chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cellulitis, Computerised tomogram thorax abnormal, Hypoxia
Clinical narrative: Hospitalized 01/19/2022-still currently admitted; COVID-19 positive 01/19/2022; fully vaccinated plus booster  ASSESSMENT / PLAN: COVID Acute hypoxic respiratory failure secondary to above              COVID positive 1/19              Asymptomatic; per facility have not noted any symptoms either              CT thorax does not show findings of COVID              Decadron 6mg daily              Remdesivir contraindicated due to renal function              Supplemental O2 PRN; currently on 3L, wean as able Admitted with COVID-19 pneumonia and acute hypoxic respiratory failure.  On 3 L by nasal cannula.  Started on Decadron.  Unlikely to benefit from Remdesivir.  Wean off O2 as able.  CT thorax does not show findings of COVID however the patient is wheezing and hypoxic.  He also has right lower extremity cellulitis and nonhealing 2nd toe amputation.  Had a recent angioplasty of the right lower extremity with vascular surgery.  Will start the patient on vancomycin and Zosyn. Heparin drip in place of Xarelto for now. MRI to rule out osteomyelitis.  Vascular surgery consult.  Consider podiatry consult pending MRI findings.  The patient also has acute encephalopathy likely toxic metabolic in the setting of cellulitis and COVID.  Monitor for now.  Patient has acute on chronic anemia.   01/23/22 notes: COVID pnuemonia. Acute hypoxic respiratory failure secondary to above -resolved              COVID positive 1/19              Asymptomatic; per facility have not noted any symptoms either              CT thorax does not show findings of COVID              on room air now. Will stop decadron in case that is causing agitation.   01/31/2022 notes: Acute hypoxic respiratory failure resolved COVID-19 pneumonia resolved Currently on room air  Disposition:  awaiting placement to skilled nursing facility
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Impaired healing, Inappropriate schedule of product administration, Magnetic resonance imaging, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 01/19/2022-still currently admitted; COVID-19 positive 01/19/2022; fully vaccinated plus booster  ASSESSMENT / PLAN: COVID Acute hypoxic respiratory failure secondary to above              COVID positive 1/19              Asymptomatic; per facility have not noted any symptoms either              CT thorax does not show findings of COVID              Decadron 6mg daily              Remdesivir contraindicated due to renal function              Supplemental O2 PRN; currently on 3L, wean as able Admitted with COVID-19 pneumonia and acute hypoxic respiratory failure.  On 3 L by nasal cannula.  Started on Decadron.  Unlikely to benefit from Remdesivir.  Wean off O2 as able.  CT thorax does not show findings of COVID however the patient is wheezing and hypoxic.  He also has right lower extremity cellulitis and nonhealing 2nd toe amputation.  Had a recent angioplasty of the right lower extremity with vascular surgery.  Will start the patient on vancomycin and Zosyn. Heparin drip in place of Xarelto for now. MRI to rule out osteomyelitis.  Vascular surgery consult.  Consider podiatry consult pending MRI findings.  The patient also has acute encephalopathy likely toxic metabolic in the setting of cellulitis and COVID.  Monitor for now.  Patient has acute on chronic anemia.   01/23/22 notes: COVID pnuemonia. Acute hypoxic respiratory failure secondary to above -resolved              COVID positive 1/19              Asymptomatic; per facility have not noted any symptoms either              CT thorax does not show findings of COVID              on room air now. Will stop decadron in case that is causing agitation.   01/31/2022 notes: Acute hypoxic respiratory failure resolved COVID-19 pneumonia resolved Currently on room air  Disposition:  awaiting placement to skilled nursing facility
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Toe amputation, Toxic encephalopathy, Vascular operation, Wheezing
Clinical narrative: Hospitalized 01/19/2022-still currently admitted; COVID-19 positive 01/19/2022; fully vaccinated plus booster  ASSESSMENT / PLAN: COVID Acute hypoxic respiratory failure secondary to above              COVID positive 1/19              Asymptomatic; per facility have not noted any symptoms either              CT thorax does not show findings of COVID              Decadron 6mg daily              Remdesivir contraindicated due to renal function              Supplemental O2 PRN; currently on 3L, wean as able Admitted with COVID-19 pneumonia and acute hypoxic respiratory failure.  On 3 L by nasal cannula.  Started on Decadron.  Unlikely to benefit from Remdesivir.  Wean off O2 as able.  CT thorax does not show findings of COVID however the patient is wheezing and hypoxic.  He also has right lower extremity cellulitis and nonhealing 2nd toe amputation.  Had a recent angioplasty of the right lower extremity with vascular surgery.  Will start the patient on vancomycin and Zosyn. Heparin drip in place of Xarelto for now. MRI to rule out osteomyelitis.  Vascular surgery consult.  Consider podiatry consult pending MRI findings.  The patient also has acute encephalopathy likely toxic metabolic in the setting of cellulitis and COVID.  Monitor for now.  Patient has acute on chronic anemia.   01/23/22 notes: COVID pnuemonia. Acute hypoxic respiratory failure secondary to above -resolved              COVID positive 1/19              Asymptomatic; per facility have not noted any symptoms either              CT thorax does not show findings of COVID              on room air now. Will stop decadron in case that is causing agitation.   01/31/2022 notes: Acute hypoxic respiratory failure resolved COVID-19 pneumonia resolved Currently on room air  Disposition:  awaiting placement to skilled nursing facility
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Limb injury, Lung opacity, Pyrexia
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 06/29/2021.  38 y/o PMHx Diabetes, nonalcoholic steatohepatitis, atrophic kidney, megacolon, dysphagia with peg tube, DKA, resp distress presents to ED with bilat foot wounds that started 5 days ago.  CXR-low lung volumes with bibasilar opacities.  Febrile and room air sat 86%, placed on O2 at 3L NC-97%.  Pt started on IV Abx.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Total lung capacity decreased, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 06/29/2021.  38 y/o PMHx Diabetes, nonalcoholic steatohepatitis, atrophic kidney, megacolon, dysphagia with peg tube, DKA, resp distress presents to ED with bilat foot wounds that started 5 days ago.  CXR-low lung volumes with bibasilar opacities.  Febrile and room air sat 86%, placed on O2 at 3L NC-97%.  Pt started on IV Abx.
