chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Confusional state, Erythema, Mental status changes, Swelling face
Clinical narrative: Patient developed swelling in the face, confusion, disoriented to date, numbness in right arm, atrial fibulation, vomiting
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Blood test, Computerised tomogram, Confusional state, Disorientation
Clinical narrative: Patient developed swelling in the face, confusion, disoriented to date, numbness in right arm, atrial fibulation, vomiting
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Hypoaesthesia, Swelling face, Urine analysis
Clinical narrative: Patient developed swelling in the face, confusion, disoriented to date, numbness in right arm, atrial fibulation, vomiting
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Patient developed swelling in the face, confusion, disoriented to date, numbness in right arm, atrial fibulation, vomiting
Age: 3.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administration error
Clinical narrative: The vaccine was incorrectly administered to my 3-year old. Instead of diluting the vaccine with 2.2 mL of saline, the pharmacist only diluted it with 0.22 mL of saline. She displayed minimal side effects (most notably fatigue in the first 24-48 hours), but we were told to watch her for chest pain without being told for how long this needs to be checked.
Age: 3.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Product preparation issue
Clinical narrative: The vaccine was incorrectly administered to my 3-year old. Instead of diluting the vaccine with 2.2 mL of saline, the pharmacist only diluted it with 0.22 mL of saline. She displayed minimal side effects (most notably fatigue in the first 24-48 hours), but we were told to watch her for chest pain without being told for how long this needs to be checked.
Age: 5.0
Sex: M
Vaccine: COVID19, DTAPIPV, MMRV
Symptoms: Decreased appetite, Fatigue, Nausea, SARS-CoV-2 test, Vomiting
Clinical narrative: Fatigue,  nausea, vomiting, loss of appetite.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Hypoaesthesia, Hypotonia, Injection site pain, Limb discomfort
Clinical narrative: Off and on since 1st injection lasting minutes to hours: numbness in arm, inability to make a fist, arm feels limp/heavy, pinching, burning sensation from injection site down.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased
Clinical narrative: Off and on since 1st injection lasting minutes to hours: numbness in arm, inability to make a fist, arm feels limp/heavy, pinching, burning sensation from injection site down.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Electrocardiogram, Electroencephalogram, Facial paralysis, Hypoaesthesia
Clinical narrative: Numbness, Side of Face dropped Slurring speech , doctors said a TIA
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging, Transient ischaemic attack, Ultrasound scan
Clinical narrative: Numbness, Side of Face dropped Slurring speech , doctors said a TIA
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram abnormal, Tachycardia
Clinical narrative: About 28 hours after the injection, I began having episodes of Atrial Fibrillation and tachycardia. These only lasted for 5-20 minutes. The episodes were fairly frequent for about 48 hours then decreased frequency.  ( I have a device that records a 30 second ECG. so I have documentation of these episodes. I have never had an episode of atrial fibrillation but my sister has and that is why we have a device in the house Highest heart rate recorded was 185 beats per minute while sitting. )  I called my physician whose nurse suggested I consider going to the ER if the episodes continued. Because of the brevity of the episodes I did not feel like going to the ER would be helpful.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea exertional, Fatigue, Feeling abnormal
Clinical narrative: I was told by someone who is monitoring the vaccines to fill out a report using the website on the back of my vaccination card because I had a breakthrough Covid infection even after being boosted. My series was the Pfizer vaccine and my injections were on 4/4/21 and  5/2/21. I did J&J as my booster on 12/9/21. Day 0 of my Covid sx was on the evening of 1/8/22 and my diagnosis was confirmed through PCR testing at a doctor's office. I had not previously had Covid (to my knowledge). My first symptoms were a sore throat before going to bed. The next day, my throat was more sore. I also had a runny nose and then hot/cold flashes, before developing a barking cough which was similar to the chronic bronchitis I had during childhood. The cough lasted for about 2 weeks, even with a steroid inhaler added on, which required me to quarantine for the full 10 days. It also caused worsening urinary incontinence. I had fatigue and additional brain fog, as well, which have lingered and became long Covid (with some shortness of breath when walking, on occasion, but especially up inclines). I recently went through a semi-experimental treatment for the long Covid. Interestingly, I did not infect any of my 4 housemates or any of the 4 other people with whom I had been in close proximity all day, unmasked, on Day 0.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Hot flush, Malaise, Oropharyngeal pain, Post-acute COVID-19 syndrome
