chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Urinary tract infection
Clinical narrative: Patient came to ER and admitted on 10/8/21. This 88 year male with a history of obesity, retired farmer, who has been discharge after treatment of UTI, dehydration weakness.  He was at nursing home.  Started having hematuria from what he describes and he was found to be hypotensive and concern about infection.  He was sent to the local nursing home and was transferred here for treatment of sepsis.  He was initially in ICU.  Improved with fluid boluses.  Blood cultures later on showed positive for Pseudomonas.  He was treated with antibiotic for 14 days. He was ready to be discharged on that aspect but then he became afebrile.  COVID 19 test was positive.  He has already been vaccinated.  He was transferred to COVID isolation. He did not require any oxygen.  He was observed and clinically improved. Discharged on 11/4/21
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Atrioventricular block complete, Death
Clinical narrative: Dose 1 2/19/2021 Moderna Lot # 024M20A Patient died of complete heart block, not a covid related death
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Chills, Erythema, Fatigue, Injection site warmth
Clinical narrative: Friday, November 12, 2021 I arrived to the pharmacy to receive my Moderna COVID-19 booster vaccine with my husband as we both had appointments for our booster shots. I was first in the chair and the pharmacy tech proceed to wipe the lateral posterior of my left arm with an alcohol swab. I am a medical assistant and I have been giving injections both IM and Sub q for over 20 years. As soon as she wiped my arm with the swab my first thought is "why is she wiping the back of my arm with this alcohol swab?" Before I could say anything about it the needle was in and the injection being given. This was my 3rd Moderna vaccine and by far the most painful administration.  I knew immediately that the injection was given not in my deltoid as an IM injection, but in between my deltoid and tricep muscle in the subcutaneous space. I didn't say anything and just shrugged it off.   16 hours later on Saturday morning I awoke to the familiar sore arm but didn't think anything of it as I know this is a normal side effect to any vaccine given IM.  I did develop fever, chills, fatigue all of which I had with my second booster shot, so I just rested, took tylenol and slept.  Saturday night, 11/13/21 my arm was extremely sore, red, and hot to the touch. My armpit had also began to swell. Again, I chalked it up to a bad local reaction due to the vaccine not being given in the deltoid muscle.   Sunday morning 11/14/21 the pain was worse, the redness had started to spread and temp taken with a thermal thermometer over the injection site registered 101.4.  My overall fever, chills, etc had subsided but the injection site was getting worse. I took some tylenol, iced it and went about my day. Sunday night I noticed the redness spreading further, so I had my husband outline the red area with a marker so I could keep an eye on how much it was spreading.   Monday 11/15/21 I went to work at the Internal Medicine practice I work for and had one of the MD's I work with take a look.  The redness  and pain had spread beyond the marker outline and he determined it was heading toward a cellulitis and started me on Keflex 500 mg TID x 7 days.  As of tonight the cellulitis is still spreading, however I've stared the antibiotic and hope that will take care of it.   I am only reporting this because in my line of work I see medical professionals every day that are poorly trained on how to give a proper injection. Pharmacy technicians should not be giving injections to patients unless they are fully trained.  I'm not sure what type of training the technician that gave me my vaccine had, but this should be an industry standard.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product administered at inappropriate site, Pyrexia, Skin warm, Swelling
Clinical narrative: Friday, November 12, 2021 I arrived to the pharmacy to receive my Moderna COVID-19 booster vaccine with my husband as we both had appointments for our booster shots. I was first in the chair and the pharmacy tech proceed to wipe the lateral posterior of my left arm with an alcohol swab. I am a medical assistant and I have been giving injections both IM and Sub q for over 20 years. As soon as she wiped my arm with the swab my first thought is "why is she wiping the back of my arm with this alcohol swab?" Before I could say anything about it the needle was in and the injection being given. This was my 3rd Moderna vaccine and by far the most painful administration.  I knew immediately that the injection was given not in my deltoid as an IM injection, but in between my deltoid and tricep muscle in the subcutaneous space. I didn't say anything and just shrugged it off.   16 hours later on Saturday morning I awoke to the familiar sore arm but didn't think anything of it as I know this is a normal side effect to any vaccine given IM.  I did develop fever, chills, fatigue all of which I had with my second booster shot, so I just rested, took tylenol and slept.  Saturday night, 11/13/21 my arm was extremely sore, red, and hot to the touch. My armpit had also began to swell. Again, I chalked it up to a bad local reaction due to the vaccine not being given in the deltoid muscle.   