chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood phosphorus normal, Blood potassium normal, Blood sodium normal, Blood urea increased, Brain natriuretic peptide decreased
Clinical narrative: 46 Y male with a PMHx of HTN, HLD, DM, hypoT, stage II NLPHL with concomitant low grade B-cell lymphoma (dx 5/19/21)  (5/2021, chemo scheduled later this month) presents with cough and SOB x6 days.    1) COVID Pneumonia, Acute hypoxemic Respiratory failure - Symptom onset on 7/15. COVID positive on 7/16. Pt was fully vaccinated on 4/1/21. Pt presented satting 88%. In the ED, he was put on 2L O2, solumedrol, remdesivir, and offer tocilizumab, which he refused at first. Pt took Tocilizumab at night. Pt now on 12L oxymizer. Offered tocilizumab again and increased methylprednisolone to Q6h. - 12L Oxymizer. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Methylprednisolone 125mg IV Q6h for 5 days (7/21 - 7/25) and taper down - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (7/21 - 7/25 )  - f/u daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - CRP, D-dimer, LDH, ferritin elevated. Trend QOD - Lovenox 40mg SQ BID and hold for Plt <25k, Fibrinogen <100, active bleeding - Tocilizumab 600mg IV x2 - Tessalon for cough - Encourage IS - Isolyte 500cc x1
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Carbon dioxide normal, Chest X-ray abnormal
Clinical narrative: 46 Y male with a PMHx of HTN, HLD, DM, hypoT, stage II NLPHL with concomitant low grade B-cell lymphoma (dx 5/19/21)  (5/2021, chemo scheduled later this month) presents with cough and SOB x6 days.    1) COVID Pneumonia, Acute hypoxemic Respiratory failure - Symptom onset on 7/15. COVID positive on 7/16. Pt was fully vaccinated on 4/1/21. Pt presented satting 88%. In the ED, he was put on 2L O2, solumedrol, remdesivir, and offer tocilizumab, which he refused at first. Pt took Tocilizumab at night. Pt now on 12L oxymizer. Offered tocilizumab again and increased methylprednisolone to Q6h. - 12L Oxymizer. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Methylprednisolone 125mg IV Q6h for 5 days (7/21 - 7/25) and taper down - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (7/21 - 7/25 )  - f/u daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - CRP, D-dimer, LDH, ferritin elevated. Trend QOD - Lovenox 40mg SQ BID and hold for Plt <25k, Fibrinogen <100, active bleeding - Tocilizumab 600mg IV x2 - Tessalon for cough - Encourage IS - Isolyte 500cc x1
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Eosinophil percentage decreased, Full blood count abnormal, Haematocrit decreased
Clinical narrative: 46 Y male with a PMHx of HTN, HLD, DM, hypoT, stage II NLPHL with concomitant low grade B-cell lymphoma (dx 5/19/21)  (5/2021, chemo scheduled later this month) presents with cough and SOB x6 days.    1) COVID Pneumonia, Acute hypoxemic Respiratory failure - Symptom onset on 7/15. COVID positive on 7/16. Pt was fully vaccinated on 4/1/21. Pt presented satting 88%. In the ED, he was put on 2L O2, solumedrol, remdesivir, and offer tocilizumab, which he refused at first. Pt took Tocilizumab at night. Pt now on 12L oxymizer. Offered tocilizumab again and increased methylprednisolone to Q6h. - 12L Oxymizer. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Methylprednisolone 125mg IV Q6h for 5 days (7/21 - 7/25) and taper down - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (7/21 - 7/25 )  - f/u daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - CRP, D-dimer, LDH, ferritin elevated. Trend QOD - Lovenox 40mg SQ BID and hold for Plt <25k, Fibrinogen <100, active bleeding - Tocilizumab 600mg IV x2 - Tessalon for cough - Encourage IS - Isolyte 500cc x1
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Haemorrhage, International normalised ratio normal, Lung opacity, Lymphocyte percentage decreased
Clinical narrative: 46 Y male with a PMHx of HTN, HLD, DM, hypoT, stage II NLPHL with concomitant low grade B-cell lymphoma (dx 5/19/21)  (5/2021, chemo scheduled later this month) presents with cough and SOB x6 days.    1) COVID Pneumonia, Acute hypoxemic Respiratory failure - Symptom onset on 7/15. COVID positive on 7/16. Pt was fully vaccinated on 4/1/21. Pt presented satting 88%. In the ED, he was put on 2L O2, solumedrol, remdesivir, and offer tocilizumab, which he refused at first. Pt took Tocilizumab at night. Pt now on 12L oxymizer. Offered tocilizumab again and increased methylprednisolone to Q6h. - 12L Oxymizer. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Methylprednisolone 125mg IV Q6h for 5 days (7/21 - 7/25) and taper down - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (7/21 - 7/25 )  - f/u daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - CRP, D-dimer, LDH, ferritin elevated. Trend QOD - Lovenox 40mg SQ BID and hold for Plt <25k, Fibrinogen <100, active bleeding - Tocilizumab 600mg IV x2 - Tessalon for cough - Encourage IS - Isolyte 500cc x1
