chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lhermitte's sign, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal, Multiple sclerosis, Pain
Clinical narrative: 2/10/21- received second dose of Moderna vaccine. 2/11/21- at 11AM onset of fever/chills, fatigue, body aches. Lasted ~10 hrs. 2/12/21- Positive Lhermitte's sign. After, developed numbness/tingling both hands. 2/23/21- Consult with primary care. She ordered referral to Neurologist and ordered brain/cervical MRI. 3/30/21- MRIs completed (see below). 4/7/21- Met with Doctor. Received diagnosis of Multiple Sclerosis.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Pyrexia, Spinal cord disorder
Clinical narrative: 2/10/21- received second dose of Moderna vaccine. 2/11/21- at 11AM onset of fever/chills, fatigue, body aches. Lasted ~10 hrs. 2/12/21- Positive Lhermitte's sign. After, developed numbness/tingling both hands. 2/23/21- Consult with primary care. She ordered referral to Neurologist and ordered brain/cervical MRI. 3/30/21- MRIs completed (see below). 4/7/21- Met with Doctor. Received diagnosis of Multiple Sclerosis.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Hyperhidrosis, Syncope
Clinical narrative: syncope, sweating, dizziness, fatigue
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Consciousness fluctuating, Cyanosis, Fall, Lip injury
Clinical narrative: At 11:40am this morning patient received her Pfizer booster vaccine by pharmacist. Pharmacist worked through the patient's immunization questionnaire form, noting no contraindication to the vaccine nor any past history of adverse effects to prior immunizations. The report form was provided to patient and it was explained that patient was welcomed to wait 15 minutes post immunization at our designated observation area, which she agreed to do. Two to three minutes after Patient began her 15-minute post immunization observation patient fainted, falling to the floor from her seated position. Patient's husband was with her during this time. A pharmacy customer who witnessed the incident immediately notified myself of the situation and I immediately went out to assist. My initial observation of the situation was the patient already lying on the floor unconscious, cyanotic, and had a slight lip cut on her lower lip. Patient's husband began raising the patient legs up while he began explaining to me that the patient had indeed had previous fainting incidents in past immunizations and that this was not her first time. Within a few seconds the patient regained consciousness and the husband began trying to have her sit up. I explained to the husband that it was best that the patient remained on the floor lying down till she was stable. Patient became unconscious again and seemed as though she was about to seize so I positioned her on her side. No seizure was actually observed and patient regained consciousness again after about 10 seconds. I instructed that the patient remain on her side till she was stable. At this time store management was onsite taking notes and offering that we call an ambulance, for which both patient and husband declined. An ice pack was placed on the patients back and she remained laying down for another 10 minutes till stabilized. Patient was alert and orientated to person, place, and time and showed proper neurological and muscular function by being able to squeeze both of my hands. I sat her up and provided an orange juice for her to sip on while I had her wait in the observation area for another 30 minutes to ensure she was okay. After 30 minutes, Patient indicated she felt much better and left the store with her husband and children. I followed up with the patient this afternoon at 7:45pm to check in on her. Patient confirmed that she felt fine and was very appreciative for all that we did for her.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope, Wound
Clinical narrative: At 11:40am this morning patient received her Pfizer booster vaccine by pharmacist. Pharmacist worked through the patient's immunization questionnaire form, noting no contraindication to the vaccine nor any past history of adverse effects to prior immunizations. The report form was provided to patient and it was explained that patient was welcomed to wait 15 minutes post immunization at our designated observation area, which she agreed to do. Two to three minutes after Patient began her 15-minute post immunization observation patient fainted, falling to the floor from her seated position. Patient's husband was with her during this time. A pharmacy customer who witnessed the incident immediately notified myself of the situation and I immediately went out to assist. My initial observation of the situation was the patient already lying on the floor unconscious, cyanotic, and had a slight lip cut on her lower lip. Patient's husband began raising the patient legs up while he began explaining to me that the patient had indeed had previous fainting incidents in past immunizations and that this was not her first time. Within a few seconds the patient regained consciousness and the husband began trying to have her sit up. I explained to the husband that it was best that the patient remained on the floor lying down till she was stable. Patient became unconscious again and seemed as though she was about to seize so I positioned her on her side. No seizure was actually observed and patient regained consciousness again after about 10 seconds. I instructed that the patient remain on her side till she was stable. At this time store management was onsite taking notes and offering that we call an ambulance, for which both patient and husband declined. An ice pack was placed on the patients back and she remained laying down for another 10 minutes till stabilized. Patient was alert and orientated to person, place, and time and showed proper neurological and muscular function by being able to squeeze both of my hands. I sat her up and provided an orange juice for her to sip on while I had her wait in the observation area for another 30 minutes to ensure she was okay. After 30 minutes, Patient indicated she felt much better and left the store with her husband and children. I followed up with the patient this afternoon at 7:45pm to check in on her. Patient confirmed that she felt fine and was very appreciative for all that we did for her.
