chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Death, Dyspnoea
Clinical narrative: Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Fatigue, General physical health deterioration, Hypoxia, Intensive care
Clinical narrative: Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mean arterial pressure decreased, Mechanical ventilation, Oxygen saturation decreased, Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Bacteraemia, COVID-19, Condition aggravated, Gastrooesophageal reflux disease
Clinical narrative: Patient vaccinated with Moderna COVID vaccine 1/26/2021 and 2/26/2021, then presented to area ER for GERD-related sudden onset epigastric pain. Tested positive for COVID via NP at area ED, then transferred to reporting hospital for admission. Remains admitted at time of submission with primary diagnosis of COVID-19, GNR bacteremia, and concern for early cholecystitis versus choledocholithiasis. Estimated discharge date unknown at time of writing.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated with Moderna COVID vaccine 1/26/2021 and 2/26/2021, then presented to area ER for GERD-related sudden onset epigastric pain. Tested positive for COVID via NP at area ED, then transferred to reporting hospital for admission. Remains admitted at time of submission with primary diagnosis of COVID-19, GNR bacteremia, and concern for early cholecystitis versus choledocholithiasis. Estimated discharge date unknown at time of writing.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: HOSPITAL VISIT.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Death, Pulmonary embolism
Clinical narrative: death J96.01 - Acute respiratory failure with hypoxia  I26.99 - Acute pulmonary embolism without acute cor pulmonale, unspecified pulmonary embolism type
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Femur fracture, Injury, Pain in extremity, Road traffic accident, SARS-CoV-2 test false positive
Clinical narrative: Pt admitted on 10/19/2021: Admission is r/t trauma. Tested a false positive for COVID during admission. The Physician states this a a false positive d/t error with laboratory.  46 year old female presents to the ER via EMS as a level 1 trauma activation.  Patient presents with Hare traction in place to the right leg.  Patient reports she was standing beside her ATV when her dogs jumped in it and pressed the gas causing the ATV to strike her down and rolled onto her right pelvis/abdomen.  Denies striking her head or loss of consciousness.  C/o right thigh pain.  Full trauma evaluation reveals right femur fracture.  Right PT pulse was found with doppler at bedside.  Orthopedics was consulted and admitted to the trauma services.   10/21/2021: Pt is currently in-patient.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Splint application, Traction, Ultrasound Doppler
Clinical narrative: Pt admitted on 10/19/2021: Admission is r/t trauma. Tested a false positive for COVID during admission. The Physician states this a a false positive d/t error with laboratory.  46 year old female presents to the ER via EMS as a level 1 trauma activation.  Patient presents with Hare traction in place to the right leg.  Patient reports she was standing beside her ATV when her dogs jumped in it and pressed the gas causing the ATV to strike her down and rolled onto her right pelvis/abdomen.  Denies striking her head or loss of consciousness.  C/o right thigh pain.  Full trauma evaluation reveals right femur fracture.  Right PT pulse was found with doppler at bedside.  Orthopedics was consulted and admitted to the trauma services.   10/21/2021: Pt is currently in-patient.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chills, Colonoscopy, Culture tissue specimen, Endoscopy
Clinical narrative: The day after the first injection, I had a severe reaction. Headache, nausea, fever, chills, body aches. on March 10th, ten days after the first injection, I was went to the emergency room for treatment of extensive rectal bleeding.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Pyrexia, Rectal haemorrhage
Clinical narrative: The day after the first injection, I had a severe reaction. Headache, nausea, fever, chills, body aches. on March 10th, ten days after the first injection, I was went to the emergency room for treatment of extensive rectal bleeding.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: developed swelling and pain (rated 8/10 pain with pressure only) on his right armpit/side yesterday following the booster vaccine. He said that the pain and swelling has improved today (rates 1/10 pain with pressure only). He denied observing any discoloration on the skin and not hot to the touch.