Sunday morning 11/14/21 the pain was worse, the redness had started to spread and temp taken with a thermal thermometer over the injection site registered 101.4.  My overall fever, chills, etc had subsided but the injection site was getting worse. I took some tylenol, iced it and went about my day. Sunday night I noticed the redness spreading further, so I had my husband outline the red area with a marker so I could keep an eye on how much it was spreading.   Monday 11/15/21 I went to work at the Internal Medicine practice I work for and had one of the MD's I work with take a look.  The redness  and pain had spread beyond the marker outline and he determined it was heading toward a cellulitis and started me on Keflex 500 mg TID x 7 days.  As of tonight the cellulitis is still spreading, however I've stared the antibiotic and hope that will take care of it.   I am only reporting this because in my line of work I see medical professionals every day that are poorly trained on how to give a proper injection. Pharmacy technicians should not be giving injections to patients unless they are fully trained.  I'm not sure what type of training the technician that gave me my vaccine had, but this should be an industry standard.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date. Moderna analysis revealed full strength persisted.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Lip swelling, Pruritus, Rash, Rash erythematous
Clinical narrative: Swelling to face, lips and eyes.  Red rash with bumps and itchiness on arms, and torso
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Swelling to face, lips and eyes.  Red rash with bumps and itchiness on arms, and torso
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Flushing
Clinical narrative: Pt received Moderna  covid-19 vaccine Booster at 11:11, c/o flushing and mild sob 14mins after vaccine administration. Pt was asssisted to gurney and was placed on his back with hob raised to 30 degrees. V/s taken per protocol. Benadryl 50mg tabs were administered. Allergist Dr. was notified, instructed to keep for an additional 30min. Pt left facility at 11:58am, denies any allergies symptoms. Instructed patient to call 9-11 or go to ER if symptoms  worsen later during the day.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Localized reaction of erythema, and mild swelling . Occasional itching at the site. No other symptoms reported
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength persisted.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength persisted.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient is 14 year old and attended clinic where the Pfizer-BioNTech vaccine was administered instead of the correct Pfizer dose vaccine.  Patient tolerated vaccine well, parent (mom) is aware of the medication error.  Upon returning for 2nd dose, patient will receive the correct 30 mcg dose.   Our facility has also reviewed our processes and will implement a number of changes to ensure this mistake does not happen again.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Rash erythematous
Clinical narrative: Approximately 30 minutes post pt's 3rd Moderna vaccine pt developed "itching" to L upper arm with random, flat, red rash to L upper arm only. Pt denied any other symptoms but indicated that with her previous 2 Moderna vaccines, she developed itching and red rash within 24-48 hours of her vaccine to her generalized body in which she took otc Benadryl for and obtained relief. Pt was evaluated by PA-C and verbal order for Ceterizine 10mg po given. Pt tolerated very well and after monitoring, pt stated that her "itching" was "getting better". She did not develop any other symptoms and denied any acute respiratory distress. After re-evaluation, pt did not have any worsening of her symptoms and stated she was "feeling better" in which she was discharged home to follow up with PCP or seek medical care in the ED should her symptoms not improve, changes, worsens or becomes life threatening.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Extra dose administered, Headache, Pain, Pyrexia
Clinical narrative: I developed a fixed skin eruption the evening of the day after my Moderna booster vacccination.  This consisted of separate areas of a flat erythematous macular rash on the right upper chest, between the breasts, beneath the breasts, a patch on the lateral aspect of the left breast, a patch around the right nipple,  a patch in each axilla, a patch around the umbilicus, a patch in the pubic area, a patch at the base of the posterior cervical region, a patch between the shoulder blades, a patch in the gluteal crease.  There was no pruritis or other symptoms related to the rash.    I developed what I consider to be expected symptoms the evening after my injection, consisting of chills, body aches, slight fever (100.9 F), and headache.  I had had similar symptoms after my second dose on 02/19/2021.  I took Tylenol for these symptoms.  I have had this fixed skin eruption in the past following previous episodes of fever/chills or after taking NSAIDS.  This current episode was much larger and more marked than I have had in the past.    I was scheduled to have an upper endoscopy at 12:30 pm on 11/12/2021.  However, the anesthesiologist was hesitant to perform the procedure because of the rash so I was rescheduled.  I did contact my primary care provider through patient app and she suggested filing the report.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: I developed a fixed skin eruption the evening of the day after my Moderna booster vacccination.  