Age: 69.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: RASH
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Asthenia
Clinical narrative: Severe arthritis that gradually got worse. Started in left hip, then right hip, now both hips and both knees and less severe in lower back. I have never experienced arthritis like this! Occasionally I get lower back spasm or sore knee but this is debilitating and nsaids not helping even in high doses.
Age: 68.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received a second influenza immunization this season. He reports he did not have any adverse events.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram, Hypoaesthesia, Magnetic resonance imaging, Neurological examination, Paraesthesia
Clinical narrative: Numbness in my right foot at the base of my  big toe. Occasional pins and needles and feelings of walking on glass.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray limb
Clinical narrative: Numbness in my right foot at the base of my  big toe. Occasional pins and needles and feelings of walking on glass.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Flank pain, SARS-CoV-2 test positive, Stent placement, Urine output decreased
Clinical narrative: Covid19 breakthrough.  1st vaccine received on  02/15/2021.  63 y/o PmHx anxiety, arthritis, Fempop bypass, CKD, Bladder/ureteral/Kidney CA, pyelonephritis, COPD, Transitional cell CA of Right Kidney s/p Right Nephrectomy, cystoprostatectomy and Ileoconduit, smoker presents to ED with increased Left flank pain, decreased urine output after recent stent to ileoconduit.  Pt afebrile, Room air sat 99%. Per MD asymptomatic to Covid.  Placed on IV abx.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on  02/15/2021.  63 y/o PmHx anxiety, arthritis, Fempop bypass, CKD, Bladder/ureteral/Kidney CA, pyelonephritis, COPD, Transitional cell CA of Right Kidney s/p Right Nephrectomy, cystoprostatectomy and Ileoconduit, smoker presents to ED with increased Left flank pain, decreased urine output after recent stent to ileoconduit.  Pt afebrile, Room air sat 99%. Per MD asymptomatic to Covid.  Placed on IV abx.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Electrocardiogram, Hypotension, Muscle spasms
Clinical narrative: patient complained of feeling lightheaded and wanted to laydown after vaccine. Patient was hypotensive and had involuntary muscle spasms and had chest tightness. He was take to the ED
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Mechanical urticaria
Clinical narrative: Severe Dermatographia all over the body. Its started after 2 weeks of vaccination. I have visited my PCP and she said that its very commonly seen in various patients. Its starts always in the evening and I can?t even sleep properly. I have to take allegra every day to sleep.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Arthralgia, Asthenia, Condition aggravated, Dysmenorrhoea
Clinical narrative: I experienced extreme muscle soreness, fatigue, and headache for one week following the injection to the point that I was unable to move out of bed.  After one week, I woke up with a stiff neck on my left side and was unable to move my head.  One week later when I was able to exercise again, during a routine exercise that I had done with no problem for years, my left shoulder gave out and I experienced a shooting nerve pain from my left shoulder blade up through my head.   I am in remission for the past year from chronic secondary amenorhea (5 years without menstruation) and did not get my period right after the shot.  Since then, my periods have been extremely heavy for 1.5 days and cramps have been debilitating.  My period also comes earlier and duration is shorter but heavier.  If I experience any sort of stress or excitement, I experience immediate and painful cramps, spotting, debilitating pain in my right shoulder blade and head for several days.  I also experience aching pain in my hips during the night that causes me to wake up in pain.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Fatigue, Headache, Heavy menstrual bleeding, Intermenstrual bleeding
Clinical narrative: I experienced extreme muscle soreness, fatigue, and headache for one week following the injection to the point that I was unable to move out of bed.  After one week, I woke up with a stiff neck on my left side and was unable to move my head.  One week later when I was able to exercise again, during a routine exercise that I had done with no problem for years, my left shoulder gave out and I experienced a shooting nerve pain from my left shoulder blade up through my head.   I am in remission for the past year from chronic secondary amenorhea (5 years without menstruation) and did not get my period right after the shot.  Since then, my periods have been extremely heavy for 1.5 days and cramps have been debilitating.  My period also comes earlier and duration is shorter but heavier.  If I experience any sort of stress or excitement, I experience immediate and painful cramps, spotting, debilitating pain in my right shoulder blade and head for several days.  I also experience aching pain in my hips during the night that causes me to wake up in pain.