chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Electrocardiogram abnormal, Fibrin D dimer increased, Musculoskeletal chest pain
Clinical narrative: Adverse Events:  I went to the emergency room on 5/18 after experiencing major back pain, sharp pain in ribs, chest pains, difficulty breathing, shortness of breath and chronic coughing.   Outcome:  After x-rays, EKG, D-Dimer Test and a CT scan the doctor determined that I have Pulmonary Embolism (blood clots in my lungs).   I've never had any symptoms prior to receiving the covid vaccine. Today is 5/24 and I am still experiencing most of the same symptoms despite taking my medications as prescribed. The worst symptoms are difficulty breathing and chronic coughing.   Treatment:  -No longer taking birth control (Azurette) since that can cause blood cots -Xarelto (to treat and prevent blood clots)  -Gabapentin 100MG 3x Day (for pain) -Benzonatate 200MG 3x Day (for cough) -Tizanidine 2MG 1X day (for pain) -Albuterol Inhaler Every 4 hours
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, SARS-CoV-2 test negative, X-ray abnormal
Clinical narrative: Adverse Events:  I went to the emergency room on 5/18 after experiencing major back pain, sharp pain in ribs, chest pains, difficulty breathing, shortness of breath and chronic coughing.   Outcome:  After x-rays, EKG, D-Dimer Test and a CT scan the doctor determined that I have Pulmonary Embolism (blood clots in my lungs).   I've never had any symptoms prior to receiving the covid vaccine. Today is 5/24 and I am still experiencing most of the same symptoms despite taking my medications as prescribed. The worst symptoms are difficulty breathing and chronic coughing.   Treatment:  -No longer taking birth control (Azurette) since that can cause blood cots -Xarelto (to treat and prevent blood clots)  -Gabapentin 100MG 3x Day (for pain) -Benzonatate 200MG 3x Day (for cough) -Tizanidine 2MG 1X day (for pain) -Albuterol Inhaler Every 4 hours
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site bruising, Injection site haemorrhage, Injection site reaction, Muscle twitching
Clinical narrative: 10 days of almost constant muscle twitching below the injection site at the elbow area/ top of forearm. This uncontrollable muscle movement is almost constant. I have strong pain and fatigue if I use my arm.  Additionally, the injection site bled and remains bruised after 10 days.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: 10 days of almost constant muscle twitching below the injection site at the elbow area/ top of forearm. This uncontrollable muscle movement is almost constant. I have strong pain and fatigue if I use my arm.  Additionally, the injection site bled and remains bruised after 10 days.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic valve stenosis, Catheterisation cardiac, Chest pain
Clinical narrative: Patient admitted to the hospital on 5/11/21 with nonrheumatic aortic valve stenosis and had heart catheterization. Then on 5/17/21 patient presented to the ED and was subsequently hospitalized with chest pain.
Age: 0.92
Sex: F
Vaccine: COVID19
Symptoms: Maternal exposure during breast feeding
Clinical narrative: The person who received the vaccine is the mother of the patient who had the reaction.  Mom received the vaccine and throughout the day continued to breastfeed the child.  About 6 hours later the child developed hives on trunk and extremities.  Throughout the next several days the reaction  has continued.  Mom has been told that she can continue to breastfeed but the child will now be given prn Benadryl.  The child had a fever 3 days prior to the reaction however the rash was not obvious at that time.  If the rash gets worse she has bee told she may need to stop breastfeeding.  Mom will follow up as needed.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoacusis, Injection site haemorrhage, Nausea, Syncope
Clinical narrative: vasovagal syncope bleeding at injection site nausea excessive thirst lightheadedness sweating feeling faint sense of doom tunnel hearing
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst
Clinical narrative: vasovagal syncope bleeding at injection site nausea excessive thirst lightheadedness sweating feeling faint sense of doom tunnel hearing
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Fatigue, Haemorrhage, Headache, Illness
Clinical narrative: Mild soreness and fever two days . followed by persistent extremr fatigue nausea headache itching, easy bruiising and bleedind Sick  for 6 weeks. No improvement
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Pruritus, Pyrexia
Clinical narrative: Mild soreness and fever two days . followed by persistent extremr fatigue nausea headache itching, easy bruiising and bleedind Sick  for 6 weeks. No improvement
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pruritus, Pyrexia, Rash erythematous
Clinical narrative: Patient had the second Pfizer vaccine on Monday 5/17/2021 at 3:30PM. He was fine until Tuesday 5/18 around 3:00PM. He started feeling tired and had a fever. We gave him Tylenol and he was OK that night. On Wednesday 5/19, he had fever again. He took Tylenol again and was fine until the next day. On Thurday 5/20, he started feeling itchy on his legs. He claimed that he had some mosquito bites. On Friday night 5/21, He felt itchy all over his body, except his face. Now the red spots are bigger. Like mosquito bites but bigger. We gave him Benadryl and Cortizone. It helped.  On Sartuday 5/22, he had rashes again, we gave him Benadryl and Cortizone twice. It helped. On Sunday 5/23, it completely cleared.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Injection site erythema, Lip swelling, Pharyngeal swelling, Swollen tongue
