chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Bundle branch block left, COVID-19, Cardiac arrest, Catheter directed thrombolysis, Central venous catheterisation
Clinical narrative: On 5/20/21 the patient was at home with his mother when he had acute nausea, light-headedness, and abdominal pain. He presented to the ED by ambulance. Excerpt from ED notes od MD follows: "Initial ED interventions: iv fluids, low dose iv ativan, iv toradol, iv zofran.  ED course: patient arrives very anxious, writhing on bed, difficult to redirect. With chronic tonicity, not seizing. Mother arrives, and he recognizes her, seems to be consoled somewhat by her presence, but she is unable to direct him, and describes his behavior as irregular, and events acute this evening at her home.  Patient rests, and then HR decrease to 50s on monitior and patient found to be pulseless - I immediately start chest compressions, and achieve ROSC after PEA arrest with administration of EPI/compressions. Patient intubated per procedure note without complication. L femoral central attained per procedure note without complication. CPR performed over ED course intermittently (always PEA arrest) with ROSC achieved with administration of EPI, EPI drip started in addition to sedation meds, and iv fluids. No obvious STEMI on ECG to administer lytics, with suspicion of dissection and AAA prominent. I am able to stabilze and accompany patient to CT suite, where I recognize B/L massive PE immediately. I discuss with Dr. of Cardiology, who agrees with admininstration of alteplase. I disucss risks with mother who consents verbally. Patient without response to alteplase, and with continued pattern of PEA arrest following bradycardia. I discuss etiology of presentation with mother,and that patient is with very poor prognosis of survival, and likely poorer prognosis of neurological status, and patient is made comfort care, and fentanyl drip increased, patient is taken off of ventilation and drips. Pronounced deceased at 22:00.  MDM: Initial concern for but not limited to appendicitis, AAA, diverticulitis, renal stones, pyelonephritis, musculoskeletal pain, pancreatitis, toxic ingestion, ACS, obstruction, perforation, sepsis (2/2 PNA, UTI, meningitis, intra-abdominal infection), AAA, dissection, PE - as ED course progresses, differential narrows and consider more likely PEA arrest secondary to ACS, PE, dissection, AAA, necrotic pancreatitis, tension PNX (less likely). Considered but do not suspect seizures, stroke. Imaging studies reviewed - CXR with ETT in place, no acute pathology. CTA chest/A/P remarkable for massive proximal B/L PE. Labs reviewed. ECGs without STEMI, with sinus tach initially, LBBB after initial ROSC, and then AFib in RVR on subsequent ECG. Per above, patient suffered massive B/L PE, with subsequent cardiac arrest, despite heoric efforts including thrombolysis. Death called art 22:00.  Diagnosis: massive B/L PEs, PEA arrest.  Disposition: deceased."
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram abdomen, Death, Dizziness, Dyskinesia
Clinical narrative: On 5/20/21 the patient was at home with his mother when he had acute nausea, light-headedness, and abdominal pain. He presented to the ED by ambulance. Excerpt from ED notes od MD follows: "Initial ED interventions: iv fluids, low dose iv ativan, iv toradol, iv zofran.  ED course: patient arrives very anxious, writhing on bed, difficult to redirect. With chronic tonicity, not seizing. Mother arrives, and he recognizes her, seems to be consoled somewhat by her presence, but she is unable to direct him, and describes his behavior as irregular, and events acute this evening at her home.  Patient rests, and then HR decrease to 50s on monitior and patient found to be pulseless - I immediately start chest compressions, and achieve ROSC after PEA arrest with administration of EPI/compressions. Patient intubated per procedure note without complication. L femoral central attained per procedure note without complication. CPR performed over ED course intermittently (always PEA arrest) with ROSC achieved with administration of EPI, EPI drip started in addition to sedation meds, and iv fluids. No obvious STEMI on ECG to administer lytics, with suspicion of dissection and AAA prominent. I am able to stabilze and accompany patient to CT suite, where I recognize B/L massive PE immediately. I discuss with Dr. of Cardiology, who agrees with admininstration of alteplase. I disucss risks with mother who consents verbally. Patient without response to alteplase, and with continued pattern of PEA arrest following bradycardia. I discuss etiology of presentation with mother,and that patient is with very poor prognosis of survival, and likely poorer prognosis of neurological status, and patient is made comfort care, and fentanyl drip increased, patient is taken off of ventilation and drips. Pronounced deceased at 22:00.  MDM: Initial concern for but not limited to appendicitis, AAA, diverticulitis, renal stones, pyelonephritis, musculoskeletal pain, pancreatitis, toxic ingestion, ACS, obstruction, perforation, sepsis (2/2 PNA, UTI, meningitis, intra-abdominal infection), AAA, dissection, PE - as ED course progresses, differential narrows and consider more likely PEA arrest secondary to ACS, PE, dissection, AAA, necrotic pancreatitis, tension PNX (less likely). Considered but do not suspect seizures, stroke. Imaging studies reviewed - CXR with ETT in place, no acute pathology. CTA chest/A/P remarkable for massive proximal B/L PE. Labs reviewed. ECGs without STEMI, with sinus tach initially, LBBB after initial ROSC, and then AFib in RVR on subsequent ECG. Per above, patient suffered massive B/L PE, with subsequent cardiac arrest, despite heoric efforts including thrombolysis. Death called art 22:00.  Diagnosis: massive B/L PEs, PEA arrest.  Disposition: deceased."
