chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Presyncope, SARS-CoV-2 test positive, Sputum discoloured, Tobacco user, Walking aid user
Clinical narrative: Hospitalized (10.22.2021 - present; currently admitted);  COVID-19 positive (10.22.21);  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 73 y.o. female who has a background of oxygen-dependent chronic obstructive pulmonary disease presents today with worsening cough, wheeze, presyncopal going on for 3 days.  Patient is fully vaccinated for COVID-19 infection in March April.  She uses a walker to walk and lives alone.  Apparently she has been avoiding crowds any close contact however recently been in touch with his grandson and their family.  Patient started to have cough along with some breathing trouble and wheezing going on for 3 days.  She has oxygen-dependent chronic obstructive pulmonary disease and she is a current smoker.  She is on 3 liters/minute oxygen at home and her oxygen needs have not changed.  She is coughing bringing up some whitish sputum.  She denies any fevers at home but she has been having some generalized weakness and chills at home.  All her symptoms are 3 onset. ASSESSMENT / PLAN: 1. COPD Exacerbation: Secondary to covid 19 infection. Methylprednisone given in the ER. She  Tolerated it well. She apparently is allergic to prednisone. Dexamethasone PO started from tomorrow. Home inhalers to continue. Duo nebs prn. Patient on home oxygen 3L/min. Azithromycin is started for 5 days. 2. COVID 19 Infection: No pneumonia. No complications. Symptom onset 3 days ago. No fevers. No worsening hypoxia( on 3L/min oxygen at home and is currently on the same flow rate). Hold off on Remdisevir for now as the patient is not needing any more oxygen that her home needs of 3L/min and no pneumonia on cxr. Patient qualifies for Monoclonal Antibody treatment. I d/w team. She is agreeable and consented and Regeneron is ordered. Dexamethasone is ordered for copd exacebration can continue till discharge. Progress Note from 10.28.21:  ASSESSMENT / PLAN: Acute chronic obstructive pulmonary disease exacerbation Secondary to COVID 19 pneumonia Fully vaccinated Baseline home O2, 3 liters by nasal cannula Azithromycin x5 days Status post Regeneron Albuterol Spiriva Dulera Continue oral prednisone
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Wheezing
Clinical narrative: Hospitalized (10.22.2021 - present; currently admitted);  COVID-19 positive (10.22.21);  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 73 y.o. female who has a background of oxygen-dependent chronic obstructive pulmonary disease presents today with worsening cough, wheeze, presyncopal going on for 3 days.  Patient is fully vaccinated for COVID-19 infection in March April.  She uses a walker to walk and lives alone.  Apparently she has been avoiding crowds any close contact however recently been in touch with his grandson and their family.  Patient started to have cough along with some breathing trouble and wheezing going on for 3 days.  She has oxygen-dependent chronic obstructive pulmonary disease and she is a current smoker.  She is on 3 liters/minute oxygen at home and her oxygen needs have not changed.  She is coughing bringing up some whitish sputum.  She denies any fevers at home but she has been having some generalized weakness and chills at home.  All her symptoms are 3 onset. ASSESSMENT / PLAN: 1. COPD Exacerbation: Secondary to covid 19 infection. Methylprednisone given in the ER. She  Tolerated it well. She apparently is allergic to prednisone. Dexamethasone PO started from tomorrow. Home inhalers to continue. Duo nebs prn. Patient on home oxygen 3L/min. Azithromycin is started for 5 days. 2. COVID 19 Infection: No pneumonia. No complications. Symptom onset 3 days ago. No fevers. No worsening hypoxia( on 3L/min oxygen at home and is currently on the same flow rate). Hold off on Remdisevir for now as the patient is not needing any more oxygen that her home needs of 3L/min and no pneumonia on cxr. Patient qualifies for Monoclonal Antibody treatment. I d/w team. She is agreeable and consented and Regeneron is ordered. Dexamethasone is ordered for copd exacebration can continue till discharge. Progress Note from 10.28.21:  ASSESSMENT / PLAN: Acute chronic obstructive pulmonary disease exacerbation Secondary to COVID 19 pneumonia Fully vaccinated Baseline home O2, 3 liters by nasal cannula Azithromycin x5 days Status post Regeneron Albuterol Spiriva Dulera Continue oral prednisone
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Feeling hot, Headache, Influenza like illness
Clinical narrative: >> Oct 18, 2021  8:19 AM wrote: Patient called because she started with coughing this weekend. It has gotten worse since it started. Patient has asthma and she is worried she is going to start wheezing. Denies SOB. Patient said she feels very tired and she feels a little warm. No temperature reading to report. Office Visit  10/19/2021 medical facility, MD  Internal Medicine Suspected COVID-19 virus infection  &  Flu-like symptoms  Duration of the symptoms sat afteroon  Cough  yes Fever no Myalgia yes Headache  yes Sinus congestion yes History of allergies yes Dyspnea no Recent travel/immobility/surgery no Sore throat no Smoking no Sputum production yes   Chest pain no   Diarrhea no Nausea/vomiting no Loss of smell or taste, abdominal pain, and rhinorrhea no Exposure to anyone with the same symptoms yes to husband Recent travel no
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Productive cough, SARS-CoV-2 test, Sinus congestion, Suspected COVID-19
