chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Magnetic resonance imaging
Clinical narrative: I had to get on steroid medroln dose pack and hydrocodone because I was having excrutiating pain in my back. I was referred to an orthopedic doctor.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells Palsy from 02/20/21 to present. Has improved over time, but still not gone
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Systemic: Nausea-Mild, Additional Details: After 10 minutes from administration, patient started to feel a little nauseous.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Pruritus, Rash, Skin discolouration
Clinical narrative: I started developing a rash, and itching a lot. I had blotches of rash on my skin, but not the one showing online from the shot. It is still present on my skin. It looks like little, round blotches in weird color. They're very smooth and look like bruises, but are not. they're round but in different sizes in spots on my body and itch a lot. The rash will also blister and become open sores   The rashes fade, but then come back.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Headache, Magnetic resonance imaging, Nausea, Vertigo
Clinical narrative: I had extreme vertigo, headache and nausea.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: A vial of vaccine from Friday 6/11/21 was accidentally left on the counter at the end of the day. On Monday 6/14/21, another nurse thought it was vaccine thawed out for that day's vaccine clinic on the counter and 2 doses were drawn and given to 2 patients.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Cardiac monitoring, Cardiac stress test, Cough
Clinical narrative: Extreme  fatigue , cough, and A-Fib event resulting in ER visit and put on Eliguis
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Fatigue
Clinical narrative: Extreme  fatigue , cough, and A-Fib event resulting in ER visit and put on Eliguis
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Brain natriuretic peptide normal, C-reactive protein increased, Chest X-ray normal, Chest pain
Clinical narrative: Patient is a healthy 15 year old male presenting with chest pain in the setting of recent SARS-CoV2 vaccination. He was in his usual state of health until he received the second dose of the Pfizer/BNT SARS-CoV2 vaccination on Thursday 6/10. Shortly after and into the following day, he developed fatigue, chills, and a headache, which resolved within 24 hours. However, early this morning at around 2am, he awoke with sharp central chest pain associated with some shortness of breath, radiating to his left, prompting him to present to the ED.  Initially presented to Hospital ED. Vitals stable. Labs notable for troponin 0.07 and d-dimer 1.48. EKG with sinus rhythm, ST elevation in inferior leads. Given ibuprofen 600mg and contacted Cardiology, who recommended transfer to another ED for echocardiogram and further evaluation.  Here in the ED, vital stable, exam non-focal. Labs notable for troponin 0.13 and CRP 3.0; CBC, chem 10, LFTs, BNP, all within normal limits. CXR normal. Echo done which showed normal function (prelim read). Seen by ID who recommended standard workup for vaccine-induced myocarditis. He was admitted to the floor in stable condition.  Hospital Course: Due to rising troponin during hospital day 1 (peak 0.23), patient was treated with IVIG 2 g/kg (6/14) and methylprednisone 30 mg BID (6/14 - 6/15). On 6/15 a cardiac MRI was obtained that showed a small area of late gadolinium enhancement of the LV with normal function.  Troponin was trended every 12 hours and had decreased to 0.11 on 6/15 AM. He was transitioned to oral prednisone 30 mg BID to complete a total steroid course of 5 days (6/14 - 6/18). During admission he was found to be EBV PCR positive with all other viral testing including EBV serologies pending. It is still thought this is likely due to post-vaccine inflammation and not viral myocarditis but serologies should be followed up as outpatient.   By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake. Prescriptions sent to preferred pharmacy. Follow up with cardiology. Discharge instructions and return precautions reviewed with patient and parent, who expressed good understanding and agreement with plan.   Reasons for new, changed, and discontinued medications:  Prednisone for myocarditis  Famotidine for stomach protection while on prednisone  Discharged home with follow up tests scheduled for 6/17/21.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Echocardiogram abnormal, Electrocardiogram ST segment elevation, Epstein-Barr virus antibody
Clinical narrative: Patient is a healthy 15 year old male presenting with chest pain in the setting of recent SARS-CoV2 vaccination. He was in his usual state of health until he received the second dose of the Pfizer/BNT SARS-CoV2 vaccination on Thursday 6/10. Shortly after and into the following day, he developed fatigue, chills, and a headache, which resolved within 24 hours. However, early this morning at around 2am, he awoke with sharp central chest pain associated with some shortness of breath, radiating to his left, prompting him to present to the ED.  Initially presented to Hospital ED. Vitals stable. Labs notable for troponin 0.07 and d-dimer 1.48. EKG with sinus rhythm, ST elevation in inferior leads. Given ibuprofen 600mg and contacted Cardiology, who recommended transfer to another ED for echocardiogram and further evaluation.  Here in the ED, vital stable, exam non-focal. Labs notable for troponin 0.13 and CRP 3.0; CBC, chem 10, LFTs, BNP, all within normal limits. CXR normal. Echo done which showed normal function (prelim read). Seen by ID who recommended standard workup for vaccine-induced myocarditis. He was admitted to the floor in stable condition.  