chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea exertional, Electrophoresis protein normal, Epstein-Barr virus antibody negative, Epstein-Barr virus antibody positive, Exercise tolerance decreased
Clinical narrative: 26 y.o. male with no PMHx presented 7/29/21 w/ 4 days of intractable nausea and vomiting and decreased PO intake, found to have a systemic inflammatory response and liver dysfunction. Labs that were of particular concern on admission were WBC 14, ALT > AST and Direct hyperbilirubinemnia, D-dimer (severely elevated), but notably NOT anemnia and thrombrocyotpenia. CT Abdomen/Pelvis found distended gallbaldder with wall thickening and diffiuse decrease in heaptic attenuation. CTA Chest found number small PE and pulmonary infarcts. MRI abdomen showed Fatty liver with distended GB and mild thickening but no gallstone or CBD dilatation.  Diffential includes Sepsis (source still unknown), antiphospholipid syndrome vs some other inflammatory condition like an autoimmune condition or vasculitis. I think we also need to consider a vaccine adverse effect like multisystem inflammatory syndrome. Patient received Pfizer Vaccine, Lot #EW0151 on 4/12/21 and then Lot #EW0172 on 5/3/21. He first at symptoms of shortness of breath and exercise intolerance starting 5/25/21. By 7/5/21 he was unable to walk up stairs without dyspnea and increased effort, and was hospitalized on 7/29/21.   Transjuglar liver biopsy was heavily considered but not performed after he clincally improved on anticoagulation.  By 8/2/21 he was starting to have some gross hematuria, vs concerntrated urine. Nephrology was consulted in his care. His urine eventually cleared.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer increased, Gallbladder enlargement, Gallbladder oedema, Gene sequencing, Haematuria
Clinical narrative: 26 y.o. male with no PMHx presented 7/29/21 w/ 4 days of intractable nausea and vomiting and decreased PO intake, found to have a systemic inflammatory response and liver dysfunction. Labs that were of particular concern on admission were WBC 14, ALT > AST and Direct hyperbilirubinemnia, D-dimer (severely elevated), but notably NOT anemnia and thrombrocyotpenia. CT Abdomen/Pelvis found distended gallbaldder with wall thickening and diffiuse decrease in heaptic attenuation. CTA Chest found number small PE and pulmonary infarcts. MRI abdomen showed Fatty liver with distended GB and mild thickening but no gallstone or CBD dilatation.  Diffential includes Sepsis (source still unknown), antiphospholipid syndrome vs some other inflammatory condition like an autoimmune condition or vasculitis. I think we also need to consider a vaccine adverse effect like multisystem inflammatory syndrome. Patient received Pfizer Vaccine, Lot #EW0151 on 4/12/21 and then Lot #EW0172 on 5/3/21. He first at symptoms of shortness of breath and exercise intolerance starting 5/25/21. By 7/5/21 he was unable to walk up stairs without dyspnea and increased effort, and was hospitalized on 7/29/21.   Transjuglar liver biopsy was heavily considered but not performed after he clincally improved on anticoagulation.  By 8/2/21 he was starting to have some gross hematuria, vs concerntrated urine. Nephrology was consulted in his care. His urine eventually cleared.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hepatic function abnormal, Hepatic steatosis, Hepatitis E antibody, Herpes simplex test negative, Hyperbilirubinaemia
Clinical narrative: 26 y.o. male with no PMHx presented 7/29/21 w/ 4 days of intractable nausea and vomiting and decreased PO intake, found to have a systemic inflammatory response and liver dysfunction. Labs that were of particular concern on admission were WBC 14, ALT > AST and Direct hyperbilirubinemnia, D-dimer (severely elevated), but notably NOT anemnia and thrombrocyotpenia. CT Abdomen/Pelvis found distended gallbaldder with wall thickening and diffiuse decrease in heaptic attenuation. CTA Chest found number small PE and pulmonary infarcts. MRI abdomen showed Fatty liver with distended GB and mild thickening but no gallstone or CBD dilatation.  Diffential includes Sepsis (source still unknown), antiphospholipid syndrome vs some other inflammatory condition like an autoimmune condition or vasculitis. I think we also need to consider a vaccine adverse effect like multisystem inflammatory syndrome. Patient received Pfizer Vaccine, Lot #EW0151 on 4/12/21 and then Lot #EW0172 on 5/3/21. He first at symptoms of shortness of breath and exercise intolerance starting 5/25/21. By 7/5/21 he was unable to walk up stairs without dyspnea and increased effort, and was hospitalized on 7/29/21.   Transjuglar liver biopsy was heavily considered but not performed after he clincally improved on anticoagulation.  By 8/2/21 he was starting to have some gross hematuria, vs concerntrated urine. Nephrology was consulted in his care. His urine eventually cleared.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypophagia, Laboratory test, Magnetic resonance imaging abdominal abnormal, Nausea, Protein urine absent
