chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: I received my third Moderna booster for COVID-19 on 9/13/2022. When I woke up on the morning of 9/14/2022, my eyes were nearly swollen shut. Both of my cheeks were also swollen, and the skin on my face was bright red. I went straight to the emergency room. My vitals were taken, and no anomalies were detected. I was given a dose of steroids, BENADRYL, and PEPCID. We waited for about 2 hours to make sure I didn't have an adverse reaction to the medicines, which I did not. I was then discharged and prescribed a 6-day regimen of methylprednisolone. I was also told that I could take OTC ZYRTEC and BENADRYL as needed. In the beginning, the changes weren't noticeable, but my symptoms gradually improved. My color is now better, and I occasionally have just a little bit of swelling. However, the longer I am up and about during the day, my face reddens a little and becomes slightly swollen. The swelling and redness aren't as severe as they were in the beginning, though. Also, prior to the incident, I hardly ever got up from my sleep to go to the bathroom, but ever since the incident took place, I have been getting up to go to the bathroom 2-3 times every night. When I was at the ER, I asked the doctor who treated me if she thought my symptoms were related to the shot I had just received. She said that she didn't think so, but I haven't experienced any other changes lately, so I don't know what else could have caused it. Although my symptoms have improved, I am anxious to see how I will fare after the medication regimen is completed.
Age: 67.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site erythema, Injection site swelling, Malaise, Pain
Clinical narrative: Patient reports extreme pain in her left arm along with swelling  and redness that spread to her elbow for the past four days. The patient reports that she could not lift her arm without pain for three days. The patient also reports a fever and general malaise.  The patient's arm was observed at the clinic with light redness and slight swelling at the injection site. The  redness spread distally to the posterior arm and stopped just above the patient's elbow. The patient reported that she has been alternating Tylenol and ibuprofen along with cold compresses and that it looks much better today (09/19/2022).
Age: 67.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Patient reports extreme pain in her left arm along with swelling  and redness that spread to her elbow for the past four days. The patient reports that she could not lift her arm without pain for three days. The patient also reports a fever and general malaise.  The patient's arm was observed at the clinic with light redness and slight swelling at the injection site. The  redness spread distally to the posterior arm and stopped just above the patient's elbow. The patient reported that she has been alternating Tylenol and ibuprofen along with cold compresses and that it looks much better today (09/19/2022).
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received third dose of Pfizer vaccine 5 weeks and 5 days after receiving the second dose. No signs and symptoms noted at this time.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after CDC recommendations changed on 9/2/22. Bivalent was not yet available at the time of administration.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Pain and swollen lymph nodes left axillary
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Immunisation reaction, Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: PATIENT REPORTED IMMEDIATE ITCHING AROUND THE ARM AND CHEST. SPORADICALLY CHANGED TO DIFFERENT BODY AREAS. 24 HOURS AFTERWARDS PATIENT REPORTED "COVID ARM" RED, ITCHY, LIGHTLY RAISED INJECTION SITE AREA.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 55.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Blood glucose normal, Dizziness, Electrocardiogram normal, Loss of consciousness, Nervousness
Clinical narrative: Patient stated feeling nervous and lightheaded suddenly lean forward unresponsive for a minute.  Patient was unaware of passing out.  BP 110/70, Pulse 64, Oxygen 92.  06:45PM EMS paramedics were called
Age: 55.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient stated feeling nervous and lightheaded suddenly lean forward unresponsive for a minute.  Patient was unaware of passing out.  BP 110/70, Pulse 64, Oxygen 92.  06:45PM EMS paramedics were called
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Decreased appetite, Extra dose administered, Eye pain, Feeling hot, Flushing
Clinical narrative: No adverse effects from 4 previous Pfsier covid shots. 9/18/2022 4 AM Face flushed Hands and feet hot Hands and feet pain level 10 Pain subsided after about 45 minutes Temp 98.3 BP 128/64 Flu like symptoms remainder of day, headache, eyes hurt, no appitite 9/19/2022 Returning to normal
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache, Influenza like illness, Pain in extremity
Clinical narrative: No adverse effects from 4 previous Pfsier covid shots. 9/18/2022 4 AM Face flushed Hands and feet hot Hands and feet pain level 10 Pain subsided after about 45 minutes Temp 98.3 BP 128/64 Flu like symptoms remainder of day, headache, eyes hurt, no appitite 9/19/2022 Returning to normal
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Electric shock sensation, Erythema, Feeling cold
Clinical narrative: A week after 2nd vaccine, my feet started freezing and after they warmed up, they burned! The left foot was the worse!!! About a month after my left hand started burning, a couple weeks after that, my right-hand started burning. My hands And feet stay RED and painful all the time!! About a month after hands and feet, my legs started shaking, feels like lightning bolts shooting through them. Now something new, I keep the hardest cold chills and I'm not cold, keep them all the time. I'm so painful I can't do anything for my family anymore, I can't cook, can't hardly walk, and have a hard time sleeping. It feels like the sheets are rubbing blisters on my feet.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Insomnia, Laboratory test, Loss of personal independence in daily activities, Pain in extremity
