chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer, Gait disturbance, Human metapneumovirus test, Human rhinovirus test
Clinical narrative: Patient discharged after (11) day inpatient admission. H & P: Patient is a 70 y.o. male who presents today with intense fatigue, malaise, anorexia for the past few weeks. He tested positive for Covid 11 days ago, finally comes in because he cannot care for himself, can barely walk. He has PMH of chronic back pain, never smoker, he is vaccinated. In the ED, he is normoxic on RA, vital stable, but very weak. He has some chest pain that sounds like costochondritis, he is given Toradol. CXR shows bilateral infiltrates. He requires admission for Covid infection with bilateral pneumonia.  Assessment & Plan -He says he's had s/s for a few weeks -Normoxic on RA, but very fatigued -Tested (+) on 11/22, so unfortunately not eligible for MAB's -Dimer 640, ferritin 937  -Has been eating/drinking very little for the past week at least -However is hungry now; appears dry, give 500mL NS to total 1500 fluids IV -Give Lovenox/dexamethasone BID, vit's, mucinex   Bilateral pulmonary infiltrates on CXR Assessment & Plan -Consistent with Covid pneumonia -However with prolonged course, age will cover for CAP   Hyponatremia Assessment & Plan -Mild at 133, expect to improve with diet/cautious fluids   Elevated C-reactive protein (CRP) Assessment & Plan -Secondary to Covid, likely
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Hunger, Hyponatraemia, Hypophagia, Hypoxia, Inappropriate schedule of product administration
Clinical narrative: Patient discharged after (11) day inpatient admission. H & P: Patient is a 70 y.o. male who presents today with intense fatigue, malaise, anorexia for the past few weeks. He tested positive for Covid 11 days ago, finally comes in because he cannot care for himself, can barely walk. He has PMH of chronic back pain, never smoker, he is vaccinated. In the ED, he is normoxic on RA, vital stable, but very weak. He has some chest pain that sounds like costochondritis, he is given Toradol. CXR shows bilateral infiltrates. He requires admission for Covid infection with bilateral pneumonia.  Assessment & Plan -He says he's had s/s for a few weeks -Normoxic on RA, but very fatigued -Tested (+) on 11/22, so unfortunately not eligible for MAB's -Dimer 640, ferritin 937  -Has been eating/drinking very little for the past week at least -However is hungry now; appears dry, give 500mL NS to total 1500 fluids IV -Give Lovenox/dexamethasone BID, vit's, mucinex   Bilateral pulmonary infiltrates on CXR Assessment & Plan -Consistent with Covid pneumonia -However with prolonged course, age will cover for CAP   Hyponatremia Assessment & Plan -Mild at 133, expect to improve with diet/cautious fluids   Elevated C-reactive protein (CRP) Assessment & Plan -Secondary to Covid, likely
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Loss of personal independence in daily activities, Lung infiltration
Clinical narrative: Patient discharged after (11) day inpatient admission. H & P: Patient is a 70 y.o. male who presents today with intense fatigue, malaise, anorexia for the past few weeks. He tested positive for Covid 11 days ago, finally comes in because he cannot care for himself, can barely walk. He has PMH of chronic back pain, never smoker, he is vaccinated. In the ED, he is normoxic on RA, vital stable, but very weak. He has some chest pain that sounds like costochondritis, he is given Toradol. CXR shows bilateral infiltrates. He requires admission for Covid infection with bilateral pneumonia.  Assessment & Plan -He says he's had s/s for a few weeks -Normoxic on RA, but very fatigued -Tested (+) on 11/22, so unfortunately not eligible for MAB's -Dimer 640, ferritin 937  -Has been eating/drinking very little for the past week at least -However is hungry now; appears dry, give 500mL NS to total 1500 fluids IV -Give Lovenox/dexamethasone BID, vit's, mucinex   Bilateral pulmonary infiltrates on CXR Assessment & Plan -Consistent with Covid pneumonia -However with prolonged course, age will cover for CAP   Hyponatremia Assessment & Plan -Mild at 133, expect to improve with diet/cautious fluids   Elevated C-reactive protein (CRP) Assessment & Plan -Secondary to Covid, likely
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Malaise, Mycoplasma test negative, Pleuritic pain, Pneumonia
Clinical narrative: Patient discharged after (11) day inpatient admission. H & P: Patient is a 70 y.o. male who presents today with intense fatigue, malaise, anorexia for the past few weeks. He tested positive for Covid 11 days ago, finally comes in because he cannot care for himself, can barely walk. He has PMH of chronic back pain, never smoker, he is vaccinated. In the ED, he is normoxic on RA, vital stable, but very weak. He has some chest pain that sounds like costochondritis, he is given Toradol. CXR shows bilateral infiltrates. He requires admission for Covid infection with bilateral pneumonia.  Assessment & Plan -He says he's had s/s for a few weeks -Normoxic on RA, but very fatigued -Tested (+) on 11/22, so unfortunately not eligible for MAB's -Dimer 640, ferritin 937  -Has been eating/drinking very little for the past week at least -However is hungry now; appears dry, give 500mL NS to total 1500 fluids IV -Give Lovenox/dexamethasone BID, vit's, mucinex   Bilateral pulmonary infiltrates on CXR Assessment & Plan -Consistent with Covid pneumonia -However with prolonged course, age will cover for CAP   Hyponatremia Assessment & Plan -Mild at 133, expect to improve with diet/cautious fluids   Elevated C-reactive protein (CRP) Assessment & Plan -Secondary to Covid, likely