Hospital Course: Due to rising troponin during hospital day 1 (peak 0.23), patient was treated with IVIG 2 g/kg (6/14) and methylprednisone 30 mg BID (6/14 - 6/15). On 6/15 a cardiac MRI was obtained that showed a small area of late gadolinium enhancement of the LV with normal function.  Troponin was trended every 12 hours and had decreased to 0.11 on 6/15 AM. He was transitioned to oral prednisone 30 mg BID to complete a total steroid course of 5 days (6/14 - 6/18). During admission he was found to be EBV PCR positive with all other viral testing including EBV serologies pending. It is still thought this is likely due to post-vaccine inflammation and not viral myocarditis but serologies should be followed up as outpatient.   By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake. Prescriptions sent to preferred pharmacy. Follow up with cardiology. Discharge instructions and return precautions reviewed with patient and parent, who expressed good understanding and agreement with plan.   Reasons for new, changed, and discontinued medications:  Prednisone for myocarditis  Famotidine for stomach protection while on prednisone  Discharged home with follow up tests scheduled for 6/17/21.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Epstein-Barr virus test positive, Fatigue, Fibrin D dimer increased, Full blood count normal, Haematocrit decreased
Clinical narrative: Patient is a healthy 15 year old male presenting with chest pain in the setting of recent SARS-CoV2 vaccination. He was in his usual state of health until he received the second dose of the Pfizer/BNT SARS-CoV2 vaccination on Thursday 6/10. Shortly after and into the following day, he developed fatigue, chills, and a headache, which resolved within 24 hours. However, early this morning at around 2am, he awoke with sharp central chest pain associated with some shortness of breath, radiating to his left, prompting him to present to the ED.  Initially presented to Hospital ED. Vitals stable. Labs notable for troponin 0.07 and d-dimer 1.48. EKG with sinus rhythm, ST elevation in inferior leads. Given ibuprofen 600mg and contacted Cardiology, who recommended transfer to another ED for echocardiogram and further evaluation.  Here in the ED, vital stable, exam non-focal. Labs notable for troponin 0.13 and CRP 3.0; CBC, chem 10, LFTs, BNP, all within normal limits. CXR normal. Echo done which showed normal function (prelim read). Seen by ID who recommended standard workup for vaccine-induced myocarditis. He was admitted to the floor in stable condition.  Hospital Course: Due to rising troponin during hospital day 1 (peak 0.23), patient was treated with IVIG 2 g/kg (6/14) and methylprednisone 30 mg BID (6/14 - 6/15). On 6/15 a cardiac MRI was obtained that showed a small area of late gadolinium enhancement of the LV with normal function.  Troponin was trended every 12 hours and had decreased to 0.11 on 6/15 AM. He was transitioned to oral prednisone 30 mg BID to complete a total steroid course of 5 days (6/14 - 6/18). During admission he was found to be EBV PCR positive with all other viral testing including EBV serologies pending. It is still thought this is likely due to post-vaccine inflammation and not viral myocarditis but serologies should be followed up as outpatient.   By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake. Prescriptions sent to preferred pharmacy. Follow up with cardiology. Discharge instructions and return precautions reviewed with patient and parent, who expressed good understanding and agreement with plan.   Reasons for new, changed, and discontinued medications:  Prednisone for myocarditis  Famotidine for stomach protection while on prednisone  Discharged home with follow up tests scheduled for 6/17/21.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Human herpes virus 6 serology, Immunoglobulin therapy, Laboratory test normal, Liver function test normal
Clinical narrative: Patient is a healthy 15 year old male presenting with chest pain in the setting of recent SARS-CoV2 vaccination. He was in his usual state of health until he received the second dose of the Pfizer/BNT SARS-CoV2 vaccination on Thursday 6/10. Shortly after and into the following day, he developed fatigue, chills, and a headache, which resolved within 24 hours. However, early this morning at around 2am, he awoke with sharp central chest pain associated with some shortness of breath, radiating to his left, prompting him to present to the ED.  Initially presented to Hospital ED. Vitals stable. Labs notable for troponin 0.07 and d-dimer 1.48. EKG with sinus rhythm, ST elevation in inferior leads. Given ibuprofen 600mg and contacted Cardiology, who recommended transfer to another ED for echocardiogram and further evaluation.  Here in the ED, vital stable, exam non-focal. Labs notable for troponin 0.13 and CRP 3.0; CBC, chem 10, LFTs, BNP, all within normal limits. CXR normal. Echo done which showed normal function (prelim read). Seen by ID who recommended standard workup for vaccine-induced myocarditis. He was admitted to the floor in stable condition.  Hospital Course: Due to rising troponin during hospital day 1 (peak 0.23), patient was treated with IVIG 2 g/kg (6/14) and methylprednisone 30 mg BID (6/14 - 6/15). On 6/15 a cardiac MRI was obtained that showed a small area of late gadolinium enhancement of the LV with normal function.  Troponin was trended every 12 hours and had decreased to 0.11 on 6/15 AM. He was transitioned to oral prednisone 30 mg BID to complete a total steroid course of 5 days (6/14 - 6/18). During admission he was found to be EBV PCR positive with all other viral testing including EBV serologies pending. It is still thought this is likely due to post-vaccine inflammation and not viral myocarditis but serologies should be followed up as outpatient.   By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake. Prescriptions sent to preferred pharmacy. Follow up with cardiology. Discharge instructions and return precautions reviewed with patient and parent, who expressed good understanding and agreement with plan.   Reasons for new, changed, and discontinued medications:  Prednisone for myocarditis  Famotidine for stomach protection while on prednisone  Discharged home with follow up tests scheduled for 6/17/21.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Magnetic resonance imaging heart, Mycoplasma test, Myocarditis, Parvovirus B19 test