This consisted of separate areas of a flat erythematous macular rash on the right upper chest, between the breasts, beneath the breasts, a patch on the lateral aspect of the left breast, a patch around the right nipple,  a patch in each axilla, a patch around the umbilicus, a patch in the pubic area, a patch at the base of the posterior cervical region, a patch between the shoulder blades, a patch in the gluteal crease.  There was no pruritis or other symptoms related to the rash.    I developed what I consider to be expected symptoms the evening after my injection, consisting of chills, body aches, slight fever (100.9 F), and headache.  I had had similar symptoms after my second dose on 02/19/2021.  I took Tylenol for these symptoms.  I have had this fixed skin eruption in the past following previous episodes of fever/chills or after taking NSAIDS.  This current episode was much larger and more marked than I have had in the past.    I was scheduled to have an upper endoscopy at 12:30 pm on 11/12/2021.  However, the anesthesiologist was hesitant to perform the procedure because of the rash so I was rescheduled.  I did contact my primary care provider through patient app and she suggested filing the report.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Mobility decreased, Pain in extremity, Syncope
Clinical narrative: Arm pain so severe that resulted in the necessity of  immobility 6 hours after injection, began experiencing episodes of lightheadedness 9 hours after injection, and suddenly fainted 12 hours after injection
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dysstasia, Fatigue, Headache
Clinical narrative: 11/12/21 at around 11:00 am I started to have issues with dizziness  and tachycardia. It progressed to having to hold on to desk while standing. I went to urgent care.  They felt it was a reaction to the immunizations and thought it would last about 48 hours.  Other symptoms experienced was Swollen lymph node under left arm that was injected.  Ineremintent fever that reached 102.8 and started around 5am on 11/12/21.  H/A, fatigue, and Chills.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pyrexia, Tachycardia, Vaccination complication
Clinical narrative: 11/12/21 at around 11:00 am I started to have issues with dizziness  and tachycardia. It progressed to having to hold on to desk while standing. I went to urgent care.  They felt it was a reaction to the immunizations and thought it would last about 48 hours.  Other symptoms experienced was Swollen lymph node under left arm that was injected.  Ineremintent fever that reached 102.8 and started around 5am on 11/12/21.  H/A, fatigue, and Chills.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness neurosensory, Deafness unilateral, Hypoacusis, Oedema peripheral
Clinical narrative: After third booster experienced the following:  1. Swelling in left armpit noticed approx 2 days after booster - resolved in 5-7 days 2. Tinnitus and diminished hearing noticed 12 days after booster - diagnosed with asymmetrical sensorineural hearing loss (H90.3) and sudden-onset sensorineural hearing loss (HH91.20) - lost approx 30-40% hearing in left ear - treated with MethylPREDISolone 4mg dose pack starting 3 days after symptom onset + steroid injection in left ear 5 days after symptom onset; symptoms have not yet resolved; another steriod injection may be given in left ear on Dec 1, if needed
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: After third booster experienced the following:  1. Swelling in left armpit noticed approx 2 days after booster - resolved in 5-7 days 2. Tinnitus and diminished hearing noticed 12 days after booster - diagnosed with asymmetrical sensorineural hearing loss (H90.3) and sudden-onset sensorineural hearing loss (HH91.20) - lost approx 30-40% hearing in left ear - treated with MethylPREDISolone 4mg dose pack starting 3 days after symptom onset + steroid injection in left ear 5 days after symptom onset; symptoms have not yet resolved; another steriod injection may be given in left ear on Dec 1, if needed
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoacusis, Immunisation, Swelling, Tinnitus
Clinical narrative: After third booster experienced the following:  1. Swelling in left armpit noticed approx 2 days after booster - resolved in 5-7 days 2. Tinnitus and diminished hearing noticed 12 days after booster - diagnosed with asymmetrical sensorineural hearing loss (H90.3) and sudden-onset sensorineural hearing loss (HH91.20) - lost approx 30-40% hearing in left ear - treated with MethylPREDISolone 4mg dose pack starting 3 days after symptom onset + steroid injection in left ear 5 days after symptom onset; symptoms have not yet resolved; another steriod injection may be given in left ear on Dec 1, if needed
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dry throat, Paraesthesia oral, Throat tightness