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Endotracheal intubation, Heart rate decreased, Hypertonia, Lung consolidation
Clinical narrative: On 5/20/21 the patient was at home with his mother when he had acute nausea, light-headedness, and abdominal pain. He presented to the ED by ambulance. Excerpt from ED notes od MD follows: "Initial ED interventions: iv fluids, low dose iv ativan, iv toradol, iv zofran.  ED course: patient arrives very anxious, writhing on bed, difficult to redirect. With chronic tonicity, not seizing. Mother arrives, and he recognizes her, seems to be consoled somewhat by her presence, but she is unable to direct him, and describes his behavior as irregular, and events acute this evening at her home.  Patient rests, and then HR decrease to 50s on monitior and patient found to be pulseless - I immediately start chest compressions, and achieve ROSC after PEA arrest with administration of EPI/compressions. Patient intubated per procedure note without complication. L femoral central attained per procedure note without complication. CPR performed over ED course intermittently (always PEA arrest) with ROSC achieved with administration of EPI, EPI drip started in addition to sedation meds, and iv fluids. No obvious STEMI on ECG to administer lytics, with suspicion of dissection and AAA prominent. I am able to stabilze and accompany patient to CT suite, where I recognize B/L massive PE immediately. I discuss with Dr. of Cardiology, who agrees with admininstration of alteplase. I disucss risks with mother who consents verbally. Patient without response to alteplase, and with continued pattern of PEA arrest following bradycardia. I discuss etiology of presentation with mother,and that patient is with very poor prognosis of survival, and likely poorer prognosis of neurological status, and patient is made comfort care, and fentanyl drip increased, patient is taken off of ventilation and drips. Pronounced deceased at 22:00.  MDM: Initial concern for but not limited to appendicitis, AAA, diverticulitis, renal stones, pyelonephritis, musculoskeletal pain, pancreatitis, toxic ingestion, ACS, obstruction, perforation, sepsis (2/2 PNA, UTI, meningitis, intra-abdominal infection), AAA, dissection, PE - as ED course progresses, differential narrows and consider more likely PEA arrest secondary to ACS, PE, dissection, AAA, necrotic pancreatitis, tension PNX (less likely). Considered but do not suspect seizures, stroke. Imaging studies reviewed - CXR with ETT in place, no acute pathology. CTA chest/A/P remarkable for massive proximal B/L PE. Labs reviewed. ECGs without STEMI, with sinus tach initially, LBBB after initial ROSC, and then AFib in RVR on subsequent ECG. Per above, patient suffered massive B/L PE, with subsequent cardiac arrest, despite heoric efforts including thrombolysis. Death called art 22:00.  Diagnosis: massive B/L PEs, PEA arrest.  Disposition: deceased."
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation, Nausea, Pancreatitis necrotising, Pneumothorax, Pulmonary embolism
Clinical narrative: On 5/20/21 the patient was at home with his mother when he had acute nausea, light-headedness, and abdominal pain. He presented to the ED by ambulance. Excerpt from ED notes od MD follows: "Initial ED interventions: iv fluids, low dose iv ativan, iv toradol, iv zofran.  ED course: patient arrives very anxious, writhing on bed, difficult to redirect. With chronic tonicity, not seizing. Mother arrives, and he recognizes her, seems to be consoled somewhat by her presence, but she is unable to direct him, and describes his behavior as irregular, and events acute this evening at her home.  Patient rests, and then HR decrease to 50s on monitior and patient found to be pulseless - I immediately start chest compressions, and achieve ROSC after PEA arrest with administration of EPI/compressions. Patient intubated per procedure note without complication. L femoral central attained per procedure note without complication. CPR performed over ED course intermittently (always PEA arrest) with ROSC achieved with administration of EPI, EPI drip started in addition to sedation meds, and iv fluids. No obvious STEMI on ECG to administer lytics, with suspicion of dissection and AAA prominent. I am able to stabilze and accompany patient to CT suite, where I recognize B/L massive PE immediately. I discuss with Dr. of Cardiology, who agrees with admininstration of alteplase. I disucss risks with mother who consents verbally. Patient without response to alteplase, and with continued pattern of PEA arrest following bradycardia. I discuss etiology of presentation with mother,and that patient is with very poor prognosis of survival, and likely poorer prognosis of neurological status, and patient is made comfort care, and fentanyl drip increased, patient is taken off of ventilation and drips. Pronounced deceased at 22:00.  MDM: Initial concern for but not limited to appendicitis, AAA, diverticulitis, renal stones, pyelonephritis, musculoskeletal pain, pancreatitis, toxic ingestion, ACS, obstruction, perforation, sepsis (2/2 PNA, UTI, meningitis, intra-abdominal infection), AAA, dissection, PE - as ED course progresses, differential narrows and consider more likely PEA arrest secondary to ACS, PE, dissection, AAA, necrotic pancreatitis, tension PNX (less likely). Considered but do not suspect seizures, stroke. Imaging studies reviewed - CXR with ETT in place, no acute pathology. CTA chest/A/P remarkable for massive proximal B/L PE. Labs reviewed. ECGs without STEMI, with sinus tach initially, LBBB after initial ROSC, and then AFib in RVR on subsequent ECG. Per above, patient suffered massive B/L PE, with subsequent cardiac arrest, despite heoric efforts including thrombolysis. Death called art 22:00.  Diagnosis: massive B/L PEs, PEA arrest.  Disposition: deceased."