Clinical narrative: His mother was present and told us he had multiple allergies to foods and sulfites, as well as asthma. He used to carry an epi pen but does not currently, also has a history of asthma for which he carries a rescue inhaler. He received the Pfizer vaccine at approximately 9:15am in his left deltoid, and about 2 minutes later Mom notified me and the school nurse that he was starting to get "hives". I noted a localized, small area of erythema on his left upper arm around the bandaid, approximately silver dollar sized, not raised. School RN removed the bandaid. He did not complain of itching and at that time stated he felt like he was breathing fine. The school RN gave him 50mg of Benadryl PO per the mom's request at 0920. The patient was in no distress, breathing and speaking normally. At 0922 he stated he felt like his throat and tongue were swelling, so I had him remove his mask, and asked mom if his lips looked swollen to which she responded "yes". He stated it felt like it was hard to swallow. We placed a pulse ox on the patient and his oxygen saturations were 96-100%, HR 85-90, RR 30. We administered an adult epi pen (0.3mg of epinephrine) into his left lateral thigh at 0923 and had the school office call EMS. The patient remained in no acute distress, and said the swelling in his tongue felt better after the epi, but that his throat still felt swollen. Lungs clear bilaterally, RR remained 24-30, HR 110-115, pulse ox 98-100%, erythema on left upper arm resolved. Fire department arrived at 0935- report given and they checked a pulse ox as well. Patient walked to parking lot to ambulance for transfer to Hospital with mother following behind.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: His mother was present and told us he had multiple allergies to foods and sulfites, as well as asthma. He used to carry an epi pen but does not currently, also has a history of asthma for which he carries a rescue inhaler. He received the Pfizer vaccine at approximately 9:15am in his left deltoid, and about 2 minutes later Mom notified me and the school nurse that he was starting to get "hives". I noted a localized, small area of erythema on his left upper arm around the bandaid, approximately silver dollar sized, not raised. School RN removed the bandaid. He did not complain of itching and at that time stated he felt like he was breathing fine. The school RN gave him 50mg of Benadryl PO per the mom's request at 0920. The patient was in no distress, breathing and speaking normally. At 0922 he stated he felt like his throat and tongue were swelling, so I had him remove his mask, and asked mom if his lips looked swollen to which she responded "yes". He stated it felt like it was hard to swallow. We placed a pulse ox on the patient and his oxygen saturations were 96-100%, HR 85-90, RR 30. We administered an adult epi pen (0.3mg of epinephrine) into his left lateral thigh at 0923 and had the school office call EMS. The patient remained in no acute distress, and said the swelling in his tongue felt better after the epi, but that his throat still felt swollen. Lungs clear bilaterally, RR remained 24-30, HR 110-115, pulse ox 98-100%, erythema on left upper arm resolved. Fire department arrived at 0935- report given and they checked a pulse ox as well. Patient walked to parking lot to ambulance for transfer to Hospital with mother following behind.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood cholesterol increased, Palpitations
Clinical narrative: Sleep on Friday evening.  Fatigue on Saturday.  Racing heartbeat of 138 on Sunday evening.  My rpm is 65.  I walk 3x/week minimum.  I can't get it that high if I jog.   All I did was go downstairs and clean the kitchen.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood test, Blood thyroid stimulating hormone decreased, Chest X-ray normal, Electrocardiogram normal
Clinical narrative: Numbness and tingling in feet, hands and lower legs.  Heart rate over 130 even after taking Adavan.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Face and mouth X-ray normal, Heart rate increased, Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling in feet, hands and lower legs.  Heart rate over 130 even after taking Adavan.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blister, Ear pain, Ear, nose and throat examination, Herpes zoster, Stress
Clinical narrative: I was diagnosed with shingles (possibly the rare Ramsey Hunt syndrome form) on 5/19/2021 I had a great immune system (never got Covid) and although had some recent work stress, nothing that I hadn't done before without incident. No other trigger factors known. The pain started as I would I thought was an ear infection. Blisters were found on my left inner earlobe and acyclovir was started.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Alanine aminotransferase increased, Aspartate aminotransferase increased, Bilirubin conjugated increased, Blood bilirubin increased
