chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Inappropriate schedule of product administration, Metabolic function test, Myasthenia gravis
Clinical narrative: I received my COVID vaccine and then following that I received my flu shot. Right after receiving the COVID vaccine I had a headache for a couple days and pain for about a week. I also had heavy fatigue. I was hospitalized 1 week later due to breathing issues. I had low oxygen saturation down to the high 60s and low 70s range. It was unclear to my neurologist and pulmonologist whether if the combination of those two vaccines worsened my Myasthenia gravis. The treatment I was on for Solaris may not of have been no longer treating me effectively. I had did well during the summer but I had an underline protection from IVIg. I have been having that IVIg infused every 3 weeks for 80grams. I was receiving those from June-August 2021. My doctors are not sure if the vaccine and flu vaccine contributed to my event. They said it was possible that the IVIg had just ran out. I had a n event in November as well and went to the hospital. I had a plasma exchange. They did that for 3 days in a row. They gave me a liter of fresh frozen plasma the last two days. That treatment worked well on me. In the last past week I have started to have lower oxygen levels again. My doctors are concerned that the vaccination caused my Myasthenia gravis to decline.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pain, Spirometry, Ventilation/perfusion scan
Clinical narrative: I received my COVID vaccine and then following that I received my flu shot. Right after receiving the COVID vaccine I had a headache for a couple days and pain for about a week. I also had heavy fatigue. I was hospitalized 1 week later due to breathing issues. I had low oxygen saturation down to the high 60s and low 70s range. It was unclear to my neurologist and pulmonologist whether if the combination of those two vaccines worsened my Myasthenia gravis. The treatment I was on for Solaris may not of have been no longer treating me effectively. I had did well during the summer but I had an underline protection from IVIg. I have been having that IVIg infused every 3 weeks for 80grams. I was receiving those from June-August 2021. My doctors are not sure if the vaccine and flu vaccine contributed to my event. They said it was possible that the IVIg had just ran out. I had a n event in November as well and went to the hospital. I had a plasma exchange. They did that for 3 days in a row. They gave me a liter of fresh frozen plasma the last two days. That treatment worked well on me. In the last past week I have started to have lower oxygen levels again. My doctors are concerned that the vaccination caused my Myasthenia gravis to decline.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past published expiration date. Contacted Moderna, received this communication: ?The vaccine administered on November 10, 2021 and November 15, 2021 from lot number 046C21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration,? therefore there is no need for revaccination.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia
Clinical narrative: She spiked a fever the next morning of 101.5 degrees that persisted for 4 to 5 days. She now is being treated by PCP for pneumonia.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Person was given 0.3cc dose of Janssen Booster dose instead of standard 0.5 cc.  Local DOH notified and Manufacturer (Janssen) notified and all persons reported to Janssen Manufacturer for their Pharmacy department, recommendations from the Manufacturer and with agreement from the local DOH are to notify all of the recipients that received an incorrect dose and submit a VAERS report for each.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling of body temperature change, Pruritus, Pyrexia, Urticaria
Clinical narrative: Had Hives and was itchy all over body.  Hot and cold chills had fever of 101 for 24 hours
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Rash, Scar
Clinical narrative: Within 2 days of receiving the shot, a rash began to develop. Being told a rash was a normal side effect, I thought nothing of it. It progressed to only get worse and more painful resulting in blisters that would pop and ooze in my armpit down my trunk/abdomen and my forearm. The outbreak lasted 6 weeks. Scars still remain
Age: 67.0
Sex: F
Vaccine: FLUA4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: PATIENT HAS SORENESS IN ARM TWO WEEKS LATER STILL PERSISTING. Patient claims they cannot lift their left arm as a result of the vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered past published expiration date. Contacted Moderna, received this communication: ?The vaccine administered on November 10, 2021 and November 15, 2021 from lot number 046C21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration,? therefore there is no need for revaccination.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Soreness at injection site for three days
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema multiforme
Clinical narrative: erythema multiforme
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Amblyopia
Clinical narrative: On 12/5/2021 The day after her 2nd dose in the morning at 7:00am my daughter developed a lazy eye in her right eye. I witnessed this happening about 5 to 6 times on 12/5/2021. It was sporadic and not constant.  Her right eye would turn in towards her nose. Her left eye was behaving as normal.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Acute myocardial infarction, COVID-19, COVID-19 pneumonia, Cardiac arrest
Clinical narrative: Case was hospitalized for and died of Covid 6 months after completing Covid vaccine series.  Patient is an 84 year old male, vaccinated against COVID-19, with a history of valvular and ischemic heart disease who was initially diagnosed with COVID-19 pneumonia on September 30. He presented to the hospital on October 13 with worsening shortness of breath. Initial workup was consistent with coronary ischemia and acute heart failure in addition to COVID-19 infection. He was admitted to the hospital and treated for heart failure, acute coronary syndrome, and COVID-19. Over the course of the first night of his hospitalization the patient developed rapidly worsening gas exchange and was transferred to the ICU. Point of care echocardiography revealed markedly abnormal LV systolic function consistent with an acute MI and systolic heart failure. Given the constellation of acute physiologic insults and his baseline poor health, goals of care discussions were conducted with the patient and his family regarding his very grim prognosis for survival from his critical illness. The patient was made DNR. On the morning of October 14 the patient developed worsening shock physiology, ultimately resulting in cardiac arrest. The patient expired at 09:45 on October 14 with family at the bedside.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure acute, Death, Dyspnoea, Echocardiogram abnormal, Intensive care