Clinical narrative: I was told by someone who is monitoring the vaccines to fill out a report using the website on the back of my vaccination card because I had a breakthrough Covid infection even after being boosted. My series was the Pfizer vaccine and my injections were on 4/4/21 and  5/2/21. I did J&J as my booster on 12/9/21. Day 0 of my Covid sx was on the evening of 1/8/22 and my diagnosis was confirmed through PCR testing at a doctor's office. I had not previously had Covid (to my knowledge). My first symptoms were a sore throat before going to bed. The next day, my throat was more sore. I also had a runny nose and then hot/cold flashes, before developing a barking cough which was similar to the chronic bronchitis I had during childhood. The cough lasted for about 2 weeks, even with a steroid inhaler added on, which required me to quarantine for the full 10 days. It also caused worsening urinary incontinence. I had fatigue and additional brain fog, as well, which have lingered and became long Covid (with some shortness of breath when walking, on occasion, but especially up inclines). I recently went through a semi-experimental treatment for the long Covid. Interestingly, I did not infect any of my 4 housemates or any of the 4 other people with whom I had been in close proximity all day, unmasked, on Day 0.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Quarantine, Rhinorrhoea, SARS-CoV-2 test positive, Urinary incontinence, Vaccine breakthrough infection
Clinical narrative: I was told by someone who is monitoring the vaccines to fill out a report using the website on the back of my vaccination card because I had a breakthrough Covid infection even after being boosted. My series was the Pfizer vaccine and my injections were on 4/4/21 and  5/2/21. I did J&J as my booster on 12/9/21. Day 0 of my Covid sx was on the evening of 1/8/22 and my diagnosis was confirmed through PCR testing at a doctor's office. I had not previously had Covid (to my knowledge). My first symptoms were a sore throat before going to bed. The next day, my throat was more sore. I also had a runny nose and then hot/cold flashes, before developing a barking cough which was similar to the chronic bronchitis I had during childhood. The cough lasted for about 2 weeks, even with a steroid inhaler added on, which required me to quarantine for the full 10 days. It also caused worsening urinary incontinence. I had fatigue and additional brain fog, as well, which have lingered and became long Covid (with some shortness of breath when walking, on occasion, but especially up inclines). I recently went through a semi-experimental treatment for the long Covid. Interestingly, I did not infect any of my 4 housemates or any of the 4 other people with whom I had been in close proximity all day, unmasked, on Day 0.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Pain at arm injection limit motion
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site pain, Muscular weakness, Myalgia, Spinal pain
Clinical narrative: Beginning greater than 24 hours but less than 48 hours after injection, patient reports shoulder pain with extension across line from injection site to spine, severe muscle pain lasting greater than 5 days, weakness of affected limb.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Headache
Clinical narrative: Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Headache-Mild
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dizziness, Dysphagia, Throat tightness
Clinical narrative: Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: Pt has longstand allergic rxn Hx, with use of epipens. Pt refused Bendaryl and also DID NOT want  EMS called.  She was a nurse and very capable of handling the symptoms.  She called her allergist who gave her an rx for epipen and prednisone to ensure the rxn would remain under control.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Nausea, Pyrexia
Clinical narrative: Site: Swelling at Injection Site-Mild, Systemic: Fever-Mild, Systemic: Nausea-Mild
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Injury associated with device
Clinical narrative: Error: Patient Accidentally Stuck by Needle-
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Fatigue, Headache, Influenza like illness, Myalgia
Clinical narrative: After 2nd dose arm was sore. Then that night felt as if I had a fever with night sweats. Overall fatigue and muscle aches along with headache for several days.Felt as though I was coming down with the Flu.Took me a week to regain my normal energy.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Night sweats, Pain in extremity, Pyrexia
Clinical narrative: After 2nd dose arm was sore. Then that night felt as if I had a fever with night sweats. Overall fatigue and muscle aches along with headache for several days.Felt as though I was coming down with the Flu.Took me a week to regain my normal energy.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Eating disorder, Hallucination, olfactory