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary infarction, Pulse absent, Pulseless electrical activity, Resuscitation, Right ventricular dysfunction
Clinical narrative: On 5/20/21 the patient was at home with his mother when he had acute nausea, light-headedness, and abdominal pain. He presented to the ED by ambulance. Excerpt from ED notes od MD follows: "Initial ED interventions: iv fluids, low dose iv ativan, iv toradol, iv zofran.  ED course: patient arrives very anxious, writhing on bed, difficult to redirect. With chronic tonicity, not seizing. Mother arrives, and he recognizes her, seems to be consoled somewhat by her presence, but she is unable to direct him, and describes his behavior as irregular, and events acute this evening at her home.  Patient rests, and then HR decrease to 50s on monitior and patient found to be pulseless - I immediately start chest compressions, and achieve ROSC after PEA arrest with administration of EPI/compressions. Patient intubated per procedure note without complication. L femoral central attained per procedure note without complication. CPR performed over ED course intermittently (always PEA arrest) with ROSC achieved with administration of EPI, EPI drip started in addition to sedation meds, and iv fluids. No obvious STEMI on ECG to administer lytics, with suspicion of dissection and AAA prominent. I am able to stabilze and accompany patient to CT suite, where I recognize B/L massive PE immediately. I discuss with Dr. of Cardiology, who agrees with admininstration of alteplase. I disucss risks with mother who consents verbally. Patient without response to alteplase, and with continued pattern of PEA arrest following bradycardia. I discuss etiology of presentation with mother,and that patient is with very poor prognosis of survival, and likely poorer prognosis of neurological status, and patient is made comfort care, and fentanyl drip increased, patient is taken off of ventilation and drips. Pronounced deceased at 22:00.  MDM: Initial concern for but not limited to appendicitis, AAA, diverticulitis, renal stones, pyelonephritis, musculoskeletal pain, pancreatitis, toxic ingestion, ACS, obstruction, perforation, sepsis (2/2 PNA, UTI, meningitis, intra-abdominal infection), AAA, dissection, PE - as ED course progresses, differential narrows and consider more likely PEA arrest secondary to ACS, PE, dissection, AAA, necrotic pancreatitis, tension PNX (less likely). Considered but do not suspect seizures, stroke. Imaging studies reviewed - CXR with ETT in place, no acute pathology. CTA chest/A/P remarkable for massive proximal B/L PE. Labs reviewed. ECGs without STEMI, with sinus tach initially, LBBB after initial ROSC, and then AFib in RVR on subsequent ECG. Per above, patient suffered massive B/L PE, with subsequent cardiac arrest, despite heoric efforts including thrombolysis. Death called art 22:00.  Diagnosis: massive B/L PEs, PEA arrest.  Disposition: deceased."
