chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Patient presented with chief complaint of shortness of breath after having 2 weeks of symptoms of fever, chills, cough, sore throat and diarrhea with poor appetite and loss of taste and smell.  Patient was found to be hypoxic at 84% on room air, tachycardic with which he was admitted for further evaluation and management.  He was initiated on dexamethasone, Rocephin and azithromycin.  The patient had an extended complicated hospital course of 65 days during which multiple subspecialists have evaluated him and managed his comorbidities including respiratory failure secondary to COVID-19 pneumonia. Patient received tocilizumab on November 24th.  Patient was on high-dose steroids which were gradually tapered down. Patient's respiratory status at this time improved but he continues to be oxygen dependent at 3-4 L with severe day saturations on exertion to low 80s needing 8-10 L oxygen support with a Ventimask and recovery time of less than 5 min to bring his saturations above 90%.  Patient was discharged with a 10 L oxygen concentrator along with home oxygen.  Patient was also treated with Mycamine for  Covid fungal infection because of prolonged steroid usage.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Melanocytic naevus, Mole excision
Clinical narrative: I received Pfizer vaccines in January of 2021. In December 2021 I saw my dermatologist and had a mole removed that had gotten slightly larger. The mole pathology came back abnormal so had to get the area re-excised by a dermatology surgeon (outpatient procedure). It was not cancer. All margins were clear and no further treatment was needed. I do not know if this was related to the COVID-19 vaccine but when I filled this out on vsafe, the CDC contacted me and told me to fill out a VAERS form.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, COVID-19, Chest X-ray, Chest discomfort, Chills
Clinical narrative: Tested positive for Covid 01/07/2022. Onset of symptoms 01/08/2022. Fever >103 F for 4 days, persistent cough, chills, difficulty breathing. Went to ER and received IV steroids on 01/11/2022. Returned to the ER 01/17/2022 due to chest pressure and difficulty breathing. Was held at the hospital until 01/19/2022.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid 01/07/2022. Onset of symptoms 01/08/2022. Fever >103 F for 4 days, persistent cough, chills, difficulty breathing. Went to ER and received IV steroids on 01/11/2022. Returned to the ER 01/17/2022 due to chest pressure and difficulty breathing. Was held at the hospital until 01/19/2022.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Illness, Inflammation, Peripheral swelling
Clinical narrative: On the 6th I got the shot and was really sick the next day.  9 days after on the 15th I started to itch really bad on my stomach. I took Benadryl without it being helpful.  I then went to Urgent Care on the 6th and they recommended a double dose of Benadryl and to apply a topical cream to control the itch.  On the 18th my hands and feet started to swell and I was having a more difficult time breathing.  I went to a hospital and they gave me a steroid shot and a step down pills to control the inflammation and recommended taking Zyrtec and continuing the topical treatment.  I ended up in urgent care again on 1/28 because my breathing worsened at night and through the day.  They gave me an inhaler that allowed me to breath and additional combo of medication to take instead of OTC.  This has helped control the symptoms.  As of 2/2/22 I am still breaking out in hives.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, SARS-CoV-2 test negative, White blood cell count increased
Clinical narrative: On the 6th I got the shot and was really sick the next day.  9 days after on the 15th I started to itch really bad on my stomach. I took Benadryl without it being helpful.  I then went to Urgent Care on the 6th and they recommended a double dose of Benadryl and to apply a topical cream to control the itch.  On the 18th my hands and feet started to swell and I was having a more difficult time breathing.  I went to a hospital and they gave me a steroid shot and a step down pills to control the inflammation and recommended taking Zyrtec and continuing the topical treatment.  I ended up in urgent care again on 1/28 because my breathing worsened at night and through the day.  They gave me an inhaler that allowed me to breath and additional combo of medication to take instead of OTC.  This has helped control the symptoms.  As of 2/2/22 I am still breaking out in hives.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted 11/4/21.  COVID infection breakthrough, asymptomatic
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amenorrhoea, Blood follicle stimulating hormone normal, Blood luteinising hormone normal
Clinical narrative: My menstrual periods stopped completely for 3 months.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.  COVID breakthrough infection
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Laboratory test, Lipase increased, Nausea
Clinical narrative: Pt presented to the hospital with nausea and vomiting and cough.  Workup was notable for COVID-19 positive and a mild pancreatitis with a lipase of 800. The remainder of her workup was unremarkable.  She was admitted, given monoclonal antibodies by the admitting team, and IV fluids.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pancreatitis, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Pt presented to the hospital with nausea and vomiting and cough.  Workup was notable for COVID-19 positive and a mild pancreatitis with a lipase of 800. The remainder of her workup was unremarkable.  She was admitted, given monoclonal antibodies by the admitting team, and IV fluids.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Clinician prepared vial with 1.3ml Normal Saline diluent rather than 1.8ml Normal Saline. No Clinical concerns were reported