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Mobility decreased, Muscular weakness, Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: I experienced extreme muscle soreness, fatigue, and headache for one week following the injection to the point that I was unable to move out of bed.  After one week, I woke up with a stiff neck on my left side and was unable to move my head.  One week later when I was able to exercise again, during a routine exercise that I had done with no problem for years, my left shoulder gave out and I experienced a shooting nerve pain from my left shoulder blade up through my head.   I am in remission for the past year from chronic secondary amenorhea (5 years without menstruation) and did not get my period right after the shot.  Since then, my periods have been extremely heavy for 1.5 days and cramps have been debilitating.  My period also comes earlier and duration is shorter but heavier.  If I experience any sort of stress or excitement, I experience immediate and painful cramps, spotting, debilitating pain in my right shoulder blade and head for several days.  I also experience aching pain in my hips during the night that causes me to wake up in pain.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neuralgia, Sleep disorder
Clinical narrative: I experienced extreme muscle soreness, fatigue, and headache for one week following the injection to the point that I was unable to move out of bed.  After one week, I woke up with a stiff neck on my left side and was unable to move my head.  One week later when I was able to exercise again, during a routine exercise that I had done with no problem for years, my left shoulder gave out and I experienced a shooting nerve pain from my left shoulder blade up through my head.   I am in remission for the past year from chronic secondary amenorhea (5 years without menstruation) and did not get my period right after the shot.  Since then, my periods have been extremely heavy for 1.5 days and cramps have been debilitating.  My period also comes earlier and duration is shorter but heavier.  If I experience any sort of stress or excitement, I experience immediate and painful cramps, spotting, debilitating pain in my right shoulder blade and head for several days.  I also experience aching pain in my hips during the night that causes me to wake up in pain.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Was given Covid vaccine error, 3 other siblings in room. No adverse reaction. Follow up call to mom, with interpreter, no answer, voice mail asking mom to return call next business day to schedule appointment. Call to mom with use of interpreter, mom states child is ok and not able to come to appointment today, appointment scheduled next day, Tuesday. Error was immediately reported to clinic manager
Age: 28.0
Sex: M
Vaccine: HEP, HEPA, MMRV
Symptoms: Chills, Fatigue, Nausea, Pain, Pyrexia
Clinical narrative: After approximately 48 hours, I experienced fever, nausea, body aches, chills, fatigue, and skin irritation for 24 hours.
Age: 28.0
Sex: M
Vaccine: HEP, HEPA, MMRV
Symptoms: Skin irritation
Clinical narrative: After approximately 48 hours, I experienced fever, nausea, body aches, chills, fatigue, and skin irritation for 24 hours.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Electrocardiogram normal, Heart rate increased, Heavy menstrual bleeding, Menstruation delayed
Clinical narrative: elevated heart rate, very strong heart beat for over one week post vaccine, late period and very severe period cramps and heavy flow.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Neck pain, Pain
Clinical narrative: I'm having pain in the lower rear of my head and upper back of my neck.  Pain worsens during sleep.  Almost not able to roll over at night because the pain is so bad.  This has been going on since 12/21/2021 which is 1 week after the vaccination.  This has occurred every night since 12/21/2021.  Rear of my head and upper back of my neck are also sore during the day but not as bad as during the night.  When I drive, it is hard for me to turn my head to the left or to the right.  I have to turn my whole body to see to the left and to see to the right.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sensory disturbance
Clinical narrative: 55 year old female with PMH significant for temporal arteritis diagnosed in 2020, who presented to the Ed for evaluation of headache. Pain is mostly on the right temple and right side of head, described as feeling like someone is grinding on her temple, associated with blurry right eye. Patient reported that she is under the care of a neurologist Dr. outpatient. She reported that her headaches have been on and off but worse since Saturday, hence she came to the Ed for further evaluation. She was given IV solumedrol in ED. .
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: 55 year old female with PMH significant for temporal arteritis diagnosed in 2020, who presented to the Ed for evaluation of headache. Pain is mostly on the right temple and right side of head, described as feeling like someone is grinding on her temple, associated with blurry right eye. Patient reported that she is under the care of a neurologist Dr. outpatient. She reported that her headaches have been on and off but worse since Saturday, hence she came to the Ed for further evaluation. She was given IV solumedrol in ED. .