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: Patient discharged after (11) day inpatient admission. H & P: Patient is a 70 y.o. male who presents today with intense fatigue, malaise, anorexia for the past few weeks. He tested positive for Covid 11 days ago, finally comes in because he cannot care for himself, can barely walk. He has PMH of chronic back pain, never smoker, he is vaccinated. In the ED, he is normoxic on RA, vital stable, but very weak. He has some chest pain that sounds like costochondritis, he is given Toradol. CXR shows bilateral infiltrates. He requires admission for Covid infection with bilateral pneumonia.  Assessment & Plan -He says he's had s/s for a few weeks -Normoxic on RA, but very fatigued -Tested (+) on 11/22, so unfortunately not eligible for MAB's -Dimer 640, ferritin 937  -Has been eating/drinking very little for the past week at least -However is hungry now; appears dry, give 500mL NS to total 1500 fluids IV -Give Lovenox/dexamethasone BID, vit's, mucinex   Bilateral pulmonary infiltrates on CXR Assessment & Plan -Consistent with Covid pneumonia -However with prolonged course, age will cover for CAP   Hyponatremia Assessment & Plan -Mild at 133, expect to improve with diet/cautious fluids   Elevated C-reactive protein (CRP) Assessment & Plan -Secondary to Covid, likely
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and hospitalized with COVID while fully vaccinated
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: During data entry I found this individual to have 4 doses of COVID vaccine.  3 full doses of Pfizer received on dates 1/26/21, 2/16/21, and 8/4/21. 1 Full dose of Moderna received on 12/15/21 at our vaccine clinic. to total 4 doses.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Patient was administer 0.3 mL of undiluted Pfizer Vaccine. Pt. offered MD exam to include EKG and troponin levels with follow up. Pt has no complains.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: pt received full dose and not booster dose, no adverse reactions reported
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Mobility decreased, Pain, Pain in extremity
Clinical narrative: I had the anticipated sore upper arm for a week or so.  1-2 weeks after getting the injection, I had severe, burning pain in my upper arm that was almost paralyzing. I continued to have the burning sensation off and on for several days. I could not lift or use my arm, or sleep on it, without severe pain. The issue mostly subsided after 4 weeks, but occasionally occurred when I reached for something.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Anal haemorrhage, Colitis ulcerative, Headache, Laboratory test
Clinical narrative: I woke up Monday morning with fever, Headache and abdominal pain like I was constipated, the fever lasted 2 days, low grade headache that lasted a few days. Abdominal pain lasted almost a week. well not completely gone but it was mostly better. Tuesday night I went to the bathroom and blood was coming out of my bottom so I decided to go to the hospital and I was there for 2 days. They gave me antibiotics and watched to see if the bleeding stopped. I was release the second day.  a few days I was referred with a GI and I ended up seen a doctor. He said It could be Ulcerative colitis. I was given 2 antibiotics.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I woke up Monday morning with fever, Headache and abdominal pain like I was constipated, the fever lasted 2 days, low grade headache that lasted a few days. Abdominal pain lasted almost a week. well not completely gone but it was mostly better. Tuesday night I went to the bathroom and blood was coming out of my bottom so I decided to go to the hospital and I was there for 2 days. They gave me antibiotics and watched to see if the bleeding stopped. I was release the second day.  a few days I was referred with a GI and I ended up seen a doctor. He said It could be Ulcerative colitis. I was given 2 antibiotics.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Joint stiffness, Joint swelling, Sleep disorder
Clinical narrative: pain, swelling, stiffness and burning of joints of hands starting within 24 hours of the first dose.  Pain, swelling, stiffness of fingers persists thru current day.  Pain in fingers will awaken me from sleep.  Joints remain enlarged and joints of hips, knees, and feet are also worse since initial vaccine.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 vaccine pediatric formulation (5-11 years) that may have been reconstituted with a single-use vial of 0.9% NS entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single-use only (to take out 1.3mL then discard). Each time the vial was used, it was swabbed with alcohol and a new syringe was used to enter the vial to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9% NS vial disposed of at the end of each day. The patient did not experience any adverse reaction. At recommendation and due to lack of stability data, it was advised to revaccinate the patient.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Oxygen saturation decreased, Swallow study
Clinical narrative: Reported completed by wife: He was rushed to the hospital on March 01, 2021 and was released from the hospital and sent to rehab at a different hospital (PRIVACY) due to oxygen levels being low. When he went to rehab, his symptoms declined and they sent him by ambulance back to the hospital where he passed away May 27, 2021. He was in hospital hospice ward at the time. He was in the hospital for 14 days the first and the 2nd time he died.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Seizure