Clinical narrative: Case was hospitalized for and died of Covid 6 months after completing Covid vaccine series.  Patient is an 84 year old male, vaccinated against COVID-19, with a history of valvular and ischemic heart disease who was initially diagnosed with COVID-19 pneumonia on September 30. He presented to the hospital on October 13 with worsening shortness of breath. Initial workup was consistent with coronary ischemia and acute heart failure in addition to COVID-19 infection. He was admitted to the hospital and treated for heart failure, acute coronary syndrome, and COVID-19. Over the course of the first night of his hospitalization the patient developed rapidly worsening gas exchange and was transferred to the ICU. Point of care echocardiography revealed markedly abnormal LV systolic function consistent with an acute MI and systolic heart failure. Given the constellation of acute physiologic insults and his baseline poor health, goals of care discussions were conducted with the patient and his family regarding his very grim prognosis for survival from his critical illness. The patient was made DNR. On the morning of October 14 the patient developed worsening shock physiology, ultimately resulting in cardiac arrest. The patient expired at 09:45 on October 14 with family at the bedside.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Left ventricular dysfunction, Left ventricular failure, Myocardial ischaemia, Respiratory gas exchange disorder, SARS-CoV-2 RNA
Clinical narrative: Case was hospitalized for and died of Covid 6 months after completing Covid vaccine series.  Patient is an 84 year old male, vaccinated against COVID-19, with a history of valvular and ischemic heart disease who was initially diagnosed with COVID-19 pneumonia on September 30. He presented to the hospital on October 13 with worsening shortness of breath. Initial workup was consistent with coronary ischemia and acute heart failure in addition to COVID-19 infection. He was admitted to the hospital and treated for heart failure, acute coronary syndrome, and COVID-19. Over the course of the first night of his hospitalization the patient developed rapidly worsening gas exchange and was transferred to the ICU. Point of care echocardiography revealed markedly abnormal LV systolic function consistent with an acute MI and systolic heart failure. Given the constellation of acute physiologic insults and his baseline poor health, goals of care discussions were conducted with the patient and his family regarding his very grim prognosis for survival from his critical illness. The patient was made DNR. On the morning of October 14 the patient developed worsening shock physiology, ultimately resulting in cardiac arrest. The patient expired at 09:45 on October 14 with family at the bedside.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Shock
Clinical narrative: Case was hospitalized for and died of Covid 6 months after completing Covid vaccine series.  Patient is an 84 year old male, vaccinated against COVID-19, with a history of valvular and ischemic heart disease who was initially diagnosed with COVID-19 pneumonia on September 30. He presented to the hospital on October 13 with worsening shortness of breath. Initial workup was consistent with coronary ischemia and acute heart failure in addition to COVID-19 infection. He was admitted to the hospital and treated for heart failure, acute coronary syndrome, and COVID-19. Over the course of the first night of his hospitalization the patient developed rapidly worsening gas exchange and was transferred to the ICU. Point of care echocardiography revealed markedly abnormal LV systolic function consistent with an acute MI and systolic heart failure. Given the constellation of acute physiologic insults and his baseline poor health, goals of care discussions were conducted with the patient and his family regarding his very grim prognosis for survival from his critical illness. The patient was made DNR. On the morning of October 14 the patient developed worsening shock physiology, ultimately resulting in cardiac arrest. The patient expired at 09:45 on October 14 with family at the bedside.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Person was given 0.3cc dose of Janssen Booster dose instead of standard 0.5 cc. Dept. of Health notified and Manufacturer (Janssen) notified and all persons reported to Janssen Manufacturer for their Pharmacy department, recommendations from the Manufacturer and with agreement from Dept. of Health are to notify all of the recipients that received an incorrect dose and submit a report for each.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: rash all over body, red diffuse torso, legs, arms, itchy, red raised
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Contusion, Pain in extremity, Thrombosis
Clinical narrative: I had issues with leg that. wen t for 1 week with issue and finally when to the doctor after thinking it was a blood clot. The doctor confirmed the blood clot. It started on the lower portion of the right leg. It began looking like a bad bruise but then got bigger. There was a considerable amount of pain in the area.  It started around the ankle and continued upwards on the leg. The doctor prescribed Eliquis 2*per day.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site erythema, Injection site induration, Injection site mass, Injection site pain
Clinical narrative: Starting morning after booster shot, I had a raised circle around injection site, patchy redness about 3 inches in diameter around the raised circle. It is tender and there is a hard lump at the injection site.  On the third morning after the booster shot, have tenderness toward the front of armpit on same side as injection.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Starting morning after booster shot, I had a raised circle around injection site, patchy redness about 3 inches in diameter around the raised circle. It is tender and there is a hard lump at the injection site.  On the third morning after the booster shot, have tenderness toward the front of armpit on same side as injection.