Clinical narrative: >> Oct 18, 2021  8:19 AM wrote: Patient called because she started with coughing this weekend. It has gotten worse since it started. Patient has asthma and she is worried she is going to start wheezing. Denies SOB. Patient said she feels very tired and she feels a little warm. No temperature reading to report. Office Visit  10/19/2021 medical facility, MD  Internal Medicine Suspected COVID-19 virus infection  &  Flu-like symptoms  Duration of the symptoms sat afteroon  Cough  yes Fever no Myalgia yes Headache  yes Sinus congestion yes History of allergies yes Dyspnea no Recent travel/immobility/surgery no Sore throat no Smoking no Sputum production yes   Chest pain no   Diarrhea no Nausea/vomiting no Loss of smell or taste, abdominal pain, and rhinorrhea no Exposure to anyone with the same symptoms yes to husband Recent travel no
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient recieved 0.5ml instead of   0 .25ml
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Crying, Fatigue, Feeling hot
Clinical narrative: Bad pain in left arm where shot was for hours 1-2 hours later sudden chest pain, on and off Took a nap and woke up crying Severe chills, headache, body pains Then switched to really hot face and body, exhaustion
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pain
Clinical narrative: Bad pain in left arm where shot was for hours 1-2 hours later sudden chest pain, on and off Took a nap and woke up crying Severe chills, headache, body pains Then switched to really hot face and body, exhaustion
Age: 0.83
Sex: M
Vaccine: FLUC4
Symptoms: Haemoglobin, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The Flu vaccine given to a 10 month old was a flu vaccine that is for 2year of age and older. Come to attention of the provider later on the evening of the visit The next day parent was called and was informed of the occurrence. Parent ( the father) was asked how patient was doing . The father stated patient was doing fine. Patient was seen in followed on 10/27 for a recheck of the Hemoglobin and at that visit the father reported the patient was doing well.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: tingling down whole administration arm
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Headache, Laboratory test, Myalgia, Pyrexia
Clinical narrative: Muscle aches, headache, fever of 104.3,  weakness,
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: Fever or Chills  Cough  Shortness of Breath  Difficulty breathing  Fatigue  Muscle or body aches  Headache  New loss of taste or smell  Sore throat  Congestion or running nose  Nausea or vomiting  Diarrhea  oTelephone Visit  10/20/2021  Internal Medicine -  MD Internal Medicine COVID-19  Dx   HPI: Patient is 68 y.o. female for whom I am doing a telephone visit discuss her current Covid infection.  She started with symptoms last Tuesday which is October 12 with chills and headaches and body ache followed by temperature ranging up to 100.4 °F.  This was followed by cough with clear to brownish phlegm along with nausea vomiting and diarrhea which has now resolved but she continues to have some cough and some shortness of breath on exertion.  She does not have any shortness of breath on rest.  She is overall feeling better compared to last week.  She has not checked her temperature this week at all.  She has not been checking her oxygen level because she does not have a pulse oximetry.  I discussed in length about the risk benefits of monoclonal antibody infusion and that she would be a candidate although she is nearly on day 9 of the 10-day window for the infusion.  She would not like to get that and would like to monitor and treat conservatively.  Did recommend to drink lots of fluids rest and monitoring the temperature and oxygen level.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Dyspnoea exertional, Fatigue, Headache
Clinical narrative: Fever or Chills  Cough  Shortness of Breath  Difficulty breathing  Fatigue  Muscle or body aches  Headache  New loss of taste or smell  Sore throat  Congestion or running nose  Nausea or vomiting  Diarrhea  oTelephone Visit  10/20/2021  Internal Medicine -  MD Internal Medicine COVID-19  Dx   HPI: Patient is 68 y.o. female for whom I am doing a telephone visit discuss her current Covid infection.  She started with symptoms last Tuesday which is October 12 with chills and headaches and body ache followed by temperature ranging up to 100.4 °F.  This was followed by cough with clear to brownish phlegm along with nausea vomiting and diarrhea which has now resolved but she continues to have some cough and some shortness of breath on exertion.  She does not have any shortness of breath on rest.  She is overall feeling better compared to last week.  She has not checked her temperature this week at all.  She has not been checking her oxygen level because she does not have a pulse oximetry.  I discussed in length about the risk benefits of monoclonal antibody infusion and that she would be a candidate although she is nearly on day 9 of the 10-day window for the infusion.  She would not like to get that and would like to monitor and treat conservatively.  Did recommend to drink lots of fluids rest and monitoring the temperature and oxygen level.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Fever or Chills  Cough  Shortness of Breath  Difficulty breathing  Fatigue  Muscle or body aches  Headache  New loss of taste or smell  Sore throat  Congestion or running nose  Nausea or vomiting  Diarrhea  oTelephone Visit  10/20/2021  Internal Medicine -  MD Internal Medicine COVID-19  Dx   HPI: Patient is 68 y.o. female for whom I am doing a telephone visit discuss her current Covid infection.  She started with symptoms last Tuesday which is October 12 with chills and headaches and body ache followed by temperature ranging up to 100.4 °F.  This was followed by cough with clear to brownish phlegm along with nausea vomiting and diarrhea which has now resolved but she continues to have some cough and some shortness of breath on exertion.  She does not have any shortness of breath on rest.  She is overall feeling better compared to last week.  She has not checked her temperature this week at all.  She has not been checking her oxygen level because she does not have a pulse oximetry.  I discussed in length about the risk benefits of monoclonal antibody infusion and that she would be a candidate although she is nearly on day 9 of the 10-day window for the infusion.  She would not like to get that and would like to monitor and treat conservatively.  Did recommend to drink lots of fluids rest and monitoring the temperature and oxygen level.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sputum discoloured, Vomiting