Clinical narrative: A week after 2nd vaccine, my feet started freezing and after they warmed up, they burned! The left foot was the worse!!! About a month after my left hand started burning, a couple weeks after that, my right-hand started burning. My hands And feet stay RED and painful all the time!! About a month after hands and feet, my legs started shaking, feels like lightning bolts shooting through them. Now something new, I keep the hardest cold chills and I'm not cold, keep them all the time. I'm so painful I can't do anything for my family anymore, I can't cook, can't hardly walk, and have a hard time sleeping. It feels like the sheets are rubbing blisters on my feet.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness, Tremor
Clinical narrative: A week after 2nd vaccine, my feet started freezing and after they warmed up, they burned! The left foot was the worse!!! About a month after my left hand started burning, a couple weeks after that, my right-hand started burning. My hands And feet stay RED and painful all the time!! About a month after hands and feet, my legs started shaking, feels like lightning bolts shooting through them. Now something new, I keep the hardest cold chills and I'm not cold, keep them all the time. I'm so painful I can't do anything for my family anymore, I can't cook, can't hardly walk, and have a hard time sleeping. It feels like the sheets are rubbing blisters on my feet.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Abdominal pain, Abdominal pain upper, Abnormal loss of weight, Blood test
Clinical narrative: I began losing weight unintentionally at first, started the week of the second vaccine. I also lost some weight right after the first vaccine but it had stopped. Then the weight started coming off again within days of getting the second vaccine.Then I began to lose my appetite and started having extreme fullness with very small amounts of food. I also developed nausea and abdominal pain. By July of 2021 I had lost 18 pounds. After numerous medical tests I was diagnosed with gastroparesis(a severe delay in gastric emptying). I had no prior GI issues before having the vaccine. I currently suffer with gastric pain, am unable to have a normal diet and have to take medication to help with my stomach emptying. There is still adelay in gastric emptying even with the medication. I also ahve bloating and distention. I had to take antibiotics for suspected SIBO.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Colonoscopy, Computerised tomogram, Decreased appetite, Endoscopy, Gastric emptying study
Clinical narrative: I began losing weight unintentionally at first, started the week of the second vaccine. I also lost some weight right after the first vaccine but it had stopped. Then the weight started coming off again within days of getting the second vaccine.Then I began to lose my appetite and started having extreme fullness with very small amounts of food. I also developed nausea and abdominal pain. By July of 2021 I had lost 18 pounds. After numerous medical tests I was diagnosed with gastroparesis(a severe delay in gastric emptying). I had no prior GI issues before having the vaccine. I currently suffer with gastric pain, am unable to have a normal diet and have to take medication to help with my stomach emptying. There is still adelay in gastric emptying even with the medication. I also ahve bloating and distention. I had to take antibiotics for suspected SIBO.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Impaired gastric emptying, Magnetic resonance imaging, Nausea, Oesophagram
Clinical narrative: I began losing weight unintentionally at first, started the week of the second vaccine. I also lost some weight right after the first vaccine but it had stopped. Then the weight started coming off again within days of getting the second vaccine.Then I began to lose my appetite and started having extreme fullness with very small amounts of food. I also developed nausea and abdominal pain. By July of 2021 I had lost 18 pounds. After numerous medical tests I was diagnosed with gastroparesis(a severe delay in gastric emptying). I had no prior GI issues before having the vaccine. I currently suffer with gastric pain, am unable to have a normal diet and have to take medication to help with my stomach emptying. There is still adelay in gastric emptying even with the medication. I also ahve bloating and distention. I had to take antibiotics for suspected SIBO.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt had Covid vaccine.  Pt diagnosed with Covid
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Bladder disorder, Blood test, Bone pain
Clinical narrative: Severe Joint Pain, Severe Inflammation, thrush, caused joint sublexion in all joints to the point of dislocation. Change in bowel and bladder. Undergoing testing as it seems to be getting worse. Developed cysts. Abdominal pain in Kidney and liver area--unknown. Severe bone ache especially at night. severe fatigue in joints to this date(19Sep22)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Candida infection, Change of bowel habit, Cyst, Fatigue, Hepatic pain
Clinical narrative: Severe Joint Pain, Severe Inflammation, thrush, caused joint sublexion in all joints to the point of dislocation. Change in bowel and bladder. Undergoing testing as it seems to be getting worse. Developed cysts. Abdominal pain in Kidney and liver area--unknown. Severe bone ache especially at night. severe fatigue in joints to this date(19Sep22)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Joint dislocation, Magnetic resonance imaging, Renal pain, X-ray
Clinical narrative: Severe Joint Pain, Severe Inflammation, thrush, caused joint sublexion in all joints to the point of dislocation. Change in bowel and bladder. Undergoing testing as it seems to be getting worse. Developed cysts. Abdominal pain in Kidney and liver area--unknown. Severe bone ache especially at night. severe fatigue in joints to this date(19Sep22)
Age: 31.0
Sex: M
Vaccine: FLU4, HEP, HEPA, MMR, TDAP, VARCEL
Symptoms: Underdose
Clinical narrative: Pt given a pediatric dose of Hep A. Pt was notified to come in  in  6 mos  to get first Adult Hep A followed by a 2nd Adult Hep A 6 mos after the first.