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume normal, Monocyte percentage increased, Neutrophil percentage increased, Platelet count normal, Prothrombin time prolonged
Clinical narrative: 46 Y male with a PMHx of HTN, HLD, DM, hypoT, stage II NLPHL with concomitant low grade B-cell lymphoma (dx 5/19/21)  (5/2021, chemo scheduled later this month) presents with cough and SOB x6 days.    1) COVID Pneumonia, Acute hypoxemic Respiratory failure - Symptom onset on 7/15. COVID positive on 7/16. Pt was fully vaccinated on 4/1/21. Pt presented satting 88%. In the ED, he was put on 2L O2, solumedrol, remdesivir, and offer tocilizumab, which he refused at first. Pt took Tocilizumab at night. Pt now on 12L oxymizer. Offered tocilizumab again and increased methylprednisolone to Q6h. - 12L Oxymizer. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Methylprednisolone 125mg IV Q6h for 5 days (7/21 - 7/25) and taper down - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (7/21 - 7/25 )  - f/u daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - CRP, D-dimer, LDH, ferritin elevated. Trend QOD - Lovenox 40mg SQ BID and hold for Plt <25k, Fibrinogen <100, active bleeding - Tocilizumab 600mg IV x2 - Tessalon for cough - Encourage IS - Isolyte 500cc x1
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin, White blood cell count normal
Clinical narrative: 46 Y male with a PMHx of HTN, HLD, DM, hypoT, stage II NLPHL with concomitant low grade B-cell lymphoma (dx 5/19/21)  (5/2021, chemo scheduled later this month) presents with cough and SOB x6 days.    1) COVID Pneumonia, Acute hypoxemic Respiratory failure - Symptom onset on 7/15. COVID positive on 7/16. Pt was fully vaccinated on 4/1/21. Pt presented satting 88%. In the ED, he was put on 2L O2, solumedrol, remdesivir, and offer tocilizumab, which he refused at first. Pt took Tocilizumab at night. Pt now on 12L oxymizer. Offered tocilizumab again and increased methylprednisolone to Q6h. - 12L Oxymizer. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Methylprednisolone 125mg IV Q6h for 5 days (7/21 - 7/25) and taper down - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (7/21 - 7/25 )  - f/u daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - CRP, D-dimer, LDH, ferritin elevated. Trend QOD - Lovenox 40mg SQ BID and hold for Plt <25k, Fibrinogen <100, active bleeding - Tocilizumab 600mg IV x2 - Tessalon for cough - Encourage IS - Isolyte 500cc x1
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Vision blurred
Clinical narrative: SWEATING, COULD NOT SEE(BLURRED VISION. PATIENT WAS SEATED AND OFFERED TO CALL 911 BUT PATIENT REFUSED. OFFERED COLD BOTTLE WATER WHICH SHE DRANK. SHE FELT MUCH BETTER AFTERWARDS. PATIENT STATED THAT SHE DID NOT EAT ALL DAY.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: pt began to have difficulty breathing following vaccination. Ems was called and an EpiPen was administered
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Axillary pain, Breast pain, Dysmenorrhoea, Heavy menstrual bleeding
Clinical narrative: Period was two weeks late. When it did happen it was very heavy with significant cramping and bloating, much more than normal. Since then I?ve had left armpit and left breast soreness, with increased soreness in both breasts before and during every period, more than normal. Had a mammogram in July, 2021 which was negative.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Mammogram normal, Menstrual disorder, Menstruation delayed
Clinical narrative: Period was two weeks late. When it did happen it was very heavy with significant cramping and bloating, much more than normal. Since then I?ve had left armpit and left breast soreness, with increased soreness in both breasts before and during every period, more than normal. Had a mammogram in July, 2021 which was negative.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: redness, swelling, warm to tough on right thigh
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphonia, Fatigue, Gastrooesophageal reflux disease, Laryngeal cancer, Laryngoscopy abnormal