Age: 4.0
Sex: F
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: The box expiration date looks like 10/14/2024 instead of 10/14/2021. Provider ordered in system with no problem but when looked again in the vial the expiration year was 2021 but not until it was already administered.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: Begin with rapid elevation of blood pressure which he went to see his dr. He was put on Lisinopril 5mg
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose decreased
Clinical narrative: Patient stated on 10/19/21 that when she received her first COVID shot a couple days later, she had low blood sugar and had to go to the hospital by ambulance.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea, Paraesthesia, Throat tightness, Tremor
Clinical narrative: Patient reports nausea and left arm tingling. LBST checked on patient. Vitals taken BP 158/84, pulse 68.  Patient also reports headache, shakiness and reports he feels like his throat is closing up. LBST checked on patient again. bp is 152/80. Patient drank some water and took his hyoscyamine on his own ( patient wasn't directed to take this medication). Patient stayed about an extra 15-20 minutes after the initial 15 minute wait. Patient  Was feeling better when he left- symptoms resolved.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Muscle spasms, Nausea, Throat tightness, Tremor
Clinical narrative: Patient reports nausea and left arm tingling. LBST checked on patient. Vitals taken BP 158/84, pulse 68.  Patient also reports headache, shakiness and reports he feels like his throat is closing up. LBST checked on patient again. bp is 152/80. Patient drank some water and took his hyoscyamine on his own ( patient wasn't directed to take this medication). Patient stayed about an extra 15-20 minutes after the initial 15 minute wait. Patient  Was feeling better when he left- symptoms resolved.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Moderna was given first shot and Pfizer was given second shot.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Hyponatraemia, Intracranial mass, Neoplasm malignant
Clinical narrative: death Hyponatremia Carcinoma brain mass
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Fatigue, Gastrooesophageal reflux disease, Headache, Myalgia
Clinical narrative: Nausea Headache Muscle aches and pains Fever-102.6 even after I take medication Severe fatigue Abdominal pain Severe acid reflex ears rang-not unusual for patient during allergic reactions to medications Frequency of urination increased
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pollakiuria, Pyrexia, Tinnitus
Clinical narrative: Nausea Headache Muscle aches and pains Fever-102.6 even after I take medication Severe fatigue Abdominal pain Severe acid reflex ears rang-not unusual for patient during allergic reactions to medications Frequency of urination increased
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Woke up around 11:00 same day I received vaccine with 104.5 fever and extreme headache. Had a fever that went from 104.5 to 103 to 102 over a period of 3 or 4 days and then a low grade fever and sever headache for two and a half weeks.
Age: 0.83
Sex: M
Vaccine: HEPA
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: NO ADVERSE REACTION NOTED, PATIENT ACCIDENTLY RECEIVED HEP A VACCINE INSTEAD OF THE INTENDED HEP B VACCINE. NO ADVERSE REACTIONS EXPECTED AS HEP A VACCINE CAN BE GIVEN IN CHILDREN AS EARLY AS 6 MONTHS OF AGE
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Injection site vesicles, Nodule, Pain, Skin exfoliation
Clinical narrative: Patient complains that right arm red with blisters from shoulder to hand the next day after injection.  Skin on arm peeled for 2 weeks.  2 big knots came up on elbow.  Seen Ortho doctor and tried to drain elbow but nothing came out so injected with cortisone. Now another knot has come up between  elbow and hand, hard and painful.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Mobility decreased, Pain, Pyrexia
Clinical narrative: fever 102, body aches, shivers, headache,  bed ridden
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood osmolarity decreased, Death, Hyponatraemia
Clinical narrative: death E87.1 - Hypo-osmolality and hyponatremia
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Bursitis, Femoroacetabular impingement, Inflammation, Joint stiffness
Clinical narrative: About 2.5 weeks after first shot, I started have joint pain and stiffness in my hip then about a week later it went down to my knee. It was painful to walk and painful sitting, I went to the Orthopedic Specialist walk in clinic and they didn't see much on xray, just called it a hip impingement and prescribed me anti-inflammatory when that didn't work they prescribed a steroid and when that didn't work, I started physical therapy which made it more painful so I stopped. I then went see my family doctor and did a rheumatoid panel and the RA factors inflammation levels came back positive but everything else for RA was negative. I then went back to the Orthopedic Specialist and did a MRI and they said I do have bursitis in the hip which is causing knee pain. I will be doing another round of anti-inflammatory medication
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Magnetic resonance imaging, Pain, Rheumatoid factor
Clinical narrative: About 2.5 weeks after first shot, I started have joint pain and stiffness in my hip then about a week later it went down to my knee. It was painful to walk and painful sitting, I went to the Orthopedic Specialist walk in clinic and they didn't see much on xray, just called it a hip impingement and prescribed me anti-inflammatory when that didn't work they prescribed a steroid and when that didn't work, I started physical therapy which made it more painful so I stopped. I then went see my family doctor and did a rheumatoid panel and the RA factors inflammation levels came back positive but everything else for RA was negative. I then went back to the Orthopedic Specialist and did a MRI and they said I do have bursitis in the hip which is causing knee pain. I will be doing another round of anti-inflammatory medication