Age: 27.0
Sex: M
Vaccine: UNK
Symptoms: Antineutrophil cytoplasmic antibody negative, Blood creatine phosphokinase MB normal, Blood creatine phosphokinase normal, Blood glucose normal, Blood immunoglobulin E
Clinical narrative: , he is a 27 year-old who had his Moderna COVID-19 mRNA booster 11.12.2021. He had some muscle pain in his back the day after receiving the vaccine. On 11.23.2021, he developed hives on the back of his head and neck. The next day, they spread to much of his body. He had a telemedicine appointment and was given prednisone 60 mg and hydroxyzine. It initially helped, but he was still severe two days later. He developed muscle pain and swelling in his upper and lower extremities. He received a steroid shot from his PCP. The following day, he still had severe hives, lip swelling and feet swelling. He went to the ER, and he was given a IV solumedrol as well as more oral steroids. He is now on 40 mg daily. He still has dermatographic and spontaneous urticaria. He is taking cetirizine 10 mg bid. His feet are still uncomfortable to walk on and swollen. He had some shortness of breath last night. Albuterol helped his symptoms. He has no chest pain. He had a negative COVID test last week. He had no sick contacts. He saw a Rheumatologist earlier in the weed.
Age: 27.0
Sex: M
Vaccine: UNK
Symptoms: Blood lactate dehydrogenase normal, Blood thyroid stimulating hormone normal, C-reactive protein increased, Chronic spontaneous urticaria, Epstein-Barr virus antibody negative
Clinical narrative: , he is a 27 year-old who had his Moderna COVID-19 mRNA booster 11.12.2021. He had some muscle pain in his back the day after receiving the vaccine. On 11.23.2021, he developed hives on the back of his head and neck. The next day, they spread to much of his body. He had a telemedicine appointment and was given prednisone 60 mg and hydroxyzine. It initially helped, but he was still severe two days later. He developed muscle pain and swelling in his upper and lower extremities. He received a steroid shot from his PCP. The following day, he still had severe hives, lip swelling and feet swelling. He went to the ER, and he was given a IV solumedrol as well as more oral steroids. He is now on 40 mg daily. He still has dermatographic and spontaneous urticaria. He is taking cetirizine 10 mg bid. His feet are still uncomfortable to walk on and swollen. He had some shortness of breath last night. Albuterol helped his symptoms. He has no chest pain. He had a negative COVID test last week. He had no sick contacts. He saw a Rheumatologist earlier in the weed.
Age: 27.0
Sex: M
Vaccine: UNK
Symptoms: Full blood count abnormal, Glucose urine present, Immature granulocyte count increased, Lip swelling, Mechanical urticaria
Clinical narrative: , he is a 27 year-old who had his Moderna COVID-19 mRNA booster 11.12.2021. He had some muscle pain in his back the day after receiving the vaccine. On 11.23.2021, he developed hives on the back of his head and neck. The next day, they spread to much of his body. He had a telemedicine appointment and was given prednisone 60 mg and hydroxyzine. It initially helped, but he was still severe two days later. He developed muscle pain and swelling in his upper and lower extremities. He received a steroid shot from his PCP. The following day, he still had severe hives, lip swelling and feet swelling. He went to the ER, and he was given a IV solumedrol as well as more oral steroids. He is now on 40 mg daily. He still has dermatographic and spontaneous urticaria. He is taking cetirizine 10 mg bid. His feet are still uncomfortable to walk on and swollen. He had some shortness of breath last night. Albuterol helped his symptoms. He has no chest pain. He had a negative COVID test last week. He had no sick contacts. He saw a Rheumatologist earlier in the weed.