Clinical narrative: Patient is a healthy 15 year old male presenting with chest pain in the setting of recent SARS-CoV2 vaccination. He was in his usual state of health until he received the second dose of the Pfizer/BNT SARS-CoV2 vaccination on Thursday 6/10. Shortly after and into the following day, he developed fatigue, chills, and a headache, which resolved within 24 hours. However, early this morning at around 2am, he awoke with sharp central chest pain associated with some shortness of breath, radiating to his left, prompting him to present to the ED.  Initially presented to Hospital ED. Vitals stable. Labs notable for troponin 0.07 and d-dimer 1.48. EKG with sinus rhythm, ST elevation in inferior leads. Given ibuprofen 600mg and contacted Cardiology, who recommended transfer to another ED for echocardiogram and further evaluation.  Here in the ED, vital stable, exam non-focal. Labs notable for troponin 0.13 and CRP 3.0; CBC, chem 10, LFTs, BNP, all within normal limits. CXR normal. Echo done which showed normal function (prelim read). Seen by ID who recommended standard workup for vaccine-induced myocarditis. He was admitted to the floor in stable condition.  Hospital Course: Due to rising troponin during hospital day 1 (peak 0.23), patient was treated with IVIG 2 g/kg (6/14) and methylprednisone 30 mg BID (6/14 - 6/15). On 6/15 a cardiac MRI was obtained that showed a small area of late gadolinium enhancement of the LV with normal function.  Troponin was trended every 12 hours and had decreased to 0.11 on 6/15 AM. He was transitioned to oral prednisone 30 mg BID to complete a total steroid course of 5 days (6/14 - 6/18). During admission he was found to be EBV PCR positive with all other viral testing including EBV serologies pending. It is still thought this is likely due to post-vaccine inflammation and not viral myocarditis but serologies should be followed up as outpatient.   By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake. Prescriptions sent to preferred pharmacy. Follow up with cardiology. Discharge instructions and return precautions reviewed with patient and parent, who expressed good understanding and agreement with plan.   Reasons for new, changed, and discontinued medications:  Prednisone for myocarditis  Famotidine for stomach protection while on prednisone  Discharged home with follow up tests scheduled for 6/17/21.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Tricuspid valve incompetence, Troponin increased, Viral test
Clinical narrative: Patient is a healthy 15 year old male presenting with chest pain in the setting of recent SARS-CoV2 vaccination. He was in his usual state of health until he received the second dose of the Pfizer/BNT SARS-CoV2 vaccination on Thursday 6/10. Shortly after and into the following day, he developed fatigue, chills, and a headache, which resolved within 24 hours. However, early this morning at around 2am, he awoke with sharp central chest pain associated with some shortness of breath, radiating to his left, prompting him to present to the ED.  Initially presented to Hospital ED. Vitals stable. Labs notable for troponin 0.07 and d-dimer 1.48. EKG with sinus rhythm, ST elevation in inferior leads. Given ibuprofen 600mg and contacted Cardiology, who recommended transfer to another ED for echocardiogram and further evaluation.  Here in the ED, vital stable, exam non-focal. Labs notable for troponin 0.13 and CRP 3.0; CBC, chem 10, LFTs, BNP, all within normal limits. CXR normal. Echo done which showed normal function (prelim read). Seen by ID who recommended standard workup for vaccine-induced myocarditis. He was admitted to the floor in stable condition.  Hospital Course: Due to rising troponin during hospital day 1 (peak 0.23), patient was treated with IVIG 2 g/kg (6/14) and methylprednisone 30 mg BID (6/14 - 6/15). On 6/15 a cardiac MRI was obtained that showed a small area of late gadolinium enhancement of the LV with normal function.  Troponin was trended every 12 hours and had decreased to 0.11 on 6/15 AM. He was transitioned to oral prednisone 30 mg BID to complete a total steroid course of 5 days (6/14 - 6/18). During admission he was found to be EBV PCR positive with all other viral testing including EBV serologies pending. It is still thought this is likely due to post-vaccine inflammation and not viral myocarditis but serologies should be followed up as outpatient.   By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake. Prescriptions sent to preferred pharmacy. Follow up with cardiology. Discharge instructions and return precautions reviewed with patient and parent, who expressed good understanding and agreement with plan.   Reasons for new, changed, and discontinued medications:  Prednisone for myocarditis  Famotidine for stomach protection while on prednisone  Discharged home with follow up tests scheduled for 6/17/21.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dry eye, Eye irritation, Hypotension, Vitreous floaters
Clinical narrative: Burning, dry eyes Low blood pressure Started seeing floaters