Clinical narrative: Patient presented to the ED after being found down outside. Initially hypotensive, was intubated in ED. Required increasing pressor support. Found to have profound anion gap metabolic acidosis with lactate peaking at >27. Initial workup also significant for WBC 40s, AKI with Cr peak at 2.5. Transaminitis likely 2/2 shock liver. Toxicologic workup was negative for alcohol, Tylenol, salicylates, urine drug screen. Blood cultures grew S. hominis. Other infectious workup including covid, hepatitis, hiv, rocky mountain spotted fever, respiratory panel, GI PCR, all negative. Also found to have a PE which was removed via thrombectomy. Developed DIC requiring multiple transfusions of cryo, FFP, and RBCs. Condition improved slowly with lactate downtrending currently and pressor requirement weaning.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood fibrinogen decreased, Blood lactic acid increased, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: Patient presented to the ED after being found down outside. Initially hypotensive, was intubated in ED. Required increasing pressor support. Found to have profound anion gap metabolic acidosis with lactate peaking at >27. Initial workup also significant for WBC 40s, AKI with Cr peak at 2.5. Transaminitis likely 2/2 shock liver. Toxicologic workup was negative for alcohol, Tylenol, salicylates, urine drug screen. Blood cultures grew S. hominis. Other infectious workup including covid, hepatitis, hiv, rocky mountain spotted fever, respiratory panel, GI PCR, all negative. Also found to have a PE which was removed via thrombectomy. Developed DIC requiring multiple transfusions of cryo, FFP, and RBCs. Condition improved slowly with lactate downtrending currently and pressor requirement weaning.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram spine, Disseminated intravascular coagulation, Drug screen negative, Endotracheal intubation, Gastrointestinal pathogen panel
Clinical narrative: Patient presented to the ED after being found down outside. Initially hypotensive, was intubated in ED. Required increasing pressor support. Found to have profound anion gap metabolic acidosis with lactate peaking at >27. Initial workup also significant for WBC 40s, AKI with Cr peak at 2.5. Transaminitis likely 2/2 shock liver. Toxicologic workup was negative for alcohol, Tylenol, salicylates, urine drug screen. Blood cultures grew S. hominis. Other infectious workup including covid, hepatitis, hiv, rocky mountain spotted fever, respiratory panel, GI PCR, all negative. Also found to have a PE which was removed via thrombectomy. Developed DIC requiring multiple transfusions of cryo, FFP, and RBCs. Condition improved slowly with lactate downtrending currently and pressor requirement weaning.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: HIV test negative, Haemoglobin decreased, Hepatitis viral test negative, Hypotension, International normalised ratio increased
Clinical narrative: Patient presented to the ED after being found down outside. Initially hypotensive, was intubated in ED. Required increasing pressor support. Found to have profound anion gap metabolic acidosis with lactate peaking at >27. Initial workup also significant for WBC 40s, AKI with Cr peak at 2.5. Transaminitis likely 2/2 shock liver. Toxicologic workup was negative for alcohol, Tylenol, salicylates, urine drug screen. Blood cultures grew S. hominis. Other infectious workup including covid, hepatitis, hiv, rocky mountain spotted fever, respiratory panel, GI PCR, all negative. Also found to have a PE which was removed via thrombectomy. Developed DIC requiring multiple transfusions of cryo, FFP, and RBCs. Condition improved slowly with lactate downtrending currently and pressor requirement weaning.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic hepatitis, Lung opacity, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Metabolic acidosis
Clinical narrative: Patient presented to the ED after being found down outside. Initially hypotensive, was intubated in ED. Required increasing pressor support. Found to have profound anion gap metabolic acidosis with lactate peaking at >27. Initial workup also significant for WBC 40s, AKI with Cr peak at 2.5. Transaminitis likely 2/2 shock liver. Toxicologic workup was negative for alcohol, Tylenol, salicylates, urine drug screen. Blood cultures grew S. hominis. Other infectious workup including covid, hepatitis, hiv, rocky mountain spotted fever, respiratory panel, GI PCR, all negative. Also found to have a PE which was removed via thrombectomy. Developed DIC requiring multiple transfusions of cryo, FFP, and RBCs. Condition improved slowly with lactate downtrending currently and pressor requirement weaning.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Respiratory viral panel, Rocky mountain spotted fever, SARS-CoV-2 test negative, Staphylococcus test positive
Clinical narrative: Patient presented to the ED after being found down outside. Initially hypotensive, was intubated in ED. Required increasing pressor support. Found to have profound anion gap metabolic acidosis with lactate peaking at >27. Initial workup also significant for WBC 40s, AKI with Cr peak at 2.5. Transaminitis likely 2/2 shock liver. Toxicologic workup was negative for alcohol, Tylenol, salicylates, urine drug screen. Blood cultures grew S. hominis. Other infectious workup including covid, hepatitis, hiv, rocky mountain spotted fever, respiratory panel, GI PCR, all negative. Also found to have a PE which was removed via thrombectomy. Developed DIC requiring multiple transfusions of cryo, FFP, and RBCs. Condition improved slowly with lactate downtrending currently and pressor requirement weaning.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombectomy, Toxicologic test normal, Transaminases increased, Transfusion, Viral test negative