Age: 14.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Rash pruritic, Rash pustular, Urticaria
Clinical narrative: The patient had a rash  mainly on face and neck. Went to ED for treatment. The rash became pustular and the child complained of itching.  She is still complaining of hives off and on.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Balance disorder, Blood test abnormal, Chills, Cyanosis
Clinical narrative: I had chills, fever, and body aches after every dose I received. However, after my first booster, I had fatigue and body chills that lasted for a couple of days. I had redness and soreness at the injection site on my arm. I have random brain fog and ear congestion since receiving my first booster. I've suffered from loss of balance and insomnia as well. I also suffer from random swelling below my kneecaps and above my shin area. I informed my rheumatologist about it; they've been drawing blood work for testing for any autoimmune diseases like lupus and suspected dependent rubor, a type of peripheral artery disease. My testing came back with red flags that required additional blood work and testing to be done. I wake up with random headaches that last for 5-6 days in the back of my head constantly on and off since receiving the vaccine. I've been having random flare ups and weird, bizarre things happening to me since receiving the vaccine. I'll have random hair loss, loss of body weight/loss of appetite, blue toenails and swelling and have to go the emergency room who directs me back to my rheumatologist for further testing. They haven't had any conclusive test to determine what I've been suffering from.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dependent rubor, Ear congestion, Fatigue, Feeling abnormal
Clinical narrative: I had chills, fever, and body aches after every dose I received. However, after my first booster, I had fatigue and body chills that lasted for a couple of days. I had redness and soreness at the injection site on my arm. I have random brain fog and ear congestion since receiving my first booster. I've suffered from loss of balance and insomnia as well. I also suffer from random swelling below my kneecaps and above my shin area. I informed my rheumatologist about it; they've been drawing blood work for testing for any autoimmune diseases like lupus and suspected dependent rubor, a type of peripheral artery disease. My testing came back with red flags that required additional blood work and testing to be done. I wake up with random headaches that last for 5-6 days in the back of my head constantly on and off since receiving the vaccine. I've been having random flare ups and weird, bizarre things happening to me since receiving the vaccine. I'll have random hair loss, loss of body weight/loss of appetite, blue toenails and swelling and have to go the emergency room who directs me back to my rheumatologist for further testing. They haven't had any conclusive test to determine what I've been suffering from.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pain, Laboratory test abnormal, Pain
Clinical narrative: I had chills, fever, and body aches after every dose I received. However, after my first booster, I had fatigue and body chills that lasted for a couple of days. I had redness and soreness at the injection site on my arm. I have random brain fog and ear congestion since receiving my first booster. I've suffered from loss of balance and insomnia as well. I also suffer from random swelling below my kneecaps and above my shin area. I informed my rheumatologist about it; they've been drawing blood work for testing for any autoimmune diseases like lupus and suspected dependent rubor, a type of peripheral artery disease. My testing came back with red flags that required additional blood work and testing to be done. I wake up with random headaches that last for 5-6 days in the back of my head constantly on and off since receiving the vaccine. I've been having random flare ups and weird, bizarre things happening to me since receiving the vaccine. I'll have random hair loss, loss of body weight/loss of appetite, blue toenails and swelling and have to go the emergency room who directs me back to my rheumatologist for further testing. They haven't had any conclusive test to determine what I've been suffering from.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral arterial occlusive disease, Peripheral swelling, Pyrexia, Swelling, Weight decreased
Clinical narrative: I had chills, fever, and body aches after every dose I received. However, after my first booster, I had fatigue and body chills that lasted for a couple of days. I had redness and soreness at the injection site on my arm. I have random brain fog and ear congestion since receiving my first booster. I've suffered from loss of balance and insomnia as well. I also suffer from random swelling below my kneecaps and above my shin area. I informed my rheumatologist about it; they've been drawing blood work for testing for any autoimmune diseases like lupus and suspected dependent rubor, a type of peripheral artery disease. My testing came back with red flags that required additional blood work and testing to be done. I wake up with random headaches that last for 5-6 days in the back of my head constantly on and off since receiving the vaccine. I've been having random flare ups and weird, bizarre things happening to me since receiving the vaccine. I'll have random hair loss, loss of body weight/loss of appetite, blue toenails and swelling and have to go the emergency room who directs me back to my rheumatologist for further testing. They haven't had any conclusive test to determine what I've been suffering from.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given the third dose at 5 weeks and 5 days after the second dose. No signs and symptoms noted.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Pfizer 2/23/21 EN6198, 3/16/21 EN6205, and boosted 10/18/21 FF2590.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines Pfizer 1/14/21 Lot# EL0142;  Pfizer 2/4/21 Lot# Em9810;  Pfizer 10/28/21 Lot# Ew0164
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive Covid test in vaccinated patient.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chiropractic, Injected limb mobility decreased, Injection site pain, Massage
Clinical narrative: Pain in right arm and shoulder into neck and back.  Loss of motion of right arm. Massage (March 2022), chiropractic care (April 2022), physical therapy (June-July 2022).
