chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid, Blood pH decreased, Brain natriuretic peptide increased, COVID-19, Cardiac telemetry abnormal
Clinical narrative: Pfizer x2 vaccinated patient admitted through ED due to hypoxia.  Patient died during admission for COVID/hypoxia.  Provider discharge note below:  "75 YO year old male with past medical history of arthritis, myasthenia gravis. He is presenting to  Hospital per direction of PCP due to low oxygen saturation.    Per discussion with patient and wife, his symptoms started on 11/28/21 with URI symptoms. His cough progressed with some mucopurulent sputum. He worked, as a vet, up until 12/9/21, when his shortness of breath made it too difficult to continue working. He came to the emergency department on 12/10 and was noted to be hypoxic at that time. He received dexamethasone and supplemental O2, which improved his dyspnea temporarily. His symptoms again worsened and he called his PCP just prior to arrival. Per PCP note, patient was saturating between 73% and 83%. He was advised to come to the emergency department.    On initial vitals significant for hypoxia of 72% on 3.0 lpm. His SpO2 was improved to 98% on 15 lpm NRB. Other vitals were unremarkable. CBC demonstrated normocytic anemia at baseline and left shift. Chemistries demonstrated mild hyperglycemia of 132 and isolated elevation of AST. BNP was elevated at 1544. pCT was mildly elevated at 0.14. Troponin delta was negative. D-dimer was elevated at 2200.    1. Acute hypoxic respiratory failure: due to COVID-19. Pt remains on HFNC 40L @ 100% FiO2. S/p 6 day course of ceftriaxone and doxycycline. 1/2 initial  blood cultures positive for staph epi. This is likely a contaminant but was covered with antibiotics and repeat cultures were negative. Leukocytosis down trended, repeat CXR was stable appearing. In the early morning of 12/31, patient was found to have pulled his mask off and unresponsive. STAT ABG revealed pH 6.97, lactate of 14.3. telemetry w/ v-tach. Patient was placed back on mask and given 2 amps of bicarb with improvement in oxygenation and cardiac rhythm. Subsequent rapid response was called about 2 hours later where patient was exhibiting agonal breathing, then expired shortly after. "
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Death, Dyspnoea, Fibrin D dimer increased, Full blood count abnormal
Clinical narrative: Pfizer x2 vaccinated patient admitted through ED due to hypoxia.  Patient died during admission for COVID/hypoxia.  Provider discharge note below:  "75 YO year old male with past medical history of arthritis, myasthenia gravis. He is presenting to  Hospital per direction of PCP due to low oxygen saturation.    Per discussion with patient and wife, his symptoms started on 11/28/21 with URI symptoms. His cough progressed with some mucopurulent sputum. He worked, as a vet, up until 12/9/21, when his shortness of breath made it too difficult to continue working. He came to the emergency department on 12/10 and was noted to be hypoxic at that time. He received dexamethasone and supplemental O2, which improved his dyspnea temporarily. His symptoms again worsened and he called his PCP just prior to arrival. Per PCP note, patient was saturating between 73% and 83%. He was advised to come to the emergency department.    On initial vitals significant for hypoxia of 72% on 3.0 lpm. His SpO2 was improved to 98% on 15 lpm NRB. Other vitals were unremarkable. CBC demonstrated normocytic anemia at baseline and left shift. Chemistries demonstrated mild hyperglycemia of 132 and isolated elevation of AST. BNP was elevated at 1544. pCT was mildly elevated at 0.14. Troponin delta was negative. D-dimer was elevated at 2200.    1. Acute hypoxic respiratory failure: due to COVID-19. Pt remains on HFNC 40L @ 100% FiO2. S/p 6 day course of ceftriaxone and doxycycline. 1/2 initial  blood cultures positive for staph epi. This is likely a contaminant but was covered with antibiotics and repeat cultures were negative. Leukocytosis down trended, repeat CXR was stable appearing. In the early morning of 12/31, patient was found to have pulled his mask off and unresponsive. STAT ABG revealed pH 6.97, lactate of 14.3. telemetry w/ v-tach. Patient was placed back on mask and given 2 amps of bicarb with improvement in oxygenation and cardiac rhythm. Subsequent rapid response was called about 2 hours later where patient was exhibiting agonal breathing, then expired shortly after. "
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperglycaemia, Hypoxia, Impaired work ability, Leukocytosis, Normocytic anaemia
Clinical narrative: Pfizer x2 vaccinated patient admitted through ED due to hypoxia.  Patient died during admission for COVID/hypoxia.  Provider discharge note below:  "75 YO year old male with past medical history of arthritis, myasthenia gravis. He is presenting to  Hospital per direction of PCP due to low oxygen saturation.    Per discussion with patient and wife, his symptoms started on 11/28/21 with URI symptoms. His cough progressed with some mucopurulent sputum. He worked, as a vet, up until 12/9/21, when his shortness of breath made it too difficult to continue working. He came to the emergency department on 12/10 and was noted to be hypoxic at that time. He received dexamethasone and supplemental O2, which improved his dyspnea temporarily. His symptoms again worsened and he called his PCP just prior to arrival. Per PCP note, patient was saturating between 73% and 83%. He was advised to come to the emergency department.    On initial vitals significant for hypoxia of 72% on 3.0 lpm. His SpO2 was improved to 98% on 15 lpm NRB. Other vitals were unremarkable. CBC demonstrated normocytic anemia at baseline and left shift. Chemistries demonstrated mild hyperglycemia of 132 and isolated elevation of AST. BNP was elevated at 1544. pCT was mildly elevated at 0.14. Troponin delta was negative. D-dimer was elevated at 2200.    1. Acute hypoxic respiratory failure: due to COVID-19. Pt remains on HFNC 40L @ 100% FiO2. S/p 6 day course of ceftriaxone and doxycycline. 1/2 initial  blood cultures positive for staph epi. This is likely a contaminant but was covered with antibiotics and repeat cultures were negative. Leukocytosis down trended, repeat CXR was stable appearing. In the early morning of 12/31, patient was found to have pulled his mask off and unresponsive. STAT ABG revealed pH 6.97, lactate of 14.3. telemetry w/ v-tach. Patient was placed back on mask and given 2 amps of bicarb with improvement in oxygenation and cardiac rhythm. Subsequent rapid response was called about 2 hours later where patient was exhibiting agonal breathing, then expired shortly after. "