Clinical narrative: Vaccine administered 0853. With history of anaphylaxis was required to stay for 30 minutes for observation. began to experience tingling lips, "tight" throat, and anxiety at approximately 0908. Writer gave her water and 2 oral 25 mg Benadryl at 0910. BP 142/82, HR 90, RR 22. 7 minutes later BP 135/78, HR 88, RR 22. Employee slightly less anxious. Throat feeling less "tight" and more dry. Lips slightly less tingly. Kept for observation until symptoms continued to decrease. Was escorted to her clinical work area by co-worker at 0933. She returned to the vaccination area around 1030 because her throat continued to feel "kind of tight". Writer explained at this point in time post vaccination, and care for her symptoms would need to be addressed through  a medical provider such as a clinic or emergency department and not through the vaccination clinic. She then went back to her clinical work area. Writer received a phone call later in the day from her stating she sought care at the Hospital Emergency Department around 11:20a.m. after she went home for the day as her throat was continuing to feel tight. She received an exam from the provider, but no medications.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Pain in extremity
Clinical narrative: patient was to receive the pediatric covid vaccine, but the adult dose vial was selected and mixed/administered according to the pediatric directions (1.3ml diluent and 0.2ml dose). mom reports soreness in the arm, but no other side-effects at this time.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strength persisted.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Electrocardiogram, Influenza virus test, Nasal congestion, Nausea
Clinical narrative: Fever, snotty nose, nauseous, fainted, possible seizure
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, Syncope
Clinical narrative: Fever, snotty nose, nauseous, fainted, possible seizure
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Neck pain
Clinical narrative: Patient is experiencing muscle soreness at injection site and neck pain (entire neck)
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Death, Endotracheal intubation, Haemodialysis, Lung infiltration
Clinical narrative: was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Mechanical ventilation, Pulmonary alveolar haemorrhage, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient is 13 year old and attended clinic where the pediatric Pfizer-BioNTech vaccine was administered instead of the correct Pfizer dose vaccine.  Patient tolerated vaccine well, parent (mom) is aware of the medication error.  Upon returning for 2nd dose on December 2nd, patient will receive the correct 30 mcg dose.   Our facility has also reviewed our processes and will implement a number of changes to ensure this mistake does not happen again.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No treatment needed at this time, reporting that patient is 17 years of age and not 18. She was given a EUA.  I did inform her of other vaccines due to risks of blood clotting. She said,  "she would prefer Johnson & Johnson, because they were going out of state and did not have enough time for the other vaccines." Since this event, we have implemented safety measures and a more through verification process.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Malaise
Clinical narrative: Patient stated that he felt dizzy after he left pharmacy area and went shopping.  It was almost an hour after the vaccination that he stated he was not feeling well.  He called his daughter and she came and picked him up.  He walked out of the store and seemed to be fine.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Client was vaccinated on 5/13/21 and she was 11 at the time with the Pfizer vaccine. She received 2nd dose on 6/3/21. Her mother did sign up with an incorrect date of birth which is why she went through unnoticed. I called mother and she states that she though client was 12 years at the time. Mother states that client experienced no adverse reactions from both doses of Pfizer.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The client came into the clinic with her parental consent to get the Pfizer vaccine.  She recieved the vaccine.  When staff was entering it into database, they noticed that the client had already recieved the COVID-19 vaccine 3 days prior (11/12/2021).  The consent had the parent's signature and the question of whether or not the child had the vaccine before was answered "no". The supervisor called the parent to notify him that the patient recieved the dose of Pfizer 3 days after the initial dose.  No adverse effects have been noted thus far.  The patient weighs 130 lbs.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Muscle spasms, Nausea
Clinical narrative: At approximately 12 am on 11/14/2021, I began to experience intense muscle spasms, nausea, and stomach pain. I experience muscle spasms for approximately 24 hours. At approximately 5 pm on 11/14/2021, I began to have diarrhea which continued into 11/15 and has not yet subsided. The nausea and stomach pain have not yet subsided.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest pain, Flushing, Hyperventilation, Nausea
Clinical narrative: Anxiety, flushed, hyperventilation, Nausea, Vomiting, and Chest Pain, stated bumps
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Vomiting
Clinical narrative: Anxiety, flushed, hyperventilation, Nausea, Vomiting, and Chest Pain, stated bumps
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blepharospasm, Chest X-ray normal, Computerised tomogram head, Computerised tomogram normal
