chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Strabismus, Vertigo, Visual impairment
Clinical narrative: The Saturday after Thanksgiving, my eyes were doing a crossing thing. When I left Thanksgiving, I was having a hard time seeing. I had vertigo the Saturday morning after Thanksgiving. I lay down and everything started to spin around. I had my annual exam set up so When I saw my PCP, he said it seemed like there was a muscle in my eye (left) that it isn't working properly so I was referred to have an MRI. I'm still waiting to get called to schedule my appointment. He also suggested to have a brain scan.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administration error. Patient went in for booster shot and was given 1st dose again.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthropod bite, Asthenia, Body temperature increased, Computerised tomogram normal, Fatigue
Clinical narrative: He has cancer treatment, and we were seeing the physician. He had a CAT scan with contrast and came home no problem on Saturday morning. on Sunday he seemed overall tired and stated he didn't feel well. I took his temperature, and it was 101 so I gave him Tylenol and the temp would come down to 100 but once the Tylenol wore off the temp would go back up. I kept giving him Tylenol because he had no other symptoms other than being tired. Couple of days later I called the Dr. to see if the CT scan with contrast would have an affect like this on this and they said no. He was going to work with the fever and taking Tylenol. This went on for a week and a half and started complaining about legs hurting really bad, no energy.  We went to the ER and his platelets were low, COVID test was negative. A week later checked blood again and platelets were back to normal. He was admitted on a Friday.  He was in the hospital for some time with fever.  They tried different antibiotics and then gave him Doxycycline antibiotic and it was effective, and the fever went away. Primary care said that he most likely was bit by a tick from before or recently.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pain in extremity, Platelet count decreased, SARS-CoV-2 test negative, Scan with contrast normal
Clinical narrative: He has cancer treatment, and we were seeing the physician. He had a CAT scan with contrast and came home no problem on Saturday morning. on Sunday he seemed overall tired and stated he didn't feel well. I took his temperature, and it was 101 so I gave him Tylenol and the temp would come down to 100 but once the Tylenol wore off the temp would go back up. I kept giving him Tylenol because he had no other symptoms other than being tired. Couple of days later I called the Dr. to see if the CT scan with contrast would have an affect like this on this and they said no. He was going to work with the fever and taking Tylenol. This went on for a week and a half and started complaining about legs hurting really bad, no energy.  We went to the ER and his platelets were low, COVID test was negative. A week later checked blood again and platelets were back to normal. He was admitted on a Friday.  He was in the hospital for some time with fever.  They tried different antibiotics and then gave him Doxycycline antibiotic and it was effective, and the fever went away. Primary care said that he most likely was bit by a tick from before or recently.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Condition aggravated, Lymphoedema, Peripheral venous disease, SARS-CoV-2 test negative
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA:  patient admitted to hospital with right lower extremity cellulitis, chronic venous stasis, and lymphedema. Received antibiotics, improved, and discharged to home medically stable.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Laboratory test abnormal, Muscular weakness
Clinical narrative: After many laboratory tests I was diagnosed with Gillian Barre with extreme weakness in both legs and slight weakness in the right hand.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation
Clinical narrative: totally disoriented mentally and physically. Stayed in hospital 5 days and is undergoing rehab at a local HCF
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Pneumonia, Pneumothorax
Clinical narrative: Within an hour symptoms of burning sensation in my lungs resulted in going to the ER with pneumonia and a collapsed lung within 72 hours of the injection
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart palpitations
Age: 39.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Full dose vaccine administered for booster dose instead of recommended half dose.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Acute promyelocytic leukaemia, Biopsy bone marrow abnormal
Clinical narrative: Patient developed Acute Promyelocytic Leukemia several months after second vaccination.  Unclear correlation but patient requests submitting this to VAERS.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest pain, Palpitations
Clinical narrative: Chest pain, palpitations, increased BP
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Pt called hospital call center to c/o of right arm pain after vaccination x2 days. Denies any other symptoms. Reports having some limited range of motion of right should. Has had some relief with ibuprofen.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Lymph nodes in right axillary area are extremely swollen. It?s painful to lift arm due to this
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Fatigue, Insomnia, Nausea
Clinical narrative: Dizziness, imbalance, nausea (without vomiting), body aches, sleeplessness, extreme fatigue. lasted almost 24 hours. Not getting any more of these vaccines if I am going to react like this, I do not want any more of this being put in my body.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Dizziness, imbalance, nausea (without vomiting), body aches, sleeplessness, extreme fatigue. lasted almost 24 hours. Not getting any more of these vaccines if I am going to react like this, I do not want any more of this being put in my body.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: Congestion, very sore throat
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted after vaccination
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Asthenia, Back pain, Blood test, Chest X-ray abnormal
Clinical narrative: On December 4th at 3:00AM, I woke up with severe back pain that I can described as sever muscle spasms. I got a heating pad and took two Advil. I continued that treatment all that Saturday. When the pain didn't go away I went to the ER on Sunday. The doctor prescribed me with muscle relaxers and increased my Advil to 600mg. I continued that treatment. The pain had subsided. I eventually stopped taking the muscles relaxers and Advil. The following week the pain intensified. When I took a deep breath it felt like my back was seizing on my left side. The pain radiated from my left side. When I woke up on Wednesday on December 17th my stomach was bloated. I took two gas pills. That didn't relieve the bloating. I went to ER on December 15th. The doctors did some tests and they found out that I had a pleural effusion on my left lung which they thought was causing my pain. My pulmonologist had me do additional x-rays. He prescribed me a z-pak and cefuroxime 500mg 2xday for 7 days. I finished the z-pak yesterday. The back pain has started to subside. I have been low on energy. When I breathe in deep I can still feel pain in back but it is less intensified.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram thorax, Muscle spasms, Pain, Painful respiration