Age: 27.0
Sex: M
Vaccine: UNK
Symptoms: Metabolic function test, Myalgia, Peripheral swelling, Red blood cell sedimentation rate normal, SARS-CoV-2 test negative
Clinical narrative: , he is a 27 year-old who had his Moderna COVID-19 mRNA booster 11.12.2021. He had some muscle pain in his back the day after receiving the vaccine. On 11.23.2021, he developed hives on the back of his head and neck. The next day, they spread to much of his body. He had a telemedicine appointment and was given prednisone 60 mg and hydroxyzine. It initially helped, but he was still severe two days later. He developed muscle pain and swelling in his upper and lower extremities. He received a steroid shot from his PCP. The following day, he still had severe hives, lip swelling and feet swelling. He went to the ER, and he was given a IV solumedrol as well as more oral steroids. He is now on 40 mg daily. He still has dermatographic and spontaneous urticaria. He is taking cetirizine 10 mg bid. His feet are still uncomfortable to walk on and swollen. He had some shortness of breath last night. Albuterol helped his symptoms. He has no chest pain. He had a negative COVID test last week. He had no sick contacts. He saw a Rheumatologist earlier in the weed.
Age: 27.0
Sex: M
Vaccine: UNK
Symptoms: Troponin T normal, Urine analysis abnormal, Urticaria
Clinical narrative: , he is a 27 year-old who had his Moderna COVID-19 mRNA booster 11.12.2021. He had some muscle pain in his back the day after receiving the vaccine. On 11.23.2021, he developed hives on the back of his head and neck. The next day, they spread to much of his body. He had a telemedicine appointment and was given prednisone 60 mg and hydroxyzine. It initially helped, but he was still severe two days later. He developed muscle pain and swelling in his upper and lower extremities. He received a steroid shot from his PCP. The following day, he still had severe hives, lip swelling and feet swelling. He went to the ER, and he was given a IV solumedrol as well as more oral steroids. He is now on 40 mg daily. He still has dermatographic and spontaneous urticaria. He is taking cetirizine 10 mg bid. His feet are still uncomfortable to walk on and swollen. He had some shortness of breath last night. Albuterol helped his symptoms. He has no chest pain. He had a negative COVID test last week. He had no sick contacts. He saw a Rheumatologist earlier in the weed.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: ringing in my left ear
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given his 2nd dose of covid vaccine only 16 days after his initial dose.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Joint pain in both wrists and several fingers
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received the second Moderna vaccine too early. First Moderna vaccine was given on 06/22/2021. Vaccine was given 11 days too early. Patient did not have any adverse reactions.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Vomiting
Clinical narrative: Light fewer and in case of that (I guess) a strong migraine attack with vomit. In case of pain relief 200mg ibuprofen has been taken.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Person was given 0.3cc dose of Janssen Booster dose instead of standard 0.5 cc. Health Department notified and Manufacturer (Janssen) notified and all persons reported to Janssen Manufacturer for their Pharmacy department, recommendations from the Manufacturer and with agreement from Health Department are to notify all of the recipients that received an incorrect dose and submit a VAERS report for each.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Starting morning after booster shot, patient had a raised circle around injection site, patchy redness about 2.5 inches in diameter around the raised circle. It is tender and there is a hard lump at the injection site.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hot flush, Injection site swelling, Pain in extremity
Clinical narrative: Tiredness, headache, hot flashes, sore arm, swollen injection site
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicitis, Arthralgia, Chest discomfort, Chest pain, Computerised tomogram
Clinical narrative: Heart palpitations, irregular heartbeat, chest/shoulder tightness and pain, appendicitis
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Heart rate irregular, Palpitations
Clinical narrative: Heart palpitations, irregular heartbeat, chest/shoulder tightness and pain, appendicitis
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccinating nurse gave client the incorrect vaccine for her age group . Client received pediatric Pfizer vaccine of 0.2 ml instead of the Pfizer +12  0.3 ml intended for her age group.  Mother and client were made aware of error and were given the appropriate teaching. Client was re-vaccinated with correct dose.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac discomfort, Dyspnoea
Clinical narrative: I had a heart inflammation in the middle of sleep so I woke up. Had hard time breathing for a bit. I drank some water and went back to sleep.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness neurosensory, Tinnitus
Clinical narrative: Sudden sensorineural hearing loss in left ear and tinnitus, beginning 10-12 hours post vaccine and progressing over 3-5 days.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID case in fully vaccinated individual.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness bilateral, Dyspnoea, Ear discomfort, Pruritus, Tinnitus