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Scan with contrast abnormal, Sedative therapy, Sinus tachycardia
Clinical narrative: On 5/20/21 the patient was at home with his mother when he had acute nausea, light-headedness, and abdominal pain. He presented to the ED by ambulance. Excerpt from ED notes od MD follows: "Initial ED interventions: iv fluids, low dose iv ativan, iv toradol, iv zofran.  ED course: patient arrives very anxious, writhing on bed, difficult to redirect. With chronic tonicity, not seizing. Mother arrives, and he recognizes her, seems to be consoled somewhat by her presence, but she is unable to direct him, and describes his behavior as irregular, and events acute this evening at her home.  Patient rests, and then HR decrease to 50s on monitior and patient found to be pulseless - I immediately start chest compressions, and achieve ROSC after PEA arrest with administration of EPI/compressions. Patient intubated per procedure note without complication. L femoral central attained per procedure note without complication. CPR performed over ED course intermittently (always PEA arrest) with ROSC achieved with administration of EPI, EPI drip started in addition to sedation meds, and iv fluids. No obvious STEMI on ECG to administer lytics, with suspicion of dissection and AAA prominent. I am able to stabilze and accompany patient to CT suite, where I recognize B/L massive PE immediately. I discuss with Dr. of Cardiology, who agrees with admininstration of alteplase. I disucss risks with mother who consents verbally. Patient without response to alteplase, and with continued pattern of PEA arrest following bradycardia. I discuss etiology of presentation with mother,and that patient is with very poor prognosis of survival, and likely poorer prognosis of neurological status, and patient is made comfort care, and fentanyl drip increased, patient is taken off of ventilation and drips. Pronounced deceased at 22:00.  MDM: Initial concern for but not limited to appendicitis, AAA, diverticulitis, renal stones, pyelonephritis, musculoskeletal pain, pancreatitis, toxic ingestion, ACS, obstruction, perforation, sepsis (2/2 PNA, UTI, meningitis, intra-abdominal infection), AAA, dissection, PE - as ED course progresses, differential narrows and consider more likely PEA arrest secondary to ACS, PE, dissection, AAA, necrotic pancreatitis, tension PNX (less likely). Considered but do not suspect seizures, stroke. Imaging studies reviewed - CXR with ETT in place, no acute pathology. CTA chest/A/P remarkable for massive proximal B/L PE. Labs reviewed. ECGs without STEMI, with sinus tach initially, LBBB after initial ROSC, and then AFib in RVR on subsequent ECG. Per above, patient suffered massive B/L PE, with subsequent cardiac arrest, despite heoric efforts including thrombolysis. Death called art 22:00.  Diagnosis: massive B/L PEs, PEA arrest.  Disposition: deceased."
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Computerised tomogram normal, Condition aggravated, Dyspnoea
Clinical narrative: I started having  a swollen throat after the vaccine later in the night I noticed it was more difficult to breathe I felt like I wasn't able to catch as much air. I wasn't able to do much. The next day, Sunday , it was even harder I couldn't walk It wasn't that my throat was closing up I just felt like something heavy was on my chest. On Monday I went to work and I could not walk even three ft. I went to the hospital I then followed up with my primary care. I was given an inhaler which I used for 2 days after which things began to return to normal. It was about a week total from the vaccine that I began to feel better.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Impaired work ability, Loss of personal independence in daily activities, Oropharyngeal discomfort, Pharyngeal swelling
Clinical narrative: I started having  a swollen throat after the vaccine later in the night I noticed it was more difficult to breathe I felt like I wasn't able to catch as much air. I wasn't able to do much. The next day, Sunday , it was even harder I couldn't walk It wasn't that my throat was closing up I just felt like something heavy was on my chest. On Monday I went to work and I could not walk even three ft. I went to the hospital I then followed up with my primary care. I was given an inhaler which I used for 2 days after which things began to return to normal. It was about a week total from the vaccine that I began to feel better.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: I started having  a swollen throat after the vaccine later in the night I noticed it was more difficult to breathe I felt like I wasn't able to catch as much air. I wasn't able to do much. The next day, Sunday , it was even harder I couldn't walk It wasn't that my throat was closing up I just felt like something heavy was on my chest. On Monday I went to work and I could not walk even three ft. I went to the hospital I then followed up with my primary care. I was given an inhaler which I used for 2 days after which things began to return to normal. It was about a week total from the vaccine that I began to feel better.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: A lot of pain in the arm where I received the vaccine.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Haematemesis, Laboratory test, Malaise, Speech disorder