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Intensive care, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.  COVID breakthrough infection and admit to ICU
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given 0.5ml of booster 3rd vaccine and patient was called on 1/18/2021 and denies any problems since vaccine. Letter was sent to patient notifying of dosage given
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Intensive care
Clinical narrative: COVID-19 hospitalization/ICU stay
Age: 48.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth, Lymphadenopathy
Clinical narrative: Swollen lymph gland under arm of injection site, growing redness and warmth at injection site
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Clinician prepared vial with 1.3ml Normal Saline diluent rather than 1.8ml Normal Saline. No Clinical concerns were reported
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray, Cough, Dysphonia
Clinical narrative: cough started 12/20/21, positive for covid, went to emergency room 12/22/21, 12/25/21 and had out patient monoclonal ab infusion 12/24/21 2/2/22 patient continues to have cough and hoarseness. referred to pulmonologist
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site discomfort, Injection site erythema, Injection site reaction, Injection site swelling, Urticaria
Clinical narrative: Patient's left arm is swollen, reddened with a small welted area where the influenza vaccine was given. Patient is experiencing a little bit of discomfort in the area, but denies itching, warmth or fevers.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was administered 0.5ml instead of 0.25ml of booster 3rd dosage, patient was called and denies any problems since vaccination. Letter was sent to patient notifying of dosage given
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary pain, Decreased appetite, Fatigue, Influenza like illness, Myalgia
Clinical narrative: symptoms began within 24 hours of injection in order of onset: general muscle soreness, flu like symptoms (tired, achy, felt fever like but no fever), loss of appetite, fatigue two days after injection:  above symptoms resolved. Pain, swelling, and soreness in left armpit. Same arm as injection.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Oedema peripheral, Pain, Pyrexia
Clinical narrative: symptoms began within 24 hours of injection in order of onset: general muscle soreness, flu like symptoms (tired, achy, felt fever like but no fever), loss of appetite, fatigue two days after injection:  above symptoms resolved. Pain, swelling, and soreness in left armpit. Same arm as injection.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Intense itching; began on left breast and spread to arms and back area, skin began to welt over entire body.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Clinician prepared vial with 1.3ml Normal Saline diluent rather than 1.8ml Normal Saline. No Clinical concerns were reported
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Urticaria
Clinical narrative: Itchy bumps like hives on different parts of the body including scalp, back, feet, hands, abdomen, back of neck and buttocks. Rash would pop up more in the evenings and move to different parts of the body. Would flare and go away in a matter of hours. Antihistamines helped.
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Oedema peripheral, Productive cough, Skin warm
Clinical narrative: Patient received the Moderna COVID-19 vaccine on 1/14/2022. On 1/16/2022 patient was observed to have productive cough, shortness of breath, edema and warmth to left arm. Patient expired on 1/19/2022
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia, Seizure, Vomiting
Clinical narrative: Child had seizure after receiving vaccination, nausea, throwing up, Fever, Headaches
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Clinician prepared vial with 1.3ml Normal Saline diluent rather than 1.8ml Normal Saline. No Clinical concerns were reported
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Computerised tomogram, Cough, Dyspnoea
Clinical narrative: On 01/06/2022, I woke up to what I thought was a sinus infection.  The symptom's increased rapidly and on 01/10/22, I tested positive for COVID 19.  I had a fever, severe throat irritation and cough.  There were at times that the coughing was so bad I had trouble breathing.  On 01/13/2022, I woke up with some tightness in my chest.  My doctor's office advised me to go to the emergency room.  At the ER,  I tested positive again for COVID 19.  They did an EKG and an CSCAN on my chest.  The ER doctor put me on 4 different medications.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Pyrexia, SARS-CoV-2 test positive, Sinusitis, Throat irritation
Clinical narrative: On 01/06/2022, I woke up to what I thought was a sinus infection.  The symptom's increased rapidly and on 01/10/22, I tested positive for COVID 19.  I had a fever, severe throat irritation and cough.  There were at times that the coughing was so bad I had trouble breathing.  On 01/13/2022, I woke up with some tightness in my chest.  My doctor's office advised me to go to the emergency room.  At the ER,  I tested positive again for COVID 19.  They did an EKG and an CSCAN on my chest.  The ER doctor put me on 4 different medications.