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, X-ray
Clinical narrative: Pain in right arm and shoulder into neck and back.  Loss of motion of right arm. Massage (March 2022), chiropractic care (April 2022), physical therapy (June-July 2022).
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema, Oedema peripheral
Clinical narrative: edema - axillary (R) on chest side (not arm) not lumpy, nothing to palpate, not tender/red/hot just edema (2nd booster)
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hot flush, Pharyngeal paraesthesia, Rash, Swollen tongue
Clinical narrative: I experienced a rash on my left arm, my throat start tingling and my tongue swelled up and I start having hot flashes.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: When preparing my vaccines, my technician,  was gathering the processed paperwork and vaccines together while I was finishing another task.  The patient was getting a flu shot and her Moderna BIV Booster.  She pulled the flu vaccine from the fridge and pulled the Moderna vaccine from the drawer where they keep the open vials. I am a floater pharmacist and did not know that is where they keep their current open COVID vaccines.  I had just opened a new vial of Moderna for the person ahead of this one and gave one shot from the new vial I opened. I had the vial still on the countertop where I had prepared the last vaccine.  Our order had come in just previous to this second shot and some  bottles had been set on the countertop.  The technician did not see the vial I was using and assumed I had put it in the drawer, so she pulled out the vial in the drawer (from the previous evening) and set it with the flu shot she had just pulled from the refrigerator.  When I walked over to prepare the vaccines, I thought she had pulled the vial I had just opened. I did not know about the vial from the previous day that was in the drawer and I did not know that was what was on the counter for me to use.  I prepared the vaccines and gave both vaccines to the patient.  After the patient had left the pharmacy, I went back to my station and was putting up the bottles that were on the countertop and when I picked them up, that is when I saw my vial sitting on the countertop.  Then I looked over and saw the vial she had pulled and that is when I realized there were 2 vials and began investigating where the other vial had come from.  I called Moderna to see what was advised to do for the patient.  I am still waiting for their reply.  The case number is MOD22-023938. The vial from the previous day in the drawer was pulled out of the fridge at 5pm on 9/18/22 and the vial was punctured at aprox. 6:15pm.  The vaccine from this vial that was mistakenly given was given aprox. 18 hours after being brought to room temp and aprox. 17hrs after vial puncture.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO KNOWN SYMPOMS OCCURED
Age: 0.08
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Inappropriate schedule of product administration, No adverse event, Product administered to patient of inappropriate age, Product administration error, Wrong product administered
Clinical narrative: NO ADVERSE REACTION. VACCINES WERE GIVEN IN ERROR. PROVIDER DISCUSS WITH PARENT THAT 2 MONTH VACVINES WERE GIVEN IN ERROR INSTEAD OF HEP B DOSE #2.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case after three vaccines Pfizer 1/22/21 Lot# EL3246 Pfizer 2/12/21 Lot# EL9265 Pfizer 10/18/21 Lot# Ew0150
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Pfizer EL9267 2/20/21, EN6200 3/13/21, and boosted FF8841 10/05/21
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 40.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Redness and itchiness at injection site on the first day, which turned into a large blister and larger area of redness, itchiness, and swelling, The blister popped 36 hours after injection, but the rash spread for another day. The rash directly surrounding the blister was also painful and swollen, while the larger rash was just itchy on Friday and Saturday (day 2 and 3). It is less itchy and swollen today (day 4), but still a large red rash, with the section around the former blister still sore to the touch.
