chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Day 1 (4/5/2021): extreme exhaustion and nausea Day 2 (4/6/2021): extreme exhaustion, nausea, fever (101), chills, sweating, whole body and muscle aches, vomiting, disoriented, unbalanced, light headed, head ache Day 3 (4/7/2021): extreme exhaustion, nausea, fever (101), chills, sweating, whole body and muscle aches, vomiting, disoriented, unbalanced, light headed, head ache, vertigo, injection site is a hard, swollen, and red Day 4 (4/8/2021): extreme exhaustion, nausea, vomiting, whole body and muscle aches, disoriented, unbalanced, lightheaded, head ache, vertigo, injection site is a hard, swollen, and red Day 5 (4/9/2021): extreme exhaustion, nausea, whole body and muscle aches, disoriented, unbalanced, lightheaded, head ache, vertigo, injection site is a hard, swollen, and red
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Application site erythema, Application site inflammation, Application site pain, Application site rash, Application site warmth
Clinical narrative: Fever Headache Tiredness Cough Throat pain Rash (in the area of ??application Redness (in the area of ??application) Inflammation (in the area of ??application) Pain (in the area of ??application) And it is hot (in the application area).
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever Headache Tiredness Cough Throat pain Rash (in the area of ??application Redness (in the area of ??application) Inflammation (in the area of ??application) Pain (in the area of ??application) And it is hot (in the application area).
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Amnesia, Headache, Loss of consciousness, Mydriasis, Syncope
Clinical narrative: Syncope Approx 2 minutes after injection  while still at Dr office - complained head hurt, pupils dilated then suddenly became unconscious and unresponsive for about one minute. Pulse and breathing were normal immediately upon recovery but complained of ringing in ears and had no memory of black out.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Tinnitus, Unresponsive to stimuli
Clinical narrative: Syncope Approx 2 minutes after injection  while still at Dr office - complained head hurt, pupils dilated then suddenly became unconscious and unresponsive for about one minute. Pulse and breathing were normal immediately upon recovery but complained of ringing in ears and had no memory of black out.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Headache, Neck pain, Ocular discomfort, Pain in extremity
Clinical narrative: ^ hours after injection my arm was aching.  Then Head ache set in by 7pm. pain with neck and head and fever progressed quickly. by 9pm it was 103.7     By 11:00pm my fever was 105.4.    By midnight it was 105.9  I took Vicks NyQuil because it was the only pain med that had Tylenol in it.  Fever reduced to 105.4  by 2:30 am fever was at 104.5  and I felt safe to try and sleep and not die.  A nurse friend was telling me to go to the emergency room.   I applied and Ice pack to my splitting headache and eyeballs felt like they were going to pop out.  also Icepack to neck.  ate a popsicle.  I hydrated emencely before the shot and All day with the shot.  I kept moving my arm and it was fine after a few hours.  THE FEVER SITUATION WAS QUITE FEARFUL AND STRESSFULL.  My throat felt a "little" tightening.  I swallowed every few minutes to make sure it did not progress.  I had Benadryl on hand just in case.  I slept from 3:00am until 9:30 am.  My morning fever was between 103.7 and 104.5   It was 102.4 at 3:00pm  it is 8:45 pm  and my temp is 202.2 now.  head ache is at 50% of yesterday.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder, Stress, Throat tightness
Clinical narrative: ^ hours after injection my arm was aching.  Then Head ache set in by 7pm. pain with neck and head and fever progressed quickly. by 9pm it was 103.7     By 11:00pm my fever was 105.4.    By midnight it was 105.9  I took Vicks NyQuil because it was the only pain med that had Tylenol in it.  Fever reduced to 105.4  by 2:30 am fever was at 104.5  and I felt safe to try and sleep and not die.  A nurse friend was telling me to go to the emergency room.   I applied and Ice pack to my splitting headache and eyeballs felt like they were going to pop out.  also Icepack to neck.  ate a popsicle.  I hydrated emencely before the shot and All day with the shot.  I kept moving my arm and it was fine after a few hours.  THE FEVER SITUATION WAS QUITE FEARFUL AND STRESSFULL.  My throat felt a "little" tightening.  I swallowed every few minutes to make sure it did not progress.  I had Benadryl on hand just in case.  I slept from 3:00am until 9:30 am.  My morning fever was between 103.7 and 104.5   It was 102.4 at 3:00pm  it is 8:45 pm  and my temp is 202.2 now.  head ache is at 50% of yesterday.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Fatigue, Frequent bowel movements, Gastrointestinal disorder
Clinical narrative: Two nights in a row, 04/07 and 04/08, woke up with rapid heart rate (fluctuating from 85-110 bpm) and felt dizzy, fatigued, feverish, sweaty, shaky and about to pass out. Could have been hyperventilating in sleep because of rapid heart rate. Required about 2 hours of attention to reading, yoga and relaxation to get to sleep. On morning of 04/08, heart rate was still high (78-95) for resting, which is usually in the 50s or 60s. GI disturbance led to frequent bowel movements and the whole condition resulted in malaise and feeling of impending doom. A feedback from acute anxiety as a result of symptoms could be involved. Also involved is the diphenhydramine I took at 9 pm on 04/07 to treat hay fever and acute insomnia. Night if 04/08 was more manageable. But it interrupted sleep with strong disturbances that felt like spasms in prefrontal cortex coming out of sleep. More likely it was movement in sinus congestion that triggered a startle response while exhausted from work. It was bad timing to have the shot during a very busy work week.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular, Hyperhidrosis, Malaise, Muscle spasms
