chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Spirometry
Clinical narrative: About 25-30 minutes after I had tingling and numbing by my left side of my nose, mouth, cheek , and chin for about around 20-30 minutes. Then my arm started hurting really bad at the injection site. And it kept on hurting for about four or five days. Then I had like the covid flu for 6 days with extreme pain everywhere. Extreme fatigue.  A little headache.  Loss of appetite.  And I got my covid cough completely back.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Testicular pain, Testicular swelling
Clinical narrative: Testicular pain for about an hour and felt swollen, severe tiredness and headache.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine administered by 8 days. No adverse reaction noted.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Myalgia, Nasal congestion, Oropharyngeal pain, Sneezing
Clinical narrative: Hives and Covid symptoms for 2 weeks: congestion, sneezing, coughing, sore throat and muscle pain. Benadryl topical and tylenol.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives and Covid symptoms for 2 weeks: congestion, sneezing, coughing, sore throat and muscle pain. Benadryl topical and tylenol.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Migraine, Seizure
Clinical narrative: Migraine, dizzy, seizure
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Mouth ulceration
Clinical narrative: Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: mouth ulcers-Mild, Additional Details: Patient received her COVID-19 vaccine (Pfizer) on 8/29/21. One day after her vaccine she developed a mouth ulcer, and on the second day after her vaccine she developed a second mouth ulcer. These resolved in 5 days. Also on the day after her vaccine (8/30/21) she had swollen lips that lasted for 48 hours.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Headache and fever
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 51.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Psoriasis
Clinical narrative: Major Psoriasis flare up, covid pneumonia
Age: 54.0
Sex: U
Vaccine: COVID19
Symptoms: Limb discomfort
Clinical narrative: leg
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccinated with expired vaccine by 8 days. No adverse reaction noted.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Hypersensitivity, Lethargy, Menstruation irregular, Myalgia
Clinical narrative: Severe lethargy muscle aches and pains moving through body over weeks. Increased sensitivity to allergens smoke hay etc. Period ended day before shot and started seven days later after a lifetime of regular 25 day cycles. Period continues to be irregular rotating between every seven days for a cycle and next cycle has 18-30 days between periods.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Severe lethargy muscle aches and pains moving through body over weeks. Increased sensitivity to allergens smoke hay etc. Period ended day before shot and started seven days later after a lifetime of regular 25 day cycles. Period continues to be irregular rotating between every seven days for a cycle and next cycle has 18-30 days between periods.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Decreased appetite, Dehydration, Dyspnoea
Clinical narrative: Patient required hospitalization due to breakthrough infection. Patient received J&J vaccine on 03/26/21. Patient was hospitalized from 09/05/21 - 09/18/21. Below is copied from discharge summary:   History of Present Illness: 93 y.o. male with Hx of HTN, DM, CAD s/p CABGx4, jaw cancer presents c/o worsening SOB and wheezing since this morning.    Pt reports associated productive cough, dehydration and no appetite. Denies fevers, N/V or abd pain. PSHx Bypass graft.    Vaccinated against COVID with J&J vaccine. Denies chest pain. Troponins are significantly elevated.    The history is provided by the patient. No language interpreter was used.  Shortness of Breath Severity:  Moderate Onset quality:  Gradual Duration:  1 day Timing:  Constant Progression:  Unchanged Chronicity:  New Associated symptoms: cough and wheezing   Associated symptoms: no abdominal pain, no chest pain, no fever, no headaches, no neck pain, no sore throat and no vomiting
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive, Troponin increased, Vaccine breakthrough infection, Wheezing
Clinical narrative: Patient required hospitalization due to breakthrough infection. Patient received J&J vaccine on 03/26/21. Patient was hospitalized from 09/05/21 - 09/18/21. Below is copied from discharge summary:   History of Present Illness: 93 y.o. male with Hx of HTN, DM, CAD s/p CABGx4, jaw cancer presents c/o worsening SOB and wheezing since this morning.    Pt reports associated productive cough, dehydration and no appetite. Denies fevers, N/V or abd pain. PSHx Bypass graft.    Vaccinated against COVID with J&J vaccine. Denies chest pain. Troponins are significantly elevated.    The history is provided by the patient. No language interpreter was used.  Shortness of Breath Severity:  Moderate Onset quality:  Gradual Duration:  1 day Timing:  Constant Progression:  Unchanged Chronicity:  New Associated symptoms: cough and wheezing   Associated symptoms: no abdominal pain, no chest pain, no fever, no headaches, no neck pain, no sore throat and no vomiting
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypertension, Injection site erythema, Tachycardia
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Dizziness/Lightheadedness-Mild, Systemic: Hypertension-Severe, Systemic: Tachycardia-Medium.