Clinical narrative: When I first got my injection, that night, my arm was hurting, then the next morning my lymph nodes were swollen on my right arm, my cheek and my eye were twitching, and my face was cold to touch on right side of my face. On April 7th, I called talked to a doctor via tele-med appointment. My doctor recommended taking Tylenol. That evening, I started feeling pain right knee, it was very painful. Then, Thursday, my knee started pulsing and it was hurting. I'm a distance runner, so I thought I pulled something. Friday, am, I was taking a shower and I lifted my leg up and my leg started shaking and the back of my knee was swollen. I called the advice nurse, she asked if my knee was warm to touch, discolored, and she told me to go to hospital to make sure it wasn't a blood clot. They did an ultrasound of my leg and blood work and a CT scan of my brain. My BP 165/95. They put me on Xarelto a starter pack for 21 days, 2 pills am and night 30mg, and after 22 days dosage dropped down 20 mg for 3 months. I have had multiple doctor appointments in between checking up. Then, on May 8th, I went to ER because I was having difficulty breathing. They did a CT scan with contrast of my chest and an X-ray. On May 19th, they did an ultrasound of my legs and blood clots were gone. I still have residual pain behind my knee and calf.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling cold, Full blood count normal, Joint swelling, Lymphadenopathy
Clinical narrative: When I first got my injection, that night, my arm was hurting, then the next morning my lymph nodes were swollen on my right arm, my cheek and my eye were twitching, and my face was cold to touch on right side of my face. On April 7th, I called talked to a doctor via tele-med appointment. My doctor recommended taking Tylenol. That evening, I started feeling pain right knee, it was very painful. Then, Thursday, my knee started pulsing and it was hurting. I'm a distance runner, so I thought I pulled something. Friday, am, I was taking a shower and I lifted my leg up and my leg started shaking and the back of my knee was swollen. I called the advice nurse, she asked if my knee was warm to touch, discolored, and she told me to go to hospital to make sure it wasn't a blood clot. They did an ultrasound of my leg and blood work and a CT scan of my brain. My BP 165/95. They put me on Xarelto a starter pack for 21 days, 2 pills am and night 30mg, and after 22 days dosage dropped down 20 mg for 3 months. I have had multiple doctor appointments in between checking up. Then, on May 8th, I went to ER because I was having difficulty breathing. They did a CT scan with contrast of my chest and an X-ray. On May 19th, they did an ultrasound of my legs and blood clots were gone. I still have residual pain behind my knee and calf.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Pain in extremity, Thrombosis, Tremor, Ultrasound scan abnormal
Clinical narrative: When I first got my injection, that night, my arm was hurting, then the next morning my lymph nodes were swollen on my right arm, my cheek and my eye were twitching, and my face was cold to touch on right side of my face. On April 7th, I called talked to a doctor via tele-med appointment. My doctor recommended taking Tylenol. That evening, I started feeling pain right knee, it was very painful. Then, Thursday, my knee started pulsing and it was hurting. I'm a distance runner, so I thought I pulled something. Friday, am, I was taking a shower and I lifted my leg up and my leg started shaking and the back of my knee was swollen. I called the advice nurse, she asked if my knee was warm to touch, discolored, and she told me to go to hospital to make sure it wasn't a blood clot. They did an ultrasound of my leg and blood work and a CT scan of my brain. My BP 165/95. They put me on Xarelto a starter pack for 21 days, 2 pills am and night 30mg, and after 22 days dosage dropped down 20 mg for 3 months. I have had multiple doctor appointments in between checking up. Then, on May 8th, I went to ER because I was having difficulty breathing. They did a CT scan with contrast of my chest and an X-ray. On May 19th, they did an ultrasound of my legs and blood clots were gone. I still have residual pain behind my knee and calf.
Age: 101.0
Sex: M
Vaccine: COVID19
Symptoms: Breath sounds abnormal, Dyspnoea, Respiratory rate increased, Unresponsive to stimuli
Clinical narrative: On 11/14/21, nursing staff  reported patient was not responding, presented with rapid breathing using his excessory muscles to breath, heart rate of 110, gurgling sounds, respiration 25-40 per minute and oxygen sats were 88.  Patient was sent to the ER at 12:15PM and is now in  Hospital.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient is 12 year old and attended clinic where the pediatric Pfizer-BioNTech vaccine was administered instead of the correct Pfizer 30mcg dose vaccine.  Patient tolerated vaccine well, parent (mom) is aware of the medication error.  Upon returning for 2nd dose on December 2nd, patient will receive the correct 30 mcg dose.   Our facility has also reviewed our processes and will implement a number of changes to ensure this mistake does not happen again.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 08/05/2021. PATIENT FULLY VACCINATED ON 02/11/2021.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Dizziness, Pruritus, Tremor
Clinical narrative: Within 1 hour complaint of hives, itching, blurred vision, dizziness, confusion, weakness, shakiness. All resolved except itchiness remains and shakiness remains.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vision blurred
Clinical narrative: Within 1 hour complaint of hives, itching, blurred vision, dizziness, confusion, weakness, shakiness. All resolved except itchiness remains and shakiness remains.
