chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Bedridden, Illness
Clinical narrative: Patient husband came in today to report patient has been extremely sick with "all the COVID symptoms" since receiving 3rd dose. Has not been able to get out of bed. Asked us to report the occurrence. States contacted the physician.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Heavy menstrual bleeding, Menstrual disorder, Metabolic function test, Pregnancy test
Clinical narrative: Menorrhagia.  Severe menstrual bleeding lasting approximately 4 hours, at onset of the 2nd menstrual cycle following the complete course of Covid vaccines.   Subsequent menstrual cycles were slightly heavier than baseline, and seem to have normalized after six months
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound pelvis
Clinical narrative: Menorrhagia.  Severe menstrual bleeding lasting approximately 4 hours, at onset of the 2nd menstrual cycle following the complete course of Covid vaccines.   Subsequent menstrual cycles were slightly heavier than baseline, and seem to have normalized after six months
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Asthenia, Cheilitis, Chills, Condition aggravated
Clinical narrative: Woke up with headache,chills,sweating, body aches, tremors, weakness, sore throat,cough, tiredness,tingling in extremeties, and nausea. Day 2 add on fever 101, strong cough, runny nose,wheezing, Day 3 add loss of taste, loss of appetite with other side effects. Day 4 some side effects were less but new ones were sores in mouth, nose,sores ,sores on lips. Day 5 same as day 4
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Fatigue, Headache, Nasal discomfort
Clinical narrative: Woke up with headache,chills,sweating, body aches, tremors, weakness, sore throat,cough, tiredness,tingling in extremeties, and nausea. Day 2 add on fever 101, strong cough, runny nose,wheezing, Day 3 add loss of taste, loss of appetite with other side effects. Day 4 some side effects were less but new ones were sores in mouth, nose,sores ,sores on lips. Day 5 same as day 4
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pain, Paraesthesia, Pyrexia
Clinical narrative: Woke up with headache,chills,sweating, body aches, tremors, weakness, sore throat,cough, tiredness,tingling in extremeties, and nausea. Day 2 add on fever 101, strong cough, runny nose,wheezing, Day 3 add loss of taste, loss of appetite with other side effects. Day 4 some side effects were less but new ones were sores in mouth, nose,sores ,sores on lips. Day 5 same as day 4
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, Stomatitis, Tremor, Wheezing
Clinical narrative: Woke up with headache,chills,sweating, body aches, tremors, weakness, sore throat,cough, tiredness,tingling in extremeties, and nausea. Day 2 add on fever 101, strong cough, runny nose,wheezing, Day 3 add loss of taste, loss of appetite with other side effects. Day 4 some side effects were less but new ones were sores in mouth, nose,sores ,sores on lips. Day 5 same as day 4
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Induration, Limb mass
Clinical narrative: I got Moderna Booster.  Large golf ball size, swollen, red lump/rash on arm. Very itchy, painful, warm to the touch, and somewhat hard/firm.  This popped up about 12 hours after shot. About a half hour after shot, felt nauseous, tired, and developed a headache. Those symptoms came and went for about 24 hours. By the 48 hour mark, had developed sore throat, sore muscles, tired, lump had gotten bigger on arm, and had a horrible, constant headache. Ibuprofen and Zyrtec hasn't seemed to help much.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Oropharyngeal pain, Pain in extremity, Peripheral swelling
Clinical narrative: I got Moderna Booster.  Large golf ball size, swollen, red lump/rash on arm. Very itchy, painful, warm to the touch, and somewhat hard/firm.  This popped up about 12 hours after shot. About a half hour after shot, felt nauseous, tired, and developed a headache. Those symptoms came and went for about 24 hours. By the 48 hour mark, had developed sore throat, sore muscles, tired, lump had gotten bigger on arm, and had a horrible, constant headache. Ibuprofen and Zyrtec hasn't seemed to help much.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin warm
Clinical narrative: I got Moderna Booster.  Large golf ball size, swollen, red lump/rash on arm. Very itchy, painful, warm to the touch, and somewhat hard/firm.  This popped up about 12 hours after shot. About a half hour after shot, felt nauseous, tired, and developed a headache. Those symptoms came and went for about 24 hours. By the 48 hour mark, had developed sore throat, sore muscles, tired, lump had gotten bigger on arm, and had a horrible, constant headache. Ibuprofen and Zyrtec hasn't seemed to help much.
Age: 76.0
Sex: F
Vaccine: FLUC4
Symptoms: Blood cholesterol increased, Cerebrovascular accident, Condition aggravated, Dysarthria, Gait disturbance
Clinical narrative: This patient received a flu vaccine (flucelvax quad) on 10/17/21 by a pharmacist around 3 pm. She reported numbness of the lips shortly afterwards (within about 1 hour), but she attributed it to eating jalapeno chips right after being vaccinated. She asked a pharmacist and pharmacist advised to reach out to MD just in case if symptoms continue. The patient went home and waited until the next morning to call her MD when she felt like she could not walk right in the morning of 10/18/21 and had a significant area of numbness on the roof of her mouth. The doctor had her go right to the hospital and they confirmed she had a stroke. The patient admitted she was very high risk for stroke (hypertension, high cholesterol, diabetes, obese, numerous heart medications).  The patient is home and doing better. Her speech is a little slurred, but overall better. Her BP is very high and she is working with her doctor to bring it down. The patient states the doctor that treated her at the hospital does not believe the flu shot was a reason or contributing factor to the stroke.