Clinical narrative: I developed olfactory hallucinations about a week after where I smell sewage off and on throughout the day when no one else smells anything.  It?s really effected my daily life and has made it hard to want to eat anything.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain in extremity
Clinical narrative: Muscle pain ach in hip and legs.  Quads, hamstring area , glutes, and lateral hips ,  pain has lasted 60 days so far and still present.  Similar to intense lactic acid buildup pain  Also happened after 2nd vaccine shot, pain last approx 90 days, also similar after first booster.  All vaccine applications were Moderna
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Stroke
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Vertigo
Clinical narrative: Dizziness, Vertigo started on 6/20/22.  Seen by Neurologist on 6/20-scheduled appt.- referred to PT.  P/c to primary care 6/23/22- ordered antivert.  Appt with primary care on 6/27/22- elevated blood pressure.  Dizziness continued.  ENT referral for vertigo.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/24/21, 4/21/21, 11/22/21 (+) on 6/17/22
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a third dose of Janssen.  Patient was fully vaccinated at the time of injection with two previous doses of Janssen. Patient was asymptomatic. No treatment needed
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/9/21, 3/30/21  (+) on 6/21/22
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/5/21, 3/26/21  (+) on 6/22/22
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, Disease complication, Influenza A virus test
Clinical narrative: Patient died from Covid 19 complications after being fully vaccinated. Also tested for Influenza A.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/15/21, 4/5/21, 4/6/22 (+) 6/23/22
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 7/23/21, 8/20/21, 2/2/22; Positive on 6/26/22
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/12/21, 4/9/21. Positive on 6/27/22
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin reaction, Urticaria
Clinical narrative: I woke up at like 3 am itchy everywhere I stayed up. I made an appointment with my allergist, and we went through all the stuff I ate and I hadn?t taken any medication that was different. The doctor said I had a delayed skin reaction. The doctor prescribed me Pepcid Zyrtec which helped but it didn?t stop all the reaction all together. I still have hives that pop up randomly. The doctor told me that sometimes it takes a few weeks to clear up completely. I still have some itchiness its just not as bad as it was before.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Product storage error
Clinical narrative: patient was given vaccines  after temperature excursion and vaccine had been exposed to above range temperatures
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after third dose. Pfizer 3/1/21 Lot# EN6207 Pfizer 4/1/21 Lot# ER8732 Pfizer 10/6/21 Lot# 301308A
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after third dose Pfizer 2/10/21 Lot# EL9267 Pfizer 3/3/21 Lot# EN6205 Pfizer 11/23/21 Lot# FJ1620
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Injection site swelling, Lymphadenopathy
Clinical narrative: Swelling of lymph node in my left arm pit of my vaccine injection arm to the size of a ping pong ball.  It lasted for about a week getting progressively better each day.  Now this same lymph node in my left arm pit swells periodically when I'm exposed to someone who is covid positive.
Age: 1.08
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Product storage error
Clinical narrative: Patient was given vaccine after temperature excursion  , vaccines exposed to above range temperatures
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two doses Pfizer 4/5/21 Lot# ER8733 Pfizer 4/26/21 Lot# Ew0164
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Back pain, Blood creatine phosphokinase increased, C-reactive protein increased
Clinical narrative: 18 year old previously healthy male whom presented to ER today in setting of chest pain experienced 1 day s/p COVID vaccine with concern for post COVID vaccine myocarditis.    Patient had his Pfizer COVID booster shot on 5/10. He initially developed headaches the day after and severe back pain which persisted. He was unable to lay back due to the back pain and vomited x 1 after taking tylenol for the pain. On 5/13, day prior to presentation, he began to develop anterior substernal chest pain, 10/10 at its peak, currently 0/10, with no aggravating or alleviating factors. He does report occasional palpitations. No notable fevers, dyspnea, presyncope, syncope, abdominal pain, diarrhea, change in color, chills, cough, diaphoresis, edema, orthopnea.   He presented yesterday where he was noted to have elevated and up-trending troponin on high sensitivity testing (5/13 @ 1600 10,683, 5/14 @ 6am up to 14,925), with elevated creatinine kinase 338, and CRP 32.1. His chest pain had improved by the time he got to the ED waiting room but given the findings he was admitted to inpatient floors for one night, initially concerned for NSTEMI, and written for ASA, statin and Lovenox DVT PPX but ultimately did not get them. Cardiology was consulted for concern of COVID vaccine myocarditis. EKG notable for ST segment changes with mild ST elevation in V2, and depressions in V4-V6. ECHO with normal function, trivial TR/MR. Patient was accepted for transfer to inpatient cardiology. Patient was transferred to alternate hospital for evaluation for presumed post Covid vaccine myocarditis. He remained hemodynamically stable and without ectopy. He had no arrhythmia and ST segment abnormality on EKG was mild. He had an elevated troponin on admission to 0.84. Given his symptoms and troponin leak, he received IVIG (2g/kg) and steroids (Methylpred 30mg IV BID) per protocol. Troponin was down trending and 0.15 on day of discharge.  