Clinical narrative: Two nights in a row, 04/07 and 04/08, woke up with rapid heart rate (fluctuating from 85-110 bpm) and felt dizzy, fatigued, feverish, sweaty, shaky and about to pass out. Could have been hyperventilating in sleep because of rapid heart rate. Required about 2 hours of attention to reading, yoga and relaxation to get to sleep. On morning of 04/08, heart rate was still high (78-95) for resting, which is usually in the 50s or 60s. GI disturbance led to frequent bowel movements and the whole condition resulted in malaise and feeling of impending doom. A feedback from acute anxiety as a result of symptoms could be involved. Also involved is the diphenhydramine I took at 9 pm on 04/07 to treat hay fever and acute insomnia. Night if 04/08 was more manageable. But it interrupted sleep with strong disturbances that felt like spasms in prefrontal cortex coming out of sleep. More likely it was movement in sinus congestion that triggered a startle response while exhausted from work. It was bad timing to have the shot during a very busy work week.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder, Tremor
Clinical narrative: Two nights in a row, 04/07 and 04/08, woke up with rapid heart rate (fluctuating from 85-110 bpm) and felt dizzy, fatigued, feverish, sweaty, shaky and about to pass out. Could have been hyperventilating in sleep because of rapid heart rate. Required about 2 hours of attention to reading, yoga and relaxation to get to sleep. On morning of 04/08, heart rate was still high (78-95) for resting, which is usually in the 50s or 60s. GI disturbance led to frequent bowel movements and the whole condition resulted in malaise and feeling of impending doom. A feedback from acute anxiety as a result of symptoms could be involved. Also involved is the diphenhydramine I took at 9 pm on 04/07 to treat hay fever and acute insomnia. Night if 04/08 was more manageable. But it interrupted sleep with strong disturbances that felt like spasms in prefrontal cortex coming out of sleep. More likely it was movement in sinus congestion that triggered a startle response while exhausted from work. It was bad timing to have the shot during a very busy work week.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Pt c/o rash on upper chest (and it was apparent) at 1844. Pt given 50mg benadryl PO X1 at 1844. Pt had no other complaints at this time. Pt rash was monitored until 1858 when her rash seemed to decreased/improve and pt stated she felt well to go home with friend driving.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure normal, Dizziness
Clinical narrative: Patient became dizzy 10 minutes after getting the vaccine, she was instructed to sit down and her blood pressure was taken at 3:10pm and was found to be 130/75, which was normal for her. She stated she wasn't experiencing any itching and no visible signs and symptoms of an allergic reaction were observed. At 3:15 she was still dizzy but wanted to go home as she had another person there to drive her. Instructed her to check her blood pressure at home and to call if anything came up. Did a follow up call around 5:30 pm and left a message but no one answered
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: Red rash, swelling, itching around the injection site. Very large surface area of the arm. Appeared 8 days after vaccine. Has not yet subsided
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dizziness, Myalgia, Nausea
Clinical narrative: nausea for 2+ days, temperature 101.7, dizziness, muscle aches
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Throat tightness, Tremor
Clinical narrative: Pt complained of back pain and I had her sit down. After returning with water a few minutes later, she c/o tightening in her throat. Benadryl 50mg PO given x 1 at 1724. At 1528, pt stated her throat was getting tighter. Epi 0.3mg given IM in L thigh at 1729 and after it was given, she asked if it was safe during pregnancy. Told her it was. EMS called and in transit. Pt stated her throat was getting tighter and Epi 0.3mg given IM in R thigh at 1738.  EMS arrived and pt taken to the Hospital in stable condition. Pt was shaking, but O2 sats were at 97% and HR 106 after EPI. Pt had no other complaints other than previously stated. Pt had 3 children with her who stayed with employee until husband arrived and took them with him. Texted pt's husband at 2030 and he stated they were home and doing well.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Blood test, Computerised tomogram head, Electrocardiogram, Influenza like illness
Clinical narrative: Flu-like symptoms for two day (I don?t consider this an adverse reaction) followed by intermittent drops in blood pressure and fainting on days 2 and 4
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Syncope
Clinical narrative: Flu-like symptoms for two day (I don?t consider this an adverse reaction) followed by intermittent drops in blood pressure and fainting on days 2 and 4
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Lymphadenopathy, Pain
Clinical narrative: Fever, severe body aches, swollen lymph nodes, arm severely sore at injection site, chills, and extreme fatigue. This lasted for approximately 24 hours.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, severe body aches, swollen lymph nodes, arm severely sore at injection site, chills, and extreme fatigue. This lasted for approximately 24 hours.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: 5 hours after my vaccine, I developed a bad headache, chills, a runny nose, muscle aches, and tiredness. Around 6:00 pm (7 hours later) I discovered I had a fever. The symptoms are still present at 11 hours post-vaccination.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: 5 hours after my vaccine, I developed a bad headache, chills, a runny nose, muscle aches, and tiredness. Around 6:00 pm (7 hours later) I discovered I had a fever. The symptoms are still present at 11 hours post-vaccination.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pruritus, Injection site warmth, Limb mass, Pruritus