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Intentional dose omission
Clinical narrative: ON 09/04/2021, CLIENT ARRIVED AT CLINIC TO RECEIVE PFIZER VACCINE SECOND DOSE ALTHOUGH SHE STATES ON HER CONSENT AND VERBALLY TO NURSE AT CLINIC THAT SHE HAD AN ALLERGIC REACTION CONSISTING OF HIVES AFTER HER FIRST DOSE. SHE ALSO VOLUNTEERED THAT SHE HAD A "CERTIFICATE OF EXEMPTION" NOTE FROM HER PCP THAT SHE IS EXEMPT FROM RECEIVING THE COVID-19 VACCINE/THAT SHE CANNOT RECEIVE THE COVID VACCINE.   SHE STATES THAT SHE WOULD LIKE TO HAVE IT ANYWAY AND EVEN TOOK BENADRYL PRIOR TO  COMING TO VACCINE CLINIC AND CARRIES AN EPI PEN.  SHE LATER STATED THAT THE CERTIFICATE OF EXEMPTION WAS FOR THE FLU VACCINE.  SHE STATED THAT HER DOCTOR DID NOT KNWO SHE WAS THERE. THE NURSE CONSULTED WITH DR. WHO RECOMMENDED SHE GO ELSEWHERE FOR THE VACCINE SINCE HERS WAS A "COMPLEX SITUATION".  SHE DID NOT RECEIVE A COVID VACCINE THIS DATE.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dyspnoea, Heart rate increased, Nausea, Palpitations
Clinical narrative: About 10 minutes after receiving the vaccine, I started feeling like I had a fast heart beat. It felt like my heart was beating out of my chest. I was still waiting for my 15 minute waiting period. When I was sitting with the attendant I started feeling a shortness of breath. The attendant did an assessment for the heart and lungs. At that point the attendant asked me a few more questions. I started to feel queasy as well. The attendant suggested taking me to the emergency department. They took me to the emergency department quickly. By the time we got into the front lobby I was having even more difficulty breathing. My heart was at 130 BPM. They put me in a bed in the emergency department. Once I was in the room I was still having difficult breathing, a  fast heart rate, and I felt nauseas. They gave me epi in my left leg. Then they put an iv in my right arm. They gave me 50mg of Benadryl and 1 liter of saline. My heart rate was at 120-130 BPM. They stated that I had wheezing in my lungs. An hour and a half later they had stopped hearing any wheezing, and I had no problems with my breathing. It took a little while longer for my heart rate to go down to 80-90 BPM. Within 20 minutes of that I started to feel better. They kept me for observation for 4 hours. After the 4 hours I went home. They prescribed me prednisone 50mg 1xday for 3 days. They diagnosed me with an allergic reaction. Today I feel a slight tightness when breathing.  My heart rate is a little higher than normal ranging from 70-80 BPM when usually it's like 60-70 BPM. My breathing isn't back to normal still.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: About 10 minutes after receiving the vaccine, I started feeling like I had a fast heart beat. It felt like my heart was beating out of my chest. I was still waiting for my 15 minute waiting period. When I was sitting with the attendant I started feeling a shortness of breath. The attendant did an assessment for the heart and lungs. At that point the attendant asked me a few more questions. I started to feel queasy as well. The attendant suggested taking me to the emergency department. They took me to the emergency department quickly. By the time we got into the front lobby I was having even more difficulty breathing. My heart was at 130 BPM. They put me in a bed in the emergency department. Once I was in the room I was still having difficult breathing, a  fast heart rate, and I felt nauseas. They gave me epi in my left leg. Then they put an iv in my right arm. They gave me 50mg of Benadryl and 1 liter of saline. My heart rate was at 120-130 BPM. They stated that I had wheezing in my lungs. An hour and a half later they had stopped hearing any wheezing, and I had no problems with my breathing. It took a little while longer for my heart rate to go down to 80-90 BPM. Within 20 minutes of that I started to feel better. They kept me for observation for 4 hours. After the 4 hours I went home. They prescribed me prednisone 50mg 1xday for 3 days. They diagnosed me with an allergic reaction. Today I feel a slight tightness when breathing.  My heart rate is a little higher than normal ranging from 70-80 BPM when usually it's like 60-70 BPM. My breathing isn't back to normal still.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Had breakthrough infection and deceased.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Eye swelling, Swelling face
Clinical narrative: right eye swelling began approximately 4 hours post vaccine and progressed to complete facial swelling and redness. No angioedema, wheezing, or respiratory distress reported. Symptoms relieved with Benadryl.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Hypotension
Clinical narrative: Moderna COVID-19 Vaccine: patient hospitalized for diuretic-induced hypotension acute kidney injury  two days after immunization. Patient's medications adjusted, administered IV fluids and steroids, and discharged to home medically stable.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Malaise, Nausea, SARS-CoV-2 test positive
Clinical narrative: ACCORDING TO FAMILY, PT NOT FEELING WELL, NAUSEA, VOMITING AND COUGHING.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: ACCORDING TO FAMILY, PT NOT FEELING WELL, NAUSEA, VOMITING AND COUGHING.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia macrocytic, Ascites, Blood copper, Blood iron decreased, Computerised tomogram abdomen normal
Clinical narrative: Found to have GI bleed and thrombocytopenia at 4k. Hemoglobin at 6.9,  stable at baseline. Given patient's recent history of left pelvic rami and left sacral fracture, CT abdomen was done and ruled out retroperitoneal bleed. Patient refused colonoscopy due to her age. Hematological workup for thrombocytopenia was unremarkable. Concern for immune thrombocytopenic purpura (ITP) given recurrent drop in platelets to < 10 despite persistent platelet transfusions. Currently being treated empirically for ITP w/Decadron 40 mg x 4 days. Due to lack of response, patient now on IVIG (10/21-10/22).