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer Vaccine administered after being stored at regular freezer temps longer than recommended.  Dose determined invalid, client contacted, and recommended dose repeated.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Swelling, Tenderness
Clinical narrative: Patient experiencing tenderness in left armpit and left side of neck with slight swelling. No treatment sought at time of reporting.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness
Clinical narrative: Pt had history of feeling light headed with flu vaccine. We planned to monitor for 30 minutes post COVID vaccination. About 15 minutes after vaccination pt stated she was feeling dizzy and having some chest pressure.  Took BP (140/100) and sat with pt for about 5 minutes. Pt then stated that her chest pressure was feeling worse and she was feeling like she was going to pass out. We are a pharmacy but located inside of a hospital. We paged up to the emergency department to send someone to take her to the emergency room. Emergency staff arrived at about 1:25pm to take pt up to ER. I gave history and vaccination details to nursing staff
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Lip swelling, Oropharyngeal pain, Swelling face
Clinical narrative: Facial/lip swelling, cough, wheeze, shortness of breath, sore throat
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Facial/lip swelling, cough, wheeze, shortness of breath, sore throat
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiomegaly, Chest discomfort, Computerised tomogram, Drain placement
Clinical narrative: Began feeling like trying to catch a cold. Tired, tight chest, muscles sore. Symptoms continued for a couple weeks then a deep pain in side started.  Could not stand the side pain and went to ER. Scan showed enlarged cardiac silhouette. Further tests showed fluid completely surrounding heart with inflammation in duodenum. Was taking into surgery to have fluid from heart sac drained then a drain put in.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Duodenitis, Echocardiogram abnormal, Fatigue, Flank pain, Myalgia
Clinical narrative: Began feeling like trying to catch a cold. Tired, tight chest, muscles sore. Symptoms continued for a couple weeks then a deep pain in side started.  Could not stand the side pain and went to ER. Scan showed enlarged cardiac silhouette. Further tests showed fluid completely surrounding heart with inflammation in duodenum. Was taking into surgery to have fluid from heart sac drained then a drain put in.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pericardial drainage, Pericardial effusion, Pericarditis
Clinical narrative: Began feeling like trying to catch a cold. Tired, tight chest, muscles sore. Symptoms continued for a couple weeks then a deep pain in side started.  Could not stand the side pain and went to ER. Scan showed enlarged cardiac silhouette. Further tests showed fluid completely surrounding heart with inflammation in duodenum. Was taking into surgery to have fluid from heart sac drained then a drain put in.
Age: 49.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: A few hours after receiving the MMR shot, patient started experiencing pain in the right knee that traveled down to patient's foot.  Pain then started in the left knee on the next day. Pain was very severe, 10/10.  Patient is still experiencing pain. Current pain level is a 9/10 in right leg and a 5/10 in left leg.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Product administered to patient of inappropriate age
Clinical narrative: Patient inadvertently given COVID vaccine at the age of 11 years. Spoke with mother three weeks after dose given when second dose was given. Mother relates no adverse events only temperature of 100.0.  Second dose not given, instructed mother to get 2nd dose after 12th birthday.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: A vial of vaccine was accidentally left on the counter at the end of the day on Friday 6/11/2021. On Monday 6/14/21, another nurse thought that the vial on the counter was thawed out for that day's vaccine clinic. 2 doses were drawn up and given to patients.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event reported. Just wanted documented that patient got vaccine 2 weeks early.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Fatigue, Haematochezia, Haematocrit decreased
Clinical narrative: Melena and hematochezia with associated nausea, fatigue and abdominal discomfort. Symptoms began that evening and continued for 3 more days. Stool was initially watery but became more formed each day.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Melaena, Nausea
Clinical narrative: Melena and hematochezia with associated nausea, fatigue and abdominal discomfort. Symptoms began that evening and continued for 3 more days. Stool was initially watery but became more formed each day.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac failure, Echocardiogram, Electrocardiogram, General physical health deterioration
Clinical narrative: My mother experience has been classified as in heart failure and currently in the hospital. After being vaccinated her health declined drastically.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Discomfort, Fatigue, Muscle swelling, Pain, Pain in extremity