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Procalcitonin increased, Productive cough, SARS-CoV-2 test positive, Staphylococcus test positive
Clinical narrative: Pfizer x2 vaccinated patient admitted through ED due to hypoxia.  Patient died during admission for COVID/hypoxia.  Provider discharge note below:  "75 YO year old male with past medical history of arthritis, myasthenia gravis. He is presenting to  Hospital per direction of PCP due to low oxygen saturation.    Per discussion with patient and wife, his symptoms started on 11/28/21 with URI symptoms. His cough progressed with some mucopurulent sputum. He worked, as a vet, up until 12/9/21, when his shortness of breath made it too difficult to continue working. He came to the emergency department on 12/10 and was noted to be hypoxic at that time. He received dexamethasone and supplemental O2, which improved his dyspnea temporarily. His symptoms again worsened and he called his PCP just prior to arrival. Per PCP note, patient was saturating between 73% and 83%. He was advised to come to the emergency department.    On initial vitals significant for hypoxia of 72% on 3.0 lpm. His SpO2 was improved to 98% on 15 lpm NRB. Other vitals were unremarkable. CBC demonstrated normocytic anemia at baseline and left shift. Chemistries demonstrated mild hyperglycemia of 132 and isolated elevation of AST. BNP was elevated at 1544. pCT was mildly elevated at 0.14. Troponin delta was negative. D-dimer was elevated at 2200.    1. Acute hypoxic respiratory failure: due to COVID-19. Pt remains on HFNC 40L @ 100% FiO2. S/p 6 day course of ceftriaxone and doxycycline. 1/2 initial  blood cultures positive for staph epi. This is likely a contaminant but was covered with antibiotics and repeat cultures were negative. Leukocytosis down trended, repeat CXR was stable appearing. In the early morning of 12/31, patient was found to have pulled his mask off and unresponsive. STAT ABG revealed pH 6.97, lactate of 14.3. telemetry w/ v-tach. Patient was placed back on mask and given 2 amps of bicarb with improvement in oxygenation and cardiac rhythm. Subsequent rapid response was called about 2 hours later where patient was exhibiting agonal breathing, then expired shortly after. "
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin normal, Unresponsive to stimuli, Upper respiratory tract infection, Ventricular tachycardia
Clinical narrative: Pfizer x2 vaccinated patient admitted through ED due to hypoxia.  Patient died during admission for COVID/hypoxia.  Provider discharge note below:  "75 YO year old male with past medical history of arthritis, myasthenia gravis. He is presenting to  Hospital per direction of PCP due to low oxygen saturation.    Per discussion with patient and wife, his symptoms started on 11/28/21 with URI symptoms. His cough progressed with some mucopurulent sputum. He worked, as a vet, up until 12/9/21, when his shortness of breath made it too difficult to continue working. He came to the emergency department on 12/10 and was noted to be hypoxic at that time. He received dexamethasone and supplemental O2, which improved his dyspnea temporarily. His symptoms again worsened and he called his PCP just prior to arrival. Per PCP note, patient was saturating between 73% and 83%. He was advised to come to the emergency department.    On initial vitals significant for hypoxia of 72% on 3.0 lpm. His SpO2 was improved to 98% on 15 lpm NRB. Other vitals were unremarkable. CBC demonstrated normocytic anemia at baseline and left shift. Chemistries demonstrated mild hyperglycemia of 132 and isolated elevation of AST. BNP was elevated at 1544. pCT was mildly elevated at 0.14. Troponin delta was negative. D-dimer was elevated at 2200.    1. Acute hypoxic respiratory failure: due to COVID-19. Pt remains on HFNC 40L @ 100% FiO2. S/p 6 day course of ceftriaxone and doxycycline. 1/2 initial  blood cultures positive for staph epi. This is likely a contaminant but was covered with antibiotics and repeat cultures were negative. Leukocytosis down trended, repeat CXR was stable appearing. In the early morning of 12/31, patient was found to have pulled his mask off and unresponsive. STAT ABG revealed pH 6.97, lactate of 14.3. telemetry w/ v-tach. Patient was placed back on mask and given 2 amps of bicarb with improvement in oxygenation and cardiac rhythm. Subsequent rapid response was called about 2 hours later where patient was exhibiting agonal breathing, then expired shortly after. "
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: pt was given undiluted vaccine, she has not reported any adverse reactions
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis, Discomfort, Neck pain
Clinical narrative: developed 'bursitis' pain shoulder/neck area since #1 shot, continued to present date had first, second & booster final done 1/4/2022
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Pericarditis
Clinical narrative: I developed severe myocarditis and pericarditis which I was admitted and received treatment for after receiving the Covid-19 vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Nasopharyngitis, Pyrexia, SARS-CoV-2 test
Clinical narrative: Employee came in for testing at community due to general exposure that evening was feeling ill, cold symptom, fever
