Doppler normal
Clinical narrative: This 42 yo hispanic male presents to the ED with complaints of dizziness and headache. Symptoms began after receiving the second dose of Moderna COVID vaccine 2 weeks ago. During this hospitalization, patient was confirmed with acute ischemic infarct cryptogenic in origin.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder, Menstruation irregular
Clinical narrative: I have received 2nd period that month ( April) MY first period  finished on 4/9/21 and then I got another period on 4/19/21. 5 days after getting my first shot of vaccine( pfizer)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Confusional state, Dizziness, Full blood count normal, Metabolic function test
Clinical narrative: Arm pain, dizziness, intermittent confusion
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Monoplegia
Clinical narrative: Arm pain, dizziness, intermittent confusion
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram
Clinical narrative: 1:55pm Pt. complains about chest pain rate 5 in scale (1-10).  Vital sighs show:  BP 109/48, SAT 99%, P 79 and ECG (sinus rhythm).  Mother of the pt. refuse take pt. to the hospital after pt. verbalized feel no chest pain few minutes after the assessment.  Pt. has allergy to penicillin (no airway).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Chest pain, Dyspnoea, Fatigue
Clinical narrative: On 6/8 while sitting in my chair, all of the sudden I developed a really uncomfortable pain right in the middle of my chest, my fingers and toes began to tingle. I sat and breathed deep for a few moments and it passed. Later that evening about 2:30pm while walking the pain returned and it was a constant hurting pain followed by SOB which lasted about 10 minutes.  I felt extremely exhausted the remainder of the day. 6/10 the pressure in my chest returned but no pain was associated and the tingling sensation in both my hands and feet returned also, so I drove to the ER where various test were performed. No heart attack was visible but they could not figure out where the pain was coming from so I have appointment scheduled on 6/28 with my PCP to see if we can figure this thing out
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Gait disturbance, Paraesthesia
Clinical narrative: On 6/8 while sitting in my chair, all of the sudden I developed a really uncomfortable pain right in the middle of my chest, my fingers and toes began to tingle. I sat and breathed deep for a few moments and it passed. Later that evening about 2:30pm while walking the pain returned and it was a constant hurting pain followed by SOB which lasted about 10 minutes.  I felt extremely exhausted the remainder of the day. 6/10 the pressure in my chest returned but no pain was associated and the tingling sensation in both my hands and feet returned also, so I drove to the ER where various test were performed. No heart attack was visible but they could not figure out where the pain was coming from so I have appointment scheduled on 6/28 with my PCP to see if we can figure this thing out
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Pain
Clinical narrative: Body aches chills, fever, pain at injection site, bad headache, fatigue.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Body aches chills, fever, pain at injection site, bad headache, fatigue.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Dialysis, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted to the hospital from a skilled nursing facility with asymptomatic COVID-19 on 6/20/2021, subsequent to receipt of a full series of COVID-19 vaccines
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood test, Panic attack, Scan
Clinical narrative: Severe anxiety that has lead to panic attacks. I ended up in the ER twice thinking I was having heart issues. My doctors have lead to believe that after blood work, heart scans, with Cardiologist, Rheumatologist, Pulmonologist, ENT.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Headache, Pyrexia
Clinical narrative: Woke up in the middle of the night with a fever around 101 Fahrenheit. Also had chills, severe headache, lack of energy, and no appetite. Condition significantly improved over the next 24 hours without seeing a doctor or taking any medication.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Blood test normal, Dizziness, Headache
Clinical narrative: I felt very faint (after the first and second dose which does not usually happen with vaccines). My lymph nodes in my right armpit became swollen the next day. That following Saturday, I had a headache that medication did not help and felt weak. I checked my blood pressure throughout the day and noticed it continued to increase. I went to the ER and they concluded it was side effects from the vaccine because my blood work looked normal. On Sunday, I had no symptoms.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: I felt very faint (after the first and second dose which does not usually happen with vaccines). My lymph nodes in my right armpit became swollen the next day. That following Saturday, I had a headache that medication did not help and felt weak. I checked my blood pressure throughout the day and noticed it continued to increase. I went to the ER and they concluded it was side effects from the vaccine because my blood work looked normal. On Sunday, I had no symptoms.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriosclerosis, Chronic obstructive pulmonary disease, Death, Dyspnoea, Resuscitation