Clinical narrative: 26 y.o. male with no PMHx presented 7/29/21 w/ 4 days of intractable nausea and vomiting and decreased PO intake, found to have a systemic inflammatory response and liver dysfunction. Labs that were of particular concern on admission were WBC 14, ALT > AST and Direct hyperbilirubinemnia, D-dimer (severely elevated), but notably NOT anemnia and thrombrocyotpenia. CT Abdomen/Pelvis found distended gallbaldder with wall thickening and diffiuse decrease in heaptic attenuation. CTA Chest found number small PE and pulmonary infarcts. MRI abdomen showed Fatty liver with distended GB and mild thickening but no gallstone or CBD dilatation.  Diffential includes Sepsis (source still unknown), antiphospholipid syndrome vs some other inflammatory condition like an autoimmune condition or vasculitis. I think we also need to consider a vaccine adverse effect like multisystem inflammatory syndrome. Patient received Pfizer Vaccine, Lot #EW0151 on 4/12/21 and then Lot #EW0172 on 5/3/21. He first at symptoms of shortness of breath and exercise intolerance starting 5/25/21. By 7/5/21 he was unable to walk up stairs without dyspnea and increased effort, and was hospitalized on 7/29/21.   Transjuglar liver biopsy was heavily considered but not performed after he clincally improved on anticoagulation.  By 8/2/21 he was starting to have some gross hematuria, vs concerntrated urine. Nephrology was consulted in his care. His urine eventually cleared.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Prothrombin level, Pulmonary embolism, Pulmonary infarction, SARS-CoV-2 antibody test positive, Sepsis
Clinical narrative: 26 y.o. male with no PMHx presented 7/29/21 w/ 4 days of intractable nausea and vomiting and decreased PO intake, found to have a systemic inflammatory response and liver dysfunction. Labs that were of particular concern on admission were WBC 14, ALT > AST and Direct hyperbilirubinemnia, D-dimer (severely elevated), but notably NOT anemnia and thrombrocyotpenia. CT Abdomen/Pelvis found distended gallbaldder with wall thickening and diffiuse decrease in heaptic attenuation. CTA Chest found number small PE and pulmonary infarcts. MRI abdomen showed Fatty liver with distended GB and mild thickening but no gallstone or CBD dilatation.  Diffential includes Sepsis (source still unknown), antiphospholipid syndrome vs some other inflammatory condition like an autoimmune condition or vasculitis. I think we also need to consider a vaccine adverse effect like multisystem inflammatory syndrome. Patient received Pfizer Vaccine, Lot #EW0151 on 4/12/21 and then Lot #EW0172 on 5/3/21. He first at symptoms of shortness of breath and exercise intolerance starting 5/25/21. By 7/5/21 he was unable to walk up stairs without dyspnea and increased effort, and was hospitalized on 7/29/21.   Transjuglar liver biopsy was heavily considered but not performed after he clincally improved on anticoagulation.  By 8/2/21 he was starting to have some gross hematuria, vs concerntrated urine. Nephrology was consulted in his care. His urine eventually cleared.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Smooth muscle antibody negative, Specific gravity urine abnormal, Systemic inflammatory response syndrome, Vomiting, White blood cell count increased
Clinical narrative: 26 y.o. male with no PMHx presented 7/29/21 w/ 4 days of intractable nausea and vomiting and decreased PO intake, found to have a systemic inflammatory response and liver dysfunction. Labs that were of particular concern on admission were WBC 14, ALT > AST and Direct hyperbilirubinemnia, D-dimer (severely elevated), but notably NOT anemnia and thrombrocyotpenia. CT Abdomen/Pelvis found distended gallbaldder with wall thickening and diffiuse decrease in heaptic attenuation. CTA Chest found number small PE and pulmonary infarcts. MRI abdomen showed Fatty liver with distended GB and mild thickening but no gallstone or CBD dilatation.  Diffential includes Sepsis (source still unknown), antiphospholipid syndrome vs some other inflammatory condition like an autoimmune condition or vasculitis. I think we also need to consider a vaccine adverse effect like multisystem inflammatory syndrome. Patient received Pfizer Vaccine, Lot #EW0151 on 4/12/21 and then Lot #EW0172 on 5/3/21. He first at symptoms of shortness of breath and exercise intolerance starting 5/25/21. By 7/5/21 he was unable to walk up stairs without dyspnea and increased effort, and was hospitalized on 7/29/21.   Transjuglar liver biopsy was heavily considered but not performed after he clincally improved on anticoagulation.  By 8/2/21 he was starting to have some gross hematuria, vs concerntrated urine. Nephrology was consulted in his care. His urine eventually cleared.