Clinical narrative: Patient presented to the ED after being found down outside. Initially hypotensive, was intubated in ED. Required increasing pressor support. Found to have profound anion gap metabolic acidosis with lactate peaking at >27. Initial workup also significant for WBC 40s, AKI with Cr peak at 2.5. Transaminitis likely 2/2 shock liver. Toxicologic workup was negative for alcohol, Tylenol, salicylates, urine drug screen. Blood cultures grew S. hominis. Other infectious workup including covid, hepatitis, hiv, rocky mountain spotted fever, respiratory panel, GI PCR, all negative. Also found to have a PE which was removed via thrombectomy. Developed DIC requiring multiple transfusions of cryo, FFP, and RBCs. Condition improved slowly with lactate downtrending currently and pressor requirement weaning.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Patient presented to the ED after being found down outside. Initially hypotensive, was intubated in ED. Required increasing pressor support. Found to have profound anion gap metabolic acidosis with lactate peaking at >27. Initial workup also significant for WBC 40s, AKI with Cr peak at 2.5. Transaminitis likely 2/2 shock liver. Toxicologic workup was negative for alcohol, Tylenol, salicylates, urine drug screen. Blood cultures grew S. hominis. Other infectious workup including covid, hepatitis, hiv, rocky mountain spotted fever, respiratory panel, GI PCR, all negative. Also found to have a PE which was removed via thrombectomy. Developed DIC requiring multiple transfusions of cryo, FFP, and RBCs. Condition improved slowly with lactate downtrending currently and pressor requirement weaning.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphagia, Feeling abnormal
Clinical narrative: Approximately 8 days after first shot I started to feel strange feelings in chest after spending multiple hours outdoors. It was a pressure like feeling.  Occasionally when I swallow it will feel uncomfortable, but not every time.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Incomplete course of vaccination
Clinical narrative: Patient received 1st Moderna Vaccine 3/5/21  and the second vaccine has not been administered
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: hair loss
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Patient complained of a headache after receiving the second Pfizer vaccine. Vitals stable. Given juice, water and crackers. Moved to a safe environment. Continuing to monitor.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breast discomfort, Lymphadenopathy
Clinical narrative: I add swollen lymph nodes underarm a day following vaccine. However, what I am more concerned about is that my right breast (side of right breast) is now firm and feels like a nodule. I did not have this before the vaccine. I am 5 months post my vaccinations and this is still there. My underarm lymph node swelling in the right arm went down after a few days from the time I got the vaccination. However, my breast tissue (perhaps even breast lymph node) still is not back to normal. I just had a mammogram in December (1 month prior to getting the COVID vaccine) and checked out fine on the 3D mammogram as well as the ultrasound. I am going to call my OBGYN to have him feel my breast and see if I need to go back for another mammogram. This will be good to see if anything has changed from pre-COVID vaccine to post-COVID vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Gastrointestinal pain, Joint swelling, Sensation of foreign body
Clinical narrative: I started having lumpy feeling in my throat. GI cramps, and diarrhea and my knee flared up as well.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Acute polyneuropathy, CSF glucose normal, CSF protein increased, CSF red blood cell count positive, CSF white blood cell count positive
Clinical narrative: Progressive sensorimotor changes first starting one day after Moderna COVID vaccine on 5/3,  initially with itching in palms of hands and feet then gradually ascending pain and numbness, with weakness starting in right lower extremity first noted on 5/20 and gradually progressing such that she had difficulty ambulating independently since 5/23. Diagnosed with acute inflammatory demyelinating polyneuropathy on 5/24/21, starting five days of treatment with IVIG.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Demyelinating polyneuropathy, Gait disturbance, Hypoaesthesia, Immunoglobulin therapy, Inflammation
Clinical narrative: Progressive sensorimotor changes first starting one day after Moderna COVID vaccine on 5/3,  initially with itching in palms of hands and feet then gradually ascending pain and numbness, with weakness starting in right lower extremity first noted on 5/20 and gradually progressing such that she had difficulty ambulating independently since 5/23. Diagnosed with acute inflammatory demyelinating polyneuropathy on 5/24/21, starting five days of treatment with IVIG.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Muscular weakness, Pain, Pruritus
Clinical narrative: Progressive sensorimotor changes first starting one day after Moderna COVID vaccine on 5/3,  initially with itching in palms of hands and feet then gradually ascending pain and numbness, with weakness starting in right lower extremity first noted on 5/20 and gradually progressing such that she had difficulty ambulating independently since 5/23. Diagnosed with acute inflammatory demyelinating polyneuropathy on 5/24/21, starting five days of treatment with IVIG.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Sensorimotor disorder