Echo was performed which revealed low normal LV function (see report below); cardiac MRI was performed on 5/16, report remains pending at the time of discharge.  Methylpred was transitioned to prednisone to complete a 5 day course.  Chest pain resolved and his EKG normalized  5/31 follow up visit: Patient has been doing well since discharge. He went back to work. At the end of the day, he had a bad headache, was tired and vomited. This was also the day after stopping the steroids. He has been back to work, and this did not occur again. He denies cardiac symptoms, specifically no chest pain, palpitations, shortness of breath or syncope.  Post vaccine myocarditis. Admitted 5/15 with chest pain, troponin leak and ECG changes post Pfizer vaccine. Echo with borderline LV function. Treated with IVIG + steroids. Normal cardiac MRI. Patient remains restricted from vigorous physical activity for 3-6 months. We will plan to do an exercise stress test around 3 months prior to clearance for sports participation.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram normal, Electrocardiogram ST segment depression, Electrocardiogram ST segment elevation, Fatigue
Clinical narrative: 18 year old previously healthy male whom presented to ER today in setting of chest pain experienced 1 day s/p COVID vaccine with concern for post COVID vaccine myocarditis.    Patient had his Pfizer COVID booster shot on 5/10. He initially developed headaches the day after and severe back pain which persisted. He was unable to lay back due to the back pain and vomited x 1 after taking tylenol for the pain. On 5/13, day prior to presentation, he began to develop anterior substernal chest pain, 10/10 at its peak, currently 0/10, with no aggravating or alleviating factors. He does report occasional palpitations. No notable fevers, dyspnea, presyncope, syncope, abdominal pain, diarrhea, change in color, chills, cough, diaphoresis, edema, orthopnea.   He presented yesterday where he was noted to have elevated and up-trending troponin on high sensitivity testing (5/13 @ 1600 10,683, 5/14 @ 6am up to 14,925), with elevated creatinine kinase 338, and CRP 32.1. His chest pain had improved by the time he got to the ED waiting room but given the findings he was admitted to inpatient floors for one night, initially concerned for NSTEMI, and written for ASA, statin and Lovenox DVT PPX but ultimately did not get them. Cardiology was consulted for concern of COVID vaccine myocarditis. EKG notable for ST segment changes with mild ST elevation in V2, and depressions in V4-V6. ECHO with normal function, trivial TR/MR. Patient was accepted for transfer to inpatient cardiology. Patient was transferred to alternate hospital for evaluation for presumed post Covid vaccine myocarditis. He remained hemodynamically stable and without ectopy. He had no arrhythmia and ST segment abnormality on EKG was mild. He had an elevated troponin on admission to 0.84. Given his symptoms and troponin leak, he received IVIG (2g/kg) and steroids (Methylpred 30mg IV BID) per protocol. Troponin was down trending and 0.15 on day of discharge.  Echo was performed which revealed low normal LV function (see report below); cardiac MRI was performed on 5/16, report remains pending at the time of discharge.  Methylpred was transitioned to prednisone to complete a 5 day course.  Chest pain resolved and his EKG normalized  5/31 follow up visit: Patient has been doing well since discharge. He went back to work. At the end of the day, he had a bad headache, was tired and vomited. This was also the day after stopping the steroids. He has been back to work, and this did not occur again. He denies cardiac symptoms, specifically no chest pain, palpitations, shortness of breath or syncope.  Post vaccine myocarditis. Admitted 5/15 with chest pain, troponin leak and ECG changes post Pfizer vaccine. Echo with borderline LV function. Treated with IVIG + steroids. Normal cardiac MRI. Patient remains restricted from vigorous physical activity for 3-6 months. We will plan to do an exercise stress test around 3 months prior to clearance for sports participation.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Immunisation reaction, Immunoglobulin therapy, Left ventricular dysfunction, Magnetic resonance imaging heart