Age: 64.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Unevaluable event
Clinical narrative: Duplicate invocations
Age: 64.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Duplicate invocations
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered, No adverse event
Clinical narrative: patient received COVID-19 Booster dose 2.5 mg ( recommended dose  0..25 mg). Patient was observed for 15 minutes after receiving dose without any adverse effects.  The increased dose received by the patient was discovered after the patient left the clinic. The patient was notified by phone; patient again reported no adverse effects.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Extra dose administered, Herpes zoster, Pruritus, Rash
Clinical narrative: On 4th day after the booster shot, a small bump appears on the arm inner elbow. on the next morning five more rash appeared. Small clustered rashes appeared on the wrist with blisters came with extreme itch. Symptoms appears similar of the Shingles, on 6th day (on 11/30), I went to see doctor and the doctor prescribed me the medication for Singles
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Endoscopy, Flank pain, Lipase increased, Magnetic resonance imaging
Clinical narrative: On 2/26/21 I woke up with a fever and vomiting. This continued for several days, but the fever went away after 2 days. On 3/3/21, I went to the ER with severe right side pain. They ran a series of tests, determining that I had pancreatitis, but were unclear as to why because I do not drink alcohol and had my gallbladder removed in 2011. They admitted me to the hospital and my lipase level continued to rise each day until it was around 850. I spent the following 8 days (3/3/21-3/11/21) in the hospital.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pancreatitis, Pyrexia, Vomiting
Clinical narrative: On 2/26/21 I woke up with a fever and vomiting. This continued for several days, but the fever went away after 2 days. On 3/3/21, I went to the ER with severe right side pain. They ran a series of tests, determining that I had pancreatitis, but were unclear as to why because I do not drink alcohol and had my gallbladder removed in 2011. They admitted me to the hospital and my lipase level continued to rise each day until it was around 850. I spent the following 8 days (3/3/21-3/11/21) in the hospital.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Headache, Pain, Pain in extremity
Clinical narrative: extreme body soreness all over , especially legs .  Bad headache that doesnt go away & the worst effect is really bad heart pain that?s constant - almost feels like a knife in my heart .
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Fall, Syncope
Clinical narrative: Shortly after receiving the vaccine, patient fainted and fell on his left side leaving a slight bruise on his face.  Both parents with patient at the time of event. Assisted to sitting position.  Ambulated with assistance by parent to observation area and placed in recumbent position. Vital signs obtained: @3;10 pm- HR =83 , 100% pulse ox on room air, BP 102/58. @3:20, HR=83, 100% room air, BP 105/66. RR =16.  Offered sips of water and snacks as tolerated. Patient observed for 35-40 minutes prior to leaving facility -ambulated independently with parents and younger brother.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated.   COVID breakthrough infection.   Inpatient hospital stay.   Pfizer vaccine lot # not listed, just dates of vaccine
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Oral mucosal eruption, Rash, Urticaria
Clinical narrative: Rash around forehead that spread down beside eyes onto cheeks and over mouth. Rash then clumped together in hive-like splotches. Then swelling above and below eyes. Gave him 5 mls hydroxyzine. Within an hour the rash had diminished by half although the eye swelling remained the same. Urgent care is closed but taking him in the morning.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth, Oral herpes
Clinical narrative: Red rash started 5 hours after injection. It started as the size of a thumb print and was hot to the touch. It grew over the course of a week to the size of a hand print and was extremely swollen and bright red. Parts looked like fever blisters.  I reported both times I had this reaction to the first 2 covid shots. I did not however report that I got the same rash when I got my flu shot 1 week before (11/15/2021) received the booster shot. I have never had a rash with any vaccine before so this was a bit alarming.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Lethargy, Pallor, Vomiting
Clinical narrative: 12 year old female patient got 1st Pfizer shot  on 12/4 @6:15 pm and in less than 15 minutes, while waiting in the waiting area, turned pale, started profusely vomiting, looked lethargic and eventually started sweating. Gave her water and paper towels. Paramedics were called and after assessment, was recommended by paramedics she be taken to ER since she was turning pale every time she stood up. She is currently at the ER so do not have any outcomes.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Pruritus, Rash
Clinical narrative: Fifth day after received the booster shot, small rashes appeared on the both forearms and gradually rashes appeared on the upper torso. No fever or fatigue condition but extremely itch on affected areas
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer
Clinical narrative: Canker sore in mouth
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Pain in extremity
Clinical narrative: Sore arm when waking up for the day.  Left armpit sore reported in the evening around 28 hours after injection.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen, tender and painful supraclavicular lymph nodes