Age: 60.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Abdominal pain, Arthralgia, Muscle spasms, Neck pain
Clinical narrative: Neck pain was much worse than the normal arthritis pain, hips were achy for a few days, I have deep cramping in my muscles in arms, right thigh, left side of  my abdomen, and feet that is still going on today.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 36  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Eye swelling, Joint swelling, Peripheral swelling, Ultrasound Doppler normal
Clinical narrative: Swelling from feet too both knees, swelling from elbow to hands, both eyes swelling
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Ringing in my ear.
Age: 13.0
Sex: F
Vaccine: COVID19, HPV9
Symptoms: Syncope
Clinical narrative: fainted walking out of treatment room
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Lymphadenopathy
Clinical narrative: fatigue, extreme headache, chills, muslce pain, fever, lymph nodes swollen, dizzy
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: fatigue, extreme headache, chills, muslce pain, fever, lymph nodes swollen, dizzy
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 36  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Nervousness, Throat irritation
Clinical narrative: 3:10pm: vaccine given 3:20pm: patient asked for a soda to drink 3:25pm: I went to tell the patient their wait time was up and they could leave, and that is when he told me his throat was "scratch" and that is why he got the soda to drink.  I had him check his blood pressure with our automated booth out front and it was 166/99 (which is high for him he reported) 3:30pm: He was still complaining of scratchy throat and did not want Epi pen, I gave him 25mg of Benadryl Liquid 3:35pm: He was nervous that his throat was still scratchy, so we called EMS to evaluate 3:50pm: Patient went with EMS to hospital to be evaluated just to be on the safe side
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea
Clinical narrative: patient felt nauseous before passing out- patient was given water, an ice pack and snack- was alert before EMS arrived
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Eye inflammation, Hyperacusis, Lip disorder, Middle ear effusion
Clinical narrative: Fairly loud and bothersome Tinnitus started 3 days after 2nd Pfizer vaccine (June17th)- 24 hours a day. Then on June 30th tinnitus increased in intensity and loudness to an alarm level horrific level 24 hours a day and this continued day after day. On July 6th saw internal medicine doctor and started a 7 day regiment of prednisone taper 60 mg for first 2 days down to 10 mg on last day. On day 6 of this regiment tinnitus loudness and intensity decreased then followed with a day of alarm level tinnitus then 2 days of less intense tinnitus then another day of alarm level tinnitus then about 7 days of lower level tinnitus. Then after seeing an eye doctor and having  an eye drop used to see inflammation that started in the eyes- tinnitus started up louder again then decreased back 2 days later.  To this day the tinnitus continues 24 hours a day with variations in intensity/loudness but not  back to the horrific alarm level loudness/intensity as it had been. Today is August 5th and am desperate for answers on whether this will go away with time or if this now will be my continuous life. Please note that the tinnitus is only in one ear and it is on the left side and the vaccine was given on the left side also. Also other symptoms that started at the same time as tinnitus were  Covid arm rash on the left arm,  an uncontrollable tic  in the upper lip and limited use of right hand suddenly- these other things resolved completely after 3 days but the tinnitus continued. Also note that the day of the 2nd vaccine I had a chemical taste and sensation which went away after a short while  but did return one week ago briefly.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Rash, Tinnitus
Clinical narrative: Fairly loud and bothersome Tinnitus started 3 days after 2nd Pfizer vaccine (June17th)- 24 hours a day. Then on June 30th tinnitus increased in intensity and loudness to an alarm level horrific level 24 hours a day and this continued day after day. On July 6th saw internal medicine doctor and started a 7 day regiment of prednisone taper 60 mg for first 2 days down to 10 mg on last day. On day 6 of this regiment tinnitus loudness and intensity decreased then followed with a day of alarm level tinnitus then 2 days of less intense tinnitus then another day of alarm level tinnitus then about 7 days of lower level tinnitus. Then after seeing an eye doctor and having  an eye drop used to see inflammation that started in the eyes- tinnitus started up louder again then decreased back 2 days later.  To this day the tinnitus continues 24 hours a day with variations in intensity/loudness but not  back to the horrific alarm level loudness/intensity as it had been. Today is August 5th and am desperate for answers on whether this will go away with time or if this now will be my continuous life. Please note that the tinnitus is only in one ear and it is on the left side and the vaccine was given on the left side also. Also other symptoms that started at the same time as tinnitus were  Covid arm rash on the left arm,  an uncontrollable tic  in the upper lip and limited use of right hand suddenly- these other things resolved completely after 3 days but the tinnitus continued. Also note that the day of the 2nd vaccine I had a chemical taste and sensation which went away after a short while  but did return one week ago briefly.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dosage administered, No adverse event
Clinical narrative: no adverse effect wrong qty was administer
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 36  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 36  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pain in extremity, Rash
