chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Haemofiltration, Hypoxia, Imaging procedure abnormal, Ischaemic hepatitis, Liver injury
Clinical narrative: Patient is a 63 y.o. female who presented with cough, shortness of breath as well as fevers and triggered severe sepsis with a severe cytokine release storm.  Patient had a positive Covid 19 test prior to admission.   She was hypoxic on presentation and placed on a non-rebreather.  She was started empirically on Rocephin and azithromycin along with Decadron, Singulair and Lovenox. Unfortunately, patient continued to worsen and was subsequently intubated for acute hypoxic respiratory failure.  She was treated with Veletri and is immunocompromised given a history of rheumatoid arthritis involving multiple sites.  Patient developed acute liver injury and had to come off of the remdesevir. The acute liver injury was felt secondary to shock liver.  She also developed acute kidney injury with acute tubular necrosis from the Covid sepsis.  She was seen by Nephrology and initiated on CRRT. She was on dobutamine which was weaned.  Patient had cardiomyopathy, felt secondary to Covid 19 myocarditis.  Patient was not responding to stimulation and cutting back on her sedation.  Brain imaging was done which showed anoxic type injury. Patient underwent a tracheostomy 01/07/2022 for her ongoing ARDS.  Patient will be transferred to LTAC.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Myocarditis, Renal tubular necrosis, SARS-CoV-2 sepsis, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient is a 63 y.o. female who presented with cough, shortness of breath as well as fevers and triggered severe sepsis with a severe cytokine release storm.  Patient had a positive Covid 19 test prior to admission.   She was hypoxic on presentation and placed on a non-rebreather.  She was started empirically on Rocephin and azithromycin along with Decadron, Singulair and Lovenox. Unfortunately, patient continued to worsen and was subsequently intubated for acute hypoxic respiratory failure.  She was treated with Veletri and is immunocompromised given a history of rheumatoid arthritis involving multiple sites.  Patient developed acute liver injury and had to come off of the remdesevir. The acute liver injury was felt secondary to shock liver.  She also developed acute kidney injury with acute tubular necrosis from the Covid sepsis.  She was seen by Nephrology and initiated on CRRT. She was on dobutamine which was weaned.  Patient had cardiomyopathy, felt secondary to Covid 19 myocarditis.  Patient was not responding to stimulation and cutting back on her sedation.  Brain imaging was done which showed anoxic type injury. Patient underwent a tracheostomy 01/07/2022 for her ongoing ARDS.  Patient will be transferred to LTAC.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tracheostomy
Clinical narrative: Patient is a 63 y.o. female who presented with cough, shortness of breath as well as fevers and triggered severe sepsis with a severe cytokine release storm.  Patient had a positive Covid 19 test prior to admission.   She was hypoxic on presentation and placed on a non-rebreather.  She was started empirically on Rocephin and azithromycin along with Decadron, Singulair and Lovenox. Unfortunately, patient continued to worsen and was subsequently intubated for acute hypoxic respiratory failure.  She was treated with Veletri and is immunocompromised given a history of rheumatoid arthritis involving multiple sites.  Patient developed acute liver injury and had to come off of the remdesevir. The acute liver injury was felt secondary to shock liver.  She also developed acute kidney injury with acute tubular necrosis from the Covid sepsis.  She was seen by Nephrology and initiated on CRRT. She was on dobutamine which was weaned.  Patient had cardiomyopathy, felt secondary to Covid 19 myocarditis.  Patient was not responding to stimulation and cutting back on her sedation.  Brain imaging was done which showed anoxic type injury. Patient underwent a tracheostomy 01/07/2022 for her ongoing ARDS.  Patient will be transferred to LTAC.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Urticaria
Clinical narrative: Patient stated she had localized pain at injection site, and a little redness at injection site. Then progessed to hives all over her body
Age: 53.0
Sex: F
Vaccine: HEP, MMR, PNC20
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Headache began on eveing after vaccination, fever started Friday morning on 11-17-23 andcontinued thru Saturday, November 18th. On Saturday, injection area (deltoid) became swollen, red, and warm to the touch. Affected area continued to increase until stabilizing on 11/23/23. Site is "very itchy" and not relieved by the benadryl rocommended by patient's provider.
