chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood urea increased, Brain natriuretic peptide increased, Carbon dioxide decreased, Chest X-ray abnormal
Clinical narrative: Patient was vaccinated on 09/01 with first dose of Pfizer vaccine. Patient was transferred to hospital on the evening of 09/06.  Patient was found with altered mental status in a camper by friend. Friend said they had been drinking and snorting cocaine. Upon arrival of first hospital, patient was tachycardic, confused, had LLE pain, and left buttock pain (concerning for compartment syndrome). CT angio runoff of bilateral LE showed nonspecific muscular edema involving left gluteus, adductor musculature, and left hamstring musculature. CXR results consistent with pneumonia. Initial procal was 12 at another hospital, was 47 when arrived here. Initial CK was 40,000, but had increased to more than 80,000 one day later. K+ was 8.9 and serum creatinine was 3. BNP was 314 and lactate was 3.3. Patient required pressors at first hospital (dobutamine and levophed) but was off by the time he arrived here. UDS was presumed positive for cocaine. Initial EF was 20-30%, which was concerning for cardiogenic shock. Once transferred to MICU, patient was treated for rhabdomyolysis and hyperkalemia. Treated hyperkalemia with bicarb, dextrose, insulin, and calcium. Rhabdo was treated with IV fluid resuscitation (lactated ringers). It is unclear if events was substance use rhabdomyolysis or vaccine induced. Unable to verify causation.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Drug abuse, Drug screen positive, Ejection fraction decreased, Glomerular filtration rate decreased
Clinical narrative: Patient was vaccinated on 09/01 with first dose of Pfizer vaccine. Patient was transferred to hospital on the evening of 09/06.  Patient was found with altered mental status in a camper by friend. Friend said they had been drinking and snorting cocaine. Upon arrival of first hospital, patient was tachycardic, confused, had LLE pain, and left buttock pain (concerning for compartment syndrome). CT angio runoff of bilateral LE showed nonspecific muscular edema involving left gluteus, adductor musculature, and left hamstring musculature. CXR results consistent with pneumonia. Initial procal was 12 at another hospital, was 47 when arrived here. Initial CK was 40,000, but had increased to more than 80,000 one day later. K+ was 8.9 and serum creatinine was 3. BNP was 314 and lactate was 3.3. Patient required pressors at first hospital (dobutamine and levophed) but was off by the time he arrived here. UDS was presumed positive for cocaine. Initial EF was 20-30%, which was concerning for cardiogenic shock. Once transferred to MICU, patient was treated for rhabdomyolysis and hyperkalemia. Treated hyperkalemia with bicarb, dextrose, insulin, and calcium. Rhabdo was treated with IV fluid resuscitation (lactated ringers). It is unclear if events was substance use rhabdomyolysis or vaccine induced. Unable to verify causation.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit increased, Haemoglobin increased, Hyperkalaemia, Intensive care, Mental status changes
Clinical narrative: Patient was vaccinated on 09/01 with first dose of Pfizer vaccine. Patient was transferred to hospital on the evening of 09/06.  Patient was found with altered mental status in a camper by friend. Friend said they had been drinking and snorting cocaine. Upon arrival of first hospital, patient was tachycardic, confused, had LLE pain, and left buttock pain (concerning for compartment syndrome). CT angio runoff of bilateral LE showed nonspecific muscular edema involving left gluteus, adductor musculature, and left hamstring musculature. CXR results consistent with pneumonia. Initial procal was 12 at another hospital, was 47 when arrived here. Initial CK was 40,000, but had increased to more than 80,000 one day later. K+ was 8.9 and serum creatinine was 3. BNP was 314 and lactate was 3.3. Patient required pressors at first hospital (dobutamine and levophed) but was off by the time he arrived here. UDS was presumed positive for cocaine. Initial EF was 20-30%, which was concerning for cardiogenic shock. Once transferred to MICU, patient was treated for rhabdomyolysis and hyperkalemia. Treated hyperkalemia with bicarb, dextrose, insulin, and calcium. Rhabdo was treated with IV fluid resuscitation (lactated ringers). It is unclear if events was substance use rhabdomyolysis or vaccine induced. Unable to verify causation.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle oedema, Musculoskeletal pain, Pain in extremity, Platelet count normal, Pneumonia