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Was given wrong dose of Covid vaccine. 3 other siblings in room and this child was given higher dose vaccine. No adverse reaction. Follow up call to mom with phone interpreter, no answer and voice mail asking mom to return call next business day, to schedule appointment. Call to mom with use of interpreter, on Monday, Mom states child is ok and not able to come to appointment today. Appointment scheduled, next day, Tuesday. Error was immediately reported to clinic manager.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, COVID-19, Condition aggravated, Dizziness
Clinical narrative: 88 yr old male with PMH of arrhythmia, HTN, GERD, CAD, AFIb, HLD, LBBB and CHF presents fpr evaluation of dizziness. Patient states around 4 AM this morning he developed an onset of dizziness in which he states has been frequent and presistant. Patient is unsure if the room is spinning and feels geneally weak as well. Patient also had several episodes of vomitting . in er evaluation found to be in rapid afib and started on cardizem drip for rate control . pt also tested postive for covid . he has had J&j vaccine and pfizer booster
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 88 yr old male with PMH of arrhythmia, HTN, GERD, CAD, AFIb, HLD, LBBB and CHF presents fpr evaluation of dizziness. Patient states around 4 AM this morning he developed an onset of dizziness in which he states has been frequent and presistant. Patient is unsure if the room is spinning and feels geneally weak as well. Patient also had several episodes of vomitting . in er evaluation found to be in rapid afib and started on cardizem drip for rate control . pt also tested postive for covid . he has had J&j vaccine and pfizer booster
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alopecia, Blood test
Clinical narrative: Hair loss noticeable around December and still experiencing above average hair loss as of today February 1, 2022. My concern led me to my doctor and we performed multiple blood tests including cancer screenings and a full vitamin profile. The test concluded I was thriving and showed no reason for hair loss. The only difference in my life was taking vaccines.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Electrocardiogram, Laboratory test, Myocardial necrosis marker
Clinical narrative: Left-sided chest pain onset 2 days after 2nd dose of pfizer covid-19 vaccine. Vaccinated on 01/30/22. pain started 02/01/22. Pain radiates to the left upper extremity. EKG completed at Urgent Care. Pt referred to local ED  for further evaluation, treatment & management (Cardiac work up, enzymes, CXR etc)
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Decreased appetite, Dyskinesia, Mental status changes, Muscle twitching
Clinical narrative: Acute renal failure. Altered mental status. Decreased appetite for 2+ days, involuntary jerk/twitch of body and admitted.
Age: 7.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Administered HPV9 and MCV4 vaccine to child too young to receive them. No adverse events noted during or after vaccination - error was caught during record review after clinic.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Herpes zoster, Lymphoma, Neuralgia, Pain
Clinical narrative: The next day after vaccination- developed pain on the right side lower hip. Never had any pain before that. Thought it was due to my daily exercise (had tried a new yoga pose that day). The pain continued- took over the counter pain killers.  Six days after the first shot, on 03/01/2021 I noticed rashes on the right side of my body- above my hips, going all the way halfway from my back to under my breasts.  It was after office hours, so I immediately bought calamine lotion and applied it. Next day, I called Urgent care Telehealth (could not get an appointment with my physician).  It was Shingles- was prescribed Acyclovir and Gabapentin. I took only the antiviral at the beginning. The pain was intense for many days, and so I took Gabapentin. I had immediate reaction - felt like the nerves in my head were bursting (around mid-night one day), then I took a Tylenol - it helped calm down the sensation. The shingles did not go away till end of April.  Went back to my physician again end of March- he prescribed Valtrex again for ten days. I had neuralgia- saw a neurologist, who prescribed Gabapentin. Took Gabapentin till mid- June 2021, slowly weaned away from it.  I took the second shot of the Covid Vaccine on 03/23/2021 while I was suffering from Shingles.  Consulted the doctor on site at Vax site, she thought it was okay to get the second dose.   After I was cured of Shingles, I noticed that I had a swelling on the right side of my neck under my jaw.  I was later diagnosed with Lymphoma on July 20, 2021.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling, Swelling face
Clinical narrative: The next day after vaccination- developed pain on the right side lower hip. Never had any pain before that. Thought it was due to my daily exercise (had tried a new yoga pose that day). The pain continued- took over the counter pain killers.  Six days after the first shot, on 03/01/2021 I noticed rashes on the right side of my body- above my hips, going all the way halfway from my back to under my breasts.  It was after office hours, so I immediately bought calamine lotion and applied it. Next day, I called Urgent care Telehealth (could not get an appointment with my physician).  It was Shingles- was prescribed Acyclovir and Gabapentin. I took only the antiviral at the beginning. The pain was intense for many days, and so I took Gabapentin. I had immediate reaction - felt like the nerves in my head were bursting (around mid-night one day), then I took a Tylenol - it helped calm down the sensation. The shingles did not go away till end of April.  Went back to my physician again end of March- he prescribed Valtrex again for ten days. I had neuralgia- saw a neurologist, who prescribed Gabapentin. Took Gabapentin till mid- June 2021, slowly weaned away from it.  I took the second shot of the Covid Vaccine on 03/23/2021 while I was suffering from Shingles.  Consulted the doctor on site at Vax site, she thought it was okay to get the second dose.   After I was cured of Shingles, I noticed that I had a swelling on the right side of my neck under my jaw.  I was later diagnosed with Lymphoma on July 20, 2021.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: this was the second vaccine of Moderna for this person the first vaccine was Moderna given 1/3/2022  Lot Number 070H21A . Realized patient was under 18 at this visit. mother/grandmother stated there were no side effect that patient had