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Sleep disorder, Urticaria
Clinical narrative: Spontaneous hives beginning on the scalp, ears, and neck; progressed to arms and torso in 24 hours; itching/scratching interrupting sleep; intense for approx. 2 weeks and decreasing with time; treating with 1 benadryl before bed; however, benadryl had little to no effect during intense period
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol test, Computerised tomogram head, Drug screen, Full blood count, Metabolic function test
Clinical narrative: Patient brought to the ED with first time witnessed seizure, resolved at time of presentation.  He is unsure of which COVID vaccine he received 3 days ago but it was either Moderna or Pfizer.  He is afebrile.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Patient brought to the ED with first time witnessed seizure, resolved at time of presentation.  He is unsure of which COVID vaccine he received 3 days ago but it was either Moderna or Pfizer.  He is afebrile.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy artery, Blood test, Computerised tomogram, Giant cell arteritis, Headache
Clinical narrative: Ill after second dose.  Then all kinds of symptoms started happening.  Had ocular migraines, headaches,  fever, raised veins in temples, and more.  Was diagnosed with Giant Cell Arteritis  around October 20,2021.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Magnetic resonance imaging, Migraine, Pyrexia, Vein disorder
Clinical narrative: Ill after second dose.  Then all kinds of symptoms started happening.  Had ocular migraines, headaches,  fever, raised veins in temples, and more.  Was diagnosed with Giant Cell Arteritis  around October 20,2021.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary, Cerebrovascular accident, Laboratory test, Ultrasound Doppler, Venogram
Clinical narrative: Acute CVA.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Fever of 101.8, chills, muscle ache.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Muscular weakness
Clinical narrative: Symptoms began approximately 2 weeks post booster.  In November 2019, I received a flu vaccine that resulted in similar symptoms.  At that time, I was sent by my primary doctor for a battery of tests to rule out ALS, MS, etc.  Symptoms included weakening of lower body muscles, imbalance and a general feeling of losing control of my legs.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Heart rate increased
Clinical narrative: About 10 minutes after receiving vaccine, patient states she feels like her heart is beating fast. I took her blood pressure and was high 187/114, then took two more times and went down almost immediately. Last reading was 128/79 about 15 minutes after first reading. She was feeling good when she left. Observed the patient for a total of 40 minutes after vaccine administed. Her pulse was slightly high 110, 103. Slight headache, but had this before receiving vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Blood test, Immune system disorder, Multiple allergies, Urticaria chronic
Clinical narrative: No initial reaction. About a month later, I started experiencing chronic urticaria which is ongoing. After initially trying to treat at home, I saw my PCP who ran some tests, and since then I've been working with an allergist who says it's a hyper immune response. (I checked off "permanent damage" below because the problem is ongoing.)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: pt was given undiluted vaccination. pt has not reported any adverse effects
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: The patient came in for his first dose of Moderna, 0.5ml, there was a mix up between the pharmacy and the vaccinator and it was discovered he had only received a booster dose of 0.25ml. The patient was contacted and returned to the clinic for an additional "booster" dose of 0.25ml equaling the full 0.5ml dose required for the first shot of Moderna.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Cough, Dyspnoea, Pain, Respiratory tract congestion
Clinical narrative: cough, body aches, congestion, chills, shortness of breath. starting 1/1/2022
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Impaired healing, Muscle spasms, Tongue biting, Visual impairment
Clinical narrative: pt says that soon after her second COVID vaccine: worsened vision/hearing though improving Also gets spontaneous needle/shock like sensation - has had them in her legs (ankle, or knee, or hip, or hands, mouth). If eating and this occurs (spasm described by pt), sometimes might bite her tongue or lip. These symptoms are improving. This is most bothersome sx for pt.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, COVID-19, Chest pain, Cough, Dyspnoea
Clinical narrative: Got the booster vaccine on December 17, I had side effects for 4 days (body ache, fatigue, arm pain), on December 27 I began to feel a sore throat, fatigue and body ache, I took acetaminophen. On December 30 I did a rapid test at home, I tested positive for COVID. I started to get a headache, shortness of breath, chest pain, dry cough, body aches, and tiredness. I got tested again on January 3 (my doctor asked for it) this time it was a PCR test and I tested positive. The symptoms I have now are chest pain, joint pain, and tiredness. My doctor prescribed an Albuterol, Acetaminophen, and Benzonatate inhaler. I have used the inhaler for 3 days and it has helped a little
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: Got the booster vaccine on December 17, I had side effects for 4 days (body ache, fatigue, arm pain), on December 27 I began to feel a sore throat, fatigue and body ache, I took acetaminophen. On December 30 I did a rapid test at home, I tested positive for COVID. I started to get a headache, shortness of breath, chest pain, dry cough, body aches, and tiredness. I got tested again on January 3 (my doctor asked for it) this time it was a PCR test and I tested positive. The symptoms I have now are chest pain, joint pain, and tiredness. My doctor prescribed an Albuterol, Acetaminophen, and Benzonatate inhaler. I have used the inhaler for 3 days and it has helped a little