Clinical narrative: Patient was vaccinated on 09/01 with first dose of Pfizer vaccine. Patient was transferred to hospital on the evening of 09/06.  Patient was found with altered mental status in a camper by friend. Friend said they had been drinking and snorting cocaine. Upon arrival of first hospital, patient was tachycardic, confused, had LLE pain, and left buttock pain (concerning for compartment syndrome). CT angio runoff of bilateral LE showed nonspecific muscular edema involving left gluteus, adductor musculature, and left hamstring musculature. CXR results consistent with pneumonia. Initial procal was 12 at another hospital, was 47 when arrived here. Initial CK was 40,000, but had increased to more than 80,000 one day later. K+ was 8.9 and serum creatinine was 3. BNP was 314 and lactate was 3.3. Patient required pressors at first hospital (dobutamine and levophed) but was off by the time he arrived here. UDS was presumed positive for cocaine. Initial EF was 20-30%, which was concerning for cardiogenic shock. Once transferred to MICU, patient was treated for rhabdomyolysis and hyperkalemia. Treated hyperkalemia with bicarb, dextrose, insulin, and calcium. Rhabdo was treated with IV fluid resuscitation (lactated ringers). It is unclear if events was substance use rhabdomyolysis or vaccine induced. Unable to verify causation.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin, Red blood cell count increased, Resuscitation, Rhabdomyolysis, Tachycardia
Clinical narrative: Patient was vaccinated on 09/01 with first dose of Pfizer vaccine. Patient was transferred to hospital on the evening of 09/06.  Patient was found with altered mental status in a camper by friend. Friend said they had been drinking and snorting cocaine. Upon arrival of first hospital, patient was tachycardic, confused, had LLE pain, and left buttock pain (concerning for compartment syndrome). CT angio runoff of bilateral LE showed nonspecific muscular edema involving left gluteus, adductor musculature, and left hamstring musculature. CXR results consistent with pneumonia. Initial procal was 12 at another hospital, was 47 when arrived here. Initial CK was 40,000, but had increased to more than 80,000 one day later. K+ was 8.9 and serum creatinine was 3. BNP was 314 and lactate was 3.3. Patient required pressors at first hospital (dobutamine and levophed) but was off by the time he arrived here. UDS was presumed positive for cocaine. Initial EF was 20-30%, which was concerning for cardiogenic shock. Once transferred to MICU, patient was treated for rhabdomyolysis and hyperkalemia. Treated hyperkalemia with bicarb, dextrose, insulin, and calcium. Rhabdo was treated with IV fluid resuscitation (lactated ringers). It is unclear if events was substance use rhabdomyolysis or vaccine induced. Unable to verify causation.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I increased, Troponin increased, White blood cell count increased
Clinical narrative: Patient was vaccinated on 09/01 with first dose of Pfizer vaccine. Patient was transferred to hospital on the evening of 09/06.  Patient was found with altered mental status in a camper by friend. Friend said they had been drinking and snorting cocaine. Upon arrival of first hospital, patient was tachycardic, confused, had LLE pain, and left buttock pain (concerning for compartment syndrome). CT angio runoff of bilateral LE showed nonspecific muscular edema involving left gluteus, adductor musculature, and left hamstring musculature. CXR results consistent with pneumonia. Initial procal was 12 at another hospital, was 47 when arrived here. Initial CK was 40,000, but had increased to more than 80,000 one day later. K+ was 8.9 and serum creatinine was 3. BNP was 314 and lactate was 3.3. Patient required pressors at first hospital (dobutamine and levophed) but was off by the time he arrived here. UDS was presumed positive for cocaine. Initial EF was 20-30%, which was concerning for cardiogenic shock. Once transferred to MICU, patient was treated for rhabdomyolysis and hyperkalemia. Treated hyperkalemia with bicarb, dextrose, insulin, and calcium. Rhabdo was treated with IV fluid resuscitation (lactated ringers). It is unclear if events was substance use rhabdomyolysis or vaccine induced. Unable to verify causation.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Hypoaesthesia
Clinical narrative: Pt presented to ED with symptoms of fatigue, weakness, fainting, shaking, cough, numbness.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Syncope, Tremor
Clinical narrative: Pt presented to ED with symptoms of fatigue, weakness, fainting, shaking, cough, numbness.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Dysstasia, Pain in extremity, X-ray
Clinical narrative: I started out with pain in my toes and started having pain in my legs up to my knees. Then from my knee to my hip to my groin. It was on the left side of my body and occasionally would switch to the right side. I would wake up in the morning with level 9 pain. I could hardly stand up on it. I used a cane for a while. It was on and off until a few weeks ago. Now I don't need a cane anymore. I also had pain in my back but I think that is because I have sciatica. I've had x-rays of my feet, knee, hip and back. They treat me for the problem but they don't tell me what caused the problem.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Wheezing