Age: 76.0
Sex: F
Vaccine: FLUC4
Symptoms: Hypertension, Hypoaesthesia oral
Clinical narrative: This patient received a flu vaccine (flucelvax quad) on 10/17/21 by a pharmacist around 3 pm. She reported numbness of the lips shortly afterwards (within about 1 hour), but she attributed it to eating jalapeno chips right after being vaccinated. She asked a pharmacist and pharmacist advised to reach out to MD just in case if symptoms continue. The patient went home and waited until the next morning to call her MD when she felt like she could not walk right in the morning of 10/18/21 and had a significant area of numbness on the roof of her mouth. The doctor had her go right to the hospital and they confirmed she had a stroke. The patient admitted she was very high risk for stroke (hypertension, high cholesterol, diabetes, obese, numerous heart medications).  The patient is home and doing better. Her speech is a little slurred, but overall better. Her BP is very high and she is working with her doctor to bring it down. The patient states the doctor that treated her at the hospital does not believe the flu shot was a reason or contributing factor to the stroke.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Skin laceration
Clinical narrative: Pt sitting down after a shot. got light headed, woozy, and likely passed out.  Patient wore glasses, and hit his face.  Glasses caused a minor cut on his face. Pharmacist went to patient, stayed with G.I. until stable. Prior to shot... Pt expressed anxiety before requesting a shot.  Was asked to sit for a period after the shot.  Patient did not sit down, but wanted "fresh air" and went outside.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Dysmenorrhoea, Frequent bowel movements, Menstruation irregular
Clinical narrative: Irregular menstrual cycle - more painful cramping, more bloating, more frequent bowel movements
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Patient showed up to pharmacy to receive booster dose. Patient was a Janssen recipient (March 2021). Moderna vaccine administered at 0.5mL dose, instead of 0.25mL dose. Monitored patient; no reported adverse events. MD notified and aware of the error in dose.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: LARGE RASH ADJACENT TO INJECTION SITE.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT REQUESTED PFIZER I ADMINISTERD MODERNA AS THE THIRD DOSE IN ERROR
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth swelling, Oral mucosal exfoliation, Oropharyngeal pain, Swollen tongue, Tongue exfoliation
Clinical narrative: Swollen tongue/mouth. Followed by peeling of tongue/mouth. Sore throat accompanied swollen tongue.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Joint stiffness, Muscular weakness, Myalgia
Clinical narrative: Right and left Elbow and the surrounding muscle pain and weakness along with finger(middle joint on all the 5 fingers and on both the hands) joint pain and stiffness.  The pain is still there and sometimes gets worse.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: Mild headache, moderate chills, and body aches after 2nd dose. Lasted 4-6 hours, then completely resolved. No issues afterward.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: Nausea at 8pm, extreme chills at 830pm, fever of 101.4 at 1030pm taken Tylenol pill.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Heart rate increased
Clinical narrative: Got Pfizer Covid vaccine dose #1: 3/15/21 and I developed a headache by the time I arrived home. Headache was 7/10 pain minimum, lasting a week almost non stop. The headaches had a  vascular feeling/pounding - worse with getting heart rate up or position change, increased temperature, and were not like any headache I have experienced before. I do not get many headaches in general but I had never had one like this- the quality was very different. H/A Started getting less intense after a week- were down to about 4/10 and more intermittent.  They got progressively less frequent and less intense until they mostly stopped in early- mid May.  They would come and go without warning and when they went away would go away also without warning.  Since May I have experienced them 1-3 more times with the same sort of quick onset without warning.  After dose 1 I also had mild chills, fatigue, and achiness but I don't consider that an adverse event.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Got Pfizer Covid vaccine dose #1: 3/15/21 and I developed a headache by the time I arrived home. Headache was 7/10 pain minimum, lasting a week almost non stop. The headaches had a  vascular feeling/pounding - worse with getting heart rate up or position change, increased temperature, and were not like any headache I have experienced before. I do not get many headaches in general but I had never had one like this- the quality was very different. H/A Started getting less intense after a week- were down to about 4/10 and more intermittent.  They got progressively less frequent and less intense until they mostly stopped in early- mid May.  They would come and go without warning and when they went away would go away also without warning.  Since May I have experienced them 1-3 more times with the same sort of quick onset without warning.  After dose 1 I also had mild chills, fatigue, and achiness but I don't consider that an adverse event.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: MIXED SERIES. PATIENT HAD PREVIOUSLY RECEIVED MODERNA VACCINE FOR FIRST DOSE.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Nausea
Clinical narrative: Increased joint pain, new bilateral shoulder pain, intermittent nausea. Relieved over the course of 2 months.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: I woke with a sore arm, but also every joint was in severe pain, and I did nothing the day after I got this injection.  I was in bed most of the day.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Arthralgia, Back pain, Blood test normal, Brain natriuretic peptide
