chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Incisional drainage, Laboratory test normal, Magnetic resonance imaging abnormal, Malaise
Clinical narrative: August 3rd 2021, 6 weeks after the COVID-19 vaccination administration, the patient (myself) started to experience symptoms of a blocked tear duct that evolved into dacryocystitis, which was resistant to PO and IV antibiotics and continued to worsen despite an I & D. At which time, September 11th 2021, an MRI was done which showed a mass near the lacrimal sac. Biopsy results showed necrotic Granulomas with numerous acid fast bacilli consistent with a mycobacterial infection. Currently speciation and sensitivities are unknown. Modified RIPE therapy had been implemented with the concern that IV antibiotics may also need to be used depending on PCR and culture results.  I have yet to recover from this infection and have been out of work since 8/13. I have lost weight, suffer from right sided headaches, right eye pain, slightly blurred vision on the right side, and will have a facial deformity due to the I&D and surgery. I also suffer from fatigue and general malaise.  I will still require at least one more surgery to reconstruct the lacrimal duct system.  While I understand that one could argue that I am immunocompromised due to the medications I?m on for Crohn?s disease, I would argue that I do not have a history of infections, risky personal habits or travel. I am vegan, plant based and work out daily. With mycobacterial infections commonly known as opportunistic, I have to wonder if the vaccine altered my immune response, allowing for the mycobacterium to proliferate and cause a serious infection.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Mass, Mycobacterial infection, Polymerase chain reaction, Surgery, Vision blurred
Clinical narrative: August 3rd 2021, 6 weeks after the COVID-19 vaccination administration, the patient (myself) started to experience symptoms of a blocked tear duct that evolved into dacryocystitis, which was resistant to PO and IV antibiotics and continued to worsen despite an I & D. At which time, September 11th 2021, an MRI was done which showed a mass near the lacrimal sac. Biopsy results showed necrotic Granulomas with numerous acid fast bacilli consistent with a mycobacterial infection. Currently speciation and sensitivities are unknown. Modified RIPE therapy had been implemented with the concern that IV antibiotics may also need to be used depending on PCR and culture results.  I have yet to recover from this infection and have been out of work since 8/13. I have lost weight, suffer from right sided headaches, right eye pain, slightly blurred vision on the right side, and will have a facial deformity due to the I&D and surgery. I also suffer from fatigue and general malaise.  I will still require at least one more surgery to reconstruct the lacrimal duct system.  While I understand that one could argue that I am immunocompromised due to the medications I?m on for Crohn?s disease, I would argue that I do not have a history of infections, risky personal habits or travel. I am vegan, plant based and work out daily. With mycobacterial infections commonly known as opportunistic, I have to wonder if the vaccine altered my immune response, allowing for the mycobacterium to proliferate and cause a serious infection.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased, White blood cell count decreased
Clinical narrative: August 3rd 2021, 6 weeks after the COVID-19 vaccination administration, the patient (myself) started to experience symptoms of a blocked tear duct that evolved into dacryocystitis, which was resistant to PO and IV antibiotics and continued to worsen despite an I & D. At which time, September 11th 2021, an MRI was done which showed a mass near the lacrimal sac. Biopsy results showed necrotic Granulomas with numerous acid fast bacilli consistent with a mycobacterial infection. Currently speciation and sensitivities are unknown. Modified RIPE therapy had been implemented with the concern that IV antibiotics may also need to be used depending on PCR and culture results.  I have yet to recover from this infection and have been out of work since 8/13. I have lost weight, suffer from right sided headaches, right eye pain, slightly blurred vision on the right side, and will have a facial deformity due to the I&D and surgery. I also suffer from fatigue and general malaise.  I will still require at least one more surgery to reconstruct the lacrimal duct system.  While I understand that one could argue that I am immunocompromised due to the medications I?m on for Crohn?s disease, I would argue that I do not have a history of infections, risky personal habits or travel. I am vegan, plant based and work out daily. With mycobacterial infections commonly known as opportunistic, I have to wonder if the vaccine altered my immune response, allowing for the mycobacterium to proliferate and cause a serious infection.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle strain
Clinical narrative: Symptoms were similar to a pulled muscle on the left side of back, and lasted approximately 10 days
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness neurosensory, Deafness unilateral
Clinical narrative: I lost hearing in my right ear on April 24th, 10 days after my 2nd Pfizer vaccine. I went to urgent care, then saw Dr on April 27th. The cause of the problem and the urgency to correct it were not clear at the time. Unfortunately I had to wait 2 months to see an ENT who properly diagnosed the problem as Sensorineural Hearing Loss. I was prescribed a course of treatment with Prednisone, but this did not recover any hearing .  I have permanently lost almost all the hearing in my right ear.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test, Fatigue, Injection site discomfort, Peripheral swelling