Clinical narrative: Day one sore arm. Day two sore arm, extreme tiredness, extreme pain in arm when trying to use it. Day three tiredness gone. Day four and five arm still has shooting pain when using. Day nine rash breaks out on forearms, both arms. Day ten rash spreads to shoulders and back of neck. Like chicken pox. Starts off small and begins to blister. Extremely itchy and uncomfortable. See Dr and he prescribes natural herbal remedies with  water, rash begins to go away after five days of treatment. Pain in upper arm remains through to June 16. Return to Dr and he noticed swelling still in the upper arm muscle. Pain is not as severe but moving the arm certain ways causes a high level of pain.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash pruritic, Rash vesicular
Clinical narrative: Day one sore arm. Day two sore arm, extreme tiredness, extreme pain in arm when trying to use it. Day three tiredness gone. Day four and five arm still has shooting pain when using. Day nine rash breaks out on forearms, both arms. Day ten rash spreads to shoulders and back of neck. Like chicken pox. Starts off small and begins to blister. Extremely itchy and uncomfortable. See Dr and he prescribes natural herbal remedies with  water, rash begins to go away after five days of treatment. Pain in upper arm remains through to June 16. Return to Dr and he noticed swelling still in the upper arm muscle. Pain is not as severe but moving the arm certain ways causes a high level of pain.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Night sweats, Pain, Rash pruritic
Clinical narrative: Day one sore arm. Day two sore arm, extreme tiredness, extreme pain in arm when trying to use it. Day three tiredness gone. Day four and five arm still has shooting pain when using. Day nine rash breaks out on forearms, both arms. Day ten rash spreads to shoulders and back of neck. Like chicken pox. Starts off small and begins to blister. Extremely itchy and uncomfortable. See Dr and he prescribes natural herbal remedies with  water, rash begins to go away after five days of treatment. Pain in upper arm remains through to June 16. Return to Dr and he noticed swelling still in the upper arm muscle. Pain is not as severe but moving the arm certain ways causes a high level of pain.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Day 1 9hours after shot golf ball sized lump pain warm to touch Day 2  swelling in arm went to baseball size low grade fever chills headache body aches tired vomiting  Day 3 swelling in arm went to softball size vomiting headache muscle aches  tightness in chest
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Pyrexia, Skin warm, Swelling
Clinical narrative: Day 1 9hours after shot golf ball sized lump pain warm to touch Day 2  swelling in arm went to baseball size low grade fever chills headache body aches tired vomiting  Day 3 swelling in arm went to softball size vomiting headache muscle aches  tightness in chest
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Day 1 9hours after shot golf ball sized lump pain warm to touch Day 2  swelling in arm went to baseball size low grade fever chills headache body aches tired vomiting  Day 3 swelling in arm went to softball size vomiting headache muscle aches  tightness in chest
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Magnetic resonance imaging abnormal, Magnetic resonance imaging heart, Myocarditis, Troponin increased
Clinical narrative: Admitted to Hospital on 6/11/21 with 2 day history of chest pain. Treated with  Ibuprofen, Aspirin, Colchicine.  Discharged home on 6/16/21
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Client stated," I had a pain in my chest for less than a minute, about 15 minutes after I was vaccinated." The client denied experiencing shortness of breath, difficulty breathing or swallowing, changes in vision, lightheadedness, radiating or tingling sensation.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Fall, Head injury, Laboratory test, Loss of consciousness
Clinical narrative: Patient was taking a shower the morning following vaccination.  She reported getting out of the shower and then waking up on the floor across the room with a bump on her head.  She does not remember what happened in between getting out of the shower and then waking up on the floor.   She reports being taken to the ER in an ambulance and having numerous tests and imaging performed in the hospital, however the cause of her fall could not be determined.   Prior to her fall she said her arm was sore but she did not feel any other symptoms.  She did report feeling slightly dizzy in the shower after turning around but the feeling was fleeting and she felt fine the rest of the shower.  She was not sure if the shingles vaccine was the cause but she requested the event be documented and submitted.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Patient was taking a shower the morning following vaccination.  She reported getting out of the shower and then waking up on the floor across the room with a bump on her head.  She does not remember what happened in between getting out of the shower and then waking up on the floor.   She reports being taken to the ER in an ambulance and having numerous tests and imaging performed in the hospital, however the cause of her fall could not be determined.   Prior to her fall she said her arm was sore but she did not feel any other symptoms.  She did report feeling slightly dizzy in the shower after turning around but the feeling was fleeting and she felt fine the rest of the shower.  She was not sure if the shingles vaccine was the cause but she requested the event be documented and submitted.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac imaging procedure abnormal, Hypotension, Myocardial strain, Pulmonary embolism, Troponin increased
Clinical narrative: Patient seen in clinic on 6-14 and admitted to observation in the hospital setting. Patient was transferred to Medical Center for higher level of care due to hypotension and elevated troponins on 6/15
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Rash maculo-papular