Clinical narrative: On December 4th at 3:00AM, I woke up with severe back pain that I can described as sever muscle spasms. I got a heating pad and took two Advil. I continued that treatment all that Saturday. When the pain didn't go away I went to the ER on Sunday. The doctor prescribed me with muscle relaxers and increased my Advil to 600mg. I continued that treatment. The pain had subsided. I eventually stopped taking the muscles relaxers and Advil. The following week the pain intensified. When I took a deep breath it felt like my back was seizing on my left side. The pain radiated from my left side. When I woke up on Wednesday on December 17th my stomach was bloated. I took two gas pills. That didn't relieve the bloating. I went to ER on December 15th. The doctors did some tests and they found out that I had a pleural effusion on my left lung which they thought was causing my pain. My pulmonologist had me do additional x-rays. He prescribed me a z-pak and cefuroxime 500mg 2xday for 7 days. I finished the z-pak yesterday. The back pain has started to subside. I have been low on energy. When I breathe in deep I can still feel pain in back but it is less intensified.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion
Clinical narrative: On December 4th at 3:00AM, I woke up with severe back pain that I can described as sever muscle spasms. I got a heating pad and took two Advil. I continued that treatment all that Saturday. When the pain didn't go away I went to the ER on Sunday. The doctor prescribed me with muscle relaxers and increased my Advil to 600mg. I continued that treatment. The pain had subsided. I eventually stopped taking the muscles relaxers and Advil. The following week the pain intensified. When I took a deep breath it felt like my back was seizing on my left side. The pain radiated from my left side. When I woke up on Wednesday on December 17th my stomach was bloated. I took two gas pills. That didn't relieve the bloating. I went to ER on December 15th. The doctors did some tests and they found out that I had a pleural effusion on my left lung which they thought was causing my pain. My pulmonologist had me do additional x-rays. He prescribed me a z-pak and cefuroxime 500mg 2xday for 7 days. I finished the z-pak yesterday. The back pain has started to subside. I have been low on energy. When I breathe in deep I can still feel pain in back but it is less intensified.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Injection site pain, Injection site paraesthesia, Paraesthesia
Clinical narrative: Patient experiences pain, numbness, tingling in left arm at injection site and all the way down to the hand. Also has discoloration of hand at times (turns blue)
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was administered a Pfizer Covid 19 vaccine booster at our off site clinic on 12/11/2021. This was approved by the provider on site.  There were no adverse effects after the injection. Mother of child was insistent that he receive his booster due to his history of asthma and his pediatrician recommended he receive it.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Spontaneous haemorrhage
Clinical narrative: Had spontaneous bleeding 2 days after vaccine. I was 14 weeks 5 days pregnant with bleeding. Due date June 3rd
Age: 66.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Full dose vaccine administered for booster dose instead of recommended half dose.
Age: 93.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling abnormal, Paraesthesia, Peripheral swelling
Clinical narrative: UNUSUAL ARM SWELLING AND TINGLING ALL THE WAY DOWN TO HER FINGERS. ALSO FELT "FOGGY"
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Chills, Headache, Influenza like illness, Mobility decreased
Clinical narrative: pt states about half hour after getting vaccinated he started getting a severe pounding head ache and developed flu like symptoms. Had chills, and body aches that made him so weak he had to stay in the bed for about 2 weeks. He took pain killers to help with the pain. He spoke with his PCP about his reaction to this flu vaccine.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Pain
Clinical narrative: pt states about half hour after getting vaccinated he started getting a severe pounding head ache and developed flu like symptoms. Had chills, and body aches that made him so weak he had to stay in the bed for about 2 weeks. He took pain killers to help with the pain. He spoke with his PCP about his reaction to this flu vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Pain
Clinical narrative: Pt reported Neuropathy (pain) w/ Moderna Covid Vaccination. during December admission for unrelated reasons.  Unknown time course or which dose resulted in reaction.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy skin, Erythema, Laboratory test, Pruritus, Urticaria
Clinical narrative: 23 days after the administration of Moderna´s vaccine, as a booster. On the morning of 19 December, the patient experienced erythematous and pruritus over the upper extremities, starting in the hands and extending to the forearms and arms. The next day (20-Dec) patient consulted the emergency department where the diagnosis of urticaria was initially established, treatment with hydroxyzine and prednisolone was started. Upon persistence of the symptoms, the patient was seen by dermatology on 22-DEC and the diagnosis of vasculitis was established. A skin was performed on the same day (results are pending). Ambulatory management with prednisolone was continued. Lab work was indicated  (results are pending). The patient denies systemic symptoms, no fever, no dyspnea, no abdominal pain. There is no relevant medical history, other than benign prostatic hyperplasia, and stage 1 hypertension, for which lifestyle changes were indicated. There is no relevant family history. The patient is not currently, on any other medications.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Vasculitis
Clinical narrative: 23 days after the administration of Moderna´s vaccine, as a booster. On the morning of 19 December, the patient experienced erythematous and pruritus over the upper extremities, starting in the hands and extending to the forearms and arms. The next day (20-Dec) patient consulted the emergency department where the diagnosis of urticaria was initially established, treatment with hydroxyzine and prednisolone was started. Upon persistence of the symptoms, the patient was seen by dermatology on 22-DEC and the diagnosis of vasculitis was established. A skin was performed on the same day (results are pending). Ambulatory management with prednisolone was continued. Lab work was indicated  (results are pending). The patient denies systemic symptoms, no fever, no dyspnea, no abdominal pain. There is no relevant medical history, other than benign prostatic hyperplasia, and stage 1 hypertension, for which lifestyle changes were indicated. There is no relevant family history. The patient is not currently, on any other medications.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 12 year old here for second dose of Pfizer, was inadvertently given booster 0.25 mL of Moderna instead of Pfizer.