Clinical narrative: ASSESSMENT AND PLAN: 1. Moderate persistent asthma, unspecified whether complicated (Primary) Assessment & Plan: Unfortunately she has been taking albuterol bid to tid and no flovent and noting wheezing. Now knows to take flovent bid and albuterol as needed. Discussed the rule of 2s. Resent 1 albuterol with 1 refill. This should last 6-12 months if well controlled. Will restart same dose of flovent and will f/u in 1 -2 months. If still wheezing or feeling like lung control is not ideal then would increase flovent dose. Will monitor. Return precautions discussed    Orders: -     fluticasone (FLOVENT DISKUS) 100 MCG/BLIST diskus inhaler; Inhale 1 puff into the lungs 2 times daily.  Dispense: 60 each; Refill: 5 -     albuterol 90 mcg/puff inhaler; Inhale 2 puffs into the lungs every 4 hours as needed for Wheezing, Shortness of Breath or Increased Work of Breathing (RESCUE).  Dispense: 8.5 g; Refill: 1   2. Nausea after vaccination Comments: start zofran as needed for n/v related to covid 19 vaccination. will monitor. push fluids. get rest.  Orders: -     ondansetron (ZOFRAN ODT) 4 mg disintegrating tablet; Take 1 tablet by mouth every 8 hours as needed for Nausea.  Dispense: 24 tablet; Refill: 0
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Colonoscopy, Postmenopausal haemorrhage
Clinical narrative: I have gone through menopause.  And started the worst period I ever had. 6 yrs no menstruation 1 week after shot. I bleed so much I thought I was hemorrhaging.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Pain
Clinical narrative: Body ache, headache, sore throat
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Herpes zoster, Laboratory test abnormal
Clinical narrative: Developed shingles for first time soon after second vaccine. Dermatologist sent scraping from blister to lab and lab confirmed.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Angiocardiogram, Catheterisation cardiac, Coronary artery aneurysm, Electrocardiogram ST segment elevation, Myocardial infarction
Clinical narrative: Right coronary artery aneurysm and  thrombosis, ST elevation myocardial infarction
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis, Troponin increased
Clinical narrative: Right coronary artery aneurysm and  thrombosis, ST elevation myocardial infarction
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Biopsy breast, Breast pain, Breast tenderness, Cardiac disorder
Clinical narrative: Patient stated that she had vaginal bleeding. Tenderness and painfulness in her breast. Her breast was heavy. Patient had normal side effects with back pain. Patient stated that she was in menopause.  With the second vaccine bleeding was heavier and patient had blood clots. Bleeding lasted 10 days as well. Patient said her nipples are still swollen. Patient stated that she had pain in her arm from the first vaccine and pain in her neck from the second vaccine. Also after the first vaccine the patient complained of heart complications.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Heavy menstrual bleeding, Menopause, Neck pain, Nipple swelling
Clinical narrative: Patient stated that she had vaginal bleeding. Tenderness and painfulness in her breast. Her breast was heavy. Patient had normal side effects with back pain. Patient stated that she was in menopause.  With the second vaccine bleeding was heavier and patient had blood clots. Bleeding lasted 10 days as well. Patient said her nipples are still swollen. Patient stated that she had pain in her arm from the first vaccine and pain in her neck from the second vaccine. Also after the first vaccine the patient complained of heart complications.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Thrombosis, Vaginal haemorrhage
Clinical narrative: Patient stated that she had vaginal bleeding. Tenderness and painfulness in her breast. Her breast was heavy. Patient had normal side effects with back pain. Patient stated that she was in menopause.  With the second vaccine bleeding was heavier and patient had blood clots. Bleeding lasted 10 days as well. Patient said her nipples are still swollen. Patient stated that she had pain in her arm from the first vaccine and pain in her neck from the second vaccine. Also after the first vaccine the patient complained of heart complications.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Fainting after vaccination with Pfizer vaccine . Patient was conscious and responded when asked "are you o.k". He laid flat on the floor . Pharmacy called 911 and EMT came .
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Pain in extremity
Clinical narrative: 2 min after shot shortness of breath , dizzness. Tightness in middle of chest between breast 2hr later left calf pain lasted 1 min .dizziness
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypotension
Clinical narrative: Patient came in for first covid vaccine and about 10 minutes after receiving the vaccine started sweating, lightheaded, dizzy, low blood pressure. Patient remained for about an hour and then felt well enough to leave.