Age: 67.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: none
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Blindness, Bone pain, Disturbance in attention, Dyspnoea
Clinical narrative: Mental fatigue and lack of focus 30 mins after dose. Roughly 12 hours later I was shaking uncontrollably for 4-5 hours with a fever, skeleton and muscle ache, loss of motor control, inability to think. Struggle walking, sitting up, massive headache to the point of loss of vision. Trouble breathing, loss of taste. Wearing sweatshirt, sweatpants, and had 3 blankets on me, was still feeling ice cold and was not sweating at all
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Gait disturbance, Headache, Mental fatigue, Motor dysfunction
Clinical narrative: Mental fatigue and lack of focus 30 mins after dose. Roughly 12 hours later I was shaking uncontrollably for 4-5 hours with a fever, skeleton and muscle ache, loss of motor control, inability to think. Struggle walking, sitting up, massive headache to the point of loss of vision. Trouble breathing, loss of taste. Wearing sweatshirt, sweatpants, and had 3 blankets on me, was still feeling ice cold and was not sweating at all
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Tremor
Clinical narrative: Mental fatigue and lack of focus 30 mins after dose. Roughly 12 hours later I was shaking uncontrollably for 4-5 hours with a fever, skeleton and muscle ache, loss of motor control, inability to think. Struggle walking, sitting up, massive headache to the point of loss of vision. Trouble breathing, loss of taste. Wearing sweatshirt, sweatpants, and had 3 blankets on me, was still feeling ice cold and was not sweating at all
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest pain, Fatigue, Myalgia
Clinical narrative: joint and back pain, muscle ache, fatigued, chest pain. ongoing
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Migraine, Muscle tightness, Nausea, Pain in extremity
Clinical narrative: Headache and fever that led to an intense migraine causing nausea and vomiting.  Muscle tightness, headaches, sore arm. The worst being the migraine that was so intense I would have gone to the hospital could I have drive or had insurance to pay for it.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Headache and fever that led to an intense migraine causing nausea and vomiting.  Muscle tightness, headaches, sore arm. The worst being the migraine that was so intense I would have gone to the hospital could I have drive or had insurance to pay for it.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Heart rate increased, Hyperhidrosis
Clinical narrative: High fever / chills / body aches / joint aches / headache / high blood pressure / high heart rate. Woke up in pool of sweat
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Pain, Pyrexia
Clinical narrative: High fever / chills / body aches / joint aches / headache / high blood pressure / high heart rate. Woke up in pool of sweat
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Aggression, Blood test, Disturbance in attention, Electroencephalogram, Hallucination
Clinical narrative: Panic attacks, hallucinations, talking to himself, pounding, screaming, not be able to focus on anything, psychosis
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Panic attack, Psychotic disorder, Screaming, Soliloquy
Clinical narrative: Panic attacks, hallucinations, talking to himself, pounding, screaming, not be able to focus on anything, psychosis
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Fall, Fatigue, Loss of consciousness, Malaise
Clinical narrative: My daughter got a really sore throat that night I took her to the walk in clinic the next day. They did a strep test on her it came back negative. Then this morning she  felt like puking in the night so she went up stairs and slept on the couch. When she woke up this morning she still wasn?t feeling well so she decided to take a shower and i was in the kitchen doing the dishes and heard her fall in the shower and then start crying so I ran in there and she was on the floor in the shower she said her hearing and eye sight went in and out then she passed out so I got her out of the shower and she started dry heaving and puked up bile. We sat there for a couple minutes and I called the dr on call at her Dr office which is pediatrics office. And Dr told me to report this to you guys and sent me this link. She is feeling completely fine now just really tired.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Retching, Streptococcus test, Visual impairment, Vomiting
Clinical narrative: My daughter got a really sore throat that night I took her to the walk in clinic the next day. They did a strep test on her it came back negative. Then this morning she  felt like puking in the night so she went up stairs and slept on the couch. When she woke up this morning she still wasn?t feeling well so she decided to take a shower and i was in the kitchen doing the dishes and heard her fall in the shower and then start crying so I ran in there and she was on the floor in the shower she said her hearing and eye sight went in and out then she passed out so I got her out of the shower and she started dry heaving and puked up bile. We sat there for a couple minutes and I called the dr on call at her Dr office which is pediatrics office. And Dr told me to report this to you guys and sent me this link. She is feeling completely fine now just really tired.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Fever of 100.4 with chills, body ache, and fatigue
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Loss of consciousness, Neck pain, Pallor
Clinical narrative: Patient said he had a history of feinting with needles.  Had recently feinted from blood sugar finger prick, but didn't completely pass out.  Symptoms at that time lasted about 30 minutes before return to normal.  Also feinted from shot prior to gall bladder surgery.  Patient was seated in chair. I administered the shot.  He appeared to be fine.  We talked with his girlfriend present for several minutes. She decided to wait outside the office.  I informed he he was welcome to remain seated and wait in the office while I walked into the pharmacy to print vaccination cards out.  I came back into the office and he was slumped back with his phone resting on his lap, his eyes were closed.  He was unresponsive but remained breathing the entire time.  I called his girlfriend back in and she and her mom remained with us.  He was pale and began sweating.  We applied a cold rag to his forehead and called the emergency squad.  Before they arrived he came to consciousness.  He was aware of where he was and who he was with.  He complained of a sharp pain in his neck right after he texted his girlfriend he was feeling odd and then blacked out.  The squad checked his vitals, at first he didn't want to go to the emergency room but after trying to stand on his own he was convinced to get checked out further.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient said he had a history of feinting with needles.  Had recently feinted from blood sugar finger prick, but didn't completely pass out.  Symptoms at that time lasted about 30 minutes before return to normal.  Also feinted from shot prior to gall bladder surgery.  Patient was seated in chair. I administered the shot.  He appeared to be fine.  We talked with his girlfriend present for several minutes. She decided to wait outside the office.  I informed he he was welcome to remain seated and wait in the office while I walked into the pharmacy to print vaccination cards out.  I came back into the office and he was slumped back with his phone resting on his lap, his eyes were closed.  He was unresponsive but remained breathing the entire time.  I called his girlfriend back in and she and her mom remained with us.  He was pale and began sweating.  We applied a cold rag to his forehead and called the emergency squad.  Before they arrived he came to consciousness.  He was aware of where he was and who he was with.  He complained of a sharp pain in his neck right after he texted his girlfriend he was feeling odd and then blacked out.  The squad checked his vitals, at first he didn't want to go to the emergency room but after trying to stand on his own he was convinced to get checked out further.