Clinical narrative: first ever non febrile seizure on 11/29/21 and second seizure, also without fever, on 12/9/21
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Delirium, White blood cell count decreased
Clinical narrative: On day #2 her white count fell significantly. She did get quite delirious and was up in her room, no longer requiring oxygen, though her sats were about 89%
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Product storage error, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Incorrect dose administered, Injection site pain, Injection site swelling
Clinical narrative: PATIENT WAS ADMINISTERED 0.3ML OF UNDILUTED PFIZER VACCINE. PT WAS OFFERED AN MD EVALUATING TO INCLUDE AN EKG AND TROPONIN LEVEL. PT REPORTS PAIN AT SITE, SWELLING AT SITE, JOINT AND MUSCLE PAIN, AND HEADACHE. SHE IS TO BE SEEN BY MD  ON 12/17/21.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Product preparation issue
Clinical narrative: PATIENT WAS ADMINISTERED 0.3ML OF UNDILUTED PFIZER VACCINE. PT WAS OFFERED AN MD EVALUATING TO INCLUDE AN EKG AND TROPONIN LEVEL. PT REPORTS PAIN AT SITE, SWELLING AT SITE, JOINT AND MUSCLE PAIN, AND HEADACHE. SHE IS TO BE SEEN BY MD  ON 12/17/21.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vial put into refrigerator 11/01/2021. Used beyond 31 days.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Antinuclear antibody positive, Arthralgia, Blood creatine phosphokinase, Blood folate
Clinical narrative: 9/1/2021 Vaccination. Gradually into October 2021, I started to experience increase in pain. The pain radiated from hips, knee, shoulders, etc. It hurt to do daily functions. I had a hard time walking, driving, etc. 10/8 Prednisone, medication prescribed for inflammation. Treating me for PMR. 80 mg prednisone for about 3 weeks. Methotrexate prescribed, as well. Pain was still not under control. As time went on, I started to have pain in my wrist and thumb. The doctor stated then it was probably not the PMR but rather Geriatric Rheumatoid Arthritis. I am now receiving injections every other week.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Gait disturbance, Impaired driving ability, Inflammation, Pain
Clinical narrative: 9/1/2021 Vaccination. Gradually into October 2021, I started to experience increase in pain. The pain radiated from hips, knee, shoulders, etc. It hurt to do daily functions. I had a hard time walking, driving, etc. 10/8 Prednisone, medication prescribed for inflammation. Treating me for PMR. 80 mg prednisone for about 3 weeks. Methotrexate prescribed, as well. Pain was still not under control. As time went on, I started to have pain in my wrist and thumb. The doctor stated then it was probably not the PMR but rather Geriatric Rheumatoid Arthritis. I am now receiving injections every other week.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rheumatoid arthritis, Rheumatoid factor, Vitamin B12
Clinical narrative: 9/1/2021 Vaccination. Gradually into October 2021, I started to experience increase in pain. The pain radiated from hips, knee, shoulders, etc. It hurt to do daily functions. I had a hard time walking, driving, etc. 10/8 Prednisone, medication prescribed for inflammation. Treating me for PMR. 80 mg prednisone for about 3 weeks. Methotrexate prescribed, as well. Pain was still not under control. As time went on, I started to have pain in my wrist and thumb. The doctor stated then it was probably not the PMR but rather Geriatric Rheumatoid Arthritis. I am now receiving injections every other week.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dyspnoea, Erythema, Insomnia
Clinical narrative: Right after I got my second COVID vaccine in late September I had a very strong reaction to it- severe chills, extremely swollen lymphnodes in neck even causing redness on my skin in that area, and diarrhea. I thought I had gotten past my symptoms but I began having a much higher sensitivity to lung irritants like smoke and steam and allergens, things like that, but in those instances I would have some shortness of breath for half a day or so but it usually went away with no trouble.  Beginning on Friday October 15th, some time in the evening, I became slightly short of breath. Throughout the night it got worse and was more difficult to breathe. I thought it may have been another symptom associated to my strong allergy symptoms I was experiencing that same day, so I took my over the counter allergy medicine. That did not help and my symptoms continued to get worse through the weekend so all I did was try to rest and treat it with what I had in my medicine cabinet. By Sunday night-10/17- I was unable to sleep because it was so difficult to breathe. I tried everything I could think of to alleviate my symptoms- hot shower, Mucinex (even though it did not feel like a build up of mucus and I was not coughing anything up I wanted to see if it would help), Delsym cough medicine, lots of fluids and rest, allergy medicine: bednadryl & xyzal- but nothing was working so I finally called the Teladoc line to speak with a doctor.  I spoke with a doctor first thing Monday morning and he prescribed me an Albuterol inhaler, benzonatate for coughing, and some steroids to improve my lungs. The medicine helped right away, but it was still a little difficult to breath for the next few weeks. At this point 2 months later I still have to use my inhaler several times a week and am very sensitive to things like smoke, dust, steam, etc anything that could irritate my lungs. Sometimes I wake up in the middle of the night with trouble breathing and have to go use the inhaler. I have an appointment scheduled with a doctor in February for further testing since I have not fully recovered.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Respiratory tract irritation, Sleep disorder, Smoke sensitivity