Clinical narrative: Progressive sensorimotor changes first starting one day after Moderna COVID vaccine on 5/3,  initially with itching in palms of hands and feet then gradually ascending pain and numbness, with weakness starting in right lower extremity first noted on 5/20 and gradually progressing such that she had difficulty ambulating independently since 5/23. Diagnosed with acute inflammatory demyelinating polyneuropathy on 5/24/21, starting five days of treatment with IVIG.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Sudden hearing loss
Clinical narrative: Sudden Loss of hearing in Left ear. Unable to hear when talking  on phone with left ear. Can hear perfectly fine with right ear. Thought it may be allergies but had been taking allergy meds, started flonase for allergies without relief.  Started on antibiotic in April for 10 days no relief. Referred to ENT. Appointment on May 21. Confirmed hearing loss in Left ear.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA:  Administration error, improper injection technique. Vaccine recipient was stuck 3 times with same needle. Vaccine recipient was revaccinated with a new syringe/needle.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Biopsy, Dermatitis psoriasiform, Rash erythematous, Rash pruritic
Clinical narrative: Red rash appeared 4 days after receiving the first shot. Went to doctor, did a biopsy & returned as psoriasiform dermatitis, keeps getting worse, still has it. Itches intensely, using a prescription cortisone cream.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: NURSE GAVE A .6CC INSTEAD OF THE .3CC REQUIRED
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Fall, Substance use
Clinical narrative: Patient received 2nd dose of COVID vaccine; was seated in observation area, fell from seated position.  Baseline vitals HR 46, BP 100/50, glucose 111, SPO2 96%.  911 called, patient evaluated, admitted he had drank a Red Bull and "smoked some weed" prior to coming to clinic, patient reports "this happens to me sometimes" and refused transport to ED.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Towards the end of the night my arm started getting sore. I couldn't get out the bed the next day because of the body pain and super sore arm.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: received shot to early. Parents brought her back and staff went to check if it was time another nurse gave the vaccine in the drive through, Patient waited 30 mins with no issues and was allowed to go home.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received 2nd dose of Hep A too soon. No adverse events reported.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Fatigue, Feeling cold, Muscle spasms
Clinical narrative: The first night, in addition to chills and joint pain (my joints were on fire ), I had extreme pain and cramping in my calves from 9pm to 3am. Throughout the next seven days, the lower leg pain and overall fatigue has continued.  Each day, between mid to late day, I have to lay in bed and take my foot and massage the opposing calf due to tightness and uncomfortable pain.  Each night, the calf pain worsened when compared to the day.  I prop my pillow under my knee.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Pain, Pain in extremity
Clinical narrative: The first night, in addition to chills and joint pain (my joints were on fire ), I had extreme pain and cramping in my calves from 9pm to 3am. Throughout the next seven days, the lower leg pain and overall fatigue has continued.  Each day, between mid to late day, I have to lay in bed and take my foot and massage the opposing calf due to tightness and uncomfortable pain.  Each night, the calf pain worsened when compared to the day.  I prop my pillow under my knee.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Electrocardiogram normal, Syncope
Clinical narrative: After receiving the Janssen Covid 19, patient fainted while sitting on a chair approximately 10 minutes after receiving the vaccine. Paramedics were called. BP and EKG were normal. Patient returned to work. Patient informed Pharmacist and Paramedics that he fainted before when donating blood.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Pfizer-BIONTECH COVID-19 vaccine EUA .  I broke out in a fast spreading rash that started out as a few small spots on my arms and legs and 8 hours later it completely covered my arms, legs, and waist.  I called a nurse who told me I was having a allergic reaction and to go to the emergency room where  I was given steroids to clear up the rash.  Two days later the rash was gone.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: Possible seizure; EMS removed patient within 15 minutes of beginning of adverse event
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: REDNESS, SWELLING, WARMTH TO THE TOUCH, POSSIBLE LYMPH NODE INFLAMMATION
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Hypoaesthesia, Loss of personal independence in daily activities, Mobility decreased, Paraesthesia