Clinical narrative: On the day I received the second dose of the vaccine (2-12-2021), my arm began hurting and burning later in the day.  I checked my arm and I   developed a rash that spanned the length of my upper arm.  By 2/15/2021, the pain and burning got more intense.  I contacted my doctor via an e-visit.  I took a picture of my arm and submitted to Hospital.  They advised me to use OTC antihistamines and use steroid cream for itching.  I was prescribed triamcinolone.  The rash lasted for 3 weeks and 2 days.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 36  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy lymph gland, Breast pain, Lymph node pain, Lymphadenopathy, Mammogram normal
Clinical narrative: Extreme pain and swelling of lymph nodes in left breast, then moved into right breast several weeks later. Treated with ibuprofen and icing the area. Visited urgent care initially and wasn't given a clear dx, then later was recommended to seek an ultrasound and mammogram followed by a biopsy. Pain continued off and on for approximately 2 months, then gradually disappeared.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound breast
Clinical narrative: Extreme pain and swelling of lymph nodes in left breast, then moved into right breast several weeks later. Treated with ibuprofen and icing the area. Visited urgent care initially and wasn't given a clear dx, then later was recommended to seek an ultrasound and mammogram followed by a biopsy. Pain continued off and on for approximately 2 months, then gradually disappeared.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Inflammation, Injected limb mobility decreased, Injection site discomfort, Injection site pain
Clinical narrative: I had visible inflammation, redness, swelling about the size of a softball on my arm (after the 2nd dose), and also had smaller red inflamed areas around the upper arm.  Two weeks after the second dose my upper left arm felt like it had the "flu" in it -achy and uncomfortable.  It hasn't gone away.  It hurts to push open a door, or to turn the steering wheel.  The pain is not constant, just when exerted myself to do even basic things.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling
Clinical narrative: I had visible inflammation, redness, swelling about the size of a softball on my arm (after the 2nd dose), and also had smaller red inflamed areas around the upper arm.  Two weeks after the second dose my upper left arm felt like it had the "flu" in it -achy and uncomfortable.  It hasn't gone away.  It hurts to push open a door, or to turn the steering wheel.  The pain is not constant, just when exerted myself to do even basic things.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 36  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Basedow's disease, Blood thyroid stimulating hormone, Heart rate increased, Thyroxine free, Tri-iodothyronine free
Clinical narrative: After second vaccine I noticed increased heart rate. By the 5th day after my second dose I had a resting heart rate above 130 and on a jog over 200bpm Since I?ve been diagnosed with Graves? disease and am still seeking treatment
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered a patient received a vaccination held at refrigeration temperature for 36 days. Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 36  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: presented with red, non itchy rash surrounding injection site
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adverse drug reaction, Amnesia, Aphasia, Chills, Condition aggravated
Clinical narrative: My first vaccine on 4/7/21 I had a headache (beginning within 30 minutes) that lasted a few days. I took tylenol a few times each day to resolve headache. I additionally had mild achiness and fatigue which resolved within 24 hours.   My second vaccine on 5/8/21, had bad side affects that lasted for 3 months. Just over the last few days they have gone away and I am feeling like myself again.  I had a migaine that lasted a week after the second dose, which I took Sumatriptan intermittently. (20mg two times per day, per 24 hours). Had serious flu like symptoms for 3 days...chills, aches, no fever.   I have had migraines in the past, but once or twice a year only.  The long lasting side effects were brain fog, memory loss, problems seaching for words, nightly body aches, aching legs. On the the brain fog continues 3 months out.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Influenza like illness, Migraine
Clinical narrative: My first vaccine on 4/7/21 I had a headache (beginning within 30 minutes) that lasted a few days. I took tylenol a few times each day to resolve headache. I additionally had mild achiness and fatigue which resolved within 24 hours.   My second vaccine on 5/8/21, had bad side affects that lasted for 3 months. Just over the last few days they have gone away and I am feeling like myself again.  I had a migaine that lasted a week after the second dose, which I took Sumatriptan intermittently. (20mg two times per day, per 24 hours). Had serious flu like symptoms for 3 days...chills, aches, no fever.   I have had migraines in the past, but once or twice a year only.  The long lasting side effects were brain fog, memory loss, problems seaching for words, nightly body aches, aching legs. On the the brain fog continues 3 months out.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: My first vaccine on 4/7/21 I had a headache (beginning within 30 minutes) that lasted a few days. I took tylenol a few times each day to resolve headache. I additionally had mild achiness and fatigue which resolved within 24 hours.   My second vaccine on 5/8/21, had bad side affects that lasted for 3 months. Just over the last few days they have gone away and I am feeling like myself again.  