chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia, Swollen tongue
Clinical narrative: This patient is a 33-year-old female that presents by EMS where she received her first Pfizer vaccine.  She states because of her listed allergies she was told she had to wait 30 minutes.  She was sitting there waiting and began to feel jittery and fuzzy and walked up to the desk and told them that she was apparently little sweaty and ultimately these symptoms seemed to fade however she had a second phase where she had a sensation that her tongue was larger than usual and was twitchy feeling.  She never had trouble breathing or swallowing nor did she have any rash or itching.  She began to develop numb tingling her hands and feet EMS was called.  EMS gave her 0.15 of epinephrine IM and Pepcid 20 IV but no Benadryl given her prior allergy to Benadryl which makes her vomit and have diarrhea.  She states she can take loratadine and Zyrtec.  She states she was well prior to this vaccine.  She tells me that her heart was racing during this episode.  But she had no chest pain again no shortness of breath.  She was getting the vaccine so she would not have to wear a mask when she went out of town. It is not mandated  She denies any URI symptoms cough abdominal pain melena hematochezia constipation dysuria hematuria fever chills nausea vomiting or diarrhea.  No vaginal bleeding or discharge.  She relates that the epinephrine and Pepcid seem to help with a jittery feeling and sensation of her tongue being enlarged
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: Patient dizzy and vomited about 6 times
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or Agency guidance.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: THE PATIENT CAME IN FOR WHAT SHE STATED WAS HER FIRST DOSE OF PFIZER COVID 19 VACCINE.  WE WERE UNABLE TO GET INTO TO UPDATE HER RECORD WITH HER VACCINATION UNTIL THE 11TH.  AT THAT TIME, HER RECORD SHOWED A DOSE ALSO GIVEN ON THE SAME DAY.  THE PATIENT HAS NOT RETURNED PHONE CALLS.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or guidance.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, Blood gases, COVID-19, Chest X-ray, Chest pain
Clinical narrative: Patient was hospitalized due to breakthrough covid-19 infection on 7/27/21 with complaints of shortness of breath, nonproductive cough, daily fevers, decrease taste, chest pain when coughing, and fatigued. Patient completed the Pfizer vaccine series in February. Patients condition worsened over hospital course and he was pronounced deceased on 8/09/21 @21:55. Below information is copied from progress note on 8/08/21:  7/30/21: Patient has had no new issues overnight. He remains on HFNC + NRB 80L/100% maximum support, refusing bipap. Educated on importance of utilizing bipap, still refusing.  Sats remain mid 80s.   8/1: No acute events overnight.  Tol slow wean of HFNC. Bipap overnight.  Hemodynamically stable.    8/2: No acute events overnight.  On FFB overnight 85% 12/8.  Was reportedly in chair most of the day yesterday on HFNC 70%/70l with stable sats. Hemodynamically stable. No fevers.    8/3:Patient sitting up in chair , on HFNC, nostrils bloody and with dry mucus. Requesting to be placed on regular diet with no restrictions. Uneventful night.   8/4: Sats upon intial exam this AM by this provider were 77%.  Pt had just transferred bed to chair with HFNC and NRB. Sats slow to recover but with NRB, slowly improved to 89%.  Pt states that he slept poorly last night and this AM upon getting up had trouble with severe left thigh cramp.  Was given Robaxin, pain med, warm pack to thigh and is better now. Added Melatonin to HS meds prn to help with sleep. Additional aspart given for hyperglycemia.    8/5: no events overnight. Patient remained on BIPAP with no issues.    8/6: Pt required BIPAP d/t decreasing O2 sats to low 80s on HFNC.    8/7: Intubated last night for hypoxemia refractory to FFB 100%.  Currently stable sats on APRN 100%, PH 30.  Sub cut emphysema to neck. AM CXR, ABG, and labs pending. TF ordered. Wife notified of intubation- she was diagnosed with covid at same time as husband.  She will contact her son who has been fully immunized and no current covid s/s.    8/8: patient remained intubated and sedated on ventilator overnight. APRV PH 24, 95% fiO2
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Death, Dyspnoea, Emphysema
Clinical narrative: Patient was hospitalized due to breakthrough covid-19 infection on 7/27/21 with complaints of shortness of breath, nonproductive cough, daily fevers, decrease taste, chest pain when coughing, and fatigued. Patient completed the Pfizer vaccine series in February. Patients condition worsened over hospital course and he was pronounced deceased on 8/09/21 @21:55. Below information is copied from progress note on 8/08/21:  7/30/21: Patient has had no new issues overnight. He remains on HFNC + NRB 80L/100% maximum support, refusing bipap. Educated on importance of utilizing bipap, still refusing.  Sats remain mid 80s.   8/1: No acute events overnight.  Tol slow wean of HFNC. Bipap overnight.  Hemodynamically stable.    8/2: No acute events overnight.  On FFB overnight 85% 12/8.  Was reportedly in chair most of the day yesterday on HFNC 70%/70l with stable sats. Hemodynamically stable. No fevers.    8/3:Patient sitting up in chair , on HFNC, nostrils bloody and with dry mucus. Requesting to be placed on regular diet with no restrictions. Uneventful night.   8/4: Sats upon intial exam this AM by this provider were 77%.  