Clinical narrative: Full body macular papular rash that began within 24 hours s/p dose #2 and lasted for ~ 7 days. Not reported to be pruritic, no urticaria.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Headache, Hyperhidrosis, Muscle spasms
Clinical narrative: Reported leg cramps, dry heaves, sweating, diarrhea, headache, achiness and dizziness after covid vaccination
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Retching
Clinical narrative: Reported leg cramps, dry heaves, sweating, diarrhea, headache, achiness and dizziness after covid vaccination
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: pt received 1st dose of moderna covid-19 vaccine on 06/04/21 and presented to pharmacy on 06/16/21 with complaints of soreness and swollen arm.  Pt stated that the symptoms started on 06/11/21. Per pt, she was seen by her doctor yesterday and he recommended a "heat patch" for the pain- which the pt had applied over injection site and refused to remove patch for observation of injection site. Pt also stated that the doctor already prescribed muscle relaxant medication and that she only presented to the pharmacy to report the adverse effect.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Chest X-ray normal, Chest pain, Chest scan
Clinical narrative: 01/10/2021- I had a headache which was followed with nausea, nausea was relived with rest but came back, next morning I had abdominal/chest pain, lasted for days, about the 12th, I started having severe backpain and I started steroids. March 24th went to ER. March 31st revisited the ER and all my tests were normal, referred to cardiologist , discharged from him on May 4th. Have been seeing Rheumatologist, seeing gastroenterologist on July 21st
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Headache, Laboratory test, Nausea, SARS-CoV-2 test negative
Clinical narrative: 01/10/2021- I had a headache which was followed with nausea, nausea was relived with rest but came back, next morning I had abdominal/chest pain, lasted for days, about the 12th, I started having severe backpain and I started steroids. March 24th went to ER. March 31st revisited the ER and all my tests were normal, referred to cardiologist , discharged from him on May 4th. Have been seeing Rheumatologist, seeing gastroenterologist on July 21st
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Stress echocardiogram normal
Clinical narrative: 01/10/2021- I had a headache which was followed with nausea, nausea was relived with rest but came back, next morning I had abdominal/chest pain, lasted for days, about the 12th, I started having severe backpain and I started steroids. March 24th went to ER. March 31st revisited the ER and all my tests were normal, referred to cardiologist , discharged from him on May 4th. Have been seeing Rheumatologist, seeing gastroenterologist on July 21st
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: A few weeks after my second injection, I had a very heavy period. I?ve had a period every 2 weeks since the first incident and I?ve never had that problem in my life. In fact, I have the opposite problem where I very rarely get periods, so having them every 2 weeks is completely out of the ordinary for me.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Fatigue, Feeling abnormal, Pneumonia
Clinical narrative: Foggy, Chills, Fever, Fatigue and more
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, X-ray abnormal
Clinical narrative: Foggy, Chills, Fever, Fatigue and more
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given their second dose of the Pfizer covid vaccine 13 days after the first dose which is outside of the 4 day early grace period recommended by the manufacturer.  Patient stated they had misread the date on the back of the vaccine card for the second dose but had no worries or concerns about getting the vaccine earlier than recommended.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Neck pain
Clinical narrative: Neck ache right away after injection. Next morning I had swelling in lymph nodes under my armpits on both sides. My left side was more swollen. I also had fatigue for 3 days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Breath odour, Gingival bleeding, Gingival blister, Tongue ulceration
Clinical narrative: In mouth:  Ulcers on tongue, blisters and ulceres on gums/cheeks, bleeding gums, burning gums, mouth odor
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: passed out
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Atelectasis, Blood creatinine increased, Blood sodium increased
Clinical narrative: Patient received his second Pfizer COVID vaccine on 6/4/21. Notes afterward he started with symptoms of a 'chest cold' and was having pain in left rib/lung/chest area. One morning walking at work and was noticing increased phlegm and chest congestion, spit up a wad of blood. Sharp left lung pain with taking a deep breath. Notes after episode, coughed up darker blood a few more times. Went to ER on 6/14/21 - imaging  found with pulmonary embolism/blood clot in left lung. Discharged with Eliquis started pack 2 tab BID for 7 days, then 1 tab BID.  New patient consult on 6/16/21 with myself, APRN - continuation of blood thinners initiated, referred for hematology consult, and echocardiogram ordered.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Emphysema, Full blood count, Haemoptysis