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Coombs direct test negative, Cytomegalovirus test negative, Electrophoresis protein, Gastrointestinal haemorrhage, HIV test negative
Clinical narrative: Found to have GI bleed and thrombocytopenia at 4k. Hemoglobin at 6.9,  stable at baseline. Given patient's recent history of left pelvic rami and left sacral fracture, CT abdomen was done and ruled out retroperitoneal bleed. Patient refused colonoscopy due to her age. Hematological workup for thrombocytopenia was unremarkable. Concern for immune thrombocytopenic purpura (ITP) given recurrent drop in platelets to < 10 despite persistent platelet transfusions. Currently being treated empirically for ITP w/Decadron 40 mg x 4 days. Due to lack of response, patient now on IVIG (10/21-10/22).
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hepatitis viral test negative, Immune thrombocytopenia, Immunoglobulin therapy, Immunology test
Clinical narrative: Found to have GI bleed and thrombocytopenia at 4k. Hemoglobin at 6.9,  stable at baseline. Given patient's recent history of left pelvic rami and left sacral fracture, CT abdomen was done and ruled out retroperitoneal bleed. Patient refused colonoscopy due to her age. Hematological workup for thrombocytopenia was unremarkable. Concern for immune thrombocytopenic purpura (ITP) given recurrent drop in platelets to < 10 despite persistent platelet transfusions. Currently being treated empirically for ITP w/Decadron 40 mg x 4 days. Due to lack of response, patient now on IVIG (10/21-10/22).
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Iron binding capacity total normal, Laboratory test, Parvovirus B19 test negative, Platelet count decreased, Platelet transfusion
Clinical narrative: Found to have GI bleed and thrombocytopenia at 4k. Hemoglobin at 6.9,  stable at baseline. Given patient's recent history of left pelvic rami and left sacral fracture, CT abdomen was done and ruled out retroperitoneal bleed. Patient refused colonoscopy due to her age. Hematological workup for thrombocytopenia was unremarkable. Concern for immune thrombocytopenic purpura (ITP) given recurrent drop in platelets to < 10 despite persistent platelet transfusions. Currently being treated empirically for ITP w/Decadron 40 mg x 4 days. Due to lack of response, patient now on IVIG (10/21-10/22).
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Prealbumin, Serum ferritin normal, Smear site unspecified normal, Soft tissue swelling
Clinical narrative: Found to have GI bleed and thrombocytopenia at 4k. Hemoglobin at 6.9,  stable at baseline. Given patient's recent history of left pelvic rami and left sacral fracture, CT abdomen was done and ruled out retroperitoneal bleed. Patient refused colonoscopy due to her age. Hematological workup for thrombocytopenia was unremarkable. Concern for immune thrombocytopenic purpura (ITP) given recurrent drop in platelets to < 10 despite persistent platelet transfusions. Currently being treated empirically for ITP w/Decadron 40 mg x 4 days. Due to lack of response, patient now on IVIG (10/21-10/22).
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Therapy non-responder, Thrombocytopenia, Urine electrophoresis abnormal, Vitamin B12 normal
Clinical narrative: Found to have GI bleed and thrombocytopenia at 4k. Hemoglobin at 6.9,  stable at baseline. Given patient's recent history of left pelvic rami and left sacral fracture, CT abdomen was done and ruled out retroperitoneal bleed. Patient refused colonoscopy due to her age. Hematological workup for thrombocytopenia was unremarkable. Concern for immune thrombocytopenic purpura (ITP) given recurrent drop in platelets to < 10 despite persistent platelet transfusions. Currently being treated empirically for ITP w/Decadron 40 mg x 4 days. Due to lack of response, patient now on IVIG (10/21-10/22).