Clinical narrative: At injection site as of today 1 week 1 day after my first shot I have a mass the size of a baseball on my arm that itches and is hot. It has tripled on size today alone.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: At injection site as of today 1 week 1 day after my first shot I have a mass the size of a baseball on my arm that itches and is hot. It has tripled on size today alone.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Headache, Nausea, Night sweats, Pyrexia
Clinical narrative: First nausea, then vomiting, fever and headache during the day, took 400mg ibprofin around 1PM. At night: chest pain, night sweats, continued nausea, fever and headache, took 500mg acetaminophen. Second day: headache and nausea continued, took 400mg ibprofin. Second night: extreme night sweats.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: First nausea, then vomiting, fever and headache during the day, took 400mg ibprofin around 1PM. At night: chest pain, night sweats, continued nausea, fever and headache, took 500mg acetaminophen. Second day: headache and nausea continued, took 400mg ibprofin. Second night: extreme night sweats.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Rash erythematous
Clinical narrative: Red rash and itching around vaccine site appeared about a week after getting the shot.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fall, Mobility decreased, Nausea, Vertigo
Clinical narrative: On Apr. 3 I had vertigo and fell on my back in the bedroom. 15 minutes later I started vomiting and nausea and then went to the Emergency room.  Hospitalized for 5 days.  Discharged on Apr. 7 but still very weak and need help getting up or lying down.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: On Apr. 3 I had vertigo and fell on my back in the bedroom. 15 minutes later I started vomiting and nausea and then went to the Emergency room.  Hospitalized for 5 days.  Discharged on Apr. 7 but still very weak and need help getting up or lying down.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Decreased appetite, Discomfort
Clinical narrative: I received my vaccine about 3pm Sat. April 3rd. About an hour or so later I started to feel ?run down? but nothing major. At 9pm I began getting chills but did not feel feverish. By 9:15 my body was aggressively trembling. Even my teeth were chattering. I could not control the shaking. I put many layers of blankets on me and turned my heat up to 80 in an effort to get warm. At some point I dozed off. I woke up at 12:30am and had a fever of a little over 101 degrees.  I fell asleep about 3am, still aggressively shaking.  I woke up at 9am (April 4th) and my head was throbbing. My fever was now 102.2. Also, every muscle in my back and shoulders ached. I sat up because I needed to get to the kitchen for some water. Once I stood up, my body felt like it was weighed down by heavy sandbags. I could barely walk to my kitchen and back. I went back to bed and covered up in massive blankets and tried to stay still. I did not take any pain reliever because I was too nervous to.  I never had any nausea but smells bothered me and I had no appetite. My fever stayed at 102.2 until I went to sleep (around 10pm).  Monday (April 5th) I still had chills but much milder. My temp was just over 101 all day. My head felt better but my muscles still hurt. By late evening (10pm) my fever was just over 99 degrees. I was feeling better and I no longer had chills.  Tuesday (April 6th) I woke up fever free. I felt mostly normal again except for my muscle aches.  Today is Friday (April 9th) and I continue to have muscle aches. The worst of it is in my lower back and it?s pretty severe. It feels like I lifted heavy weights with my lower back muscles. I have not been seen by a Doctor yet as I have no insurance. I?m not sure if I need to or not.   I wanted to contact you because I am a healthy person and what I experienced was BRUTAL. I have NO IDEA how a frail or vulnerable person could go through what I went through. Also, people need to know that they may have to take time off of work to deal with these side effects.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Gait disturbance, Headache, Nausea, Pyrexia
Clinical narrative: I received my vaccine about 3pm Sat. April 3rd. About an hour or so later I started to feel ?run down? but nothing major. At 9pm I began getting chills but did not feel feverish. By 9:15 my body was aggressively trembling. Even my teeth were chattering. I could not control the shaking. I put many layers of blankets on me and turned my heat up to 80 in an effort to get warm. At some point I dozed off. I woke up at 12:30am and had a fever of a little over 101 degrees.  I fell asleep about 3am, still aggressively shaking.  I woke up at 9am (April 4th) and my head was throbbing. My fever was now 102.2. Also, every muscle in my back and shoulders ached. I sat up because I needed to get to the kitchen for some water. Once I stood up, my body felt like it was weighed down by heavy sandbags. I could barely walk to my kitchen and back. I went back to bed and covered up in massive blankets and tried to stay still. I did not take any pain reliever because I was too nervous to.  I never had any nausea but smells bothered me and I had no appetite. My fever stayed at 102.2 until I went to sleep (around 10pm).  Monday (April 5th) I still had chills but much milder. My temp was just over 101 all day. My head felt better but my muscles still hurt. By late evening (10pm) my fever was just over 99 degrees. I was feeling better and I no longer had chills.  