Pt had just transferred bed to chair with HFNC and NRB. Sats slow to recover but with NRB, slowly improved to 89%.  Pt states that he slept poorly last night and this AM upon getting up had trouble with severe left thigh cramp.  Was given Robaxin, pain med, warm pack to thigh and is better now. Added Melatonin to HS meds prn to help with sleep. Additional aspart given for hyperglycemia.    8/5: no events overnight. Patient remained on BIPAP with no issues.    8/6: Pt required BIPAP d/t decreasing O2 sats to low 80s on HFNC.    8/7: Intubated last night for hypoxemia refractory to FFB 100%.  Currently stable sats on APRN 100%, PH 30.  Sub cut emphysema to neck. AM CXR, ABG, and labs pending. TF ordered. Wife notified of intubation- she was diagnosed with covid at same time as husband.  She will contact her son who has been fully immunized and no current covid s/s.    8/8: patient remained intubated and sedated on ventilator overnight. APRV PH 24, 95% fiO2
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Epistaxis, Fatigue, Hyperglycaemia, Hypogeusia
Clinical narrative: Patient was hospitalized due to breakthrough covid-19 infection on 7/27/21 with complaints of shortness of breath, nonproductive cough, daily fevers, decrease taste, chest pain when coughing, and fatigued. Patient completed the Pfizer vaccine series in February. Patients condition worsened over hospital course and he was pronounced deceased on 8/09/21 @21:55. Below information is copied from progress note on 8/08/21:  7/30/21: Patient has had no new issues overnight. He remains on HFNC + NRB 80L/100% maximum support, refusing bipap. Educated on importance of utilizing bipap, still refusing.  Sats remain mid 80s.   8/1: No acute events overnight.  Tol slow wean of HFNC. Bipap overnight.  Hemodynamically stable.    8/2: No acute events overnight.  On FFB overnight 85% 12/8.  Was reportedly in chair most of the day yesterday on HFNC 70%/70l with stable sats. Hemodynamically stable. No fevers.    8/3:Patient sitting up in chair , on HFNC, nostrils bloody and with dry mucus. Requesting to be placed on regular diet with no restrictions. Uneventful night.   8/4: Sats upon intial exam this AM by this provider were 77%.  Pt had just transferred bed to chair with HFNC and NRB. Sats slow to recover but with NRB, slowly improved to 89%.  Pt states that he slept poorly last night and this AM upon getting up had trouble with severe left thigh cramp.  Was given Robaxin, pain med, warm pack to thigh and is better now. Added Melatonin to HS meds prn to help with sleep. Additional aspart given for hyperglycemia.    8/5: no events overnight. Patient remained on BIPAP with no issues.    8/6: Pt required BIPAP d/t decreasing O2 sats to low 80s on HFNC.    8/7: Intubated last night for hypoxemia refractory to FFB 100%.  Currently stable sats on APRN 100%, PH 30.  Sub cut emphysema to neck. AM CXR, ABG, and labs pending. TF ordered. Wife notified of intubation- she was diagnosed with covid at same time as husband.  She will contact her son who has been fully immunized and no current covid s/s.    8/8: patient remained intubated and sedated on ventilator overnight. APRV PH 24, 95% fiO2
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Infection, Insomnia, Laboratory test, Mechanical ventilation
Clinical narrative: Patient was hospitalized due to breakthrough covid-19 infection on 7/27/21 with complaints of shortness of breath, nonproductive cough, daily fevers, decrease taste, chest pain when coughing, and fatigued. Patient completed the Pfizer vaccine series in February. Patients condition worsened over hospital course and he was pronounced deceased on 8/09/21 @21:55. Below information is copied from progress note on 8/08/21:  7/30/21: Patient has had no new issues overnight. He remains on HFNC + NRB 80L/100% maximum support, refusing bipap. Educated on importance of utilizing bipap, still refusing.  Sats remain mid 80s.   8/1: No acute events overnight.  Tol slow wean of HFNC. Bipap overnight.  Hemodynamically stable.    8/2: No acute events overnight.  On FFB overnight 85% 12/8.  Was reportedly in chair most of the day yesterday on HFNC 70%/70l with stable sats. Hemodynamically stable. No fevers.    8/3:Patient sitting up in chair , on HFNC, nostrils bloody and with dry mucus. Requesting to be placed on regular diet with no restrictions. Uneventful night.   8/4: Sats upon intial exam this AM by this provider were 77%.  Pt had just transferred bed to chair with HFNC and NRB. Sats slow to recover but with NRB, slowly improved to 89%.  Pt states that he slept poorly last night and this AM upon getting up had trouble with severe left thigh cramp.  Was given Robaxin, pain med, warm pack to thigh and is better now. Added Melatonin to HS meds prn to help with sleep. Additional aspart given for hyperglycemia.    8/5: no events overnight. Patient remained on BIPAP with no issues.    8/6: Pt required BIPAP d/t decreasing O2 sats to low 80s on HFNC.    8/7: Intubated last night for hypoxemia refractory to FFB 100%.  Currently stable sats on APRN 100%, PH 30.  Sub cut emphysema to neck. AM CXR, ABG, and labs pending. TF ordered. Wife notified of intubation- she was diagnosed with covid at same time as husband.  She will contact her son who has been fully immunized and no current covid s/s.    8/8: patient remained intubated and sedated on ventilator overnight. APRV PH 24, 95% fiO2
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Nasal dryness, Oxygen saturation decreased, Pyrexia, Refusal of treatment by patient