Clinical narrative: The Pfizer covid vaccine was given in the afternoon and immediately after the vaccine, he had tingling and numb feeling on right arm and leg. The next day he had pain in his heart. The pain increased to a severe level and he felt like his heart was being constricted. He continued to have severe pain in my his heart, back and should and continued to feel numb and tingling all over arms and legs. He was very afraid he was having a heart attack, so we called 911 and they came and did an EKG, which had a normal result. He decided to still go into ER, where they did blood work, chest X-ray and another EKG, all tests came back with normal results, so he went home. That night, he was up the entire night with severe pain in his heart and pain all over his body, but the pain was concentrated in his heart and chest. He said he thought he was dying. He could not think clearly and could hardly walk or function, so early the next morning, I took him back to the ER and they admitted him to the hospital. He stayed overnight in the hospital and they repeated all the previous tests and did an EEG as well because he felt like he could not think clearly and felt something was neurologically wrong, it was hard for him to explain. He was also having frequent panic attacks because of the trauma of the heart pain and not knowing what was wrong. I am reporting this a week after the event and at this time he still has tingling/numbness and a small amount of pain, but it is much less than at onset.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Chest pain, Differential white blood cell count, Electrocardiogram normal
Clinical narrative: The Pfizer covid vaccine was given in the afternoon and immediately after the vaccine, he had tingling and numb feeling on right arm and leg. The next day he had pain in his heart. The pain increased to a severe level and he felt like his heart was being constricted. He continued to have severe pain in my his heart, back and should and continued to feel numb and tingling all over arms and legs. He was very afraid he was having a heart attack, so we called 911 and they came and did an EKG, which had a normal result. He decided to still go into ER, where they did blood work, chest X-ray and another EKG, all tests came back with normal results, so he went home. That night, he was up the entire night with severe pain in his heart and pain all over his body, but the pain was concentrated in his heart and chest. He said he thought he was dying. He could not think clearly and could hardly walk or function, so early the next morning, I took him back to the ER and they admitted him to the hospital. He stayed overnight in the hospital and they repeated all the previous tests and did an EEG as well because he felt like he could not think clearly and felt something was neurologically wrong, it was hard for him to explain. He was also having frequent panic attacks because of the trauma of the heart pain and not knowing what was wrong. I am reporting this a week after the event and at this time he still has tingling/numbness and a small amount of pain, but it is much less than at onset.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Electroencephalogram, Fear, Full blood count, Gait disturbance, Hypoaesthesia
Clinical narrative: The Pfizer covid vaccine was given in the afternoon and immediately after the vaccine, he had tingling and numb feeling on right arm and leg. The next day he had pain in his heart. The pain increased to a severe level and he felt like his heart was being constricted. He continued to have severe pain in my his heart, back and should and continued to feel numb and tingling all over arms and legs. He was very afraid he was having a heart attack, so we called 911 and they came and did an EKG, which had a normal result. He decided to still go into ER, where they did blood work, chest X-ray and another EKG, all tests came back with normal results, so he went home. That night, he was up the entire night with severe pain in his heart and pain all over his body, but the pain was concentrated in his heart and chest. He said he thought he was dying. He could not think clearly and could hardly walk or function, so early the next morning, I took him back to the ER and they admitted him to the hospital. He stayed overnight in the hospital and they repeated all the previous tests and did an EEG as well because he felt like he could not think clearly and felt something was neurologically wrong, it was hard for him to explain. He was also having frequent panic attacks because of the trauma of the heart pain and not knowing what was wrong. I am reporting this a week after the event and at this time he still has tingling/numbness and a small amount of pain, but it is much less than at onset.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injury, Metabolic function test, Pain, Panic attack
Clinical narrative: The Pfizer covid vaccine was given in the afternoon and immediately after the vaccine, he had tingling and numb feeling on right arm and leg. The next day he had pain in his heart. The pain increased to a severe level and he felt like his heart was being constricted. He continued to have severe pain in my his heart, back and should and continued to feel numb and tingling all over arms and legs. He was very afraid he was having a heart attack, so we called 911 and they came and did an EKG, which had a normal result. He decided to still go into ER, where they did blood work, chest X-ray and another EKG, all tests came back with normal results, so he went home. That night, he was up the entire night with severe pain in his heart and pain all over his body, but the pain was concentrated in his heart and chest. He said he thought he was dying. He could not think clearly and could hardly walk or function, so early the next morning, I took him back to the ER and they admitted him to the hospital. He stayed overnight in the hospital and they repeated all the previous tests and did an EEG as well because he felt like he could not think clearly and felt something was neurologically wrong, it was hard for him to explain. He was also having frequent panic attacks because of the trauma of the heart pain and not knowing what was wrong. I am reporting this a week after the event and at this time he still has tingling/numbness and a small amount of pain, but it is much less than at onset.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Sleep disorder, Thinking abnormal, Troponin I