Sex: U
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: pt vaccinated.  Pt admitted to the hospital
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure abnormal, Decreased appetite, Loss of consciousness, Pyrexia
Clinical narrative: I had fever, loss of appetite. no energy, slept most of the day. On Sunday, I forced my self to get up that's when I passed out. My husband took me to the garage area elevated my legs took the EMS awhile to arrive. The firefighter was called out they got my blood pressure stable. I was not taken to the ER.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: I had fever, loss of appetite. no energy, slept most of the day. On Sunday, I forced my self to get up that's when I passed out. My husband took me to the garage area elevated my legs took the EMS awhile to arrive. The firefighter was called out they got my blood pressure stable. I was not taken to the ER.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was administered 0.5ml instead of 0.25ml for booster 3rd dosage, Patient called and denies any problems since receeving the vaccine. Letter sent to patient informing of dosage given
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atelectasis, Atrial fibrillation, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient was initially presented on 1/3/2022 with atrial fibrillation RVR as well as acute hypoxic respiratory failure due to COVID-19 infection. Patient was admitted for cardiac management. Patient was started on Dexamethasone as well as Remdesivir  given her hypoxic respiratory failure.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Lung infiltration, SARS-CoV-2 test positive
Clinical narrative: Patient was initially presented on 1/3/2022 with atrial fibrillation RVR as well as acute hypoxic respiratory failure due to COVID-19 infection. Patient was admitted for cardiac management. Patient was started on Dexamethasone as well as Remdesivir  given her hypoxic respiratory failure.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: pt vaccinated for covid.  pt admitted to the hospital for covid related diagnosis.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Insomnia
Clinical narrative: Starting on 10/20/2021, I started getting more frequent headaches throughout the day. I thought they were occurring because of working on the computer, but I've never had them before like this. I would get 5-6 episodes of headaches throughout the day. Shortly after that, my sleep pattern started changing. I am having a hard time falling asleep, and when I do fall asleep it often is for a short time. I have had episodes of being up for 48 hours at a time. I went to my doctor and they have prescribed me medications, which have not helped me, and its starting to affect my mood and my ability to function.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, Death, Depressed level of consciousness
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/27/2021, 3/02/2021 and 9/13/2021. Covid+ 12/27/22 rec'd monoclonal antibody infusion 12/27 w/improvement until 1/1/22. Presented to ED 1/4/22 c/o SOB. Admitted for Afib with RVR, Covid and atypical presentation of sepsis. Treated w/steroids, remidisivir, baricitnib, vancomycin and zosyn. Repiratory status continued to decline to acute hypoxemic respiratory failure complicated by metabolic issues in the setting of immuncomprised state and renal failure. DNR status, obtunded and encephalopathic. Expired 1/24/22.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Encephalopathy, Immunodeficiency, Inappropriate schedule of product administration, Metabolic disorder
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/27/2021, 3/02/2021 and 9/13/2021. Covid+ 12/27/22 rec'd monoclonal antibody infusion 12/27 w/improvement until 1/1/22. Presented to ED 1/4/22 c/o SOB. Admitted for Afib with RVR, Covid and atypical presentation of sepsis. Treated w/steroids, remidisivir, baricitnib, vancomycin and zosyn. Repiratory status continued to decline to acute hypoxemic respiratory failure complicated by metabolic issues in the setting of immuncomprised state and renal failure. DNR status, obtunded and encephalopathic. Expired 1/24/22.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Renal failure, Respiratory disorder, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/27/2021, 3/02/2021 and 9/13/2021. Covid+ 12/27/22 rec'd monoclonal antibody infusion 12/27 w/improvement until 1/1/22. Presented to ED 1/4/22 c/o SOB. Admitted for Afib with RVR, Covid and atypical presentation of sepsis. Treated w/steroids, remidisivir, baricitnib, vancomycin and zosyn. Repiratory status continued to decline to acute hypoxemic respiratory failure complicated by metabolic issues in the setting of immuncomprised state and renal failure. DNR status, obtunded and encephalopathic. Expired 1/24/22.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal
Clinical narrative: COVID Vaccine x2 in May 2021, appendicitis Dec 2021, appendectomy required, COVID booster Jan 2022
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Lots of red bumps on stomach back and arms. They do not itch, they do not hurt, but there is a lot.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: Resident had a fall.  Went to the hospital where he tested positive, on a screen, for covid.  Had been asymptomatic
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Vaccine on Friday 1/28. Reaction began morning of Sunday 1/30. Swelling and sore at injection site. Became swollen and very itchy and red by Monday, January 31. By February 1, the size of reaction at injection site spread to a size larger than my adult hand (from near shoulder to elbow and half of the circumference of my arm).