Clinical narrative: At approximately 12:30 PM on May 26, 2021, Pt. began vomiting while he was at school.  Prior to vomiting, school staff reported that he seemed unwell (pt. is severely disabled and has very limited speech).  The first episode of vomiting was followed by multiple (4-5) episodes of vomiting blood.  School staff including the school nurse report observing clots in the blood, bright red blood, and brown coffee ground type blood in the vomit.  The school staff called 911 and pt. was transported to Hospital.  In the ambulance pt. vomited again and the paramedic reported observing blood in the vomit. Pt. was observed in the ER and given Zofran and liquids.  Blood tests and a CT scan with and without contrast were performed.  Neither tests explained the bloody vomiting. Pt has since stopped vomiting and is resting quietly at home and eating normally.  The hospital referred Noah to a Gastroenterologist for follow up.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: At approximately 12:30 PM on May 26, 2021, Pt. began vomiting while he was at school.  Prior to vomiting, school staff reported that he seemed unwell (pt. is severely disabled and has very limited speech).  The first episode of vomiting was followed by multiple (4-5) episodes of vomiting blood.  School staff including the school nurse report observing clots in the blood, bright red blood, and brown coffee ground type blood in the vomit.  The school staff called 911 and pt. was transported to Hospital.  In the ambulance pt. vomited again and the paramedic reported observing blood in the vomit. Pt. was observed in the ER and given Zofran and liquids.  Blood tests and a CT scan with and without contrast were performed.  Neither tests explained the bloody vomiting. Pt has since stopped vomiting and is resting quietly at home and eating normally.  The hospital referred Noah to a Gastroenterologist for follow up.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Fall, Nausea, Scratch, Syncope
Clinical narrative: Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Additional Details: pt fell from chair and landed on floor. scraped his face on the way on the floor. i ran to the patient and asked him if he is okay and checked to see if he was breathing, 911 was called, and after about 3 seconds, the patient regains conciousness and explains he has no idea how he ended up on the floor but remembers getting the vaccine and sitting. this occured about 5 minutes into the 15 minute post vaccination observation. pt states he gets sqeamish and nauseus at the thought of needles
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Additional Details: pt fell from chair and landed on floor. scraped his face on the way on the floor. i ran to the patient and asked him if he is okay and checked to see if he was breathing, 911 was called, and after about 3 seconds, the patient regains conciousness and explains he has no idea how he ended up on the floor but remembers getting the vaccine and sitting. this occured about 5 minutes into the 15 minute post vaccination observation. pt states he gets sqeamish and nauseus at the thought of needles
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: PATIENT SAYS THAT AFTER VACCINE SHE HAS HAD PAIN IN HER LEFT ARM. SHE DESCRIBES IT AS MOVING TO DIFFERENT PARTS OF HER ARM. SOMETIMES ITS AT THE TOP OF HER ARM NEAR THE JOINT AND SOMETIMES IT GOES DOWN TOWARDS HER FOREARM
Age: 1.25
Sex: M
Vaccine: HIBV
Symptoms: Balance disorder, Hoover's sign of leg paresis, Injection site nodule
Clinical narrative: Knot in left thigh, hovering the leg, and off balance when walking.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site induration, Injection site pain, Pain
Clinical narrative: Entire body ache Chills, (could not get warm) Pain at injection site Pain at touching of site Lg harden area at injection site , the size and shape of half a small orange Presently, the size of a walnut, still hard and painful at touch.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Urticaria, Vaccination site pain, Vaccination site vesicles
Clinical narrative: Started hives on day 3 that turned into painful blister on vaccine arm.  Has continued to spread to other parts of my body. Still having new hives and blisters on Day 12.  Itchy, red.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient found dead
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arteriosclerosis, Autopsy, Death, Hypertensive heart disease, Pericarditis
Clinical narrative: Patient found dead
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tryptase increased, Unresponsive to stimuli
Clinical narrative: Patient found dead
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Ear swelling, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: soon after vaccination patient noted swelling of left external auditory canal that subsequently drained yellow pus. Later in the day the patient noticed facial swelling. Presents to urgent care with fever, headache, nasal congestion, and sore throat. Diagnosed with  cellulitis, prescribed topical and oral antimicrobials, advised to manage pain with NSAIDs.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Otorrhoea, Pyrexia, Swelling face
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: soon after vaccination patient noted swelling of left external auditory canal that subsequently drained yellow pus. Later in the day the patient noticed facial swelling. Presents to urgent care with fever, headache, nasal congestion, and sore throat. Diagnosed with  cellulitis, prescribed topical and oral antimicrobials, advised to manage pain with NSAIDs.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Headache, Body Ache, Low Grade Fever, Sore Throat, Coughing
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient under age 18 was vaccinated with Moderna, which is a vaccine error, on 4/02/2021 027b21a. Second vaccine provided 4/30/2021 - Moderna 008C21A. Troubleshooting: Scribe and vaccinator did not validate age;  screeners at the beginning of the process did not ask or turn away on a Moderna-only day. Second vaccine would have been given per standing orders. Unreported as error, found in data mining. Age restriction/confirmation rules were put into effect after the date of the first vaccine to prevent underage vaccines.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Nasal congestion, Odynophagia, Pain
Clinical narrative: Headache, stuffy nose, body aches , swollen glands under his throat, pain when swallowing, hard to swallow. No difficulty breathing, no wheezing, no cough, no rashes. Mother gave Benadryl. Mother reports symptoms started the day the vaccine was given. Resolved within 3 days.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood follicle stimulating hormone increased, Blood prolactin increased, C-reactive protein increased, Hot flush, Laboratory test
Clinical narrative: Before the vaccine, I had complete normal monthly periods. 28 days clockwork. I have not had a period since the vaccine. My FSH level have gone from normal, to 46.2mIU/ml. My prolactin is also elevated to 46.670 ng/ml CRP is elevated as well. I have hot flashes and night sweats and racing heartbeats.   My doctor is going to re-run labs but has also ordered an MRI pituitary study