Clinical narrative: 18 year old previously healthy male whom presented to ER today in setting of chest pain experienced 1 day s/p COVID vaccine with concern for post COVID vaccine myocarditis.    Patient had his Pfizer COVID booster shot on 5/10. He initially developed headaches the day after and severe back pain which persisted. He was unable to lay back due to the back pain and vomited x 1 after taking tylenol for the pain. On 5/13, day prior to presentation, he began to develop anterior substernal chest pain, 10/10 at its peak, currently 0/10, with no aggravating or alleviating factors. He does report occasional palpitations. No notable fevers, dyspnea, presyncope, syncope, abdominal pain, diarrhea, change in color, chills, cough, diaphoresis, edema, orthopnea.   He presented yesterday where he was noted to have elevated and up-trending troponin on high sensitivity testing (5/13 @ 1600 10,683, 5/14 @ 6am up to 14,925), with elevated creatinine kinase 338, and CRP 32.1. His chest pain had improved by the time he got to the ED waiting room but given the findings he was admitted to inpatient floors for one night, initially concerned for NSTEMI, and written for ASA, statin and Lovenox DVT PPX but ultimately did not get them. Cardiology was consulted for concern of COVID vaccine myocarditis. EKG notable for ST segment changes with mild ST elevation in V2, and depressions in V4-V6. ECHO with normal function, trivial TR/MR. Patient was accepted for transfer to inpatient cardiology. Patient was transferred to alternate hospital for evaluation for presumed post Covid vaccine myocarditis. He remained hemodynamically stable and without ectopy. He had no arrhythmia and ST segment abnormality on EKG was mild. He had an elevated troponin on admission to 0.84. Given his symptoms and troponin leak, he received IVIG (2g/kg) and steroids (Methylpred 30mg IV BID) per protocol. Troponin was down trending and 0.15 on day of discharge.  Echo was performed which revealed low normal LV function (see report below); cardiac MRI was performed on 5/16, report remains pending at the time of discharge.  Methylpred was transitioned to prednisone to complete a 5 day course.  Chest pain resolved and his EKG normalized  5/31 follow up visit: Patient has been doing well since discharge. He went back to work. At the end of the day, he had a bad headache, was tired and vomited. This was also the day after stopping the steroids. He has been back to work, and this did not occur again. He denies cardiac symptoms, specifically no chest pain, palpitations, shortness of breath or syncope.  Post vaccine myocarditis. Admitted 5/15 with chest pain, troponin leak and ECG changes post Pfizer vaccine. Echo with borderline LV function. Treated with IVIG + steroids. Normal cardiac MRI. Patient remains restricted from vigorous physical activity for 3-6 months. We will plan to do an exercise stress test around 3 months prior to clearance for sports participation.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Mitral valve incompetence, Myocarditis, Palpitations, Tricuspid valve incompetence, Troponin increased
Clinical narrative: 18 year old previously healthy male whom presented to ER today in setting of chest pain experienced 1 day s/p COVID vaccine with concern for post COVID vaccine myocarditis.    Patient had his Pfizer COVID booster shot on 5/10. He initially developed headaches the day after and severe back pain which persisted. He was unable to lay back due to the back pain and vomited x 1 after taking tylenol for the pain. On 5/13, day prior to presentation, he began to develop anterior substernal chest pain, 10/10 at its peak, currently 0/10, with no aggravating or alleviating factors. He does report occasional palpitations. No notable fevers, dyspnea, presyncope, syncope, abdominal pain, diarrhea, change in color, chills, cough, diaphoresis, edema, orthopnea.   He presented yesterday where he was noted to have elevated and up-trending troponin on high sensitivity testing (5/13 @ 1600 10,683, 5/14 @ 6am up to 14,925), with elevated creatinine kinase 338, and CRP 32.1. His chest pain had improved by the time he got to the ED waiting room but given the findings he was admitted to inpatient floors for one night, initially concerned for NSTEMI, and written for ASA, statin and Lovenox DVT PPX but ultimately did not get them. Cardiology was consulted for concern of COVID vaccine myocarditis. EKG notable for ST segment changes with mild ST elevation in V2, and depressions in V4-V6. ECHO with normal function, trivial TR/MR. Patient was accepted for transfer to inpatient cardiology. Patient was transferred to alternate hospital for evaluation for presumed post Covid vaccine myocarditis. He remained hemodynamically stable and without ectopy. He had no arrhythmia and ST segment abnormality on EKG was mild. He had an elevated troponin on admission to 0.84. Given his symptoms and troponin leak, he received IVIG (2g/kg) and steroids (Methylpred 30mg IV BID) per protocol. Troponin was down trending and 0.15 on day of discharge.  Echo was performed which revealed low normal LV function (see report below); cardiac MRI was performed on 5/16, report remains pending at the time of discharge.  Methylpred was transitioned to prednisone to complete a 5 day course.  Chest pain resolved and his EKG normalized  5/31 follow up visit: Patient has been doing well since discharge. He went back to work. At the end of the day, he had a bad headache, was tired and vomited. This was also the day after stopping the steroids. He has been back to work, and this did not occur again. He denies cardiac symptoms, specifically no chest pain, palpitations, shortness of breath or syncope.  