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection  *Pt was transferred to another location
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Dyspnoea, Heart rate increased, Tachycardia
Clinical narrative: After receiving covid vaccine, patient reported chest pain, tachycardia. Chest pain occurred in conjunction with back pain in between shoulderblades.  Pain described as pressure.   Also occurred after initial Pfzier vaccine Lot # EWO182 administered 9/15/21 and lasted for 2 weeks. Heart rate remained over 100.  Drinks 1 caffeinated beverage per day. Both instances were also associated with intermittent shortness of breath.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized with COVID-19
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient had 1st dose of Pfizer vaccine on 11/12/2021 and the last dose on 12/03/2021. Since then, patient has tested positive for COVID-19 twice (once on 12/29/2021 and on 01/28/2022). Patient thinks the vaccine doesn't work or something is wrong with it.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: I developed Dermatographia (itching + hives) after the Moderna booster for COVID19.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Chest pain, Fatigue, Nausea
Clinical narrative: Patient is fully vaccinated.  Boosted on 12/22/2021.  COVID + at ED visit on 1/3/2022.  53-year-old female with a history of liver transplant. Patient presents to the emergency department with concern of covid infection. Patient states that her symptoms started 2 days ago. She is having body aches, fatigue, feeling feverish, nausea. She is on chronic immunosuppressants for her transplant. She does have bilateral chest pain worse with deep inhalation and cough. Denies any shortness of breath, hemoptysis, lower extremity swelling, history of PE or DVT. CXR: Chest appears as stated without evidence of a suspicious pleural or parenchymal abnormality. Normal EKG. Discharged home stable
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Patient is fully vaccinated.  Boosted on 12/22/2021.  COVID + at ED visit on 1/3/2022.  53-year-old female with a history of liver transplant. Patient presents to the emergency department with concern of covid infection. Patient states that her symptoms started 2 days ago. She is having body aches, fatigue, feeling feverish, nausea. She is on chronic immunosuppressants for her transplant. She does have bilateral chest pain worse with deep inhalation and cough. Denies any shortness of breath, hemoptysis, lower extremity swelling, history of PE or DVT. CXR: Chest appears as stated without evidence of a suspicious pleural or parenchymal abnormality. Normal EKG. Discharged home stable
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Middle ear effusion, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: Sinus infection, drainage in the back of throat, headache, fluid in ears, mild cough
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: Sinus infection, drainage in the back of throat, headache, fluid in ears, mild cough
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Musculoskeletal stiffness, Oedema peripheral, Pain in extremity, Rheumatoid factor
Clinical narrative: I had swelling in armpit and lymph nodes on my left side. On December 21, 2021 called Telehealth spoke with doctor advised me to follow up with my doctor if  the stiffness and swelling didn't go away. I'm having the swelling as of today bend my left fingers still experiencing pain.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: I had swelling in armpit and lymph nodes on my left side. On December 21, 2021 called Telehealth spoke with doctor advised me to follow up with my doctor if  the stiffness and swelling didn't go away. I'm having the swelling as of today bend my left fingers still experiencing pain.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Bacterial vulvovaginitis, Computerised tomogram, Epigastric discomfort
Clinical narrative: Begin having pain in my abdominal area one week after my second injection. Was diagnosed as bacterial vaginitis two times with subsequent antibiotic therapy. This offered some relief but the pain continued until I had to be seen on January 31st 2022 at hospital where a CT showed an epigastric appendigitis. I am now set up to see the gastroenterologist tomorrow morning.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Vaccine breakthrough COVID-19 infection requiring hospitalization.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: On January 13, 2022 patient received their Pfizer Covid- 19 booster vaccine at our satellite location. About 2 weeks later (1-18-22) she developed an itchy rash on her scalp, neck, and shoulders bilaterally. She states the rash is very itchy and she puts Vaseline on it which helps with the itching. It has not gotten worse over the last couple of days. No further complaints and denies needs. Encouraged her to follow-up with her primary care physician for his/her opinion if rash doesn't go away and she VU.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Within about 5 minutes of receiving the vaccine, Pt. Began feeling lightheaded and briefly lost consciousness. Pt was helped to the floor with assistance per mom and RN.  She was out for approximately 45 seconds and quickly regained consciousness. Legs were elevated and pt began to feel better and sat up quickly.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aortic valve replacement, Blood potassium increased, COVID-19, Cardiac arrest, Death
Clinical narrative: Admitted to hospital unit from clinic appt with critical K+, increased SOB, and COVID postiive.  He is also s/p TVAR 1 week.    Discharged home on 1/12/22, and expired following cardiac arrest.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital unit from clinic appt with critical K+, increased SOB, and COVID postiive.  He is also s/p TVAR 1 week.    Discharged home on 1/12/22, and expired following cardiac arrest.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: After 1 day of receiving her Pfizer Covid Booster, patient states lymph node swollen in left axilla area ( same arm shot was given).