Clinical narrative: The Pfizer covid vaccine was given in the afternoon and immediately after the vaccine, he had tingling and numb feeling on right arm and leg. The next day he had pain in his heart. The pain increased to a severe level and he felt like his heart was being constricted. He continued to have severe pain in my his heart, back and should and continued to feel numb and tingling all over arms and legs. He was very afraid he was having a heart attack, so we called 911 and they came and did an EKG, which had a normal result. He decided to still go into ER, where they did blood work, chest X-ray and another EKG, all tests came back with normal results, so he went home. That night, he was up the entire night with severe pain in his heart and pain all over his body, but the pain was concentrated in his heart and chest. He said he thought he was dying. He could not think clearly and could hardly walk or function, so early the next morning, I took him back to the ER and they admitted him to the hospital. He stayed overnight in the hospital and they repeated all the previous tests and did an EEG as well because he felt like he could not think clearly and felt something was neurologically wrong, it was hard for him to explain. He was also having frequent panic attacks because of the trauma of the heart pain and not knowing what was wrong. I am reporting this a week after the event and at this time he still has tingling/numbness and a small amount of pain, but it is much less than at onset.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Blood creatine phosphokinase increased, Myalgia, Rash, Rash erythematous
Clinical narrative: Five days following vaccine administration patient developed severe muscles aches in her lower extremities bilaterally, right greater than left. She also noted the development of a rash consistent of two small raised erythematous and pruritic lesions located over her right inner thigh, followed by the development of two similar lesions over her  right gluteal region and then one underneath her right breast. She was seen by her primary care physician at which time labs were performed results of which revealed CPK in the 6000s. She was directed to Hospital ER at which time repeat labs showed a CPK of 6271. Mild ALT elevation was also noted. Patient was admitted and initiated on IVFs with rapid decline in CPK and resolution of muscle aches. Rash however persisted and work-up remains ongoing.  Patient is currently scheduled to follow-up with Dermatology on 11/5/21 for further evaluation and potential skin biopsy.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Five days following vaccine administration patient developed severe muscles aches in her lower extremities bilaterally, right greater than left. She also noted the development of a rash consistent of two small raised erythematous and pruritic lesions located over her right inner thigh, followed by the development of two similar lesions over her  right gluteal region and then one underneath her right breast. She was seen by her primary care physician at which time labs were performed results of which revealed CPK in the 6000s. She was directed to Hospital ER at which time repeat labs showed a CPK of 6271. Mild ALT elevation was also noted. Patient was admitted and initiated on IVFs with rapid decline in CPK and resolution of muscle aches. Rash however persisted and work-up remains ongoing.  Patient is currently scheduled to follow-up with Dermatology on 11/5/21 for further evaluation and potential skin biopsy.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt arrived to facility requesting a Pfizer 1st dose. Patient reported to Lead Nurse that she received a single dose of CanSino Covid Vaccine (LOT# A020121) on 4/9/21. Patient denied any severe reaction to her single dose. Patient denied itchiness, rashes, difficulty breathing and difficulty swallowing. Lead nurse elevated situation to Clinical Supervisors. Supervisor approved patient for a Pfizer 1st dose according to current CDC interim guidelines. Supervisor advised Lead Nurse to complete Incident report, VAERS.  Lead Nurse notified patient she is cleared to receive her Pfizer 1st dose and educated patient to wait in observation for 30 minutes and signs/symptoms of an allergic reaction. At approximately 1330, patient received her Pfizer 1st dose (LOT# FF8839, exp. 11/20/21). At 1345, Lead Nurse  assessed patient. Patient denied itchiness, rashes, difficulty breathing and difficulty swallowing. At 1400, Lead Nurse reassessed patient. Patient denied itchiness, rashes, difficulty swallowing, and difficulty breathing. Lead Nurse educated patient on signs/symptoms of an allergic reaction, to follow up with primary care provider and to sign up on V-safe. At approximately 1403, patient left facility with steady gait and unlabored respirations.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Joint range of motion decreased, Rotator cuff syndrome
Clinical narrative: I received my booster shot at a local pharmacy and the following day developed a very painful and sore arm but with o other symptoms.  On the second day after receiving the vaccination, I developed a sudden sharp catching  or impingement in my shoulder that crippled my arm when reaching for a cell phone.  The pain was sudden and onset acute.  It affected my shoulder so that my arm could not be used for any purpose such as lifting, moving, pushing, pulling, or doing any thing other than holding it tight against my body.  This was followed by a constant aching in my shoulder even when no range of motion was used.  I started taking celebrex and icing my shoulder.  The pain and limited range of motion continued for the next 24 hours, until I received some relief the next day so that I had minimal ROM.  The shoulder catching or impingement continued when lifting the arm to the side, in front of me or lifting my arm.  I saw a doctor at an urgent care on the 4th day after the injection and was diagnosed with an adverse effect to the possible administration of the vaccine or reaction to the vaccine itself in my arm.  I was  referred to Physical Therapy and continued to take celebrex.  I have been to one session of PT and on day 5 after receiving the vaccine starting to return to more normal .