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation delayed, Night sweats, Palpitations
Clinical narrative: Before the vaccine, I had complete normal monthly periods. 28 days clockwork. I have not had a period since the vaccine. My FSH level have gone from normal, to 46.2mIU/ml. My prolactin is also elevated to 46.670 ng/ml CRP is elevated as well. I have hot flashes and night sweats and racing heartbeats.   My doctor is going to re-run labs but has also ordered an MRI pituitary study
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Welts on skins from arm to neck, patient was sent to the emergency room.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Weakness-Mild
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt arrived to vaccination site for scheduled first dose appointment. Computer pop up window indicated a first dose of Moderna given. Pt screened & questioned if he received first dose of Moderna & replied in negative. Error discovered after Pfizer dose administered & upon attempting to reconcile medical record. Pt approached in observation area & again queried if first dose of Moderna was given, replied negative & then changed to "yes" . Moderna vaccine  lot # & provider verified via phone with pt's case worker . Unable to obtain further vaccine info (dose,VIS date, route, site). No adverse effects noted while in observation for extended amount of time.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Redness and lump at the injection sight
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT IS 17 YEARS OLD . MODERNA VACCINE HAS NOT BEEN APPROVED FOR INDIVIDUALS UNDER THE AGE OF18. PATIENT INADVERDENTLY RECEIVED HER FIRST DOSE OF MODERNA VACCINE.  NO KNOWN REPORTS OF COMPLICATIONS  FOLLOWING DOSE ADMINISTRATION
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Ageusia, COVID-19, Cough, Dyspnoea
Clinical narrative: After getting the vaccine I came home and I fell asleep for a couple hours and I woke up very sick to my stomach and vertigo really bad. I was coughing a lot and I could not breathe and it was terrible. I was also tired and my muscles were sore. I made a doctor's appointment and I was waiting on the car and I tried eating some chips and I could not taste them.  Then they let me in the hospital and I had a Covid test done and it was positive. That happened in 04/09/2021.  They gave me a medicine for vertigo and an inhaler, Ibuterol and a medicine to control wheezing in my lungs
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Myalgia, SARS-CoV-2 test positive, Vertigo
Clinical narrative: After getting the vaccine I came home and I fell asleep for a couple hours and I woke up very sick to my stomach and vertigo really bad. I was coughing a lot and I could not breathe and it was terrible. I was also tired and my muscles were sore. I made a doctor's appointment and I was waiting on the car and I tried eating some chips and I could not taste them.  Then they let me in the hospital and I had a Covid test done and it was positive. That happened in 04/09/2021.  They gave me a medicine for vertigo and an inhaler, Ibuterol and a medicine to control wheezing in my lungs
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: After getting the vaccine I came home and I fell asleep for a couple hours and I woke up very sick to my stomach and vertigo really bad. I was coughing a lot and I could not breathe and it was terrible. I was also tired and my muscles were sore. I made a doctor's appointment and I was waiting on the car and I tried eating some chips and I could not taste them.  Then they let me in the hospital and I had a Covid test done and it was positive. That happened in 04/09/2021.  They gave me a medicine for vertigo and an inhaler, Ibuterol and a medicine to control wheezing in my lungs
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arteriogram coronary normal, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Blood thyroid stimulating hormone decreased, Brain natriuretic peptide normal
Clinical narrative: Developed sharp,constant left sided CP which was relieved with sitting forward 3 days after his second dose of Moderna Covid-19 vaccine. No palpitations, edema or SOB.   Dx: Probable Myocarditis
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac imaging procedure normal, Chest X-ray normal, Chest pain, Echocardiogram normal, Electrocardiogram ST segment abnormal
Clinical narrative: Developed sharp,constant left sided CP which was relieved with sitting forward 3 days after his second dose of Moderna Covid-19 vaccine. No palpitations, edema or SOB.   Dx: Probable Myocarditis
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer normal, Laboratory test abnormal, Myocarditis, Troponin I increased, Troponin T increased
Clinical narrative: Developed sharp,constant left sided CP which was relieved with sitting forward 3 days after his second dose of Moderna Covid-19 vaccine. No palpitations, edema or SOB.   Dx: Probable Myocarditis
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash, Rash pruritic
Clinical narrative: Pt started with low grade temps up to 99.2, rash on trunk on and off last week but in the last day the rash has spread to the rest of the body from head to toe with little itching. Parents were using calamine lotion to help with itching.  Parent advised by Dr. to use hydrocortisone 1% cream as needed for itchy areas.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypotension, Nausea, Pain in extremity
Clinical narrative: After the vaccine I had really sore left arm the next day. On the following weekend I had a severe vomiting that caused me to go to the urgent care to get prescription for the nausea and vomiting that was an ongoing episode for about 6-7 hours throughout the whole night. I had a headache, fatigue and it resolved within 48 hours.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy test negative, SARS-CoV-2 test negative, Vomiting
Clinical narrative: After the vaccine I had really sore left arm the next day. On the following weekend I had a severe vomiting that caused me to go to the urgent care to get prescription for the nausea and vomiting that was an ongoing episode for about 6-7 hours throughout the whole night. I had a headache, fatigue and it resolved within 48 hours.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Condition aggravated, Dizziness, Tinnitus, Vertigo