I had a migaine that lasted a week after the second dose, which I took Sumatriptan intermittently. (20mg two times per day, per 24 hours). Had serious flu like symptoms for 3 days...chills, aches, no fever.   I have had migraines in the past, but once or twice a year only.  The long lasting side effects were brain fog, memory loss, problems seaching for words, nightly body aches, aching legs. On the the brain fog continues 3 months out.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Chest X-ray normal, Electrocardiogram normal, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: Patient (age 12) walked off to the area where he was supposed to wait for 15 min after his vaccine was administered. He sat down, and after ~1 min of sitting his arm went stiff, I think legs as well,  Arm was shaking (seizure like) and his head collapsed. He was unconscious.I supported him  and yelled for help, 911 was called. Customer helped me put him down on the floor and he regained consciousness after some time (~1 min)He was pale but answered correctly to  questions asked. Arm and body had no more seizures. Ambulance took him to the hospital and test heart related were run. All test results (EKG, roentgen of the chest and blood results came back normal, according to the ER doctor). MY BIG Question is: Do you recommend him getting a second dose of the Pfizer vaccine? I am terrified after seeing him seizure and faint. His primary care doctor said he has had another boy his age had the same reaction to the shot. I am very very scared.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pallor, Posture abnormal, Seizure like phenomena, Tremor
Clinical narrative: Patient (age 12) walked off to the area where he was supposed to wait for 15 min after his vaccine was administered. He sat down, and after ~1 min of sitting his arm went stiff, I think legs as well,  Arm was shaking (seizure like) and his head collapsed. He was unconscious.I supported him  and yelled for help, 911 was called. Customer helped me put him down on the floor and he regained consciousness after some time (~1 min)He was pale but answered correctly to  questions asked. Arm and body had no more seizures. Ambulance took him to the hospital and test heart related were run. All test results (EKG, roentgen of the chest and blood results came back normal, according to the ER doctor). MY BIG Question is: Do you recommend him getting a second dose of the Pfizer vaccine? I am terrified after seeing him seizure and faint. His primary care doctor said he has had another boy his age had the same reaction to the shot. I am very very scared.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Musculoskeletal stiffness, Pallor, Seizure, Tremor
Clinical narrative: Patient (age 12) walked off to the area where he was supposed to wait for 15 min after his vaccine was administered. He sat down, and after ~1 min of sitting his arm went stiff, I think legs as well,  Arm was shaking (seizure like) and his head collapsed. He was unconscious.I supported him  and yelled for help, 911 was called. Customer helped me put him down on the floor and he regained consciousness after some time (~1 min)He was pale but answered correctly to  questions asked. Arm and body had no more seizures. Ambulance took him to the hospital and test heart related were run. All test results (EKG, roentgen of the chest and blood results came back normal, according to the ER doctor). MY BIG Question is: Do you recommend him getting a second dose of the Pfizer vaccine? I am terrified after seeing him seizure and faint. His primary care doctor said he has had another boy his age had the same reaction to the shot. I am very very scared.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Informed Consent for immunization with inactivated vaccine from originally filled out for Insurance card provided was a copy of the primary card holders. Patient added into the pharmacy system as a  new patient after confirming this was there first time to the pharmacy.  Vaccine provided to the patient. When attempting to resolve the insurance rejecting we called the insurance company and found that the date of birth and name would need to be confirmed and verified by the parents because there was not a matching dependent on the plan. When we called to update the family the parents updated the provided name and DOB to. Patient just bellow the age to receive the vaccine.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Sluggishness, Syncope
Clinical narrative: Patient stated before getting vaccine he was very nervous and has fainted getting shots/blood draws.After administering Janssen Covid Vaccine, patient states he was feeling light headed and then fainted for about 5 seconds. Patient was sluggish for about 5 minutes. Had him drink some juice and he perked up. Had patient relax in chair for 20 minutes before leaving pharmacy. He did have a parent there to drive him home.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Hypoaesthesia, Pharyngeal hypoaesthesia, Somnolence
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 08/05/2021, started experiencing dizziness, confusion, numbness the surrounding area of the head, continuing to migrate to the left arm and forearm, in the throat area, and drowsiness. Feeling is continuing to migrate through the left side.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Tourette's disorder
Clinical narrative: Severe Tourette's syndrome came on 2 days after the first shot
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 36  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Ear pain, Fatigue, Headache, Nausea
Clinical narrative: Woken up by extreme headache, body aches, and fatigue. Feeling of extreme weakness throughout the day and pain in the ears. Nausea and vomiting throughout the day.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Sleep disorder, Vomiting
Clinical narrative: Woken up by extreme headache, body aches, and fatigue. Feeling of extreme weakness throughout the day and pain in the ears. Nausea and vomiting throughout the day.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Chest pain, Full blood count, Hypoaesthesia, Lipids