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Got the booster vaccine on December 17, I had side effects for 4 days (body ache, fatigue, arm pain), on December 27 I began to feel a sore throat, fatigue and body ache, I took acetaminophen. On December 30 I did a rapid test at home, I tested positive for COVID. I started to get a headache, shortness of breath, chest pain, dry cough, body aches, and tiredness. I got tested again on January 3 (my doctor asked for it) this time it was a PCR test and I tested positive. The symptoms I have now are chest pain, joint pain, and tiredness. My doctor prescribed an Albuterol, Acetaminophen, and Benzonatate inhaler. I have used the inhaler for 3 days and it has helped a little
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Discharge, Drain site complication, Flank pain
Clinical narrative: patient presented to emergency dept on 10/27/21 for right flank pain and discharge from drain patient was admitted for further management of abdominal pain patient was found to be covid-19 positive on 10/29/21 patient did not require treatment for symptoms associated with covid-19 infection. patient was discharged to home on 10/31/21
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: patient presented to emergency dept on 10/27/21 for right flank pain and discharge from drain patient was admitted for further management of abdominal pain patient was found to be covid-19 positive on 10/29/21 patient did not require treatment for symptoms associated with covid-19 infection. patient was discharged to home on 10/31/21
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID+
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Headache
Clinical narrative: symptoms of covid = cough, fever, chills, headache, SOB, not hypoxic. tested positive for covid on 1/4
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: symptoms of covid = cough, fever, chills, headache, SOB, not hypoxic. tested positive for covid on 1/4
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, cough, tiredness
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoacusis, Insomnia, Tinnitus
Clinical narrative: Tinnitus in left ear that was loud enough to make sleep difficult.  The Tinnitus subsided after about 3 hours of sleep, but hearing is now impaired in the left ear.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Under 18 given Moderna instead of Pfizer
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Chills, Headache, Hyperhidrosis, Nausea
Clinical narrative: pt was given undiluted vaccination and is experiencing fever, chills, sweating, nausea and vomiting, headache, chest pain
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product preparation issue, Pyrexia, Vomiting
Clinical narrative: pt was given undiluted vaccination and is experiencing fever, chills, sweating, nausea and vomiting, headache, chest pain
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Chest pain, Chills, Dizziness, Fatigue
Clinical narrative: pt was given undiluted vaccination and is experiencing fever, chills, sweating, nausea and vomiting, headache, chest pain
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hyperhidrosis, Muscular weakness, Nausea, Overdose
Clinical narrative: pt was given undiluted vaccination and is experiencing fever, chills, sweating, nausea and vomiting, headache, chest pain
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia, Product preparation error, Pyrexia
Clinical narrative: pt was given undiluted vaccination and is experiencing fever, chills, sweating, nausea and vomiting, headache, chest pain
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: My skin turned red like if someone had scratched me and then intense itching, where any scratching would lead to very easy skin reddening which spreads to the rest of the area.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administered after 12 hours. (Vial was first punctured on 1/4/22 at 8:18am. Vaccine was given at 11:59am on 1/5/22.) No adverse reaction.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chills, Dyspnoea, Full blood count abnormal, Heart rate increased
Clinical narrative: Day 1: Fever, chills, sweats, body ache, nausea Week 2-5: "Covid arm" swelling of arm at injection site, raised red rash Next 6 months+: Sudden onset of hypertension, rapid heartrate, shortness of breath
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypertension, Injection site swelling, Lymphocyte morphology abnormal, Nausea
Clinical narrative: Day 1: Fever, chills, sweats, body ache, nausea Week 2-5: "Covid arm" swelling of arm at injection site, raised red rash Next 6 months+: Sudden onset of hypertension, rapid heartrate, shortness of breath
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash erythematous, Rash papular, Vaccination complication
Clinical narrative: Day 1: Fever, chills, sweats, body ache, nausea Week 2-5: "Covid arm" swelling of arm at injection site, raised red rash Next 6 months+: Sudden onset of hypertension, rapid heartrate, shortness of breath
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Consciousness fluctuating, Fall
Clinical narrative: Shortly after vaccination in the observation area, EMT noticed her starting to fall over from her seat.  EMT and Friend where able to lay her on the ground.  Pt. was in and out of consciousness.  Pt complained of chest pain at times. Pt was placed on a NRB supine with legs  elevated. Vitals were stable.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient admitted for acute hypoxic respiratory failure. Started with symptoms on 12/30 and tested positive on 1/2. Was exposed to COVID positive wife and had MAB in November.