Clinical narrative: Patient was hospitalized due to breakthrough covid-19 infection on 7/27/21 with complaints of shortness of breath, nonproductive cough, daily fevers, decrease taste, chest pain when coughing, and fatigued. Patient completed the Pfizer vaccine series in February. Patients condition worsened over hospital course and he was pronounced deceased on 8/09/21 @21:55. Below information is copied from progress note on 8/08/21:  7/30/21: Patient has had no new issues overnight. He remains on HFNC + NRB 80L/100% maximum support, refusing bipap. Educated on importance of utilizing bipap, still refusing.  Sats remain mid 80s.   8/1: No acute events overnight.  Tol slow wean of HFNC. Bipap overnight.  Hemodynamically stable.    8/2: No acute events overnight.  On FFB overnight 85% 12/8.  Was reportedly in chair most of the day yesterday on HFNC 70%/70l with stable sats. Hemodynamically stable. No fevers.    8/3:Patient sitting up in chair , on HFNC, nostrils bloody and with dry mucus. Requesting to be placed on regular diet with no restrictions. Uneventful night.   8/4: Sats upon intial exam this AM by this provider were 77%.  Pt had just transferred bed to chair with HFNC and NRB. Sats slow to recover but with NRB, slowly improved to 89%.  Pt states that he slept poorly last night and this AM upon getting up had trouble with severe left thigh cramp.  Was given Robaxin, pain med, warm pack to thigh and is better now. Added Melatonin to HS meds prn to help with sleep. Additional aspart given for hyperglycemia.    8/5: no events overnight. Patient remained on BIPAP with no issues.    8/6: Pt required BIPAP d/t decreasing O2 sats to low 80s on HFNC.    8/7: Intubated last night for hypoxemia refractory to FFB 100%.  Currently stable sats on APRN 100%, PH 30.  Sub cut emphysema to neck. AM CXR, ABG, and labs pending. TF ordered. Wife notified of intubation- she was diagnosed with covid at same time as husband.  She will contact her son who has been fully immunized and no current covid s/s.    8/8: patient remained intubated and sedated on ventilator overnight. APRV PH 24, 95% fiO2
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient was hospitalized due to breakthrough covid-19 infection on 7/27/21 with complaints of shortness of breath, nonproductive cough, daily fevers, decrease taste, chest pain when coughing, and fatigued. Patient completed the Pfizer vaccine series in February. Patients condition worsened over hospital course and he was pronounced deceased on 8/09/21 @21:55. Below information is copied from progress note on 8/08/21:  7/30/21: Patient has had no new issues overnight. He remains on HFNC + NRB 80L/100% maximum support, refusing bipap. Educated on importance of utilizing bipap, still refusing.  Sats remain mid 80s.   8/1: No acute events overnight.  Tol slow wean of HFNC. Bipap overnight.  Hemodynamically stable.    8/2: No acute events overnight.  On FFB overnight 85% 12/8.  Was reportedly in chair most of the day yesterday on HFNC 70%/70l with stable sats. Hemodynamically stable. No fevers.    8/3:Patient sitting up in chair , on HFNC, nostrils bloody and with dry mucus. Requesting to be placed on regular diet with no restrictions. Uneventful night.   8/4: Sats upon intial exam this AM by this provider were 77%.  Pt had just transferred bed to chair with HFNC and NRB. Sats slow to recover but with NRB, slowly improved to 89%.  Pt states that he slept poorly last night and this AM upon getting up had trouble with severe left thigh cramp.  Was given Robaxin, pain med, warm pack to thigh and is better now. Added Melatonin to HS meds prn to help with sleep. Additional aspart given for hyperglycemia.    8/5: no events overnight. Patient remained on BIPAP with no issues.    8/6: Pt required BIPAP d/t decreasing O2 sats to low 80s on HFNC.    8/7: Intubated last night for hypoxemia refractory to FFB 100%.  Currently stable sats on APRN 100%, PH 30.  Sub cut emphysema to neck. AM CXR, ABG, and labs pending. TF ordered. Wife notified of intubation- she was diagnosed with covid at same time as husband.  She will contact her son who has been fully immunized and no current covid s/s.    8/8: patient remained intubated and sedated on ventilator overnight. APRV PH 24, 95% fiO2
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray, Cough
Clinical narrative: 48 Y female with PMH of GERD, anxiety, HTN, HFpEF, HTN, h/o recurrent VTE/PE on pradaxa who presents 8/2/2021 with shortness of breath, cough, fever admitted for COVID pneumonia.    COVID 19 Disease, Acute hypoxemic Respiratory failure - Symptom onset on 7/30, COVID positive on 8/2. No fever at this time. Received J&J vaccine - Patient ambulated on RA without desaturation. No oxygen ordered at discharge. Recommended checking pulse oximeter and if O2 less than 90% to call advice line.  - Received Decadron 6mg IV 8/2. MD recommended increasing Decadron to 10 mg daily given co-morbidities. Decadron decreased to 6 mg po daily to complete 10 days (date range 8/2-8/11) - Received Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (8/2 - 5/5)  - On pradaxa per below - continue isolation per CDC guidelines.    PHT associated with prior methamphetamine use - continue PTA Tadafil and Ambrisentan. - Followed by pHTN program   OSA - Continue CPAP qHS   Recurrent VTE/PE - Continue PTA pradaxa   Anxiety - continue PTA Amitriptyline/Gabapentin   GERD  - Continue PTA Protonix   HTN/HLD/HFpEF, not in acute exacerbation - continue PTA Atorvastatin, Lasix, Aldactone.    Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pyrexia