Clinical narrative: I took second dose of Pfizer vaccine on May 8th. I felt arm pain  and tired for three days since May 8th.  After 7-days when I took the 2nd Pfizer shot, I started getting heavy vertigo feeling.  I've also had two brief episodes of room spinning dizziness, as well. At the same time, my tinnitus has increased in a variety of different sounds. I am so anxious. These symptoms last two weeks and  I cannot relief.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: I have a nexplanon arm implant for birth control which has stopped my period for the last 3-4 years. I started spotting and sort of having a period about three weeks after getting the second moderna covid shot. This is really strange for me and abnormal, and want it to be a side effect that is included in patients knowledge.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient came in for vaccine and caretaker on 5/26 said it was their second dose and signed off on the forms when it was in fact their 3rd dose.  First dose was given on 2/10/2021.  Care taker did not disclose until after vaccine given that patient had received monoclonal anitbodies in January for Covid so vaccine should have been delayed 90 days.  Second dose was given after 90 day period from antibodies on 4/28/2021.  Caretaker insisted they wanted her to get another shot.  We declined until we saw guidance issued from US CDC or another organization.  Caretake instead came in as a walk-in and did not disclose the previous 2 doses, only 1.  Counseled on watching for additional adverse reactions.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting, Yawning
Clinical narrative: COMPLAINT OF YAWNING AND N/V. BP: 86/47
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Skin burning sensation
Clinical narrative: BOTH HAND ASLEEP WHEN I WOKE UP AND WHEN I OPENED MY HANDS THEY BURNED AS IF THEY WERE ON FIRE AND STILL DO THE SAME THING TODAY
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Herpes zoster, Rash
Clinical narrative: Develop shingles on the head with extreme headache mild rash, did not progress towards eye.  Had the shingrix vaccine 4 years ago.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Discomfort, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: So I started to notice a dry cough, after the vaccine. I started feeling feverish and hurting. An then started to have a running nose and a discomfort and it would start in the evening and it's not going anywhere. He said that the doctor prescribe me some Doxycycline to take twice a day.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Hypertension, Paraesthesia, Sleep disorder
Clinical narrative: Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Hypertension-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Unable to Sleep-Medium, Additional Details: pt state went to ER twice will follow up with her dr
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, Chest X-ray normal, Hypoxia
Clinical narrative: Hypoxia, Hospitalized on Bipap
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 1.5ml given instead of .5 ml
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Injection site reaction, Rash macular, Skin warm
Clinical narrative: Pharmacist reported on behalf of  patient after receiving second dose of Moderna 5/20/2021, 24 hours later on 5/21/2021, two red blotches on vaccinated arm near where shot was given. Patient reported tired, no fever but red blotches were warm to the touch, not raised but painful. Patient reported taking Tylenol for 1 day only. Patient reported less red from initially and  still visible,lighter in color and still warm to the touch.Pharmacist referred patient to her GP for evaluation.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: pt stated arm was feeling numb. pt refused medical attention. was given Benadryl once 25mg tab. pt wait and monitored for 30 minutes and was ok upon leaving. pt was not in  respiratory distress.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Extreme headache and moderate fatigue.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Attention deficit hyperactivity disorder, Oedema peripheral, Peripheral swelling
Clinical narrative: Patient had his Covid vaccine 5/10/21 upper left arm, then a  week  later he presented with puffy left arm.  Staff attempted x 2 to assess his left arm. Patient refused both times. Staff observed that patient did have full range of motion with no complaints of pain or discomfort.  Appt  was  set up to assess his left arm edema. Both times patient refused.  Dr was made aware  that patient still has some edema and that staff was unable to measure related to uncooperative nature of  patient.  Dr. feels it is an adverse reaction to his Covid-19 (Adenovirus) Vaccine. This is now listed on his Allergy list.  Dr feels this edema will resolve itself.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 antibody test, SARS-CoV-2 antibody test positive, SARS-CoV-2 test positive
Clinical narrative: Patient was diagnosed with covid infection on 5/16. He required inpatient admission,  but recovered quickly. Pulmonary function worsened after discharge, and he began hospice.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea, Pain in extremity
Clinical narrative: Nauseous,fever, fatigue, muscle aches, tiredness, headache, soreness in arm
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Nauseous,fever, fatigue, muscle aches, tiredness, headache, soreness in arm
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: patient reports tremor in right arm-went to ER and they thought it was related to the vaccine, they ruled out stroke
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Full blood count, Herpes zoster
Clinical narrative: Was diagnosed with Shingles.  I had the shingles vaccine about 5 years ago.  The nurses at the hospital said this vaccine likely causes the shingles.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ear injury, Herpes zoster, Impaired work ability, Tenderness