Clinical narrative: I am writing to report the most troubling event that occurred this morning.  Which is my left ear is very 'full' plugged feeling, my right ear also is plugged, but not nearly as bad as my left. I hear constant high pitched sound in my head and I have hearing loss in my left ear significantly more than my right. I also have numbness in my right side of my head and the itchy all over my head.  My breathing to breath in an out feels laboured.  The hearing loss is terrifying.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Received vaccine without diluent
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Cough, Decreased appetite
Clinical narrative: This is a 64-year-old male with significant past medical history of sarcoidosis of the lung, DVT and massive PE that presented to the hospital with chief complaint of progressive worsening dyspnea for about a week.  Patient states he started feeling sick about a week ago and his breathing progressively got worse.  The patient had fevers but no chills.  The patient has had a poor appetite has not been eating and drinking very well.  The patient has been feeling weak, fatigue malaise and other viral symptoms.  The patient denies significant chest pain.  The patient has been using his inhalers and taking his Eliquis.  The patient denied any abdominal pain, nausea or vomiting.  He did have some intermittent diarrhea.  Denied any dysuria, hematuria urinary frequency.  The patient denied any significant lightheadedness or dizziness.  The patient did get the COVID-19 vaccine, Johnson & Johnson.  The patient could not breathe so he had to come to the hospital today.  He does have a history of lung sarcoidosis and is on prednisone daily.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Electrocardiogram abnormal, Fatigue, Hypophagia
Clinical narrative: This is a 64-year-old male with significant past medical history of sarcoidosis of the lung, DVT and massive PE that presented to the hospital with chief complaint of progressive worsening dyspnea for about a week.  Patient states he started feeling sick about a week ago and his breathing progressively got worse.  The patient had fevers but no chills.  The patient has had a poor appetite has not been eating and drinking very well.  The patient has been feeling weak, fatigue malaise and other viral symptoms.  The patient denies significant chest pain.  The patient has been using his inhalers and taking his Eliquis.  The patient denied any abdominal pain, nausea or vomiting.  He did have some intermittent diarrhea.  Denied any dysuria, hematuria urinary frequency.  The patient denied any significant lightheadedness or dizziness.  The patient did get the COVID-19 vaccine, Johnson & Johnson.  The patient could not breathe so he had to come to the hospital today.  He does have a history of lung sarcoidosis and is on prednisone daily.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Malaise, Pyrexia, Rhinorrhoea, Sinus tachycardia
Clinical narrative: This is a 64-year-old male with significant past medical history of sarcoidosis of the lung, DVT and massive PE that presented to the hospital with chief complaint of progressive worsening dyspnea for about a week.  Patient states he started feeling sick about a week ago and his breathing progressively got worse.  The patient had fevers but no chills.  The patient has had a poor appetite has not been eating and drinking very well.  The patient has been feeling weak, fatigue malaise and other viral symptoms.  The patient denies significant chest pain.  The patient has been using his inhalers and taking his Eliquis.  The patient denied any abdominal pain, nausea or vomiting.  He did have some intermittent diarrhea.  Denied any dysuria, hematuria urinary frequency.  The patient denied any significant lightheadedness or dizziness.  The patient did get the COVID-19 vaccine, Johnson & Johnson.  The patient could not breathe so he had to come to the hospital today.  He does have a history of lung sarcoidosis and is on prednisone daily.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, COVID-19, Intensive care
Clinical narrative: Case was hospitalized for Covid 9 months after completing Covid vaccine series . * Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Patient compleated vaccination series in 1/2021 She tested positive for Covid on 10/8. Admitted 10/11 but then was transferred to ICU overnight for hypoxic respiratory failure which required HHFNC. CTA chest in icu showed small bilateral PE's and apixaban was started.    While on supplemental oxygen she was treated w/ dexamethasone and remdesivir.    10/16: now off supplemental oxygen.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Case was hospitalized for Covid 9 months after completing Covid vaccine series . * Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Patient compleated vaccination series in 1/2021 She tested positive for Covid on 10/8. Admitted 10/11 but then was transferred to ICU overnight for hypoxic respiratory failure which required HHFNC. CTA chest in icu showed small bilateral PE's and apixaban was started.    While on supplemental oxygen she was treated w/ dexamethasone and remdesivir.    10/16: now off supplemental oxygen.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Incontinence, Motor dysfunction, Pain in extremity
Clinical narrative: Patient reports loss of muscle function, incontinence, headache, fatigue and arm soreness on 12/6/21
Age: 40.0
Sex: M
Vaccine: FLU4
Symptoms: Axillary mass, Discomfort
Clinical narrative: On the morning of 11/30/21, patient noticed a mass on his left axillae. On 12/1/21, the mass was large enough to cause discomfort and presented to medical clinic. Patient denies fever + chills, rashes, pain or drain on the deltoid area where the flut shot was given.   On evaluation, no signs of cellulitis or concern for MRSA infection   Treatment included warm compresses and NSAID treatment (ibuprofen 600 mg PO Q6H PRN). Chest CT is ordered to rule out other lymphadenopathies. Patient is to return in 1 week on 12/8/21 for follow-up.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Lymph node swelling in underarm