Clinical narrative: 48 Y female with PMH of GERD, anxiety, HTN, HFpEF, HTN, h/o recurrent VTE/PE on pradaxa who presents 8/2/2021 with shortness of breath, cough, fever admitted for COVID pneumonia.    COVID 19 Disease, Acute hypoxemic Respiratory failure - Symptom onset on 7/30, COVID positive on 8/2. No fever at this time. Received J&J vaccine - Patient ambulated on RA without desaturation. No oxygen ordered at discharge. Recommended checking pulse oximeter and if O2 less than 90% to call advice line.  - Received Decadron 6mg IV 8/2. MD recommended increasing Decadron to 10 mg daily given co-morbidities. Decadron decreased to 6 mg po daily to complete 10 days (date range 8/2-8/11) - Received Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (8/2 - 5/5)  - On pradaxa per below - continue isolation per CDC guidelines.    PHT associated with prior methamphetamine use - continue PTA Tadafil and Ambrisentan. - Followed by pHTN program   OSA - Continue CPAP qHS   Recurrent VTE/PE - Continue PTA pradaxa   Anxiety - continue PTA Amitriptyline/Gabapentin   GERD  - Continue PTA Protonix   HTN/HLD/HFpEF, not in acute exacerbation - continue PTA Atorvastatin, Lasix, Aldactone.    Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID pneumonia
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or guidance.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Dizziness, Fatigue, Hypoaesthesia
Clinical narrative: It started with very bad fatigue. I than started with dizziness, numbness in the feet, joint pain, arm pain, the smell of cigarettes, ringing in the ears, low blood pressure, minimum movement in my left arm, blurred vision, heart palpitations,  and Iritis in my right eye. Currently under doctors care.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Iritis, Magnetic resonance imaging, Mobility decreased, Pain in extremity
Clinical narrative: It started with very bad fatigue. I than started with dizziness, numbness in the feet, joint pain, arm pain, the smell of cigarettes, ringing in the ears, low blood pressure, minimum movement in my left arm, blurred vision, heart palpitations,  and Iritis in my right eye. Currently under doctors care.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Skin odour abnormal, Tinnitus, Vision blurred
Clinical narrative: It started with very bad fatigue. I than started with dizziness, numbness in the feet, joint pain, arm pain, the smell of cigarettes, ringing in the ears, low blood pressure, minimum movement in my left arm, blurred vision, heart palpitations,  and Iritis in my right eye. Currently under doctors care.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Nausea, Pain
Clinical narrative: Soreness at injection site, aches, chills, nausea. No fever
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Vaccination site swelling, Vaccination site warmth
Clinical narrative: My left arm has a red, raised circular swelling around the vaccination site that is about 3 inches in diameter and very warm. It has persisted for more than 2 days and I have taken Benadryl to treat it.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Malaise, Pallor, Tremor
Clinical narrative: Pt c/o not feeling well; pt skin was pale and was diaphoretic.  RN at side; assisted to lay down with legs raised on chair.  Also, EMT at side.  Pt. A&Ox3, speech clear and appropriate.  VS: 1510: HR 122, SpO2 97% laying down.  Pt. admitted to only eating a banana today and not much fluids.  Pt. reported feeling better and assisted to chair.  VS: 1515:% HR 59 SpO2 99% RA, SBP 84.  Pt. given juice, water and crackers which she tolerated.  Pt. reported feeling improved but a little shaky; color improved.  VS: 1520: HR: 74, SpO2 99% RA, BP: 98/62.  Pt continued to sit in chair and monitored.  Pt. reported feeling better and able to go home.  Pt. was d/c at 1550.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac monitoring, Condition aggravated, Myocardial necrosis marker, Palpitations
Clinical narrative: Tachycardia and palpitations, received IV medications in the hospital, currently has a heart monitor
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Tachycardia and palpitations, received IV medications in the hospital, currently has a heart monitor
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or guidance.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: The injection site was swollen and extremely itchy. I get hives at the injection site. Serve headache
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or guidance.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, Angiogram cerebral normal, Arteriogram carotid normal, Balance disorder, Blood count normal