Clinical narrative: I felt really tired, and I had a fever, it started about 04:00pm. I tried to massage and exercise my arm (on injection site). Those lasted for two days. No treatment. I noticed that my right foot has been swelling up a lot ever since the vaccine or maybe since having COVID. I had COVID in December 2020. I recently went to the doctor (Sept 2) for the foot swelling and really bad back pain. I was diagnosed with kidney issues which I didn't have before. October, another doctor visit is coming up to determine treatment. Ongoing symptoms still for foot swelling and back pain is ongoing at this time until I get treatment.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Renal disorder
Clinical narrative: I felt really tired, and I had a fever, it started about 04:00pm. I tried to massage and exercise my arm (on injection site). Those lasted for two days. No treatment. I noticed that my right foot has been swelling up a lot ever since the vaccine or maybe since having COVID. I had COVID in December 2020. I recently went to the doctor (Sept 2) for the foot swelling and really bad back pain. I was diagnosed with kidney issues which I didn't have before. October, another doctor visit is coming up to determine treatment. Ongoing symptoms still for foot swelling and back pain is ongoing at this time until I get treatment.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood pressure increased, Chest pain, Deafness unilateral, Dizziness
Clinical narrative: dizziness and balance issues, nausea, cloudy/muted hearing on side of vaccine (left ear), pain, fever, sweating, chest pain, elevated blood pressure
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pain, Pyrexia
Clinical narrative: dizziness and balance issues, nausea, cloudy/muted hearing on side of vaccine (left ear), pain, fever, sweating, chest pain, elevated blood pressure
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: I have covid now
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram, Electrocardiogram, Pericarditis, Pleuritic pain
Clinical narrative: Pericarditis 3 weeks post vaccine.  Sharp pleuritic chest pain which started on 9/18 - worse with inspiration.  Seen in ED, other causes of chest pain ruled out.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was drawn up 9-27-21 at 1710, exp time 2310. Vaccine was given 9-28-21 at 915a. Talked with Pfizer 9-28-21 at 945a, was advised if vaccine was stored in the refrigerator for less than 24 hours between 2-30 C vaccine did not need to be repeated
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Headache, Maternal exposure during breast feeding, Pain, Suppressed lactation
Clinical narrative: The first hour after receiving the first dose of Pfizer-BioNTech vaccine, I developed a headache, body aches, and lower abdominal cramping. Two days following the vaccine, my milk supply decreased by 8oz. My infant, who is exclusively breastfed, became irritable, restless, and unable to pass a bowel movement for two day. Excluding the headache that alleviated 48 hours after first dose, all symptoms are still present at the time of this report.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Headache, Malaise
Clinical narrative: 87-year-old female,  vaccinated with Pfizer x2 doses on 2/2021, with a past medical history of Afib, dementia, HTN, HLD, CKD, gout, and anemia presented to the ED with cough, SOB, sputum production,  x 4 days, presented to the ED with worsening fatigue and SOB.  Daughter is the historian.  She reports brother was sick Sunday and then 3 days later patient developed intermittent headaches, shortness of breath, and fatigue  First vaccine 1/25/2021
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Productive cough
Clinical narrative: 87-year-old female,  vaccinated with Pfizer x2 doses on 2/2021, with a past medical history of Afib, dementia, HTN, HLD, CKD, gout, and anemia presented to the ED with cough, SOB, sputum production,  x 4 days, presented to the ED with worsening fatigue and SOB.  Daughter is the historian.  She reports brother was sick Sunday and then 3 days later patient developed intermittent headaches, shortness of breath, and fatigue  First vaccine 1/25/2021
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain, Chest pain, Feeling abnormal, Headache, Neck pain
Clinical narrative: Headache, ache in arm, neck, abdomen, and chest, head fogginess.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Headache, ache in arm, neck, abdomen, and chest, head fogginess.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Computerised tomogram neck, Condition aggravated, Swelling
Clinical narrative: Pt has know squamous cell carcinoma in neck area, one day after vaccine he felt increased swelling in neck area, this continued to worsen every day following, he was seen by oncology and a stat CT scan was ordered of soft neck tissue, which revealed a significant increase in size of cancer compared to previous scan done on 7/23/2021
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Erythema, Fatigue, Headache