Clinical narrative: Numbness and tingling and left leg and foot approximately 6 hours after the vaccine. Joint pain in both knees approximately 12 hours after the vaccine making it difficult to descend stairs. Over the next several weeks joint pain increased to include both hands, wrist, elbows, shoulders, ankles and feet. The pain has increased, mobility and ability to do everyday tasks is greatly impaired.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Fatigue, Hypoaesthesia, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Numbness and tingling and left leg and foot approximately 6 hours after the vaccine. Joint pain in both knees approximately 12 hours after the vaccine making it difficult to descend stairs. Over the next several weeks joint pain increased to include both hands, wrist, elbows, shoulders, ankles and feet. The pain has increased, mobility and ability to do everyday tasks is greatly impaired.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Resident received first dose of Pfizer on 5/3/21. Second dose of Pfizer due on 5/24/21. Moderna administered on 5/24/21 instead of Pfizer. No adverse effects noted.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: NO adverse effects noted per patient. A 17-year-old male received Moderna.   He was given both doses. He knew he had received it at age 17 and his parents were aware that it was a moderna vaccine site only day of visit and he stated they wanted him to have moderna because less side effects were reported with moderna verses pfizer. It was missed on the first day of first dose, parents reuquested him to get the second dose because he did well with the first dose.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt had a positive antigen covid test 5/18/21.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: 0747 Pt. received first dose of Moderna COVID vaccine. 0805 - pt. c/o SOB and throat tightness.  Pt. evaluated by the provider -- pt. placed on oxygen - 911 was activated. 0811 IM Benadryl and Kenalog given.  0815 Epinephrine IM was given.  0824 - pt. verbalized that tightness of throat and SOB was improving.  0826  EMS arrived and pt. taken to the local ER.  1400 - Pt. returned from the ER.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac discomfort, Cardiac monitoring, Chest X-ray, Echocardiogram, Electrocardiogram
Clinical narrative: The day after I had the injection I noticed heavy heart palpitations/skipped beats.  I ignored it, chalking it up to stress.  I ignored it for 6 weeks even though it got worse daily.  Then on 4/19/21 I ended up in the emergency room, thought I was having a heart attack.  After 12 hours and many tests the cardiologist told me he believes it is Supraventricular tachycardia.  I was given a beta blocker and that is helping but it has not gone away.  The cardiologist is still working on figuring out the problem.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Supraventricular tachycardia
Clinical narrative: The day after I had the injection I noticed heavy heart palpitations/skipped beats.  I ignored it, chalking it up to stress.  I ignored it for 6 weeks even though it got worse daily.  Then on 4/19/21 I ended up in the emergency room, thought I was having a heart attack.  After 12 hours and many tests the cardiologist told me he believes it is Supraventricular tachycardia.  I was given a beta blocker and that is helping but it has not gone away.  The cardiologist is still working on figuring out the problem.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Neck pain, Pain in extremity
Clinical narrative: Fatigue was for the first night. Extreme pain in the right arm from your wrist to the shoulder and neck on the right side. Lasted for about five weeks.  The arm pain lingered and did not go away, did see her doctor and they did not know what it was.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Patient had his first dose of Pfizer COVID-19 vaccine on 4/8/2021 and his second dose on 5/13/2021. He developed Shingles on 5/16/2021.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given to 16 years old.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness
Clinical narrative: I got the first shot on 1/30/21 and the second shot on 2/20/21 and then on 2/21/21 I woke up and couldn't hear.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Death
Clinical narrative: Patient presented to the ED on 5/7/21 with CVA. He was hospitalized on 5/8/21 for 12 days, and died on 5/20/21.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient presented to hospital 5/23/21 with a chief complaint unrelated to COVID19. She reports she received the moderna vaccine 1/27/21 and 2/24/21. Her COVID19 test was positive 5/23/21. She is currently asymptomatic.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Fear of injection, Syncope
Clinical narrative: Pt had a syncopal/vasovagal reaction (fear of needles).  BP 135/79 (88), HR 61, RR 16 -- > 121/81 (90), 66, 16.  VSS, juice and crackers given.  Pt stable and released from the vaccination site.  Recommended that the pt lay down for 2nd dose.
Age: 29.0
Sex: F
Vaccine: HPV9
Symptoms: Back pain, Injection site pain, Muscular weakness, Pain, Pain in extremity
Clinical narrative: 1) Lots of pain during injection (more than ever experienced with another vaccine). 2) Pain subsided quickly after vaccination, and the typical sore arm feeling developed for the next 2-3 days. 3) After the sore arm feeling wore off, the vaccine injection site continued hurting slightly when pressure was applied, i.e. when laying on  my left arm. This symptom persisted for about 17 days. 4) On day 18, the injection site started hurting when moving my left arm, until I could not move my arm above my shoulder without pain. Pain was heavy during the night.  5) On day 20, my arm felt weak. I went to the primary care facility where I received the vaccine. A doctor diagnosed me with SIRVA (Shoulder Injury Related to Vaccine Administration), and subscribed me a two-week course of Ibuprofen (2x600mg per day). I am currently still on this course. Pain improved when taking Ibuprofen, but most days my arm still feels weak. Occasionally, the pain radiates through my arm towards my hand and on my back (left side).  It is not yet clear whether this injury will become permanent damage.