Age: 40.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site vesicles
Clinical narrative: Redness and itchiness at injection site on the first day, which turned into a large blister and larger area of redness, itchiness, and swelling, The blister popped 36 hours after injection, but the rash spread for another day. The rash directly surrounding the blister was also painful and swollen, while the larger rash was just itchy on Friday and Saturday (day 2 and 3). It is less itchy and swollen today (day 4), but still a large red rash, with the section around the former blister still sore to the touch.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Differential white blood cell count, Dysphagia, Full blood count, Glomerular filtration rate normal, Granulocyte percentage
Clinical narrative: Resident was twitching both eyes, face, and arm appeared to have seizure like shaking, unable to speak, Vital signs unremarkable. Twitching resolved in 70 minutes, resident sleeping, once woke up about 2 hours later thirsty but unable to speak ( using hand motions) drank nectar thick liquids. about 30 minutes later vomited.  As of today resident is able to self transfer herself however speech and swallowing ability (on puree and nectar thick liquids)  continues to be more impaired then prior to incident.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Metabolic function test, Muscle twitching, N-terminal prohormone brain natriuretic peptide increased, Prohormone brain natriuretic peptide, Seizure like phenomena
Clinical narrative: Resident was twitching both eyes, face, and arm appeared to have seizure like shaking, unable to speak, Vital signs unremarkable. Twitching resolved in 70 minutes, resident sleeping, once woke up about 2 hours later thirsty but unable to speak ( using hand motions) drank nectar thick liquids. about 30 minutes later vomited.  As of today resident is able to self transfer herself however speech and swallowing ability (on puree and nectar thick liquids)  continues to be more impaired then prior to incident.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Speech disorder, Thirst, Vomiting
Clinical narrative: Resident was twitching both eyes, face, and arm appeared to have seizure like shaking, unable to speak, Vital signs unremarkable. Twitching resolved in 70 minutes, resident sleeping, once woke up about 2 hours later thirsty but unable to speak ( using hand motions) drank nectar thick liquids. about 30 minutes later vomited.  As of today resident is able to self transfer herself however speech and swallowing ability (on puree and nectar thick liquids)  continues to be more impaired then prior to incident.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid + test in fully vaccinated pt
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Dizziness, Feeling hot, Headache, Pain
Clinical narrative: Body aches, headache, chills,dizziness, feeling warm inside my body
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines mOderna 3/11/21 Lot# 010A21A;  Moderna 4/8/21 Lot# 025B21A;  Moderna 11/15/21 Lot# 051F21A
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Anticoagulant therapy, Aspiration pleural cavity, Atrial fibrillation
Clinical narrative: Patient is a 81 y.o. male patient of MD with history of  Cardiomyopathy, CAD, DM, HLD, HTN, Renal Disease.  Patient presented with shortness of breath and hypoxia.    Assessment and Plan   Acute HFrEF exacerbation Acute hypoxic respiratory failure Ischemic cardiomyopathy s/p ICD Bilateral pleural effusion COVID-19 infection Shortness of breath and dyspnea resolved after thoracentesis bipap not well tolerated currently on room air; not on home oxygen Initial chest x-ray with bilateral pneumonia. WBC 12=> 7 Tested positive for COVID-19 on 7/16; vaccinated x3 Discontinue dexamethasone 6 mg daily, day 6 Large pleural effusion s/p thoracentesis; removed 1 L from the right side and 250 ml  from the left side Postprocedure chest x-ray: small bilateral left greater than right pleural effusions isolation through 7/26 Monitor input and output Incentive spirometry BNP 10,294 Continue home Lasix EKG paced rhythm; 2D echo on 4/5/2022 with EF of 39% Discharge after Foley removal and trial of void Follow-up with cardiology clinic within 1 week   NSTEMI type II Elevated troponin due to acute illness and CHF No chest pain Troponin 38=> 105=> 153 Continue metoprolol   CKD stage III/IV CRT 2 => baseline 1.8-2.50 Avoid nephrotoxic agents Continue to follow-up with nephrology clinic     A. fib without RVR Currently rate controlled Continue metoprolol 100 mg Continue Xarelto    Hypertension, benign. BP controlled. Continue home metoprolol, amlodipine   Diabetes mellitus type 2 Hemoglobin A1C 7.4 % on 4/5/22 Continue home regimen   Gout Continue home allopurinol   BPH Continue home finasteride and Flomax.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Benign prostatic hyperplasia, Bladder catheterisation, Blood creatinine increased, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Patient is a 81 y.o. male patient of MD with history of  Cardiomyopathy, CAD, DM, HLD, HTN, Renal Disease.  