Clinical narrative: Fever or Chills  Cough  Shortness of Breath  Difficulty breathing  Fatigue  Muscle or body aches  Headache  New loss of taste or smell  Sore throat  Congestion or running nose  Nausea or vomiting  Diarrhea  oTelephone Visit  10/20/2021  Internal Medicine -  MD Internal Medicine COVID-19  Dx   HPI: Patient is 68 y.o. female for whom I am doing a telephone visit discuss her current Covid infection.  She started with symptoms last Tuesday which is October 12 with chills and headaches and body ache followed by temperature ranging up to 100.4 °F.  This was followed by cough with clear to brownish phlegm along with nausea vomiting and diarrhea which has now resolved but she continues to have some cough and some shortness of breath on exertion.  She does not have any shortness of breath on rest.  She is overall feeling better compared to last week.  She has not checked her temperature this week at all.  She has not been checking her oxygen level because she does not have a pulse oximetry.  I discussed in length about the risk benefits of monoclonal antibody infusion and that she would be a candidate although she is nearly on day 9 of the 10-day window for the infusion.  She would not like to get that and would like to monitor and treat conservatively.  Did recommend to drink lots of fluids rest and monitoring the temperature and oxygen level.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Interchange of vaccine products, Musculoskeletal chest pain, Pain, Painful respiration
Clinical narrative: I had the J&J shot in April and just got the Pfizer as a booster. I also had the flu shot done at the same time in my other arm. Two days later, I?m feeling chest pain when I breathe out and anytime I move part of my upper body.  It also hurts when I press on my chest.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Cardiovascular disorder, Chest pain, Varicose vein
Clinical narrative: Extreme abdominal pain. Chest pain. Circulation issues. Varicose veins and yet to determined by the doctor what the prognosis is.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Clumsiness, Eye disorder
Clinical narrative: Patient very clumsy when learning to walk, noticed her eyes would not line up at times. We took her to an eye surgeon who discovered monocular elevation deficiency of R eye. This was not present at birth and became noticeable in June 2016.   Surgeon believes she will need surgery to attempt to fix, but there is a possibility that it may not be reversed. We choose to try vision therapy first.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Decreased appetite, Fatigue
Clinical narrative: Office Visit  10/18/2021  Urgent Care -    CRNP  Family Medicine COVID-19 +2 more  Dx Cough  ? Sore Throat  ? Runny nose ? watery eyes ? Fatigue ? Poor Appetite ? Headache   Reason for Visit  History Chief Complaint Patient presents with ? Cough     eating cough drops like candy ? Sore Throat     sx started wed.  ? Runny nose ? watery eyes ? Fatigue ? Poor Appetite ? Headache     for weeks seeing neuro appts keep being canceled     HPI Patient is a 75 y.o. male presents to UC without family accompanied with complaint of cough sore throat congestion fatigue and decreased appetite.   Symptoms started on Wednesday.  He is a farmer and has been dealing with corn dust, relates that this is his typical allergies this time of year.  Typically he gets steroids and an antibiotic.  No shortness of breath.  No fever.  He is vaccinated.  Relates that he has also been dealing with some headaches and intermittent vertigo for months.   Has been seen by ENT previously and has a pending appointment with neurology.  Chief Complaint Patient presents with ? Cough     eating cough drops like candy ? Sore Throat     sx started wed.  ? Runny nose ? watery eyes ? Fatigue ? Poor Appetite ? Headache     for weeks seeing neuro appts keep being canceled
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lacrimation increased, Nasal congestion, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Office Visit  10/18/2021  Urgent Care -    CRNP  Family Medicine COVID-19 +2 more  Dx Cough  ? Sore Throat  ? Runny nose ? watery eyes ? Fatigue ? Poor Appetite ? Headache   Reason for Visit  History Chief Complaint Patient presents with ? Cough     eating cough drops like candy ? Sore Throat     sx started wed.  ? Runny nose ? watery eyes ? Fatigue ? Poor Appetite ? Headache     for weeks seeing neuro appts keep being canceled     HPI Patient is a 75 y.o. male presents to UC without family accompanied with complaint of cough sore throat congestion fatigue and decreased appetite.   Symptoms started on Wednesday.  He is a farmer and has been dealing with corn dust, relates that this is his typical allergies this time of year.  Typically he gets steroids and an antibiotic.  No shortness of breath.  No fever.  He is vaccinated.  Relates that he has also been dealing with some headaches and intermittent vertigo for months.   Has been seen by ENT previously and has a pending appointment with neurology.  Chief Complaint Patient presents with ? Cough     eating cough drops like candy ? Sore Throat     sx started wed.  ? Runny nose ? watery eyes ? Fatigue ? Poor Appetite ? Headache     for weeks seeing neuro appts keep being canceled
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Seasonal allergy, Vertigo