Clinical narrative: Max awoke disoriented, slurring his speech, and unable to maintain his balance enough to stand. He didn't realize anything was wrong and repeatedly said he needed to get ready for school. He was taken to the emergency room and evaluated for a possible stroke or other brain injury, as well as possible intoxication. Initially, he could not hold a conversation, but was able to do so within about an hour of waking, though his speech was still significantly slurred and he was providing incorrect information regarding when things had happened over the previous few days. After all the imaging was performed and acute causes of his symptoms were ruled out, it was decided that he should be transferred to the Hospital ER for additional observation and possible testing by pediatric neurology. This was about 5 hours after the start of his symptoms. At this point, his speech had improved - it was only mildly slurred but significantly slower than normal - and he could stand without as much assistance. He was still having significant short term memory issues and did not remember things he had been told throughout the day. He underwent a neuro exam at the second ER and then was admitted for observation.  Once in his room, an EEG was performed to look for possible seizure activity as an explanation for the symptoms. No seizure activity was seen. By late afternoon, the slurring had resolved. By the next morning, his other symptoms resolved as well, though he had very few memories of the previous day. He was released before noon that day and has not experienced any symptoms since. He was evaluated by his pediatrician one week later and has a follow-up appointment with pediatric neurology in October.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Calcium ionised normal, Chest X-ray normal, Computerised tomogram head normal, Differential white blood cell count normal
Clinical narrative: Max awoke disoriented, slurring his speech, and unable to maintain his balance enough to stand. He didn't realize anything was wrong and repeatedly said he needed to get ready for school. He was taken to the emergency room and evaluated for a possible stroke or other brain injury, as well as possible intoxication. Initially, he could not hold a conversation, but was able to do so within about an hour of waking, though his speech was still significantly slurred and he was providing incorrect information regarding when things had happened over the previous few days. After all the imaging was performed and acute causes of his symptoms were ruled out, it was decided that he should be transferred to the Hospital ER for additional observation and possible testing by pediatric neurology. This was about 5 hours after the start of his symptoms. At this point, his speech had improved - it was only mildly slurred but significantly slower than normal - and he could stand without as much assistance. He was still having significant short term memory issues and did not remember things he had been told throughout the day. He underwent a neuro exam at the second ER and then was admitted for observation.  Once in his room, an EEG was performed to look for possible seizure activity as an explanation for the symptoms. No seizure activity was seen. By late afternoon, the slurring had resolved. By the next morning, his other symptoms resolved as well, though he had very few memories of the previous day. He was released before noon that day and has not experienced any symptoms since. He was evaluated by his pediatrician one week later and has a follow-up appointment with pediatric neurology in October.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Drug screen negative, Dysarthria, Dysstasia, Electrocardiogram normal
Clinical narrative: Max awoke disoriented, slurring his speech, and unable to maintain his balance enough to stand. He didn't realize anything was wrong and repeatedly said he needed to get ready for school. He was taken to the emergency room and evaluated for a possible stroke or other brain injury, as well as possible intoxication. Initially, he could not hold a conversation, but was able to do so within about an hour of waking, though his speech was still significantly slurred and he was providing incorrect information regarding when things had happened over the previous few days. After all the imaging was performed and acute causes of his symptoms were ruled out, it was decided that he should be transferred to the Hospital ER for additional observation and possible testing by pediatric neurology. This was about 5 hours after the start of his symptoms. At this point, his speech had improved - it was only mildly slurred but significantly slower than normal - and he could stand without as much assistance. He was still having significant short term memory issues and did not remember things he had been told throughout the day. He underwent a neuro exam at the second ER and then was admitted for observation.  Once in his room, an EEG was performed to look for possible seizure activity as an explanation for the symptoms. No seizure activity was seen. By late afternoon, the slurring had resolved. By the next morning, his other symptoms resolved as well, though he had very few memories of the previous day. He was released before noon that day and has not experienced any symptoms since. He was evaluated by his pediatrician one week later and has a follow-up appointment with pediatric neurology in October.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Electroencephalogram normal, Full blood count normal, Haematocrit normal, Magnetic resonance imaging head normal, Memory impairment