Clinical narrative: Pt. reports he passed out while sitting down at Dinner on 07/16/21. He denied any seizure like episode and syncopal episode was witnessed by his father. He states prior to passing out he had some chest pain and had numbness/tingling to fingers when he woke up. Pt. stated lasted about 20 seconds.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Magnetic resonance imaging head, Metabolic function test, Paraesthesia
Clinical narrative: Pt. reports he passed out while sitting down at Dinner on 07/16/21. He denied any seizure like episode and syncopal episode was witnessed by his father. He states prior to passing out he had some chest pain and had numbness/tingling to fingers when he woke up. Pt. stated lasted about 20 seconds.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Sensation of foreign body, Throat irritation
Clinical narrative: pt c/o tickle in the throat, he said "it feels like something in my throat". VS assessed. BP  135/82, O2 sat 99%, HR 93, respirations are normal and unlabored. EMT spoke w family advised to take Benadryl if not feeling better once at home. Pt and mom verbalized understanding.  Pt was in stable condition upon departure at 1625
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID after being fully vaccinated.
Age: 0.75
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Pt received kinrix instead of pediarix (wrong based on age)
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest pain, Cystitis noninfective, Electrocardiogram, Fatigue
Clinical narrative: I had fatigue 2 days after the vaccine.  My fatigue was getting to the point where I couldn?t work.  The next day I had pain on my left side in my chest and arm.  I started to have severe chest pains.  I went to the ER; they did an EKG.  They gave me heparin due to maybe having a blood clot.  They ran some other test, and they found an infusion.  I was admitted for 5 days to run tests.  My pain level was severe.  Once my inflammation went down evenly.  I was discharged to go home but I have to follow-up with a pulmonologist.  I have had high blood pressure and tachycardia in the hospital, I was also on oxygen.  I may have to go on FMLA due to not being able to go back to work at normal capacity.  I still have pain I my left shoulder and my left side of my chest.  I had a course of antibiotics that I took which was 10- days.  My bladder was inflamed and both my lungs.  I was diagnosed with partial lung collapse on the left and right due to fluid on the lungs.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Impaired work ability, Inflammation, Infusion, Injection site pain
Clinical narrative: I had fatigue 2 days after the vaccine.  My fatigue was getting to the point where I couldn?t work.  The next day I had pain on my left side in my chest and arm.  I started to have severe chest pains.  I went to the ER; they did an EKG.  They gave me heparin due to maybe having a blood clot.  They ran some other test, and they found an infusion.  I was admitted for 5 days to run tests.  My pain level was severe.  Once my inflammation went down evenly.  I was discharged to go home but I have to follow-up with a pulmonologist.  I have had high blood pressure and tachycardia in the hospital, I was also on oxygen.  I may have to go on FMLA due to not being able to go back to work at normal capacity.  I still have pain I my left shoulder and my left side of my chest.  I had a course of antibiotics that I took which was 10- days.  My bladder was inflamed and both my lungs.  I was diagnosed with partial lung collapse on the left and right due to fluid on the lungs.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Pain in extremity, Pneumonitis, Pneumothorax, Pulmonary oedema
Clinical narrative: I had fatigue 2 days after the vaccine.  My fatigue was getting to the point where I couldn?t work.  The next day I had pain on my left side in my chest and arm.  I started to have severe chest pains.  I went to the ER; they did an EKG.  They gave me heparin due to maybe having a blood clot.  They ran some other test, and they found an infusion.  I was admitted for 5 days to run tests.  My pain level was severe.  Once my inflammation went down evenly.  I was discharged to go home but I have to follow-up with a pulmonologist.  I have had high blood pressure and tachycardia in the hospital, I was also on oxygen.  I may have to go on FMLA due to not being able to go back to work at normal capacity.  I still have pain I my left shoulder and my left side of my chest.  I had a course of antibiotics that I took which was 10- days.  My bladder was inflamed and both my lungs.  I was diagnosed with partial lung collapse on the left and right due to fluid on the lungs.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: I had fatigue 2 days after the vaccine.  My fatigue was getting to the point where I couldn?t work.  The next day I had pain on my left side in my chest and arm.  I started to have severe chest pains.  I went to the ER; they did an EKG.  They gave me heparin due to maybe having a blood clot.  They ran some other test, and they found an infusion.  I was admitted for 5 days to run tests.  My pain level was severe.  Once my inflammation went down evenly.  I was discharged to go home but I have to follow-up with a pulmonologist.  I have had high blood pressure and tachycardia in the hospital, I was also on oxygen.  I may have to go on FMLA due to not being able to go back to work at normal capacity.  I still have pain I my left shoulder and my left side of my chest.  I had a course of antibiotics that I took which was 10- days.  My bladder was inflamed and both my lungs.  I was diagnosed with partial lung collapse on the left and right due to fluid on the lungs.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital 8/4 for covid.