Post vaccine myocarditis. Admitted 5/15 with chest pain, troponin leak and ECG changes post Pfizer vaccine. Echo with borderline LV function. Treated with IVIG + steroids. Normal cardiac MRI. Patient remains restricted from vigorous physical activity for 3-6 months. We will plan to do an exercise stress test around 3 months prior to clearance for sports participation.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 18 year old previously healthy male whom presented to ER today in setting of chest pain experienced 1 day s/p COVID vaccine with concern for post COVID vaccine myocarditis.    Patient had his Pfizer COVID booster shot on 5/10. He initially developed headaches the day after and severe back pain which persisted. He was unable to lay back due to the back pain and vomited x 1 after taking tylenol for the pain. On 5/13, day prior to presentation, he began to develop anterior substernal chest pain, 10/10 at its peak, currently 0/10, with no aggravating or alleviating factors. He does report occasional palpitations. No notable fevers, dyspnea, presyncope, syncope, abdominal pain, diarrhea, change in color, chills, cough, diaphoresis, edema, orthopnea.   He presented yesterday where he was noted to have elevated and up-trending troponin on high sensitivity testing (5/13 @ 1600 10,683, 5/14 @ 6am up to 14,925), with elevated creatinine kinase 338, and CRP 32.1. His chest pain had improved by the time he got to the ED waiting room but given the findings he was admitted to inpatient floors for one night, initially concerned for NSTEMI, and written for ASA, statin and Lovenox DVT PPX but ultimately did not get them. Cardiology was consulted for concern of COVID vaccine myocarditis. EKG notable for ST segment changes with mild ST elevation in V2, and depressions in V4-V6. ECHO with normal function, trivial TR/MR. Patient was accepted for transfer to inpatient cardiology. Patient was transferred to alternate hospital for evaluation for presumed post Covid vaccine myocarditis. He remained hemodynamically stable and without ectopy. He had no arrhythmia and ST segment abnormality on EKG was mild. He had an elevated troponin on admission to 0.84. Given his symptoms and troponin leak, he received IVIG (2g/kg) and steroids (Methylpred 30mg IV BID) per protocol. Troponin was down trending and 0.15 on day of discharge.  Echo was performed which revealed low normal LV function (see report below); cardiac MRI was performed on 5/16, report remains pending at the time of discharge.  Methylpred was transitioned to prednisone to complete a 5 day course.  Chest pain resolved and his EKG normalized  5/31 follow up visit: Patient has been doing well since discharge. He went back to work. At the end of the day, he had a bad headache, was tired and vomited. This was also the day after stopping the steroids. He has been back to work, and this did not occur again. He denies cardiac symptoms, specifically no chest pain, palpitations, shortness of breath or syncope.  Post vaccine myocarditis. Admitted 5/15 with chest pain, troponin leak and ECG changes post Pfizer vaccine. Echo with borderline LV function. Treated with IVIG + steroids. Normal cardiac MRI. Patient remains restricted from vigorous physical activity for 3-6 months. We will plan to do an exercise stress test around 3 months prior to clearance for sports participation.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: I gave the 5-12yr old dose of covid vaccine to my 15 year old patient at 3:07pm on 6/27/2022. The patient remained stable with no adverse reactions noted. The patient was kept in the clinic for monitoring and the PCP was notified and spoke with the parent.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient had received 1st dose moderna on 12/17/2021. Patient then decided to receive pfizer 05/23/2022 because he did not like the side effects of the moderna. Patient came into clinic and received another pfizer 6/13/2021. Pateint received this booster dose too early. Patient is to return to clinic in 4 months for booster.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Productive cough, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Starting 06/01/2022, I had mild congestion, coughing, phlegm in the throat x 3 days. I tested positive on 06/02/2022. While the symptoms only lasted for 3 days, I kept testing positive for about 8-9 days. My wife had it a few days before me.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three doses Moderna 4/19/21 Lot# 040B21A Moderna 5/17/21 Lot# 040B21A Moderna 1/17/22 Lot# 069H21A
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after third dose Pfizer 2/24/21 Lot# EN6202 Pfizer 3/17/21 Lot# EN6204 Moderna 12/23/21 Lot# 013H21B
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Skin irritation, Syncope, Vaccination site induration
Clinical narrative: vasovagal syncope within 12 hours of vaccine, localized skin irritation, induration at site of vaccine, resolving symptoms after 2 days
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna 2/22/21, 3/25/21, 12/3/21. Positive on 6/27/22
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Encephalopathy, Hypotension, Imaging procedure abnormal