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Chills, Fatigue, Myalgia
Clinical narrative: Anxiety Body aches Heart palpitations  Shivers Fever Fatigue Joint pain Muscle pain
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations, Pyrexia
Clinical narrative: Anxiety Body aches Heart palpitations  Shivers Fever Fatigue Joint pain Muscle pain
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Injection site pain, Myalgia, Palpitations
Clinical narrative: Fever 101.5, chills, muscle aches, joint aches, injection site pain, heart palpitations
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 101.5, chills, muscle aches, joint aches, injection site pain, heart palpitations
Age: 73.0
Sex: F
Vaccine: FLUA4
Symptoms: Anticoagulant therapy, Asthenia, C-reactive protein increased, Central venous catheterisation, Debridement
Clinical narrative: Patient reported that the vaccine felt like it went into the bone in her shoulder. It was painful the next day and continued to worsen, by 10/17 she felt ill and had low energy. That week she was seen twice in urgent care, first time was prescribed a prednisone taper (60mg decrease by 10 mg daily) she went back and was given doxycycline, and then went to her pcp on approximately 10/21 and found to have elevated sed rate and CRP and was referred to the Hospital where she had a tap of her shoulder that grew staph aureus (MSSA) and that evening had extensive surgical debridement.  I believe she was inoculated with MSSA from her vaccine injection, and the clinical symptoms were masked by the prednisone and could have been even more serious than it was. I informed the pharmacy and they had not heard of any other infections in other customers. Hospital Course:   The patient was taken to the operating room on 10/22/2021 for a right shoulder irrigation and debridement by the doctors. See the dictated operative note for full detail. There were no complications during the surgery. Postoperatively, patient was admitted to the Orthopedic floor. She was given empiric antibiotics. Infectious disease was consulted and recommended prolonged course of IV ancef.  She was started on DVT prophylaxis (ASA 81 mg bid), given TEDS/SCDs, and encouraged early mobilization. She was started on a bowel regimen, tolerated a diet, and voided appropriately prior to discharge. The shoulder drain was removed on POD1. She was seen by Physical therapy, Occupational therapy, and Case management who together recommended a plan for discharge. She received a midline for delivery of long term antibiotics. On 10/28, she was referred for LUE DVT ultrasound due to left arm swelling and pain. This revealed thrombus in the left basilic vein and left cephalic vein. The midline was removed and she instead received a tunneled central catheter by VIR. Hematology was consulted and recommended Eliquis 10 mg twice daily for 7 days followed by 5 mg twice daily for a total of 3 months.   She was seen by the Orthopedic Surgery team on 10/29/21 who felt that the patient was medically and surgically stable for discharge. She was discharged with a midline catheter in place and home services for prolonged IV ancef.      She was discharged home on 10/30/21 She is still recovering and has lost much ROM in her right shoulder
Age: 73.0
Sex: F
Vaccine: FLUA4
Symptoms: Drain placement, Drain removal, Joint irrigation, Malaise, Pain in extremity
Clinical narrative: Patient reported that the vaccine felt like it went into the bone in her shoulder. It was painful the next day and continued to worsen, by 10/17 she felt ill and had low energy. That week she was seen twice in urgent care, first time was prescribed a prednisone taper (60mg decrease by 10 mg daily) she went back and was given doxycycline, and then went to her pcp on approximately 10/21 and found to have elevated sed rate and CRP and was referred to the Hospital where she had a tap of her shoulder that grew staph aureus (MSSA) and that evening had extensive surgical debridement.  I believe she was inoculated with MSSA from her vaccine injection, and the clinical symptoms were masked by the prednisone and could have been even more serious than it was. I informed the pharmacy and they had not heard of any other infections in other customers. Hospital Course:   The patient was taken to the operating room on 10/22/2021 for a right shoulder irrigation and debridement by the doctors. See the dictated operative note for full detail. There were no complications during the surgery. Postoperatively, patient was admitted to the Orthopedic floor. She was given empiric antibiotics. Infectious disease was consulted and recommended prolonged course of IV ancef.  She was started on DVT prophylaxis (ASA 81 mg bid), given TEDS/SCDs, and encouraged early mobilization. She was started on a bowel regimen, tolerated a diet, and voided appropriately prior to discharge. The shoulder drain was removed on POD1. She was seen by Physical therapy, Occupational therapy, and Case management who together recommended a plan for discharge. She received a midline for delivery of long term antibiotics. On 10/28, she was referred for LUE DVT ultrasound due to left arm swelling and pain. This revealed thrombus in the left basilic vein and left cephalic vein. The midline was removed and she instead received a tunneled central catheter by VIR. Hematology was consulted and recommended Eliquis 10 mg twice daily for 7 days followed by 5 mg twice daily for a total of 3 months.   She was seen by the Orthopedic Surgery team on 10/29/21 who felt that the patient was medically and surgically stable for discharge. She was discharged with a midline catheter in place and home services for prolonged IV ancef.      She was discharged home on 10/30/21 She is still recovering and has lost much ROM in her right shoulder