Clinical narrative: I started the night after the vaccine with chills, fever of 102, headache and weakness and aches those lasted about 2-3 days. My arm started to swell after those symptoms went away. The swelling started to swell all the way down where you bent the arm. I contacted the doctor and she advised to go to the emergency room. I went the emergency room at hospital. The doctor came and the looked at it they were unsure of what was causing the swelling. The looked like it could have been a reaction or infection. It was beat red and warm to the touch. They gave me an antibiotic and Benadryl. They also told me to take Pepcid AC. He drew a line where the swelling was, and it should not go past that line. The next morning it was swollen all the way to my wrist. I did go back to the emergency room and took pictures and they told me to keep doing what I was doing. I got an appointment with my PCP a few days later and she took me off the antibiotic and put me on a sulfur drug. I took a good month for the swelling to go down. I kept comparing it to my other arm. I also was experiencing nausea, extreme fatigue, and headaches during that time as well. I also got shingles about two months ago and I have had the original vaccine and the recent vaccine as well.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Nausea, Pain, Peripheral swelling, Pyrexia
Clinical narrative: I started the night after the vaccine with chills, fever of 102, headache and weakness and aches those lasted about 2-3 days. My arm started to swell after those symptoms went away. The swelling started to swell all the way down where you bent the arm. I contacted the doctor and she advised to go to the emergency room. I went the emergency room at hospital. The doctor came and the looked at it they were unsure of what was causing the swelling. The looked like it could have been a reaction or infection. It was beat red and warm to the touch. They gave me an antibiotic and Benadryl. They also told me to take Pepcid AC. He drew a line where the swelling was, and it should not go past that line. The next morning it was swollen all the way to my wrist. I did go back to the emergency room and took pictures and they told me to keep doing what I was doing. I got an appointment with my PCP a few days later and she took me off the antibiotic and put me on a sulfur drug. I took a good month for the swelling to go down. I kept comparing it to my other arm. I also was experiencing nausea, extreme fatigue, and headaches during that time as well. I also got shingles about two months ago and I have had the original vaccine and the recent vaccine as well.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: I started the night after the vaccine with chills, fever of 102, headache and weakness and aches those lasted about 2-3 days. My arm started to swell after those symptoms went away. The swelling started to swell all the way down where you bent the arm. I contacted the doctor and she advised to go to the emergency room. I went the emergency room at hospital. The doctor came and the looked at it they were unsure of what was causing the swelling. The looked like it could have been a reaction or infection. It was beat red and warm to the touch. They gave me an antibiotic and Benadryl. They also told me to take Pepcid AC. He drew a line where the swelling was, and it should not go past that line. The next morning it was swollen all the way to my wrist. I did go back to the emergency room and took pictures and they told me to keep doing what I was doing. I got an appointment with my PCP a few days later and she took me off the antibiotic and put me on a sulfur drug. I took a good month for the swelling to go down. I kept comparing it to my other arm. I also was experiencing nausea, extreme fatigue, and headaches during that time as well. I also got shingles about two months ago and I have had the original vaccine and the recent vaccine as well.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac discomfort, Chest discomfort, Chest pain, Condition aggravated, Dyspnoea
Clinical narrative: Patient described an immediate sensation of the shot going to the heart. Since vaccine, she has noted that she has had an increase in heart palpitation sensation (states that frequency has doubled since vaccine), some dull chest pain, causing it to be uncomfortable to lie on left side.  Some noted SOB since vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Immediate post-injection reaction, Pain, Palpitations
Clinical narrative: Patient described an immediate sensation of the shot going to the heart. Since vaccine, she has noted that she has had an increase in heart palpitation sensation (states that frequency has doubled since vaccine), some dull chest pain, causing it to be uncomfortable to lie on left side.  Some noted SOB since vaccine.
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Abdominal pain, Decreased appetite, Diarrhoea, Fall, Fatigue
Clinical narrative: 2:00 am - headache, abdominal cramping; 7:00 am - cont. headache, diarrhea, fatigue; 7:00 am - 10:00 pm - cont. headache, fatigue; unable to eat or drink; slept most of day; 10:00 pm - cont. headache; lost muscle control and slowly fell (landing on back, but, don't believe  I lost consciousness); diarrhea; 10:00 - went to bed and slept throughout the night until 7am; woke up feeling better; not wanting food or drink
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Headache, Hypersomnia, Hypophagia, Loss of control of legs, Somnolence
Clinical narrative: 2:00 am - headache, abdominal cramping; 7:00 am - cont. headache, diarrhea, fatigue; 7:00 am - 10:00 pm - cont. headache, fatigue; unable to eat or drink; slept most of day; 10:00 pm - cont. headache; lost muscle control and slowly fell (landing on back, but, don't believe  I lost consciousness); diarrhea; 10:00 - went to bed and slept throughout the night until 7am; woke up feeling better; not wanting food or drink