Age: 52.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Full dose vaccine administered for booster dose instead of recommended half dose.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood test abnormal, Computerised tomogram, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Complete disruption of my menstrual cycle.  I have never had a problem with my cycle prior to May 2021.  After the second dose, my cycle was extremely heavy and continued that way, with only a few short days in between periods of bleeding, until mid July.  Blood test showed I developed acute anemia as a result.  No other abnormalities were identified.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Polymenorrhoea
Clinical narrative: Complete disruption of my menstrual cycle.  I have never had a problem with my cycle prior to May 2021.  After the second dose, my cycle was extremely heavy and continued that way, with only a few short days in between periods of bleeding, until mid July.  Blood test showed I developed acute anemia as a result.  No other abnormalities were identified.
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Adnexa uteri pain, Arthralgia, Neck pain, Pain
Clinical narrative: 12/21/21  4:30 pm MST, right side of neck was becoming painful; 5:30 pm MST, right knee begin to throb / painful & 12/22/21  3:00 am, have  pain in both ovaries - had partial hysterectomy in November 1987.  As of 10:36 am MST (time of completing this form, I still experience the ovarian pain  where the ovaries are located.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Incorrect dose administered
Clinical narrative: Patient is immunocompromised and was supposed to be getting 0.5 ml of Moderna (lot# 012H21B) but instead she was given a booster of 0.25 ml
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, X-ray
Clinical narrative: after second shot experience pain in chest for over three months
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt was given an adult purple cap Pfizer COVID vaccine in error. No adverse reaction noted at time of injection. Mother was notified of error made and possible side effects to watch for. She will follow up with any sign or symptoms of reaction related to vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Hives rash appeared 2 weeks after?
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Throat tightness
Clinical narrative: Around minute 13, I developed dizziness and sensation of throat/chest tightening
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Lip swelling
Clinical narrative: Upper left side of lips began swelling 3x the normal size on the opposite side of injection site. Was diagnosed with angioedema by healthcare provider.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Full blood count, Haemodialysis, Metabolic function test, Pulse absent
Clinical narrative: Pt admitted on 12/16/21. Pt received hemodialysis on 12/17. RN found patient unresponsive and pulseless. CPR and ACLS started then MD notified staff that pt had just been made a DNR/DNI. Code terminated. Pt pronounced deceased on 12/17/21 @ 1813.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Resuscitation, Unresponsive to stimuli
Clinical narrative: Pt admitted on 12/16/21. Pt received hemodialysis on 12/17. RN found patient unresponsive and pulseless. CPR and ACLS started then MD notified staff that pt had just been made a DNR/DNI. Code terminated. Pt pronounced deceased on 12/17/21 @ 1813.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Angiotensin converting enzyme, Arthralgia, Beta 2 microglobulin increased, Biopsy bone marrow
Clinical narrative: Moderna shot 1 8/31/2021. Started with submental mass 9/13/2021. Seen in primary care clinic 9/15/2021. Patient reports febrile at home 9/16/2021. Presents to emergency department 9/17/2021, CT neck obtained and abnormal (results in next section). ENT consult placed (was not seen by ENT in ED). Patient return to emergency department 9/20/2021 with increased size submental mass and rash to trunk, arms, legs. CT chest/abdomen/pelvis obtained and abnormal. Labs obtained and abnormal. Moderna shot 2 given 9/23/2021. 9/28/2021 submental lymph node biopsy. 10/7/2021 PET scan. 10/23/2021 patient started with swelling of bilateral hands and wrists, pain bilateral hands, wrists, knees, right shoulder. Seen primary care 10/27/2021, x-rays ordered, repeat labs drawn. X-rays done 10/28/2021. Patient presented to local emergency department 11/21/2021 with confusion, admitted with hypercalcemia, AKI, metabolic encephalopathy, hospital stay 5 days. Bone marrow biopsy. Discharge diagnosis: Hypercalcemia, AKI, metabolic encephalopathy, suspected extrapulmonary sarcoidosis, suspected sarcoid myopathy. Repeat labs 11/30/2021. Face-to-face rheumatology consult 12/10/2021. Repeat labs 12/15/2021. No current official diagnosis known. Rheumatology describes sarcoidosis remains in differential but labs/biopsies don?t match. Lymphoma/myeloma still in differential but labs/biopsies don?t match. Pending Oncology consult. Current theory is this is vaccine related.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy lymph gland, Blood 25-hydroxycholecalciferol decreased, Blood albumin decreased, Blood calcium increased, Blood creatine phosphokinase increased