Age: 64.0
Sex: M
Vaccine: TD, DT
Symptoms: Arthralgia, Hypoaesthesia, Joint range of motion decreased, Shoulder injury related to vaccine administration
Clinical narrative: SIRVA left shoulder beginning 1 day s/p vaccine administration. Left shoulder pain, numbness, limited range of motion.
Age: 64.0
Sex: M
Vaccine: TD, DT
Symptoms: Arthralgia, Injected limb mobility decreased, Pain
Clinical narrative: SIRVA left shoulder beginning 1 day s/p vaccine administration. Left shoulder pain, numbness, limited range of motion.
Age: 64.0
Sex: M
Vaccine: TD, DT
Symptoms: Arthralgia, Hypoaesthesia, Joint range of motion decreased, Shoulder injury related to vaccine administration
Clinical narrative: Pain in left arm joint , difficulty in raising arm . Pain while lifting arm
Age: 64.0
Sex: M
Vaccine: TD, DT
Symptoms: Arthralgia, Injected limb mobility decreased, Pain
Clinical narrative: Pain in left arm joint , difficulty in raising arm . Pain while lifting arm
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Swollen tongue
Clinical narrative: Tingling then swelling of tongue.  This lasted about 20-40 minutes before going away by itself.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Seizure, Urinary incontinence
Clinical narrative: A few minutes after the patient received the Janssen covid vaccine, he passed out and wet himself. The paramedics were called and they suspected it may have been a seizure. The patient passed out or had another seizure and the paramedics took him to the hospital.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood electrolytes normal, Blood gases abnormal, Blood pH normal, Blood urea nitrogen/creatinine ratio, Brain natriuretic peptide normal
Clinical narrative: Presented to the ED for evaluation of shortness of breath.  He has tested positive for COVID previously on 09/02/2021 symptom onset was on 09/01 with cough, exertional shortness of breath and rhinorrhea.  Symptoms have been progressively worsening.  Today he fell down hitting left side of his body and his head on a bar in the bathroom.  He did lose consciousness.  Denies any significant complaints apart from nonproductive cough.   Workup in the ED did reveal temperature that was afebrile at 98 pulse is in the 70s respirations of 19-20 blood pressure is stable was hypoxic in the ED at 88% on room air had to be placed on supplemental oxygen 2 L his ESR was 13 CRP was 21.2 electrolytes within normal limits BUN creatinine mildly increased at 24 and 1.40 S LFTs within normal limits BNP less than 5 ABG did reveal a pH of 7.410 pCO2 of 35.9 PO2 of 70.0 blood counts within normal limits CT head did reveal no acute intracranial abnormalities and the chest x-ray did reveal left basilar consolidation. Admitted to hospital 9/8/21. Patient started on dexamethasone, remdesivir, and levofloxacin. Consistently requiring 2L NC, passed walk test 9/10, requiring no oxygen at rest or on exertion. Did have hyperglycemia during hospital stay, likely steroid induced, managed.   Patient is to follow up with PCP within one week and for further management of hyperglycemia. Can d/c COVID isolation precautions 9/12.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, Computerised tomogram head normal, Cough, Dyspnoea exertional
Clinical narrative: Presented to the ED for evaluation of shortness of breath.  He has tested positive for COVID previously on 09/02/2021 symptom onset was on 09/01 with cough, exertional shortness of breath and rhinorrhea.  Symptoms have been progressively worsening.  Today he fell down hitting left side of his body and his head on a bar in the bathroom.  He did lose consciousness.  Denies any significant complaints apart from nonproductive cough.   Workup in the ED did reveal temperature that was afebrile at 98 pulse is in the 70s respirations of 19-20 blood pressure is stable was hypoxic in the ED at 88% on room air had to be placed on supplemental oxygen 2 L his ESR was 13 CRP was 21.2 electrolytes within normal limits BUN creatinine mildly increased at 24 and 1.40 S LFTs within normal limits BNP less than 5 ABG did reveal a pH of 7.410 pCO2 of 35.9 PO2 of 70.0 blood counts within normal limits CT head did reveal no acute intracranial abnormalities and the chest x-ray did reveal left basilar consolidation. Admitted to hospital 9/8/21. Patient started on dexamethasone, remdesivir, and levofloxacin. Consistently requiring 2L NC, passed walk test 9/10, requiring no oxygen at rest or on exertion. Did have hyperglycemia during hospital stay, likely steroid induced, managed.   Patient is to follow up with PCP within one week and for further management of hyperglycemia. Can d/c COVID isolation precautions 9/12.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Full blood count normal, Head injury, Hyperglycaemia, Hypoxia
Clinical narrative: Presented to the ED for evaluation of shortness of breath.  He has tested positive for COVID previously on 09/02/2021 symptom onset was on 09/01 with cough, exertional shortness of breath and rhinorrhea.  Symptoms have been progressively worsening.  Today he fell down hitting left side of his body and his head on a bar in the bathroom.  He did lose consciousness.  Denies any significant complaints apart from nonproductive cough.   Workup in the ED did reveal temperature that was afebrile at 98 pulse is in the 70s respirations of 19-20 blood pressure is stable was hypoxic in the ED at 88% on room air had to be placed on supplemental oxygen 2 L his ESR was 13 CRP was 21.2 electrolytes within normal limits BUN creatinine mildly increased at 24 and 1.40 S LFTs within normal limits BNP less than 5 ABG did reveal a pH of 7.410 pCO2 of 35.9 PO2 of 70.0 blood counts within normal limits CT head did reveal no acute intracranial abnormalities and the chest x-ray did reveal left basilar consolidation. Admitted to hospital 9/8/21. Patient started on dexamethasone, remdesivir, and levofloxacin. Consistently requiring 2L NC, passed walk test 9/10, requiring no oxygen at rest or on exertion. Did have hyperglycemia during hospital stay, likely steroid induced, managed.   Patient is to follow up with PCP within one week and for further management of hyperglycemia. Can d/c COVID isolation precautions 9/12.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test normal, Loss of consciousness, Lung consolidation, PCO2 normal, PO2 decreased