Patient presented with shortness of breath and hypoxia.    Assessment and Plan   Acute HFrEF exacerbation Acute hypoxic respiratory failure Ischemic cardiomyopathy s/p ICD Bilateral pleural effusion COVID-19 infection Shortness of breath and dyspnea resolved after thoracentesis bipap not well tolerated currently on room air; not on home oxygen Initial chest x-ray with bilateral pneumonia. WBC 12=> 7 Tested positive for COVID-19 on 7/16; vaccinated x3 Discontinue dexamethasone 6 mg daily, day 6 Large pleural effusion s/p thoracentesis; removed 1 L from the right side and 250 ml  from the left side Postprocedure chest x-ray: small bilateral left greater than right pleural effusions isolation through 7/26 Monitor input and output Incentive spirometry BNP 10,294 Continue home Lasix EKG paced rhythm; 2D echo on 4/5/2022 with EF of 39% Discharge after Foley removal and trial of void Follow-up with cardiology clinic within 1 week   NSTEMI type II Elevated troponin due to acute illness and CHF No chest pain Troponin 38=> 105=> 153 Continue metoprolol   CKD stage III/IV CRT 2 => baseline 1.8-2.50 Avoid nephrotoxic agents Continue to follow-up with nephrology clinic     A. fib without RVR Currently rate controlled Continue metoprolol 100 mg Continue Xarelto    Hypertension, benign. BP controlled. Continue home metoprolol, amlodipine   Diabetes mellitus type 2 Hemoglobin A1C 7.4 % on 4/5/22 Continue home regimen   Gout Continue home allopurinol   BPH Continue home finasteride and Flomax.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Cardiac failure congestive, Chest X-ray abnormal, Chronic kidney disease, Condition aggravated
Clinical narrative: Patient is a 81 y.o. male patient of MD with history of  Cardiomyopathy, CAD, DM, HLD, HTN, Renal Disease.  Patient presented with shortness of breath and hypoxia.    Assessment and Plan   Acute HFrEF exacerbation Acute hypoxic respiratory failure Ischemic cardiomyopathy s/p ICD Bilateral pleural effusion COVID-19 infection Shortness of breath and dyspnea resolved after thoracentesis bipap not well tolerated currently on room air; not on home oxygen Initial chest x-ray with bilateral pneumonia. WBC 12=> 7 Tested positive for COVID-19 on 7/16; vaccinated x3 Discontinue dexamethasone 6 mg daily, day 6 Large pleural effusion s/p thoracentesis; removed 1 L from the right side and 250 ml  from the left side Postprocedure chest x-ray: small bilateral left greater than right pleural effusions isolation through 7/26 Monitor input and output Incentive spirometry BNP 10,294 Continue home Lasix EKG paced rhythm; 2D echo on 4/5/2022 with EF of 39% Discharge after Foley removal and trial of void Follow-up with cardiology clinic within 1 week   NSTEMI type II Elevated troponin due to acute illness and CHF No chest pain Troponin 38=> 105=> 153 Continue metoprolol   CKD stage III/IV CRT 2 => baseline 1.8-2.50 Avoid nephrotoxic agents Continue to follow-up with nephrology clinic     A. fib without RVR Currently rate controlled Continue metoprolol 100 mg Continue Xarelto    Hypertension, benign. BP controlled. Continue home metoprolol, amlodipine   Diabetes mellitus type 2 Hemoglobin A1C 7.4 % on 4/5/22 Continue home regimen   Gout Continue home allopurinol   BPH Continue home finasteride and Flomax.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Device intolerance, Dyspnoea, Echocardiogram, Electrocardiogram, Glycosylated haemoglobin increased
Clinical narrative: Patient is a 81 y.o. male patient of MD with history of  Cardiomyopathy, CAD, DM, HLD, HTN, Renal Disease.  Patient presented with shortness of breath and hypoxia.    Assessment and Plan   Acute HFrEF exacerbation Acute hypoxic respiratory failure Ischemic cardiomyopathy s/p ICD Bilateral pleural effusion COVID-19 infection Shortness of breath and dyspnea resolved after thoracentesis bipap not well tolerated currently on room air; not on home oxygen Initial chest x-ray with bilateral pneumonia. WBC 12=> 7 Tested positive for COVID-19 on 7/16; vaccinated x3 Discontinue dexamethasone 6 mg daily, day 6 Large pleural effusion s/p thoracentesis; removed 1 L from the right side and 250 ml  from the left side Postprocedure chest x-ray: small bilateral left greater than right pleural effusions isolation through 7/26 Monitor input and output Incentive spirometry BNP 10,294 Continue home Lasix EKG paced rhythm; 2D echo on 4/5/2022 with EF of 39% Discharge after Foley removal and trial of void Follow-up with cardiology clinic within 1 week   NSTEMI type II Elevated troponin due to acute illness and CHF No chest pain Troponin 38=> 105=> 153 Continue metoprolol   CKD stage III/IV CRT 2 => baseline 1.8-2.50 Avoid nephrotoxic agents Continue to follow-up with nephrology clinic     A. fib without RVR Currently rate controlled Continue metoprolol 100 mg Continue Xarelto    Hypertension, benign. BP controlled. Continue home metoprolol, amlodipine   Diabetes mellitus type 2 Hemoglobin A1C 7.4 % on 4/5/22 Continue home regimen   Gout Continue home allopurinol   BPH Continue home finasteride and Flomax.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Gout, Hypertension, Hypoxia, Illness, Implantable defibrillator insertion