Age: 60.0
Sex: F
Vaccine: FLUA4
Symptoms: Arthralgia, Immediate post-injection reaction, Injection site pain, Loss of personal independence in daily activities, Muscular weakness
Clinical narrative: Immediate pain upon injection down arm into fingers.  Pain continues months later with weakness in arm and shoulder.  Pain prevents patient from some activities of daily living.  Arm and shoulder pain while sleeping and during arm and hand use.  Pain has not resolved or lessened over time.
Age: 60.0
Sex: F
Vaccine: FLUA4
Symptoms: Pain, Pain in extremity
Clinical narrative: Immediate pain upon injection down arm into fingers.  Pain continues months later with weakness in arm and shoulder.  Pain prevents patient from some activities of daily living.  Arm and shoulder pain while sleeping and during arm and hand use.  Pain has not resolved or lessened over time.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time prolonged, Coagulation test abnormal, Coagulopathy, Condition aggravated, Decreased activity
Clinical narrative: Patient initially presented to ED on 1/3/22 following  a 1 day history of decreased activity, 3 bloody stools while at home, and reduction in lower extremity movement. At the ED she was found to have a BP of 48/32 mmHg, was treated with a 20 mL/kg NS bolus + ceftriaxone 100 mg/kg ceftriaxone, and was transferred to the Clinic PICU. Patient was found to have hemorrhagic shock with GI bleed, with coagulopathy (see item 19). She received phytonadione 5 mg on 1/4 and 1/5, then phytonadione 2.5 mg on 1/6, with normalization of the INR to 1.5 on 1/4, followed by 1.2 on 1/5 and 1.1 on 1/6. The patient also required pressure support with epinephrine and vasopressin, in addition to administration of FFP and 2 units packed red blood cells. Additionally found to have spinal cord infarct extending from T2-T3 to the conus medullaris on MRI on 1/5/22. Patient is still undergoing workup for the GI bleed and spinal cord findings. She is currently admitted.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Gastrointestinal haemorrhage, Haematochezia, Intensive care, International normalised ratio increased
Clinical narrative: Patient initially presented to ED on 1/3/22 following  a 1 day history of decreased activity, 3 bloody stools while at home, and reduction in lower extremity movement. At the ED she was found to have a BP of 48/32 mmHg, was treated with a 20 mL/kg NS bolus + ceftriaxone 100 mg/kg ceftriaxone, and was transferred to the Clinic PICU. Patient was found to have hemorrhagic shock with GI bleed, with coagulopathy (see item 19). She received phytonadione 5 mg on 1/4 and 1/5, then phytonadione 2.5 mg on 1/6, with normalization of the INR to 1.5 on 1/4, followed by 1.2 on 1/5 and 1.1 on 1/6. The patient also required pressure support with epinephrine and vasopressin, in addition to administration of FFP and 2 units packed red blood cells. Additionally found to have spinal cord infarct extending from T2-T3 to the conus medullaris on MRI on 1/5/22. Patient is still undergoing workup for the GI bleed and spinal cord findings. She is currently admitted.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal disorder, Packed red blood cell transfusion, Prothrombin time prolonged, Shock haemorrhagic, Spinal cord infarction
Clinical narrative: Patient initially presented to ED on 1/3/22 following  a 1 day history of decreased activity, 3 bloody stools while at home, and reduction in lower extremity movement. At the ED she was found to have a BP of 48/32 mmHg, was treated with a 20 mL/kg NS bolus + ceftriaxone 100 mg/kg ceftriaxone, and was transferred to the Clinic PICU. Patient was found to have hemorrhagic shock with GI bleed, with coagulopathy (see item 19). She received phytonadione 5 mg on 1/4 and 1/5, then phytonadione 2.5 mg on 1/6, with normalization of the INR to 1.5 on 1/4, followed by 1.2 on 1/5 and 1.1 on 1/6. The patient also required pressure support with epinephrine and vasopressin, in addition to administration of FFP and 2 units packed red blood cells. Additionally found to have spinal cord infarct extending from T2-T3 to the conus medullaris on MRI on 1/5/22. Patient is still undergoing workup for the GI bleed and spinal cord findings. She is currently admitted.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Where I received the injection is still swollen (red circle) but I also have a similar large spot on the same side of my body on my lower neck that is red and slightly painful to the touch.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Full body hives. Began as bug bite-like welts which grew larger and redder as time passed and as they were scratched, very itchy, began on neck and worked down torso and arms, few below knees. Prescribed Prednisone for 10 days which reduced itchiness and redness, all but 3 hives were gone by the time the 10 days were over, about 3 weeks after hives first appeared.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Asthenia, Chest discomfort, Chest pain, Lethargy
Clinical narrative: Chest pain and tightness within 3-5 minutes after shot. Very lethargic and weak within 15- 20 minutes. Rescue called. Transported to er. Hives started about an hour after shot along with stomach pain. Epi pen and Benadryl given. Felt better afterwards.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Chest pain and tightness within 3-5 minutes after shot. Very lethargic and weak within 15- 20 minutes. Rescue called. Transported to er. Hives started about an hour after shot along with stomach pain. Epi pen and Benadryl given. Felt better afterwards.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, COVID-19 pneumonia, Dehydration