Age: 29.0
Sex: F
Vaccine: HPV9
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: 1) Lots of pain during injection (more than ever experienced with another vaccine). 2) Pain subsided quickly after vaccination, and the typical sore arm feeling developed for the next 2-3 days. 3) After the sore arm feeling wore off, the vaccine injection site continued hurting slightly when pressure was applied, i.e. when laying on  my left arm. This symptom persisted for about 17 days. 4) On day 18, the injection site started hurting when moving my left arm, until I could not move my arm above my shoulder without pain. Pain was heavy during the night.  5) On day 20, my arm felt weak. I went to the primary care facility where I received the vaccine. A doctor diagnosed me with SIRVA (Shoulder Injury Related to Vaccine Administration), and subscribed me a two-week course of Ibuprofen (2x600mg per day). I am currently still on this course. Pain improved when taking Ibuprofen, but most days my arm still feels weak. Occasionally, the pain radiates through my arm towards my hand and on my back (left side).  It is not yet clear whether this injury will become permanent damage.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrospinal fluid leakage, Computerised tomogram head, Computerised tomogram spine, Epidural blood patch, Headache
Clinical narrative: Developed headache a few hours after receiving first dose. Over the subsequent days and weeks the headaches worsened. Ultimately presented to ER and was admitted with Subdural hematoma and CSF leak. Required blood patch
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging spinal, Subdural haematoma
Clinical narrative: Developed headache a few hours after receiving first dose. Over the subsequent days and weeks the headaches worsened. Ultimately presented to ER and was admitted with Subdural hematoma and CSF leak. Required blood patch
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Loss of consciousness
Clinical narrative: pt became dizzy shortly after administraion (3-5 minutes est.) said she felt like she was going to pass out and then lost consciousness for est. 15-20 seconds.  She regained conciousness and answered general questions correctly then felt faint again a few minutes later and passed out for a shorter time 2-3 seconds est.  Paramedics called and arrived about 1:20pm checked her blood pressure/ HR 3 times over a course of 10 minutes 88/62,93/62, 108/70 respectively. HR was 60bpm (one reading recorded).  EKG -normal ( paramedic ambulance). pt refuse ride to hospital and left facility following paramedic examination- signed waiver a left facility at 1:35pm
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Fatigue, Headache, Hyperhidrosis
Clinical narrative: approx 18 - 19 hours after shot, having had arm soreness, tiredness and low grade fever, woke up in morning with sweats and headache. Got up to get drink in kitchen to wash down Advil with, got dizzy, fainted and fell to floor. Time down unknown but very short duration. Stood up with dripping sweat and felt like was going to vomit. Had dry heaves but did not vomit. Rest of day tired and sore, woke up next morning perfectly fine and feeling good.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Pyrexia, Retching, Syncope
Clinical narrative: approx 18 - 19 hours after shot, having had arm soreness, tiredness and low grade fever, woke up in morning with sweats and headache. Got up to get drink in kitchen to wash down Advil with, got dizzy, fainted and fell to floor. Time down unknown but very short duration. Stood up with dripping sweat and felt like was going to vomit. Had dry heaves but did not vomit. Rest of day tired and sore, woke up next morning perfectly fine and feeling good.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiovascular examination, Chest discomfort, Dyspnoea, Echocardiogram, Electrocardiogram normal
Clinical narrative: Symptoms of heart beating faster, louder and harder with mild pleuritic chest discomfort starting about 5 days after second COVID vaccine, ongoing but improving.  Got his second COVID vaccine on 5.13.2021. Feels like heart is beating out of his chest, constant throughout the day, worst when laying down. Heart rate up to 100 at home. intermittent shortness of breath. No chest pain. After the vaccine, he developed a high fever for 2 days, a sore arm and tiredness.  vitals normal at time of clinic exam today, May 24, 2021  RX: slow breathing, albuterol inhaler, reading recommendation: Breathe by hcp
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Pain in extremity, Palpitations, Pleuritic pain
Clinical narrative: Symptoms of heart beating faster, louder and harder with mild pleuritic chest discomfort starting about 5 days after second COVID vaccine, ongoing but improving.  Got his second COVID vaccine on 5.13.2021. Feels like heart is beating out of his chest, constant throughout the day, worst when laying down. Heart rate up to 100 at home. intermittent shortness of breath. No chest pain. After the vaccine, he developed a high fever for 2 days, a sore arm and tiredness.  vitals normal at time of clinic exam today, May 24, 2021  RX: slow breathing, albuterol inhaler, reading recommendation: Breathe by hcp
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Symptoms of heart beating faster, louder and harder with mild pleuritic chest discomfort starting about 5 days after second COVID vaccine, ongoing but improving.  Got his second COVID vaccine on 5.13.2021. Feels like heart is beating out of his chest, constant throughout the day, worst when laying down. Heart rate up to 100 at home. intermittent shortness of breath. No chest pain. After the vaccine, he developed a high fever for 2 days, a sore arm and tiredness.  vitals normal at time of clinic exam today, May 24, 2021  RX: slow breathing, albuterol inhaler, reading recommendation: Breathe by hcp
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted during the post 15 minute wait period
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone decreased, Ear pain, Fatigue, Headache, Heart rate increased
Clinical narrative: Sore throat, rapid heart rate, uneven heart rate, exhaustion, bad headache, increased sensitivity to heat - all eventually diagnosed as hyperthyroidism. Also extreme inner ear pain - not yet diagnosed. All started about 5 days after 1st COVID vaccine. Diagnosis of hyperthyroidism happened about two months later (5/18/2021) when I finally went into an ER.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Hyperthyroidism, Oropharyngeal pain, Temperature intolerance, Thyroxine increased
Clinical narrative: Sore throat, rapid heart rate, uneven heart rate, exhaustion, bad headache, increased sensitivity to heat - all eventually diagnosed as hyperthyroidism. Also extreme inner ear pain - not yet diagnosed. All started about 5 days after 1st COVID vaccine. Diagnosis of hyperthyroidism happened about two months later (5/18/2021) when I finally went into an ER.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Tri-iodothyronine normal
Clinical narrative: Sore throat, rapid heart rate, uneven heart rate, exhaustion, bad headache, increased sensitivity to heat - all eventually diagnosed as hyperthyroidism. Also extreme inner ear pain - not yet diagnosed. All started about 5 days after 1st COVID vaccine. Diagnosis of hyperthyroidism happened about two months later (5/18/2021) when I finally went into an ER.