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Heart rate increased
Clinical narrative: Patient states that his resting heart rate was 105 the morning after his booster shot.  HIs normal heart rate is in the 70s.  Also, his blood pressure was elevated at 140/90.  The patient was advised to contact his pcp for evaluation.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was administered 0.5ml instead of 0.25ml of booster 3rd dosage, patient was called and denies any problems since vaccination. Letter was sent informing patient of dosage given
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt received covid vaccination.  Pt admitted to the hospital with covid related diagnosis
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Hospitalized with breakthrough COVID
Age: 10.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anion gap normal, Blood culture negative, Body fluid analysis, Chest X-ray, Chills
Clinical narrative: On January 14, 2022 patient  came home from school with symptom of shortness of breath only. She was seen at an urgent care that day and tested negative for COVID. The physician there was concerned for refiux so she was given a medicine to treat this. She developed fever on 1/15 up to 105. That same day she was seen by the PCP as she also developed chill, body aches and had continued SOB. She was admitted to hospital.  During the course of her admission, she was found to have elevated inflammatory markers. Given the concern for her new murmur, an echo was obtained. It demonstrated a large, circumferential pericardial effusion with concern for possible tamponade physiology. Cardiology, rheumatology, and infectious disease were brought on board. While there was some initial concern for MIS-C, the clinical history, only mildly elevated inflammatory markers, and single organ involvement did not fit MIS-C and the decision was made to begin treating patient for pericarditis.
Age: 10.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Culture negative, Dyspnoea, Echocardiogram abnormal, Electrocardiogram
Clinical narrative: On January 14, 2022 patient  came home from school with symptom of shortness of breath only. She was seen at an urgent care that day and tested negative for COVID. The physician there was concerned for refiux so she was given a medicine to treat this. She developed fever on 1/15 up to 105. That same day she was seen by the PCP as she also developed chill, body aches and had continued SOB. She was admitted to hospital.  During the course of her admission, she was found to have elevated inflammatory markers. Given the concern for her new murmur, an echo was obtained. It demonstrated a large, circumferential pericardial effusion with concern for possible tamponade physiology. Cardiology, rheumatology, and infectious disease were brought on board. While there was some initial concern for MIS-C, the clinical history, only mildly elevated inflammatory markers, and single organ involvement did not fit MIS-C and the decision was made to begin treating patient for pericarditis.
Age: 10.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epstein-Barr virus antibody negative, Flow cytometry, Inflammatory marker increased, Interferon gamma release assay, Laboratory test normal
Clinical narrative: On January 14, 2022 patient  came home from school with symptom of shortness of breath only. She was seen at an urgent care that day and tested negative for COVID. The physician there was concerned for refiux so she was given a medicine to treat this. She developed fever on 1/15 up to 105. That same day she was seen by the PCP as she also developed chill, body aches and had continued SOB. She was admitted to hospital.  During the course of her admission, she was found to have elevated inflammatory markers. Given the concern for her new murmur, an echo was obtained. It demonstrated a large, circumferential pericardial effusion with concern for possible tamponade physiology. Cardiology, rheumatology, and infectious disease were brought on board. While there was some initial concern for MIS-C, the clinical history, only mildly elevated inflammatory markers, and single organ involvement did not fit MIS-C and the decision was made to begin treating patient for pericarditis.
Age: 10.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mycobacterium test negative, Pain, Pericardial drainage, Pericardial effusion, Pericarditis
Clinical narrative: On January 14, 2022 patient  came home from school with symptom of shortness of breath only. She was seen at an urgent care that day and tested negative for COVID. The physician there was concerned for refiux so she was given a medicine to treat this. She developed fever on 1/15 up to 105. That same day she was seen by the PCP as she also developed chill, body aches and had continued SOB. She was admitted to hospital.  During the course of her admission, she was found to have elevated inflammatory markers. Given the concern for her new murmur, an echo was obtained. It demonstrated a large, circumferential pericardial effusion with concern for possible tamponade physiology. Cardiology, rheumatology, and infectious disease were brought on board. While there was some initial concern for MIS-C, the clinical history, only mildly elevated inflammatory markers, and single organ involvement did not fit MIS-C and the decision was made to begin treating patient for pericarditis.