Age: 5.0
Sex: F
Vaccine: DTP, MMR, VARCEL
Symptoms: Anxiety, Obsessive thoughts, Obsessive-compulsive disorder, Obsessive-compulsive symptom
Clinical narrative: Sudden onset of OCD and anxiety symptoms. Onset occurred within 3 days of vaccine and included excessive worry, checking and obsessive thoughts.  Child went from no anxiety at all, to sudden persistent anxiety and OCD symptoms daily
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness transient, Chest scan, Head discomfort, Heart rate increased, Lip disorder
Clinical narrative: At 00:30 on June 23, under no stress or other situation, my vision went away for about 5 seconds.  It was like if I had a shield on and mud was being thrown at me from the sides, specks covered my vision in both eyes coming in from the side to the middle until everything was dark.   While this happened, I felt some pressure on the upper sides of my skull, and my heart felt like it was beating very fast.  It cleared up after about 5 seconds - the smattering of specks went away in the opposite of when they came on.  Afterwards I felt ok, did the basic stroke test, but went to the emergency room.  Since this occurred, my lower lip kind of flops out when I lie on my side.  It was more noticeable in the weeks after June 23, but maybe I am just used to it now.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging neck, Scan, Ultrasound scan, Visual impairment
Clinical narrative: At 00:30 on June 23, under no stress or other situation, my vision went away for about 5 seconds.  It was like if I had a shield on and mud was being thrown at me from the sides, specks covered my vision in both eyes coming in from the side to the middle until everything was dark.   While this happened, I felt some pressure on the upper sides of my skull, and my heart felt like it was beating very fast.  It cleared up after about 5 seconds - the smattering of specks went away in the opposite of when they came on.  Afterwards I felt ok, did the basic stroke test, but went to the emergency room.  Since this occurred, my lower lip kind of flops out when I lie on my side.  It was more noticeable in the weeks after June 23, but maybe I am just used to it now.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Pyrexia
Clinical narrative: Patient presented to the hospital for fever and chills two days after vaccine administration with some cough and SOB once admitted. Afebrile now on antibiotics and improving.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic, Swelling
Clinical narrative: 7 days later itchy rash , swelling  and hospitalization.  As of this date symptoms are still present but improved
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Eye disorder, Ophthalmological examination
Clinical narrative: I experienced increased flashes of light. It started in my left eye and then my right eye. They would appear as greenish/white swirls. They increased to a rate of 50 to 100 times per day. I had an appointment with my Ophthalmologist. He did a full eye examination. He did not connect this to the vaccine, but his response as to where it came from was, "I don't know!" The doctor did not provide any medication for my condition. He did recommend that I see a neuro-ophthalmologist. I did go and see one, but by that time the condition was starting to clear up on his own. It seemed to have taken 6-8 weeks to clear up on its own.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Endotracheal intubation, Haemodialysis, Hypervolaemia
Clinical narrative: Patient apparently experienced difficulty breathing for several days at home.  When EMS arrived at home on 9/3/2021, she was in respiratory distress and did not respond to BiPAP reportedly.  She was endotracheally intubated in the field.   Evaluation in the emergency room revealed positive rapid COVID-19 testing.   She was weaned off the ventilator on 9/4/2021.  She received dexamethasone.  She was also treated for fluid overload with fluid restriction, furosemide, and hemodialysis.   She was discharged on 9/7/2021.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mechanical ventilation, Positive airway pressure therapy, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: Patient apparently experienced difficulty breathing for several days at home.  When EMS arrived at home on 9/3/2021, she was in respiratory distress and did not respond to BiPAP reportedly.  She was endotracheally intubated in the field.   Evaluation in the emergency room revealed positive rapid COVID-19 testing.   She was weaned off the ventilator on 9/4/2021.  She received dexamethasone.  She was also treated for fluid overload with fluid restriction, furosemide, and hemodialysis.   She was discharged on 9/7/2021.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Red bumps on arms and legs, started in the morning the following day
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Magnetic resonance imaging, Thrombosis
Clinical narrative: Stroke on 4/19/21, less than 2 weeks after second Modern?s covid dose.  Vaccine received.  Stroke happened  and initially treated at Medical  center.  After 25 days in the hospital, patient was transferred to in patient rehab, another hospital stay for blood clots, and out patient rehab.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Platelet count decreased, Red blood cell count normal, White blood cell count normal
Clinical narrative: It is my belief that I have developed Immune Thrombocytopenic Purpura due to the Pfizer vaccine administered to myself on 5/3/2021 and 5/24/2021. I developed spontaneous drop in platelet counts (2,000) and was treated in the ER. I was given 40 mg of Dexamethasone everyday for four days and another treatment a week later. I'm currently in treatment as platelets have not stabilized  and I'm scheduled to start on Rituxan on 9/16/2021.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Maternal exposure during breast feeding