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient was inadvertently given a 4th dose of Pfizer COVID-19 Vaccine.  Patient's State vaccine record did not reconcile with the database, so the third dose did not transfer to the database, therefore, the database only showed patient received two doses, however, after further investigation, patient was given four doses: 2/16/2021, 3/9/2021, 10/20/2021 and today 12/6/2021.  When physician ordered what was thought to be the 3rd dose, patient indicated they had only had 2 doses.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: ~22 hours after her vaccination, she got a 102 fever - it lasted a couple hours ~36 hours after her vaccination, she had nausea and threw up two times all symptoms cleared about 42 hours after her vaccination
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past published expiration date. Contacted Moderna, received this communication: ?The vaccine administered on November 10, 2021 and November 15, 2021 from lot number 046C21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration,? therefore there is no need for revaccination.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, Computerised tomogram head normal, Femur fracture, Hip arthroplasty
Clinical narrative: 77 year old female presented with altered mental status. Pt is normally alert  X4 as baseline but has been having a decline in her mental status. Daughter reports that pt was recently hospitalized from 11/8/2021-11/12/2021 with right femur fracture and traumatic subdural hemorrhage. Pt underwent right hip hemiarthroplasty on  11/9/2021. Pt was diagnosed with COVID19 11/17/2021 POA. At arrival, CT brain with no acute finding. CTA chest with early pneumonia but no PE. Pt initially on oxygen. She was started on dexamethasone and remdesivir. Pt symptoms improved quickly and she has been on room air for the past couple day . Pt is now being discharge back to the HCF to complete the course of dexamethasone. remdesivir has been completed
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Pneumonia, Subdural haemorrhage
Clinical narrative: 77 year old female presented with altered mental status. Pt is normally alert  X4 as baseline but has been having a decline in her mental status. Daughter reports that pt was recently hospitalized from 11/8/2021-11/12/2021 with right femur fracture and traumatic subdural hemorrhage. Pt underwent right hip hemiarthroplasty on  11/9/2021. Pt was diagnosed with COVID19 11/17/2021 POA. At arrival, CT brain with no acute finding. CTA chest with early pneumonia but no PE. Pt initially on oxygen. She was started on dexamethasone and remdesivir. Pt symptoms improved quickly and she has been on room air for the past couple day . Pt is now being discharge back to the HCF to complete the course of dexamethasone. remdesivir has been completed
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor, Unresponsive to stimuli
Clinical narrative: Client is a 9 year old female who received her second dose Pfizer pediatric covid-19 vaccine today 12/1/21. Lead nurse was called over to the vaccination lane by support and found the child non-responsive to verbal stimuli, pale and diaphoretic . Within seconds the child started to revive. Client responded appropriately to her name and verbal commands. @1614 O2 sats 99%, HR 56,  BP 58/40.  Client instructed to lie down and elevate feet. @1618 O2 sat 96%, HR 77  snack given. @1621 Sprite soft drink given. @ 1423 O2 sat 100%, HR 84, BP 90/60. Color returned to client and client laughing.      Parents instructed to wait in recovery for 15 min and contact staff if there are further symptoms
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Back pain, Blood albumin decreased, Blood alkaline phosphatase increased, Blood calcium decreased
Clinical narrative: No immediate adverse events or signs/symptoms post vaccination.  On 12/03/2021 at approximately 1420 Patient was found on the floor by staff from a fall incident he was complaining of pain to neck and back and due to personal hx of cervical fractures EMS notified for transport to ER. Poor oxygenation noted and oxygen applied via nasal cannula while awaiting EMS transport to Hospital ER.  At approximately 1700 Nursing Home received word that all scans/x-rays were normal and resident would be returning to Nursing Home. Some time after this notification while resident was still in the ER he developed a cardiac dysrhythmia which he succumbed to.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Blood creatinine increased, Blood glucose increased, Blood lactic acid decreased, Blood urea increased
Clinical narrative: No immediate adverse events or signs/symptoms post vaccination.  On 12/03/2021 at approximately 1420 Patient was found on the floor by staff from a fall incident he was complaining of pain to neck and back and due to personal hx of cervical fractures EMS notified for transport to ER. Poor oxygenation noted and oxygen applied via nasal cannula while awaiting EMS transport to Hospital ER.  At approximately 1700 Nursing Home received word that all scans/x-rays were normal and resident would be returning to Nursing Home. Some time after this notification while resident was still in the ER he developed a cardiac dysrhythmia which he succumbed to.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide decreased, Death, Differential white blood cell count, Fall, Full blood count abnormal