Clinical narrative: Immediately - I just had moderate fatigue the day after the vaccine - and it was gone after the following day. No treatment. I started having chronic hoarseness in March. I had a visit with the doctor's partner and she came in on that same visit - on May 17th. I had a laryngoscopy that day and that is where they found the vocal chord nodule. I had surgery on the 26th of May to have the nodule removed. They did a pathology and a culture and it was HPV related and found that it was cancerous. I am still getting monthly surveillance as I had vocal chord cancer - monthly scopes. I have developed scarring and some inflammation. The voice is better but it's not where it needs to be. New med: Omeprazole - 20 mg twice a day -to make sure they can keep from getting acids on the vocal chords so they can heal (I had a diagnosis of reflux.)  I was also diagnosed with Melanoma in February on my left arm. I had an incision of that and that was done on February 1st - Melanoma In situ. I will start speech on August 10th. April 20th - I had a physical with my primary care doctor and that was fine.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Malignant melanoma, Oropharyngeal squamous cell carcinoma, Pathology test, Skin neoplasm excision, Surgery
Clinical narrative: Immediately - I just had moderate fatigue the day after the vaccine - and it was gone after the following day. No treatment. I started having chronic hoarseness in March. I had a visit with the doctor's partner and she came in on that same visit - on May 17th. I had a laryngoscopy that day and that is where they found the vocal chord nodule. I had surgery on the 26th of May to have the nodule removed. They did a pathology and a culture and it was HPV related and found that it was cancerous. I am still getting monthly surveillance as I had vocal chord cancer - monthly scopes. I have developed scarring and some inflammation. The voice is better but it's not where it needs to be. New med: Omeprazole - 20 mg twice a day -to make sure they can keep from getting acids on the vocal chords so they can heal (I had a diagnosis of reflux.)  I was also diagnosed with Melanoma in February on my left arm. I had an incision of that and that was done on February 1st - Melanoma In situ. I will start speech on August 10th. April 20th - I had a physical with my primary care doctor and that was fine.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Viral test positive, Vocal cord inflammation, Vocal cord nodule removal, Vocal cord scarring, Vocal cord thickening
Clinical narrative: Immediately - I just had moderate fatigue the day after the vaccine - and it was gone after the following day. No treatment. I started having chronic hoarseness in March. I had a visit with the doctor's partner and she came in on that same visit - on May 17th. I had a laryngoscopy that day and that is where they found the vocal chord nodule. I had surgery on the 26th of May to have the nodule removed. They did a pathology and a culture and it was HPV related and found that it was cancerous. I am still getting monthly surveillance as I had vocal chord cancer - monthly scopes. I have developed scarring and some inflammation. The voice is better but it's not where it needs to be. New med: Omeprazole - 20 mg twice a day -to make sure they can keep from getting acids on the vocal chords so they can heal (I had a diagnosis of reflux.)  I was also diagnosed with Melanoma in February on my left arm. I had an incision of that and that was done on February 1st - Melanoma In situ. I will start speech on August 10th. April 20th - I had a physical with my primary care doctor and that was fine.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Patient stated he is having pain on his left side from his shoulder down to his knee.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Injection site reaction, Malaise, Musculoskeletal stiffness, Paraesthesia
Clinical narrative: Pretty quickly after the shot (that evening) I felt a tingling/prickling in my finger tips and I swore down in my toes. I developed a few sickness symptoms the next day but definitely felt much better about 48 hours later.   What I really want to say now is that I still feel like I notice very minor tingling in my fingers (mainly left arm) but sometimes down in legs or right forearm. Additionally, my upper left arm where the injection was sometimes feels stiff or strange. It isn't pain, but its more like a nuisance.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in jaw
Clinical narrative: Headache (tylenol) for 10 days and now jaw ache
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Amnesia, Gaze palsy, Loss of consciousness, Pallor, Seizure
Clinical narrative: My daughter has never had anything remotely close to this happening before and is generally very healthy.  My most healthy child. After the vaccines, she turned pale, then green, and as I stepped out to get her juice (no one else in the room) she passed out head first, landed on her head. We rolled her over, her eyes were rolled back into her head and she went into convulsions. She has no recollection of this. She convulsed for several seconds before she came out of it.