Tuesday (April 6th) I woke up fever free. I felt mostly normal again except for my muscle aches.  Today is Friday (April 9th) and I continue to have muscle aches. The worst of it is in my lower back and it?s pretty severe. It feels like I lifted heavy weights with my lower back muscles. I have not been seen by a Doctor yet as I have no insurance. I?m not sure if I need to or not.   I wanted to contact you because I am a healthy person and what I experienced was BRUTAL. I have NO IDEA how a frail or vulnerable person could go through what I went through. Also, people need to know that they may have to take time off of work to deal with these side effects.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: I received my vaccine about 3pm Sat. April 3rd. About an hour or so later I started to feel ?run down? but nothing major. At 9pm I began getting chills but did not feel feverish. By 9:15 my body was aggressively trembling. Even my teeth were chattering. I could not control the shaking. I put many layers of blankets on me and turned my heat up to 80 in an effort to get warm. At some point I dozed off. I woke up at 12:30am and had a fever of a little over 101 degrees.  I fell asleep about 3am, still aggressively shaking.  I woke up at 9am (April 4th) and my head was throbbing. My fever was now 102.2. Also, every muscle in my back and shoulders ached. I sat up because I needed to get to the kitchen for some water. Once I stood up, my body felt like it was weighed down by heavy sandbags. I could barely walk to my kitchen and back. I went back to bed and covered up in massive blankets and tried to stay still. I did not take any pain reliever because I was too nervous to.  I never had any nausea but smells bothered me and I had no appetite. My fever stayed at 102.2 until I went to sleep (around 10pm).  Monday (April 5th) I still had chills but much milder. My temp was just over 101 all day. My head felt better but my muscles still hurt. By late evening (10pm) my fever was just over 99 degrees. I was feeling better and I no longer had chills.  Tuesday (April 6th) I woke up fever free. I felt mostly normal again except for my muscle aches.  Today is Friday (April 9th) and I continue to have muscle aches. The worst of it is in my lower back and it?s pretty severe. It feels like I lifted heavy weights with my lower back muscles. I have not been seen by a Doctor yet as I have no insurance. I?m not sure if I need to or not.   I wanted to contact you because I am a healthy person and what I experienced was BRUTAL. I have NO IDEA how a frail or vulnerable person could go through what I went through. Also, people need to know that they may have to take time off of work to deal with these side effects.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Piloerection, Pyrexia
Clinical narrative: Fever (about 101.5), headache, goosebumps, nausea, general fatigue
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymphadenopathy, Malaise, Myalgia
Clinical narrative: Swollen face, tiredness, headache, muscle pain, nausea, feeling unwell, Swollen lymph node and vomiting
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Swelling face, Vomiting
Clinical narrative: Swollen face, tiredness, headache, muscle pain, nausea, feeling unwell, Swollen lymph node and vomiting
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal
Clinical narrative: Fatigue for 24 hour, cloudy head.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Injection site pain, Tachypnoea, Vital signs measurement
Clinical narrative: 15 minutes following vaccination, pt c/o "face burning and L arm burning". Pt given Benadryl 50mg PO x 1 at 1900. Pt was monitored, o2 sats 100% and HR 77 BPM. At 1922 pt's symptoms had not resolved and pt stated her legs felt like they were also "on fire". Pt sent to ER at at 1922 and she felt okay to drive herself when asked. Called pt at 2030 and she stated she left the ER and they said they couldn't really do anything for her even though she had heavy breathing but O2 was normal. She asked if it was okay to take Benadryl again. Told her she was given 50mg and to follow directions on the bottle if she would like to take it again later on if symptoms had not resolved. She voiced understanding.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Atrial fibrillation, Cardiac failure, Computerised tomogram thorax abnormal
Clinical narrative: Died Narrative: Pt has a diagnosis of: Parkinson's Disease, severe AS, heart failure Symptoms include: dyphagia, aphagia, excessive secretions. Agency patient has been referred to: Hospice Code Status:DNR/DNI 90M with PMH notable for Afib, chronic aspiration, and dysarthria, severe aortic stenosis who presents3/5 with 2 weeks of generalized weakness and in ED noted to be in AFib w/ RVR to 130s, CT findings suggestive of volume overload with exam supporting this at time of admission, and also noting nonspecific generalized weakness. DC Home 3/9 Hospice
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dysphagia, Fluid overload, Increased bronchial secretion, Parkinson's disease
Clinical narrative: Died Narrative: Pt has a diagnosis of: Parkinson's Disease, severe AS, heart failure Symptoms include: dyphagia, aphagia, excessive secretions. Agency patient has been referred to: Hospice Code Status:DNR/DNI 90M with PMH notable for Afib, chronic aspiration, and dysarthria, severe aortic stenosis who presents3/5 with 2 weeks of generalized weakness and in ED noted to be in AFib w/ RVR to 130s, CT findings suggestive of volume overload with exam supporting this at time of admission, and also noting nonspecific generalized weakness. DC Home 3/9 Hospice
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Death, Haemoptysis