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Hypoaesthesia, Neck pain, Pain
Clinical narrative: Female patient 91 year old oriented X3 in wheelchair accompanied by her son, she reports 8 days after receiving her first dose vaccine PFIZER with pain, inflammation and "numbness" in the joints. Patient reports pain in the neck, arms, wrists, knees and in the left lower limb, it radiates to the ankle.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Female patient 91 year old oriented X3 in wheelchair accompanied by her son, she reports 8 days after receiving her first dose vaccine PFIZER with pain, inflammation and "numbness" in the joints. Patient reports pain in the neck, arms, wrists, knees and in the left lower limb, it radiates to the ankle.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Lymph node pain, Lymphadenopathy, Ultrasound scan, Urine analysis
Clinical narrative: Continued enlarged lymphs nodes in right side of torso. Repeated for 5 months, different lymph nodes each time for approx 1-2 weeks each episode. In abdomen, neck, left armpit, left upper back. Lymph nodes will painfully enlarge then graddually decrease in size when another will enlarge. First symptoms beg or April continuing to today.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: Continued enlarged lymphs nodes in right side of torso. Repeated for 5 months, different lymph nodes each time for approx 1-2 weeks each episode. In abdomen, neck, left armpit, left upper back. Lymph nodes will painfully enlarge then graddually decrease in size when another will enlarge. First symptoms beg or April continuing to today.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was Janssen Covid 19 vaccine that had expired on 9/21/21
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: pt received the Pfizer Covid vaccine for first dose in the series. Received Moderna Covid vaccine as second IM injection. no adverse reaction noted during 15 minute observation period.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chills, Fatigue, Headache
Clinical narrative: After a few minutes receiving injection, associate c/o pounding HA, slight fatigue, and chills. Associate was had no fever - associate was highly anxious per her words and had a previous vertigo spell/panic attack with first dose. Associate was able to verbalize and maintain consciousness, had no vertigo spell and declined water.  Was able to leave under own power, steady gait,.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna lot number 038B21A expired in system on 9/25/2021, and vaccine was given 9/27/21.  No expiration on Moderna box or vials
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, X-ray limb
Clinical narrative: Pain in shoulder at site of injection
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, COVID-19, Cryotherapy, Deep vein thrombosis
Clinical narrative: Admitted on 9/7/2021 with COVID-19 and sever hypoxia. Known COVID contact several days prior. Treated with remdesivir, dexamethasone, ceftriaxone, and azithromycin. Also started on barictnib on 9/9 but stopped due to ARF. Echocardiogram showed EF of 25-50% with moderately severe LV function. Started on heparin and continued throughout hospital stay. DVT in right lower leg. Seen by infectious disease and continued on cefepime and levofloxacin for 14 days. Underwent cryo-amputation of right ischemic lower extremity and then BKA by vascular surgery. Prognosis poor and not improving. Family elected comfort care.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Exposure to SARS-CoV-2, General physical health deterioration, Hypoxia
Clinical narrative: Admitted on 9/7/2021 with COVID-19 and sever hypoxia. Known COVID contact several days prior. Treated with remdesivir, dexamethasone, ceftriaxone, and azithromycin. Also started on barictnib on 9/9 but stopped due to ARF. Echocardiogram showed EF of 25-50% with moderately severe LV function. Started on heparin and continued throughout hospital stay. DVT in right lower leg. Seen by infectious disease and continued on cefepime and levofloxacin for 14 days. Underwent cryo-amputation of right ischemic lower extremity and then BKA by vascular surgery. Prognosis poor and not improving. Family elected comfort care.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Left ventricular dysfunction, Leg amputation, Peripheral ischaemia
Clinical narrative: Admitted on 9/7/2021 with COVID-19 and sever hypoxia. Known COVID contact several days prior. Treated with remdesivir, dexamethasone, ceftriaxone, and azithromycin. Also started on barictnib on 9/9 but stopped due to ARF. Echocardiogram showed EF of 25-50% with moderately severe LV function. Started on heparin and continued throughout hospital stay. DVT in right lower leg. Seen by infectious disease and continued on cefepime and levofloxacin for 14 days. Underwent cryo-amputation of right ischemic lower extremity and then BKA by vascular surgery. Prognosis poor and not improving. Family elected comfort care.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Chills, Diarrhoea, Dyspnoea