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Skin discolouration
Clinical narrative: My daughter has never had anything remotely close to this happening before and is generally very healthy.  My most healthy child. After the vaccines, she turned pale, then green, and as I stepped out to get her juice (no one else in the room) she passed out head first, landed on her head. We rolled her over, her eyes were rolled back into her head and she went into convulsions. She has no recollection of this. She convulsed for several seconds before she came out of it.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Feeling drunk, Gait disturbance, Impaired work ability, Magnetic resonance imaging normal
Clinical narrative: On 4/25/2021 I experienced a sever case of Vertigo.  In trying to fix a loose tank on a toilet I proceeded to lay flat on the gound to tighten some bolts on the underside of the take.  As soon as I rolled from my back to my left side I felt as though the entire room was spinning and I was unable to move or control myself.  A friend witnessed it.  For the next several days I was unable to walk straight and felt as though I was always drunk.  I had to call into work for several days and once I felt a little better I had my wife drive me to my office.   I still have minor events of dizzyness from time to time.  Also to add to the issues my ears (yes both) have not stopped ringing since.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Movement disorder, Tinnitus, Vertigo
Clinical narrative: On 4/25/2021 I experienced a sever case of Vertigo.  In trying to fix a loose tank on a toilet I proceeded to lay flat on the gound to tighten some bolts on the underside of the take.  As soon as I rolled from my back to my left side I felt as though the entire room was spinning and I was unable to move or control myself.  A friend witnessed it.  For the next several days I was unable to walk straight and felt as though I was always drunk.  I had to call into work for several days and once I felt a little better I had my wife drive me to my office.   I still have minor events of dizzyness from time to time.  Also to add to the issues my ears (yes both) have not stopped ringing since.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Muscle twitching, Syncope
Clinical narrative: PATIENT FAINTED AND HAD SLIGHT LEFT ARM/LEG TWITCHING 5 MINUTES AFTER ADMINISTERING VACCINE
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Palpitations, Pyrexia
Clinical narrative: After the shot I was nauseated, my heart was pounding and racing. After it continue I went to the ER. Body aches, chills, low grade fever.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Petechiae
Clinical narrative: After a week skin around vaccination area is red, warm and etchy. After another week petechiae appeared in that area.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Patient had Dizziness, Nausea and Sweating Beginning immediately after Vaccine was administered. Patient was given an ice pack and after 15-20 minutes felt well enough to leave with her father.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Musculoskeletal stiffness, Panic attack, Vision blurred
Clinical narrative: Patient received a COVID vaccine. A couple minutes after administration. Patient stated that she was feeling faint and dizzy. Patient mentioned that she was having blurred vision. Pharmacist provided a cool compress to the patient's head, neck, and wrists. Patient was also provided water. Patient's blood pressure was taken several times which read extremely low (90s/ 50s). Patient mentioned that her hands were going numb and stiff.  EMS was called for patient for assessment. Patient was observed by EMS in which it was concluded that patient experienced what appeared to be a panic / anxiety attack. Patient believed that the vaccine was giving the patient covid. Once the EMS told her otherwise, patient was able to calm down. After about 25-30 minutes after the vaccine, patient felt better and left with her mother.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient had RX from Dr.'s office to get the Janssen. She had an anaphylactic reaction to Pfizer. J+J consulted patient and said it was ok to still get the Janssen vaccine.  Therefore, patient got an RX from doctor. Patient tolerated the vaccine with two benadryl tablets.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Condition aggravated, X-ray
Clinical narrative: Went to be seen at clinic for pain in collar bone. Xray showed arthritis in shoulder ac joint. And a month later had pain in knee and xray showed arthritis. So thinking arthritis flared up from covid shot.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Crying, Gait disturbance, X-ray limb
Clinical narrative: after the  patient received the vaccine she waited approx 20 minutes in our waiting area and then went around the store to do some shopping.  I did notice that when she arrived to the pharmacy and when she went into to the vaccine area that she was limping and favoring her right leg.  roughly 30 min after she left, one of our  associates came to the pharmacy asking for me aid about this patient.  When I arrived to the patient she was clutching a a display end cap and stating that her right knee was in extreme pain and crying.  I called the patients PCP and told them what had happened to our mutual patient.  the patients daughter in law arrived shortly after and took her to her PCP.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: Patient developed a full body rash from the neck down. Rash included redness, severe whelps, and itching. Patient woke up with rash 2 days after vaccine. He is being treated with diphenhydramine orally and this treatment has been effective so far. But as the medicine wears off the rash and its symptoms return.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Member came into clinic for "2nd dose" of Moderna COVID vaccine. Member had previously received both her first and second COVID vaccine, but did not disclose this to the healthcare team. Member did NOT have an adverse reaction to the vaccination, but did receive a 3rd dose of the COVID vaccine.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Nausea