Clinical narrative: Office Visit  10/18/2021  Urgent Care -    CRNP  Family Medicine COVID-19 +2 more  Dx Cough  ? Sore Throat  ? Runny nose ? watery eyes ? Fatigue ? Poor Appetite ? Headache   Reason for Visit  History Chief Complaint Patient presents with ? Cough     eating cough drops like candy ? Sore Throat     sx started wed.  ? Runny nose ? watery eyes ? Fatigue ? Poor Appetite ? Headache     for weeks seeing neuro appts keep being canceled     HPI Patient is a 75 y.o. male presents to UC without family accompanied with complaint of cough sore throat congestion fatigue and decreased appetite.   Symptoms started on Wednesday.  He is a farmer and has been dealing with corn dust, relates that this is his typical allergies this time of year.  Typically he gets steroids and an antibiotic.  No shortness of breath.  No fever.  He is vaccinated.  Relates that he has also been dealing with some headaches and intermittent vertigo for months.   Has been seen by ENT previously and has a pending appointment with neurology.  Chief Complaint Patient presents with ? Cough     eating cough drops like candy ? Sore Throat     sx started wed.  ? Runny nose ? watery eyes ? Fatigue ? Poor Appetite ? Headache     for weeks seeing neuro appts keep being canceled
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Eyelid exfoliation, Eyelid pain, Eyelid skin dryness, Eyelids pruritus, Fatigue
Clinical narrative: Swollen lymph nodes, fever, fatigue, nausea, headache, pain at injection site, increased heart rate - 36 hours Scaly, itchy, dry, painful eyelid skin- going on 5 months
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Injection site pain, Lymphadenopathy, Nausea
Clinical narrative: Swollen lymph nodes, fever, fatigue, nausea, headache, pain at injection site, increased heart rate - 36 hours Scaly, itchy, dry, painful eyelid skin- going on 5 months
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Swollen lymph nodes, fever, fatigue, nausea, headache, pain at injection site, increased heart rate - 36 hours Scaly, itchy, dry, painful eyelid skin- going on 5 months
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: >> Oct 19, 2021  9:00 AM wrote: Does the patient have current symptoms of illness? Yes    Date symptoms started: 10/18/21   1.         Does the patient have a fever (subjective or confirmed)? No   2.         Does the patient have a new onset of cough? Yes   3.         Does the patient have a new onset of shortness of breath? No  If Yes: Is the patient having difficultly breathing or in distress? No   4.         Additional symptoms: Headaches and Congestion or runny nose
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: >> Oct 19, 2021  9:00 AM wrote: Does the patient have current symptoms of illness? Yes    Date symptoms started: 10/18/21   1.         Does the patient have a fever (subjective or confirmed)? No   2.         Does the patient have a new onset of cough? Yes   3.         Does the patient have a new onset of shortness of breath? No  If Yes: Is the patient having difficultly breathing or in distress? No   4.         Additional symptoms: Headaches and Congestion or runny nose
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Bacterial test, Biopsy, Blood test, Computerised tomogram, Discharge
Clinical narrative: Rash started on face then turned to lesions around eye as well as face and nose that will not heal. Headaches, brain fog and inflammation as well. Been to Dr. Office over 10 times, dermatologists 3 times, ER two times and Psych Ward for 2 weeks all related to lesions on face that will not heal and have strange black discharge.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Inflammation, Rash, Skin lesion
Clinical narrative: Rash started on face then turned to lesions around eye as well as face and nose that will not heal. Headaches, brain fog and inflammation as well. Been to Dr. Office over 10 times, dermatologists 3 times, ER two times and Psych Ward for 2 weeks all related to lesions on face that will not heal and have strange black discharge.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Viral test
Clinical narrative: Rash started on face then turned to lesions around eye as well as face and nose that will not heal. Headaches, brain fog and inflammation as well. Been to Dr. Office over 10 times, dermatologists 3 times, ER two times and Psych Ward for 2 weeks all related to lesions on face that will not heal and have strange black discharge.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Peripheral coldness, Tremor
Clinical narrative: About 10:30 PM developed Rigor shaking in bed, Temp  96. Cold hands , headache and muscle aches. Lasted about 45 minutes. Took1 650 Tylenol arthritis at 6pm.  Took same dose at 1045PM. Now 11:30 pm. Improved.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Acute febrile neutrophilic dermatosis, Chest pain, Dyspnoea
Clinical narrative: Severe chest pain. Inability to breathe deep. Swelling of face and arm.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Extra dose administered, Fatigue, Injection site pain, Injection site reaction
Clinical narrative: At site of injection- left Arm very painful & has large swollen red circular rash which is very warm to touch and burning sensation  I also Felt feverish had chills was achy tired  Spent most day in bed
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Pain, Pyrexia, Rash erythematous
Clinical narrative: At site of injection- left Arm very painful & has large swollen red circular rash which is very warm to touch and burning sensation  I also Felt feverish had chills was achy tired  Spent most day in bed
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Granuloma annulare
Clinical narrative: Granuloma annulare. Steroid treatment daily, topical.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Cough, Dizziness
Clinical narrative: No problems with vaccine 22 days later had T101 for 2days chills cough dizzy - Temp lasted for 2days after Tylenol started- called Dr
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site irritation, Skin exfoliation