Clinical narrative: On April 23rd, I noticed a sore on my left ear that evening. It was very tender. It finally occurred to me on the 27th. That's when I went to the dr's office because I thought I might have shingles. The dr started me on valtrex for a week. I was told because I work in a cancer center that I could not be at work with shingles. They thought that I might be contagious and I had to work from home for four days before they cleared me to come back to work.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Fatigue, Haemoptysis, Laboratory test
Clinical narrative: Patient reports being seen at Medical Center following COVID vaccination.   Reports now several months of fatigue, cough, ?chest and abdominal pain, unable to resume normal activites.   Stated she coughed up blood and felt very sick in first few days after vaccine, was seen by PCP who said it was expected vaccine effect.  Later continued to be sick and went to medical facility.  She stated labs were drawn that showed her liver and maybe kidneys were inflamed.   I think they may have also tested her for COVID which was negative.   I am not her provider.  She called health facility to ask for help.  I said I would put in VAERS report
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Malaise, SARS-CoV-2 test negative
Clinical narrative: Patient reports being seen at Medical Center following COVID vaccination.   Reports now several months of fatigue, cough, ?chest and abdominal pain, unable to resume normal activites.   Stated she coughed up blood and felt very sick in first few days after vaccine, was seen by PCP who said it was expected vaccine effect.  Later continued to be sick and went to medical facility.  She stated labs were drawn that showed her liver and maybe kidneys were inflamed.   I think they may have also tested her for COVID which was negative.   I am not her provider.  She called health facility to ask for help.  I said I would put in VAERS report
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation
Clinical narrative: Had extreme heart inflammation for a couple of days.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Injection site pain, X-ray
Clinical narrative: 4 days after 2nd injection I experienced sudden sharp pain in left heel when knee is straight and toes flex up. I experience this pain each time I make this motion. About a week later I noticed persistent numbness in the same area, left heel around outside and back of heel. After a week I called my PA for appointment and on May 25 I saw her and got a full blood panel and an xray.  She referred me to a podiatrist but also mentioned it might be connected to the vaccine, as other cases of neuralgia have been noted.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: pain under armpit, swollen
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Eustachian tube dysfunction, Headache, Muscle tightness, Neck pain
Clinical narrative: Eustacian tube dysfunction ,  dizziness, pain/tightness around the head and neck, tinnitus
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Tension headache, Tinnitus
Clinical narrative: Eustacian tube dysfunction ,  dizziness, pain/tightness around the head and neck, tinnitus
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Gave 2nd Moderna shot too early, Received first 4/30/2021 and second on 5/22/2021 --should've gotten it on 5/28/21 (4 weeks out) or possible 5/24/21 would have been 4 days early.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Injected limb mobility decreased, Injection site pain, Lymphadenopathy, Pain
Clinical narrative: Swollen lymph nodes after vaccine, abdominal pain for 2 days, subsided shooting pain from left arm to ear, ringing ear for 10 minutes,  several days later. 10-14 days later could not move or lay on left arm (site of vaccination). Lymph nodes on left arm very swollen.  Treated with advil for 1 week, swelling subsided, but arm has not fully recovered.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Swollen lymph nodes after vaccine, abdominal pain for 2 days, subsided shooting pain from left arm to ear, ringing ear for 10 minutes,  several days later. 10-14 days later could not move or lay on left arm (site of vaccination). Lymph nodes on left arm very swollen.  Treated with advil for 1 week, swelling subsided, but arm has not fully recovered.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received an incorrect 2nd dose manufacture vaccine.  Patient received 1st dose Pfizer covid vaccine on 4/22/21 and received the 2nd dose Moderna vaccine on 5/6/21.  No reported side effects from receiving the different manufacture per patient so far.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Tremor
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Arm Shaking after-Mild, Additional Details: Arm shaking told patient to do cold compress
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient stated body covered in rash the very next morning.  Did not seek medical attention until 5-21-21 then again on 5-26-21 after patient lost medication from first visit.  Symptoms relieved thru steroid shot and oral Famotidine
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Confusional state, Headache, Pain, Ultrasound scan
Clinical narrative: Confusion. Didn't know where I was driving home. Massive body aches and headaches.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Cerebrovascular accident, Computerised tomogram head normal, Hypersomnia, Magnetic resonance imaging head abnormal
Clinical narrative: The morning after she got her second vaccination (2/3/2021), she was unresponsive.  She was then taken to the hospital, by ambulance. They did multiple tests, Blood work, urine sample, CT scans, and had no results. Then they transferred her to get an MRI at hospital, and then went back to original hospital. MRI confirmed she had a stroke and multiple TIAs (mini strokes). Then she was admitted and slept all day on 2/4/2021, finally awoke on 2/5/2021. She stayed in the hospital about a week, and then was transferred to a nursing home/ rehab facility - Facility on 2/10/2021. She was there until March 3rd, 20 days after being admitted. She was then released to go home on 3/3/2021. She has now recovered since then. She is having home health coming to her house, but is no longer going to be there starting June 1st.