Clinical narrative: Nausea, diarrhea began morning after 2nd Pfizer shot on February 25,2021 Today's date is July 22,2021 (5 months of symptoms)
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Feeling abnormal, Headache, Odynophagia, Pain
Clinical narrative: After the vaccine, I was achy and feverish for 12 -15 hours and then I was totally fine - I felt like I was hit by a car. I didn't have arm pain.  In July, I had a runny  nose and a fever and a massive headache and scratchy throat and it hurt to swallow and a cough that will not go away.  Wednesday - the 7th  - Urgent Care - on street in town. I took a COVID test and it was negative and they told me to take OTC to treat symptoms and that there wasn't anything I could do. I still have a nagging cough.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, Throat irritation
Clinical narrative: After the vaccine, I was achy and feverish for 12 -15 hours and then I was totally fine - I felt like I was hit by a car. I didn't have arm pain.  In July, I had a runny  nose and a fever and a massive headache and scratchy throat and it hurt to swallow and a cough that will not go away.  Wednesday - the 7th  - Urgent Care - on street in town. I took a COVID test and it was negative and they told me to take OTC to treat symptoms and that there wasn't anything I could do. I still have a nagging cough.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt received a dose that was past expiration time (at room temperature), no reported adverse events at this time
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received the first dose prior turning to 18 years old.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Fatigue, Gait disturbance, Inflammation
Clinical narrative: As I was driving home shortly after my shot, I felt unusually tired, so much so that I wanted to fall asleep at the wheel. When I got home, I had a lie-down and fell fast asleep. Later, I was awoken from my sleep by pain and the injection site. I put an ice pack on it, and the pain intensified. The pain was such that I was in and out of sleep all night long; I couldn't get a sound sleep on account of the pain. The following day when I woke up, I found it excruciatingly painful to raise my left arm. I took two Tylenol and then noticed that the muscles in my legs were extremely sore. I found it painful to walk. My legs felt like they had run a marathon! I ended up using a walker for about 2 1/2 weeks. I had already dealt with chronic pain, but this wasn't normal for me, so I called the doctor. She told me to wait a few more days and to come to the clinic if it didn't subside. Ultimately, I didn't go to the clinic. About 3 weeks after the leg pain began, the pain finally began to subside. During these three weeks, not only did I have leg pain and a sore injection site, but I also felt extreme malaise and weakness. I also experienced great anxiety, for which my doctor prescribed a 3-day supply of the lowest dose of lorazepam.   During the time that I received the vaccine, I was already taking methylprednisolone to treat my RA and fibromyalgia. The inflammation in my body was also high. I now wonder if the interaction of the vaccine and methylprednisolone exacerbated the inflammation.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Malaise, Myalgia, Pain, Pain in extremity
Clinical narrative: As I was driving home shortly after my shot, I felt unusually tired, so much so that I wanted to fall asleep at the wheel. When I got home, I had a lie-down and fell fast asleep. Later, I was awoken from my sleep by pain and the injection site. I put an ice pack on it, and the pain intensified. The pain was such that I was in and out of sleep all night long; I couldn't get a sound sleep on account of the pain. The following day when I woke up, I found it excruciatingly painful to raise my left arm. I took two Tylenol and then noticed that the muscles in my legs were extremely sore. I found it painful to walk. My legs felt like they had run a marathon! I ended up using a walker for about 2 1/2 weeks. I had already dealt with chronic pain, but this wasn't normal for me, so I called the doctor. She told me to wait a few more days and to come to the clinic if it didn't subside. Ultimately, I didn't go to the clinic. About 3 weeks after the leg pain began, the pain finally began to subside. During these three weeks, not only did I have leg pain and a sore injection site, but I also felt extreme malaise and weakness. I also experienced great anxiety, for which my doctor prescribed a 3-day supply of the lowest dose of lorazepam.   During the time that I received the vaccine, I was already taking methylprednisolone to treat my RA and fibromyalgia. The inflammation in my body was also high. I now wonder if the interaction of the vaccine and methylprednisolone exacerbated the inflammation.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Somnolence
Clinical narrative: As I was driving home shortly after my shot, I felt unusually tired, so much so that I wanted to fall asleep at the wheel. When I got home, I had a lie-down and fell fast asleep. Later, I was awoken from my sleep by pain and the injection site. I put an ice pack on it, and the pain intensified. The pain was such that I was in and out of sleep all night long; I couldn't get a sound sleep on account of the pain. The following day when I woke up, I found it excruciatingly painful to raise my left arm. I took two Tylenol and then noticed that the muscles in my legs were extremely sore. I found it painful to walk. My legs felt like they had run a marathon! I ended up using a walker for about 2 1/2 weeks. I had already dealt with chronic pain, but this wasn't normal for me, so I called the doctor. She told me to wait a few more days and to come to the clinic if it didn't subside. Ultimately, I didn't go to the clinic. About 3 weeks after the leg pain began, the pain finally began to subside. During these three weeks, not only did I have leg pain and a sore injection site, but I also felt extreme malaise and weakness. I also experienced great anxiety, for which my doctor prescribed a 3-day supply of the lowest dose of lorazepam.   During the time that I received the vaccine, I was already taking methylprednisolone to treat my RA and fibromyalgia. The inflammation in my body was also high. I now wonder if the interaction of the vaccine and methylprednisolone exacerbated the inflammation.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: a pharmacist gave a covid moderna vaccine to a 15 year old patient.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: pt says received vaccine on 5/1 and had a stroke ion 5/7     Dr said could have come from vaccine  but unsure      Told pt to receive second dose and had no issues      Notified rph today and says she is ok