Clinical narrative: Moderna shot 1 8/31/2021. Started with submental mass 9/13/2021. Seen in primary care clinic 9/15/2021. Patient reports febrile at home 9/16/2021. Presents to emergency department 9/17/2021, CT neck obtained and abnormal (results in next section). ENT consult placed (was not seen by ENT in ED). Patient return to emergency department 9/20/2021 with increased size submental mass and rash to trunk, arms, legs. CT chest/abdomen/pelvis obtained and abnormal. Labs obtained and abnormal. Moderna shot 2 given 9/23/2021. 9/28/2021 submental lymph node biopsy. 10/7/2021 PET scan. 10/23/2021 patient started with swelling of bilateral hands and wrists, pain bilateral hands, wrists, knees, right shoulder. Seen primary care 10/27/2021, x-rays ordered, repeat labs drawn. X-rays done 10/28/2021. Patient presented to local emergency department 11/21/2021 with confusion, admitted with hypercalcemia, AKI, metabolic encephalopathy, hospital stay 5 days. Bone marrow biopsy. Discharge diagnosis: Hypercalcemia, AKI, metabolic encephalopathy, suspected extrapulmonary sarcoidosis, suspected sarcoid myopathy. Repeat labs 11/30/2021. Face-to-face rheumatology consult 12/10/2021. Repeat labs 12/15/2021. No current official diagnosis known. Rheumatology describes sarcoidosis remains in differential but labs/biopsies don?t match. Lymphoma/myeloma still in differential but labs/biopsies don?t match. Pending Oncology consult. Current theory is this is vaccine related.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood iron decreased, Blood parathyroid hormone increased, Blood uric acid increased, C-reactive protein increased
Clinical narrative: Moderna shot 1 8/31/2021. Started with submental mass 9/13/2021. Seen in primary care clinic 9/15/2021. Patient reports febrile at home 9/16/2021. Presents to emergency department 9/17/2021, CT neck obtained and abnormal (results in next section). ENT consult placed (was not seen by ENT in ED). Patient return to emergency department 9/20/2021 with increased size submental mass and rash to trunk, arms, legs. CT chest/abdomen/pelvis obtained and abnormal. Labs obtained and abnormal. Moderna shot 2 given 9/23/2021. 9/28/2021 submental lymph node biopsy. 10/7/2021 PET scan. 10/23/2021 patient started with swelling of bilateral hands and wrists, pain bilateral hands, wrists, knees, right shoulder. Seen primary care 10/27/2021, x-rays ordered, repeat labs drawn. X-rays done 10/28/2021. Patient presented to local emergency department 11/21/2021 with confusion, admitted with hypercalcemia, AKI, metabolic encephalopathy, hospital stay 5 days. Bone marrow biopsy. Discharge diagnosis: Hypercalcemia, AKI, metabolic encephalopathy, suspected extrapulmonary sarcoidosis, suspected sarcoid myopathy. Repeat labs 11/30/2021. Face-to-face rheumatology consult 12/10/2021. Repeat labs 12/15/2021. No current official diagnosis known. Rheumatology describes sarcoidosis remains in differential but labs/biopsies don?t match. Lymphoma/myeloma still in differential but labs/biopsies don?t match. Pending Oncology consult. Current theory is this is vaccine related.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Computerised tomogram neck, Computerised tomogram thorax abnormal, Confusional state, Electrophoresis protein
Clinical narrative: Moderna shot 1 8/31/2021. Started with submental mass 9/13/2021. Seen in primary care clinic 9/15/2021. Patient reports febrile at home 9/16/2021. Presents to emergency department 9/17/2021, CT neck obtained and abnormal (results in next section). ENT consult placed (was not seen by ENT in ED). Patient return to emergency department 9/20/2021 with increased size submental mass and rash to trunk, arms, legs. CT chest/abdomen/pelvis obtained and abnormal. Labs obtained and abnormal. Moderna shot 2 given 9/23/2021. 9/28/2021 submental lymph node biopsy. 10/7/2021 PET scan. 10/23/2021 patient started with swelling of bilateral hands and wrists, pain bilateral hands, wrists, knees, right shoulder. Seen primary care 10/27/2021, x-rays ordered, repeat labs drawn. X-rays done 10/28/2021. Patient presented to local emergency department 11/21/2021 with confusion, admitted with hypercalcemia, AKI, metabolic encephalopathy, hospital stay 5 days. Bone marrow biopsy. Discharge diagnosis: Hypercalcemia, AKI, metabolic encephalopathy, suspected extrapulmonary sarcoidosis, suspected sarcoid myopathy. Repeat labs 11/30/2021. Face-to-face rheumatology consult 12/10/2021. Repeat labs 12/15/2021. No current official diagnosis known. Rheumatology describes sarcoidosis remains in differential but labs/biopsies don?t match. Lymphoma/myeloma still in differential but labs/biopsies don?t match. Pending Oncology consult. Current theory is this is vaccine related.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Eosinophil count normal, Hypercalcaemia, Hypokalaemia, Immunoglobulins increased, Inappropriate schedule of product administration