Clinical narrative: COPD  She was a resident at the Senior Living facility.  My mother received the vaccine on Tuesday, May 18, 2021 at approximately 11:00 a.m.  She was left by herself and called around at 11:32 to say she got the vaccine and she was having a hard time breathing.  Around 1:40, the nursing home called to let me know CPR was being performed.  My sister rushed to the site and  she was pronounced dead around 2:10. p.m.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Deep vein thrombosis
Clinical narrative: Deep Vein Thrombosis (DVT) diagnosed at Hospital
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Hyperhidrosis, Inflammation, Muscle fatigue, Pain in extremity
Clinical narrative: On the week of March 14, symptoms started mild and by the following week they were unbearable.  On both legs, my muscles from my hips to my ankles became fatigued and got burning sensation when I was just standing up or sitting down.  The pain was mostly relieved when laying down.   I did not sleep well. Also, I got fevers only at night when asleep.  Measured about 101 degrees temperature.  Got up with tee shirt wet with sweat.  On March 22, I went to my doctor and did some blood work and was told I had a lot of inflamation.  Started on Prednisone.  Went to RA doctor at Rheumatology  on March 30, and went to an infectious disease doctor. I was told that I had an auto-immune response.  I was on Prednisone from March 25 to May 16.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, Sleep disorder, White blood cell count increased
Clinical narrative: On the week of March 14, symptoms started mild and by the following week they were unbearable.  On both legs, my muscles from my hips to my ankles became fatigued and got burning sensation when I was just standing up or sitting down.  The pain was mostly relieved when laying down.   I did not sleep well. Also, I got fevers only at night when asleep.  Measured about 101 degrees temperature.  Got up with tee shirt wet with sweat.  On March 22, I went to my doctor and did some blood work and was told I had a lot of inflamation.  Started on Prednisone.  Went to RA doctor at Rheumatology  on March 30, and went to an infectious disease doctor. I was told that I had an auto-immune response.  I was on Prednisone from March 25 to May 16.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA.  Headache, dizzieness, nausea.  Headache of varying degrees has not ended yet.  The other symptoms stopped after a few days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Peripheral swelling
Clinical narrative: feet ankle and legs are very swollen. patient states foot is too swollen to war a show.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Arm very soar.  Constant aching that has not gone away. Cannot lift arm without pain. I cannot put weight on my arm with out aching and pain.  Limit in range of motion.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Paraesthesia, Paraesthesia oral
Clinical narrative: Headache, generalized body aches, mouth and face paresthesia
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Nausea, Pyrexia
Clinical narrative: nausea and diarrhea after 1st dose. 100.6 fever, and reports feeling like intestines were twisting up.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Hypoaesthesia, Insomnia, Nausea
Clinical narrative: Numbness of legs, unable to sleep, out of breath, feels as though she would pass out, dizzy and nauseau
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Dyspnoea, Electrocardiogram abnormal, Fatigue, Loss of personal independence in daily activities
Clinical narrative: The AFIB occurred around May 5th and it was continuous almost the whole month of May. Shortness of breath, tiredness and interference with my daily interactions. I would get tired about 30 minutes of anything. Whatever the medical term is for when you get tired easily, shortness of breath etc. Just basic AFIB symptoms. The Dr gave me Solital 2x per day and as soon as he did that, within two days the AFIB went away. He took away my blood pressure medication and gave me the Solital. But I still get tired easier than I did before.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: Excessive bruising  all over legs
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: 2 inches large bump at injection site, no skin color, painful
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Per OSDH: Regarding The VSIR for GSP Health on the following COVID Vaccine Moderna. Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing a VAERS Reports on the all clients you have identified.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram ST segment elevation, Myocarditis