Age: 10.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: On January 14, 2022 patient  came home from school with symptom of shortness of breath only. She was seen at an urgent care that day and tested negative for COVID. The physician there was concerned for refiux so she was given a medicine to treat this. She developed fever on 1/15 up to 105. That same day she was seen by the PCP as she also developed chill, body aches and had continued SOB. She was admitted to hospital.  During the course of her admission, she was found to have elevated inflammatory markers. Given the concern for her new murmur, an echo was obtained. It demonstrated a large, circumferential pericardial effusion with concern for possible tamponade physiology. Cardiology, rheumatology, and infectious disease were brought on board. While there was some initial concern for MIS-C, the clinical history, only mildly elevated inflammatory markers, and single organ involvement did not fit MIS-C and the decision was made to begin treating patient for pericarditis.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Clinician prepared vial with 1.3ml Normal Saline diluent rather than 1.8ml Normal Saline. No Clinical concerns were reported
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: pt had covid vaccine.  Pt admitted to the hospital with covid related diagnosis
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: had covid vaccine.  Admit to the hospital with covid related diagnosis
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Ear discomfort, Ear pain, Eye pruritus, Head discomfort, Lacrimation increased
Clinical narrative: Later the same day, developed runny nose and itchy watery eyes that lasted for a week. After that, developed what felt like sinus infection with feelings of high pressure in head and face. Also experienced migraines, congestion, earache, and popping in ears that felt like ears were "closed." These symptoms lasted for four weeks and are ongoing.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Migraine, Respiratory tract congestion, Rhinorrhoea, Sinusitis
Clinical narrative: Later the same day, developed runny nose and itchy watery eyes that lasted for a week. After that, developed what felt like sinus infection with feelings of high pressure in head and face. Also experienced migraines, congestion, earache, and popping in ears that felt like ears were "closed." These symptoms lasted for four weeks and are ongoing.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: pt received covid vaccine.  Pt admitted to the hospital with covid related diagnosis.
Age: 75.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Cerebral small vessel ischaemic disease, Computerised tomogram head abnormal, Facial paralysis, Hypoaesthesia, Lacunar infarction
Clinical narrative: Patient  presents to the ED with a Chief Complaint of Facial Droop, Numbness, after receiving his first dose of vaccine 12/31/21. Per guidelines, all hospitalization are reported.
Age: 75.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Magnetic resonance imaging, Magnetic resonance imaging head abnormal, White matter lesion
Clinical narrative: Patient  presents to the ED with a Chief Complaint of Facial Droop, Numbness, after receiving his first dose of vaccine 12/31/21. Per guidelines, all hospitalization are reported.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Pain, Pyrexia, Vomiting
Clinical narrative: Patient received her Moderna booster on 02/01/22. Her husband called this morning 02/02/22 to report that patient was experiencing low grade fever, body aches, mild swelling/soreness at the injection site, and one episode of vomiting. She was concerned because she only had a sore arm with the first and second doses of Moderna. After discussing her symptoms in detail, she thinks the vomiting episode was because she choked on her coffee and she is reporting no nausea. She is not reporting any itching, rash, or any sign of allergic reaction. I told her to take Tylenol and drink plenty of fluids and rest for 24 hours. I also recommended that if she does not feel any better in the next 24 hours to reach out to her physician to make sure they don't want to see her. I told her to reach out if there are any new symptoms or questions and I also told her I was going to report her symptoms to VAERS and encouraged her to use the VSAFE platform to report directly to CDC.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: pt had covid vaccine.  Pt admitted with covid related diagnosis.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Gait disturbance, Mental status changes
Clinical narrative: Change in mental status noted by home care provider, decreased ability to walk, and elevated BP.  Treatment includes: therapy, electrolyte replacement, and monitoring O2 levels.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Hospitalized with breakthrough COVID
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Clinician prepared vial with 1.3ml Normal Saline diluent rather than 1.8ml Normal Saline. No Clinical concerns were reported
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered
Clinical narrative: Pt was administered COVID booster at appointment. after patient left, it was noticed that the vial used to draw up vaccine had expired. Supervisor was notified, who reached out to Pfizer company, who recommended pt receive an additional dose with no interval in between. Pt was notified and came to receive additional dose.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Urticaria
Clinical narrative: Urticaria and dermatographia beginning on 12/21/2021 (day 13 following booster) and continuing until today (2/2/2022).