Clinical narrative: Right after I got my second COVID vaccine in late September I had a very strong reaction to it- severe chills, extremely swollen lymphnodes in neck even causing redness on my skin in that area, and diarrhea. I thought I had gotten past my symptoms but I began having a much higher sensitivity to lung irritants like smoke and steam and allergens, things like that, but in those instances I would have some shortness of breath for half a day or so but it usually went away with no trouble.  Beginning on Friday October 15th, some time in the evening, I became slightly short of breath. Throughout the night it got worse and was more difficult to breathe. I thought it may have been another symptom associated to my strong allergy symptoms I was experiencing that same day, so I took my over the counter allergy medicine. That did not help and my symptoms continued to get worse through the weekend so all I did was try to rest and treat it with what I had in my medicine cabinet. By Sunday night-10/17- I was unable to sleep because it was so difficult to breathe. I tried everything I could think of to alleviate my symptoms- hot shower, Mucinex (even though it did not feel like a build up of mucus and I was not coughing anything up I wanted to see if it would help), Delsym cough medicine, lots of fluids and rest, allergy medicine: bednadryl & xyzal- but nothing was working so I finally called the Teladoc line to speak with a doctor.  I spoke with a doctor first thing Monday morning and he prescribed me an Albuterol inhaler, benzonatate for coughing, and some steroids to improve my lungs. The medicine helped right away, but it was still a little difficult to breath for the next few weeks. At this point 2 months later I still have to use my inhaler several times a week and am very sensitive to things like smoke, dust, steam, etc anything that could irritate my lungs. Sometimes I wake up in the middle of the night with trouble breathing and have to go use the inhaler. I have an appointment scheduled with a doctor in February for further testing since I have not fully recovered.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: pt received full dose and not booster dose, no adverse reaction reported
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Physical assault, Screaming
Clinical narrative: Behavior is out of control. Screaming and hitting, which was not normal before the second shot is now daily.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: chills/ fevers/ body aches/headache/fatigue for 48 hrs after vaccination
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: HOSPITALIZATION COVID-19 BREAKTHROUGH CASE
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Pain, Pyrexia, Urticaria
Clinical narrative: Patient calls today 12/16/2021  to report shortness of breath , fever chills and bodyaches and widespread hives that started 3 hrs after receiving the booster on Dec 14th, 2021. Patient reports she will go to the local ER.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vial put into refrigerator 11/01/2021. used beyond 31 days.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Product preparation issue
Clinical narrative: Patient was administer 0.3 mL of undiluted Pfizer Vaccine.  Pt. offered MD exam to include EKG and troponin levels with follow up.  Pt  complains of muscle aches and headache both are currently improving.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received Pfizer 5-11 instead of Pfizer 12+
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hormone level abnormal, Hot flush, Hyperhidrosis, Irritability
Clinical narrative: I received my vaccine #1 03/27/21 and then the 2nd does 4/24/21 and my periods become irregular and more frequent in btw both doses and thereafter for a couple months. I got two sets of labs for these and they looked like I was going perimenapause but then they just balanced out over the summer with no problem.   In Nov on the 19th of 2021 I went for my booster shot and the next day my body began to have Hot flashes, into sweats, into chills, aches etc and for the last 4 weeks to date this has not let up. My mood is more irritable and eventually I went to my doctor who thinks I could be perimenopause again. I am on progesterone for the next week until I receive my period and then I'm going to get labs that he has ordered. I am also seeing a specialist.  this is not a coincidence that the vaccine created an irregularity with my hormones and then the booster has basically triggered me into early menopause. I am in the process of seeing doctors
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Menopause, Pain, Premature menopause
Clinical narrative: I received my vaccine #1 03/27/21 and then the 2nd does 4/24/21 and my periods become irregular and more frequent in btw both doses and thereafter for a couple months. I got two sets of labs for these and they looked like I was going perimenapause but then they just balanced out over the summer with no problem.   In Nov on the 19th of 2021 I went for my booster shot and the next day my body began to have Hot flashes, into sweats, into chills, aches etc and for the last 4 weeks to date this has not let up. My mood is more irritable and eventually I went to my doctor who thinks I could be perimenopause again. I am on progesterone for the next week until I receive my period and then I'm going to get labs that he has ordered. I am also seeing a specialist.  this is not a coincidence that the vaccine created an irregularity with my hormones and then the booster has basically triggered me into early menopause. I am in the process of seeing doctors