Clinical narrative: Myo-pericarditis, diffuse ST elevations and elevated troponins. Left heart cath showed no evident coronary disease.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Myo-pericarditis, diffuse ST elevations and elevated troponins. Left heart cath showed no evident coronary disease.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Regarding for Health on the following COVID Vaccine Moderna. Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing a VAERS Reports on the all clients you have identified.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Hypomenorrhoea, Menopause, Menstruation irregular
Clinical narrative: Irregularity with menstrual cycle.  My cycle is usually like clockwork every 21-24 days and lasts 5 days.  After my vaccine my cycle came every 2 weeks for 2 Months.  Light flow for the 2 Months.  I seem to be back to the 21 days currently, but my flow is heavier.  I even got a test to see if I was pre-menopausal and it came back normal. As there was no other change to my medication the covid vaccine is the only thing that I can link to this change.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: ADAMTS13 activity decreased, Acute kidney injury, Blood creatinine increased, Chest discomfort, Chest pain
Clinical narrative: Patient was admitted with neurologic complaints (arm numbness and tingling) and chest pain/tightness.  Was found to be hypertensive, thrombocytopenic and in AKI.  Was evaluated for mutltiple problems but found to have aTTP.  Patient received plasma exchange, high-dose steroids, rituximab and caplacizumab.    AKI resolved, neurologic complication resolved and thrombocytopenia resolved.    Patient was discharge 6.21.21 with prescription for caplacizumab.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Hypoaesthesia, Neurological symptom, Paraesthesia, Plasmapheresis
Clinical narrative: Patient was admitted with neurologic complaints (arm numbness and tingling) and chest pain/tightness.  Was found to be hypertensive, thrombocytopenic and in AKI.  Was evaluated for mutltiple problems but found to have aTTP.  Patient received plasma exchange, high-dose steroids, rituximab and caplacizumab.    AKI resolved, neurologic complication resolved and thrombocytopenia resolved.    Patient was discharge 6.21.21 with prescription for caplacizumab.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Platelet count increased, Thrombocytopenia, Thrombotic thrombocytopenic purpura
Clinical narrative: Patient was admitted with neurologic complaints (arm numbness and tingling) and chest pain/tightness.  Was found to be hypertensive, thrombocytopenic and in AKI.  Was evaluated for mutltiple problems but found to have aTTP.  Patient received plasma exchange, high-dose steroids, rituximab and caplacizumab.    AKI resolved, neurologic complication resolved and thrombocytopenia resolved.    Patient was discharge 6.21.21 with prescription for caplacizumab.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Product storage error
Clinical narrative: Per OSDH: Regarding The VSIR for GSP Health on the following COVID Vaccine Moderna. Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing a VAERS Reports on the all clients you have identified.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Regarding The Health on the following COVID Vaccine Moderna. Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing a VAERS Reports on the all clients you have identified.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Regarding The Health on the following COVID Vaccine Moderna. Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing a VAERS Reports on the all clients you have identified.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Per DH: Regarding The VSIR on the following COVID Vaccine Moderna. Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing a VAERS Reports on the all clients you have identified.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Per DH: Regarding The VSIR on the following COVID Vaccine Moderna. Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing a VAERS Reports on the all clients you have identified.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Product storage error, Product use issue
Clinical narrative: Regarding The VSIR for the following COVID Vaccine Moderna. Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing a VAERS Reports on the all clients you have identified.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Muscular weakness, Pain, Paraesthesia
Clinical narrative: dull pain all the way from shoulder to fingertips. Consistent aching on left side. tingling/numbness in arm and fingertips. Reports not having full function of strength in left hand, can't pick up a gallon of water. Pain is a 5/6 on a scale out of 10, comes and goes. Patient reports going to the ER and was referred to specialist.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Per DH: Regarding The VSIR on the following COVID Vaccine Moderna. Please see the following determination; Doses Administered from 4.6.2021 to 5.21.2021:Based on the information you have provided and the lack of temperature data, we are not able to conduct an analysis or guarantee the doses administered between 4/6/2021 and 5/21/2021 provided the necessary protection against a COVID-19 infection. Please continue with the original plan of action on revaccination and completing a VAERS Reports on the all clients you have identified.