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Headache, Migraine with aura
Clinical narrative: Within 12 hours - fainting when sitting/standing for 48 hours, extreme headache, nausea/diarrhea, extreme arm pain, high fever (100+ degrees), chills - all symptoms lasted for between 48 hours & 1 week Within 1 week -  began having complex, aura migraines (first time in life),  arm pain shooting into elbow & wrist joints   I have had several family members have similar side effects.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia, Syncope
Clinical narrative: Within 12 hours - fainting when sitting/standing for 48 hours, extreme headache, nausea/diarrhea, extreme arm pain, high fever (100+ degrees), chills - all symptoms lasted for between 48 hours & 1 week Within 1 week -  began having complex, aura migraines (first time in life),  arm pain shooting into elbow & wrist joints   I have had several family members have similar side effects.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Eye pain, Headache, Pain, SARS-CoV-2 test positive
Clinical narrative: Immediately following the injection I felt fine. no rash or redness.  Four days later, I woke up in the morning with an excruciating headache. The pain was 9/10 on the pain scale. It was a throbbing pain located in the base of my skull and radiated upwards towards my forehead. Pain was located behind the eyes and in the temporal region. Customary measures to alleviate the pain were unsuccessful.  The headaches continued and I tested positive for COVID -19 on October 7th with mild symptoms for the duration.  I have never had headaches like this in my past and they continue until this day. The headaches are extremely painful without much comfort.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Malaise
Clinical narrative: tiredness, headache, muscle pain, chills,  feeling unwell, decreased appetite
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia
Clinical narrative: tiredness, headache, muscle pain, chills,  feeling unwell, decreased appetite
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Decreased appetite, Dizziness, Fatigue, Headache
Clinical narrative: tiredness, headache, muscle pain, chills,  feeling unwell, decreased appetite
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Influenza B virus test positive, Injection site pain, Neurological examination normal, SARS-CoV-2 test
Clinical narrative: tiredness, headache, muscle pain, chills,  feeling unwell, decreased appetite
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Haematuria, Metabolic function test, Urine analysis
Clinical narrative: Hematuria
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen lymph node in armpit, very large and painful
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: High fever, of 105 degrees.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, of 101.6 degrees
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Bells Palsy facial paralysis
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Angiogram pulmonary abnormal, Anticoagulant therapy, Blood creatinine increased, Brain natriuretic peptide increased
Clinical narrative: Narrative:  A 70yo male with known PMH and current Medical history that included DM and HTN Per Unit pharmacist and nursing documentation, He received his first Pfizer Covid - 19 vaccine per policy and protocol and without complication First dose on March 24, 2021 and the second dose on May 17, 2021 on April 5, 2021 he presented to the ED with complaint of swelling/ pain to BLE an ulcer to top of right foot. Upon examination the patient was found to have new DVT in LT lower extremity, and tachycardia with elevated troponin. CTA showed bilateral PE with pleural effusion and pulmonary edema. BNP was elevated with suspect of acute heart failure. He was started on heparin drip and admitted to PCU Other abnormal labs included Cr of 1.7 with dx of AKD and elevated Liver Enzymes On May 7, 2021 he was reported by the unit's NP with Covid - 19 vaccine induced severe edema for which he had to present to the ED on April 5, 2021 with confirmed femoral vein thrombus,, LV thrombus and PE,
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure acute, Deep vein thrombosis, Hepatic enzyme increased, Inappropriate schedule of product administration, Intensive care
Clinical narrative: Narrative:  A 70yo male with known PMH and current Medical history that included DM and HTN Per Unit pharmacist and nursing documentation, He received his first Pfizer Covid - 19 vaccine per policy and protocol and without complication First dose on March 24, 2021 and the second dose on May 17, 2021 on April 5, 2021 he presented to the ED with complaint of swelling/ pain to BLE an ulcer to top of right foot. Upon examination the patient was found to have new DVT in LT lower extremity, and tachycardia with elevated troponin. CTA showed bilateral PE with pleural effusion and pulmonary edema. BNP was elevated with suspect of acute heart failure. He was started on heparin drip and admitted to PCU Other abnormal labs included Cr of 1.7 with dx of AKD and elevated Liver Enzymes On May 7, 2021 he was reported by the unit's NP with Covid - 19 vaccine induced severe edema for which he had to present to the ED on April 5, 2021 with confirmed femoral vein thrombus,, LV thrombus and PE,
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Pain in extremity, Peripheral swelling, Pleural effusion, Pulmonary embolism