Age: 73.0
Sex: F
Vaccine: FLUA4
Symptoms: Peripheral swelling, Red blood cell sedimentation rate increased, Staphylococcal infection, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Patient reported that the vaccine felt like it went into the bone in her shoulder. It was painful the next day and continued to worsen, by 10/17 she felt ill and had low energy. That week she was seen twice in urgent care, first time was prescribed a prednisone taper (60mg decrease by 10 mg daily) she went back and was given doxycycline, and then went to her pcp on approximately 10/21 and found to have elevated sed rate and CRP and was referred to the Hospital where she had a tap of her shoulder that grew staph aureus (MSSA) and that evening had extensive surgical debridement.  I believe she was inoculated with MSSA from her vaccine injection, and the clinical symptoms were masked by the prednisone and could have been even more serious than it was. I informed the pharmacy and they had not heard of any other infections in other customers. Hospital Course:   The patient was taken to the operating room on 10/22/2021 for a right shoulder irrigation and debridement by the doctors. See the dictated operative note for full detail. There were no complications during the surgery. Postoperatively, patient was admitted to the Orthopedic floor. She was given empiric antibiotics. Infectious disease was consulted and recommended prolonged course of IV ancef.  She was started on DVT prophylaxis (ASA 81 mg bid), given TEDS/SCDs, and encouraged early mobilization. She was started on a bowel regimen, tolerated a diet, and voided appropriately prior to discharge. The shoulder drain was removed on POD1. She was seen by Physical therapy, Occupational therapy, and Case management who together recommended a plan for discharge. She received a midline for delivery of long term antibiotics. On 10/28, she was referred for LUE DVT ultrasound due to left arm swelling and pain. This revealed thrombus in the left basilic vein and left cephalic vein. The midline was removed and she instead received a tunneled central catheter by VIR. Hematology was consulted and recommended Eliquis 10 mg twice daily for 7 days followed by 5 mg twice daily for a total of 3 months.   She was seen by the Orthopedic Surgery team on 10/29/21 who felt that the patient was medically and surgically stable for discharge. She was discharged with a midline catheter in place and home services for prolonged IV ancef.      She was discharged home on 10/30/21 She is still recovering and has lost much ROM in her right shoulder
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulopathy, Heavy menstrual bleeding, Vaginal haemorrhage
Clinical narrative: Two days after the first Moderna Vaccine on 6/15/21  I started having vaginal bleeding that was 10 days early for my period. This period was heavier that my previous periods have been for 12 months.  This bleeding lasted for 4 days . I had a period in the middle of July around the 12-15th and this period was also very heavy and lasted for 6 days.  I received the second Moderna vaccine on 7/26/2021. One week after that I had vaginal spotting for 5 days then started very heavy bleeding and passing very large clots. The heavy bleeding and clots would start and stop for 5 days. The month of August and September each period was a week earlier than normal and I had very heavy bleeding with clots with the same start/stop pattern. The next period I had started on 10/21/21 and I have had the same pattern of bleeding with on and off heavy bleeding and clots. I can go almost an entire day with light bleeding then suddenly start passing large clots with heavy bleeding.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Chills, Fatigue, Lip ulceration
Clinical narrative: 10/31/21 1pm fatigue  10/31/21 9pm fatigue/ body chills/ joint & bone pain in fingers, toes, wrists, ankles, knees, shoulders, back, entire. Body until around 4am  11/2/21 8am mouth feels sore  11/2/21 6pm 3 mouth ulcers on inner cheeks and 1 ulcer on lips.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth ulceration, Oral pain
Clinical narrative: 10/31/21 1pm fatigue  10/31/21 9pm fatigue/ body chills/ joint & bone pain in fingers, toes, wrists, ankles, knees, shoulders, back, entire. Body until around 4am  11/2/21 8am mouth feels sore  11/2/21 6pm 3 mouth ulcers on inner cheeks and 1 ulcer on lips.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Side Effects: Pain at injection site; joint pain (fingers/hands); chills; fatigue; headache; nausea; dizziness (4 days) Fatigue, nausea  continued and extreme vertigo (day 4  for 4 more days).  Urgent care prescribed meclizine.  Unable to work for 9 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site pain, Nausea, SARS-CoV-2 test negative, Vertigo
Clinical narrative: Side Effects: Pain at injection site; joint pain (fingers/hands); chills; fatigue; headache; nausea; dizziness (4 days) Fatigue, nausea  continued and extreme vertigo (day 4  for 4 more days).  Urgent care prescribed meclizine.  Unable to work for 9 days.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Carditis, Chest pain, Headache, Malaise, Night sweats