Clinical narrative: Patient is a 81 y.o. male patient of MD with history of  Cardiomyopathy, CAD, DM, HLD, HTN, Renal Disease.  Patient presented with shortness of breath and hypoxia.    Assessment and Plan   Acute HFrEF exacerbation Acute hypoxic respiratory failure Ischemic cardiomyopathy s/p ICD Bilateral pleural effusion COVID-19 infection Shortness of breath and dyspnea resolved after thoracentesis bipap not well tolerated currently on room air; not on home oxygen Initial chest x-ray with bilateral pneumonia. WBC 12=> 7 Tested positive for COVID-19 on 7/16; vaccinated x3 Discontinue dexamethasone 6 mg daily, day 6 Large pleural effusion s/p thoracentesis; removed 1 L from the right side and 250 ml  from the left side Postprocedure chest x-ray: small bilateral left greater than right pleural effusions isolation through 7/26 Monitor input and output Incentive spirometry BNP 10,294 Continue home Lasix EKG paced rhythm; 2D echo on 4/5/2022 with EF of 39% Discharge after Foley removal and trial of void Follow-up with cardiology clinic within 1 week   NSTEMI type II Elevated troponin due to acute illness and CHF No chest pain Troponin 38=> 105=> 153 Continue metoprolol   CKD stage III/IV CRT 2 => baseline 1.8-2.50 Avoid nephrotoxic agents Continue to follow-up with nephrology clinic     A. fib without RVR Currently rate controlled Continue metoprolol 100 mg Continue Xarelto    Hypertension, benign. BP controlled. Continue home metoprolol, amlodipine   Diabetes mellitus type 2 Hemoglobin A1C 7.4 % on 4/5/22 Continue home regimen   Gout Continue home allopurinol   BPH Continue home finasteride and Flomax.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic cardiomyopathy, Pleural effusion, Pneumonia, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Patient is a 81 y.o. male patient of MD with history of  Cardiomyopathy, CAD, DM, HLD, HTN, Renal Disease.  Patient presented with shortness of breath and hypoxia.    Assessment and Plan   Acute HFrEF exacerbation Acute hypoxic respiratory failure Ischemic cardiomyopathy s/p ICD Bilateral pleural effusion COVID-19 infection Shortness of breath and dyspnea resolved after thoracentesis bipap not well tolerated currently on room air; not on home oxygen Initial chest x-ray with bilateral pneumonia. WBC 12=> 7 Tested positive for COVID-19 on 7/16; vaccinated x3 Discontinue dexamethasone 6 mg daily, day 6 Large pleural effusion s/p thoracentesis; removed 1 L from the right side and 250 ml  from the left side Postprocedure chest x-ray: small bilateral left greater than right pleural effusions isolation through 7/26 Monitor input and output Incentive spirometry BNP 10,294 Continue home Lasix EKG paced rhythm; 2D echo on 4/5/2022 with EF of 39% Discharge after Foley removal and trial of void Follow-up with cardiology clinic within 1 week   NSTEMI type II Elevated troponin due to acute illness and CHF No chest pain Troponin 38=> 105=> 153 Continue metoprolol   CKD stage III/IV CRT 2 => baseline 1.8-2.50 Avoid nephrotoxic agents Continue to follow-up with nephrology clinic     A. fib without RVR Currently rate controlled Continue metoprolol 100 mg Continue Xarelto    Hypertension, benign. BP controlled. Continue home metoprolol, amlodipine   Diabetes mellitus type 2 Hemoglobin A1C 7.4 % on 4/5/22 Continue home regimen   Gout Continue home allopurinol   BPH Continue home finasteride and Flomax.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Type 2 diabetes mellitus, White blood cell count increased
Clinical narrative: Patient is a 81 y.o. male patient of MD with history of  Cardiomyopathy, CAD, DM, HLD, HTN, Renal Disease.  Patient presented with shortness of breath and hypoxia.    Assessment and Plan   Acute HFrEF exacerbation Acute hypoxic respiratory failure Ischemic cardiomyopathy s/p ICD Bilateral pleural effusion COVID-19 infection Shortness of breath and dyspnea resolved after thoracentesis bipap not well tolerated currently on room air; not on home oxygen Initial chest x-ray with bilateral pneumonia. WBC 12=> 7 Tested positive for COVID-19 on 7/16; vaccinated x3 Discontinue dexamethasone 6 mg daily, day 6 Large pleural effusion s/p thoracentesis; removed 1 L from the right side and 250 ml  from the left side Postprocedure chest x-ray: small bilateral left greater than right pleural effusions isolation through 7/26 Monitor input and output Incentive spirometry BNP 10,294 Continue home Lasix EKG paced rhythm; 2D echo on 4/5/2022 with EF of 39% Discharge after Foley removal and trial of void Follow-up with cardiology clinic within 1 week   NSTEMI type II Elevated troponin due to acute illness and CHF No chest pain Troponin 38=> 105=> 153 Continue metoprolol   CKD stage III/IV CRT 2 => baseline 1.8-2.50 Avoid nephrotoxic agents Continue to follow-up with nephrology clinic     A. fib without RVR Currently rate controlled Continue metoprolol 100 mg Continue Xarelto    Hypertension, benign. BP controlled. Continue home metoprolol, amlodipine   Diabetes mellitus type 2 Hemoglobin A1C 7.4 % on 4/5/22 Continue home regimen   Gout Continue home allopurinol   BPH Continue home finasteride and Flomax.