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood loss anaemia, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is fully vaccinated. COVID + at admission to hospital. Patient admitted with shortness of breath and cough.   She states that she started feeling fatigued about 2 weeks ago, DX Pneumonia due to COVID-19.  During hospitalization: blood loss anemia, CHF and dyspnea. CXR Correlate for congestion versus atypical pneumonia. Hemoglobic 7. One unit PRBC given. Lasix and metoprolol given for CHF. Cr 2.11 acute kidney injury. Elevated troponins. Remdesivir given. Discharged to home.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chest X-ray abnormal, Cough, Dyspnoea, Fatigue
Clinical narrative: Patient is fully vaccinated. COVID + at admission to hospital. Patient admitted with shortness of breath and cough.   She states that she started feeling fatigued about 2 weeks ago, DX Pneumonia due to COVID-19.  During hospitalization: blood loss anemia, CHF and dyspnea. CXR Correlate for congestion versus atypical pneumonia. Hemoglobic 7. One unit PRBC given. Lasix and metoprolol given for CHF. Cr 2.11 acute kidney injury. Elevated troponins. Remdesivir given. Discharged to home.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Packed red blood cell transfusion, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient is fully vaccinated. COVID + at admission to hospital. Patient admitted with shortness of breath and cough.   She states that she started feeling fatigued about 2 weeks ago, DX Pneumonia due to COVID-19.  During hospitalization: blood loss anemia, CHF and dyspnea. CXR Correlate for congestion versus atypical pneumonia. Hemoglobic 7. One unit PRBC given. Lasix and metoprolol given for CHF. Cr 2.11 acute kidney injury. Elevated troponins. Remdesivir given. Discharged to home.
Age: 16.0
Sex: M
Vaccine: FLU4, MENB, MNQ
Symptoms: Anaphylactic reaction, Throat tightness, Urticaria
Clinical narrative: Please see continuation page. He had hives on neck, legs 1 hour after receiving vaccines yesterday Gave benadryl, but then he felt his throat was closing Hives spread throughout diffusely his entire body Mom gave him hydrocortisone cream and hives subsequently went away for the next few hours He slept and didn't complain of any throat issues overnight, this morning, feels a lot better Denies any throat closure, able to swallow just fine, no respiratory distress, no cough, no labored breathing, no GI sx (no nausea, vomiting, diarhea), no neuro sx (no syncope, no lightheadedness, no headache, no feeling faint), feels perfectly fine. Hives are completely gone this morning and feels no symptoms.   Denies fever, chills, sweats, denies conjunctival injection, eye issues, earache, ear pain, nasal discharge, neck pain, SOB, cough, cyanosis, nausea, vomiting, diarrhea, arthalgia, urinary symptoms, headache, abnormal movements or rash.   Told mom anaphylaxis can be biphasic and the second occurrence can happen anytime from 1-72 hours, he should be carefully monitored, epi pen prescribed to pharmacy and spent 5 min counseling on appropriate use and administration, if recurrence - epi pen needs to be used and go straight to ER. Mom to pick up Epi Pen. Discussed only new vaccine he received was Men B#1, will put on allergy list and told mom we can pursue testing - will mail out referral. ER criteria spoke about in detail.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given 0.5ml instead of 0.25ml, Calle patient on 1/19/2022 and he denies any problems since vaccination, letter sent to patient notifying of dosage given.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The Patient received a full pediatric dose of the Pfizer orange cap instead of the adult dose of the Pfizer purple cap, recommended for their age.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Dysmenorrhoea, Facial pain, Injection site pain, Menstruation irregular
Clinical narrative: Pain in the left arm and reflected in the axilla, neck and face. Period not normal, with pain and lasts more than 7 days.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain
Clinical narrative: Pain in the left arm and reflected in the axilla, neck and face. Period not normal, with pain and lasts more than 7 days.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Bone pain, Diarrhoea, Disturbance in attention
Clinical narrative: I WOKE UP IN THE MORNING AND FELT LIKE A TRUCK RAN OVER ME AND MY JOINTS AND BONES STARTED TO HURT LIKE CRAZY. I CALLED MY DR AND ASKED IF THEY COULD DO A TEST. THEY DID A BLOOD TEST AND FOUND THAT I HAD SJOGREN SYNDROM AND RHEUMATOID ATHRITIS. SINCE THEN MY DIGESTIVE SYSTEM FOR 6 MONTHS WAS REALLY BAD- TERRIBLE REFLUX, DIARRHEA, BONES AND JOINT PAIN IS GETTING WORSE AND WORSE. I'VE BEEN TAKING PREDNISONE AND OTHER PAIN MEDICATION AND I GOT DIAGNOSED WITH NEUROPATHY IN MY HANDS, LEGS. I HAVE BRAIN CLOUDLYNESS, SOME DAYS I CAN'T EVEN THINK.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Feeling abnormal, Gastrooesophageal reflux disease, Neuropathy peripheral, Rheumatoid arthritis