Clinical narrative: Breastfeeding baby developed a rash and hives to my breastmilk.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Ear injury, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: I told parents and pt to have pt to sit for 15 mins after the injection incase of any dizziness/fainting incident. Parent and pt understood. I went to check on mom's 2nd shingrix date, then i heard a crash on aisle 17 at counseling window aisle. Dad coming running to window and yelled my son went down; he fainted.  I ran out to check on situation.  Dad said son fell on a shelf and cut the area around his earlobe. The son apparently got up from chair and walked down the aisle and fell. ~5min
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Incontinence, Infusion, Laboratory test abnormal, Nausea
Clinical narrative: I exp incontinence, nause, fatigue due to the flare up lost weight the symptoms lasted a month.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased, White blood cell count increased
Clinical narrative: I exp incontinence, nause, fatigue due to the flare up lost weight the symptoms lasted a month.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered after beyond use time for vaccine. 6 hours and 13 minutes had elapsed since first dose was drawn from vial which exceeds Pfizer recommended time frame of 6 hours.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Moderna vaccine at 17 yrs and 8mths - Moderna approved for 18 years and older. Spoke with mother to ensure patient had no ill effects from receiving the vaccine before age 18. Mother reported patient was well and has had 3 Moderna vaccines and tolerated all with no side effects.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea
Clinical narrative: POSITIVE COVID TEST 9/6/21. COUGH AND SINUS CONGESTION. LOSS OF TASTE AND SMELL. RACING HEARTBEAT AND SHORTNESS OF BREATH.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: POSITIVE COVID TEST 9/6/21. COUGH AND SINUS CONGESTION. LOSS OF TASTE AND SMELL. RACING HEARTBEAT AND SHORTNESS OF BREATH.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Immediate post-injection reaction, Loss of consciousness, Nausea
Clinical narrative: Patient receieved the vaccine at 3:39PM. Immediately stated he felt he may pass out. Provider and LPN responded at 3:40PM. Patient had loss of consciousness for about 15 seconds. Vital signs taken: BP: 105/65, Pulse: 100; Temp: 98.2F, Glucose 77. Repeated after 5 mins with BP 109/66. Pulse 71. Patient reported nausea and left in laying position until 1600 with frequent vital checks. At 4:00PM vitals were 112/76 for BP. Patient cleared to leave.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: experienced mild nausea/sweating/dizziness- monitor blood pressure- over the course of 30 mins- felt better after 45 mins- gave water- asked to sit for 10 more minutes
Age: 69.0
Sex: F
Vaccine: UNK
Symptoms: Malaise
Clinical narrative: Patient stated that she felt unwell,  was given a bottle of water and took vital signs.  she was given another bottle of water and she stated that she had a large cup of coffee this morning and did not take her BP meds for the day.  At 11:10 took another set of vitals and took her down to ED and handed her over of staff for further evaluation.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Pyrexia
Clinical narrative: High fever  (103.5) for 1.5 days that resolved Swollen painful axillary lymph nodes started 8 hours after, ongoing
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Headache, Respiratory tract congestion
Clinical narrative: patient is hospitalized after symptoms of cough, shortness of breath, congestion, wheezing, headache, fatigue
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Wheezing
Clinical narrative: patient is hospitalized after symptoms of cough, shortness of breath, congestion, wheezing, headache, fatigue
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chills, Decreased appetite, Musculoskeletal discomfort, Pyrexia
Clinical narrative: Patient presented to facility with syncope, neck pressure, decreased appetite, chills, fevers. Pt was admitted to facility.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Syncope
Clinical narrative: Patient presented to facility with syncope, neck pressure, decreased appetite, chills, fevers. Pt was admitted to facility.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Pruritus, Rash
Clinical narrative: Site: Itching at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Itchy rash on right arm, face, neck and chest. Took Benadryl 25mg.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, C-reactive protein increased, Cardiac telemetry, Chest X-ray normal
Clinical narrative: Pt received the second COVID shot on 8/31/21. On 9/1/21 he developed a headache, body aches, chills, and a low grade fever. On 9/3/21 he developed dull sternal chest pain that radiated to the center of his back, neck tightness, and bilateral shoulder pain around noon. He was also pale and diaphoretic.  Mom called the PCP after these symptoms started. PCP directed mom to take pt to the ED. He was taken to Hospital Emergency Room on 9/3/21. Chest pain resoled on its own before pt arrived in the ED, according to the ED report. In the ED labs were drawn, EKG, and Chest Xray were completed.  Pt was admitted to cardiology in stable condition for an echocardiogram in observation as well as to trend his cardiac enzymes. Pt was monitored overnight via telemetry. Echocardiogram was completed on 9/4/21. Two repeat Troponin levels were drawn the morning of 9/4/21, 6 hrs apart from one another. Pt was discharged home due to a normal echocardiogram and asymptomatic status. Pt has a follow up appointment with Cardiology on 9/9/21. Cardiology will do another echo and draw another Troponin level. Cardiology recommended no athletic activity until cleared by Cardiologist.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Echocardiogram normal, Electrocardiogram normal, Fibrin D dimer normal