Clinical narrative: Moderna shot 1 8/31/2021. Started with submental mass 9/13/2021. Seen in primary care clinic 9/15/2021. Patient reports febrile at home 9/16/2021. Presents to emergency department 9/17/2021, CT neck obtained and abnormal (results in next section). ENT consult placed (was not seen by ENT in ED). Patient return to emergency department 9/20/2021 with increased size submental mass and rash to trunk, arms, legs. CT chest/abdomen/pelvis obtained and abnormal. Labs obtained and abnormal. Moderna shot 2 given 9/23/2021. 9/28/2021 submental lymph node biopsy. 10/7/2021 PET scan. 10/23/2021 patient started with swelling of bilateral hands and wrists, pain bilateral hands, wrists, knees, right shoulder. Seen primary care 10/27/2021, x-rays ordered, repeat labs drawn. X-rays done 10/28/2021. Patient presented to local emergency department 11/21/2021 with confusion, admitted with hypercalcemia, AKI, metabolic encephalopathy, hospital stay 5 days. Bone marrow biopsy. Discharge diagnosis: Hypercalcemia, AKI, metabolic encephalopathy, suspected extrapulmonary sarcoidosis, suspected sarcoid myopathy. Repeat labs 11/30/2021. Face-to-face rheumatology consult 12/10/2021. Repeat labs 12/15/2021. No current official diagnosis known. Rheumatology describes sarcoidosis remains in differential but labs/biopsies don?t match. Lymphoma/myeloma still in differential but labs/biopsies don?t match. Pending Oncology consult. Current theory is this is vaccine related.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Iron binding capacity total decreased, Joint swelling, Laboratory test abnormal, Light chain analysis increased, Light chain analysis normal
Clinical narrative: Moderna shot 1 8/31/2021. Started with submental mass 9/13/2021. Seen in primary care clinic 9/15/2021. Patient reports febrile at home 9/16/2021. Presents to emergency department 9/17/2021, CT neck obtained and abnormal (results in next section). ENT consult placed (was not seen by ENT in ED). Patient return to emergency department 9/20/2021 with increased size submental mass and rash to trunk, arms, legs. CT chest/abdomen/pelvis obtained and abnormal. Labs obtained and abnormal. Moderna shot 2 given 9/23/2021. 9/28/2021 submental lymph node biopsy. 10/7/2021 PET scan. 10/23/2021 patient started with swelling of bilateral hands and wrists, pain bilateral hands, wrists, knees, right shoulder. Seen primary care 10/27/2021, x-rays ordered, repeat labs drawn. X-rays done 10/28/2021. Patient presented to local emergency department 11/21/2021 with confusion, admitted with hypercalcemia, AKI, metabolic encephalopathy, hospital stay 5 days. Bone marrow biopsy. Discharge diagnosis: Hypercalcemia, AKI, metabolic encephalopathy, suspected extrapulmonary sarcoidosis, suspected sarcoid myopathy. Repeat labs 11/30/2021. Face-to-face rheumatology consult 12/10/2021. Repeat labs 12/15/2021. No current official diagnosis known. Rheumatology describes sarcoidosis remains in differential but labs/biopsies don?t match. Lymphoma/myeloma still in differential but labs/biopsies don?t match. Pending Oncology consult. Current theory is this is vaccine related.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mass, Metabolic encephalopathy, Myopathy, Necrotic lymphadenopathy
Clinical narrative: Moderna shot 1 8/31/2021. Started with submental mass 9/13/2021. Seen in primary care clinic 9/15/2021. Patient reports febrile at home 9/16/2021. Presents to emergency department 9/17/2021, CT neck obtained and abnormal (results in next section). ENT consult placed (was not seen by ENT in ED). Patient return to emergency department 9/20/2021 with increased size submental mass and rash to trunk, arms, legs. CT chest/abdomen/pelvis obtained and abnormal. Labs obtained and abnormal. Moderna shot 2 given 9/23/2021. 9/28/2021 submental lymph node biopsy. 10/7/2021 PET scan. 10/23/2021 patient started with swelling of bilateral hands and wrists, pain bilateral hands, wrists, knees, right shoulder. Seen primary care 10/27/2021, x-rays ordered, repeat labs drawn. X-rays done 10/28/2021. Patient presented to local emergency department 11/21/2021 with confusion, admitted with hypercalcemia, AKI, metabolic encephalopathy, hospital stay 5 days. Bone marrow biopsy. Discharge diagnosis: Hypercalcemia, AKI, metabolic encephalopathy, suspected extrapulmonary sarcoidosis, suspected sarcoid myopathy. Repeat labs 11/30/2021. Face-to-face rheumatology consult 12/10/2021. Repeat labs 12/15/2021. No current official diagnosis known. Rheumatology describes sarcoidosis remains in differential but labs/biopsies don?t match. Lymphoma/myeloma still in differential but labs/biopsies don?t match. Pending Oncology consult. Current theory is this is vaccine related.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Osteoarthritis, Pain in extremity, Peripheral swelling, Positron emission tomogram abnormal, Protein total increased