Age: 46.0
Sex: M
Vaccine: UNK
Symptoms: Chest X-ray normal, Chest discomfort, Dyspnoea, Electrocardiogram normal
Clinical narrative: Patient is a 46-year-old male with a history of asthma and diverticulitis presenting to the emergency department with complaints of chest tightness and difficulty breathing times yesterday.  Patient states he recently received his second dose of his COVID vaccine 2 days ago.  Pain is described as mild upon onset is chronic mild.  No history of the same. Patient denies any vomiting or diarrhea. No fever.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Aspiration, Atrial fibrillation, Blood creatinine increased, COVID-19
Clinical narrative: Infection and hospitalization. 2/13/2021 admission with discharge on 2/22/2021. Worsening SOB and epistaxis upon admission requiring intubation and admission to ICU. Extubated on 2/17/2021. Dx during visit include hypoxia, sepsis, hypotension, anemia, aspiration into airway, creatinine elevation, epistaxis, atrial fibrillation, essential hypertension, diastolic heart failure
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Endotracheal intubation, Epistaxis, Essential hypertension
Clinical narrative: Infection and hospitalization. 2/13/2021 admission with discharge on 2/22/2021. Worsening SOB and epistaxis upon admission requiring intubation and admission to ICU. Extubated on 2/17/2021. Dx during visit include hypoxia, sepsis, hypotension, anemia, aspiration into airway, creatinine elevation, epistaxis, atrial fibrillation, essential hypertension, diastolic heart failure
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia, Infection, Intensive care, Left ventricular failure
Clinical narrative: Infection and hospitalization. 2/13/2021 admission with discharge on 2/22/2021. Worsening SOB and epistaxis upon admission requiring intubation and admission to ICU. Extubated on 2/17/2021. Dx during visit include hypoxia, sepsis, hypotension, anemia, aspiration into airway, creatinine elevation, epistaxis, atrial fibrillation, essential hypertension, diastolic heart failure
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: Infection and hospitalization. 2/13/2021 admission with discharge on 2/22/2021. Worsening SOB and epistaxis upon admission requiring intubation and admission to ICU. Extubated on 2/17/2021. Dx during visit include hypoxia, sepsis, hypotension, anemia, aspiration into airway, creatinine elevation, epistaxis, atrial fibrillation, essential hypertension, diastolic heart failure
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dysstasia, Palpitations, Panic attack
Clinical narrative: Complained of tightness in throat and chest, heart racing, anxiety after vaccine.  Went to  Urgent care and was seen by  PA-C.  Patient was given a Benadryl shot  with a weird panic attack noted before she received it.  Legs shaking and couldn't stand.    Felt better after she received the shot/
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Tremor
Clinical narrative: Complained of tightness in throat and chest, heart racing, anxiety after vaccine.  Went to  Urgent care and was seen by  PA-C.  Patient was given a Benadryl shot  with a weird panic attack noted before she received it.  Legs shaking and couldn't stand.    Felt better after she received the shot/
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given to 17 year old.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Condition aggravated
Clinical narrative: About 1,2 weeks post 2nd vaccination I developed arthritic like symptoms in the fingers in my Left hand. I have arthritis in my pointer. I thought I was or had developed in my other fingers( 3, 4, and 5) About a week later I had a thought that maybe this is a side effect from the vaccine. I have been learning that this is a possible side effect and so I am filling this form out. I would rather be annoyed by random pain in my fingers than have Covid!  The discomfort and stiffness continues randomly. I am able to continue my ADL. I bought a squeeze ball and have not sought out medical help.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Patient received expired vaccine (refrigerated expired by 1 day). Patient repeat vaccination on 5/24/2021
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoaesthesia oral, Nasal congestion
Clinical narrative: In the face sensation in my mouth like anesthesia from a dentist difficult to breathe my nose was completely stuffed up I had to go to the emergency room.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: redness, rashes and hives on both arms, thighs and up my right side of the torso
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Chest pain on 2nd and 3rd nights after the vaccination for approximately 3 hours each episode.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient upon registration for vaccine informed us that she typically faints when getting shots, I asked patient if she was sure this was the best setting to receive the vaccination and she said yes.  I asked her boyfriend to remain with her during the vaccination and to stay with her after.  I administered the vaccine to the patient whom did not pass out immediately I talked with her and she said she felt fine actually.  I advised her to stay in the same chair in vaccination booth and I walked back into the pharmacy and a few minutes later noticed she was sitting on her friends lap in a chair.  I went to check on the patient and she had fainted but was doing ok friend with her said. I offered water, wet towel and ice pack which patient did take.  I stayed with patient for a couple minutes and then followed up 5 minutes after patient was still feeling faint.  I told patient to sit as long as needed.  After about 20 minutes I checked on patient again and she was feeling well.  I offered to sit with her while her friend pulled up his car to the front of the store so she did not have to walk far.  I told patient I will follow up with her later tonight.