Age: 57.0
Sex: F
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Blood pressure increased, Catheterisation cardiac, Chest pain, Heart rate increased
Clinical narrative: Chest pain developed the next day. Saw my PCP and heart rate and blood pressure were both increased. Beta blocker was given and he consulted cardiologist. I was sent to facility and was hospitalized 8/23/2022. Tests were done. I was discharged.  Followed up with the cardiologist on 9/16/2022. Stated he thought I had possibly developed pericarditis from the vaccine. Further testing to be done  and medications were given.
Age: 57.0
Sex: F
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Catheterisation cardiac normal, Chest X-ray abnormal, Chest pain, Dyspnoea, Electrocardiogram T wave abnormal
Clinical narrative: Chest pain developed the next day. Saw my PCP and heart rate and blood pressure were both increased. Beta blocker was given and he consulted cardiologist. I was sent to facility and was hospitalized 8/23/2022. Tests were done. I was discharged.  Followed up with the cardiologist on 9/16/2022. Stated he thought I had possibly developed pericarditis from the vaccine. Further testing to be done  and medications were given.
Age: 57.0
Sex: F
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Magnetic resonance imaging heart, Pericarditis, Pulmonary oedema
Clinical narrative: Chest pain developed the next day. Saw my PCP and heart rate and blood pressure were both increased. Beta blocker was given and he consulted cardiologist. I was sent to facility and was hospitalized 8/23/2022. Tests were done. I was discharged.  Followed up with the cardiologist on 9/16/2022. Stated he thought I had possibly developed pericarditis from the vaccine. Further testing to be done  and medications were given.
Age: 57.0
Sex: F
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Blood pressure increased, Catheterisation cardiac, Chest pain, Heart rate increased
Clinical narrative: 8/19/22 received JYNNEOS 8/20/22 chest pain and dyspnea (persists today)-- > ER T-wave abnormality ? referred to cardio  saw PCP 8/23/22 ? started beta blocker and called cardiologist, admitted to hospital, heart cath 8/24, Cath showed coronary arteries were clear, chest xray showed ?fluid in lungs? and started lasix 8/30 ? suspect pericarditis from JYNNEOS recommended? colchicine and NSAID MRI of heart pending with hospital.
Age: 57.0
Sex: F
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Catheterisation cardiac normal, Chest X-ray abnormal, Chest pain, Dyspnoea, Electrocardiogram T wave abnormal
Clinical narrative: 8/19/22 received JYNNEOS 8/20/22 chest pain and dyspnea (persists today)-- > ER T-wave abnormality ? referred to cardio  saw PCP 8/23/22 ? started beta blocker and called cardiologist, admitted to hospital, heart cath 8/24, Cath showed coronary arteries were clear, chest xray showed ?fluid in lungs? and started lasix 8/30 ? suspect pericarditis from JYNNEOS recommended? colchicine and NSAID MRI of heart pending with hospital.
Age: 57.0
Sex: F
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Magnetic resonance imaging heart, Pericarditis, Pulmonary oedema
Clinical narrative: 8/19/22 received JYNNEOS 8/20/22 chest pain and dyspnea (persists today)-- > ER T-wave abnormality ? referred to cardio  saw PCP 8/23/22 ? started beta blocker and called cardiologist, admitted to hospital, heart cath 8/24, Cath showed coronary arteries were clear, chest xray showed ?fluid in lungs? and started lasix 8/30 ? suspect pericarditis from JYNNEOS recommended? colchicine and NSAID MRI of heart pending with hospital.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two vaccines Pfizer 4/26/21 Lot# EW0150;  Pfizer 5/17/21 Lot# EW0150
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: Patient experienced shoulder pain within 24 hours of receiving vaccination.  She then reports loss of mobility when lifting her arm.  She was seen by her primary care physician and it was recommended she undergo physical therapy for treatment.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 41.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site cellulitis
Clinical narrative: cellulitis at injection site
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two vaccines Pfizer 1/14/22 Lot# FE3594;  Pfizer 2/14/22 LOt3 FK9729
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.