Clinical narrative: Moderna shot 1 8/31/2021. Started with submental mass 9/13/2021. Seen in primary care clinic 9/15/2021. Patient reports febrile at home 9/16/2021. Presents to emergency department 9/17/2021, CT neck obtained and abnormal (results in next section). ENT consult placed (was not seen by ENT in ED). Patient return to emergency department 9/20/2021 with increased size submental mass and rash to trunk, arms, legs. CT chest/abdomen/pelvis obtained and abnormal. Labs obtained and abnormal. Moderna shot 2 given 9/23/2021. 9/28/2021 submental lymph node biopsy. 10/7/2021 PET scan. 10/23/2021 patient started with swelling of bilateral hands and wrists, pain bilateral hands, wrists, knees, right shoulder. Seen primary care 10/27/2021, x-rays ordered, repeat labs drawn. X-rays done 10/28/2021. Patient presented to local emergency department 11/21/2021 with confusion, admitted with hypercalcemia, AKI, metabolic encephalopathy, hospital stay 5 days. Bone marrow biopsy. Discharge diagnosis: Hypercalcemia, AKI, metabolic encephalopathy, suspected extrapulmonary sarcoidosis, suspected sarcoid myopathy. Repeat labs 11/30/2021. Face-to-face rheumatology consult 12/10/2021. Repeat labs 12/15/2021. No current official diagnosis known. Rheumatology describes sarcoidosis remains in differential but labs/biopsies don?t match. Lymphoma/myeloma still in differential but labs/biopsies don?t match. Pending Oncology consult. Current theory is this is vaccine related.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary mass, Pulmonary sarcoidosis, Pyrexia, Rash, Red blood cell sedimentation rate increased
Clinical narrative: Moderna shot 1 8/31/2021. Started with submental mass 9/13/2021. Seen in primary care clinic 9/15/2021. Patient reports febrile at home 9/16/2021. Presents to emergency department 9/17/2021, CT neck obtained and abnormal (results in next section). ENT consult placed (was not seen by ENT in ED). Patient return to emergency department 9/20/2021 with increased size submental mass and rash to trunk, arms, legs. CT chest/abdomen/pelvis obtained and abnormal. Labs obtained and abnormal. Moderna shot 2 given 9/23/2021. 9/28/2021 submental lymph node biopsy. 10/7/2021 PET scan. 10/23/2021 patient started with swelling of bilateral hands and wrists, pain bilateral hands, wrists, knees, right shoulder. Seen primary care 10/27/2021, x-rays ordered, repeat labs drawn. X-rays done 10/28/2021. Patient presented to local emergency department 11/21/2021 with confusion, admitted with hypercalcemia, AKI, metabolic encephalopathy, hospital stay 5 days. Bone marrow biopsy. Discharge diagnosis: Hypercalcemia, AKI, metabolic encephalopathy, suspected extrapulmonary sarcoidosis, suspected sarcoid myopathy. Repeat labs 11/30/2021. Face-to-face rheumatology consult 12/10/2021. Repeat labs 12/15/2021. No current official diagnosis known. Rheumatology describes sarcoidosis remains in differential but labs/biopsies don?t match. Lymphoma/myeloma still in differential but labs/biopsies don?t match. Pending Oncology consult. Current theory is this is vaccine related.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Streptococcus test positive, Troponin increased, Vaccination complication, X-ray abnormal
Clinical narrative: Moderna shot 1 8/31/2021. Started with submental mass 9/13/2021. Seen in primary care clinic 9/15/2021. Patient reports febrile at home 9/16/2021. Presents to emergency department 9/17/2021, CT neck obtained and abnormal (results in next section). ENT consult placed (was not seen by ENT in ED). Patient return to emergency department 9/20/2021 with increased size submental mass and rash to trunk, arms, legs. CT chest/abdomen/pelvis obtained and abnormal. Labs obtained and abnormal. Moderna shot 2 given 9/23/2021. 9/28/2021 submental lymph node biopsy. 10/7/2021 PET scan. 10/23/2021 patient started with swelling of bilateral hands and wrists, pain bilateral hands, wrists, knees, right shoulder. Seen primary care 10/27/2021, x-rays ordered, repeat labs drawn. X-rays done 10/28/2021. Patient presented to local emergency department 11/21/2021 with confusion, admitted with hypercalcemia, AKI, metabolic encephalopathy, hospital stay 5 days. Bone marrow biopsy. Discharge diagnosis: Hypercalcemia, AKI, metabolic encephalopathy, suspected extrapulmonary sarcoidosis, suspected sarcoid myopathy. Repeat labs 11/30/2021. Face-to-face rheumatology consult 12/10/2021. Repeat labs 12/15/2021. No current official diagnosis known. Rheumatology describes sarcoidosis remains in differential but labs/biopsies don?t match. Lymphoma/myeloma still in differential but labs/biopsies don?t match. Pending Oncology consult. Current theory is this is vaccine related.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray limb abnormal
Clinical narrative: Moderna shot 1 8/31/2021. Started with submental mass 9/13/2021. Seen in primary care clinic 9/15/2021. Patient reports febrile at home 9/16/2021. Presents to emergency department 9/17/2021, CT neck obtained and abnormal (results in next section). ENT consult placed (was not seen by ENT in ED). Patient return to emergency department 9/20/2021 with increased size submental mass and rash to trunk, arms, legs. CT chest/abdomen/pelvis obtained and abnormal. Labs obtained and abnormal. Moderna shot 2 given 9/23/2021. 9/28/2021 submental lymph node biopsy. 10/7/2021 PET scan. 10/23/2021 patient started with swelling of bilateral hands and wrists, pain bilateral hands, wrists, knees, right shoulder. Seen primary care 10/27/2021, x-rays ordered, repeat labs drawn. X-rays done 10/28/2021. Patient presented to local emergency department 11/21/2021 with confusion, admitted with hypercalcemia, AKI, metabolic encephalopathy, hospital stay 5 days. Bone marrow biopsy. Discharge diagnosis: Hypercalcemia, AKI, metabolic encephalopathy, suspected extrapulmonary sarcoidosis, suspected sarcoid myopathy. Repeat labs 11/30/2021. Face-to-face rheumatology consult 12/10/2021. Repeat labs 12/15/2021. No current official diagnosis known. Rheumatology describes sarcoidosis remains in differential but labs/biopsies don?t match. Lymphoma/myeloma still in differential but labs/biopsies don?t match. Pending Oncology consult. Current theory is this is vaccine related.