Clinical narrative: I WOKE UP IN THE MORNING AND FELT LIKE A TRUCK RAN OVER ME AND MY JOINTS AND BONES STARTED TO HURT LIKE CRAZY. I CALLED MY DR AND ASKED IF THEY COULD DO A TEST. THEY DID A BLOOD TEST AND FOUND THAT I HAD SJOGREN SYNDROM AND RHEUMATOID ATHRITIS. SINCE THEN MY DIGESTIVE SYSTEM FOR 6 MONTHS WAS REALLY BAD- TERRIBLE REFLUX, DIARRHEA, BONES AND JOINT PAIN IS GETTING WORSE AND WORSE. I'VE BEEN TAKING PREDNISONE AND OTHER PAIN MEDICATION AND I GOT DIAGNOSED WITH NEUROPATHY IN MY HANDS, LEGS. I HAVE BRAIN CLOUDLYNESS, SOME DAYS I CAN'T EVEN THINK.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Sjogren's syndrome
Clinical narrative: I WOKE UP IN THE MORNING AND FELT LIKE A TRUCK RAN OVER ME AND MY JOINTS AND BONES STARTED TO HURT LIKE CRAZY. I CALLED MY DR AND ASKED IF THEY COULD DO A TEST. THEY DID A BLOOD TEST AND FOUND THAT I HAD SJOGREN SYNDROM AND RHEUMATOID ATHRITIS. SINCE THEN MY DIGESTIVE SYSTEM FOR 6 MONTHS WAS REALLY BAD- TERRIBLE REFLUX, DIARRHEA, BONES AND JOINT PAIN IS GETTING WORSE AND WORSE. I'VE BEEN TAKING PREDNISONE AND OTHER PAIN MEDICATION AND I GOT DIAGNOSED WITH NEUROPATHY IN MY HANDS, LEGS. I HAVE BRAIN CLOUDLYNESS, SOME DAYS I CAN'T EVEN THINK.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Skin exfoliation
Clinical narrative: I got a rash that the skin looks like its burning and peeling. At times itches, spots on side, legs, chest, back, and breast. .
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, COVID-19, Chest X-ray normal, Computerised tomogram normal
Clinical narrative: Patient is fully vaccinated.  COVID + on 1/4/2022.  ED visit on 1/3/2022 for fall.  Found on the floor behind a door this morning by family. Positive for cough. BP 134/66  | Pulse 68  | Temp 97.6 °F (36.4 °C) (Oral)  | Resp 18  | LMP  (LMP Unknown)  | SpO2 97% Discharged from ED.  Brought back and hospitalized on 1/4/2022 for weakness and SOB, fatigue.  Chest x-ray and CT were done, reviewed, unremarkable. Blood work unremarkable. Currently, she is on room air.  Correct electrolytes per protocol.urine culture was positive for E coli.  Continue with antibiotics. Discharged in stable condition.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Culture urine positive, Dyspnoea, Electrolyte imbalance, Escherichia test positive
Clinical narrative: Patient is fully vaccinated.  COVID + on 1/4/2022.  ED visit on 1/3/2022 for fall.  Found on the floor behind a door this morning by family. Positive for cough. BP 134/66  | Pulse 68  | Temp 97.6 °F (36.4 °C) (Oral)  | Resp 18  | LMP  (LMP Unknown)  | SpO2 97% Discharged from ED.  Brought back and hospitalized on 1/4/2022 for weakness and SOB, fatigue.  Chest x-ray and CT were done, reviewed, unremarkable. Blood work unremarkable. Currently, she is on room air.  Correct electrolytes per protocol.urine culture was positive for E coli.  Continue with antibiotics. Discharged in stable condition.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  COVID + on 1/4/2022.  ED visit on 1/3/2022 for fall.  Found on the floor behind a door this morning by family. Positive for cough. BP 134/66  | Pulse 68  | Temp 97.6 °F (36.4 °C) (Oral)  | Resp 18  | LMP  (LMP Unknown)  | SpO2 97% Discharged from ED.  Brought back and hospitalized on 1/4/2022 for weakness and SOB, fatigue.  Chest x-ray and CT were done, reviewed, unremarkable. Blood work unremarkable. Currently, she is on room air.  Correct electrolytes per protocol.urine culture was positive for E coli.  Continue with antibiotics. Discharged in stable condition.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Antiphospholipid antibodies, Antithrombin III, Blood test
Clinical narrative: Patient was seen in the office on 12/29/2021 following a two day history of cough productive of increasing amounts of blood.  He also noted L-sided pleuritic-type chest pain.   On exam, his vitals were:  BMI 28.2, BP 110/70, P 116, T 97.2m O2 sat 95%.  His primary symptom was the chest pain, he was not short of breath but was noted to be diaphoretic.  Blood work and CT angiogram of chest were ordered.  The CT was positive for segmental pulmonary emboli within the lingula and RLL with associated pulmonary infarct.  He was admitted to the hospital due to risk of hemorrage because of active hemoptysis. He was treated with anticoagulants, the hemoptysis resolved and he was discharged home on Xarelto 15 mg po bid.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Coagulation factor V level normal, Coagulation test normal, Haemoptysis, Hyperhidrosis
Clinical narrative: Patient was seen in the office on 12/29/2021 following a two day history of cough productive of increasing amounts of blood.  He also noted L-sided pleuritic-type chest pain.   On exam, his vitals were:  BMI 28.2, BP 110/70, P 116, T 97.2m O2 sat 95%.  His primary symptom was the chest pain, he was not short of breath but was noted to be diaphoretic.  Blood work and CT angiogram of chest were ordered.  The CT was positive for segmental pulmonary emboli within the lingula and RLL with associated pulmonary infarct.  He was admitted to the hospital due to risk of hemorrage because of active hemoptysis. He was treated with anticoagulants, the hemoptysis resolved and he was discharged home on Xarelto 15 mg po bid.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Pleuritic pain, Productive cough, Protein C, Protein S normal, Prothrombin level normal