Clinical narrative: The night after receiving the vaccine I woke up in the middle of the night with fever, night sweats, headache, and malaise. The full body fever and headache persisted for the next few days. The fever went away but I continued to have intermittent pulsatile headaches for the next 1-2 months. These headaches have since resolved.  A week and a half ago I had a long car ride of 8 hours and developed calf pain that felt like a DVT. These symptoms have persisted off and on since then and not resolved.  Most recently, for the past week I have had intermittent chest pain localized to my left chest that feels  like it is from inflammation in my heart. Associated intermittent palpitations with stress. So far the pain has been mild but it is the symptom I am most concerned about that motivated me to fill out this report.  This pain has not resolved since its onset about one week ago.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations, Pyrexia, Sleep disorder, Stress
Clinical narrative: The night after receiving the vaccine I woke up in the middle of the night with fever, night sweats, headache, and malaise. The full body fever and headache persisted for the next few days. The fever went away but I continued to have intermittent pulsatile headaches for the next 1-2 months. These headaches have since resolved.  A week and a half ago I had a long car ride of 8 hours and developed calf pain that felt like a DVT. These symptoms have persisted off and on since then and not resolved.  Most recently, for the past week I have had intermittent chest pain localized to my left chest that feels  like it is from inflammation in my heart. Associated intermittent palpitations with stress. So far the pain has been mild but it is the symptom I am most concerned about that motivated me to fill out this report.  This pain has not resolved since its onset about one week ago.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dysphagia, Dysphonia, Fatigue, Head discomfort
Clinical narrative: 1st week after 2nd pfizer shot experienced reported side effects: headache, sore arm, extreme fatigue, muscle, joint pain. On 9/3 awoke to cold symptoms (runny nose, sore throat, congestions, headache). Developed head pressure, hoarseness, sore throat, scratchy throat, felt lumps in front neck, very difficult swallowing, lump and soreness under right ear. Symptoms continued from 9/3-9/27. The extreme fatigue, muscle, joint, and nerve pain continues at an elevated level above the normal pain I experience due chronic health issues.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymph node pain, Lymphadenopathy, Myalgia, Nasopharyngitis
Clinical narrative: 1st week after 2nd pfizer shot experienced reported side effects: headache, sore arm, extreme fatigue, muscle, joint pain. On 9/3 awoke to cold symptoms (runny nose, sore throat, congestions, headache). Developed head pressure, hoarseness, sore throat, scratchy throat, felt lumps in front neck, very difficult swallowing, lump and soreness under right ear. Symptoms continued from 9/3-9/27. The extreme fatigue, muscle, joint, and nerve pain continues at an elevated level above the normal pain I experience due chronic health issues.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Oropharyngeal pain, Pain in extremity, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: 1st week after 2nd pfizer shot experienced reported side effects: headache, sore arm, extreme fatigue, muscle, joint pain. On 9/3 awoke to cold symptoms (runny nose, sore throat, congestions, headache). Developed head pressure, hoarseness, sore throat, scratchy throat, felt lumps in front neck, very difficult swallowing, lump and soreness under right ear. Symptoms continued from 9/3-9/27. The extreme fatigue, muscle, joint, and nerve pain continues at an elevated level above the normal pain I experience due chronic health issues.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: 1st week after 2nd pfizer shot experienced reported side effects: headache, sore arm, extreme fatigue, muscle, joint pain. On 9/3 awoke to cold symptoms (runny nose, sore throat, congestions, headache). Developed head pressure, hoarseness, sore throat, scratchy throat, felt lumps in front neck, very difficult swallowing, lump and soreness under right ear. Symptoms continued from 9/3-9/27. The extreme fatigue, muscle, joint, and nerve pain continues at an elevated level above the normal pain I experience due chronic health issues.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Menstrual cycle 2 weeks early after having normal cycles. They continued to be irregular for several months.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, Dysuria, Fatigue, Headache, Micturition urgency
Clinical narrative: Urinary Tract Infection Symptoms Burning and pain when urinating Blood in urine Urgent sensation to urinate Extreme Fatigue Headache  Waiting to see Doctor for urology appointment
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Urinary tract infection
Clinical narrative: Urinary Tract Infection Symptoms Burning and pain when urinating Blood in urine Urgent sensation to urinate Extreme Fatigue Headache  Waiting to see Doctor for urology appointment
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dysstasia, Fatigue, Flushing, Gait disturbance
Clinical narrative: After taking a shower preparing to attend a funraiser I began to have a hedache, muscular discomfort in my arms and found that I was unable to raise my body from a prone position to get dressed.  I noted that my arms lost any feeling or strength and were not responsive to my efforts to either si up or get to a standing position.  The effort was extremely taxing but I had no success in changing my positio fro prone . Even when I would get near to a sitting position my core muscles could not hold me up and I would fall back to a prone position.  I was very flushed and sweated profusely soaking my shirt.  I was able with an assist from my wife to get into bed and I stayed  in bed for the next 24 hours.  On Thursday evening I was able to walk with assistance from my wife and adult son to visit the bathroom.. For the next day I needed to use a walker to get around my bedroom and bathroom.  By Saturday I could walk without assistance but  My right knee and both shoulders were very painful.. The lack of core strength made me feel as if I was paralyzed. I still have greater than normal fatiague and joint pain.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Hypoaesthesia, Mobility decreased, Muscle discomfort