Clinical narrative: Max awoke disoriented, slurring his speech, and unable to maintain his balance enough to stand. He didn't realize anything was wrong and repeatedly said he needed to get ready for school. He was taken to the emergency room and evaluated for a possible stroke or other brain injury, as well as possible intoxication. Initially, he could not hold a conversation, but was able to do so within about an hour of waking, though his speech was still significantly slurred and he was providing incorrect information regarding when things had happened over the previous few days. After all the imaging was performed and acute causes of his symptoms were ruled out, it was decided that he should be transferred to the Hospital ER for additional observation and possible testing by pediatric neurology. This was about 5 hours after the start of his symptoms. At this point, his speech had improved - it was only mildly slurred but significantly slower than normal - and he could stand without as much assistance. He was still having significant short term memory issues and did not remember things he had been told throughout the day. He underwent a neuro exam at the second ER and then was admitted for observation.  Once in his room, an EEG was performed to look for possible seizure activity as an explanation for the symptoms. No seizure activity was seen. By late afternoon, the slurring had resolved. By the next morning, his other symptoms resolved as well, though he had very few memories of the previous day. He was released before noon that day and has not experienced any symptoms since. He was evaluated by his pediatrician one week later and has a follow-up appointment with pediatric neurology in October.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Prothrombin time normal, Scan with contrast normal, Slow speech, Speech disorder
Clinical narrative: Max awoke disoriented, slurring his speech, and unable to maintain his balance enough to stand. He didn't realize anything was wrong and repeatedly said he needed to get ready for school. He was taken to the emergency room and evaluated for a possible stroke or other brain injury, as well as possible intoxication. Initially, he could not hold a conversation, but was able to do so within about an hour of waking, though his speech was still significantly slurred and he was providing incorrect information regarding when things had happened over the previous few days. After all the imaging was performed and acute causes of his symptoms were ruled out, it was decided that he should be transferred to the Hospital ER for additional observation and possible testing by pediatric neurology. This was about 5 hours after the start of his symptoms. At this point, his speech had improved - it was only mildly slurred but significantly slower than normal - and he could stand without as much assistance. He was still having significant short term memory issues and did not remember things he had been told throughout the day. He underwent a neuro exam at the second ER and then was admitted for observation.  Once in his room, an EEG was performed to look for possible seizure activity as an explanation for the symptoms. No seizure activity was seen. By late afternoon, the slurring had resolved. By the next morning, his other symptoms resolved as well, though he had very few memories of the previous day. He was released before noon that day and has not experienced any symptoms since. He was evaluated by his pediatrician one week later and has a follow-up appointment with pediatric neurology in October.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: hives, red welts, itchiness on thu when received vaccine on mon on both arms and butt cheeks. they went away about about 6 days later.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT DID NOT EXPERIENCE AN ADVERSE EVENT, BUT RATHER A VACCINE ADMINISTRATION ERROR OCCURRED. ACCORDING TO THE COVID-19 VACCINE EUA PROTOCOL, THE PATIENT IS A MINOR AT THE AGE OF 14 AND SHOULD NOT HAVE RECEIVED THE VACCINE.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient got second vaccine too early by one week.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cough, Ear infection, Lower respiratory tract congestion, Pneumonia
Clinical narrative: Constant Nasal Drainage In Throat Persistent Scratchy Cough Congestion in Chest Ear Infections Low energy due to infections in ears and lungs Lasted 8 weeks getting progressively worse over time Prescribed Standard Antibiotics (Pill and Ear Drops) which cleared it up within 10 days.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea
Clinical narrative: Constant Nasal Drainage In Throat Persistent Scratchy Cough Congestion in Chest Ear Infections Low energy due to infections in ears and lungs Lasted 8 weeks getting progressively worse over time Prescribed Standard Antibiotics (Pill and Ear Drops) which cleared it up within 10 days.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose abnormal, Fatigue, Hypertension, Hypoaesthesia
Clinical narrative: Elevated high blood pressure, blood sugar out of range, numbness on my tibia, fatigue
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Biopsy bone marrow, Blood glucose increased, Blood urine present, Coccydynia
Clinical narrative: On the afternoon of May 11, 2021 I noticed blood in my urine; later I saw blood in my stool & my gums bled when I brushed my teeth.  My husband took me to a nearby ER, where I  spent 6 hours.  They did a CT; Covid test; and urine culture which showed I had a UTI.  Finally at midnight an ambulance arrived to take me to a hospital.  As I'm being wheeled out of the ER I notice my right hand is becoming purple splotched. I was told that's petechia & it continued to spread over my body.  The EMT with me in the ambulance told me I had low platelets; he said I had "6", which I have learned meant 6,000.   I was put in the "Progressive Care Unit" at the hospital.   Blood  tests were taken & I was hooked up to an IV which delivered steroids; later more IVs were added, so that I had 3 at once delivering steroids, whatever they give for "nutrition" and insulin (they would not let me take my regular insulin (U500) thereby letting my blood sugar get all the way up to 578 at one point!  