Clinical narrative: Death Narrative:  Death on 03/22/2021. Patient was a 69 year-old male with history of lung cancer treated with radiation. Recently presented with a right suprahilar lesion Stage III for which he received radiation therapy in 2/2021. He developed a strong cough after radiation treatment and passed from a massive hemoptysis per physician note. He received the 1st dose of vaccine on 03/20/2021 2 days before his death. There is no indication that the event was the result of the vaccine.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture positive, Chronic obstructive pulmonary disease, Death, Dyspnoea, Enterococcus test positive
Clinical narrative: Death Narrative:  Patient received his first dose of the Moderna COVID-19 vaccination on 3/4/2021. He presented to facility 03/05/2021 for shortness of breath. He was originally treated for COPD exacerbation and COVID-19 was ruled out by negative testing. He was then found to have blood cultures positive for E. Faecalis. He was treated with broad spectrum antibiotics. His lack of improvement in respiratory status was the cause of discharge to hospice after which he died on 3/30/2021.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory disorder, SARS-CoV-2 test negative
Clinical narrative: Death Narrative:  Patient received his first dose of the Moderna COVID-19 vaccination on 3/4/2021. He presented to facility 03/05/2021 for shortness of breath. He was originally treated for COPD exacerbation and COVID-19 was ruled out by negative testing. He was then found to have blood cultures positive for E. Faecalis. He was treated with broad spectrum antibiotics. His lack of improvement in respiratory status was the cause of discharge to hospice after which he died on 3/30/2021.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Gastrointestinal haemorrhage, Hypertension
Clinical narrative: Death Narrative:  Patient received the first dose of Moderna COVID-19 vaccination on 3/11/2021. He had not received any vaccines within 4 weeks prior and did not have any contraindications to the vaccine listed in his chart. He did not have a positive COVID-19 test within the facility system. Cause of death: Patient was transported to facility on 4/3/21 after complaining of shortness of breath. It was noted that he had some GI bleeding and was hypertensive. The documentation from facility indicates that death was of natural causes.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death Narrative:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Computerised tomogram pelvis abnormal, Computerised tomogram thorax abnormal, Death, Hepatic mass
Clinical narrative: Death Narrative:  Patient with h/o metastatic lung CA-he was already on hospice at time of 1st and second COVID-19 vaccines.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary mass
Clinical narrative: Death Narrative:  Patient with h/o metastatic lung CA-he was already on hospice at time of 1st and second COVID-19 vaccines.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Agonal respiration, Cardiac arrest, Cardiac monitoring abnormal, Cardioversion, Death
Clinical narrative: cardiac arrest Narrative:  Patient received dose 2 series of Moderna COVID-19 vaccine. First dose was received on 1/17/21 and second dose received 2/14/21. After both doses patient was observed for 15 minutes and did not have any adverse reaction per administering RN. No data in database or database as to any other adverse events occurring 15 minutes post-vaccination. On 3/20/21, EMS was called to patient's home who was discovered on the floor with an unknown breathing status and pulse. AED was attached to the patient. A very weak pulse was found and patient had agonal respirations. Cardiac monitor was attached to patient with a HR of 32. 1mg of atropine was administered and patient's rhythm changed to PEA with no respirations or pulse. Per patient's wife and son, he was a DNR, therefore all resuscitation attempts were stopped (patient was never admitted to the hospital). Patient was never known to be previously positive to COVID. PMH that may have predisposed patient to this adverse event leading to death include h/o DVT on chronic anticoagulation, COPD, and abdominal aortic aneurysm. There is insufficient information to determine the exact cause of death or what led to the cardiac arrest given that the time from last vaccination to the adverse event was almost a month apart.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pulse abnormal, Pulse absent, Pulseless electrical activity, Respiratory arrest
Clinical narrative: cardiac arrest Narrative:  Patient received dose 2 series of Moderna COVID-19 vaccine. First dose was received on 1/17/21 and second dose received 2/14/21. After both doses patient was observed for 15 minutes and did not have any adverse reaction per administering RN. No data in database or database as to any other adverse events occurring 15 minutes post-vaccination. On 3/20/21, EMS was called to patient's home who was discovered on the floor with an unknown breathing status and pulse. AED was attached to the patient. A very weak pulse was found and patient had agonal respirations. Cardiac monitor was attached to patient with a HR of 32. 1mg of atropine was administered and patient's rhythm changed to PEA with no respirations or pulse. Per patient's wife and son, he was a DNR, therefore all resuscitation attempts were stopped (patient was never admitted to the hospital). Patient was never known to be previously positive to COVID. PMH that may have predisposed patient to this adverse event leading to death include h/o DVT on chronic anticoagulation, COPD, and abdominal aortic aneurysm. There is insufficient information to determine the exact cause of death or what led to the cardiac arrest given that the time from last vaccination to the adverse event was almost a month apart.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death Narrative: already reported VAER for hospitalization on 3/3; the patient subsequently died once transferred to SNF
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Electrocardiogram, Laboratory test, Loss of consciousness, Seizure