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased, Hypoaesthesia, Nausea
Clinical narrative: Patient received second dose of Pfizer vaccine and patient was nervous about needles.  Patient felt nauseas after the vaccine and had to be brought down on floor.  Patient felt little numb in hands but was breathing fine.  Had to call 911. Patient's vitals were good however his blood sugar was low.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein normal, Chest X-ray normal, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Dx:Pericarditis Combination of sharp and dull pain similar to episode in 04/2018 s/s: Dyspnea with lying down or orthopnea, palpitations, acute chest pain or pressure Alternative diagnosis ofr the patietn's s/s other than myocarditis are MI, PE. Alternatice etiology for cause for the patient's myocarditis: History of pericarditis in 04/2018 similar symptoms to this time.  Due to the past history, I feel this is not a pertinent case to include in our overall data, but if so we will need to review the hospitalization records from 05/20/2021.   06/11/2021:   Further review of records from ED visit 5/20, follow up and labs, I feel this patient should not be included due to past medical history of pericarditis.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ST-T segment abnormal, Fibrin D dimer normal, Myocarditis, Orthopnoea, Palpitations
Clinical narrative: Dx:Pericarditis Combination of sharp and dull pain similar to episode in 04/2018 s/s: Dyspnea with lying down or orthopnea, palpitations, acute chest pain or pressure Alternative diagnosis ofr the patietn's s/s other than myocarditis are MI, PE. Alternatice etiology for cause for the patient's myocarditis: History of pericarditis in 04/2018 similar symptoms to this time.  Due to the past history, I feel this is not a pertinent case to include in our overall data, but if so we will need to review the hospitalization records from 05/20/2021.   06/11/2021:   Further review of records from ED visit 5/20, follow up and labs, I feel this patient should not be included due to past medical history of pericarditis.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Respiratory viral panel, SARS-CoV-2 test negative, Sinus arrhythmia, Troponin normal
Clinical narrative: Dx:Pericarditis Combination of sharp and dull pain similar to episode in 04/2018 s/s: Dyspnea with lying down or orthopnea, palpitations, acute chest pain or pressure Alternative diagnosis ofr the patietn's s/s other than myocarditis are MI, PE. Alternatice etiology for cause for the patient's myocarditis: History of pericarditis in 04/2018 similar symptoms to this time.  Due to the past history, I feel this is not a pertinent case to include in our overall data, but if so we will need to review the hospitalization records from 05/20/2021.   06/11/2021:   Further review of records from ED visit 5/20, follow up and labs, I feel this patient should not be included due to past medical history of pericarditis.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Client was vaccinated with the 1-dose Janssen vaccine for Covid on May 15, 2021.  He developed Covid symptoms on 7/20 and  tested positive for Covid with rapid test on 7/21/2021.  Reported as a breakthrough case of Covid illness s/p being fully vaccinated.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dry eye, Mobility decreased, Muscular weakness, Musculoskeletal stiffness
Clinical narrative: Pain, stiffness, and inflammation of muscles began within a few hours of vaccination. Unlike the first shot, the inflammation and stiffness didn't completely go away. Within a few days, the left hand became affected also, with the center two finger joints painful and difficult to move. Three months later, this is still going on. Severe dry eye, related to autoimmune diseases, became much worse. The muscle pain, weakness and inflammation are concerning because of the history of dermatomyositis.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Myositis, Pain in extremity, Red blood cell sedimentation rate increased
Clinical narrative: Pain, stiffness, and inflammation of muscles began within a few hours of vaccination. Unlike the first shot, the inflammation and stiffness didn't completely go away. Within a few days, the left hand became affected also, with the center two finger joints painful and difficult to move. Three months later, this is still going on. Severe dry eye, related to autoimmune diseases, became much worse. The muscle pain, weakness and inflammation are concerning because of the history of dermatomyositis.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Hemiparesis, Magnetic resonance imaging, Speech disorder
Clinical narrative: I had a stroke on April 3, 2021. Affected right side of body. arm, leg  and dominant hand and speech.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Arthralgia, Back pain, Balance disorder
Clinical narrative: 7/16/21  -approx 11 pm extreme pain in stomach, fever 101.1-101.3 diarrhea times 4; 7/17/21 -fever continued, diarrhea and abdominal pain continued, tired and sleepy all day; 7/18/21 -normal temp, no diarrhea but gassy and loss of appetite; 7/19/21 -vertigo started in early morning maybe around 3am. Dizziness and unsteadiness on walking and certain head movements.  Do have history if BPPV. Vertigo continues to today 7/22/21 on this reporting; 7/20/21  -itchy skin and sensitive in some places. Mostly back and shoulders. Leading eventually to red blotches and itchiness continuing
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Decreased appetite, Diarrhoea, Dizziness, Fatigue