Age: 101.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia
Clinical narrative: Admission reviewed.  Essentially here with weakness and assisted living did not feel they could accommodate her needs.  Vital signs stable through the night and she remains on room air.  Plan had been for outpatient monoclonal antibody infusion and this was ordered inpatient.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, COVID-19, Computerised tomogram thorax abnormal, Diarrhoea
Clinical narrative: Presented to ER and admitted on 10/30/21. 73 year old female presents with nausea, vomiting and diarrhea. She has had symptoms for about a week.  She reports around 10 bowel movements a day, loose, nonbloody, with lot of mucus, with tenesmus, associated with history of eating out. She reports nausea and vomiting developing after few days of having diarrhea.  She reports she has had similar symptoms in the past (7-8 years ago), that she "almost died." She lives with her daughter who has covid. She denies any fever or respiratory symptoms other than her chronic COPD symptoms.   Hx of diverticulosis. Her vitals on presentation Temp 98.6, HR 75, BP 115/70, RR 20. Labs significant for +ve COVID, Creat 1.80, CT chest shows no evidence of active COVID 19 involvment of lung but shows worsened chr fibrosis.CT chest- worsened chronic lung fibrosis.  Pulmonary fibrosis-H/O methotrexate induced lung injury in 2016,  hypoxic, started on NC oxygen.  Pulmonologist on board- eventually required OptiFlow.  Creatinine 1.8. on IV fluid. - AKI resolved On COVID 19 treatment (ceftriaxone, doxycycline, remdesivir) .  ID and pulmonologist consulted. Oxygen requirement improving.  No short of breath, was on OptiFlow-switched to NC oxygen on 11/14/2021.  Walk test done.  Requires home oxygen, no new voiced concerns.  Patient was medically stable for discharge  Home on 11/15/2021
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Frequent bowel movements, Hypoxia, Interstitial lung disease, Mucous stools
Clinical narrative: Presented to ER and admitted on 10/30/21. 73 year old female presents with nausea, vomiting and diarrhea. She has had symptoms for about a week.  She reports around 10 bowel movements a day, loose, nonbloody, with lot of mucus, with tenesmus, associated with history of eating out. She reports nausea and vomiting developing after few days of having diarrhea.  She reports she has had similar symptoms in the past (7-8 years ago), that she "almost died." She lives with her daughter who has covid. She denies any fever or respiratory symptoms other than her chronic COPD symptoms.   Hx of diverticulosis. Her vitals on presentation Temp 98.6, HR 75, BP 115/70, RR 20. Labs significant for +ve COVID, Creat 1.80, CT chest shows no evidence of active COVID 19 involvment of lung but shows worsened chr fibrosis.CT chest- worsened chronic lung fibrosis.  Pulmonary fibrosis-H/O methotrexate induced lung injury in 2016,  hypoxic, started on NC oxygen.  Pulmonologist on board- eventually required OptiFlow.  Creatinine 1.8. on IV fluid. - AKI resolved On COVID 19 treatment (ceftriaxone, doxycycline, remdesivir) .  ID and pulmonologist consulted. Oxygen requirement improving.  No short of breath, was on OptiFlow-switched to NC oxygen on 11/14/2021.  Walk test done.  Requires home oxygen, no new voiced concerns.  Patient was medically stable for discharge  Home on 11/15/2021
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pneumonitis, Rectal tenesmus, SARS-CoV-2 test positive, Traumatic lung injury
Clinical narrative: Presented to ER and admitted on 10/30/21. 73 year old female presents with nausea, vomiting and diarrhea. She has had symptoms for about a week.  She reports around 10 bowel movements a day, loose, nonbloody, with lot of mucus, with tenesmus, associated with history of eating out. She reports nausea and vomiting developing after few days of having diarrhea.  She reports she has had similar symptoms in the past (7-8 years ago), that she "almost died." She lives with her daughter who has covid. She denies any fever or respiratory symptoms other than her chronic COPD symptoms.   Hx of diverticulosis. Her vitals on presentation Temp 98.6, HR 75, BP 115/70, RR 20. Labs significant for +ve COVID, Creat 1.80, CT chest shows no evidence of active COVID 19 involvment of lung but shows worsened chr fibrosis.CT chest- worsened chronic lung fibrosis.  Pulmonary fibrosis-H/O methotrexate induced lung injury in 2016,  hypoxic, started on NC oxygen.  Pulmonologist on board- eventually required OptiFlow.  Creatinine 1.8. on IV fluid. - AKI resolved On COVID 19 treatment (ceftriaxone, doxycycline, remdesivir) .  ID and pulmonologist consulted. Oxygen requirement improving.  No short of breath, was on OptiFlow-switched to NC oxygen on 11/14/2021.  Walk test done.  Requires home oxygen, no new voiced concerns.  Patient was medically stable for discharge  Home on 11/15/2021
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Presented to ER and admitted on 10/30/21. 73 year old female presents with nausea, vomiting and diarrhea. She has had symptoms for about a week.  She reports around 10 bowel movements a day, loose, nonbloody, with lot of mucus, with tenesmus, associated with history of eating out. She reports nausea and vomiting developing after few days of having diarrhea.  She reports she has had similar symptoms in the past (7-8 years ago), that she "almost died." She lives with her daughter who has covid. She denies any fever or respiratory symptoms other than her chronic COPD symptoms.   Hx of diverticulosis. Her vitals on presentation Temp 98.6, HR 75, BP 115/70, RR 20. Labs significant for +ve COVID, Creat 1.80, CT chest shows no evidence of active COVID 19 involvment of lung but shows worsened chr fibrosis.CT chest- worsened chronic lung fibrosis.  Pulmonary fibrosis-H/O methotrexate induced lung injury in 2016,  hypoxic, started on NC oxygen.  Pulmonologist on board- eventually required OptiFlow.  Creatinine 1.8. on IV fluid. - AKI resolved On COVID 19 treatment (ceftriaxone, doxycycline, remdesivir) .  ID and pulmonologist consulted. Oxygen requirement improving.  No short of breath, was on OptiFlow-switched to NC oxygen on 11/14/2021.  Walk test done.  Requires home oxygen, no new voiced concerns.  Patient was medically stable for discharge  Home on 11/15/2021