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Blood test normal, Blood thyroid stimulating hormone, Erythema, Injection site pain
Clinical narrative: Shot administered on 11/30 at/around 5:45pm Day 1 post vaccination - arm very sore, large amount of swelling at injection site, sore in armpit Day 2 post vaccination - arm still very sore, swelling same at injection site, armpit extemely sore, lower left arm very achy, hand tingly Day 3 post vaccination - everything begins to get better; most of the swelling gone at injection site, lower arm/hand is fine, arm pit still very sore Day 4 post vaccination - everything back to normal 12/12 - Day 12 post vaccination - woke up and went for am walk & upon my return/entering home, the palms of my hands began to inch.  I also had a localized itch on my lower left side torso w/ what looked like a small amount of prickly heat rash.  It eventually went away after about 20 mins. Around 1pm, the itching returned to my palms, between my fingers, my arms, and soles of my feet.  I began breaking out in hives on the lower insides of my arms only.  I applied the equivalent of calamine lotion.  The event lasted about 25 mins.  As the day progressed, I began having more and more incidents of chronic itching/scratching.  At 12:30am on Monday, 12/13, I woke up due to the chronic itch on my torso and upon review, my torso was bright red w/ what looked like heat rash.  My hands and soles of my feets were also very itching along w/ my private area.  The event lasted about 45 mins.  As Monday progressed, I had itching all over except my back and back of legs.  I also had itching inside my ears and vaginally. I had a 3pm doctor appointment later in the day, where I was prescribed a six day dose of Methylprednisone, hydroxyzine 10mg, OTC allegra, and to get my TSH and T4 bloodwork completed to ensure not a thyroid issue.  My bloodwork was drawn at 4pm on Monday 12/13, prior to beginning any medication, which came back fine.  Monday evening I began the oral steroid (6 pills) and took one hydroxyzine (which i will never take again because of the hangover the next day).  Tuesday 12/14 - upon waking up, all itching was gone.  Wednesday 12/15 - no itching; Thursday 12/16 - while out running errands, the center of my face (both cheeks and center of nose) became hot, beat red, and slightly swollen.  This may be due to the warmer temps of 65 degrees and the sun hitting my face while on a steroid.  I immediately turned the air conditioner on in my car to cool off my face which felt good.  I went home after this event to get out of the heat and away from any of the suns rays.  My upper chest also felt flush.  Upon arriving home, I immediately took an Allegra (180mg) with 20 oz of water just incase the "flare" wasn't related to the heat/sun/steroid.  We are now current thru 12/16 3:19pm
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Miliaria, Pain in extremity, Paraesthesia, Pruritus
Clinical narrative: Shot administered on 11/30 at/around 5:45pm Day 1 post vaccination - arm very sore, large amount of swelling at injection site, sore in armpit Day 2 post vaccination - arm still very sore, swelling same at injection site, armpit extemely sore, lower left arm very achy, hand tingly Day 3 post vaccination - everything begins to get better; most of the swelling gone at injection site, lower arm/hand is fine, arm pit still very sore Day 4 post vaccination - everything back to normal 12/12 - Day 12 post vaccination - woke up and went for am walk & upon my return/entering home, the palms of my hands began to inch.  I also had a localized itch on my lower left side torso w/ what looked like a small amount of prickly heat rash.  It eventually went away after about 20 mins. Around 1pm, the itching returned to my palms, between my fingers, my arms, and soles of my feet.  I began breaking out in hives on the lower insides of my arms only.  I applied the equivalent of calamine lotion.  The event lasted about 25 mins.  As the day progressed, I began having more and more incidents of chronic itching/scratching.  At 12:30am on Monday, 12/13, I woke up due to the chronic itch on my torso and upon review, my torso was bright red w/ what looked like heat rash.  My hands and soles of my feets were also very itching along w/ my private area.  The event lasted about 45 mins.  As Monday progressed, I had itching all over except my back and back of legs.  I also had itching inside my ears and vaginally. I had a 3pm doctor appointment later in the day, where I was prescribed a six day dose of Methylprednisone, hydroxyzine 10mg, OTC allegra, and to get my TSH and T4 bloodwork completed to ensure not a thyroid issue.  My bloodwork was drawn at 4pm on Monday 12/13, prior to beginning any medication, which came back fine.  Monday evening I began the oral steroid (6 pills) and took one hydroxyzine (which i will never take again because of the hangover the next day).  Tuesday 12/14 - upon waking up, all itching was gone.  Wednesday 12/15 - no itching; Thursday 12/16 - while out running errands, the center of my face (both cheeks and center of nose) became hot, beat red, and slightly swollen.  This may be due to the warmer temps of 65 degrees and the sun hitting my face while on a steroid.  I immediately turned the air conditioner on in my car to cool off my face which felt good.  I went home after this event to get out of the heat and away from any of the suns rays.  My upper chest also felt flush.  Upon arriving home, I immediately took an Allegra (180mg) with 20 oz of water just incase the "flare" wasn't related to the heat/sun/steroid.  We are now current thru 12/16 3:19pm