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Pain, Pruritus
Clinical narrative: The day after receiving my vaccine, I felt very sick, very tired, achy, and a low-grade fever. I had a headache the following Monday 01/17/2022, and on 01/24/2022 I woke up and noticed I had a rash on my stomach, back, my arm, and it was spreading all over my body. My scalp and everywhere was itching; so I started taking anti-histamine Benadryl and Zyrtec to help reduce the itching and rash. I contacted my PCP on the 24th and had a virtual health who advised me to take the anti-histamines until I could see a dermatologist. I saw my dermatologist on 01/27/2022 who said diagnosing rashes would be hard, so he prescribed a topical cream to help reduce the spreading and to use if the anti-histamines weren't helping. I was also advised to see an allergist later this month to see if I had an allergic reaction to the vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: The day after receiving my vaccine, I felt very sick, very tired, achy, and a low-grade fever. I had a headache the following Monday 01/17/2022, and on 01/24/2022 I woke up and noticed I had a rash on my stomach, back, my arm, and it was spreading all over my body. My scalp and everywhere was itching; so I started taking anti-histamine Benadryl and Zyrtec to help reduce the itching and rash. I contacted my PCP on the 24th and had a virtual health who advised me to take the anti-histamines until I could see a dermatologist. I saw my dermatologist on 01/27/2022 who said diagnosing rashes would be hard, so he prescribed a topical cream to help reduce the spreading and to use if the anti-histamines weren't helping. I was also advised to see an allergist later this month to see if I had an allergic reaction to the vaccine.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: pt had covid vaccine.  Pt admitted to the hospital with covid related diagnosis.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Vial was not diluted prior to vaccine administration.  0.2ml was injected of a concentrated, pediatric covid-19 pfizer vial.  We do not know at this time what the reactions are because we are unable to reach the parent at this time.  The realization of the error was not found until several hours after the administration and the family was gone by that time.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pain, Papule, Skin warm
Clinical narrative: 24 hrs after vaccine, pt started with erythematous, indurated 6 x 6cm round papule. Was sore and warm to the touch.  pt was advised to use cool compress and use allergy medication or lotion for itching. Spot was measure with skin marker to monitor the next day
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Cough, Dyspnoea, Fatigue
Clinical narrative: Initially started with the Fever that ran for a few days (101), Fatigue, and Coughing. We saw a pediatrician and was advised to continue taking Tylenol, Ibuprofen, and Albuterol Nebulizer. After a few days her fever finally broke but she complained about feeling shaky (off and on) and we went to the pediatrician again and was advised that it was a post viral effect. Up until now 02/02/2022 the shakiness still happens, and she is having trouble catching her breath, heavy chest, and some random joint pain (elbow and ankle pain), fatigue. We are going back to see the pediatrician today.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test, Pyrexia, SARS-CoV-2 test, Tremor
Clinical narrative: Initially started with the Fever that ran for a few days (101), Fatigue, and Coughing. We saw a pediatrician and was advised to continue taking Tylenol, Ibuprofen, and Albuterol Nebulizer. After a few days her fever finally broke but she complained about feeling shaky (off and on) and we went to the pediatrician again and was advised that it was a post viral effect. Up until now 02/02/2022 the shakiness still happens, and she is having trouble catching her breath, heavy chest, and some random joint pain (elbow and ankle pain), fatigue. We are going back to see the pediatrician today.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given the pediatric dose and should have been given the adult dose.  Parent was notified of the error and was told the child will receive the adult dose on next vaccine which would be 3 weeks from first dose
Sex: U
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: pt received covid vaccine.  Tested positive for covid
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Dyspnoea, Palpitations, Tinnitus
Clinical narrative: Shoulder pain has continued since the event. Severe tinnitus has continued since the event. For about 2 months following injection, I experienced dizziness, shortness of breath and heart palpatations.
Age: 11.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthropod bite, Fatigue, Foreign travel, Headache, Muscular weakness
Clinical narrative: 11 y/o female with no significant past medical history who presents to the ED with throat pain, neck tenderness, vomiting and fevers. Of note, patient recently traveled overseas from 1/10/22 - 1/30/22. Last Thursday (1/27), while there, patient started to complain of a sore throat and right-sided neck pain. She reports pain with swallowing and talking which eventually progressed to pain with solid foods. She has been able to drink liquids with minimal pain. She rates the pain an 8/10 and reports that it has been worsening since onset. She also states that she has had intermittent headaches since then as well but denies headache at this time. Denies any blurry or double vision or photophobia when headache is present. Patient returned home on 1/30 and started feeling "feverish" at home. Tmax at home was 102F. She also started having emesis that day. She reports 4-5 episodes of NBNB emesis. She has been unable to any food down since but has been tolerating liquids. She reports some fatigue, lower extremity weakness, urinary frequency and clear rhinorrhea. Patient denies night sweats, chills, diarrhea, neck stiffness, muscle pain, numbness/tingling, dysuria, rash, abdominal pain, cough, SOB, chest pain or known sick contacts. None of her family or family she travelled with have similar symptoms. Patient states there was a cat in the house she was staying at but denies any scratches or touching the cat. She reports that a mosquito bit her on her left thigh a week after arriving but no bug bite is seen at this time. Of note, patient was prescribed Atovaquone 3 days prior to travelling and has been taking it while traveling however has intermittently missed doses for a total of 4-5 missed doses. Patient has not taken any doses since arriving back home.