Clinical narrative: 9/25/21-Episode onset: 5 days ago. The problem occurs hourly. The problem has not changed since onset.The cough is productive of sputum. There has been no fever. Associated symptoms include chills, headaches, rhinorrhea, myalgias, shortness of breath (increased from baseline) and pleuritic pain (left). Pertinent negatives include no chest pain, no sweats, no ear pain, no sore throat and no wheezing Exposure to covid through a child at her grandsons sporting event Positive for chills and malaise/fatigue. Negative for fever.  HENT: Positive for congestion and rhinorrhea. Negative for ear pain and sore throat.   Respiratory: Positive for cough, sputum production and shortness of breath (increased from baseline). Negative for wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Positive for diarrhea. Negative for abdominal pain, nausea and vomiting.  Musculoskeletal: Positive for myalgias.  Neurological: Positive for headaches. Negative for sensory change.  Covid positive today. No evidence of pneumonia on chest x-ray per my review however patient with increased shortness of breath, pleuritic pain, productive cough so will treat from a preventive standpoint as patient is very high risk for developing pneumonia. Patient does meet criteria for Regeneron infusion. Discussed with patient who is agreeable to have infusion. Discussed CDC isolation guidelines and advised to follow. Encouraged to continue supportive care. Patient advised to go to the emergency room for any worsening symptoms which were discussed in detail. Patient verbalizes understanding and agrees with treatment plan.   9/26/21-Regeneron infusion
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Headache, Myalgia, Pleuritic pain
Clinical narrative: 9/25/21-Episode onset: 5 days ago. The problem occurs hourly. The problem has not changed since onset.The cough is productive of sputum. There has been no fever. Associated symptoms include chills, headaches, rhinorrhea, myalgias, shortness of breath (increased from baseline) and pleuritic pain (left). Pertinent negatives include no chest pain, no sweats, no ear pain, no sore throat and no wheezing Exposure to covid through a child at her grandsons sporting event Positive for chills and malaise/fatigue. Negative for fever.  HENT: Positive for congestion and rhinorrhea. Negative for ear pain and sore throat.   Respiratory: Positive for cough, sputum production and shortness of breath (increased from baseline). Negative for wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Positive for diarrhea. Negative for abdominal pain, nausea and vomiting.  Musculoskeletal: Positive for myalgias.  Neurological: Positive for headaches. Negative for sensory change.  Covid positive today. No evidence of pneumonia on chest x-ray per my review however patient with increased shortness of breath, pleuritic pain, productive cough so will treat from a preventive standpoint as patient is very high risk for developing pneumonia. Patient does meet criteria for Regeneron infusion. Discussed with patient who is agreeable to have infusion. Discussed CDC isolation guidelines and advised to follow. Encouraged to continue supportive care. Patient advised to go to the emergency room for any worsening symptoms which were discussed in detail. Patient verbalizes understanding and agrees with treatment plan.   9/26/21-Regeneron infusion
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Productive cough, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 9/25/21-Episode onset: 5 days ago. The problem occurs hourly. The problem has not changed since onset.The cough is productive of sputum. There has been no fever. Associated symptoms include chills, headaches, rhinorrhea, myalgias, shortness of breath (increased from baseline) and pleuritic pain (left). Pertinent negatives include no chest pain, no sweats, no ear pain, no sore throat and no wheezing Exposure to covid through a child at her grandsons sporting event Positive for chills and malaise/fatigue. Negative for fever.  HENT: Positive for congestion and rhinorrhea. Negative for ear pain and sore throat.   Respiratory: Positive for cough, sputum production and shortness of breath (increased from baseline). Negative for wheezing.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Positive for diarrhea. Negative for abdominal pain, nausea and vomiting.  Musculoskeletal: Positive for myalgias.  Neurological: Positive for headaches. Negative for sensory change.  Covid positive today. No evidence of pneumonia on chest x-ray per my review however patient with increased shortness of breath, pleuritic pain, productive cough so will treat from a preventive standpoint as patient is very high risk for developing pneumonia. Patient does meet criteria for Regeneron infusion. Discussed with patient who is agreeable to have infusion. Discussed CDC isolation guidelines and advised to follow. Encouraged to continue supportive care. Patient advised to go to the emergency room for any worsening symptoms which were discussed in detail. Patient verbalizes understanding and agrees with treatment plan.   9/26/21-Regeneron infusion
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site discolouration
Clinical narrative: PT RECEIVED SHOT IN RIGHT DELTOID MUSCLE; REPORTED A PINK BAND 3 INCHES UNDER THE INJECTION SITE A COUPLE OF DAYS LATER; NO ITCH OR DISCOMFORT
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site nodule, Injection site rash, Injection site swelling