Clinical narrative: Chest pain and tightness within 3-5 minutes after shot. Very lethargic and weak within 15- 20 minutes. Rescue called. Transported to er. Hives started about an hour after shot along with stomach pain. Epi pen and Benadryl given. Felt better afterwards.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Diarrhoea haemorrhagic, Hypophagia, Malaise, Pain, Retching
Clinical narrative: Chest pain and tightness within 3-5 minutes after shot. Very lethargic and weak within 15- 20 minutes. Rescue called. Transported to er. Hives started about an hour after shot along with stomach pain. Epi pen and Benadryl given. Felt better afterwards.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Chest pain and tightness within 3-5 minutes after shot. Very lethargic and weak within 15- 20 minutes. Rescue called. Transported to er. Hives started about an hour after shot along with stomach pain. Epi pen and Benadryl given. Felt better afterwards.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Chest discomfort, Fatigue, SARS-CoV-2 test negative, Throat irritation
Clinical narrative: Chest pain and tightness within 3-5 minutes after shot. Very lethargic and weak within 15- 20 minutes. Rescue called. Transported to er. Hives started about an hour after shot along with stomach pain. Epi pen and Benadryl given. Felt better afterwards.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Chest pain, Cough, Illness, Lethargy
Clinical narrative: Chest pain and tightness within 3-5 minutes after shot. Very lethargic and weak within 15- 20 minutes. Rescue called. Transported to er. Hives started about an hour after shot along with stomach pain. Epi pen and Benadryl given. Felt better afterwards.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Nausea, Pallor, SARS-CoV-2 test negative, Urticaria
Clinical narrative: Chest pain and tightness within 3-5 minutes after shot. Very lethargic and weak within 15- 20 minutes. Rescue called. Transported to er. Hives started about an hour after shot along with stomach pain. Epi pen and Benadryl given. Felt better afterwards.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Asthenia, Chest discomfort, Chest pain, Lethargy
Clinical narrative: Patient presented received 1st moderna vaccine on 12/14/21. On 12/15/21, developed body aches, malaise.  Also developed dry heaving and diarrhea with bright red blood.  Seen at an outside clinic on 12/20/21 for these symptoms, and at that time had a positive covid test.  Prescribed zofran and immodium and discharged home.  Presented to our emergency room on 12/23/21 with continued poor oral intake, dry heaving, diarrhea and weakness. Admitted on 12/23 for covid pneumonia, acute kidney injury, dehydration, vomiting and diarrhea.  Patient progressed to a point of needing a higher level of care for his covid pneumonia, and was discharged from our facility on 12/28. It is unknown if the vaccination played any part to his presenting symptoms.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Patient presented received 1st moderna vaccine on 12/14/21. On 12/15/21, developed body aches, malaise.  Also developed dry heaving and diarrhea with bright red blood.  Seen at an outside clinic on 12/20/21 for these symptoms, and at that time had a positive covid test.  Prescribed zofran and immodium and discharged home.  Presented to our emergency room on 12/23/21 with continued poor oral intake, dry heaving, diarrhea and weakness. Admitted on 12/23 for covid pneumonia, acute kidney injury, dehydration, vomiting and diarrhea.  Patient progressed to a point of needing a higher level of care for his covid pneumonia, and was discharged from our facility on 12/28. It is unknown if the vaccination played any part to his presenting symptoms.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, COVID-19 pneumonia, Dehydration
Clinical narrative: Patient presented received 1st moderna vaccine on 12/14/21. On 12/15/21, developed body aches, malaise.  Also developed dry heaving and diarrhea with bright red blood.  Seen at an outside clinic on 12/20/21 for these symptoms, and at that time had a positive covid test.  Prescribed zofran and immodium and discharged home.  Presented to our emergency room on 12/23/21 with continued poor oral intake, dry heaving, diarrhea and weakness. Admitted on 12/23 for covid pneumonia, acute kidney injury, dehydration, vomiting and diarrhea.  Patient progressed to a point of needing a higher level of care for his covid pneumonia, and was discharged from our facility on 12/28. It is unknown if the vaccination played any part to his presenting symptoms.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Diarrhoea haemorrhagic, Hypophagia, Malaise, Pain, Retching