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Feeling hot, Induration, Skin reaction, Swelling
Clinical narrative: Dizzy/faint feeling about 10 or 15 min. after injection,  Swelling/warm to the touch/red & sensitive hard area the size of about 3x2 in. (showed up the night of 10/20, and still there as of 10/21 afternoon)
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Tenderness
Clinical narrative: Dizzy/faint feeling about 10 or 15 min. after injection,  Swelling/warm to the touch/red & sensitive hard area the size of about 3x2 in. (showed up the night of 10/20, and still there as of 10/21 afternoon)
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sciatica
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 03/25/2021, started experiencing symptoms 04/08/2021 of leg pain (Sciatica). Primary visit (unknown date) diagnosed with Sciatica.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Illness, Mobility decreased, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Became very ill on Sunday July 25th, lasting through the next weekend (6-7 days).  Started as fatigue in the afternoon, then escalated to fever and vomiting in the evening/overnight (after eating dinner). Monday and Tuesday I was almost exclusively in bed from fatigue and fever. Vomiting stopped Monday morning/early afternoon.  A COVID test on Tuesday July 27 came back negative. On Thursday night I was able to receive a Z-pack of antiobiotics, and by Friday morning I was beginning to feel much better.  I think I was coming down with something (not COVID) on Sunday, and then my Sunday dinner might have given me food poisoning on top of that. I do not believe this was a reaction to the vaccine.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Became very ill on Sunday July 25th, lasting through the next weekend (6-7 days).  Started as fatigue in the afternoon, then escalated to fever and vomiting in the evening/overnight (after eating dinner). Monday and Tuesday I was almost exclusively in bed from fatigue and fever. Vomiting stopped Monday morning/early afternoon.  A COVID test on Tuesday July 27 came back negative. On Thursday night I was able to receive a Z-pack of antiobiotics, and by Friday morning I was beginning to feel much better.  I think I was coming down with something (not COVID) on Sunday, and then my Sunday dinner might have given me food poisoning on top of that. I do not believe this was a reaction to the vaccine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Eye swelling, Joint swelling, Rash, Urticaria
Clinical narrative: Extreme rash, hives, swelling of the eyes, over the entire body starting at the joints lasting  approximately three days.  Difficulty swallowing. Treated with 1, 25mg Benadryl tablet four times a day for four days. Symptoms completely ceased after four days without recurrence.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Fatigue, Glossodynia, Headache, Joint swelling
Clinical narrative: Severe Headaches - started 09/22/2021 subdued mid October lower left gut pain- persistent pain since, lingering pain swollen wrist (both) and arm left still has pain Fatigue- bad in 1st week subdued mid October still feeling fatigue Left side of tongue- sore, hurt to talk and chew , no visible signs believes it nerves in tongue, pain subdued late October.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Severe Headaches - started 09/22/2021 subdued mid October lower left gut pain- persistent pain since, lingering pain swollen wrist (both) and arm left still has pain Fatigue- bad in 1st week subdued mid October still feeling fatigue Left side of tongue- sore, hurt to talk and chew , no visible signs believes it nerves in tongue, pain subdued late October.
Age: 24.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pyrexia
Clinical narrative: HA, chills, fever, N/V/D, congestion within 24 hours of vaccination
Age: 24.0
Sex: F
Vaccine: UNK
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative, Vomiting
Clinical narrative: HA, chills, fever, N/V/D, congestion within 24 hours of vaccination
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: DVT rt leg
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Dermatitis, Pruritus, Rash, Scar
Clinical narrative: (03/04/2021)Rash on left wrist with bumps, progressed to fluid filled blisters. Went to urgent care where it was determined as Dermatitis. Was given Triamcinolone to treat. It helped with the itchiness but the rash and blisters stayed around a month. It left some scarring but otherwise recovered.
Age: 39.0
Sex: M
Vaccine: HEP
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Injection site pain, Mobility decreased, Pain
Clinical narrative: Pain at injection site  immediately after injection and continues to this day  Arm can't move (literally first 4 months could not move arm)  Loss of feeling in fingers (Immediately after injection and ongoing)  Incredible pain ( first 3 months , getting less intense. Still ongoing)  My useless doctor that poisoned me has ordered no tests. I got physical therapy   Seeing as that is the cure all for SIRVA related to the poison you sell.