Age: 0.25
Sex: M
Vaccine: DTAPIPV, HIBV, PNC13, RV1
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Wrong vaccine by age. Given Kinrix instead of Pediarix.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Ear pain, Hypoaesthesia, Nodule
Clinical narrative: Within 15 mins I started to get light headed and dizzy. I went to urgent care. My left side went numb. I had a big lump in my neck and I had ear pain on my right side.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Within 15 mins I started to get light headed and dizzy. I went to urgent care. My left side went numb. I had a big lump in my neck and I had ear pain on my right side.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, Blepharospasm, Cerebral palsy
Clinical narrative: Patient stated that on the day of the vaccine she notice that her left eye got heavy and started twitching. Patient went to the Dr. On 8/5/2021 and was Diagnosed with Cerapasly.  Patient is request a call back in regards to getting the second shot.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Back pain, Blood test normal, Dysarthria
Clinical narrative: 8/1/21: injection- normal pain, with muscle soreness all over. 8/2/21: woke with intense pain in all joints, muscles spasms in back and legs. Difficulty speaking and using lips to produce words. Feeling of mild paralysis all over body difficulty walking. Sharp moving pains under her left arm and down the left side of body predominately in the lower back up to the shoulder blade of the left side of the body. 8/3/21: Sharp pains continued under her left arm and swelling under left arm pit. Lower and upper back pains. Lethargic and difficulty speaking, remainder of the day.  8/4/21: Left arm-tingling. Racing heart rate causing slurred speech and difficulty speaking. Taken to the ER and ran an EKG and blood work nothing abnormal found. Set home to rest because of overcrowded ER area with Covid patients. Told to rest and breathe to prevent slurred speaking.  8/5/21: speaking is normal. Less lethargic. Back pain has lessened.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Facial paralysis, Gait disturbance, Injection site pain, Lethargy
Clinical narrative: 8/1/21: injection- normal pain, with muscle soreness all over. 8/2/21: woke with intense pain in all joints, muscles spasms in back and legs. Difficulty speaking and using lips to produce words. Feeling of mild paralysis all over body difficulty walking. Sharp moving pains under her left arm and down the left side of body predominately in the lower back up to the shoulder blade of the left side of the body. 8/3/21: Sharp pains continued under her left arm and swelling under left arm pit. Lower and upper back pains. Lethargic and difficulty speaking, remainder of the day.  8/4/21: Left arm-tingling. Racing heart rate causing slurred speech and difficulty speaking. Taken to the ER and ran an EKG and blood work nothing abnormal found. Set home to rest because of overcrowded ER area with Covid patients. Told to rest and breathe to prevent slurred speaking.  8/5/21: speaking is normal. Less lethargic. Back pain has lessened.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Myalgia, Oedema peripheral, Palpitations, Paraesthesia
Clinical narrative: 8/1/21: injection- normal pain, with muscle soreness all over. 8/2/21: woke with intense pain in all joints, muscles spasms in back and legs. Difficulty speaking and using lips to produce words. Feeling of mild paralysis all over body difficulty walking. Sharp moving pains under her left arm and down the left side of body predominately in the lower back up to the shoulder blade of the left side of the body. 8/3/21: Sharp pains continued under her left arm and swelling under left arm pit. Lower and upper back pains. Lethargic and difficulty speaking, remainder of the day.  8/4/21: Left arm-tingling. Racing heart rate causing slurred speech and difficulty speaking. Taken to the ER and ran an EKG and blood work nothing abnormal found. Set home to rest because of overcrowded ER area with Covid patients. Told to rest and breathe to prevent slurred speaking.  8/5/21: speaking is normal. Less lethargic. Back pain has lessened.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Myalgia, Pharyngeal swelling, Rash, Urticaria
Clinical narrative: HIVES STARTED 1 HOUR AFTER THE VACCINE WAS ADMINISTERED. RASH APPEARED THE FOLLOWING DAY. MYALGIA, CHEST PAIN AND SWELLING IN THE THROAT ALL APPEARED 1 HOUR AFTER VACCINATION.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: symptomatic covid infection
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 36  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Lichen planus, Pruritus, Rash