At some point early on I was told I had ZERO platelets!  A hematologist/oncologist was called in and he ordered a bone marrow biopsy on Thursday morning.  I have never heard a definitive answer on what they found, but they have not contacted me again.  My blood sugar was checked every hour for days making some very sore fingers!  Everything they did with needles resulted in purple/ red bruises all over my upper body, including one huge hematoma on my right forearm.  I have pictures to show my "bruising" if you need to see them.  I was finally released on Sunday morning.  I have struggled since then with constant backache; & sore tailbone, I assume from the biopsy.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Contusion, Culture urine positive, Gingival bleeding, Haematochezia
Clinical narrative: On the afternoon of May 11, 2021 I noticed blood in my urine; later I saw blood in my stool & my gums bled when I brushed my teeth.  My husband took me to a nearby ER, where I  spent 6 hours.  They did a CT; Covid test; and urine culture which showed I had a UTI.  Finally at midnight an ambulance arrived to take me to a hospital.  As I'm being wheeled out of the ER I notice my right hand is becoming purple splotched. I was told that's petechia & it continued to spread over my body.  The EMT with me in the ambulance told me I had low platelets; he said I had "6", which I have learned meant 6,000.   I was put in the "Progressive Care Unit" at the hospital.   Blood  tests were taken & I was hooked up to an IV which delivered steroids; later more IVs were added, so that I had 3 at once delivering steroids, whatever they give for "nutrition" and insulin (they would not let me take my regular insulin (U500) thereby letting my blood sugar get all the way up to 578 at one point!  At some point early on I was told I had ZERO platelets!  A hematologist/oncologist was called in and he ordered a bone marrow biopsy on Thursday morning.  I have never heard a definitive answer on what they found, but they have not contacted me again.  My blood sugar was checked every hour for days making some very sore fingers!  Everything they did with needles resulted in purple/ red bruises all over my upper body, including one huge hematoma on my right forearm.  I have pictures to show my "bruising" if you need to see them.  I was finally released on Sunday morning.  I have struggled since then with constant backache; & sore tailbone, I assume from the biopsy.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Haematoma, Petechiae, Platelet count decreased, Rash macular, SARS-CoV-2 test
Clinical narrative: On the afternoon of May 11, 2021 I noticed blood in my urine; later I saw blood in my stool & my gums bled when I brushed my teeth.  My husband took me to a nearby ER, where I  spent 6 hours.  They did a CT; Covid test; and urine culture which showed I had a UTI.  Finally at midnight an ambulance arrived to take me to a hospital.  As I'm being wheeled out of the ER I notice my right hand is becoming purple splotched. I was told that's petechia & it continued to spread over my body.  The EMT with me in the ambulance told me I had low platelets; he said I had "6", which I have learned meant 6,000.   I was put in the "Progressive Care Unit" at the hospital.   Blood  tests were taken & I was hooked up to an IV which delivered steroids; later more IVs were added, so that I had 3 at once delivering steroids, whatever they give for "nutrition" and insulin (they would not let me take my regular insulin (U500) thereby letting my blood sugar get all the way up to 578 at one point!  At some point early on I was told I had ZERO platelets!  A hematologist/oncologist was called in and he ordered a bone marrow biopsy on Thursday morning.  I have never heard a definitive answer on what they found, but they have not contacted me again.  My blood sugar was checked every hour for days making some very sore fingers!  Everything they did with needles resulted in purple/ red bruises all over my upper body, including one huge hematoma on my right forearm.  I have pictures to show my "bruising" if you need to see them.  I was finally released on Sunday morning.  I have struggled since then with constant backache; & sore tailbone, I assume from the biopsy.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Urinary tract infection
Clinical narrative: On the afternoon of May 11, 2021 I noticed blood in my urine; later I saw blood in my stool & my gums bled when I brushed my teeth.  My husband took me to a nearby ER, where I  spent 6 hours.  They did a CT; Covid test; and urine culture which showed I had a UTI.  Finally at midnight an ambulance arrived to take me to a hospital.  As I'm being wheeled out of the ER I notice my right hand is becoming purple splotched. I was told that's petechia & it continued to spread over my body.  The EMT with me in the ambulance told me I had low platelets; he said I had "6", which I have learned meant 6,000.   I was put in the "Progressive Care Unit" at the hospital.   Blood  tests were taken & I was hooked up to an IV which delivered steroids; later more IVs were added, so that I had 3 at once delivering steroids, whatever they give for "nutrition" and insulin (they would not let me take my regular insulin (U500) thereby letting my blood sugar get all the way up to 578 at one point!  At some point early on I was told I had ZERO platelets!  A hematologist/oncologist was called in and he ordered a bone marrow biopsy on Thursday morning.  I have never heard a definitive answer on what they found, but they have not contacted me again.  My blood sugar was checked every hour for days making some very sore fingers!  Everything they did with needles resulted in purple/ red bruises all over my upper body, including one huge hematoma on my right forearm.  I have pictures to show my "bruising" if you need to see them.  I was finally released on Sunday morning.  I have struggled since then with constant backache; & sore tailbone, I assume from the biopsy.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or Agency guidance.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Chills, Headache, Mobility decreased