Clinical narrative: No immediate adverse events or signs/symptoms post vaccination.  On 12/03/2021 at approximately 1420 Patient was found on the floor by staff from a fall incident he was complaining of pain to neck and back and due to personal hx of cervical fractures EMS notified for transport to ER. Poor oxygenation noted and oxygen applied via nasal cannula while awaiting EMS transport to Hospital ER.  At approximately 1700 Nursing Home received word that all scans/x-rays were normal and resident would be returning to Nursing Home. Some time after this notification while resident was still in the ER he developed a cardiac dysrhythmia which he succumbed to.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, International normalised ratio normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased
Clinical narrative: No immediate adverse events or signs/symptoms post vaccination.  On 12/03/2021 at approximately 1420 Patient was found on the floor by staff from a fall incident he was complaining of pain to neck and back and due to personal hx of cervical fractures EMS notified for transport to ER. Poor oxygenation noted and oxygen applied via nasal cannula while awaiting EMS transport to Hospital ER.  At approximately 1700 Nursing Home received word that all scans/x-rays were normal and resident would be returning to Nursing Home. Some time after this notification while resident was still in the ER he developed a cardiac dysrhythmia which he succumbed to.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test abnormal, Monocyte percentage, Neck pain, Neutrophil percentage increased, Prothrombin time
Clinical narrative: No immediate adverse events or signs/symptoms post vaccination.  On 12/03/2021 at approximately 1420 Patient was found on the floor by staff from a fall incident he was complaining of pain to neck and back and due to personal hx of cervical fractures EMS notified for transport to ER. Poor oxygenation noted and oxygen applied via nasal cannula while awaiting EMS transport to Hospital ER.  At approximately 1700 Nursing Home received word that all scans/x-rays were normal and resident would be returning to Nursing Home. Some time after this notification while resident was still in the ER he developed a cardiac dysrhythmia which he succumbed to.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count decreased, SARS-CoV-2 test, Staphylococcus test positive, Troponin, White blood cell count increased
Clinical narrative: No immediate adverse events or signs/symptoms post vaccination.  On 12/03/2021 at approximately 1420 Patient was found on the floor by staff from a fall incident he was complaining of pain to neck and back and due to personal hx of cervical fractures EMS notified for transport to ER. Poor oxygenation noted and oxygen applied via nasal cannula while awaiting EMS transport to Hospital ER.  At approximately 1700 Nursing Home received word that all scans/x-rays were normal and resident would be returning to Nursing Home. Some time after this notification while resident was still in the ER he developed a cardiac dysrhythmia which he succumbed to.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: No immediate adverse events or signs/symptoms post vaccination.  On 12/03/2021 at approximately 1420 Patient was found on the floor by staff from a fall incident he was complaining of pain to neck and back and due to personal hx of cervical fractures EMS notified for transport to ER. Poor oxygenation noted and oxygen applied via nasal cannula while awaiting EMS transport to Hospital ER.  At approximately 1700 Nursing Home received word that all scans/x-rays were normal and resident would be returning to Nursing Home. Some time after this notification while resident was still in the ER he developed a cardiac dysrhythmia which he succumbed to.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test normal, Dizziness, Fatigue, Headache
Clinical narrative: Started with being lightheaded and tinnitus several minutes after shot on a Friday. Within hours, runny nose, nausea, and fatigue. That night, started a fever, sore throat, teeth ached, stiffness in neck, and strong abdominal pain.  The next day I stayed in bed. When my fever reached 102.7, I went to emergency room. I tested negative for COVID, flu, strep, UTI. Due to the high fever, my skin was hurting/sensitive and I was sensitive to light and noise. My fever dropped after taking ibuprofen. The following two days, the headache, slight fever, and body soreness continue. I took off work on Monday.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperacusis, Influenza virus test negative, Musculoskeletal stiffness, Nausea, Oropharyngeal pain
Clinical narrative: Started with being lightheaded and tinnitus several minutes after shot on a Friday. Within hours, runny nose, nausea, and fatigue. That night, started a fever, sore throat, teeth ached, stiffness in neck, and strong abdominal pain.  The next day I stayed in bed. When my fever reached 102.7, I went to emergency room. I tested negative for COVID, flu, strep, UTI. Due to the high fever, my skin was hurting/sensitive and I was sensitive to light and noise. My fever dropped after taking ibuprofen. The following two days, the headache, slight fever, and body soreness continue. I took off work on Monday.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain of skin, Photophobia, Pyrexia, Rhinorrhoea
Clinical narrative: Started with being lightheaded and tinnitus several minutes after shot on a Friday. Within hours, runny nose, nausea, and fatigue. That night, started a fever, sore throat, teeth ached, stiffness in neck, and strong abdominal pain.  The next day I stayed in bed. When my fever reached 102.7, I went to emergency room. I tested negative for COVID, flu, strep, UTI. Due to the high fever, my skin was hurting/sensitive and I was sensitive to light and noise. My fever dropped after taking ibuprofen. The following two days, the headache, slight fever, and body soreness continue. I took off work on Monday.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sensitive skin, Streptococcus test negative, Tinnitus, Toothache