Clinical narrative: Seizure (loss of consciousness, jerking, non-responsive, muscle stiffness). 1st seizure lasted about 1.5 minutes followed by a lucid interval that lasted about a minute before having another seizure that lasted about 30 seconds. Pt remained bradycardic (HR ranging from 20's-30's) that lasted about 3 minutes. During this time, no radial pulse was felt but a very faint carotid pulse was felt. Patient had no recollection of the lucid period. Pt stated that he had never a seizure in the past but does have a family hx of seizures.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bradycardia, Carotid pulse, Dyskinesia, Loss of consciousness, Memory impairment
Clinical narrative: Seizure (loss of consciousness, jerking, non-responsive, muscle stiffness). 1st seizure lasted about 1.5 minutes followed by a lucid interval that lasted about a minute before having another seizure that lasted about 30 seconds. Pt remained bradycardic (HR ranging from 20's-30's) that lasted about 3 minutes. During this time, no radial pulse was felt but a very faint carotid pulse was felt. Patient had no recollection of the lucid period. Pt stated that he had never a seizure in the past but does have a family hx of seizures.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Radial pulse abnormal, Seizure, Unresponsive to stimuli
Clinical narrative: Seizure (loss of consciousness, jerking, non-responsive, muscle stiffness). 1st seizure lasted about 1.5 minutes followed by a lucid interval that lasted about a minute before having another seizure that lasted about 30 seconds. Pt remained bradycardic (HR ranging from 20's-30's) that lasted about 3 minutes. During this time, no radial pulse was felt but a very faint carotid pulse was felt. Patient had no recollection of the lucid period. Pt stated that he had never a seizure in the past but does have a family hx of seizures.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Dyspnoea, Pyrexia
Clinical narrative: difficulty breathing Narrative:  Patient got first dose of moderna vaccine on 2/5/21 with no reported adverse effects. Patient got second dose on 3/5/21. Patient developed a fever, confusion, difficulty breathing, and weakness for which he presented to a emergency department on 3/6/21. Patient wad evaluated and given Tylenol then discharged home.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse drug reaction, Anion gap, Basophil percentage decreased, Blood chloride normal, Blood creatinine normal
Clinical narrative: Narrative: Patient admitted 2/19/2021 after receiving the 1st COVID-19 vaccine (Moderna; Lot# 031M20A; Exp 08/05/2021). Patient experienced minor reaction with inflammation/pain of the RUE and swelling. COVID-19 on 2/19/2021 negative, as well as CXR unremarkable. After review of discharge summary and notes during time of admission, Patient admitted for increase SOB and worsening LE edema, which is likely attributed to R sided heart failure exacerbation, OSA and COPD, and not COVID-19 vaccine (arm pain and rash resolved prior to admission). Severity of ADR related to COVID-19 vaccine deemed as mild as Patient did not require and treatment for ADR. Hospital admission not likely attributed to COVID-19 vaccine, but rather R sided heart failure exacerbation, OSA, and COPD.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood potassium normal, Blood smear test normal, Blood sodium, Blood sodium normal
Clinical narrative: Narrative: Patient admitted 2/19/2021 after receiving the 1st COVID-19 vaccine (Moderna; Lot# 031M20A; Exp 08/05/2021). Patient experienced minor reaction with inflammation/pain of the RUE and swelling. COVID-19 on 2/19/2021 negative, as well as CXR unremarkable. After review of discharge summary and notes during time of admission, Patient admitted for increase SOB and worsening LE edema, which is likely attributed to R sided heart failure exacerbation, OSA and COPD, and not COVID-19 vaccine (arm pain and rash resolved prior to admission). Severity of ADR related to COVID-19 vaccine deemed as mild as Patient did not require and treatment for ADR. Hospital admission not likely attributed to COVID-19 vaccine, but rather R sided heart failure exacerbation, OSA, and COPD.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea normal, Brain natriuretic peptide, Carbon dioxide normal, Chest X-ray normal, Condition aggravated
Clinical narrative: Narrative: Patient admitted 2/19/2021 after receiving the 1st COVID-19 vaccine (Moderna; Lot# 031M20A; Exp 08/05/2021). Patient experienced minor reaction with inflammation/pain of the RUE and swelling. COVID-19 on 2/19/2021 negative, as well as CXR unremarkable. After review of discharge summary and notes during time of admission, Patient admitted for increase SOB and worsening LE edema, which is likely attributed to R sided heart failure exacerbation, OSA and COPD, and not COVID-19 vaccine (arm pain and rash resolved prior to admission). Severity of ADR related to COVID-19 vaccine deemed as mild as Patient did not require and treatment for ADR. Hospital admission not likely attributed to COVID-19 vaccine, but rather R sided heart failure exacerbation, OSA, and COPD.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Dyspnoea, Eosinophil count decreased, Eosinophil percentage decreased, Full blood count
Clinical narrative: Narrative: Patient admitted 2/19/2021 after receiving the 1st COVID-19 vaccine (Moderna; Lot# 031M20A; Exp 08/05/2021). Patient experienced minor reaction with inflammation/pain of the RUE and swelling. COVID-19 on 2/19/2021 negative, as well as CXR unremarkable. After review of discharge summary and notes during time of admission, Patient admitted for increase SOB and worsening LE edema, which is likely attributed to R sided heart failure exacerbation, OSA and COPD, and not COVID-19 vaccine (arm pain and rash resolved prior to admission). Severity of ADR related to COVID-19 vaccine deemed as mild as Patient did not require and treatment for ADR. Hospital admission not likely attributed to COVID-19 vaccine, but rather R sided heart failure exacerbation, OSA, and COPD.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Immature granulocyte count, Inflammation