Age: 39.0
Sex: M
Vaccine: HEP
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: Pain at injection site  immediately after injection and continues to this day  Arm can't move (literally first 4 months could not move arm)  Loss of feeling in fingers (Immediately after injection and ongoing)  Incredible pain ( first 3 months , getting less intense. Still ongoing)  My useless doctor that poisoned me has ordered no tests. I got physical therapy   Seeing as that is the cure all for SIRVA related to the poison you sell.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, COVID-19, Exposure during pregnancy, Full blood count, Karyotype analysis
Clinical narrative: 37 week Intrauterine fetal demise diagnosed on 9/22/21. Patient had first dose 8/16/21 followed by mild COVID disease two weeks later. Then second dose 9/7/21. Her pregnancy was also complicated by morbid obesity and gestational diabetes
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Stillbirth
Clinical narrative: 37 week Intrauterine fetal demise diagnosed on 9/22/21. Patient had first dose 8/16/21 followed by mild COVID disease two weeks later. Then second dose 9/7/21. Her pregnancy was also complicated by morbid obesity and gestational diabetes
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: Severe headache, fever, chills, nausea, vomiting for 18 hours following shot.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Sciatica
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 03/25/2021, started experiencing symptoms 04/08/2021 of leg pain (Sciatica). Primary visit diagnosed with Sciatica no other recommendations. Pt. still experiencing symptoms.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented with red, itchy, swollen arm at site of injection. Symptoms started one week after receiving vaccine. Patient reported arm hot to touch wrapping around the arm and stated itching seemed to come from inside the arm.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Had breakthrough infection and deceased.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Nausea, Oropharyngeal pain
Clinical narrative: Patient contracted COVID after being fully vaccinated Couth, Sore throat, congestion, headache, nausea
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID after being fully vaccinated Couth, Sore throat, congestion, headache, nausea
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Insomnia, Migraine, Pain
Clinical narrative: 100 hour migraine, aches and pains over entire body, sleeplessness, chills, shivering for 4 days.
Age: 81.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Resident had completed Pfizer Covid 2 dose series plus 1 booster dose (Dates:  1/15/21; 02/15/21; 09/28/21). At clinic to receive a influenza vaccine. Vaccinator administered an additional Pfizer Covid  in error.  This would represent a 4th dose. Error realized. Patient notified.  Correct vaccine (influenza High dose) was administered.   Follow up with patient the next day.  No adverse reactions.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: PT C/O WEAKNESS AND FALL
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Pain
Clinical narrative: Headache, body aches , cough
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Back pain, Fatigue, Headache
Clinical narrative: 10/17/21: Vax @ 1120am= no s/s. At 1600 typical arm soreness w/ HA (expected even though I did not get any s/s w/ 1st vax. Fatigue 10/18/21: arm/shoulder/neck sore affecting ROM, pain in armpit- from neck radiating down to shoulder, palpable lympn nodes in arm at clavical/pectorus/left upper breast, back pain, tingling in afternoon in shoulder/arm. Popping shoulder. Body soreness, fatigue. 10/19/21: above s/s slightly better. Popping worse.  10/20/21 palpable node in armpit with pain/tingling. Neck/shoulder less sore. Small bursts of pain to scapula. 10/21/21: symptoms almost gone ( weird sensation in armpit). Shoulfer soreness 2/10.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Joint noise, Joint range of motion decreased, Lymph node pain, Lymphadenopathy, Musculoskeletal pain
Clinical narrative: 10/17/21: Vax @ 1120am= no s/s. At 1600 typical arm soreness w/ HA (expected even though I did not get any s/s w/ 1st vax. Fatigue 10/18/21: arm/shoulder/neck sore affecting ROM, pain in armpit- from neck radiating down to shoulder, palpable lympn nodes in arm at clavical/pectorus/left upper breast, back pain, tingling in afternoon in shoulder/arm. Popping shoulder. Body soreness, fatigue. 10/19/21: above s/s slightly better. Popping worse.  10/20/21 palpable node in armpit with pain/tingling. Neck/shoulder less sore. Small bursts of pain to scapula. 10/21/21: symptoms almost gone ( weird sensation in armpit). Shoulfer soreness 2/10.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pain in extremity, Paraesthesia
Clinical narrative: 10/17/21: Vax @ 1120am= no s/s. At 1600 typical arm soreness w/ HA (expected even though I did not get any s/s w/ 1st vax. Fatigue 10/18/21: arm/shoulder/neck sore affecting ROM, pain in armpit- from neck radiating down to shoulder, palpable lympn nodes in arm at clavical/pectorus/left upper breast, back pain, tingling in afternoon in shoulder/arm. Popping shoulder. Body soreness, fatigue. 10/19/21: above s/s slightly better. Popping worse.  10/20/21 palpable node in armpit with pain/tingling. Neck/shoulder less sore. Small bursts of pain to scapula. 10/21/21: symptoms almost gone ( weird sensation in armpit). Shoulfer soreness 2/10.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Flank pain, Insomnia, Magnetic resonance imaging, Mobility decreased