Clinical narrative: After taking a shower preparing to attend a funraiser I began to have a hedache, muscular discomfort in my arms and found that I was unable to raise my body from a prone position to get dressed.  I noted that my arms lost any feeling or strength and were not responsive to my efforts to either si up or get to a standing position.  The effort was extremely taxing but I had no success in changing my positio fro prone . Even when I would get near to a sitting position my core muscles could not hold me up and I would fall back to a prone position.  I was very flushed and sweated profusely soaking my shirt.  I was able with an assist from my wife to get into bed and I stayed  in bed for the next 24 hours.  On Thursday evening I was able to walk with assistance from my wife and adult son to visit the bathroom.. For the next day I needed to use a walker to get around my bedroom and bathroom.  By Saturday I could walk without assistance but  My right knee and both shoulders were very painful.. The lack of core strength made me feel as if I was paralyzed. I still have greater than normal fatiague and joint pain.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Walking aid user
Clinical narrative: After taking a shower preparing to attend a funraiser I began to have a hedache, muscular discomfort in my arms and found that I was unable to raise my body from a prone position to get dressed.  I noted that my arms lost any feeling or strength and were not responsive to my efforts to either si up or get to a standing position.  The effort was extremely taxing but I had no success in changing my positio fro prone . Even when I would get near to a sitting position my core muscles could not hold me up and I would fall back to a prone position.  I was very flushed and sweated profusely soaking my shirt.  I was able with an assist from my wife to get into bed and I stayed  in bed for the next 24 hours.  On Thursday evening I was able to walk with assistance from my wife and adult son to visit the bathroom.. For the next day I needed to use a walker to get around my bedroom and bathroom.  By Saturday I could walk without assistance but  My right knee and both shoulders were very painful.. The lack of core strength made me feel as if I was paralyzed. I still have greater than normal fatiague and joint pain.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Two menstrual cycles in one month.
Age: 30.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Headache, Visual acuity reduced
Clinical narrative: Patient reports intemittent dizziness, changes in visual acuity intermittently and headaches.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site haemorrhage, Injection site pain
Clinical narrative: Patient's representative called on 11/2/2021 stating that the patient received second dose of Pfizer on 10/30/21 and still has pain in the arm and bleeding at the spot where the vaccine was injected. Patient had bleeding on Saturday night(10/30),then no bleeding on Sunday and Monday and bleeding started again on Monday. Per patient's representative p-t is not on Aspirin, blood thinner or NSAIDs. I asked patient to apply a bandage and said that discomfort at the injection site is to be expected and may last up to several days. I asked to contact PCP if bleeding at the injection site worsen or do not subside.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Death
Clinical narrative: My husband died three days after receiving his first dose of Pfizer COVID-19 vaccine. He had a sudden and unexpected heart attack. He had been diagnosed with COVID-19 on or about December 3, 2020. He had fever, body aches, cough, loss of taste and smell,nausea and foot pain when sick. He seemingly recovered about a month after diagnosis.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Myocardial infarction
Clinical narrative: My husband died three days after receiving his first dose of Pfizer COVID-19 vaccine. He had a sudden and unexpected heart attack. He had been diagnosed with COVID-19 on or about December 3, 2020. He had fever, body aches, cough, loss of taste and smell,nausea and foot pain when sick. He seemingly recovered about a month after diagnosis.
Age: 46.0
Sex: U
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Patient c/o a headache & dizziness with 15 minutes of observation. Patient reports she has not eaten lunch yet. V/s monitored; water, crackers & Jolly Ranchers given. Patient evaluated by NP, cleared for discharge. Discharged in stable condition 30 minutes of additional observation.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test, Asthenia, Fatigue, Laboratory test, Rapid eye movements sleep abnormal
Clinical narrative: Severe fatigue falling asleep low energy unable to get REM sleep  sleep cycle. destroyed severe fatigue unable to remain awake wake up tired no energy informed my PCP at Health Center but records incomplete gave this info to my PCP is not my allergies causing severe fatigue still trying to get medical care and was not informed about the adverse problems by Health Services as requested medical care but refused to file form or write to my medical record