Clinical narrative: Patient had recent hospitalization (05/12/22-05/25/22) with fever, hypotension concerning for sepsis.  Imaging at that time showed progression of lymphoma nd ureteral compression.  On the morning of 5/31/22 patients husband noted worsening lethargy, and brought the patient to ED.  In the ED patient's HR 118, BP 78/42.  Patient was given 3 L of IV fluid and admitted for encephalopathy and shock requiring pressors.  Patient was found to be Covid positive and maintained saturations on home 2-3L O2.  After arriving patient developed worsening encephalopathy and was no longer able to follow commands.  Per discussion with husband, decision was made to transition to comfort care.  Pressors stopped on the evening of 05/31/2022.  Patient passed away on 06/02/2022.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Lethargy, Lymphoma, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient had recent hospitalization (05/12/22-05/25/22) with fever, hypotension concerning for sepsis.  Imaging at that time showed progression of lymphoma nd ureteral compression.  On the morning of 5/31/22 patients husband noted worsening lethargy, and brought the patient to ED.  In the ED patient's HR 118, BP 78/42.  Patient was given 3 L of IV fluid and admitted for encephalopathy and shock requiring pressors.  Patient was found to be Covid positive and maintained saturations on home 2-3L O2.  After arriving patient developed worsening encephalopathy and was no longer able to follow commands.  Per discussion with husband, decision was made to transition to comfort care.  Pressors stopped on the evening of 05/31/2022.  Patient passed away on 06/02/2022.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Shock, Unresponsive to stimuli, Ureteric compression
Clinical narrative: Patient had recent hospitalization (05/12/22-05/25/22) with fever, hypotension concerning for sepsis.  Imaging at that time showed progression of lymphoma nd ureteral compression.  On the morning of 5/31/22 patients husband noted worsening lethargy, and brought the patient to ED.  In the ED patient's HR 118, BP 78/42.  Patient was given 3 L of IV fluid and admitted for encephalopathy and shock requiring pressors.  Patient was found to be Covid positive and maintained saturations on home 2-3L O2.  After arriving patient developed worsening encephalopathy and was no longer able to follow commands.  Per discussion with husband, decision was made to transition to comfort care.  Pressors stopped on the evening of 05/31/2022.  Patient passed away on 06/02/2022.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypertension, Inappropriate schedule of product administration, Pain in jaw
Clinical narrative: Increased frequency and intensity of headaches starting 1 week after vaccination and continued until starting migraine prophylaxis 10/2021.  Also was having jaw pain and some dizziness with a headache about a month after the shot and was diagnosed with hypertension 5/21/22. BP was around 210/110. I was seen in the ER on 7/28/21 for a syncopal episode and my BP was high then. I'm currently taking 3 medications for hypertension and I'm still having trouble lowering my diastolic BP which I'm concerned about. The systolic has responded well to the medications. My initial Moderna shot was on 3/20/21, second shot on 4/18/21, and a booster on 11/19/21.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Increased frequency and intensity of headaches starting 1 week after vaccination and continued until starting migraine prophylaxis 10/2021.  Also was having jaw pain and some dizziness with a headache about a month after the shot and was diagnosed with hypertension 5/21/22. BP was around 210/110. I was seen in the ER on 7/28/21 for a syncopal episode and my BP was high then. I'm currently taking 3 medications for hypertension and I'm still having trouble lowering my diastolic BP which I'm concerned about. The systolic has responded well to the medications. My initial Moderna shot was on 3/20/21, second shot on 4/18/21, and a booster on 11/19/21.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Blood glucose, Blood test, Computerised tomogram, Electrocardiogram
Clinical narrative: Vomiting, vertigo, hives, crushing pain in lung and back area during 36 hours after the 2nd booster. Transient Global Amnesia episode on 6.20.2022.  Went to the ER at approximately 7:15 pm. Admitted at approximately 1:30 am on 6.21.2022.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging, Pulmonary pain, Transient global amnesia, Urine analysis, Urticaria
Clinical narrative: Vomiting, vertigo, hives, crushing pain in lung and back area during 36 hours after the 2nd booster. Transient Global Amnesia episode on 6.20.2022.  Went to the ER at approximately 7:15 pm. Admitted at approximately 1:30 am on 6.21.2022.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: Vomiting, vertigo, hives, crushing pain in lung and back area during 36 hours after the 2nd booster. Transient Global Amnesia episode on 6.20.2022.  Went to the ER at approximately 7:15 pm. Admitted at approximately 1:30 am on 6.21.2022.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Blood test, Pulmonary pain, SARS-CoV-2 test, Transient global amnesia