Age: 11.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Odynophagia, Oropharyngeal pain, Pain, Pollakiuria
Clinical narrative: 11 y/o female with no significant past medical history who presents to the ED with throat pain, neck tenderness, vomiting and fevers. Of note, patient recently traveled overseas from 1/10/22 - 1/30/22. Last Thursday (1/27), while there, patient started to complain of a sore throat and right-sided neck pain. She reports pain with swallowing and talking which eventually progressed to pain with solid foods. She has been able to drink liquids with minimal pain. She rates the pain an 8/10 and reports that it has been worsening since onset. She also states that she has had intermittent headaches since then as well but denies headache at this time. Denies any blurry or double vision or photophobia when headache is present. Patient returned home on 1/30 and started feeling "feverish" at home. Tmax at home was 102F. She also started having emesis that day. She reports 4-5 episodes of NBNB emesis. She has been unable to any food down since but has been tolerating liquids. She reports some fatigue, lower extremity weakness, urinary frequency and clear rhinorrhea. Patient denies night sweats, chills, diarrhea, neck stiffness, muscle pain, numbness/tingling, dysuria, rash, abdominal pain, cough, SOB, chest pain or known sick contacts. None of her family or family she travelled with have similar symptoms. Patient states there was a cat in the house she was staying at but denies any scratches or touching the cat. She reports that a mosquito bit her on her left thigh a week after arriving but no bug bite is seen at this time. Of note, patient was prescribed Atovaquone 3 days prior to travelling and has been taking it while traveling however has intermittently missed doses for a total of 4-5 missed doses. Patient has not taken any doses since arriving back home.
Age: 11.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rhinorrhoea, Tenderness, Vomiting
Clinical narrative: 11 y/o female with no significant past medical history who presents to the ED with throat pain, neck tenderness, vomiting and fevers. Of note, patient recently traveled overseas from 1/10/22 - 1/30/22. Last Thursday (1/27), while there, patient started to complain of a sore throat and right-sided neck pain. She reports pain with swallowing and talking which eventually progressed to pain with solid foods. She has been able to drink liquids with minimal pain. She rates the pain an 8/10 and reports that it has been worsening since onset. She also states that she has had intermittent headaches since then as well but denies headache at this time. Denies any blurry or double vision or photophobia when headache is present. Patient returned home on 1/30 and started feeling "feverish" at home. Tmax at home was 102F. She also started having emesis that day. She reports 4-5 episodes of NBNB emesis. She has been unable to any food down since but has been tolerating liquids. She reports some fatigue, lower extremity weakness, urinary frequency and clear rhinorrhea. Patient denies night sweats, chills, diarrhea, neck stiffness, muscle pain, numbness/tingling, dysuria, rash, abdominal pain, cough, SOB, chest pain or known sick contacts. None of her family or family she travelled with have similar symptoms. Patient states there was a cat in the house she was staying at but denies any scratches or touching the cat. She reports that a mosquito bit her on her left thigh a week after arriving but no bug bite is seen at this time. Of note, patient was prescribed Atovaquone 3 days prior to travelling and has been taking it while traveling however has intermittently missed doses for a total of 4-5 missed doses. Patient has not taken any doses since arriving back home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Psoriasis
Clinical narrative: I have had psoriasis on elbows and one knee for well over 15 years. It was always 100% isolated to both elbows and one knee. Within one month of the J&J vaccine I am seeing an explosion of this condition to other parts of my body knuckles, toes, feet, and my other knee.