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Thyroxine normal, Urticaria
Clinical narrative: Shot administered on 11/30 at/around 5:45pm Day 1 post vaccination - arm very sore, large amount of swelling at injection site, sore in armpit Day 2 post vaccination - arm still very sore, swelling same at injection site, armpit extemely sore, lower left arm very achy, hand tingly Day 3 post vaccination - everything begins to get better; most of the swelling gone at injection site, lower arm/hand is fine, arm pit still very sore Day 4 post vaccination - everything back to normal 12/12 - Day 12 post vaccination - woke up and went for am walk & upon my return/entering home, the palms of my hands began to inch.  I also had a localized itch on my lower left side torso w/ what looked like a small amount of prickly heat rash.  It eventually went away after about 20 mins. Around 1pm, the itching returned to my palms, between my fingers, my arms, and soles of my feet.  I began breaking out in hives on the lower insides of my arms only.  I applied the equivalent of calamine lotion.  The event lasted about 25 mins.  As the day progressed, I began having more and more incidents of chronic itching/scratching.  At 12:30am on Monday, 12/13, I woke up due to the chronic itch on my torso and upon review, my torso was bright red w/ what looked like heat rash.  My hands and soles of my feets were also very itching along w/ my private area.  The event lasted about 45 mins.  As Monday progressed, I had itching all over except my back and back of legs.  I also had itching inside my ears and vaginally. I had a 3pm doctor appointment later in the day, where I was prescribed a six day dose of Methylprednisone, hydroxyzine 10mg, OTC allegra, and to get my TSH and T4 bloodwork completed to ensure not a thyroid issue.  My bloodwork was drawn at 4pm on Monday 12/13, prior to beginning any medication, which came back fine.  Monday evening I began the oral steroid (6 pills) and took one hydroxyzine (which i will never take again because of the hangover the next day).  Tuesday 12/14 - upon waking up, all itching was gone.  Wednesday 12/15 - no itching; Thursday 12/16 - while out running errands, the center of my face (both cheeks and center of nose) became hot, beat red, and slightly swollen.  This may be due to the warmer temps of 65 degrees and the sun hitting my face while on a steroid.  I immediately turned the air conditioner on in my car to cool off my face which felt good.  I went home after this event to get out of the heat and away from any of the suns rays.  My upper chest also felt flush.  Upon arriving home, I immediately took an Allegra (180mg) with 20 oz of water just incase the "flare" wasn't related to the heat/sun/steroid.  We are now current thru 12/16 3:19pm
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Chills, Electrocardiogram
Clinical narrative: Received the shot at 1:30 in the afternoon. Started feeling feverish and chilled by about 9:00 PM the same evening. Felt flu like symptoms for the following three days, with fever, aches, chills and fatigue. Chest pain started the day after the shot, and was intermittent, but recurring. Flu like symptoms came back a week after shot, with chest pain increasing in severity and becoming constant. 101 degree fever 9 days after shot prompted call to doctor for evaluation for chest pain and other symptoms. Primary doctor ran covid and flu tests (both negative) as well as EKG in office. Primary doctor encouraged me to go to ER for full cardiac evaluation
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Influenza virus test negative, Pain, Pyrexia
Clinical narrative: Received the shot at 1:30 in the afternoon. Started feeling feverish and chilled by about 9:00 PM the same evening. Felt flu like symptoms for the following three days, with fever, aches, chills and fatigue. Chest pain started the day after the shot, and was intermittent, but recurring. Flu like symptoms came back a week after shot, with chest pain increasing in severity and becoming constant. 101 degree fever 9 days after shot prompted call to doctor for evaluation for chest pain and other symptoms. Primary doctor ran covid and flu tests (both negative) as well as EKG in office. Primary doctor encouraged me to go to ER for full cardiac evaluation
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Urine analysis
Clinical narrative: Received the shot at 1:30 in the afternoon. Started feeling feverish and chilled by about 9:00 PM the same evening. Felt flu like symptoms for the following three days, with fever, aches, chills and fatigue. Chest pain started the day after the shot, and was intermittent, but recurring. Flu like symptoms came back a week after shot, with chest pain increasing in severity and becoming constant. 101 degree fever 9 days after shot prompted call to doctor for evaluation for chest pain and other symptoms. Primary doctor ran covid and flu tests (both negative) as well as EKG in office. Primary doctor encouraged me to go to ER for full cardiac evaluation
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Developed hives on day 14 after Moderna booster dose. still on going (now day 29 post dose). Rash got worse at night. Can be resolved with Claritin.   With 1st dose on 12/31/2020, I had pain at injection site (left arm) and lymphadenopathy on the left.  with 2nd shot on 1/28/2021, I had fever, chills, nausea, headache for days, and fatigue, body ache for weeks. Also had COVID arm (rash at injection site on day 7 of 2nd shot).