Clinical narrative: Narrative: Patient admitted 2/19/2021 after receiving the 1st COVID-19 vaccine (Moderna; Lot# 031M20A; Exp 08/05/2021). Patient experienced minor reaction with inflammation/pain of the RUE and swelling. COVID-19 on 2/19/2021 negative, as well as CXR unremarkable. After review of discharge summary and notes during time of admission, Patient admitted for increase SOB and worsening LE edema, which is likely attributed to R sided heart failure exacerbation, OSA and COPD, and not COVID-19 vaccine (arm pain and rash resolved prior to admission). Severity of ADR related to COVID-19 vaccine deemed as mild as Patient did not require and treatment for ADR. Hospital admission not likely attributed to COVID-19 vaccine, but rather R sided heart failure exacerbation, OSA, and COPD.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Lymphocyte count decreased, Lymphocyte percentage decreased
Clinical narrative: Narrative: Patient admitted 2/19/2021 after receiving the 1st COVID-19 vaccine (Moderna; Lot# 031M20A; Exp 08/05/2021). Patient experienced minor reaction with inflammation/pain of the RUE and swelling. COVID-19 on 2/19/2021 negative, as well as CXR unremarkable. After review of discharge summary and notes during time of admission, Patient admitted for increase SOB and worsening LE edema, which is likely attributed to R sided heart failure exacerbation, OSA and COPD, and not COVID-19 vaccine (arm pain and rash resolved prior to admission). Severity of ADR related to COVID-19 vaccine deemed as mild as Patient did not require and treatment for ADR. Hospital admission not likely attributed to COVID-19 vaccine, but rather R sided heart failure exacerbation, OSA, and COPD.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume normal, Mean platelet volume increased, Monocyte count decreased
Clinical narrative: Narrative: Patient admitted 2/19/2021 after receiving the 1st COVID-19 vaccine (Moderna; Lot# 031M20A; Exp 08/05/2021). Patient experienced minor reaction with inflammation/pain of the RUE and swelling. COVID-19 on 2/19/2021 negative, as well as CXR unremarkable. After review of discharge summary and notes during time of admission, Patient admitted for increase SOB and worsening LE edema, which is likely attributed to R sided heart failure exacerbation, OSA and COPD, and not COVID-19 vaccine (arm pain and rash resolved prior to admission). Severity of ADR related to COVID-19 vaccine deemed as mild as Patient did not require and treatment for ADR. Hospital admission not likely attributed to COVID-19 vaccine, but rather R sided heart failure exacerbation, OSA, and COPD.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Monocyte percentage decreased, Myelopathy, Neutrophil count increased, Neutrophil percentage increased, Oedema peripheral
Clinical narrative: Narrative: Patient admitted 2/19/2021 after receiving the 1st COVID-19 vaccine (Moderna; Lot# 031M20A; Exp 08/05/2021). Patient experienced minor reaction with inflammation/pain of the RUE and swelling. COVID-19 on 2/19/2021 negative, as well as CXR unremarkable. After review of discharge summary and notes during time of admission, Patient admitted for increase SOB and worsening LE edema, which is likely attributed to R sided heart failure exacerbation, OSA and COPD, and not COVID-19 vaccine (arm pain and rash resolved prior to admission). Severity of ADR related to COVID-19 vaccine deemed as mild as Patient did not require and treatment for ADR. Hospital admission not likely attributed to COVID-19 vaccine, but rather R sided heart failure exacerbation, OSA, and COPD.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Platelet count normal, Rash, Red blood cell count decreased, Red blood cell sedimentation rate normal
Clinical narrative: Narrative: Patient admitted 2/19/2021 after receiving the 1st COVID-19 vaccine (Moderna; Lot# 031M20A; Exp 08/05/2021). Patient experienced minor reaction with inflammation/pain of the RUE and swelling. COVID-19 on 2/19/2021 negative, as well as CXR unremarkable. After review of discharge summary and notes during time of admission, Patient admitted for increase SOB and worsening LE edema, which is likely attributed to R sided heart failure exacerbation, OSA and COPD, and not COVID-19 vaccine (arm pain and rash resolved prior to admission). Severity of ADR related to COVID-19 vaccine deemed as mild as Patient did not require and treatment for ADR. Hospital admission not likely attributed to COVID-19 vaccine, but rather R sided heart failure exacerbation, OSA, and COPD.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Red cell distribution width normal, Respiratory syncytial virus test negative, Right ventricular failure, SARS-CoV-2 test negative, Swelling
Clinical narrative: Narrative: Patient admitted 2/19/2021 after receiving the 1st COVID-19 vaccine (Moderna; Lot# 031M20A; Exp 08/05/2021). Patient experienced minor reaction with inflammation/pain of the RUE and swelling. COVID-19 on 2/19/2021 negative, as well as CXR unremarkable. After review of discharge summary and notes during time of admission, Patient admitted for increase SOB and worsening LE edema, which is likely attributed to R sided heart failure exacerbation, OSA and COPD, and not COVID-19 vaccine (arm pain and rash resolved prior to admission). Severity of ADR related to COVID-19 vaccine deemed as mild as Patient did not require and treatment for ADR. Hospital admission not likely attributed to COVID-19 vaccine, but rather R sided heart failure exacerbation, OSA, and COPD.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I increased, White blood cell count normal