Age: 53.0
Sex: F
Vaccine: HEP, MMR, PNC20
Symptoms: Pyrexia
Clinical narrative: Headache began on eveing after vaccination, fever started Friday morning on 11-17-23 andcontinued thru Saturday, November 18th. On Saturday, injection area (deltoid) became swollen, red, and warm to the touch. Affected area continued to increase until stabilizing on 11/23/23. Site is "very itchy" and not relieved by the benadryl rocommended by patient's provider.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anaemia, Bradycardia, COVID-19, Cardiac arrest
Clinical narrative: Covid positive this admission. with history of recent COVID 19 infection (12/21) treated with decadron and remdesivir, COPD, dementia, anemia, CAD who presented to ED 01/24/2022  via EMS from SNF for cardiac arrest and dyspnea. Per EMS, upon their arrival to SNF, patient had O2 saturation of 70%. Patient was placed on bipap but subsequently intubated due to decompensation. After intubation, patient reportedly became bradycardic and went into cardiac arrest (unknown rhythm). ROSC returned after one round of EPI/CPR. Hospital course complicated by shock, anemia, AKI and pneumonia, malnutrition. Patient was extubated 01/27/2022 but was felt to have poor prognosis. Palliative care was consulted and family elected transition to comfort care/hospice.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Malnutrition, Pneumonia, Positive airway pressure therapy
Clinical narrative: Covid positive this admission. with history of recent COVID 19 infection (12/21) treated with decadron and remdesivir, COPD, dementia, anemia, CAD who presented to ED 01/24/2022  via EMS from SNF for cardiac arrest and dyspnea. Per EMS, upon their arrival to SNF, patient had O2 saturation of 70%. Patient was placed on bipap but subsequently intubated due to decompensation. After intubation, patient reportedly became bradycardic and went into cardiac arrest (unknown rhythm). ROSC returned after one round of EPI/CPR. Hospital course complicated by shock, anemia, AKI and pneumonia, malnutrition. Patient was extubated 01/27/2022 but was felt to have poor prognosis. Palliative care was consulted and family elected transition to comfort care/hospice.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, SARS-CoV-2 test, Shock
Clinical narrative: Covid positive this admission. with history of recent COVID 19 infection (12/21) treated with decadron and remdesivir, COPD, dementia, anemia, CAD who presented to ED 01/24/2022  via EMS from SNF for cardiac arrest and dyspnea. Per EMS, upon their arrival to SNF, patient had O2 saturation of 70%. Patient was placed on bipap but subsequently intubated due to decompensation. After intubation, patient reportedly became bradycardic and went into cardiac arrest (unknown rhythm). ROSC returned after one round of EPI/CPR. Hospital course complicated by shock, anemia, AKI and pneumonia, malnutrition. Patient was extubated 01/27/2022 but was felt to have poor prognosis. Palliative care was consulted and family elected transition to comfort care/hospice.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Having trouble breathing and dizziness after vaccine 1-2 hrs after
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction
Clinical narrative: Patient reports injection site reaction, redness and itching that has not resolved
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Hypoxia, Oxygen saturation decreased
Clinical narrative: Patient is a 49 y.o. male who presented due to COVID pneumonia with acute respiratory failure  tx with actemra x2 doses and steroids Remains hypoxic and will go home with high flow oxygen,  Cleared by pulmonary for home   He still desats with activity with oxygen,  He declined LTAC placement
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Dyspnoea, Endotracheal intubation, Hypotension
Clinical narrative: Admitted with Acute Hypoxic respiratory Failure- 2/2 covid pna. SOB,  remains on high vent settings, intubated per CCM, Veletri started 2/1/22 and stopped Sildenafil due to hypotension.  Remained on max vent support Txs included Tocilizumab x 1, Solumedrol.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation
Clinical narrative: Admitted with Acute Hypoxic respiratory Failure- 2/2 covid pna. SOB,  remains on high vent settings, intubated per CCM, Veletri started 2/1/22 and stopped Sildenafil due to hypotension.  Remained on max vent support Txs included Tocilizumab x 1, Solumedrol.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Palpitations, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Came in with palpitations, fever, positive for Covid.  Patient remained stable on room air without requiring any supplemental oxygen. Treated with decadron.
Age: 0.75
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Unevaluable event
Clinical narrative: none
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Leukocytosis, Oxygen saturation decreased
Clinical narrative: Patient was recently diagnosed with COVID no 19 1 week ago patient was being managed by PCP and was started on p.o. steroids and p.o. doxycycline however this morning patient was complaining of feeling weak EMS was called patient was found to be desaturating at 90% on room air and patient was immediately placed on non-rebreather mask with improvement saturations and brought into the ER.  In ER patient noted to have leukocytosis and left lower lobe pneumonia COVID-19 came back positive and he is now being admitted for further management worker COVID-19 related pneumonia. During his hospitalization patient initially required 2 L nasal cannula oxygen however his down to room air now patient is being treated empirically with antibiotics for pneumonia
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient was recently diagnosed with COVID no 19 1 week ago patient was being managed by PCP and was started on p.o. steroids and p.o. doxycycline however this morning patient was complaining of feeling weak EMS was called patient was found to be desaturating at 90% on room air and patient was immediately placed on non-rebreather mask with improvement saturations and brought into the ER.  In ER patient noted to have leukocytosis and left lower lobe pneumonia COVID-19 came back positive and he is now being admitted for further management worker COVID-19 related pneumonia. During his hospitalization patient initially required 2 L nasal cannula oxygen however his down to room air now patient is being treated empirically with antibiotics for pneumonia