Clinical narrative: Patient was seen in the office on 12/29/2021 following a two day history of cough productive of increasing amounts of blood.  He also noted L-sided pleuritic-type chest pain.   On exam, his vitals were:  BMI 28.2, BP 110/70, P 116, T 97.2m O2 sat 95%.  His primary symptom was the chest pain, he was not short of breath but was noted to be diaphoretic.  Blood work and CT angiogram of chest were ordered.  The CT was positive for segmental pulmonary emboli within the lingula and RLL with associated pulmonary infarct.  He was admitted to the hospital due to risk of hemorrage because of active hemoptysis. He was treated with anticoagulants, the hemoptysis resolved and he was discharged home on Xarelto 15 mg po bid.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Pulmonary infarction, Ultrasound Doppler normal
Clinical narrative: Patient was seen in the office on 12/29/2021 following a two day history of cough productive of increasing amounts of blood.  He also noted L-sided pleuritic-type chest pain.   On exam, his vitals were:  BMI 28.2, BP 110/70, P 116, T 97.2m O2 sat 95%.  His primary symptom was the chest pain, he was not short of breath but was noted to be diaphoretic.  Blood work and CT angiogram of chest were ordered.  The CT was positive for segmental pulmonary emboli within the lingula and RLL with associated pulmonary infarct.  He was admitted to the hospital due to risk of hemorrage because of active hemoptysis. He was treated with anticoagulants, the hemoptysis resolved and he was discharged home on Xarelto 15 mg po bid.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given 0.5ml instead of 0.25ml, patient called on 1/19/2022 and denies any problems since getting vaccine. Letter also sent notifying of dosage given.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia areata, Computerised tomogram, Condition aggravated, Lymphadenitis, Lymphadenopathy
Clinical narrative: On September of 2021 I started having persistent inflamed lymph nodes, I had them the first time on the left side of my neck. I got them checked out and they said it can be an infection but I was feeling completely fine, no signs of an infection. They disappeared after 2 months or so and now they're showing on the right side of my neck. I'm getting that checked again next week. Another issue I got is I was diagnosed with Alopecia Areata on December 2021. I have no family history with areata which makes me believe it was caused by the vaccine.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The patient received a full pediatric dose of the Pfizer orange cap instead of the adult dose of Pfizer purple cap, recommended for their age.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: congestion, rhinorrhea,  sore throat, HA started 1/31/22
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram abnormal, Laboratory test, Magnetic resonance imaging, Partial seizures, Seizure
Clinical narrative: Seizures. Had first obvious seizure on November 11. However, likely had less obvious seizures a few days prior. Subtle symptoms so exact timing is difficult to say. Went to the ER on November 26 for suspected seizures. Patient was admitted to hospital and did a 48 hour video EEG. 2 focal seizures noted on EEG. Discharged from hospital and put on trileptal. Patient is currently still taking trileptal and is not having apparent seizures. Unsure at this point if seizures have stopped due to medication or if the seizure activity has resolved. Appointment with neurology scheduled for February.
Age: 76.0
Sex: U
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: NO ADVERSE EFFECT GIVEN A BOOSTER, WHEN ALREADY HAD A BOOSTER IN NOVEMBER
Age: 5.0
Sex: F
Vaccine: COVID19, DTAP, FLU4, IPV, MMR, VARCEL
Symptoms: Product storage error
Clinical narrative: Dose of COVID 19 vaccine given 4 days after expiration. Incorrectly calculated expiration date.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: hospitalized with breakthrough COVID infection
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Injection site pain, X-ray
Clinical narrative: I had no reactions, other than slightly sore arm, at the time of the vaccination.  Two months later, in mid- December, I experienced sudden, sharp pain in my right hip as I was walking down a flight of stairs.  X-ray reveals no broken bone(s) and no degenerative changes.  I have seen a Physical Therapist twice, and continue working with PT exercises.  I am also continuing to walk, slowly and carefully.  There has been improvement, but I continue to experience sudden sharp pain usual, fast pivots on my right leg, and when walking with a normal stride.   I have no idea if this is related to the vaccine, but there was no other apparent accident or injury prior to the pain.  So, I am reporting it in order for it to become part of the body of data, should other people be experiencing similar event(s).