Clinical narrative: Narrative:  A 70yo male with known PMH and current Medical history that included DM and HTN Per Unit pharmacist and nursing documentation, He received his first Pfizer Covid - 19 vaccine per policy and protocol and without complication First dose on March 24, 2021 and the second dose on May 17, 2021 on April 5, 2021 he presented to the ED with complaint of swelling/ pain to BLE an ulcer to top of right foot. Upon examination the patient was found to have new DVT in LT lower extremity, and tachycardia with elevated troponin. CTA showed bilateral PE with pleural effusion and pulmonary edema. BNP was elevated with suspect of acute heart failure. He was started on heparin drip and admitted to PCU Other abnormal labs included Cr of 1.7 with dx of AKD and elevated Liver Enzymes On May 7, 2021 he was reported by the unit's NP with Covid - 19 vaccine induced severe edema for which he had to present to the ED on April 5, 2021 with confirmed femoral vein thrombus,, LV thrombus and PE,
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary oedema, Skin ulcer, Tachycardia, Troponin increased, Venous thrombosis
Clinical narrative: Narrative:  A 70yo male with known PMH and current Medical history that included DM and HTN Per Unit pharmacist and nursing documentation, He received his first Pfizer Covid - 19 vaccine per policy and protocol and without complication First dose on March 24, 2021 and the second dose on May 17, 2021 on April 5, 2021 he presented to the ED with complaint of swelling/ pain to BLE an ulcer to top of right foot. Upon examination the patient was found to have new DVT in LT lower extremity, and tachycardia with elevated troponin. CTA showed bilateral PE with pleural effusion and pulmonary edema. BNP was elevated with suspect of acute heart failure. He was started on heparin drip and admitted to PCU Other abnormal labs included Cr of 1.7 with dx of AKD and elevated Liver Enzymes On May 7, 2021 he was reported by the unit's NP with Covid - 19 vaccine induced severe edema for which he had to present to the ED on April 5, 2021 with confirmed femoral vein thrombus,, LV thrombus and PE,
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Aspergillus infection, Condition aggravated, Cytomegalovirus test positive, Dyspnoea, Dyspnoea exertional
Clinical narrative: A 53yo male with PMH of Lump on the Neck, Essential Hypertension, Dyspnea on Exertion and Interstitial Pneumonia with Autoimmune Features He received Pfizer's Covid - 19 vaccine per policy and protocol without complication, first dose on May 10,2021 He had been on 2L oxygen NC at home for his lung condition On May 16, 2021, he presented to the ED febrile (temp of 103), tachycardic with dyspnea on exertion requiring more oxygen The patient had been on CellCept and prednisone at home, for the interstitial Pneumonia with autoimmune features. He was admitted to MICU with possible Pneumonia due to immunosuppression, was hydrated and given broad spectrum antibiotic. He continued to be febrile with complicated Pneumonia, requiring different tests and changes of antimicrobial treatments/therapy, being septic with worsening of respiratory condition requiring MICU stay and eventually leading to mechanical ventilation on may 23, 2021 On may 19, 2021 he was reported with developing a Pfizer Covid- 19 vaccine reaction classified as severe by the documenting physician The reaction was described as SOB which started two days after receiving the vaccine and which progressed into, likely Hemophagocytic Syndrom and Hypoxia requiring intubation, with Ferretin level of 75,000, Pancytopenia and elevated lfts Also Rheumatology's not on May 19, 2021 included patient admitedin HLH ( Hemophagocytic Lymphohistocytosis) and s/ p treatment with Pulse steroids , IVIG and anakinra, Rheumatology documentation on May 19, 2021 included "course has been complicated by pancreatitis, fungemia, aspergilus infection, CMV and HSV reactivation. Reintubated on 6/17"
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Fungaemia, Haemophagocytic lymphohistiocytosis, Herpes simplex test positive, Hypoxia
Clinical narrative: A 53yo male with PMH of Lump on the Neck, Essential Hypertension, Dyspnea on Exertion and Interstitial Pneumonia with Autoimmune Features He received Pfizer's Covid - 19 vaccine per policy and protocol without complication, first dose on May 10,2021 He had been on 2L oxygen NC at home for his lung condition On May 16, 2021, he presented to the ED febrile (temp of 103), tachycardic with dyspnea on exertion requiring more oxygen The patient had been on CellCept and prednisone at home, for the interstitial Pneumonia with autoimmune features. He was admitted to MICU with possible Pneumonia due to immunosuppression, was hydrated and given broad spectrum antibiotic. He continued to be febrile with complicated Pneumonia, requiring different tests and changes of antimicrobial treatments/therapy, being septic with worsening of respiratory condition requiring MICU stay and eventually leading to mechanical ventilation on may 23, 2021 On may 19, 2021 he was reported with developing a Pfizer Covid- 19 vaccine reaction classified as severe by the documenting physician The reaction was described as SOB which started two days after receiving the vaccine and which progressed into, likely Hemophagocytic Syndrom and Hypoxia requiring intubation, with Ferretin level of 75,000, Pancytopenia and elevated lfts Also Rheumatology's not on May 19, 2021 included patient admitedin HLH ( Hemophagocytic Lymphohistocytosis) and s/ p treatment with Pulse steroids , IVIG and anakinra, Rheumatology documentation on May 19, 2021 included "course has been complicated by pancreatitis, fungemia, aspergilus infection, CMV and HSV reactivation. Reintubated on 6/17"
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Immunoglobulin therapy, Immunosuppression, Intensive care, Liver function test increased, Mechanical ventilation