Clinical narrative: Started with being lightheaded and tinnitus several minutes after shot on a Friday. Within hours, runny nose, nausea, and fatigue. That night, started a fever, sore throat, teeth ached, stiffness in neck, and strong abdominal pain.  The next day I stayed in bed. When my fever reached 102.7, I went to emergency room. I tested negative for COVID, flu, strep, UTI. Due to the high fever, my skin was hurting/sensitive and I was sensitive to light and noise. My fever dropped after taking ibuprofen. The following two days, the headache, slight fever, and body soreness continue. I took off work on Monday.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Started with being lightheaded and tinnitus several minutes after shot on a Friday. Within hours, runny nose, nausea, and fatigue. That night, started a fever, sore throat, teeth ached, stiffness in neck, and strong abdominal pain.  The next day I stayed in bed. When my fever reached 102.7, I went to emergency room. I tested negative for COVID, flu, strep, UTI. Due to the high fever, my skin was hurting/sensitive and I was sensitive to light and noise. My fever dropped after taking ibuprofen. The following two days, the headache, slight fever, and body soreness continue. I took off work on Monday.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Hyperhidrosis, Pain, Vomiting
Clinical narrative: Diarrhea, vomiting, sweating, fatigue, body aches.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: headache, nausea, vomiting
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: THE DOSE GIVEN TO THIS PATIENT WAS LEFTOVER FROM DRAW DATE 11/24/21 SO IT WAS AN EXPIRED DOSE. WE WILL CALL PFIZER TO SEE IF A REPEAT DOSE SHOULD BE ADMINISTERED.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Illness
Clinical narrative: About an hour after the vaccine, I developed a bad headache.  12 hours after booster, I literally could not move the arm I had the vaccine in (L). I awoke with chills and a fever of 102°. I?ve been sick ever since, now on a full day #2.  I?m exhausted mostly, but still have a slight fever. I?ve also experienced, ?brain zaps??almost like an electrical current traveling in my brain. I?ve read that others have experienced the same.  It doesn?t make sense that a virus that isn?t, ?live? would make people so sick?! Needless to say, I?m concerned.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pyrexia
Clinical narrative: About an hour after the vaccine, I developed a bad headache.  12 hours after booster, I literally could not move the arm I had the vaccine in (L). I awoke with chills and a fever of 102°. I?ve been sick ever since, now on a full day #2.  I?m exhausted mostly, but still have a slight fever. I?ve also experienced, ?brain zaps??almost like an electrical current traveling in my brain. I?ve read that others have experienced the same.  It doesn?t make sense that a virus that isn?t, ?live? would make people so sick?! Needless to say, I?m concerned.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Vaccine positive rechallenge
Clinical narrative: rash on thighs and stomach after both covid vaccines; treating with zyrtec and cortisone rash is not urticarial, developed the next day
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID case, asymptomatic, hospitalized for other reasons, incidental find on testing protocol.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, Condition aggravated, Sleep disorder
Clinical narrative: knee issues, sleep issues
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site rash, Injection site swelling, Lymphadenopathy, Nausea
Clinical narrative: 11/26 evening feverish, chills 11/27 morning nauseau, fatigue, rash & swelling at injection site, swollen  lymph under arm (left arm, injection arm) 11/28 - 12/1  raised itchy rash on non injection arm (right), spreading to underarm & side right breast 12/1 prescription for triamcinolone acetonide ointment , 0.1%, 2x daily 12/6 rash abating
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash pruritic
Clinical narrative: 11/26 evening feverish, chills 11/27 morning nauseau, fatigue, rash & swelling at injection site, swollen  lymph under arm (left arm, injection arm) 11/28 - 12/1  raised itchy rash on non injection arm (right), spreading to underarm & side right breast 12/1 prescription for triamcinolone acetonide ointment , 0.1%, 2x daily 12/6 rash abating
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Condition aggravated, Rash
Clinical narrative: The patient developed a rash on her chest and armpits. It has happened in the past in the winter season, but it worsened after the vaccination.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Chest discomfort, Chest pain, Condition aggravated, Interchange of vaccine products
Clinical narrative: I had COVID in late January 2021. I received my first two doses of the Pfizer vaccine in April 2021. The day after I received my Moderna booster, I woke up with painful, large and puffy lips, which has never happened to me before. Benadryl eased the symptoms. For the past 5 weeks, I have had incidences of severe and itchy hives about 4 times a week all over my body but mostly on my torso (sometimes on my hands and face), painful puffy lips about 4 times a week (sometimes on the same days, sometimes not), extremely painful chest tightness twice (once on 11/17 and once on 12/5), extremely painful knuckle joint tightness in my hands (for about a week, the week of 11/29), and occasionally a swollen tongue. Benadryl eases the symptoms and Claritin and Allegra do not have any noticeable effects. I have not found a way to ease the symptoms. I saw my primary care physician who referred me to an allergist and provided no treatment. I also lost my smell the day I received the vaccine (11/1) and it has mostly returned by about 11/22.