Clinical narrative: Vomiting, vertigo, hives, crushing pain in lung and back area during 36 hours after the 2nd booster. Transient Global Amnesia episode on 6.20.2022.  Went to the ER at approximately 7:15 pm. Admitted at approximately 1:30 am on 6.21.2022.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine analysis, Urticaria, Vertigo, Vomiting
Clinical narrative: Vomiting, vertigo, hives, crushing pain in lung and back area during 36 hours after the 2nd booster. Transient Global Amnesia episode on 6.20.2022.  Went to the ER at approximately 7:15 pm. Admitted at approximately 1:30 am on 6.21.2022.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 4/7/21, 5/5/21. Positive on 6/27/22
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 2/6/21, 2/27/21. Positive on 6/27/22
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Pfizer 9/15/21, 3/17/22. Positive on 6/26/22
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three doses  Moderna 2/8/21 Lot# 013M20A Moderna 3/8/21 Lot# 03021A Moderna 9/24/21 Lot# 006C21A
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccinator was getting ready to administer vaccine needle inserted. mom let go of pt and pt pulled away.  no vaccines injected. Vaccinator switched arms. Full dose administered in other arm.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after third dose Moderna 2/26/21 Lot# 025A21A Moderna 3/26/21 Lot# 028A21A Moderna 11/12/21 Lot# 039F21A
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Computerised tomogram head abnormal, Death
Clinical narrative: Pt had a positive COVID test on 2/18/22 at the hospital (Medical Center) and was dc'd on 2/19/22 without qualifying for any COVID treatments; 3/4/22 pt brought to ED and admitted to hospital with AMS; initial CT of head  showed no abnormal findings; pt did have a UTI; A Fib with RVR - started on heparin drip; later CT of head showed subdural hematoma - surgery not recommended; family decided on comfort care measures and pt expired in the hospital
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, SARS-CoV-2 test positive, Subdural haematoma, Urinary tract infection
Clinical narrative: Pt had a positive COVID test on 2/18/22 at the hospital (Medical Center) and was dc'd on 2/19/22 without qualifying for any COVID treatments; 3/4/22 pt brought to ED and admitted to hospital with AMS; initial CT of head  showed no abnormal findings; pt did have a UTI; A Fib with RVR - started on heparin drip; later CT of head showed subdural hematoma - surgery not recommended; family decided on comfort care measures and pt expired in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Acute flaccid myelitis
Clinical narrative: Acute flaccid myelitis of the right arm.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Headache, Loss of personal independence in daily activities, Magnetic resonance imaging, Migraine
Clinical narrative: Approximately 10 minutes after my 1st dose vaccination I experienced the following symptoms: Head tingling,  Swollen and painful neck. I have always had an allergic reaction to vaccine shots but I wasn't sure if this was an allergic reaction or not. I did not want to do any drastic decision because I thought it was normal - the medical professionals kept me longer than usual in the area. After an extra 15 minutes I felt fine and they let me go. When I went home that night I had a really bad migraine and I took some Motrin but it did not really help with my headache. These episodes continued throughout the next following weeks and it has affected my day to day activities. This has went on for approximately 3-4 months. I had an MRI and blood work because they were concerned about my blood pressure.  AS of today 06/28/2022 for the past few months I did a lot of medical tests and I was diagnosed Autoimmune disease (Sjogren Disease) and have been taking medications and having treatments. I am in a much better place right now as I was before.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Paraesthesia, Sjogren's syndrome, Swelling
Clinical narrative: Approximately 10 minutes after my 1st dose vaccination I experienced the following symptoms: Head tingling,  Swollen and painful neck. I have always had an allergic reaction to vaccine shots but I wasn't sure if this was an allergic reaction or not. I did not want to do any drastic decision because I thought it was normal - the medical professionals kept me longer than usual in the area. After an extra 15 minutes I felt fine and they let me go. When I went home that night I had a really bad migraine and I took some Motrin but it did not really help with my headache. These episodes continued throughout the next following weeks and it has affected my day to day activities. This has went on for approximately 3-4 months. I had an MRI and blood work because they were concerned about my blood pressure.  AS of today 06/28/2022 for the past few months I did a lot of medical tests and I was diagnosed Autoimmune disease (Sjogren Disease) and have been taking medications and having treatments. I am in a much better place right now as I was before.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two doses Moderna 4/24/21 Lot# 016C21A Moderna 5/22/21 Lot# 033C21A