Clinical narrative: A 53yo male with PMH of Lump on the Neck, Essential Hypertension, Dyspnea on Exertion and Interstitial Pneumonia with Autoimmune Features He received Pfizer's Covid - 19 vaccine per policy and protocol without complication, first dose on May 10,2021 He had been on 2L oxygen NC at home for his lung condition On May 16, 2021, he presented to the ED febrile (temp of 103), tachycardic with dyspnea on exertion requiring more oxygen The patient had been on CellCept and prednisone at home, for the interstitial Pneumonia with autoimmune features. He was admitted to MICU with possible Pneumonia due to immunosuppression, was hydrated and given broad spectrum antibiotic. He continued to be febrile with complicated Pneumonia, requiring different tests and changes of antimicrobial treatments/therapy, being septic with worsening of respiratory condition requiring MICU stay and eventually leading to mechanical ventilation on may 23, 2021 On may 19, 2021 he was reported with developing a Pfizer Covid- 19 vaccine reaction classified as severe by the documenting physician The reaction was described as SOB which started two days after receiving the vaccine and which progressed into, likely Hemophagocytic Syndrom and Hypoxia requiring intubation, with Ferretin level of 75,000, Pancytopenia and elevated lfts Also Rheumatology's not on May 19, 2021 included patient admitedin HLH ( Hemophagocytic Lymphohistocytosis) and s/ p treatment with Pulse steroids , IVIG and anakinra, Rheumatology documentation on May 19, 2021 included "course has been complicated by pancreatitis, fungemia, aspergilus infection, CMV and HSV reactivation. Reintubated on 6/17"
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pancreatitis, Pancytopenia, Pneumonia, Pyrexia, Respiratory disorder
Clinical narrative: A 53yo male with PMH of Lump on the Neck, Essential Hypertension, Dyspnea on Exertion and Interstitial Pneumonia with Autoimmune Features He received Pfizer's Covid - 19 vaccine per policy and protocol without complication, first dose on May 10,2021 He had been on 2L oxygen NC at home for his lung condition On May 16, 2021, he presented to the ED febrile (temp of 103), tachycardic with dyspnea on exertion requiring more oxygen The patient had been on CellCept and prednisone at home, for the interstitial Pneumonia with autoimmune features. He was admitted to MICU with possible Pneumonia due to immunosuppression, was hydrated and given broad spectrum antibiotic. He continued to be febrile with complicated Pneumonia, requiring different tests and changes of antimicrobial treatments/therapy, being septic with worsening of respiratory condition requiring MICU stay and eventually leading to mechanical ventilation on may 23, 2021 On may 19, 2021 he was reported with developing a Pfizer Covid- 19 vaccine reaction classified as severe by the documenting physician The reaction was described as SOB which started two days after receiving the vaccine and which progressed into, likely Hemophagocytic Syndrom and Hypoxia requiring intubation, with Ferretin level of 75,000, Pancytopenia and elevated lfts Also Rheumatology's not on May 19, 2021 included patient admitedin HLH ( Hemophagocytic Lymphohistocytosis) and s/ p treatment with Pulse steroids , IVIG and anakinra, Rheumatology documentation on May 19, 2021 included "course has been complicated by pancreatitis, fungemia, aspergilus infection, CMV and HSV reactivation. Reintubated on 6/17"
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Serum ferritin increased, Tachycardia
Clinical narrative: A 53yo male with PMH of Lump on the Neck, Essential Hypertension, Dyspnea on Exertion and Interstitial Pneumonia with Autoimmune Features He received Pfizer's Covid - 19 vaccine per policy and protocol without complication, first dose on May 10,2021 He had been on 2L oxygen NC at home for his lung condition On May 16, 2021, he presented to the ED febrile (temp of 103), tachycardic with dyspnea on exertion requiring more oxygen The patient had been on CellCept and prednisone at home, for the interstitial Pneumonia with autoimmune features. He was admitted to MICU with possible Pneumonia due to immunosuppression, was hydrated and given broad spectrum antibiotic. He continued to be febrile with complicated Pneumonia, requiring different tests and changes of antimicrobial treatments/therapy, being septic with worsening of respiratory condition requiring MICU stay and eventually leading to mechanical ventilation on may 23, 2021 On may 19, 2021 he was reported with developing a Pfizer Covid- 19 vaccine reaction classified as severe by the documenting physician The reaction was described as SOB which started two days after receiving the vaccine and which progressed into, likely Hemophagocytic Syndrom and Hypoxia requiring intubation, with Ferretin level of 75,000, Pancytopenia and elevated lfts Also Rheumatology's not on May 19, 2021 included patient admitedin HLH ( Hemophagocytic Lymphohistocytosis) and s/ p treatment with Pulse steroids , IVIG and anakinra, Rheumatology documentation on May 19, 2021 included "course has been complicated by pancreatitis, fungemia, aspergilus infection, CMV and HSV reactivation. Reintubated on 6/17"
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Tachycardia
Clinical narrative: Patient received Pfizer COVID vaccine on May 11. On May 12 Patient called patient response center reporting low grade fever, headache, and mild tachycardia (104 bpm) - patient did not report similar ADRs following first vaccine and ADRs resolved by subsequent PCP appointment (no mention in PCP documentation)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Cellulitis
Clinical narrative: Narrative:  REQUIRE EMERGENCY ROOM VISIT FOR ANTIBIOTICS TO TREAT THE CELLULITIS