Clinical narrative: Pt received the second COVID shot on 8/31/21. On 9/1/21 he developed a headache, body aches, chills, and a low grade fever. On 9/3/21 he developed dull sternal chest pain that radiated to the center of his back, neck tightness, and bilateral shoulder pain around noon. He was also pale and diaphoretic.  Mom called the PCP after these symptoms started. PCP directed mom to take pt to the ED. He was taken to Hospital Emergency Room on 9/3/21. Chest pain resoled on its own before pt arrived in the ED, according to the ED report. In the ED labs were drawn, EKG, and Chest Xray were completed.  Pt was admitted to cardiology in stable condition for an echocardiogram in observation as well as to trend his cardiac enzymes. Pt was monitored overnight via telemetry. Echocardiogram was completed on 9/4/21. Two repeat Troponin levels were drawn the morning of 9/4/21, 6 hrs apart from one another. Pt was discharged home due to a normal echocardiogram and asymptomatic status. Pt has a follow up appointment with Cardiology on 9/9/21. Cardiology will do another echo and draw another Troponin level. Cardiology recommended no athletic activity until cleared by Cardiologist.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Headache, Hyperhidrosis, Metabolic function test normal, Monocyte count increased
Clinical narrative: Pt received the second COVID shot on 8/31/21. On 9/1/21 he developed a headache, body aches, chills, and a low grade fever. On 9/3/21 he developed dull sternal chest pain that radiated to the center of his back, neck tightness, and bilateral shoulder pain around noon. He was also pale and diaphoretic.  Mom called the PCP after these symptoms started. PCP directed mom to take pt to the ED. He was taken to Hospital Emergency Room on 9/3/21. Chest pain resoled on its own before pt arrived in the ED, according to the ED report. In the ED labs were drawn, EKG, and Chest Xray were completed.  Pt was admitted to cardiology in stable condition for an echocardiogram in observation as well as to trend his cardiac enzymes. Pt was monitored overnight via telemetry. Echocardiogram was completed on 9/4/21. Two repeat Troponin levels were drawn the morning of 9/4/21, 6 hrs apart from one another. Pt was discharged home due to a normal echocardiogram and asymptomatic status. Pt has a follow up appointment with Cardiology on 9/9/21. Cardiology will do another echo and draw another Troponin level. Cardiology recommended no athletic activity until cleared by Cardiologist.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle tightness, Myocardial necrosis marker, Pain, Pallor, Pyrexia
Clinical narrative: Pt received the second COVID shot on 8/31/21. On 9/1/21 he developed a headache, body aches, chills, and a low grade fever. On 9/3/21 he developed dull sternal chest pain that radiated to the center of his back, neck tightness, and bilateral shoulder pain around noon. He was also pale and diaphoretic.  Mom called the PCP after these symptoms started. PCP directed mom to take pt to the ED. He was taken to Hospital Emergency Room on 9/3/21. Chest pain resoled on its own before pt arrived in the ED, according to the ED report. In the ED labs were drawn, EKG, and Chest Xray were completed.  Pt was admitted to cardiology in stable condition for an echocardiogram in observation as well as to trend his cardiac enzymes. Pt was monitored overnight via telemetry. Echocardiogram was completed on 9/4/21. Two repeat Troponin levels were drawn the morning of 9/4/21, 6 hrs apart from one another. Pt was discharged home due to a normal echocardiogram and asymptomatic status. Pt has a follow up appointment with Cardiology on 9/9/21. Cardiology will do another echo and draw another Troponin level. Cardiology recommended no athletic activity until cleared by Cardiologist.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, Troponin increased
Clinical narrative: Pt received the second COVID shot on 8/31/21. On 9/1/21 he developed a headache, body aches, chills, and a low grade fever. On 9/3/21 he developed dull sternal chest pain that radiated to the center of his back, neck tightness, and bilateral shoulder pain around noon. He was also pale and diaphoretic.  Mom called the PCP after these symptoms started. PCP directed mom to take pt to the ED. He was taken to Hospital Emergency Room on 9/3/21. Chest pain resoled on its own before pt arrived in the ED, according to the ED report. In the ED labs were drawn, EKG, and Chest Xray were completed.  Pt was admitted to cardiology in stable condition for an echocardiogram in observation as well as to trend his cardiac enzymes. Pt was monitored overnight via telemetry. Echocardiogram was completed on 9/4/21. Two repeat Troponin levels were drawn the morning of 9/4/21, 6 hrs apart from one another. Pt was discharged home due to a normal echocardiogram and asymptomatic status. Pt has a follow up appointment with Cardiology on 9/9/21. Cardiology will do another echo and draw another Troponin level. Cardiology recommended no athletic activity until cleared by Cardiologist.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death one day after vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Fatigue, SARS-CoV-2 test, Vomiting
Clinical narrative: Vomiting x1, Diarrhea, weakness fatigue
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Exposure during pregnancy, Gait disturbance
Clinical narrative: When patient was in for 2nd shot, she stated she developed lower back pain the day after her 1st shot. Patient stated she had a hard time walking for about a week and a half after the shot. She is 7 weeks pregnant and due in April. She stated she went to the er and her pcp, both told her it was because she was pregnant.  She went to her ob/gyn and told her it was not related to her pregnancy and not sure why she had the back pain. Patient stated she had to do physical therapy now.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: arm very swollen and has a hard lump after two weeks
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Electric shock sensation
Clinical narrative: Feels like electrostimulation constantly from my neck down to my elbow
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Coccydynia, Condition aggravated, Helicobacter infection, Urinary tract infection
Clinical narrative: states "a little while after the second shot, I began to have more issues where my coccyx injury is and I feel like it's killing me; I don't know if it's from  the shot targeting that spot or something else but it's been ongoing since March 2021; I've had H pylori on/off since then and three diagnosed Urinary Tract Infections since then"
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Immediate post-injection reaction, Pruritus, Urticaria