Clinical narrative: Narrative: Patient admitted 2/19/2021 after receiving the 1st COVID-19 vaccine (Moderna; Lot# 031M20A; Exp 08/05/2021). Patient experienced minor reaction with inflammation/pain of the RUE and swelling. COVID-19 on 2/19/2021 negative, as well as CXR unremarkable. After review of discharge summary and notes during time of admission, Patient admitted for increase SOB and worsening LE edema, which is likely attributed to R sided heart failure exacerbation, OSA and COPD, and not COVID-19 vaccine (arm pain and rash resolved prior to admission). Severity of ADR related to COVID-19 vaccine deemed as mild as Patient did not require and treatment for ADR. Hospital admission not likely attributed to COVID-19 vaccine, but rather R sided heart failure exacerbation, OSA, and COPD.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: tremors Narrative:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Glossodynia, Immediate post-injection reaction, Paraesthesia oral, Pruritus
Clinical narrative: tongue paresthesia Narrative:  Immediately following administration of first dose of Pfizer COVID19 vaccine, patient reported pruritus, bumps on sides of R then L neck, and tingling/stinging sensation of the R side of her tongue without swelling of tongue/lips elsewhere. Patient took personal supply of diphenhydramine 50mg and was transported to ED for further evaluation. Upon arrival to ED, no additional symptoms reported. She denied any areas of urticaria/hives at that time and stated the neck is the only area of rash she noted, and she currently has pruritus only around the neck area and still notes small bumps. Her tongue felt improved but not normal and she denied any tongue/oral swelling, wheezing, dyspnea, chest pain, syncope, LH, palpitations, confusion, n/v/d/abd pain HA, focal neurological complaints, seizures, or any other acute symptoms. Patient had an extensive history of multiple other allergies. Diagnosis included early angioedema and second dose not recommended by ED provider. Methylprednisolone and famotidine administered in ED. Patient discharged from ED with prednisone and famotidine. Previously prescribed epinephrine for anaphylactic seafood allergy.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: tongue paresthesia Narrative:  Immediately following administration of first dose of Pfizer COVID19 vaccine, patient reported pruritus, bumps on sides of R then L neck, and tingling/stinging sensation of the R side of her tongue without swelling of tongue/lips elsewhere. Patient took personal supply of diphenhydramine 50mg and was transported to ED for further evaluation. Upon arrival to ED, no additional symptoms reported. She denied any areas of urticaria/hives at that time and stated the neck is the only area of rash she noted, and she currently has pruritus only around the neck area and still notes small bumps. Her tongue felt improved but not normal and she denied any tongue/oral swelling, wheezing, dyspnea, chest pain, syncope, LH, palpitations, confusion, n/v/d/abd pain HA, focal neurological complaints, seizures, or any other acute symptoms. Patient had an extensive history of multiple other allergies. Diagnosis included early angioedema and second dose not recommended by ED provider. Methylprednisolone and famotidine administered in ED. Patient discharged from ED with prednisone and famotidine. Previously prescribed epinephrine for anaphylactic seafood allergy.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Chronic obstructive pulmonary disease, Cough, Dyspnoea
Clinical narrative: paresthesia in hands, shortness of breath  Narrative:  First dose of Pfizer COVID19 vaccine administered 2/13/21. No  adverse effects documented. Second dose received 3/5/21. On 3/9/21, patient presented to ED with SOB, cough, and wheezing. Symptoms and finding consistent with COPD exacerbation with bilateral bacterial PNA. Also found to have new  onset atrial fibrillation with tachycardia. Unclear if any respiratory symptoms were related to vaccine. Patient was admitted and transferred to hospital with diagnosis of COPD exacerbation and AFib with RVR. Per provider notes, no indication that an allergy was suspected. Patient was treated methylprednisolone, ceftriaxone, and azithromycin for PNA as well as diltiazem and apixaban for new onset AFib. Was discharge 3/11/21. Patient presented 4/1/21 at cardiology  follow-up appointment and reported he developed paresthesias  after second Pfizer dose. Right hand worse than left. Stated he now has difficulty holding a pen. No documentation of this during admission. Unclear if related to vaccine, no treatment documented. Further work up pending at time of reported.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Grip strength decreased, Paraesthesia, Pneumonia, Pneumonia bacterial, Tachycardia
Clinical narrative: paresthesia in hands, shortness of breath  Narrative:  First dose of Pfizer COVID19 vaccine administered 2/13/21. No  adverse effects documented. Second dose received 3/5/21. On 3/9/21, patient presented to ED with SOB, cough, and wheezing. Symptoms and finding consistent with COPD exacerbation with bilateral bacterial PNA. Also found to have new  onset atrial fibrillation with tachycardia. Unclear if any respiratory symptoms were related to vaccine. Patient was admitted and transferred to hospital with diagnosis of COPD exacerbation and AFib with RVR. Per provider notes, no indication that an allergy was suspected. Patient was treated methylprednisolone, ceftriaxone, and azithromycin for PNA as well as diltiazem and apixaban for new onset AFib. Was discharge 3/11/21. Patient presented 4/1/21 at cardiology  follow-up appointment and reported he developed paresthesias  after second Pfizer dose. Right hand worse than left. Stated he now has difficulty holding a pen. No documentation of this during admission. Unclear if related to vaccine, no treatment documented. Further work up pending at time of reported.