Clinical narrative: Patient received his second Pfizer COVID vaccine on 6/4/21. Notes afterward he started with symptoms of a 'chest cold' and was having pain in left rib/lung/chest area. One morning walking at work and was noticing increased phlegm and chest congestion, spit up a wad of blood. Sharp left lung pain with taking a deep breath. Notes after episode, coughed up darker blood a few more times. Went to ER on 6/14/21 - imaging  found with pulmonary embolism/blood clot in left lung. Discharged with Eliquis started pack 2 tab BID for 7 days, then 1 tab BID.  New patient consult on 6/16/21 with myself, APRN - continuation of blood thinners initiated, referred for hematology consult, and echocardiogram ordered.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Lower respiratory tract infection, Lung hyperinflation, Lung infiltration, Lymphocyte percentage, Metabolic function test
Clinical narrative: Patient received his second Pfizer COVID vaccine on 6/4/21. Notes afterward he started with symptoms of a 'chest cold' and was having pain in left rib/lung/chest area. One morning walking at work and was noticing increased phlegm and chest congestion, spit up a wad of blood. Sharp left lung pain with taking a deep breath. Notes after episode, coughed up darker blood a few more times. Went to ER on 6/14/21 - imaging  found with pulmonary embolism/blood clot in left lung. Discharged with Eliquis started pack 2 tab BID for 7 days, then 1 tab BID.  New patient consult on 6/16/21 with myself, APRN - continuation of blood thinners initiated, referred for hematology consult, and echocardiogram ordered.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Painful respiration, Pneumonia, Productive cough, Pulmonary embolism
Clinical narrative: Patient received his second Pfizer COVID vaccine on 6/4/21. Notes afterward he started with symptoms of a 'chest cold' and was having pain in left rib/lung/chest area. One morning walking at work and was noticing increased phlegm and chest congestion, spit up a wad of blood. Sharp left lung pain with taking a deep breath. Notes after episode, coughed up darker blood a few more times. Went to ER on 6/14/21 - imaging  found with pulmonary embolism/blood clot in left lung. Discharged with Eliquis started pack 2 tab BID for 7 days, then 1 tab BID.  New patient consult on 6/16/21 with myself, APRN - continuation of blood thinners initiated, referred for hematology consult, and echocardiogram ordered.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary infarction, Pulmonary pain, Pulmonary thrombosis, Red cell distribution width decreased, Respiratory tract congestion
Clinical narrative: Patient received his second Pfizer COVID vaccine on 6/4/21. Notes afterward he started with symptoms of a 'chest cold' and was having pain in left rib/lung/chest area. One morning walking at work and was noticing increased phlegm and chest congestion, spit up a wad of blood. Sharp left lung pain with taking a deep breath. Notes after episode, coughed up darker blood a few more times. Went to ER on 6/14/21 - imaging  found with pulmonary embolism/blood clot in left lung. Discharged with Eliquis started pack 2 tab BID for 7 days, then 1 tab BID.  New patient consult on 6/16/21 with myself, APRN - continuation of blood thinners initiated, referred for hematology consult, and echocardiogram ordered.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum increased
Clinical narrative: Patient received his second Pfizer COVID vaccine on 6/4/21. Notes afterward he started with symptoms of a 'chest cold' and was having pain in left rib/lung/chest area. One morning walking at work and was noticing increased phlegm and chest congestion, spit up a wad of blood. Sharp left lung pain with taking a deep breath. Notes after episode, coughed up darker blood a few more times. Went to ER on 6/14/21 - imaging  found with pulmonary embolism/blood clot in left lung. Discharged with Eliquis started pack 2 tab BID for 7 days, then 1 tab BID.  New patient consult on 6/16/21 with myself, APRN - continuation of blood thinners initiated, referred for hematology consult, and echocardiogram ordered.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bradycardia, Cerebral infarction, Cerebrovascular accident, Computerised tomogram head abnormal, Confusional state
Clinical narrative: 4/28/2021- Patient presented to ED for evaluation after a syncopal episode with fall and head injury, severe headache; loss of consciousness; bradycardia with early repolarization without acute ischemia.  6/3/2021- continued confusion, disorientation; Brain MRI shows early chronic infarct  6/14/2021- Patient presented with continued syncopal episodes, significant confusion ongoing for weeks, diagnosed with large left MCA stroke.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Disorientation, Fall, Head injury, Headache, Loss of consciousness
Clinical narrative: 4/28/2021- Patient presented to ED for evaluation after a syncopal episode with fall and head injury, severe headache; loss of consciousness; bradycardia with early repolarization without acute ischemia.  6/3/2021- continued confusion, disorientation; Brain MRI shows early chronic infarct  6/14/2021- Patient presented with continued syncopal episodes, significant confusion ongoing for weeks, diagnosed with large left MCA stroke.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Syncope
Clinical narrative: 4/28/2021- Patient presented to ED for evaluation after a syncopal episode with fall and head injury, severe headache; loss of consciousness; bradycardia with early repolarization without acute ischemia.  6/3/2021- continued confusion, disorientation; Brain MRI shows early chronic infarct  6/14/2021- Patient presented with continued syncopal episodes, significant confusion ongoing for weeks, diagnosed with large left MCA stroke.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebral infarction, Cerebrovascular accident, Computerised tomogram head normal, Computerised tomogram neck, Drug screen negative