Clinical narrative: Presented to the ED for evaluation of shortness of breath.  He has tested positive for COVID previously on 09/02/2021 symptom onset was on 09/01 with cough, exertional shortness of breath and rhinorrhea.  Symptoms have been progressively worsening.  Today he fell down hitting left side of his body and his head on a bar in the bathroom.  He did lose consciousness.  Denies any significant complaints apart from nonproductive cough.   Workup in the ED did reveal temperature that was afebrile at 98 pulse is in the 70s respirations of 19-20 blood pressure is stable was hypoxic in the ED at 88% on room air had to be placed on supplemental oxygen 2 L his ESR was 13 CRP was 21.2 electrolytes within normal limits BUN creatinine mildly increased at 24 and 1.40 S LFTs within normal limits BNP less than 5 ABG did reveal a pH of 7.410 pCO2 of 35.9 PO2 of 70.0 blood counts within normal limits CT head did reveal no acute intracranial abnormalities and the chest x-ray did reveal left basilar consolidation. Admitted to hospital 9/8/21. Patient started on dexamethasone, remdesivir, and levofloxacin. Consistently requiring 2L NC, passed walk test 9/10, requiring no oxygen at rest or on exertion. Did have hyperglycemia during hospital stay, likely steroid induced, managed.   Patient is to follow up with PCP within one week and for further management of hyperglycemia. Can d/c COVID isolation precautions 9/12.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Red blood cell sedimentation rate normal, Rhinorrhoea, SARS-CoV-2 test positive, Walking distance test normal
Clinical narrative: Presented to the ED for evaluation of shortness of breath.  He has tested positive for COVID previously on 09/02/2021 symptom onset was on 09/01 with cough, exertional shortness of breath and rhinorrhea.  Symptoms have been progressively worsening.  Today he fell down hitting left side of his body and his head on a bar in the bathroom.  He did lose consciousness.  Denies any significant complaints apart from nonproductive cough.   Workup in the ED did reveal temperature that was afebrile at 98 pulse is in the 70s respirations of 19-20 blood pressure is stable was hypoxic in the ED at 88% on room air had to be placed on supplemental oxygen 2 L his ESR was 13 CRP was 21.2 electrolytes within normal limits BUN creatinine mildly increased at 24 and 1.40 S LFTs within normal limits BNP less than 5 ABG did reveal a pH of 7.410 pCO2 of 35.9 PO2 of 70.0 blood counts within normal limits CT head did reveal no acute intracranial abnormalities and the chest x-ray did reveal left basilar consolidation. Admitted to hospital 9/8/21. Patient started on dexamethasone, remdesivir, and levofloxacin. Consistently requiring 2L NC, passed walk test 9/10, requiring no oxygen at rest or on exertion. Did have hyperglycemia during hospital stay, likely steroid induced, managed.   Patient is to follow up with PCP within one week and for further management of hyperglycemia. Can d/c COVID isolation precautions 9/12.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Arthralgia, Blood creatine phosphokinase, Blood thyroid stimulating hormone, Borrelia test
Clinical narrative: Extreme pain to left arm during injection. Softball sized swelling at injection site (high up on left arm) that lasted about 10 days. Continued left shoulder and injection site pain since injection, now with constant arthralgias and myalgias, neck and muscle  weakness, headaches, and fatigue.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Fatigue, Full blood count, Headache, Injection site pain
Clinical narrative: Extreme pain to left arm during injection. Softball sized swelling at injection site (high up on left arm) that lasted about 10 days. Continued left shoulder and injection site pain since injection, now with constant arthralgias and myalgias, neck and muscle  weakness, headaches, and fatigue.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Metabolic function test, Muscular weakness, Myalgia, Red blood cell sedimentation rate
Clinical narrative: Extreme pain to left arm during injection. Softball sized swelling at injection site (high up on left arm) that lasted about 10 days. Continued left shoulder and injection site pain since injection, now with constant arthralgias and myalgias, neck and muscle  weakness, headaches, and fatigue.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid factor, Thyroxine free, Tri-iodothyronine free
Clinical narrative: Extreme pain to left arm during injection. Softball sized swelling at injection site (high up on left arm) that lasted about 10 days. Continued left shoulder and injection site pain since injection, now with constant arthralgias and myalgias, neck and muscle  weakness, headaches, and fatigue.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine (NDC--8077-0273-99, lot # 048C21A) was received at store on 7/16/2021 and placed under refrigerated temperature.  3 vials were transferred to store where 20 doses were administered beyond use date.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antibody test positive, Arthralgia, Blood test abnormal, Mobility decreased, Pain in jaw