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Wrong Covid Pfizer vaccine given. The 5-11 year one was given instead of the 12 years and up.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Eye swelling, Fatigue, Headache, Inflammation
Clinical narrative: Tuesday 9/14/21: A fine rash appeared around her mouth. Sore throat, headache Wednesday 9/15/21: More facial rash, sore throat, tired. In the evening huge face rash flare, trouble breathing. Arms, legs, swollen and red with rash. Thurs. 9/16/21: woke up with eyes swollen shut. Rash still inflamed. Went to ER Friday 9/17: less severe facial swelling, severe rash Rash has persisted through now. We are still searching for help/treatment
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Mononucleosis heterophile test negative, Oral mucosal eruption, Oropharyngeal pain, Peripheral swelling, Rash
Clinical narrative: Tuesday 9/14/21: A fine rash appeared around her mouth. Sore throat, headache Wednesday 9/15/21: More facial rash, sore throat, tired. In the evening huge face rash flare, trouble breathing. Arms, legs, swollen and red with rash. Thurs. 9/16/21: woke up with eyes swollen shut. Rash still inflamed. Went to ER Friday 9/17: less severe facial swelling, severe rash Rash has persisted through now. We are still searching for help/treatment
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rhinovirus infection, Swelling face
Clinical narrative: Tuesday 9/14/21: A fine rash appeared around her mouth. Sore throat, headache Wednesday 9/15/21: More facial rash, sore throat, tired. In the evening huge face rash flare, trouble breathing. Arms, legs, swollen and red with rash. Thurs. 9/16/21: woke up with eyes swollen shut. Rash still inflamed. Went to ER Friday 9/17: less severe facial swelling, severe rash Rash has persisted through now. We are still searching for help/treatment
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Face oedema, Fatigue
Clinical narrative: Beginning the next day after the shot, I was tired.  I was extremely tired the 2nd and 3rd days after the vaccine.  Beginning the day after the vaccine, I have noticed that I wake with facial edema each day from 11/2/2021 to today 11/15/2021.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity
Clinical narrative: patient should have gotten the pediatric pfizer covid-19 vaccine, but the incorrect vial was selected so patient received a higher dose than he should have. the adult vial was used, but mixed according to the pediatric vial instructions (1.3ml diluent) and 0.2ml vaccine was given. mom reports sore arm at this time, but patient does have a history of cardiac illness, so they will follow up with pediatrician and cardiologist.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Fatigue, Lip swelling, Swelling face
Clinical narrative: Swelling of face, eyes and lips that occurred 5 times with the first on 11/2/21; extreme exhaustion
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Redness, heat, tenderness at the injection site starting ~6 days following injection.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. PATIENT TESTED POSITIVE ON 07/20/2021. PATIENT FULLY VACCINATED ON 02/11/2021.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: patient received pfizer as a booster dose, but reports that she requested moderna
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site reaction, Limb discomfort
Clinical narrative: Some numbness and heavy feeling  on left arm near injection site.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Aortic dilatation, Blood creatine phosphokinase MB, Brain natriuretic peptide increased, C-reactive protein increased
Clinical narrative: chest pain, fever, general malaise, diaphoresis
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac imaging procedure abnormal, Catheterisation cardiac normal, Chest pain, Coxsackie virus test negative, Cytomegalovirus test
Clinical narrative: chest pain, fever, general malaise, diaphoresis
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Cytomegalovirus test negative, Echocardiogram, Electrocardiogram normal, Epstein-Barr virus antigen positive, Hepatitis C test negative
Clinical narrative: chest pain, fever, general malaise, diaphoresis
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes simplex test positive, Human herpes virus 6 serology negative, Hyperhidrosis, Left ventricular hypertrophy, Malaise
Clinical narrative: chest pain, fever, general malaise, diaphoresis
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Parvovirus B19 test positive, Pyrexia, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative
Clinical narrative: chest pain, fever, general malaise, diaphoresis
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Ventricular hypokinesia
Clinical narrative: chest pain, fever, general malaise, diaphoresis
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Paraesthesia, Peroneal nerve palsy