Clinical narrative: Patient with biopsy proven severe cutaneous lichen planus that began day of first vaccine and progressively worsened every week. After initial vaccine had itching for which she took benadryl and epi pen. Second vaccine with more itching. Rapid response called. Was admitted to hospital after second vaccine. Treated with high dose steroids. Seen by allergy who gave her dupilumab without improvement. When I saw her started her on acitretin and did another biopsy which showed lichen planus. Continued on acitretin and methotrexate added as well. Is now slowly improving. Rash covers 80% of BSA and is very slowly flattening.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Extra dose administered
Clinical narrative: extra rotarix given
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 36  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anaesthesia, Condition aggravated, Inflammation, Intervertebral disc protrusion, Magnetic resonance imaging abnormal
Clinical narrative: I had a disc protrusion injury in remission for 2 years with consistent PT and had not had any issues with it for well Over a year.  After the first shot my neck got very stiff and I could tell it was my old disc injury but after a week things calmed down and I was fine. After my second shot, however, things continued to escalate with the inflammation from the shot and I ended up in the ER I was in so much pain. They did an MRI an my herniation had gone all the way to more than 4 mm herniated. It took over 3 months to recover with PT and 2 rounds of spinal cortisone injections under anesthesia.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain, Spinal operation
Clinical narrative: I had a disc protrusion injury in remission for 2 years with consistent PT and had not had any issues with it for well Over a year.  After the first shot my neck got very stiff and I could tell it was my old disc injury but after a week things calmed down and I was fine. After my second shot, however, things continued to escalate with the inflammation from the shot and I ended up in the ER I was in so much pain. They did an MRI an my herniation had gone all the way to more than 4 mm herniated. It took over 3 months to recover with PT and 2 rounds of spinal cortisone injections under anesthesia.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Patient presented to health clinic as a walk-in for COVID-19 vaccination.  Patient self-disclosed as NOT having received  any prior COVID-19 vaccines.  Patient vaccinated with J&J vaccine per our protocol with questionnaire and consents signed.  Upon entry of vaccination record into our EMR system, it was discovered that the patient had in fact received one dose of the Pfizer COVID-19 vaccine on 03-23-2021.  Patient had no ill effects from J&J vaccine administration.  This was a matter of additional vaccine given as well as different manufacturer.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient presented to health clinic as a walk-in for COVID-19 vaccination.  Patient self-disclosed as NOT having received  any prior COVID-19 vaccines.  Patient vaccinated with J&J vaccine per our protocol with questionnaire and consents signed.  Upon entry of vaccination record into our EMR system, it was discovered that the patient had in fact received one dose of the Pfizer COVID-19 vaccine on 03-23-2021.  Patient had no ill effects from J&J vaccine administration.  This was a matter of additional vaccine given as well as different manufacturer.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test normal, Computerised tomogram head, Computerised tomogram normal
Clinical narrative: Got Bells Palsy 1 month and 9 days after my 2nd dose of vaccine. Was not sick before I got Bells Palsy. No signs of infection or viral infection. Not stressed out. No reasons why I got Bells Palsy, only thing different in my life was the vaccine.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 36  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Emotional distress, Fall, Head injury, Nervousness
Clinical narrative: Patient received modern vaccine.  Was told to wait for signs for allergic reaction. While he was waiting he became dizzy.  He tried to get up thinking he would feel better. He had signs of syncope.    Female that was accompanying tried to stop him from falling but could not hold him and fell to ground.  I was walking back from isle after helping a customer when I saw him already fallen to ground.  Female picked him up and put him on chair. I stayed with him the entire time.  He was  talking and alert. Intern had already called 911.  I put cool compress behind neck.  I asked if he felt ok. He said he was ok just nervous .He kept apologizing and seemed more embarrassed. I assured him that it happens to some people and nothing to be sorry about. His pulse was good and was talking to us the entire time. He also drank some water. EMT arrived took vitals which were all fine.  They suggested he go get  head scan since he hit his head when he fell. He agreed and walked out with EMT.