Clinical narrative: My arm immediately began to itch and develop hives. Soon after my chest became tight and I had trouble breathing
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Dose of Moderna given after receiving Johnson and Johnson vaccine at a different facility
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Muscle spasms, Pyrexia
Clinical narrative: Redness over entire bicep. muscle spasms over entire body, fever,
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea
Clinical narrative: He does mention having shortness of breath along with cough. Admitted for COVID treatment including Remdesivir, dexamethasone, and supplemental oxygen
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: dose administered after beyond use time. Dose given 6 hours and 37 minutes after vial first dose was drawn which exceeds Pfizer recommended time of 6 hours.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site warmth, Pain in extremity
Clinical narrative: PATIENT RETURNED TO THE PHARMACY TODAY TO INFORM US OF AN ADVERSE REACTION TO THE MODERNA COVID SHOT. SHE SAID AFTER GETTING THE SHOT HER ARM WAS VERY SORE. ON THE 4TH DAY AFTER THE SHOT SHE DISCOVERED A RASH HAD DEVELOPED AROUND THE INJECTION SITE. IT HAS BEEN WARM AND PAINFUL AND NOW 2 WEEKS LATER IT IS GROWING. PATIENT WAS INSTRUCTED TO GO SEE THEIR PRIMARY DOCTOR TO OBTAIN TREATMENT AND MANAGEMENT OF THEIR REACTION.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Electrocardiogram, Exposure during pregnancy, Palpitations, Uterine contractions during pregnancy
Clinical narrative: 34 year old female, 34 weeks gestation here for 2nd Pfizer dose of Covid 19 vaccine. Vaccine administered at 1023. 15 minutes post administration, patient began to report a sensation of palpitations. VS checked and are as follow. BP 121/79 HR 87 RR 16 Saturation of 98% on RA. Patient reported sensation of "Braxton Hicks" contraction without and pain. MD STAT called for further evaluation. Per MD order, EKG and blood glucose checked. Disposition to OB clinic for further evaluation.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pyrexia, Respiratory tract congestion
Clinical narrative: Employee calling to report a reaction after receiving a COVID-19 vaccine.  Vaccine Name -  Pfizer Vaccine Date - ? 08/31/2021  Is this your first or second dose- 1st Date of symptom onset - ? 09/02/2021 Symptoms - ? Fever 101.8 x 2 days, cough, congestion Last day of work and shift - ? 09/07/2021 Home remedies- Tylenol, Ibuprofen, and Mucinex Any improvement- None Recommendation- Advised employee to keep using home remedies until appointment with PCP on 9/9/2021 Employee voiced understanding Employee of information ? Yes  Employee voiced any concerns ? No  Employee?s questions answered to employee?s satisfaction -Yes  Employee Event Number/Safety Scoop Number -  VAERS Number -
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: About one day from first injection, I am having headaches I would describe as mildly sharp intermittent pains in right temple.  I may add more information to VAERS to the extent that I exhibit further adverse effects.  I am self reporting for the purpose of accurately memorializing adverse effects.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dosing Interval Deviation. Patient received their 1st dose of Moderna on 08/18/2021. They self-scheduled themself for an appointment 3 weeks from the 1st dose instead of the recommended 4 week interval. Patient was vaccinated by a 4th year pharmacy student who did not catch the early administration even though the patient wrote on the consent form the date of their 1st dose. We consulted the CDC "Covid-19 Vaccine Administration Errors and Deviations" guideline and the interim recommendation is for a 2nd dose administered fewer that 24 days (Moderna) after the 1st dose, We do not need to repeat the dose.   Staff and interns have been verbally retrained on the recommended dosing intervals and the need to thoroughly review the consent forms PRIOR to administration.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Skin reaction
Clinical narrative: Localized reaction. Redness, swelling, and itching to injection site. symptoms started 6 days post vaccination and localized to injection site. Treatment ice, hydrocortisone cream, and Claritin.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory normal, Fatigue, Feeling abnormal, Magnetic resonance imaging head normal, Thyroid function test normal
Clinical narrative: LIghtheaded( dizzy) worsened tinnitis, sudden fatigue, brain fog
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Ultrasound scan normal
Clinical narrative: LIghtheaded( dizzy) worsened tinnitis, sudden fatigue, brain fog
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Diarrhoea, Headache, Pruritus, Pyrexia
Clinical narrative: itching all over body, headaches, fever, lost taste in mouth and diarrhea
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Extra dose administered
Clinical narrative: Nurse missed second verification against vaccine record, and administered Meningococcal Conjugate vaccine to patient before the second dose was recommended thinking it was the initial dose. Nurse caught the administration error, and discussed with patient and father at the time.  Explaining that there would be no side effects because of the additional dose, but that it did not count towards the series, and patient would still require a second dose at a later time.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient presented to facility with shortness of breath x3 days.. patient came to hospital with worsening symptoms.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive due to positive household member
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID TEST 9/6/21. DRY COUGH FOR 10 DAYS PRIOR TO TEST
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Feeling abnormal, Speech disorder