Age: 41.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Full dose vaccine administered for booster dose instead of recommended half dose.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: six months after vaccination patient hospitalized for COVID-19 infection, acute hypoxic respiratory insufficiency, and acute kidney injury. Received steroids and antiviral agents and improved. Discharged to home medically stable.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Pt reported allergy manifesting in hives which appeared 3 days after she got the vaccine. She is having the Moderna booster today (12/13/21) and will be monitored for 30 minutes after vaccination, according to protocol.  No reaction to Moderna noted in chart.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Magnetic resonance imaging, Mobility decreased, Pain in extremity, Tenderness
Clinical narrative: After injection patient experienced sore arm from vaccine followed by increased soreness/pain 2-3 days later. Patient followed up with physician for treatment of possible frozen shoulder (pain, soreness, tenderness and limited range of motion) and received MRI and steroid injection. Patient has continued pain and has scheduled physical therapy.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Client is a 16 year old male who came in for his Pfizer 2nd dose. Client received a Pfizer pediatric (5-11 year old) vaccine.  Client's parents contacted the next day. Parents denied the client having any adverse symptoms at this time.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible Breakthrough Case
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Muscle contracture, Pain
Clinical narrative: I had the usual fatigue, chills, fever, body aches. But I also had severe rigor and my left arm, wrist, hand, and fingers were contracted up against my body. I can move my arm today but it's very sore and my fine motor is weak.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: I had the usual fatigue, chills, fever, body aches. But I also had severe rigor and my left arm, wrist, hand, and fingers were contracted up against my body. I can move my arm today but it's very sore and my fine motor is weak.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypotension, Lethargy, Nausea, Paraesthesia
Clinical narrative: Patient became lethargic but responsive after injection of Pfizer.  Patient stating she had a tingling sensation throughout her body.  Had nausea and vomiting and diaphoretic.  Was taken to cot to lay down and vital signs taken, noticed to be hypotensive.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient became lethargic but responsive after injection of Pfizer.  Patient stating she had a tingling sensation throughout her body.  Had nausea and vomiting and diaphoretic.  Was taken to cot to lay down and vital signs taken, noticed to be hypotensive.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 21.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Full dose vaccine administered for booster dose instead of recommended half dose.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Seizure
Clinical narrative: Patient passed out / seizure within 2 minutes of shot.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site reaction, Rash, Rash erythematous, Rash pruritic
Clinical narrative: An after hour receiving vaccine booster my left arm at the injection site and left side of my chest and neck broke out into a very itchy bright red hot rash
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: An after hour receiving vaccine booster my left arm at the injection site and left side of my chest and neck broke out into a very itchy bright red hot rash
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: dermatographia
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: dermatographia
Age: 11.0
Sex: M
Vaccine: COVID19, FLU4, MNQ, TDAP
Symptoms: Erythema, Myalgia, Skin warm
Clinical narrative: patient seen 12/8/21 with increasing size of redness, warmth, pain L deltoid area, approximately 10 x15cm. Due to continuing to increase in size after 48 hours after injections, treated with antibiotics for possible cellulitis/infection.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Computerised tomogram abdomen normal, Computerised tomogram thorax normal, Electromyogram normal, Full blood count normal
Clinical narrative: Shortly after injection, patient developed L sided neck and shoulder pain which has evolved into a neuropathic chronic pain radiating down to her lower arm.   Has been for 6 months w/o improvement.  Also had associated weight loss and night sweats during this time which have stablized.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Laboratory test normal, Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Metabolic function test normal