Clinical narrative: 9pm, developed hard chills, aches, severe HA, took 1000 mg Tylenol, but 11:30 temp up to 102, severe HA, weakness, unable to sit up. ended up in the ER, negative COVID test, additional tylenol and IM injection  of Toradol.  DC home.   Temp max 102, HR max 130, still with HA and body aches today but no fever.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test negative
Clinical narrative: 9pm, developed hard chills, aches, severe HA, took 1000 mg Tylenol, but 11:30 temp up to 102, severe HA, weakness, unable to sit up. ended up in the ER, negative COVID test, additional tylenol and IM injection  of Toradol.  DC home.   Temp max 102, HR max 130, still with HA and body aches today but no fever.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nausea, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: First shot was administered Friday, I had notified everyone that I have a history of reactions to prior vaccines that have resulted in multiple GI issues. Saturday I began to have a sore throat  Sunday evening developed severe nausea with 14+ episodes of emesis with increasing fever. Monday went to get tested with a rapid test and ended up testing positive for COVID.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: First shot was administered Friday, I had notified everyone that I have a history of reactions to prior vaccines that have resulted in multiple GI issues. Saturday I began to have a sore throat  Sunday evening developed severe nausea with 14+ episodes of emesis with increasing fever. Monday went to get tested with a rapid test and ended up testing positive for COVID.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dizziness, Fatigue, Injection site pain
Clinical narrative: About 5 hours after administration: light headedness- 2 episodes about a day apart, chills- intermittent for about 24 hours,  fatigue- about 2 days, nausea and inappetance- about 2 days, injection site pain- about 3 days
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: About 5 hours after administration: light headedness- 2 episodes about a day apart, chills- intermittent for about 24 hours,  fatigue- about 2 days, nausea and inappetance- about 2 days, injection site pain- about 3 days
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or guidance.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia
Clinical narrative: Pt started experiencing loss of taste one day after his second dose of Pfizer COVID-19. Interestingly, pt had COVID-19 in November 2020 and did not have loss of smell or taste at that time. Since his second vaccine on 4/23/21, pt has not had return of taste. No other associated symptoms; pt can still smell-- with less acuity than before.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy breast abnormal, Mammogram, Neoplasm malignant, Ultrasound abdomen
Clinical narrative: I went in for a routine mamo gram in the middle of June. I went in for a follow up mamo gram and ultrasound 2 weeks later. After another 2 weeks I went in for a 3rd mamo gram and biopsy. The biopsy results showed grade 3 cancer cells.  I am schedule to meet with a surgeon.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Influenza like illness, Pain, Pain in extremity
Clinical narrative: pain in left arm , fever, headache, chills and body aches (flu-like symptoms) and arm rash
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: pain in left arm , fever, headache, chills and body aches (flu-like symptoms) and arm rash
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Somnolence, Syncope
Clinical narrative: Fainted (Vasovagal syncope) within one minute of the vaccine injection. Regained consciousness quickly but felt very groggy. Drank orange juice and rested in place for 25 minutes until feeling well enough to slowly get up. Continued to rest sheet getting home and felt fine again within an hour.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Severe Headache, Fever, Fatigue  Tylenol  24 hours
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or medical group guidance.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Constipation, Culture urine negative, Cystitis interstitial, Discomfort
Clinical narrative: 5 days after vaccine, awoke with severe pelvic ic pain and pressure.  Felt like either a UTI or an IC flare.    Continue LS to get worse l. Became constipated over the week.  Never had a flare this bad.   Unable to get gyn or urology appt until OCT
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pelvic pain, Sexually transmitted disease test, Urine analysis normal
Clinical narrative: 5 days after vaccine, awoke with severe pelvic ic pain and pressure.  Felt like either a UTI or an IC flare.    Continue LS to get worse l. Became constipated over the week.  Never had a flare this bad.   Unable to get gyn or urology appt until OCT