Clinical narrative: Approximately 4 to 5 days after shot, hands were swollen each morning, joints were achy and painful.  On the day of the second shot (1 month later) symptoms were still present and were told to the vaccine administrator.  Second shot was given, within 1 to 2 days of the second shot, swelling began in feet, more joints became affected including hips, shoulders, jaw, knees etc.  Waited 1 month after 2nd dose to see primary care doctor due to worsening symptoms.  Bloodwork was performed and a Prednisone taper was prescribed.  Prednisone taper worked, once discontinued symptoms returned and became severe, limiting mobility to the point of not being able to get out of bed.  Bloodwork came back and antibodies that were never present in prior bloodwork were now present and indicated active systemic lupus with low blood compliment levels.  Referred to a Rheumatologist for further lifelong treatment.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, Systemic lupus erythematosus
Clinical narrative: Approximately 4 to 5 days after shot, hands were swollen each morning, joints were achy and painful.  On the day of the second shot (1 month later) symptoms were still present and were told to the vaccine administrator.  Second shot was given, within 1 to 2 days of the second shot, swelling began in feet, more joints became affected including hips, shoulders, jaw, knees etc.  Waited 1 month after 2nd dose to see primary care doctor due to worsening symptoms.  Bloodwork was performed and a Prednisone taper was prescribed.  Prednisone taper worked, once discontinued symptoms returned and became severe, limiting mobility to the point of not being able to get out of bed.  Bloodwork came back and antibodies that were never present in prior bloodwork were now present and indicated active systemic lupus with low blood compliment levels.  Referred to a Rheumatologist for further lifelong treatment.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood culture negative, COVID-19, Cardiomegaly, Chest X-ray abnormal, Cognitive disorder
Clinical narrative: brought from nursing home secondary to  fever and dried blood around her lips.  History was obtained from ER  physician, also from her daughter.  The patient had blood around her mouth and  her lips.  There was a question of seizure activity raised by ER physician,  but patient has on examination a lower tooth, which is quite anterior and  every time we move her lip up and down it completely covers underneath the  lip, which could be a source of occasional mouth trauma.  She is already on  anticoagulation Eliquis which would increase the risk of bleeding even from a  small area.    She underwent a CT face, which shows evidence of what seems to be a  sialoadenitis.  The patient had a fever.  Her COVID test came positive.  She  was vaccinated about 7 months ago.  The patient suffers from dementia,  slightly poor historian, but her eyes are open.  She tries to verbalize.  Does  not follow commands appropriately.    Does not look in any distress.  After evaluation and discussion with the ER  physician and review of CT, patient is being admitted for the IV antibiotic  for sialoadenitis.    She has no hypoxia.  COVID-19 test Abbott is positive.  Will obtain a PCR test  with a different technology since she has been already vaccinated.  Treatment  may not change. Eliquis was placed on hold at this time, hemoglobin 10.2 , plan for recheck outpatient 09/17/21. Currently no active bleeding noted. Patient is also scheduled to have her teeth pulled 09/22/21. I recommended for her to stay off anticoagulants , if no bleeding , Eliquis can be resumed after her procedure .    She was noted to have Acute  metabolic encephalopathy on chronic severe dementia    There was also Concern for oropharyngeal mass as well as acute right sialoadenitis on CT 09/08/21  , ENT evaluating s/p EGD with PEG 09/13/21 and microlaryngoscopy with biopsy right tonsil 09/13/21 . Pathology negative for malignancy.  Patient was managed on Unasyn for suspected  Sialadenitis right. Blood cultures 09/08/21 negative. She was discharged on Augmentin.    Hypokalemia resolved    Apparently vaccinated with Pfizer about 7 months prior , COVID-19 positive 09/08/21 . CXR no acute infiltrates , she is on room air.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head abnormal, Condition aggravated, Dementia, Haemoglobin decreased, Hypokalaemia
Clinical narrative: brought from nursing home secondary to  fever and dried blood around her lips.  History was obtained from ER  physician, also from her daughter.  The patient had blood around her mouth and  her lips.  There was a question of seizure activity raised by ER physician,  but patient has on examination a lower tooth, which is quite anterior and  every time we move her lip up and down it completely covers underneath the  lip, which could be a source of occasional mouth trauma.  She is already on  anticoagulation Eliquis which would increase the risk of bleeding even from a  small area.    She underwent a CT face, which shows evidence of what seems to be a  sialoadenitis.  The patient had a fever.  Her COVID test came positive.  She  was vaccinated about 7 months ago.  The patient suffers from dementia,  slightly poor historian, but her eyes are open.  She tries to verbalize.  Does  not follow commands appropriately.    Does not look in any distress.  After evaluation and discussion with the ER  physician and review of CT, patient is being admitted for the IV antibiotic  for sialoadenitis.    