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Malaise, Nausea
Clinical narrative: Narrative:  Upon arrival, found pt on floor c/o feeling ill and feeling faint. Pt clammy and diaphoretic. Pt had just received COVID shot and was two minutes from being discharged from the observation section when the pt collapsed in his chair. Writer was told that the monitor caught him and was lead to the ground. Pt became nauseated and began vomiting. Pt was helped up by several staff members and brought via chair stretcher to the clinic for further observation. He was taken to outside ER for evaluation and monitoring.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Narrative:  Upon arrival, found pt on floor c/o feeling ill and feeling faint. Pt clammy and diaphoretic. Pt had just received COVID shot and was two minutes from being discharged from the observation section when the pt collapsed in his chair. Writer was told that the monitor caught him and was lead to the ground. Pt became nauseated and began vomiting. Pt was helped up by several staff members and brought via chair stretcher to the clinic for further observation. He was taken to outside ER for evaluation and monitoring.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Feeling cold, SARS-CoV-2 test positive
Clinical narrative: A70yo , male with PMH of Depression, Obesity, DM, HTN, Disorder of Electrolytes, multiple Myeloma, History of Autologus Bone Marrow Transplant, CKD, primary Malignant Neoplasm of Kidney, Renal Cell Carcinoma Papillary Type Nursing note documented he received Pfizer Covid - 19 vaccine per Policy and protocol without complication first dose on February 23, 2021 and the second shot on March 16, 2021, he was reported with Pfizer Covid - 19 vaccine indicted historical ADR of Chill, Dyspnea and Fatigue by the oncology attending. The report included that the patient tested SARS Cov-2 +ve on April 23, 2021 despite being fully vaccinated earlier this year
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative: None stated.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative: None stated.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative: None stated.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Narrative:  Patient decided to not get second shot because stated after he got home was feeling short of breath from the first. allergy was added to profile.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative: None stated.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: Patient reported mild symptoms (dizziness) that resolved approximately 15 minutes after receipt of first dose of COVID vaccine reported fatigue in the days after receipt of the vaccination
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative: None stated.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative: None stated.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Anion gap, Basophil count normal, Basophil percentage, Blood calcium decreased, Blood chloride normal
Clinical narrative: Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone decreased
Clinical narrative: Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea normal, Carbon dioxide normal, Eosinophil count normal, Eosinophil percentage, Glomerular filtration rate normal
Clinical narrative: Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Immature granulocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration normal
Clinical narrative: Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Monocyte percentage increased, Neutrophil count normal, Neutrophil percentage
Clinical narrative: Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Red blood cell count normal, Red cell distribution width normal, White blood cell count normal
Clinical narrative: Narrative:
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction
Clinical narrative: Patient experience palpitations at outside vaccination site after first dose of covid vaccine. no further details explained.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Nodule, Oropharyngeal pain, Pain
Clinical narrative: Patient reported to ED on 5/18/21 following second dose of COVID-19 Vaccine. Reported that around 9pm on the same day he received second vaccination developed the following symptoms: chills, body aches, back pain, knot in neck, sore throat. COVID test in ED on 5/18/21, negative.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Patient reported to ED on 5/18/21 following second dose of COVID-19 Vaccine. Reported that around 9pm on the same day he received second vaccination developed the following symptoms: chills, body aches, back pain, knot in neck, sore throat. COVID test in ED on 5/18/21, negative.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test
Clinical narrative: Narrative:
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Dyspnoea, Fibrin D dimer normal, Injection site pain
Clinical narrative: Patient called VA line on 5/3/2021 complaining of shortness of breathe and chest pain/discomfort developing after J&J vaccine on 4/30/21. Patient described chest pain as similar to muscle ache/soreness when sick. Patient initially had left arm pain at site of injection that resolved previously. Patient denied fever, chills, fatigue. Patient was referred to local ER for evaluation to rule out potential pulmonary embolism. ER records reviewed, CXR unremarkable with np acute process, no lab abnormalities- troponin, D-dimer negative. Patient discharged from ER with no further interventions than those listed above.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Troponin normal