Clinical narrative: After the 3rd vaccine the following day  I collapse to the floor in the bathroom.  I was on the floor for 17th hours, they finally sent someone to check on me.  They got me an ambulance to hospital, they told me I was suffering from Rhabdomyolysis.  My arm was in a lot of pain after the 3rd vaccinations. I took Tylenol for the pain to be able to sleep  They gave me pain medication, due to the intense pain on my left side. I couldn't pick myself up without screaming.  The pain medication in the hospital wasn't getting rid of the pain and it went on for 3 days.  I was hospitalized for 4 days. I used over the counter pain patches, for the pain.  They were lidocaine patches, now im fine and it doesn't hurt. I had two an half weeks of occupational therapy and physical therapy in my home after i got out of the hospital. I'm scheduled to go for physical therapy in the center.  Sept Thursday 16th until late 19th I was in the hospital.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Rhabdomyolysis, Screaming, Syncope
Clinical narrative: After the 3rd vaccine the following day  I collapse to the floor in the bathroom.  I was on the floor for 17th hours, they finally sent someone to check on me.  They got me an ambulance to hospital, they told me I was suffering from Rhabdomyolysis.  My arm was in a lot of pain after the 3rd vaccinations. I took Tylenol for the pain to be able to sleep  They gave me pain medication, due to the intense pain on my left side. I couldn't pick myself up without screaming.  The pain medication in the hospital wasn't getting rid of the pain and it went on for 3 days.  I was hospitalized for 4 days. I used over the counter pain patches, for the pain.  They were lidocaine patches, now im fine and it doesn't hurt. I had two an half weeks of occupational therapy and physical therapy in my home after i got out of the hospital. I'm scheduled to go for physical therapy in the center.  Sept Thursday 16th until late 19th I was in the hospital.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal, X-ray
Clinical narrative: After the 3rd vaccine the following day  I collapse to the floor in the bathroom.  I was on the floor for 17th hours, they finally sent someone to check on me.  They got me an ambulance to hospital, they told me I was suffering from Rhabdomyolysis.  My arm was in a lot of pain after the 3rd vaccinations. I took Tylenol for the pain to be able to sleep  They gave me pain medication, due to the intense pain on my left side. I couldn't pick myself up without screaming.  The pain medication in the hospital wasn't getting rid of the pain and it went on for 3 days.  I was hospitalized for 4 days. I used over the counter pain patches, for the pain.  They were lidocaine patches, now im fine and it doesn't hurt. I had two an half weeks of occupational therapy and physical therapy in my home after i got out of the hospital. I'm scheduled to go for physical therapy in the center.  Sept Thursday 16th until late 19th I was in the hospital.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction noted.  Vaccine given outside of EUA
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac murmur, Cardiac stress test, Echocardiogram, Electrocardiogram
Clinical narrative: They found a heart murmur. I also diagnosed with SVT. I went to the ER. They did blood work, EKG, Echo cardiogram, and a stress test.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Supraventricular tachycardia
Clinical narrative: They found a heart murmur. I also diagnosed with SVT. I went to the ER. They did blood work, EKG, Echo cardiogram, and a stress test.
Sex: U
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: attended a covid booster clinic at her employer and received the Pfizer vaccine but her initial 2 doses were Moderna.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acidosis, Anticoagulant therapy, Anuria, Blood gases abnormal, COVID-19
Clinical narrative: Fully vaccinated patient admitted through ED for COVID pneumonia.  Patient received Zosyn, systemic steroid, oxygen , and heparin anticoagulation.  Patient continued to decline with ABG showing severe acidosis and kidneys not producing urine.  Collaboration with family who chose comfort care over continued aggressive treatment and intubation.  Patient died on 10/15/21.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Death, General physical health deterioration, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated patient admitted through ED for COVID pneumonia.  Patient received Zosyn, systemic steroid, oxygen , and heparin anticoagulation.  Patient continued to decline with ABG showing severe acidosis and kidneys not producing urine.  Collaboration with family who chose comfort care over continued aggressive treatment and intubation.  Patient died on 10/15/21.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain, Hyperpyrexia, SARS-CoV-2 test negative
Clinical narrative: 4 days after the second shot of the Pfizer vaccine that was given in my right arm,  I got a lump in my right armpit, that is still there and causes me pain sometimes.  I also had 3 episodes of high fever after the second shot:  first 12 hours after the shot, then  again 4 days after the shot and a third time 1 week after the shot. I called a doctor and he recommended me to have a Covid test, that I did and was negative for Covid-19.   I still have the lump in my armpit after  6 months of the vaccine and will therefore have a consultation with my doctor in the next days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction reported.  Vaccine administered outside of EUA
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Death, Dyspnoea
Clinical narrative: He had no problems from the shot. He had a cat scan two weeks prior to the vaccination to check his pulmonary fibrosis. The doctor said his fibrosis had become worse and told him to go home and enjoy what time he had left. The wife says he got where he could not breathe and was coughing a lot. She called the pcp and he told her to get cough medication over the counter. She tried palliative care but it was not helping him so she called hospice on 9/28/21 and he died 8 days later.