Clinical narrative: pt had severe cold symptoms, and on the second day, work to parasthesia of right lower extremity, with drop foot.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed Shingles in same arm as vaccine.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: knot under armpit on the side of injection site.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Rash
Clinical narrative: PATIENT REPORTS 60 TO 64 HOURS AFTER VACCINATION HE DEVELOPED A RASH FROM FEET TO NECK ALL OVER BODY. FACE WAS NOT INVOLVED. NO ITCHING; JUST REDNESS. HE TOOK ONE DOSE OF CHLOR-TRIMETON AND RASH RESOLVED WITH TIME. **THIS WAS THE BOOSTER DOSE TO PRIMARY SERIES WITH ONE SHOT OF J&J**
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram
Clinical narrative: A Fib, was placed on Metoprolol Succinate.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity
Clinical narrative: patient should have received the pediatric covid-19 vaccine, but the dose was administered incorrectly. The adult vial was used, but then mixed and administered with 1.3ml diluent and 0.2ml dose. mom reports no additional side-effects other than a sore arm at this time.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Exfoliative rash, Haemorrhage, Pruritus, Rash, Scratch
Clinical narrative: Severe rash on back, legs, and tops of feet. Treated with Econazole Nitrate 1% and OTC moisturizing lotion. Rash was severe for 10 days and lasted beyond two weeks.  Itching was so severe that it was impossible to sleep without pain medication.  Benadryl did not help.  Quite a lot of bleeding from scratching the rash where it itched the most, and massive amounts of dead skin on the rash.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Skin exfoliation, Sleep disorder
Clinical narrative: Severe rash on back, legs, and tops of feet. Treated with Econazole Nitrate 1% and OTC moisturizing lotion. Rash was severe for 10 days and lasted beyond two weeks.  Itching was so severe that it was impossible to sleep without pain medication.  Benadryl did not help.  Quite a lot of bleeding from scratching the rash where it itched the most, and massive amounts of dead skin on the rash.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION. PATIENT TESTED POSITIVE ON 08/03/2021. PATIENT FULLY VACCINATED ON 02/25/2021.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Dizziness, Hypotension
Clinical narrative: lighthead, hypotensive, heaviness feeling over body, joint pain
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Disorientation, Fatigue, Feeding disorder
Clinical narrative: Initial vacines done in Feb and March.  This was a booster. Started Friday evening with body aches, extreme joint pain, then chills, headache, and fatigue.  About 3am nauseated and vomited.  Felt disorientated, tired and slept off an on from midnight Friday until 3pm Sat afternoon.  Still nauseated, unable to eat.  Slept again from 9pm Sat until 8am Sunday when I began to feel better.  Headache lingered until Mon morning.  Monday, felt tired, but ok
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, Nausea, Pain, Vomiting
Clinical narrative: Initial vacines done in Feb and March.  This was a booster. Started Friday evening with body aches, extreme joint pain, then chills, headache, and fatigue.  About 3am nauseated and vomited.  Felt disorientated, tired and slept off an on from midnight Friday until 3pm Sat afternoon.  Still nauseated, unable to eat.  Slept again from 9pm Sat until 8am Sunday when I began to feel better.  Headache lingered until Mon morning.  Monday, felt tired, but ok
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 3RD DOSE ADMINISTERED 2 MONTHS EARLY - 2ND DOSE COMPLETED JUNE 12.2021
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Sore throat, mild fever, running nose, congestion, cough, sneezing
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: Sore throat, mild fever, running nose, congestion, cough, sneezing
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dyspnoea, Impaired driving ability, Palpitations
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 10/01/2021, started experiencing symptoms 10/06/2021 of heart palpations, dizziness, faint, shortness of breath, difficulty lifting, and leg weakness. Urgent Care visit estimated 10/15/2021, recommendation prescribing Inflammation (Ibuprofen 800mg). 11/12/2021 Faintness during driving, resulting in family member transporting. Primary Appt. scheduled 12/03/2021.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 10/01/2021, started experiencing symptoms 10/06/2021 of heart palpations, dizziness, faint, shortness of breath, difficulty lifting, and leg weakness. Urgent Care visit estimated 10/15/2021, recommendation prescribing Inflammation (Ibuprofen 800mg). 11/12/2021 Faintness during driving, resulting in family member transporting. Primary Appt. scheduled 12/03/2021.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Fever 101.8, headache, body aches on day 1 and two after vaccines. First started 11pm day of vaccine
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: Patient was diagnosed with cellulitis by PCP 4 days after receiving Moderna COVID Vaccine
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injection site pain, Mobility decreased, Sleep disorder
Clinical narrative: Both injections in left deltoid.  Since 8/28/21 continued left deltoid pain which limits use of left arm.  Due to continued left deltoid pain,  I am unable to lay on arm for more then 5 minutes, unable to carry bags/purse on left arm more then 5 minutes,  and have diminished strength in left arm.  No prior history of pain, reduced ROM or any symptoms in left shoulder, deltoid, arm.   Symptoms only  AFTER COVID vaccination.