Clinical narrative: Patient presented received 1st moderna vaccine on 12/14/21. On 12/15/21, developed body aches, malaise.  Also developed dry heaving and diarrhea with bright red blood.  Seen at an outside clinic on 12/20/21 for these symptoms, and at that time had a positive covid test.  Prescribed zofran and immodium and discharged home.  Presented to our emergency room on 12/23/21 with continued poor oral intake, dry heaving, diarrhea and weakness. Admitted on 12/23 for covid pneumonia, acute kidney injury, dehydration, vomiting and diarrhea.  Patient progressed to a point of needing a higher level of care for his covid pneumonia, and was discharged from our facility on 12/28. It is unknown if the vaccination played any part to his presenting symptoms.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient presented received 1st moderna vaccine on 12/14/21. On 12/15/21, developed body aches, malaise.  Also developed dry heaving and diarrhea with bright red blood.  Seen at an outside clinic on 12/20/21 for these symptoms, and at that time had a positive covid test.  Prescribed zofran and immodium and discharged home.  Presented to our emergency room on 12/23/21 with continued poor oral intake, dry heaving, diarrhea and weakness. Admitted on 12/23 for covid pneumonia, acute kidney injury, dehydration, vomiting and diarrhea.  Patient progressed to a point of needing a higher level of care for his covid pneumonia, and was discharged from our facility on 12/28. It is unknown if the vaccination played any part to his presenting symptoms.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Chest discomfort, Fatigue, SARS-CoV-2 test negative, Throat irritation
Clinical narrative: Patient presented received 1st moderna vaccine on 12/14/21. On 12/15/21, developed body aches, malaise.  Also developed dry heaving and diarrhea with bright red blood.  Seen at an outside clinic on 12/20/21 for these symptoms, and at that time had a positive covid test.  Prescribed zofran and immodium and discharged home.  Presented to our emergency room on 12/23/21 with continued poor oral intake, dry heaving, diarrhea and weakness. Admitted on 12/23 for covid pneumonia, acute kidney injury, dehydration, vomiting and diarrhea.  Patient progressed to a point of needing a higher level of care for his covid pneumonia, and was discharged from our facility on 12/28. It is unknown if the vaccination played any part to his presenting symptoms.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Chest pain, Cough, Illness, Lethargy
Clinical narrative: Patient presented received 1st moderna vaccine on 12/14/21. On 12/15/21, developed body aches, malaise.  Also developed dry heaving and diarrhea with bright red blood.  Seen at an outside clinic on 12/20/21 for these symptoms, and at that time had a positive covid test.  Prescribed zofran and immodium and discharged home.  Presented to our emergency room on 12/23/21 with continued poor oral intake, dry heaving, diarrhea and weakness. Admitted on 12/23 for covid pneumonia, acute kidney injury, dehydration, vomiting and diarrhea.  Patient progressed to a point of needing a higher level of care for his covid pneumonia, and was discharged from our facility on 12/28. It is unknown if the vaccination played any part to his presenting symptoms.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Nausea, Pallor, SARS-CoV-2 test negative, Urticaria
Clinical narrative: Patient presented received 1st moderna vaccine on 12/14/21. On 12/15/21, developed body aches, malaise.  Also developed dry heaving and diarrhea with bright red blood.  Seen at an outside clinic on 12/20/21 for these symptoms, and at that time had a positive covid test.  Prescribed zofran and immodium and discharged home.  Presented to our emergency room on 12/23/21 with continued poor oral intake, dry heaving, diarrhea and weakness. Admitted on 12/23 for covid pneumonia, acute kidney injury, dehydration, vomiting and diarrhea.  Patient progressed to a point of needing a higher level of care for his covid pneumonia, and was discharged from our facility on 12/28. It is unknown if the vaccination played any part to his presenting symptoms.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The individual is 14 years old and was given Pfizer Booster dose.  The booster dose was only approved for 16+ as of the date it was administered.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, Dysuria, Fatigue
Clinical narrative: COVID positive on 11/7/2021.  69-year-old female presents to the ED complaining of generalized weakness, slight shortness of breath, cough with white sputum production, fatigue, myalgias, dysuria and frequency. Vital signs show patient is febrile with fever of 101.6 and tachycardic but no hypotension noted. Patient meets SIRS criteria, initiated sepsis bundle with 30 cc/kg and Rocephin for antibiotic coverage. Patient also given Tylenol for fever control. Patient while in the ED has not been hypoxic with O2 sat dropping below 88%, after fluid, Tylenol and antibiotic administration states feels much better. Patient was discharged with Keflex for antibiotic coverage for UTI, given pulse oximeter prescription with strict return precautions to the ED if become hypoxic or if fever continues to get worse and is not controlled with Tylenol.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pollakiuria, Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: COVID positive on 11/7/2021.  69-year-old female presents to the ED complaining of generalized weakness, slight shortness of breath, cough with white sputum production, fatigue, myalgias, dysuria and frequency. Vital signs show patient is febrile with fever of 101.6 and tachycardic but no hypotension noted. Patient meets SIRS criteria, initiated sepsis bundle with 30 cc/kg and Rocephin for antibiotic coverage. Patient also given Tylenol for fever control. Patient while in the ED has not been hypoxic with O2 sat dropping below 88%, after fluid, Tylenol and antibiotic administration states feels much better. Patient was discharged with Keflex for antibiotic coverage for UTI, given pulse oximeter prescription with strict return precautions to the ED if become hypoxic or if fever continues to get worse and is not controlled with Tylenol.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Urinary tract infection