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient received duplicate High dose flu vaccine on 10/7/2021 and 10/20/2021.  Patient has also received duplicate COVID vaccines.  He completed the Pfizer series( 1/20/21 and 2/10/21), Moderna series (2/26/21 and 3/26/21)  and received a Pfizer booster (10/13/21).
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient contracted COVID after being fully vaccinated Headache
Age: 37.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Productive cough
Clinical narrative: After receiving the immunizations the patient noted phlegm in his throat that was different than before receiving the vaccines. He was given 50mg diphenhydramine and observed for an additional 15 minutes. After feeling well following observation he returned home.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Diarrhoea, Dyspnoea, Nausea
Clinical narrative: On 8/8/2021 I got sick with fever, body aches, nausea, vomiting, diarrhea, and chills. I went to the ER because I couldn't breathe and I felt like my throat had closed up. They tested me for covid and it came back positive. I was there for about an hour. They sent me to another ER where I received anti nausea meds so  I would be able to keep down liquids. They also gave me fluids. I was there for about an hour and a half and couldn't get a room so the doctor helped me in the waiting room. I was sick for 7 days and lost 15 pounds. I tried to find out if it was a variant but the ER said they were unable to find out. They assumed I had the delta variant.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Throat tightness, Vaccine breakthrough infection
Clinical narrative: On 8/8/2021 I got sick with fever, body aches, nausea, vomiting, diarrhea, and chills. I went to the ER because I couldn't breathe and I felt like my throat had closed up. They tested me for covid and it came back positive. I was there for about an hour. They sent me to another ER where I received anti nausea meds so  I would be able to keep down liquids. They also gave me fluids. I was there for about an hour and a half and couldn't get a room so the doctor helped me in the waiting room. I was sick for 7 days and lost 15 pounds. I tried to find out if it was a variant but the ER said they were unable to find out. They assumed I had the delta variant.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, Weight decreased
Clinical narrative: On 8/8/2021 I got sick with fever, body aches, nausea, vomiting, diarrhea, and chills. I went to the ER because I couldn't breathe and I felt like my throat had closed up. They tested me for covid and it came back positive. I was there for about an hour. They sent me to another ER where I received anti nausea meds so  I would be able to keep down liquids. They also gave me fluids. I was there for about an hour and a half and couldn't get a room so the doctor helped me in the waiting room. I was sick for 7 days and lost 15 pounds. I tried to find out if it was a variant but the ER said they were unable to find out. They assumed I had the delta variant.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Patient wanted a Moderna second dose today but received a fluarix instead
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Headache, Nausea, Pulmonary pain
Clinical narrative: Shortness of breath, pain in left lung, headaches, drowsiness, blurred vision, nauseous, loss of apetite,
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Vision blurred
Clinical narrative: Shortness of breath, pain in left lung, headaches, drowsiness, blurred vision, nauseous, loss of apetite,
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eating disorder, Fatigue, Gingival pain, Mastication disorder
Clinical narrative: Inflammation of gums  causing pain and impacting ability to eat/chew. Waiting to consult with a periodontist.  Symptoms have worsened in the 8 days post-vaccination  Fever/chills - resolved  Significant fatigue - persists
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Noninfective gingivitis, Pyrexia
Clinical narrative: Inflammation of gums  causing pain and impacting ability to eat/chew. Waiting to consult with a periodontist.  Symptoms have worsened in the 8 days post-vaccination  Fever/chills - resolved  Significant fatigue - persists
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Cough, Mobility decreased, Pain in extremity
Clinical narrative: Fever for 48 hours cough tightness in chest  Severe pain from shoulder to wrist ongoing with debilitating pain unable to use arm
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever for 48 hours cough tightness in chest  Severe pain from shoulder to wrist ongoing with debilitating pain unable to use arm