Clinical narrative: Began with irritation and redness around injection site. Approximately 9 pm, I noticed most of my shoulder was very red. By 10:00 pm (approximately 6 hours after injection), I noticed peeling of my skin down left arm.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Pyrexia
Clinical narrative: Day2 and 3, soreness at the injection site, headache, low fever, fatigue,
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administration error
Clinical narrative: Amdinistation error- patient reports no adverse effects at this time
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria
Clinical narrative: hive at injection site, delayed onset
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Cardiac imaging procedure, Chest pain, Electrocardiogram abnormal, Fall
Clinical narrative: Within a day or so my right side of body went numb and I couldnt use phone.  My left foot burned, while my right foot was numb.  I had burning set in in the blood cessels in hands.  I ended up falling off my deck as well twisting ankle.  I ended up getting chest pain and tremors as well like a parkinson's patient.  I believe my covid hands and feet came back as well (toes change colors and hands had brown spots that I had with longhaul). The chest pain and tremors lasted a few weeks.  I had tremors from long covid that were under control prior to vacvine, but vaccine set them off and made me more food intolerant as well.  Was hard to sleep at night because of shaking.  The chest pain went away after a few weeks and tremors seemed to calm as time passed. (coming and going). The chest pain then came back after I went for a hike.  It lasted for a weeks and was off and on.  Then seemed to go away and come back.  Around Oct. 7, I had another bad episode of tremors and chest pain at same time and bad head pressure on top front left of head. like someone was sitting my head.  The week prior for some reason my foot had been black  (like bruised, worse than the covid toes I had had for close to a year or so off and on from long covid) and the covid toes came with the bruise like look on foot that covered half of right foot.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Food allergy, Head discomfort, Hypoaesthesia, Insomnia, Ligament sprain
Clinical narrative: Within a day or so my right side of body went numb and I couldnt use phone.  My left foot burned, while my right foot was numb.  I had burning set in in the blood cessels in hands.  I ended up falling off my deck as well twisting ankle.  I ended up getting chest pain and tremors as well like a parkinson's patient.  I believe my covid hands and feet came back as well (toes change colors and hands had brown spots that I had with longhaul). The chest pain and tremors lasted a few weeks.  I had tremors from long covid that were under control prior to vacvine, but vaccine set them off and made me more food intolerant as well.  Was hard to sleep at night because of shaking.  The chest pain went away after a few weeks and tremors seemed to calm as time passed. (coming and going). The chest pain then came back after I went for a hike.  It lasted for a weeks and was off and on.  Then seemed to go away and come back.  Around Oct. 7, I had another bad episode of tremors and chest pain at same time and bad head pressure on top front left of head. like someone was sitting my head.  The week prior for some reason my foot had been black  (like bruised, worse than the covid toes I had had for close to a year or so off and on from long covid) and the covid toes came with the bruise like look on foot that covered half of right foot.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Tremor
Clinical narrative: Within a day or so my right side of body went numb and I couldnt use phone.  My left foot burned, while my right foot was numb.  I had burning set in in the blood cessels in hands.  I ended up falling off my deck as well twisting ankle.  I ended up getting chest pain and tremors as well like a parkinson's patient.  I believe my covid hands and feet came back as well (toes change colors and hands had brown spots that I had with longhaul). The chest pain and tremors lasted a few weeks.  I had tremors from long covid that were under control prior to vacvine, but vaccine set them off and made me more food intolerant as well.  Was hard to sleep at night because of shaking.  The chest pain went away after a few weeks and tremors seemed to calm as time passed. (coming and going). The chest pain then came back after I went for a hike.  It lasted for a weeks and was off and on.  Then seemed to go away and come back.  Around Oct. 7, I had another bad episode of tremors and chest pain at same time and bad head pressure on top front left of head. like someone was sitting my head.  The week prior for some reason my foot had been black  (like bruised, worse than the covid toes I had had for close to a year or so off and on from long covid) and the covid toes came with the bruise like look on foot that covered half of right foot.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion, Tachycardia
Clinical narrative: Atrial Fibrillation and tachycardia.  Hospitalized for four days in September 2021, treated with medication and cardioversion.  Tachycardia returned on 10/28/2021 with an average resting heart rate of  125bpm.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus started the day after receiving the vaccine. The sound is a loud, high-pitch noise and affecting both ears.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Cold sweat, Headache, Musculoskeletal discomfort
Clinical narrative: Fever of 100.00, muscle pain, head and neck pain, sore jaw, sore back, joint discomfort, chills, cold sweats.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Neck pain, Pain in jaw, Pyrexia
Clinical narrative: Fever of 100.00, muscle pain, head and neck pain, sore jaw, sore back, joint discomfort, chills, cold sweats.