Clinical narrative: Sudden onset mental cloudiness/fog on 4/10/2021..  I went to make  a bank deposit, but while in the car I could not figure out what I was to do in order to get out of the car.  I was aware something was wrong but I could not react nor answer because of the confusion and concern at the same time.  No numbness/weakness/tingling sensation of the face/arms/legs/tongue.  No headache/no visual complaints were associated. My husband, who had driven the car, stated I had a "blank" look on my face.  He kept saying are you OK several times.  The episode lasted less than 1 minute.  No further episodes since then.  No prior H/O mental fogginess except prior to my liver transplant in 2011. No prior H/O TIA/CVA.  I have been well since then.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient received Moderna Dose #1 on 3/2/2021 and then received Pfizer dose on 8/1/2021. Patient returned 8/27/2021 to receive second dose of Pfizer vaccine and was disqualified and advised she is considered fully vaccinated.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Pruritus, Throat tightness
Clinical narrative: li[p swelling, throat tightness, general body itching. started 3 hours after Vaccine was given  treated with  benadrly
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive due to spouse testing positive
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Arm was sore and swollen first 2 days, then again one week later.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Vaccine positive rechallenge
Clinical narrative: Migraine for approximately 4-5 days after both shots in series. Has resolved
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Amnesia, COVID-19, Disorientation, Hypoxia, Mental status changes
Clinical narrative: emergency room after motor vehicle accident and mental status changes.  Patient denies any injury but remained disoriented.  Patient does not recall what happened.  Patient work-up in ER essentially negative but this morning he is COVID-19 test came positive.  Patient is slightly hypoxic.  Patient admitted for management.  Patient denies chest pain shortness of breath cough congestion abdominal pain nausea vomiting diarrhea and answer question appropriately
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Road traffic accident, SARS-CoV-2 test positive
Clinical narrative: emergency room after motor vehicle accident and mental status changes.  Patient denies any injury but remained disoriented.  Patient does not recall what happened.  Patient work-up in ER essentially negative but this morning he is COVID-19 test came positive.  Patient is slightly hypoxic.  Patient admitted for management.  Patient denies chest pain shortness of breath cough congestion abdominal pain nausea vomiting diarrhea and answer question appropriately
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Agitation, COVID-19, Confusional state, Death, Disorientation
Clinical narrative: emergency room after motor vehicle accident and mental status changes.  Patient denies any injury but remained disoriented.  Patient does not recall what happened.  Patient work-up in ER essentially negative but this morning he is COVID-19 test came positive.  Patient is slightly hypoxic.  Patient admitted for management.  Patient denies chest pain shortness of breath cough congestion abdominal pain nausea vomiting diarrhea and answer question appropriately
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Nausea, Oxygen saturation decreased, Road traffic accident, SARS-CoV-2 test positive
Clinical narrative: emergency room after motor vehicle accident and mental status changes.  Patient denies any injury but remained disoriented.  Patient does not recall what happened.  Patient work-up in ER essentially negative but this morning he is COVID-19 test came positive.  Patient is slightly hypoxic.  Patient admitted for management.  Patient denies chest pain shortness of breath cough congestion abdominal pain nausea vomiting diarrhea and answer question appropriately
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Diarrhoea, Systemic lupus erythematosus, Throat tightness
Clinical narrative: Patient stated that she had no reaction from the first vaccine. Patient stated that her air ways was cut off and her Lupus flared up and she ended up in the hospital. Patient received the booster shot and she had five days of loose stool and her air ways was closing. Her throat was closing up. Patient went to the Dr. on 9/8/21. DR. called 911 and sent her right to the ER.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Head discomfort, Memory impairment, Menstrual disorder, Nasal congestion
Clinical narrative: Within 45 minutes, the pressure in my head was intense.  I felt the need to press my hand against my forhead; as if it were going to burst.  I became very stuffy and smells were not lost; but rather, distorted.  Within the next few days, my menstrual cycle became erratic; and has been this way ever since (7 months now).  My period will come for 2 days, then gone.  Or will come every two weeks; with extreme varying in degree of cramping as well as flow.  This is atypical for me.  IThe extreme pressure in my head last 2 days.  Low grade fever for 3 days. Dizzyness on day 4 and 5.  Long term effects include the erratic menstural cycle, and frequent forgetting of names, words, and past events.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia, Pyrexia
Clinical narrative: Within 45 minutes, the pressure in my head was intense.  I felt the need to press my hand against my forhead; as if it were going to burst.  I became very stuffy and smells were not lost; but rather, distorted.  Within the next few days, my menstrual cycle became erratic; and has been this way ever since (7 months now).  My period will come for 2 days, then gone.  Or will come every two weeks; with extreme varying in degree of cramping as well as flow.  This is atypical for me.  IThe extreme pressure in my head last 2 days.  Low grade fever for 3 days. Dizzyness on day 4 and 5.  Long term effects include the erratic menstural cycle, and frequent forgetting of names, words, and past events.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Nausea, Toothache
Clinical narrative: One day later, I suddenly had severe muscle spasm in the middle of my back, with nausea.  Simultaneously all my teeth ached.  it lasted for about 15 minutes.  Since then, in the following 6 months, I have the same symptoms, but less severe intermittently at least every other day, and sometimes twice a day.  It only lasts for 5 to 10 minutes now.