Clinical narrative: Shortly after injection, patient developed L sided neck and shoulder pain which has evolved into a neuropathic chronic pain radiating down to her lower arm.   Has been for 6 months w/o improvement.  Also had associated weight loss and night sweats during this time which have stablized.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Neuralgia, Night sweats, Pain, Pain in extremity
Clinical narrative: Shortly after injection, patient developed L sided neck and shoulder pain which has evolved into a neuropathic chronic pain radiating down to her lower arm.   Has been for 6 months w/o improvement.  Also had associated weight loss and night sweats during this time which have stablized.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: Shortly after injection, patient developed L sided neck and shoulder pain which has evolved into a neuropathic chronic pain radiating down to her lower arm.   Has been for 6 months w/o improvement.  Also had associated weight loss and night sweats during this time which have stablized.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site pain, Myalgia
Clinical narrative: Fatigue, muscle aches, joint pain, injection site pain
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Angiogram normal, Eye pain, Facial pain, Glossodynia, Lip pain
Clinical narrative: TDaP vaccine (not exactly sure of brand name)... healthy at time of vaccine then on the 7th day I had severe shooting pains in the right side of my face (cheek, nose, eye, lip). Dr dx'd with Trigeminal Neuralgia the next day and ordered MRI/MRA which came back stable with no evidence of cause for TN. They have given me several medications which either ranged from not working, making me feel ill and unable to work and one caused me to have a seizure and lose consciousness. It is a daily struggle and escalated 11/30/21. Pain is now spreading to lower cheek, lip, jaw and tongue. Currently taking 1800mg Gabapentin which takes the pain down about 50%  but comes with side effects which make me unable to work (severe fatigue, forgetfulness, unable to problem solve, concentration issues, dizziness, headache and nausea). Currently waiting on consultation for surgical intervention (currently scheduled for 1/22/22).
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Magnetic resonance imaging normal, Pain, Pain in jaw, Trigeminal neuralgia
Clinical narrative: TDaP vaccine (not exactly sure of brand name)... healthy at time of vaccine then on the 7th day I had severe shooting pains in the right side of my face (cheek, nose, eye, lip). Dr dx'd with Trigeminal Neuralgia the next day and ordered MRI/MRA which came back stable with no evidence of cause for TN. They have given me several medications which either ranged from not working, making me feel ill and unable to work and one caused me to have a seizure and lose consciousness. It is a daily struggle and escalated 11/30/21. Pain is now spreading to lower cheek, lip, jaw and tongue. Currently taking 1800mg Gabapentin which takes the pain down about 50%  but comes with side effects which make me unable to work (severe fatigue, forgetfulness, unable to problem solve, concentration issues, dizziness, headache and nausea). Currently waiting on consultation for surgical intervention (currently scheduled for 1/22/22).
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Neuralgia, Pain, Vaccine positive rechallenge
Clinical narrative: severe nerve pain in left side of face lasted a few minutes, subsided, then came back for a few minutes. echoes of the pain for a few weeks after, but never as severe.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder mass, Computerised tomogram abdomen abnormal, Cystoscopy abnormal, Haematuria, Lymphadenectomy
Clinical narrative: Moderna shot 1  3/12/2021. Moderna shot 2 4/9/21.   Patient started on 5/10/2021 with hematuria.  CT scan abdomen 5/18/2021   Showing hyper attenuating mass within urinary bladder, suspicious for neoplasm; new mildly enlarged right pelvic sidewall lymph node (these findings were not present on CT in 2019).  cystoscopy 6/16/2021: Muscle invasive high-grade urothelial carcinoma. Referred to Urology at Medical Center.   Subsequently required bilateral nephrostomy tubes.  Radical cystectomy, pelvic lymph node dissection, ileal conduit on 11/5/2021.  Concern for disease progression on CT urogram 12/15/2021.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nephrostomy, Radical cystectomy, Retroperitoneal lymphadenopathy, Transitional cell carcinoma
Clinical narrative: Moderna shot 1  3/12/2021. Moderna shot 2 4/9/21.   Patient started on 5/10/2021 with hematuria.  CT scan abdomen 5/18/2021   Showing hyper attenuating mass within urinary bladder, suspicious for neoplasm; new mildly enlarged right pelvic sidewall lymph node (these findings were not present on CT in 2019).  cystoscopy 6/16/2021: Muscle invasive high-grade urothelial carcinoma. Referred to Urology at Medical Center.   Subsequently required bilateral nephrostomy tubes.  Radical cystectomy, pelvic lymph node dissection, ileal conduit on 11/5/2021.  Concern for disease progression on CT urogram 12/15/2021.