Clinical narrative: Pt. states that after receiving the 3rd dose of Moderna Booster 09/24/2021, started experiencing symptoms 09/25/2021 of severe chills, fever (100.5), fatigued, knot swollen at injection site with rash, and severe pain throughout the left arm. Self-Treated with extra-strength Tylenol, Symptoms lasting until 09/27/2021. Knot at injection site still remains and self-treated area with Topical Creams. No noted Primary visit.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Pt. states that after receiving the 3rd dose of Moderna Booster 09/24/2021, started experiencing symptoms 09/25/2021 of severe chills, fever (100.5), fatigued, knot swollen at injection site with rash, and severe pain throughout the left arm. Self-Treated with extra-strength Tylenol, Symptoms lasting until 09/27/2021. Knot at injection site still remains and self-treated area with Topical Creams. No noted Primary visit.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Pt. stated that she felt nauseated. Applied cold compress to her neck. BP 142/94, P 68, R20 equal bilateral unlabored, O2 Sat 99% on . Pt stated that she had not eaten today. Gave pt. a bottle of water. Pt. said that she felt better. Stated no more nausea. Pt. cleared and sent home at 10:55. BP 133/87, P56, R 20, O2 Sat 99% RA. Lung sounds clear, no shortness of breath. Instructed to go to local ER if nausea or any adverse reactions occur off site after discharge. Cleared by RN.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Electrocardiogram normal, Heart rate increased, Laboratory test normal
Clinical narrative: Aproximately 3hrs after recieving vaccine for covid my heart rate spointaniously jumped into the 180 and stayed rapid tachycardiac for about 12 hous . i went to a walkin in and was sent by emt"s to  hospital. had blood tests multiple ekgs and a chest xray. administer fluids and vit k as well as diltiazem. and at some point my heart rate just  flipped back to a normal sinus rythem. was admitted for 24 hrs then discharged to follow up with my pcp and a cardioligist
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Aproximately 3hrs after recieving vaccine for covid my heart rate spointaniously jumped into the 180 and stayed rapid tachycardiac for about 12 hous . i went to a walkin in and was sent by emt"s to  hospital. had blood tests multiple ekgs and a chest xray. administer fluids and vit k as well as diltiazem. and at some point my heart rate just  flipped back to a normal sinus rythem. was admitted for 24 hrs then discharged to follow up with my pcp and a cardioligist
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Computerised tomogram thorax abnormal, Oropharyngeal pain, Pain
Clinical narrative: Patient completed COVID-19 vaccination on 3/18/21. Pt was admitted to the reporting hospital on 9/20/21 with complaint of fever, sore throat, body ache, and respiratory symptoms for over a week. Admission diagnosis was Acute hypoxic respiratory failure due to COVID-19. Patient did travel to (Withheld) 2 weeks prior to diagnosis. PCR testing was positive on 9/14/21. Patient was discharged after 5 days on 9/25/21.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory symptom, SARS-CoV-2 test positive, Traumatic lung injury
Clinical narrative: Patient completed COVID-19 vaccination on 3/18/21. Pt was admitted to the reporting hospital on 9/20/21 with complaint of fever, sore throat, body ache, and respiratory symptoms for over a week. Admission diagnosis was Acute hypoxic respiratory failure due to COVID-19. Patient did travel to (Withheld) 2 weeks prior to diagnosis. PCR testing was positive on 9/14/21. Patient was discharged after 5 days on 9/25/21.
Age: 0.83
Sex: M
Vaccine: HEP
Symptoms: Extra dose administered
Clinical narrative: gave pt a double dose of heb b, the paitent recieved a pediarix during the same visit
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Ultrasound kidney, Urethritis noninfective, Urinary tract infection
Clinical narrative: I developed an UTI that lasted three months. It started on 03-29-2021 and it cleared up about the beginning of July. I had MRI of the kidneys as well as an ultrasound of the kidneys were performed at Hospital because they could not explain why this was happening to me. The UTI is now gone and I am left in inflamed urethra that I have to take Myrbetriq 50mg medication for. I also had a cystoscopy performed. I am currently seeing a Doctor, due to my inflamed urethra.
Age: 20.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Muscle tightness, Nausea, Pallor, Tinnitus
Clinical narrative: Patient started to feel nauseous and lightheaded.  He said he also had ringing in ears. He looked pale and muscles in arms were tensed up. I advised he keep his head down and keep breathing. 911 was called when he said his muscles were tensing up. However in the middle of the call he said he was starting to feel better and for the EMT not to come out. He sat down for another 20 mins and left cause he said he was much better and did not have the symptoms anymore.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Fatigue, Feeling abnormal, Impaired work ability
Clinical narrative: Immediate symptoms after the vaccine were:  I got not only very tired and felt miserable. I had to be off of work for the day. I can't remember exactly what the symptoms were because I felt unbelievably miserable. I didn't want to eat or do anything. It lasted for a day. In July, I noticed cold symptoms and I thought I had a bad sinus infection. Nose running, congestion and then I began coughing. I had one episode when I was coughing when I couldn't breathe for 10 seconds. I got through that episode and then I went to Urgent Care. They gave me steroids - for about five days and I quarantined. That helped with my symptoms. I started feeling better within a couple of days but I quarantined until August 2 when I went back to work.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Immediate symptoms after the vaccine were:  I got not only very tired and felt miserable. I had to be off of work for the day. I can't remember exactly what the symptoms were because I felt unbelievably miserable. I didn't want to eat or do anything. It lasted for a day. In July, I noticed cold symptoms and I thought I had a bad sinus infection. Nose running, congestion and then I began coughing. I had one episode when I was coughing when I couldn't breathe for 10 seconds. I got through that episode and then I went to Urgent Care. They gave me steroids - for about five days and I quarantined. That helped with my symptoms. I started feeling better within a couple of days but I quarantined until August 2 when I went back to work.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain
Clinical narrative: Employee calling to report a reaction after receiving a COVID-19 vaccine.  Vaccine Name -  Pfizer Vaccine Date - ?  9/27/2021 Is this your first or second dose- 3rd (booster) Date of symptom onset - ? 9/27/2021 Symptoms - ? body aches, headache, and nausea Last day of work and shift - ? NA Home remedies-NA Any improvement-NA Recommendation- Advised employee to take Tylenol or Ibuprofen per pack instructions for pain. Employee voiced understanding Employee of information ? Yes  Employee voiced any concerns ? No  Employee?s questions answered to employee?s satisfaction -Yes
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Patient reported feeling a bit of chest pain after receiving her covid Pfizer vaccine. Did not report any trouble breathing or redness/ itching.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pruritus
Clinical narrative: In the afternoon following the second Moderna dose on 3/11/2021 I began to feel extremely tired.  By early evening I had a headache, felt extremely nauseous, and had extreme chills.  I skipped dinner, went to bed but was unable to sleep due to the chills and nausea.  In the morning I still felt slightly nauseous but was able to eat some broth.  I felt better as the day went on and was able to eat a small meal at dinnertime and felt normal by evening. Seven days after my first Moderna dose on 2/6/2021 a rectangular red patch appeared on my left arm just below the injection site.  It was moderately and intermittently itchy. It lasted 5 days and disappeared.  My doctor said it's called "Covid arm".
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Sleep disorder
Clinical narrative: In the afternoon following the second Moderna dose on 3/11/2021 I began to feel extremely tired.  By early evening I had a headache, felt extremely nauseous, and had extreme chills.  I skipped dinner, went to bed but was unable to sleep due to the chills and nausea.  In the morning I still felt slightly nauseous but was able to eat some broth.  I felt better as the day went on and was able to eat a small meal at dinnertime and felt normal by evening. Seven days after my first Moderna dose on 2/6/2021 a rectangular red patch appeared on my left arm just below the injection site.  It was moderately and intermittently itchy. It lasted 5 days and disappeared.  My doctor said it's called "Covid arm".
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Erythema, Myalgia, Pain in extremity
Clinical narrative: Sore arm then 24 hours later muscle and joint pains lasting 7 hours with 1.5 degree temperature above normal. Then a day later, the same reaction, lasting 8 hours. Arm is red, puffy, and warm and itches.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Sore arm then 24 hours later muscle and joint pains lasting 7 hours with 1.5 degree temperature above normal. Then a day later, the same reaction, lasting 8 hours. Arm is red, puffy, and warm and itches.
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Menstruation delayed
Clinical narrative: My period was delayed by about 10 days. I?ve tracked it for over four years and this is VERY very out of the ordinary
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Injection site pain, Joint range of motion decreased
Clinical narrative: Patient reports that she noticed right lower abdominal discomfort about 30 minutes after receiving the vaccine.   She decided to take Famotidine to try to relieve her discomfort.  She reports that the pain continued on and off for one week and continued as of Mon 9/27/21 at 3:34 PM.  Reports that the pain is a dull ache and feels like pain she had prior to getting her gallbladder removed.   Patient also reports persistent left anterior arm pain and difficulty raising arm over head and behind her back.   No swelling or redness.  No shoulder joint pain.   Reports that she feels that the arm pain and limitation in movement is about 50% better than it was at the onset. No history of left arm or shoulder problems.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Diarrhoea, Headache
Clinical narrative: diarrhea, cough. headaches starting on 9/25/21
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Headache, Pain, Pain in extremity
Clinical narrative: Parents reported to Death Investigator that patient complained of body aches, severe headache, and pain in his lower extremities on the evening of 9/22/21 (thee date he received the vaccine).  He was taking Tylenol for his symptoms per his parents.  On Thursday, 09/23/21, he continued with the above symptoms and felt worse per parents.  Mother asked him if he needed to go to the doctor and he said no.  On Friday, 09/24/21, he felt better than the day before but still had symptoms.  Parents last talked with him around 2230 Friday night.  They went to wake him up at 1100 on  Saturday, 09/25/21 and found him deceased in the bed.  EMS was called and he was transported to Hospital Emergency Department DOA.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Death, Headache, Pain, Pain in extremity