Age: 33.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Antiacetylcholine receptor antibody, Dysphagia, Dyspnoea, Movement disorder, Musculoskeletal disorder
Clinical narrative: Myasthenia Gravis. Shortness of breath, neck and arm function, lack of ability to swallow
Age: 33.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Myasthenia gravis
Clinical narrative: Myasthenia Gravis. Shortness of breath, neck and arm function, lack of ability to swallow
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: On Wednesday, 10-27-22, one of our new MAs mistakenly vaccinated a patient with Janssen rather than the Pfizer vaccination that he was checked in for. The mistake occurred while MA was training. There was an established process where the PA would draw the vaccines for the patients that had been checked in, while the MAs would collect a syringe and then proceed to administer the vaccination to the patient. In this situation, the patient called MA over asking to be vaccinated quickly (distracting her from the process she was learning from, trainer MA). MA then vaccinated the patient with the janssen vaccine she had on her cart(thinking it was Pfizer), a vaccine that was originally for another patient. Then PA spoke to the patient letting him know of the situation and his options which included talking to his primary care physician and connecting with Dr.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: No adverse event, Product preparation issue
Clinical narrative: RECEIVED FIRST DOSE OF TRUMENBA ON 09/09/20. WAS NOT DICYMENTED IN HIS EHR. THEN GIVEN FIRST DOSE OF BEXSERO ON 10/14/21 AS WAS UNKNOWN AT THAT TIME ABOUT THE TRUMENBA SO MENINGITIS B VACCINES WERE MIXED. THE PATIENT HAD NO SYMPTOMS. NO ADVERSE EFFECT
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema
Clinical narrative: Right anterior thigh: large circumferential area of erythema in target pattern around injection site. Treatment: attempt cool compresses or baths to thigh, attempt leg elevations, weaning course of prednisolone.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Received third dose from vial refrigerated for more than 30 days; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT STORAGE ERROR (Received third dose from vial refrigerated for more than 30 days) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 01-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Oct-2021, the patient experienced PRODUCT STORAGE ERROR (Received third dose from vial refrigerated for more than 30 days). On 01-Oct-2021, PRODUCT STORAGE ERROR (Received third dose from vial refrigerated for more than 30 days) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant information was not provided. It was reported that the vaccine was defrosted on 30-Aug-2021. Treatment information was not provided. This case was linked to MOD-2021-358921 (Patient Link).
Sex: F
Vaccine: COVID19
Symptoms: Eye inflammation, Facial pain, Swelling face
Clinical narrative: Got my 2nd dose of Pfizer covid vaccine on Thursday May 6,2021 on Sunday May 9, 2021 while in the car (parked) waiting on my family I felt a pop on the left side of my face near my left eye. I did have pain and swelling on the left side of my face near the eye socket. I visited urgent care that afternoon and the MD consulted with severe other MDs and eye doctors- no one had an explanation. I followed up the next day with my eye doctor who said it was possible that I had pulled an eye muscle. After high doses of Anti-inflammatory medication, ice, and rest for about 3-4 weeks and at home eye exercises it did resolve. I do wonder if it wasn't inflamed due o the vaccine as that was the only "new " thing that happened.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Chest pain, Hepatic enzyme increased, Muscle fatigue
Clinical narrative: I received the Moderna Covid-19 Vaccine April, 27, 2021 and May 30, 2021. Lots 007C21A and 054C12A respectively at pharmacy. I woke up in the night Fri./Sat. and had pain in both arms and chest muscles. It would not go away so went to Chiropractor on June 19, 2021 thinking it was a pinched nerve. Symptoms became worse and was had weakness in both arms. When to Urgent Care who referred me to the ER with suspected heart issues. Went to the ER and found there were no heart issues, but found my liver enzymes were very elevated. Had ultrasound of liver, but didn't find any anomaly. Was discharged from hospital with same symptoms and followed up with Dr. on the elevated liver enzymes. Ultimately saw a specialist (GI) who ran multiple blood tests. Nothing was found and the liver enzymes were returning to normal. The GI Dr. told me I most likely had a virus that my body was fighting off. Symptoms continued and I saw my primary care physician and they recommended going to physical therapy to help regain strength in my arms. I have been going since September. My symptoms are now getting worse and had muscle fatigue and pain in legs, buttocks and other muscles. I saw Dr. yesterday October 26, 2021 and she we discussed this being a side effect of the Covid-19 Vaccine. She indicated she has seen some odd things due to the vaccine and stated that Moderna had the most severe side effects. She diagnosed me as having Myositis and instructed me to take 600mg of Ibuprofen three times a day for 12-15 days. This is what I am doing now. I have additional Dr. appointments with a Neurologist and Rheumatologist to see if there are other issues/damage/treatment.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Musculoskeletal pain, Myalgia, Myositis, Pain in extremity