Clinical narrative: COVID positive on 11/7/2021.  69-year-old female presents to the ED complaining of generalized weakness, slight shortness of breath, cough with white sputum production, fatigue, myalgias, dysuria and frequency. Vital signs show patient is febrile with fever of 101.6 and tachycardic but no hypotension noted. Patient meets SIRS criteria, initiated sepsis bundle with 30 cc/kg and Rocephin for antibiotic coverage. Patient also given Tylenol for fever control. Patient while in the ED has not been hypoxic with O2 sat dropping below 88%, after fluid, Tylenol and antibiotic administration states feels much better. Patient was discharged with Keflex for antibiotic coverage for UTI, given pulse oximeter prescription with strict return precautions to the ED if become hypoxic or if fever continues to get worse and is not controlled with Tylenol.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Product preparation issue, Pyrexia
Clinical narrative: pt was given undiluted vaccine. pt reports fever, chills, and headache
Age: 16.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Patient received mentcra and gardisil. She experienced syncopal episode immediately after getting the gardisal. Menactra was given a minute prior to gardisal. She previously received one dose of the gradisal in the past without reaction. She regained consciousness within 15 seconds of passing out after leg elevation and laying flat. mother and sister were present. She was observed for 15 minutes and sent home with precautions. Advised not to receive any further gardisal vaccines.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chills, Condition aggravated, Depression, Headache
Clinical narrative: Initial Side effects within 24 hours- Fever, Chills, body aches, severe headache lasting 72 hours,  Intense and frequent muscle cramping in legs beginning 4 days post injection lasting 4 weeks.  Numbness and tingling in left side of face and entire right leg beginning 27 days post injection - on going and constant 24/7 still as of today.- 1/6/2022 Severe anxiety and depression beginning 10/19 /2021 and on going now as of 1/6/2022.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle spasms, Pain, Paraesthesia, Psychotherapy
Clinical narrative: Initial Side effects within 24 hours- Fever, Chills, body aches, severe headache lasting 72 hours,  Intense and frequent muscle cramping in legs beginning 4 days post injection lasting 4 weeks.  Numbness and tingling in left side of face and entire right leg beginning 27 days post injection - on going and constant 24/7 still as of today.- 1/6/2022 Severe anxiety and depression beginning 10/19 /2021 and on going now as of 1/6/2022.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Initial Side effects within 24 hours- Fever, Chills, body aches, severe headache lasting 72 hours,  Intense and frequent muscle cramping in legs beginning 4 days post injection lasting 4 weeks.  Numbness and tingling in left side of face and entire right leg beginning 27 days post injection - on going and constant 24/7 still as of today.- 1/6/2022 Severe anxiety and depression beginning 10/19 /2021 and on going now as of 1/6/2022.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: My son had Pfizer vaccine for his first and second shots as he was only 16 years old at the time of shots in April and May 2021.  Yesterday, 01/05/2022, he was given by the reported facility a Moderna booster shot while he is only 17 years and 2 months old.  I was not with my son but it was my husband accompanying him for his booster shot yesterday. Isn't it that the only authorized booster shot for 16-17 years old is Pfizer?  I spoke with one of the CDC supervisors yesterday and I was advised to do submit this report so that if the facility who gave the booster shot to my son is making a mistake, they should be reported.  As of this time, my son has not complained of any adverse symptom.  Thank you.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event, Product preparation issue
Clinical narrative: 5ml syringes that had been provided by local Authority were used to draw up diluent for mixing the 5-11 year old Pfizer COVID-19 vaccine vial on 12/16/21.  Diluent drawn up and injected into the vaccine vial was 1.6ml rather than 1.3ml.  Diluent was measured on the 5ml syringes incorrectly:  Counting each mark as 0.1 rather than 0.2ml.  This resulted in the vial being mixed with 0.3ml extra diluent.  Vial had a bonus dose (so 11 doses total).  Patient was given a vaccine dose at 90% of the correct concentration.  Error has been reported to Pfizer.  Families are currently being contacted by letter and by phone to be alerted of the error and offered a re-dose if they would like this.  No adverse effects to patients have been reported.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Employee on vacation, c/o fever, body aches and cough. Tested 1/5/22 with rapid test.  Results were positive
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: EXTENDED HOSPITAL STAY
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Flu vaccine given in LD (12:15pm) LOT #UJ711AB   Patient not due for flu vaccine as she received it 10/16/21   RN alerted staff to vaccine error   Pt waited 15 mins after vaccine w no adverse reaction   Pt instructed to take Tylenol or Motrin if side effects arise and to call the clinic with any questions or concerns
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administered after 12 hours. (Vial was first punctured on 1/4/22 at 8:18am. Vaccine was given at 10:19am on 1/5/22.) No adverse reaction.