She has no hypoxia.  COVID-19 test Abbott is positive.  Will obtain a PCR test  with a different technology since she has been already vaccinated.  Treatment  may not change. Eliquis was placed on hold at this time, hemoglobin 10.2 , plan for recheck outpatient 09/17/21. Currently no active bleeding noted. Patient is also scheduled to have her teeth pulled 09/22/21. I recommended for her to stay off anticoagulants , if no bleeding , Eliquis can be resumed after her procedure .    She was noted to have Acute  metabolic encephalopathy on chronic severe dementia    There was also Concern for oropharyngeal mass as well as acute right sialoadenitis on CT 09/08/21  , ENT evaluating s/p EGD with PEG 09/13/21 and microlaryngoscopy with biopsy right tonsil 09/13/21 . Pathology negative for malignancy.  Patient was managed on Unasyn for suspected  Sialadenitis right. Blood cultures 09/08/21 negative. She was discharged on Augmentin.    Hypokalemia resolved    Apparently vaccinated with Pfizer about 7 months prior , COVID-19 positive 09/08/21 . CXR no acute infiltrates , she is on room air.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lip haemorrhage, Metabolic encephalopathy, Mouth injury, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: brought from nursing home secondary to  fever and dried blood around her lips.  History was obtained from ER  physician, also from her daughter.  The patient had blood around her mouth and  her lips.  There was a question of seizure activity raised by ER physician,  but patient has on examination a lower tooth, which is quite anterior and  every time we move her lip up and down it completely covers underneath the  lip, which could be a source of occasional mouth trauma.  She is already on  anticoagulation Eliquis which would increase the risk of bleeding even from a  small area.    She underwent a CT face, which shows evidence of what seems to be a  sialoadenitis.  The patient had a fever.  Her COVID test came positive.  She  was vaccinated about 7 months ago.  The patient suffers from dementia,  slightly poor historian, but her eyes are open.  She tries to verbalize.  Does  not follow commands appropriately.    Does not look in any distress.  After evaluation and discussion with the ER  physician and review of CT, patient is being admitted for the IV antibiotic  for sialoadenitis.    She has no hypoxia.  COVID-19 test Abbott is positive.  Will obtain a PCR test  with a different technology since she has been already vaccinated.  Treatment  may not change. Eliquis was placed on hold at this time, hemoglobin 10.2 , plan for recheck outpatient 09/17/21. Currently no active bleeding noted. Patient is also scheduled to have her teeth pulled 09/22/21. I recommended for her to stay off anticoagulants , if no bleeding , Eliquis can be resumed after her procedure .    She was noted to have Acute  metabolic encephalopathy on chronic severe dementia    There was also Concern for oropharyngeal mass as well as acute right sialoadenitis on CT 09/08/21  , ENT evaluating s/p EGD with PEG 09/13/21 and microlaryngoscopy with biopsy right tonsil 09/13/21 . Pathology negative for malignancy.  Patient was managed on Unasyn for suspected  Sialadenitis right. Blood cultures 09/08/21 negative. She was discharged on Augmentin.    Hypokalemia resolved    Apparently vaccinated with Pfizer about 7 months prior , COVID-19 positive 09/08/21 . CXR no acute infiltrates , she is on room air.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sialoadenitis, Speech disorder
Clinical narrative: brought from nursing home secondary to  fever and dried blood around her lips.  History was obtained from ER  physician, also from her daughter.  The patient had blood around her mouth and  her lips.  There was a question of seizure activity raised by ER physician,  but patient has on examination a lower tooth, which is quite anterior and  every time we move her lip up and down it completely covers underneath the  lip, which could be a source of occasional mouth trauma.  She is already on  anticoagulation Eliquis which would increase the risk of bleeding even from a  small area.    She underwent a CT face, which shows evidence of what seems to be a  sialoadenitis.  The patient had a fever.  Her COVID test came positive.  She  was vaccinated about 7 months ago.  The patient suffers from dementia,  slightly poor historian, but her eyes are open.  She tries to verbalize.  Does  not follow commands appropriately.    Does not look in any distress.  After evaluation and discussion with the ER  physician and review of CT, patient is being admitted for the IV antibiotic  for sialoadenitis.    She has no hypoxia.  COVID-19 test Abbott is positive.  Will obtain a PCR test  with a different technology since she has been already vaccinated.  Treatment  may not change. Eliquis was placed on hold at this time, hemoglobin 10.2 , plan for recheck outpatient 09/17/21. Currently no active bleeding noted. Patient is also scheduled to have her teeth pulled 09/22/21. I recommended for her to stay off anticoagulants , if no bleeding , Eliquis can be resumed after her procedure .    She was noted to have Acute  metabolic encephalopathy on chronic severe dementia    There was also Concern for oropharyngeal mass as well as acute right sialoadenitis on CT 09/08/21  , ENT evaluating s/p EGD with PEG 09/13/21 and microlaryngoscopy with biopsy right tonsil 09/13/21 . Pathology negative for malignancy.  Patient was managed on Unasyn for suspected  Sialadenitis right. Blood cultures 09/08/21 negative. She was discharged on Augmentin.    Hypokalemia resolved    Apparently vaccinated with Pfizer about 7 months prior , COVID-19 positive 09/08/21 . CXR no acute infiltrates , she is on room air.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness
Clinical narrative: gave patient immunization and about 5 minutes after administration patient began feeling light headed, dizzy, and clammy. Had patient sit with head between legs and sip water. After about 10 minutes patient felt better. had them sit for an additional 10 minutes or so and afterwards patient said they felt fine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Crying, Dysmenorrhoea, Feeding disorder, Heavy menstrual bleeding
Clinical narrative: Normal side effects followed by severe menstrual cramps, heavy bleeding, period lasting two weeks. Typically my period s are fairly light, my cramps are bearable, and it lasts 5 days tops. The pain was so severe I couldn?t get out of bed. It would cause me to dry heave. I couldn?t eat I couldn?t sleep. It made me cry. The amount I usually bleed I can comfortably wear tampons or a menstrual cup an have no concerns about leaking. Tampons weren?t an option. They would be useless within a half hour. My menstrual cup that is supposed to be able to be left in for up to 12 hour and holds an ounce was having to be emptied every hour because it was overflowing. I had to wear the heaviest duty night time pads I could find and still I was changing them extremely often. My following periods since have been the same. Then I completely missed a period when I?m very regular. And the period following that I had to call my doctor because I was in too much pain to handle. During this time I?ve had no out of the ordinary stress and I?m my entire life I?ve never had anything that has ever triggered a period like the ones I?ve had since getting vaccinated.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Menstrual disorder, Pain, Retching
Clinical narrative: Normal side effects followed by severe menstrual cramps, heavy bleeding, period lasting two weeks. Typically my period s are fairly light, my cramps are bearable, and it lasts 5 days tops. The pain was so severe I couldn?t get out of bed. It would cause me to dry heave. I couldn?t eat I couldn?t sleep. It made me cry. The amount I usually bleed I can comfortably wear tampons or a menstrual cup an have no concerns about leaking. Tampons weren?t an option. They would be useless within a half hour. My menstrual cup that is supposed to be able to be left in for up to 12 hour and holds an ounce was having to be emptied every hour because it was overflowing. I had to wear the heaviest duty night time pads I could find and still I was changing them extremely often. My following periods since have been the same. Then I completely missed a period when I?m very regular. And the period following that I had to call my doctor because I was in too much pain to handle. During this time I?ve had no out of the ordinary stress and I?m my entire life I?ve never had anything that has ever triggered a period like the ones I?ve had since getting vaccinated.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Unauthorized dose administered to an 11 year old due to mother and patient lying about patient age: Nurse Note for encounter 9/19/21: Pt present with her mother to the COVID-19 vaccine clinic.  Mother filled out paperwork lying about child's age & DOB.  Unauthorized first-dose Pfizer vaccine was administered to an 11 year old (11yr, 3mo).  Mother wrote on paperwork that age of child was 12, and DOB 5/27/2009.  Child told vaccinator, who properly screened patient prior to administration of vaccine, that her age was 12.  Unauthorized dose was administered and this was discovered by data-entry team. Mom admitted she gave false information for her daughter in order to get her immunized for COVID.  Mom was informed of guidelines, VAERS report to be filed and that child may not return for 2nd dose Pfizer until she turns 12 or the vaccine is authorized for 11 year olds.
Age: 98.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Atelectasis, Atrial fibrillation, Blood gases abnormal, Brain natriuretic peptide increased
Clinical narrative: presented to the ED on 9/8/21 and admitted with SOB and diarrhea. The pt was sent 9/8/2021. The patients daughter stated that the patient received both doses of the covid vaccine.    In the ED, the pt test positive for COVID-19. She was hypertensive and sat at 81% on 4LNC. She had a leukocytosis and was hyponatremic. ABG suggestive of primary respiratory alkalosis with secondary metabolic acidosis. The patients BNP was 390, CRP 9.7, ferritin 356, D-dimer 2.95. CXR showed evidence of HF with cardiomegaly with moderate R and small L pleural effusions and likely pulmonary edema. CTA demonstrated no presence of PE, only changes of CHF and moderate b/l pleural effusions and consolidation likely representing atelectasis.    Pt was admitted for management of COVID 19 pnuemonia and CHF exacerbation, and hyponatremia. She was started on Remdesivir 200mg x1 followed by 100mg daily, Decadron 6mg daily, Rocephin 1g IV daily, Azithromycin 500mg x1 followed by 250mg daily, Lopressor 25mg BID. She received 1 dose of Lasix 40mg. She was started on 4L oxygen. She tested negative for legionella and strep. Over the 6 day course of her hospitalization the pt?s oxygen levels improved and was gradually weaned off oxygen. Her COVID labs were monitored daily. Her hyponatremia resolved with improved oral intake. She was evaluated by PT/OT. She was discharged back to Residence.  Pt is to continue home medications and starting decadron for 4 more days, Mucinex 600mg,  Albuterol inhaler, Miconazole Nitrate Powder as described above.