Clinical narrative: 7/16/21  -approx 11 pm extreme pain in stomach, fever 101.1-101.3 diarrhea times 4; 7/17/21 -fever continued, diarrhea and abdominal pain continued, tired and sleepy all day; 7/18/21 -normal temp, no diarrhea but gassy and loss of appetite; 7/19/21 -vertigo started in early morning maybe around 3am. Dizziness and unsteadiness on walking and certain head movements.  Do have history if BPPV. Vertigo continues to today 7/22/21 on this reporting; 7/20/21  -itchy skin and sensitive in some places. Mostly back and shoulders. Leading eventually to red blotches and itchiness continuing
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Flatulence, Gait disturbance, Pruritus, Pyrexia, Rash macular
Clinical narrative: 7/16/21  -approx 11 pm extreme pain in stomach, fever 101.1-101.3 diarrhea times 4; 7/17/21 -fever continued, diarrhea and abdominal pain continued, tired and sleepy all day; 7/18/21 -normal temp, no diarrhea but gassy and loss of appetite; 7/19/21 -vertigo started in early morning maybe around 3am. Dizziness and unsteadiness on walking and certain head movements.  Do have history if BPPV. Vertigo continues to today 7/22/21 on this reporting; 7/20/21  -itchy skin and sensitive in some places. Mostly back and shoulders. Leading eventually to red blotches and itchiness continuing
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin, Somnolence, Vertigo, Vertigo positional
Clinical narrative: 7/16/21  -approx 11 pm extreme pain in stomach, fever 101.1-101.3 diarrhea times 4; 7/17/21 -fever continued, diarrhea and abdominal pain continued, tired and sleepy all day; 7/18/21 -normal temp, no diarrhea but gassy and loss of appetite; 7/19/21 -vertigo started in early morning maybe around 3am. Dizziness and unsteadiness on walking and certain head movements.  Do have history if BPPV. Vertigo continues to today 7/22/21 on this reporting; 7/20/21  -itchy skin and sensitive in some places. Mostly back and shoulders. Leading eventually to red blotches and itchiness continuing
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Acne, Blood prolactin abnormal, Blood test, Blood thyroid stimulating hormone, Lactation disorder
Clinical narrative: Lactation (prolactin hormonal imbalance) Skin Acne, Period Irregular still ongoing as of (07/22/2021).
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Metabolic function test
Clinical narrative: Lactation (prolactin hormonal imbalance) Skin Acne, Period Irregular still ongoing as of (07/22/2021).
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Oropharyngeal pain, Pruritus
Clinical narrative: Annoying allergy, as of today I have body itching, mostly in the neck and ears and throat pain.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None at this time
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Coronary arterial stent insertion, Myocardial infarction, Ventricular extrasystoles
Clinical narrative: At the beginning of April I stated having arrhythmia so I went to a cardiologist. The cardiologist said it was just PVC's. On May 29th I suffered a heart attack. I had stent put in. I now take aspirin, brilinta, lostartin, atorvastatin, metoprolol. I still have an arrhythmia as I recover from my heart attack.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Joint swelling, Limb discomfort, Muscle tightness, Pain in extremity
Clinical narrative: in mid-June 2021 I started experiencing pain in my feet.  They started swelling and feeling tingly... almost like they had fallen asleep.  Minor tingling also started occurring in my hands.  On certain days the discomfort in my feet was enough to limit my walking.  I noticed on certain days my shoes fit tightly and my calfs were very tight with the ankles showing signs of swelling.  The symptoms continue through the date of this filing...sometimes better/sometimes worse.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral swelling
Clinical narrative: in mid-June 2021 I started experiencing pain in my feet.  They started swelling and feeling tingly... almost like they had fallen asleep.  Minor tingling also started occurring in my hands.  On certain days the discomfort in my feet was enough to limit my walking.  I noticed on certain days my shoes fit tightly and my calfs were very tight with the ankles showing signs of swelling.  The symptoms continue through the date of this filing...sometimes better/sometimes worse.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Miliaria
Clinical narrative: Prickley heat, heat rash,
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash pruritic, Sleep disorder
Clinical narrative: Small, itchy bumps on my body - especially on my arms, legs, and torso. The itchiness woke me up on the night I got the vaccine. The rash is subsiding but not gone yet. I have been taking Benadryl at night to help with the symptoms
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Cardiac tamponade, Dizziness, Endotracheal intubation, Fall
Clinical narrative: Patient has syncopal episode on 7/10 began "foaming at the mouth" and vomiting. was brought in to the hospital and intubated briefly.  Six days later came back to the hospital for right sided weakness and dizziness that led to a fall. Patient was found to have a pericardial effusion on 7/16 that led to a cardiac tamponade and ultimately cardiac arrest on 7/21.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Foaming at mouth, Hemiparesis, Pericardial effusion, Syncope, Vomiting
Clinical narrative: Patient has syncopal episode on 7/10 began "foaming at the mouth" and vomiting. was brought in to the hospital and intubated briefly.  Six days later came back to the hospital for right sided weakness and dizziness that led to a fall. Patient was found to have a pericardial effusion on 7/16 that led to a cardiac tamponade and ultimately cardiac arrest on 7/21.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient experienced a syncopal event.  Patient was lowered to the floor, legs were elevated, and vital signs were monitored. Provided ice packs and fluids. Patient returned to a sitting position, and then standing position. Patient was monitored for an additional 30 minutes after event.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Moderna which should not be given to patients under the age of 18.    Per CDC guidelines 2nd dose was given on 07/22/2021.  patient turns 18 years of age on 08/03/2021.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac pacemaker insertion, Chest X-ray, Continuous positive airway pressure, Heart rate decreased