Clinical narrative: Patient called VA line on 5/3/2021 complaining of shortness of breathe and chest pain/discomfort developing after J&J vaccine on 4/30/21. Patient described chest pain as similar to muscle ache/soreness when sick. Patient initially had left arm pain at site of injection that resolved previously. Patient denied fever, chills, fatigue. Patient was referred to local ER for evaluation to rule out potential pulmonary embolism. ER records reviewed, CXR unremarkable with np acute process, no lab abnormalities- troponin, D-dimer negative. Patient discharged from ER with no further interventions than those listed above.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: A 59yo female with PMH of HTN, Hyperlipidemia, DM II, Tobacco Use, Vitamin D deficiency and Cerebrovascular Accident May 4, 2021 Advice line call documentation indicated patient had Moderna Covid - 19 vaccine on April 4, 2021 and reported an adverse reaction of dizziness x 2 days The patient presented to the VA ER on May 4, 2021 and was reported with a historical Moderna Covid- 19 induced ADR of weakness by the documenting nurse on May 6, 2021.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative: None stated.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dehydration, Dyspnoea, Fatigue
Clinical narrative: A 66yo female with PMH Arthritis, Pain in joint involving Lt shoulder region, HTN, Migraine, Depressve Disorder, Benign Neoplasm of Cerebral Meninges Per Nurse's documentation Received Pfizer's Covid-19 vaccine First dose March 18, 2021 and second dose on July 8, 2021 per policy and protocol, without any complication However on May 5, 2021 per  telephone documentation, the patient called with CC of adverse reaction to vaccine, had fatigue, dehydration and SOB, went to ER for evaluation. She reported the symptoms lingered for 2 to 4 weeks, had fever, weight loss, chills, and no apetite She was not feeling well since the March 18, Covid-19 vaccube and having dental crown insertion on the same day, at the VA, Also reported she felt worse after day 1 but feeling stronger now and apetite is better
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pyrexia, Weight decreased
Clinical narrative: A 66yo female with PMH Arthritis, Pain in joint involving Lt shoulder region, HTN, Migraine, Depressve Disorder, Benign Neoplasm of Cerebral Meninges Per Nurse's documentation Received Pfizer's Covid-19 vaccine First dose March 18, 2021 and second dose on July 8, 2021 per policy and protocol, without any complication However on May 5, 2021 per  telephone documentation, the patient called with CC of adverse reaction to vaccine, had fatigue, dehydration and SOB, went to ER for evaluation. She reported the symptoms lingered for 2 to 4 weeks, had fever, weight loss, chills, and no apetite She was not feeling well since the March 18, Covid-19 vaccube and having dental crown insertion on the same day, at the VA, Also reported she felt worse after day 1 but feeling stronger now and apetite is better
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: Narrative:
Sex: M
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: Narrative:
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Headache
Clinical narrative: A 59yo female with PMH of Depression, Chronic PTSD, Cervical Radiculopathy, Anxiety, Migraine, Obesity and Tobacco use Per Nurses' documentation, she received Pfizer's Covid-19 vaccine First dose on April 5,2021 and second dose on April 26,2021 per policy and protocol without complication She was reported with a historical Pfizer Covid-19 vaccine induced reaction of Headache and confusion, by the attending physician on May 3, 2021
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: Narrative:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: Narrative:
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: Narrative:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: Narrative:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: Narrative:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Cardiogenic shock, Death
Clinical narrative: Narrative: 74 y/o male received first dose of COVID-19 vaccination (Moderna) on 2/13/2021. Pt was hospitalized for cardiogenic shock and heart failure on 3/11 and signed AMA 3/16. Pt was admitted again to Hospital 3/20 and transferred to 3/21. Pt never received 2nd dose of COVID-19. Pt expired 3/31.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chills, Dizziness
Clinical narrative: Patient presented to ED and code was called for evaluation 15 minutes after 1st dose of  pfizer vaccine. He presented with chills, dizziness, and anxiety. No treatment medications were given, just monitored.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Hospice death
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Amyotrophic lateral sclerosis, Death, Multimorbidity
Clinical narrative: Narrative:  Patient expired due multiple underlying conditions (ALS), cause of death unknown. Long time patient
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Death
Clinical narrative: Narrative:  Patient passed due to underlying conditions, severe heart failure.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  86 y/o male who was administered the first dose of COVID-19 (Pfizer) vaccination on 3/2/2021. Patient had been transitioned to a rehab facility and never returned for the second dose.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Death due to underlying conditions, patient on hospice at the time
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Multimorbidity
Clinical narrative: Narrative: Patient died of unknown cause, had multiple underlying conditions. Patient outside of hospital. Patient was in our facility with multiple underlying conditions.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient had multiple underlying conditions. Patient expired from unknown cause unrelated to vaccine.