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Sharp pain in injection arm, treatment is in the works still getting tests done
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product administration duration
Clinical narrative: vial put into the refrigerator 11/01/2021. used beyond 31 days.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Diagnosed, hospitalized and expired with COVID while fully vaccinated
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: pt received full dose and not booster dose, no adverse reaction reported
Age: 65.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria, Urticaria chronic
Clinical narrative: Developed Dermatographia and Chronic Hives
Age: 61.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Ejection fraction decreased, Electrocardiogram, Left ventricular hypertrophy, Magnetic resonance imaging heart
Clinical narrative: Chronic myocarditis, reduced ejection fraction, severe LVH in previously healthy, athletic male.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis
Clinical narrative: Chronic myocarditis, reduced ejection fraction, severe LVH in previously healthy, athletic male.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vial put into refrigerator 11/01/2021. used beyond 31 days.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Palpitations
Clinical narrative: Within 3 months of receiving my second dose of the Pfizer Covid vaccine, I began to have heart palpitations that have increased since the date of dosage. They remain to be a problem. I am healthy and in could physical condition, and never had such symptoms before the vaccines.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Incorrect product formulation administered, Myalgia
Clinical narrative: Patient was administer 0.3 mL of undiluted Pfizer Vaccine.  Pt. offered MD exam to include EKG and troponin levels with follow up.  Pt complains of headache and muscle aches both improving.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Product storage error, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Product preparation issue
Clinical narrative: PATIENT WAS ADMINISTERED 0.3ML OF UNDILUTED PFIZER VACCINE. PT WAS OFFERED AN MD EVALUATING TO INCLUDE AN EKG AND TROPONIN LEVEL. PT REPORTS PAIN AT SITE WITH NO OTHER SIDE EFFECTS AND DECLINED MEDICAL EXAM WITH MD.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in right hear since November 29, 2021
Age: 69.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Vaccination site movement impairment
Clinical narrative: Patient says that her shoulder is swollen and she is unable to move her arm.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Diarrhoea, Disorientation, Headache
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 12/15/2021, started experiencing symptoms immediately of severe pain in the lower back pain (sprain). Headache, fever, loose stool, chills, and disorientation lasting 24hrs. No noted Primary visit/communication.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Ligament sprain, Pyrexia
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 12/15/2021, started experiencing symptoms immediately of severe pain in the lower back pain (sprain). Headache, fever, loose stool, chills, and disorientation lasting 24hrs. No noted Primary visit/communication.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: diagnosed, hospitalized and expired while fully vaccinated
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Face oedema, Heart rate increased, Swelling face
Clinical narrative: A 35-year-old female patient reports having an allergy to the Janssen booster dose. Swelling on the left side of the face and redness. By administering the second dose of modern the next day, he created facial edema on the left side of his face and he felt SOB. He is considered alert, does not present edema in the respiratory tract, strong peripheral pulses and presents facial edema.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Dose 1 given 1/30/2021 Pfizer lot # EN9581  Pt was hospitalized for Covid19
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product administration duration
Clinical narrative: vial placed into refrigerator 11/01/2021. used beyond 31 days.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death, SARS-CoV-2 RNA increased
Clinical narrative: Case completed primary Covid vaccine series in March 221, then was hospitalized for and died of Covid in October 2021.  Patient was a lovely 80 year old female with a history of CLL, atrial fibrillation, and COPD who was admitted with acute hypoxic respiratory failure due to covid-19 pneumonia. She had tested positive on 9/30 and had been prescribed dexamethasone as an outpatient. That was continued on admission. After admission she had increasing supplemental oxygen needs despite the steroid. ID was consulted. Her CRP was increasing so she was started on high dose methylprednisolone. A repeat covid test had a cycle threshold of 22 suggesting active viral replication, so she was started on remdesivir. She was also started on baricitinib. Despite these interventions Patient had increasing oxygen requirements. She ultimately elected to transition to comfort care on the evening of 10/10. She died peacefully with her family by her side on the afternoon of 10/11/21.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient given dose 2 at 21 days instead of at 28 days.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient has been vaccinated with a booster dose Pfizer vaccine , with the lot # FG3527 expiration date 02/2022 from a vial that was stored in the fridge and should have been used until 12/12/2021 and patient received vaccine on 12/13/2021 , which resulted in an expired vaccine for one day. Patient di not have any side effects.