Clinical narrative: I received the Moderna Covid-19 Vaccine April, 27, 2021 and May 30, 2021. Lots 007C21A and 054C12A respectively at pharmacy. I woke up in the night Fri./Sat. and had pain in both arms and chest muscles. It would not go away so went to Chiropractor on June 19, 2021 thinking it was a pinched nerve. Symptoms became worse and was had weakness in both arms. When to Urgent Care who referred me to the ER with suspected heart issues. Went to the ER and found there were no heart issues, but found my liver enzymes were very elevated. Had ultrasound of liver, but didn't find any anomaly. Was discharged from hospital with same symptoms and followed up with Dr. on the elevated liver enzymes. Ultimately saw a specialist (GI) who ran multiple blood tests. Nothing was found and the liver enzymes were returning to normal. The GI Dr. told me I most likely had a virus that my body was fighting off. Symptoms continued and I saw my primary care physician and they recommended going to physical therapy to help regain strength in my arms. I have been going since September. My symptoms are now getting worse and had muscle fatigue and pain in legs, buttocks and other muscles. I saw Dr. yesterday October 26, 2021 and she we discussed this being a side effect of the Covid-19 Vaccine. She indicated she has seen some odd things due to the vaccine and stated that Moderna had the most severe side effects. She diagnosed me as having Myositis and instructed me to take 600mg of Ibuprofen three times a day for 12-15 days. This is what I am doing now. I have additional Dr. appointments with a Neurologist and Rheumatologist to see if there are other issues/damage/treatment.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound liver normal, Viral infection
Clinical narrative: I received the Moderna Covid-19 Vaccine April, 27, 2021 and May 30, 2021. Lots 007C21A and 054C12A respectively at pharmacy. I woke up in the night Fri./Sat. and had pain in both arms and chest muscles. It would not go away so went to Chiropractor on June 19, 2021 thinking it was a pinched nerve. Symptoms became worse and was had weakness in both arms. When to Urgent Care who referred me to the ER with suspected heart issues. Went to the ER and found there were no heart issues, but found my liver enzymes were very elevated. Had ultrasound of liver, but didn't find any anomaly. Was discharged from hospital with same symptoms and followed up with Dr. on the elevated liver enzymes. Ultimately saw a specialist (GI) who ran multiple blood tests. Nothing was found and the liver enzymes were returning to normal. The GI Dr. told me I most likely had a virus that my body was fighting off. Symptoms continued and I saw my primary care physician and they recommended going to physical therapy to help regain strength in my arms. I have been going since September. My symptoms are now getting worse and had muscle fatigue and pain in legs, buttocks and other muscles. I saw Dr. yesterday October 26, 2021 and she we discussed this being a side effect of the Covid-19 Vaccine. She indicated she has seen some odd things due to the vaccine and stated that Moderna had the most severe side effects. She diagnosed me as having Myositis and instructed me to take 600mg of Ibuprofen three times a day for 12-15 days. This is what I am doing now. I have additional Dr. appointments with a Neurologist and Rheumatologist to see if there are other issues/damage/treatment.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Death
Clinical narrative: After receiving the 3rd dose of Pfizer COVID-19 vaccine, patient experienced congestive heart failure, was admitted to the hospital and succumbed 10 days later. She received the 3rd dose of the vaccine on September 28, 2021.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Colitis, Computerised tomogram abdomen abnormal, Diarrhoea, Immune-mediated enterocolitis
Clinical narrative: Pt hospitalized for grade 3 immune-related colitis. Pt received cycle 3 of durvalumab/tremelimumab on 10/7/21. Pt had mild diarrhea from 10/12 - 10/14 - ~2 episodes per day. On 10/15 pt received Moderna COVID booster vaccine and had fevers, chills, and frequent diarrhea with 5-6 episodes per day associated w/ cramping through 10/17. Pt admitted to hospital on 10/20. CT abdomen pelvis on 10/20 showed diffuse mild pancolitis; cdiff and stool cultures were negative. GI was consulted, colonoscopy was deferred in light of risk of perforation in setting of pancolitis. Pt currently receiving prednisone 1 mg/kg daily, IV ceftriaxone 1000mg, and Flagyl 500mg. Symptoms of diarrhea and cramping improved with initiation of high-dose steroids
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Pyrexia
Clinical narrative: Pt hospitalized for grade 3 immune-related colitis. Pt received cycle 3 of durvalumab/tremelimumab on 10/7/21. Pt had mild diarrhea from 10/12 - 10/14 - ~2 episodes per day. On 10/15 pt received Moderna COVID booster vaccine and had fevers, chills, and frequent diarrhea with 5-6 episodes per day associated w/ cramping through 10/17. Pt admitted to hospital on 10/20. CT abdomen pelvis on 10/20 showed diffuse mild pancolitis; cdiff and stool cultures were negative. GI was consulted, colonoscopy was deferred in light of risk of perforation in setting of pancolitis. Pt currently receiving prednisone 1 mg/kg daily, IV ceftriaxone 1000mg, and Flagyl 500mg. Symptoms of diarrhea and cramping improved with initiation of high-dose steroids
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Cardiac stress test normal, Chest pain, Echocardiogram normal, Myocarditis, Scan myocardial perfusion
Clinical narrative: I received the Pfizer Covid-19 vaccines and developed myocarditis 7 days after the 2nd dose. The first dose was injected on 3/19/2021 at hospital. Lot number pfizer EN6205, second injection was administered on 4/9/2021 at hospital Lot# EW0162. I am a 58 Y/O male with the chest pain occurring each night for 5 days in a row waking me up. The pain was similar to having a tooth ache over my left enter mediastina and seem to resolve after 5 days. I went for a cardiac workup including cardiac echo, exercise stress test w/o nuclear then with nuclear imaging. All test results came back normal.