Sex: U
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: pt received covid vaccine and tested positive for Covid
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives occurring 8 days after booster given. Went to primary care doctor on 12/20/21, 12/23/21, and 1/5/22. Prescribed prednisone (12/20), Medrol dose pack (12/23), and Zyrtec (1/5) with limited success. Doctor referred me to allergist. Allergist appointment 2/1/22. Prescribed Allegra, Medrol dose pack, epipen, and various other medications to control hives/itching. Hives are not centrally located. They occur daily and are intense and located all over my body, including my hands, feet, ears, neck, back, side, chest, arms, legs, and scalp. They improve with daily use of Zyrtec, but reoccur as soon as the effects of Zyrtec have worn off.  I will potentially be referred for weekly Xolair shots if new regimen does not show improvement.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: pt received covid vaccine.  PT admit to the hospital with covid related diagnosis
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Glycosylated haemoglobin increased, Neuropathy peripheral
Clinical narrative: Patient stated after he took the initial shot of the series, his neuropathy got slightly worse. After the second dose, patient stated his neuropathy got really bad. After the booster, the pain was the worst it had been. His nurse practitioner told him to increase his gabapentin. He was prescribed a sleeping pill. He states his hemoglobin A1C increased from 5.5 to 6.5.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Inappropriate schedule of product administration, Injection site pain
Clinical narrative: A Pfizer Pediatric dose (.2 ml) was administered undiluted on 2/1/22 to the patient. This was the patients second dose in the series. The first dose was administered on 1/1/22. The patient's mother stated injection site pain with the first dose.  Patient is experiencing inject site pain and headache at this point in time following the second dose administered 2/1/22.  Patient's mother kept the patient home from school and is going to consult with the patient's primary care physician.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: pt had covid vaccine.  Pt diagnosed with covid
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Full blood count normal, Lymphadenopathy, Oedema peripheral, Ultrasound scan normal
Clinical narrative: swelling the size of an orange under Rt arm and lymph nodes, persisting still almost 4 months later. Seen by PCP 3 months following vaccine. U/S negative
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient received 0.2ml of a concentrated vial. Pediatric Pfizer (PEDS) Covid-19 vial not reconstituted before administration of the shot. We did not know of the fact until several hours later. We are unable at this time to reach the parent so we are not aware of any adverse reactions.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Heart rate increased, Palpitations, Scan with contrast, Skin lesion
Clinical narrative: I started with pounding in my chest, heart beating rapidly, weeks went by and became intense. I thought I had Hypoxia from wearing of mask. I went to doctor, she said it was anxiety. I went home tried to relax. In July 2021 went to see Cardiologist and told to relax prescribed antidepressant. Then I had a procedure with injection told my heart is normal. The pounding wasn't going away, increasing intensity. In September 2021 having issues at work had physical open sores all over my body. I went to see a Immunologist, told the same thing still had al these horrible skin lesions. I went to see a Dermatologist, was able to help me was prescribed Taltz medication that is very costly. After 6 weeks of taking Taltz heart doesn't pound as much and my skin is back normal.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Wound
Clinical narrative: I started with pounding in my chest, heart beating rapidly, weeks went by and became intense. I thought I had Hypoxia from wearing of mask. I went to doctor, she said it was anxiety. I went home tried to relax. In July 2021 went to see Cardiologist and told to relax prescribed antidepressant. Then I had a procedure with injection told my heart is normal. The pounding wasn't going away, increasing intensity. In September 2021 having issues at work had physical open sores all over my body. I went to see a Immunologist, told the same thing still had al these horrible skin lesions. I went to see a Dermatologist, was able to help me was prescribed Taltz medication that is very costly. After 6 weeks of taking Taltz heart doesn't pound as much and my skin is back normal.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, COVID-19, Dizziness, Dyspnoea, Presyncope
Clinical narrative: Pt complained of shortness of breath, dizziness, and near syncope.  This started approximately 2 weeks ago.  Patient was admitted for NSTEMI, she was indecently found to be COVID 19 positive.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt complained of shortness of breath, dizziness, and near syncope.  This started approximately 2 weeks ago.  Patient was admitted for NSTEMI, she was indecently found to be COVID 19 positive.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Clinician prepared vial with 1.3ml Normal Saline diluent rather than 1.8ml Normal Saline. No Clinical concerns were reported
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood creatinine increased, Blood test, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is fully vaccinated.  Tested Positive for COVID on admission to hospital. This patient was admitted through the emergency room because COVID-19 pneumonia and hypoxia. The patient presented to the hospital with chief complaint of progressive shortness of breath and cough.  The patient not checked her O2 saturation at home and was about 86%. blood . tests showed creatinine of 1.34. Lung perfusion scan showed multiple large wedge-shaped perfusion defect in the left upper pulmonary lobe.  Venous Doppler lower extremity bilateral, no evidence of DVT. CXR: mild pulmonary congestion. The patient was put on oxygen titration, she did fairly well to 2 L nasal cannula.  The patient was put on steroids in addition to anticoagulation. Remdesivir given. D-dimer elevated.  Acute pulmonary embolism, started on Lovenox treatment, on therapeutic dose, continue monitoring oxygen therapy. Pt discharged 1/14/2022 and then readmitted on 1/14/2022. Pt daughter states pt discharged from hospital today. Pt daughter states pt had episode of dizziness, jerked back on toilet and not responding. Questionable seizure. Troponin now elevated. Cr 1.44. Hg 9.9.  discharged 1/26 . Ativan as needed for breakthrough seizure . CT scan:1. No acute intracranial abnormality. 2. Senescent changes including cerebral volume loss and sequelae of chronic microangiopathy. 3. If there is sufficient clinical concern for acute ischemia, further evaluation with brain MRI is recommended. 1/17 CXR progressive b/l pulmonary infiltrate. IV antibiotics.   Discharged.