Age: 98.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Cardiomegaly
Clinical narrative: presented to the ED on 9/8/21 and admitted with SOB and diarrhea. The pt was sent 9/8/2021. The patients daughter stated that the patient received both doses of the covid vaccine.    In the ED, the pt test positive for COVID-19. She was hypertensive and sat at 81% on 4LNC. She had a leukocytosis and was hyponatremic. ABG suggestive of primary respiratory alkalosis with secondary metabolic acidosis. The patients BNP was 390, CRP 9.7, ferritin 356, D-dimer 2.95. CXR showed evidence of HF with cardiomegaly with moderate R and small L pleural effusions and likely pulmonary edema. CTA demonstrated no presence of PE, only changes of CHF and moderate b/l pleural effusions and consolidation likely representing atelectasis.    Pt was admitted for management of COVID 19 pnuemonia and CHF exacerbation, and hyponatremia. She was started on Remdesivir 200mg x1 followed by 100mg daily, Decadron 6mg daily, Rocephin 1g IV daily, Azithromycin 500mg x1 followed by 250mg daily, Lopressor 25mg BID. She received 1 dose of Lasix 40mg. She was started on 4L oxygen. She tested negative for legionella and strep. Over the 6 day course of her hospitalization the pt?s oxygen levels improved and was gradually weaned off oxygen. Her COVID labs were monitored daily. Her hyponatremia resolved with improved oral intake. She was evaluated by PT/OT. She was discharged back to Residence.  Pt is to continue home medications and starting decadron for 4 more days, Mucinex 600mg,  Albuterol inhaler, Miconazole Nitrate Powder as described above.
Age: 98.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Diarrhoea, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: presented to the ED on 9/8/21 and admitted with SOB and diarrhea. The pt was sent 9/8/2021. The patients daughter stated that the patient received both doses of the covid vaccine.    In the ED, the pt test positive for COVID-19. She was hypertensive and sat at 81% on 4LNC. She had a leukocytosis and was hyponatremic. ABG suggestive of primary respiratory alkalosis with secondary metabolic acidosis. The patients BNP was 390, CRP 9.7, ferritin 356, D-dimer 2.95. CXR showed evidence of HF with cardiomegaly with moderate R and small L pleural effusions and likely pulmonary edema. CTA demonstrated no presence of PE, only changes of CHF and moderate b/l pleural effusions and consolidation likely representing atelectasis.    Pt was admitted for management of COVID 19 pnuemonia and CHF exacerbation, and hyponatremia. She was started on Remdesivir 200mg x1 followed by 100mg daily, Decadron 6mg daily, Rocephin 1g IV daily, Azithromycin 500mg x1 followed by 250mg daily, Lopressor 25mg BID. She received 1 dose of Lasix 40mg. She was started on 4L oxygen. She tested negative for legionella and strep. Over the 6 day course of her hospitalization the pt?s oxygen levels improved and was gradually weaned off oxygen. Her COVID labs were monitored daily. Her hyponatremia resolved with improved oral intake. She was evaluated by PT/OT. She was discharged back to Residence.  Pt is to continue home medications and starting decadron for 4 more days, Mucinex 600mg,  Albuterol inhaler, Miconazole Nitrate Powder as described above.
Age: 98.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer, Gravitational oedema, Hypertension, Hyponatraemia, Legionella test
Clinical narrative: presented to the ED on 9/8/21 and admitted with SOB and diarrhea. The pt was sent 9/8/2021. The patients daughter stated that the patient received both doses of the covid vaccine.    In the ED, the pt test positive for COVID-19. She was hypertensive and sat at 81% on 4LNC. She had a leukocytosis and was hyponatremic. ABG suggestive of primary respiratory alkalosis with secondary metabolic acidosis. The patients BNP was 390, CRP 9.7, ferritin 356, D-dimer 2.95. CXR showed evidence of HF with cardiomegaly with moderate R and small L pleural effusions and likely pulmonary edema. CTA demonstrated no presence of PE, only changes of CHF and moderate b/l pleural effusions and consolidation likely representing atelectasis.    Pt was admitted for management of COVID 19 pnuemonia and CHF exacerbation, and hyponatremia. She was started on Remdesivir 200mg x1 followed by 100mg daily, Decadron 6mg daily, Rocephin 1g IV daily, Azithromycin 500mg x1 followed by 250mg daily, Lopressor 25mg BID. She received 1 dose of Lasix 40mg. She was started on 4L oxygen. She tested negative for legionella and strep. Over the 6 day course of her hospitalization the pt?s oxygen levels improved and was gradually weaned off oxygen. Her COVID labs were monitored daily. Her hyponatremia resolved with improved oral intake. She was evaluated by PT/OT. She was discharged back to Residence.  Pt is to continue home medications and starting decadron for 4 more days, Mucinex 600mg,  Albuterol inhaler, Miconazole Nitrate Powder as described above.