Age: 35.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: First dose of the COVID-19 vaccine was given to patient on 11/30/2021. Second dose was given on 12/15/2021, which was 6 days prior to the recommended dosing schedule. Patient's mother was notified of the error and agreed to have vaccine repeated on or after 01/05/2022. No adverse events, outcomes, or treatment needed.  Patient tolerated and is doing well upon reevaluation by phone today.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Night sweats, Pain
Clinical narrative: fevers/chills/night sweats/fatigue/body aches/headache
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fevers/chills/night sweats/fatigue/body aches/headache
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Facial paralysis, Hypoaesthesia
Clinical narrative: Left face numb/ paralyzed starting 7am on 7/15/2021 7/16/2021 Lost of muscle control on left face, can?t close left eye, half smile, can?t raise left eyebrow 1pm went to hospital  Bells Palsy
Age: 26.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, C-reactive protein, Differential white blood cell count, Discomfort, Fatigue
Clinical narrative: 11/25: Mild Sore arm at injection area; 11/26: Got increasing generalized myalgias; Muscles were weak; Felt very tired; 11/27: Symptoms stronger; added fever. Took Tylenol; 11/28: Added feelings of numbness/pins&needles on the legs and all over his back (and scalp according to ER note)  Says couldn't move out of bed readily due to an uncomfortable sensation 'halfway between tickle and pain'. Felt dehydrated. Temps to 102 in spite of tylenol.  By that night, temps to 103.5 in spite of tylenol so went to ER as above. After ER: 11/29: Felt exhausted, muscles very sore; 11/30: Felt exhausted, muscles very sore; 12/01: Felt exhausted, muscles very sore; 12/02: Muscle soreness fading to a stiffness feeling instead. Felt cycles of energy and no energy; 12/03: Improving, but still some aches, and still feels like tires more easily. No urine changes.  No rash.
Age: 26.0
Sex: M
Vaccine: FLU4
Symptoms: Full blood count, Hypoaesthesia, Injection site pain, Metabolic function test, Mobility decreased
Clinical narrative: 11/25: Mild Sore arm at injection area; 11/26: Got increasing generalized myalgias; Muscles were weak; Felt very tired; 11/27: Symptoms stronger; added fever. Took Tylenol; 11/28: Added feelings of numbness/pins&needles on the legs and all over his back (and scalp according to ER note)  Says couldn't move out of bed readily due to an uncomfortable sensation 'halfway between tickle and pain'. Felt dehydrated. Temps to 102 in spite of tylenol.  By that night, temps to 103.5 in spite of tylenol so went to ER as above. After ER: 11/29: Felt exhausted, muscles very sore; 11/30: Felt exhausted, muscles very sore; 12/01: Felt exhausted, muscles very sore; 12/02: Muscle soreness fading to a stiffness feeling instead. Felt cycles of energy and no energy; 12/03: Improving, but still some aches, and still feels like tires more easily. No urine changes.  No rash.
Age: 26.0
Sex: M
Vaccine: FLU4
Symptoms: Muscular weakness, Myalgia, Pain, Paraesthesia, Pyrexia
Clinical narrative: 11/25: Mild Sore arm at injection area; 11/26: Got increasing generalized myalgias; Muscles were weak; Felt very tired; 11/27: Symptoms stronger; added fever. Took Tylenol; 11/28: Added feelings of numbness/pins&needles on the legs and all over his back (and scalp according to ER note)  Says couldn't move out of bed readily due to an uncomfortable sensation 'halfway between tickle and pain'. Felt dehydrated. Temps to 102 in spite of tylenol.  By that night, temps to 103.5 in spite of tylenol so went to ER as above. After ER: 11/29: Felt exhausted, muscles very sore; 11/30: Felt exhausted, muscles very sore; 12/01: Felt exhausted, muscles very sore; 12/02: Muscle soreness fading to a stiffness feeling instead. Felt cycles of energy and no energy; 12/03: Improving, but still some aches, and still feels like tires more easily. No urine changes.  No rash.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Joint pain in the knees and elbows
Age: 48.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product administration duration, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Headache, Influenza like illness, Product preparation issue
Clinical narrative: Patient was administer 0.3 mL of undiluted Pfizer Vaccine.  Pt. offered MD exam to include EKG and troponin levels with follow up.  Pt complains of flu like symptoms and severe headache.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antibody test normal, Blepharospasm, Blood test normal, Chest pain, Chills
Clinical narrative: Patient was administer 0.3 mL of undiluted Pfizer Vaccine.  Pt. offered MD exam to include EKG and troponin levels with follow up.  Pt complains of flu like symptoms and severe headache.