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder
Clinical narrative: I received the Pfizer Covid-19 vaccines and developed myocarditis 7 days after the 2nd dose. The first dose was injected on 3/19/2021 at hospital. Lot number pfizer EN6205, second injection was administered on 4/9/2021 at hospital Lot# EW0162. I am a 58 Y/O male with the chest pain occurring each night for 5 days in a row waking me up. The pain was similar to having a tooth ache over my left enter mediastina and seem to resolve after 5 days. I went for a cardiac workup including cardiac echo, exercise stress test w/o nuclear then with nuclear imaging. All test results came back normal.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Arteriogram coronary normal, Blood magnesium normal, Blood thyroid stimulating hormone normal, Cardiac monitoring abnormal
Clinical narrative: Pfizer COVID Vaccine FC3180-given 8/6/21 and 9/8/21. New onset torsades de pointes requiring 2 ER visits, 2 hospital stays and AICD placement. New onset orthostatic hypotension requiring pressor medication management. Patient had no prior history of any medical problems, was on no medications, no family history, no pre-existing co-morbidities. Was previously active and exercised daily with no issues. She began to have pre-syncopal and syncopal episodes 2 wk after her second Pfizer shot. Went to the ER and was hospitalized for evaluation. CTA chest, CT brain, ECHO, labs and telemetry monitoring. Continued to have episodes. Event monitor placed. Had a significant episode while wearing the monitor requiring EMS and transportation to ER. Event monitor showed sustained polymorphic ventricular tachycardia. She was admitted to the hospital and AICD was placed. Orthostatic hypotension persisted throughout this even when patient is in sinus rhythm. Requires oral pressor medication to treat this.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac telemetry abnormal, Computerised tomogram head normal, Echocardiogram normal, Electrocardiogram ambulatory, Full blood count normal
Clinical narrative: Pfizer COVID Vaccine FC3180-given 8/6/21 and 9/8/21. New onset torsades de pointes requiring 2 ER visits, 2 hospital stays and AICD placement. New onset orthostatic hypotension requiring pressor medication management. Patient had no prior history of any medical problems, was on no medications, no family history, no pre-existing co-morbidities. Was previously active and exercised daily with no issues. She began to have pre-syncopal and syncopal episodes 2 wk after her second Pfizer shot. Went to the ER and was hospitalized for evaluation. CTA chest, CT brain, ECHO, labs and telemetry monitoring. Continued to have episodes. Event monitor placed. Had a significant episode while wearing the monitor requiring EMS and transportation to ER. Event monitor showed sustained polymorphic ventricular tachycardia. She was admitted to the hospital and AICD was placed. Orthostatic hypotension persisted throughout this even when patient is in sinus rhythm. Requires oral pressor medication to treat this.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Implantable defibrillator insertion, Laboratory test normal, Metabolic function test normal, Orthostatic hypotension, Presyncope
Clinical narrative: Pfizer COVID Vaccine FC3180-given 8/6/21 and 9/8/21. New onset torsades de pointes requiring 2 ER visits, 2 hospital stays and AICD placement. New onset orthostatic hypotension requiring pressor medication management. Patient had no prior history of any medical problems, was on no medications, no family history, no pre-existing co-morbidities. Was previously active and exercised daily with no issues. She began to have pre-syncopal and syncopal episodes 2 wk after her second Pfizer shot. Went to the ER and was hospitalized for evaluation. CTA chest, CT brain, ECHO, labs and telemetry monitoring. Continued to have episodes. Event monitor placed. Had a significant episode while wearing the monitor requiring EMS and transportation to ER. Event monitor showed sustained polymorphic ventricular tachycardia. She was admitted to the hospital and AICD was placed. Orthostatic hypotension persisted throughout this even when patient is in sinus rhythm. Requires oral pressor medication to treat this.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus rhythm, Syncope, Torsade de pointes, Toxicologic test normal, Urine analysis normal
Clinical narrative: Pfizer COVID Vaccine FC3180-given 8/6/21 and 9/8/21. New onset torsades de pointes requiring 2 ER visits, 2 hospital stays and AICD placement. New onset orthostatic hypotension requiring pressor medication management. Patient had no prior history of any medical problems, was on no medications, no family history, no pre-existing co-morbidities. Was previously active and exercised daily with no issues. She began to have pre-syncopal and syncopal episodes 2 wk after her second Pfizer shot. Went to the ER and was hospitalized for evaluation. CTA chest, CT brain, ECHO, labs and telemetry monitoring. Continued to have episodes. Event monitor placed. Had a significant episode while wearing the monitor requiring EMS and transportation to ER. Event monitor showed sustained polymorphic ventricular tachycardia. She was admitted to the hospital and AICD was placed. Orthostatic hypotension persisted throughout this even when patient is in sinus rhythm. Requires oral pressor medication to treat this.