Clinical narrative: I had Covid-19 in January of 2021. I had mild symptoms. One week after the second dose of the vaccine I passed out. I was hospitalized for five days.  My heartbeat was very low I had a heart attack. I was also treated by a Pulmonologist. I now have a C-Pap machine and I have a pacemaker. I have not returned to work and it has been 10 weeks.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Loss of consciousness, Myocardial infarction
Clinical narrative: I had Covid-19 in January of 2021. I had mild symptoms. One week after the second dose of the vaccine I passed out. I was hospitalized for five days.  My heartbeat was very low I had a heart attack. I was also treated by a Pulmonologist. I now have a C-Pap machine and I have a pacemaker. I have not returned to work and it has been 10 weeks.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Needle issue, Underdose
Clinical narrative: Per nurse involved (RN) "While vaccinating patient, needle came detached from syringe while needle was inserted in patient. He got a very small dose, but majority spilled out onto his arm. Provider was called. Decided with her since he got a small amount, we would readminister .4 ml in a second dose (normal dose from Johnson and Johnson is .5 ml). Explained what had happened to patient. He was understanding. All of his questions answered."
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Cooling therapy, Dizziness, Fall, Fear, Hyperhidrosis
Clinical narrative: The patient was fine immediately following the injection. I left him for about 5 minutes to get his immunization card. When I returned he was very pale and sweating profusely. He said he felt very dizzy and was quite frightened. I reached out to hold his arms and ease him to the floor when he fell backwards unconscious in the chair. I was able to keep him from falling to the ground and I called for help. He returned to consciousness after about 10 seconds and I applied a cold compress to his head and neck. He began feeling better rapidly and was able to drink water and rest comfortably. He was able to leave the area without further issue or need for medical attention
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor
Clinical narrative: The patient was fine immediately following the injection. I left him for about 5 minutes to get his immunization card. When I returned he was very pale and sweating profusely. He said he felt very dizzy and was quite frightened. I reached out to hold his arms and ease him to the floor when he fell backwards unconscious in the chair. I was able to keep him from falling to the ground and I called for help. He returned to consciousness after about 10 seconds and I applied a cold compress to his head and neck. He began feeling better rapidly and was able to drink water and rest comfortably. He was able to leave the area without further issue or need for medical attention
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Foetal heart rate, Gynaecological examination, Human chorionic gonadotropin, Progesterone
Clinical narrative: Unexplainable second trimester vaginal bleeding without spontaneous abortion.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan vagina, Vaginal haemorrhage
Clinical narrative: Unexplainable second trimester vaginal bleeding without spontaneous abortion.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Oral mucosal eruption, Rash, Rash vesicular
Clinical narrative: vesicular rash, intra-oral, perioral, neck
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hyperhidrosis
Clinical narrative: sweating, light headed, head ache for 10 mins
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Eczema, Inflammation, Pruritus
Clinical narrative: Eczema was heighten . Inflammation itching and spots
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Dizziness, Fall, Head injury, Immediate post-injection reaction
Clinical narrative: Patient has a history of dizziness with shots, so they elected to get the Johnson and Johnson shot so that they would only need one shot. Patient received the vaccine in the counseling area, and the shot itself went as usual. About 15-45 seconds after the shot the patient stated that they began to feel dizzy. The patient then tried to lower himself to the floor. As soon as he started, he lost consciousness and fell forward out of his chair. He got some carpet burn in the area surrounding his eye. About a dime sized area above and a quarter sized area below. His head also mildly bumped against the wall. As soon as he passed out, 911 was called as a precaution. He was responsive within the minute, stating he was fine. He lost consciousness soon after for about 30 seconds before becoming responsive again. He was able to hold a conversation upon awakening. Patient states this is normal for him to experience. He has some discomfort with the carpet burns but reported no pain from bumping the top of the head. We offered some Neosporin for the carpet burns but patient stated that medication smells can sometimes make him dizzy, so we did not use any. We did provide him with some bandages for the area. I advised him to wash the area with soap and water at home. We kept him in the pharmacy for a half hour keeping conversation with him to make sure he was all right. He was able to stand on his own without issue after 25 minutes, he did not have any issues with dizziness at this point. After the wait and with patient being back to baseline, they wanted to get home and proceeded to go home. Before they left, I did verify that he was not the one driving home. Ii advised them to seek any medical attention if he has any further such issues. Patient came back after about 45 minutes asking what to use to clean wound. I recommended Neosporin, we did provide patient with both Neosporin and rubbing alcohol.