Age: 100.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Dyspnoea, Leukocytosis, White blood cell count increased
Clinical narrative: Veteran received covid-19 (moderna) vaccine #1 on 3/17, developed SOB 3/22 requiring EMS transport to ER for evaluation, which was unremarkable, attributed to vaccine reaction. Mild leukocytosis also noted (WBC 12.8). Of note, Afib listed per ER notes, resolved, but mave have additionally contribute to SOB.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Headache, Myalgia, Pain, Pain in extremity
Clinical narrative: Headache, Myalgia & Fever Narrative: Fever 101.0 , body aches, severe headache, GI issues, hurt to walk. Those have since resolved, but continues to have significant arm pain.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, Myalgia & Fever Narrative: Fever 101.0 , body aches, severe headache, GI issues, hurt to walk. Those have since resolved, but continues to have significant arm pain.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Nausea, Paraesthesia, Pruritus
Clinical narrative: Headache, SkinRash, NauseaVomiting, Itchy face, red/dotted rash on face, tingling and numbness in chees (pins and needles) Narrative:
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash macular, Vomiting
Clinical narrative: Headache, SkinRash, NauseaVomiting, Itchy face, red/dotted rash on face, tingling and numbness in chees (pins and needles) Narrative:
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid 19 pcr positive on 8/9/2021 Narrative:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Fatigue, Injection site pain, Injection site swelling
Clinical narrative: Myalgia, Arthralgia & Fever Narrative: dose 1: pain/swelling at inj site day1-2; redness only day 3-7; fatigue day 1-2 dose 2: pain/swelling at inj sit site day 1-2; swelling day 3-4; day 2-body ache/fever/fatigue/ joint pain
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: Myalgia, Arthralgia & Fever Narrative: dose 1: pain/swelling at inj site day1-2; redness only day 3-7; fatigue day 1-2 dose 2: pain/swelling at inj sit site day 1-2; swelling day 3-4; day 2-body ache/fever/fatigue/ joint pain
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Headache, Myalgia & Fever Narrative: Body Aches, headache, fevers, chills, GI upset, fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Headache, Myalgia & Fever Narrative: Body Aches, headache, fevers, chills, GI upset, fatigue.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: Headache, Diarrhea, NauseaVomiting, sore left arm,tingling throat, tired Narrative:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia, Vomiting
Clinical narrative: Headache, Diarrhea, NauseaVomiting, sore left arm,tingling throat, tired Narrative:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Myalgia, Purpura, Pyrexia, Vasodilatation
Clinical narrative: Myalgia, Fever, Purpura, BRUISING/PURPURA NEAR LEFT INNER THIGH, REPORTS VEINS IN LEGS LOOK MORE "PRONOUNCED" AS WELL Narrative: SENT TO OUTSIDE URGENT CARE TO EVALUATE
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: 92 yo male with PMH: Nocturia Heartburn Obesity Essential hypertension Malignant neoplasm of thyroid gland Enlarged prostate IMPOTENCE, ORGANIC ORIGN Hypothyroidism Allergic rhinitis CHEST SWELLING/MASS/LUMP hx of thyroid cancer s/p partial thyroidectomy prostatectomy 12/2007, 3/4 prostate taken out s/p cholecystectomy s/p lung surgery for tumor back surgery 4/2011 hx bilateral cataract removal Pt died on 4/12/2021.Pt had received covid vaccinations on 1/29/21 & 2/26/21. There is no information or details about pt's about pt's death. Not able to access if pt's death was related to covid vaccinations. Likely death was not related to vaccination given pt's advanced age.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: Headache, Diarrhea, NauseaVomiting, fatigue, sore throat,chills Narrative:
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Vomiting
Clinical narrative: Headache, Diarrhea, NauseaVomiting, fatigue, sore throat,chills Narrative:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol use disorder, Alcoholic, Anticoagulant therapy, Platelet disorder, Thrombocytopenia
Clinical narrative: Narrative:  Patient was administered the J&J COVID vaccine on 7/7/21 during inpatient hospitalization, by a medical professional who completed specific training for this vaccine. Patient was counseled about the reports of thrombosis with thrombocytopenia syndrome (TTS) and was provided with the required counseling and patient educational handouts and EUA fact sheet, Side Effects and Adverse Events Reporting Fact Sheet. After review of the risks/benefits patient consented to receiving the vaccine. Approximately 7/12/21 patient was reportedly admitted to Medical Center where a PE and thrombocytopenia were diagnosed (these records are not available for this writer's review). He was started on rivaroxaban 15mg BID. On 7/21/21 he was transferred to another hospital for inpatient psychiatric admission. Since 7/21, platelets have been WNL and trending up. Of note, patient is being treated for severe alcohol use disorder and was reportedly drinking heavily prior to admission, which can also potentially be associated with thrombosis and thrombocytopenia.