Clinical narrative: 4/28/2021- Patient presented to ED for evaluation after a syncopal episode with fall and head injury, severe headache; loss of consciousness; bradycardia with early repolarization without acute ischemia.  6/3/2021- continued confusion, disorientation; Brain MRI shows early chronic infarct  6/14/2021- Patient presented with continued syncopal episodes, significant confusion ongoing for weeks, diagnosed with large left MCA stroke.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysarthria, Fall, Laboratory test, Magnetic resonance imaging head abnormal, Skin laceration
Clinical narrative: 4/28/2021- Patient presented to ED for evaluation after a syncopal episode with fall and head injury, severe headache; loss of consciousness; bradycardia with early repolarization without acute ischemia.  6/3/2021- continued confusion, disorientation; Brain MRI shows early chronic infarct  6/14/2021- Patient presented with continued syncopal episodes, significant confusion ongoing for weeks, diagnosed with large left MCA stroke.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Speech disorder, Syncope
Clinical narrative: 4/28/2021- Patient presented to ED for evaluation after a syncopal episode with fall and head injury, severe headache; loss of consciousness; bradycardia with early repolarization without acute ischemia.  6/3/2021- continued confusion, disorientation; Brain MRI shows early chronic infarct  6/14/2021- Patient presented with continued syncopal episodes, significant confusion ongoing for weeks, diagnosed with large left MCA stroke.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Headache, Injection site pain, Joint range of motion decreased, Neck pain
Clinical narrative: Pt received vaccine on 6/14 at 2 pm. Pt woke up that night with arm pain but thought it was normal injection site reaction. She woke up 6/14 with a swollen arm, unable to lift or move arm, wit radiating pain to the head, neck, and chest.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling
Clinical narrative: Pt received vaccine on 6/14 at 2 pm. Pt woke up that night with arm pain but thought it was normal injection site reaction. She woke up 6/14 with a swollen arm, unable to lift or move arm, wit radiating pain to the head, neck, and chest.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Hepatobiliary scan, Magnetic resonance imaging normal, Nausea, Ultrasound scan normal
Clinical narrative: naseau,
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Approximately 01:56 the following morning, patient expired
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Cardiovascular evaluation, Disturbance in attention, Fatigue, Feeling abnormal
Clinical narrative: Extremely fatigue , restless sleep at night, headache, running fever periodically, but that went away, I felt like i had the flu, I also have brain fog, trouble concentrating.  Went to my psychiatrist and asked if my meds were too strong. He said  Medication was fine.  My Primary care doctor suggested a sleep study and a cardiac work up because I was having excessive night time sweating  which i didn't have prior to my vaccine, and extreme fatigue. I am falling asleep  behind  the wheel and at my desk at work while someone is talking to me.  My anxiety and depression has gotten worse and i am contributing it to everything  that is going on.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired driving ability, Impaired work ability, Influenza like illness, Night sweats
Clinical narrative: Extremely fatigue , restless sleep at night, headache, running fever periodically, but that went away, I felt like i had the flu, I also have brain fog, trouble concentrating.  Went to my psychiatrist and asked if my meds were too strong. He said  Medication was fine.  My Primary care doctor suggested a sleep study and a cardiac work up because I was having excessive night time sweating  which i didn't have prior to my vaccine, and extreme fatigue. I am falling asleep  behind  the wheel and at my desk at work while someone is talking to me.  My anxiety and depression has gotten worse and i am contributing it to everything  that is going on.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality sleep, Pyrexia, SARS-CoV-2 test positive, Sleep study
Clinical narrative: Extremely fatigue , restless sleep at night, headache, running fever periodically, but that went away, I felt like i had the flu, I also have brain fog, trouble concentrating.  Went to my psychiatrist and asked if my meds were too strong. He said  Medication was fine.  My Primary care doctor suggested a sleep study and a cardiac work up because I was having excessive night time sweating  which i didn't have prior to my vaccine, and extreme fatigue. I am falling asleep  behind  the wheel and at my desk at work while someone is talking to me.  My anxiety and depression has gotten worse and i am contributing it to everything  that is going on.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Death, Malaise, Unresponsive to stimuli, Vomiting
Clinical narrative: On Friday night, April 16,2021, after working all day for his job, Pt told his roomates that he wasn't feeling well, was throwing up, had the chills and was going to lay down. When the roomates didn't see him Monday morning, April 19, 2021, they went into his room and found him unresponsive. The medical examiner ruled death due to cancer which appears incorrect considering the evidence.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Dyspnoea, Injection site pain, Myocarditis
Clinical narrative: Myocarditis. Chest pain, shortness of breath, pain when leaning over or increasing heart rate, referred pain in left shoulder
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Myocarditis. Chest pain, shortness of breath, pain when leaning over or increasing heart rate, referred pain in left shoulder