Clinical narrative: Parents reported to Death Investigator that patient complained of body aches, severe headache, and pain in his lower extremities on the evening of 9/22/21 (thee date he received the vaccine).  He was taking Tylenol for his symptoms per his parents.  On Thursday, 09/23/21, he continued with the above symptoms and felt worse per parents.  Mother asked him if he needed to go to the doctor and he said no.  On Friday, 09/24/21, he felt better than the day before but still had symptoms.  Parents last talked with him around 2230 Friday night.  They went to wake him up at 1100 on  Saturday, 09/25/21 and found him deceased in the bed.  EMS was called and he was transported to Hospital Emergency Department DOA.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR MIXED SERIES mRNA VACCINE PFIZER AND MODERNA.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Sore throat, runny nose, headache, cough
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Rash, Rash pruritic
Clinical narrative: I began having a itchy, painful bumps on my heel of my foot and my fingers. It spread to my whole body. I went to the doctor about this. They did blood work, which came back normal.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Asthenia, Atrial fibrillation, Cardiac tamponade, Computerised tomogram thorax abnormal
Clinical narrative: 9/23/21 - presented to the emergency department with weakness, dizziness, nausea.  CT showed large pericardial effusion and pleural effusion.  Taken to OR for emergent pericardial window complicated by AF RVR and transient hypotension.  Patient intubated and admitted to ICU.  Further diagnoses:  Cardiac tamponade, obstructive shock, anemia.  9/24: R pleural drain placed.  9/25:  extubated  9/28:  continues to be hospitalized and is improving.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Endotracheal intubation, Extubation, Hypotension, Intensive care
Clinical narrative: 9/23/21 - presented to the emergency department with weakness, dizziness, nausea.  CT showed large pericardial effusion and pleural effusion.  Taken to OR for emergent pericardial window complicated by AF RVR and transient hypotension.  Patient intubated and admitted to ICU.  Further diagnoses:  Cardiac tamponade, obstructive shock, anemia.  9/24: R pleural drain placed.  9/25:  extubated  9/28:  continues to be hospitalized and is improving.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Obstructive shock, Pericardial effusion, Pericardial excision, Pleural effusion
Clinical narrative: 9/23/21 - presented to the emergency department with weakness, dizziness, nausea.  CT showed large pericardial effusion and pleural effusion.  Taken to OR for emergent pericardial window complicated by AF RVR and transient hypotension.  Patient intubated and admitted to ICU.  Further diagnoses:  Cardiac tamponade, obstructive shock, anemia.  9/24: R pleural drain placed.  9/25:  extubated  9/28:  continues to be hospitalized and is improving.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Thoracic cavity drainage
Clinical narrative: 9/23/21 - presented to the emergency department with weakness, dizziness, nausea.  CT showed large pericardial effusion and pleural effusion.  Taken to OR for emergent pericardial window complicated by AF RVR and transient hypotension.  Patient intubated and admitted to ICU.  Further diagnoses:  Cardiac tamponade, obstructive shock, anemia.  9/24: R pleural drain placed.  9/25:  extubated  9/28:  continues to be hospitalized and is improving.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR MIXED SERIES mRNA VACCINE PFIZER AND MODERNA.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acne, Anxiety, Condition aggravated, Hormone level abnormal, Polycystic ovaries
Clinical narrative: All PCOS symptoms went crazy and hormones off the charts. Acne came back from 1 active breakout per week to about 5-7 per day. Anxiety came back in full force.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dyspnoea, Joint swelling, Mobility decreased
Clinical narrative: Breathing changed (was more labored) for about 48 hours.  Inside of my nose felt swollen, my tongue felt swollen, my lips were tingly, and my finger tips were tingly for about 4 hours.  Left side of my body hurts from the top of my head to the tips of my toes.  For about 4 days I could not tough my neck because the pain was so intense.  I had a hard time eating because my jaw hurt to chew.  My rib cage hurts to breathe.  Can't lay on my left side because the pain is so severe.  On day 7 my knee swelled up and had to be drained.  Can't bend my knee because the swelling is so much.  After a week the swelling has started to go down, but still swollen and very concerning.  I have felt feverish everyday but only had a fever the first two days.  I get waves of feeling weak and dizzy every day.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Nasal congestion, Neck pain, Pain, Pain in jaw
Clinical narrative: Breathing changed (was more labored) for about 48 hours.  Inside of my nose felt swollen, my tongue felt swollen, my lips were tingly, and my finger tips were tingly for about 4 hours.  Left side of my body hurts from the top of my head to the tips of my toes.  For about 4 days I could not tough my neck because the pain was so intense.  I had a hard time eating because my jaw hurt to chew.  My rib cage hurts to breathe.  Can't lay on my left side because the pain is so severe.  On day 7 my knee swelled up and had to be drained.  Can't bend my knee because the swelling is so much.  After a week the swelling has started to go down, but still swollen and very concerning.  I have felt feverish everyday but only had a fever the first two days.  I get waves of feeling weak and dizzy every day.