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea
Clinical narrative: Patient is a 51 y.o. male who was admitted for SOB, cough due to COVID19. He required O2 to keep his Sats > 90%. He received 4 days of Remdesvir and Decadron. He improved faster than expected.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, COVID-19 pneumonia, Condition aggravated, Dyspnoea, Myocardial ischaemia
Clinical narrative: Presented to the hospital with complaint of shortness of breath, fever.  Patient was found to have covid pneumonia, asthma exacerbation, and associated demand ischemia.  She improved with steroid, empiric antibiotics, and supportive care.  She was then discharged home for outpatient follow up.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Presented to the hospital with complaint of shortness of breath, fever.  Patient was found to have covid pneumonia, asthma exacerbation, and associated demand ischemia.  She improved with steroid, empiric antibiotics, and supportive care.  She was then discharged home for outpatient follow up.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal, Condition aggravated, Dyspnoea
Clinical narrative: Admitted with SOB. Acute COPD Exacerbation. Cont Steroids and inhalers. COVID 19 Infection.  CT with no PNA, but showed Sequelae of prior granulomatous disease. saturating well on RA
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Diarrhoea, Hallucination, SARS-CoV-2 test positive
Clinical narrative: Confusion, hallucination. UTI on IV antibiotics. Also found to be Covid positive. On/off diarrhea. On 2L NC. Not markedly symptomatic for Covid but did  receive Decadron, remdesivir, Vit C, zinc, and heparin.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Confusion, hallucination. UTI on IV antibiotics. Also found to be Covid positive. On/off diarrhea. On 2L NC. Not markedly symptomatic for Covid but did  receive Decadron, remdesivir, Vit C, zinc, and heparin.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: The patient received two flu vaccines within the same flu season. Vaccine administration error was found during a  billing review.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in jaw, Rash, Rash erythematous, Swelling face, Trismus
Clinical narrative: Patient states that she started getting a "puffy and sore jaw" that would lock up at around 10:30 PM the day of the vaccination, then this morning at around 7:30 AM on 11/28/23 patient got a red rash on her jaw.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, COVID-19, Fibrin D dimer increased, Haemoglobin abnormal, Haemorrhage
Clinical narrative: Patient noted to have Covid 19 +ve with bilateral infiltrates but no symptoms. Doxycycline started.  Patient noted to have elevated creatinine. Next morning had a large bleeding episode with near syncope when tried to stand after the bowel movement. Bleeding scan negative.  Bleeding stopped, hemoglobin stabilized.  Unfortunately patient then became hypoxic, possible fluid overload versus worsening COVID.   He started on diuresis  During that time his D-dimer also increase to greater than 20.  As he had stopped bleeding and his D-dimer was going up in the setting of respiratory failure, he was started on Lovenox on 12/31/2021. Patient received antibiotics steroids Remdesivir.  Symptoms improved patient is discharged
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Imaging procedure, Lung infiltration, Polyuria, Presyncope
Clinical narrative: Patient noted to have Covid 19 +ve with bilateral infiltrates but no symptoms. Doxycycline started.  Patient noted to have elevated creatinine. Next morning had a large bleeding episode with near syncope when tried to stand after the bowel movement. Bleeding scan negative.  Bleeding stopped, hemoglobin stabilized.  Unfortunately patient then became hypoxic, possible fluid overload versus worsening COVID.   He started on diuresis  During that time his D-dimer also increase to greater than 20.  As he had stopped bleeding and his D-dimer was going up in the setting of respiratory failure, he was started on Lovenox on 12/31/2021. Patient received antibiotics steroids Remdesivir.  Symptoms improved patient is discharged
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient noted to have Covid 19 +ve with bilateral infiltrates but no symptoms. Doxycycline started.  Patient noted to have elevated creatinine. Next morning had a large bleeding episode with near syncope when tried to stand after the bowel movement. Bleeding scan negative.  Bleeding stopped, hemoglobin stabilized.  Unfortunately patient then became hypoxic, possible fluid overload versus worsening COVID.   He started on diuresis  During that time his D-dimer also increase to greater than 20.  As he had stopped bleeding and his D-dimer was going up in the setting of respiratory failure, he was started on Lovenox on 12/31/2021. Patient received antibiotics steroids Remdesivir.  Symptoms improved patient is discharged
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray normal, Cough, Decreased appetite, Fall
Clinical narrative: Presented after fall at home; c/o feeling tired, weakness, lack of appetite, body aches, cough, sore throat: CXR clear; no supplemental O2, Tx: Initially started on dexamethasone.  Dexamethasone was discontinued after 2 days as blood sugars started going up.   no need for any Remdesivir.  Inflamatory markers are marginally elevated, no further fever .  Continue supportive, symptomatic treatment.  Patient never needed any oxygen.  No cough or any further fever in last few days
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Inflammatory marker increased, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Presented after fall at home; c/o feeling tired, weakness, lack of appetite, body aches, cough, sore throat: CXR clear; no supplemental O2, Tx: Initially started on dexamethasone.  Dexamethasone was discontinued after 2 days as blood sugars started going up.   no need for any Remdesivir.  Inflamatory markers are marginally elevated, no further fever .  Continue supportive, symptomatic treatment.  Patient never needed any oxygen.  No cough or any further fever in last few days
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, COVID-19 pneumonia, Dyspnoea, Fatigue, Haemoglobin decreased
Clinical narrative: Presented with SOB/fatigue; Dx: Covid PNA; also has pancytopenia due to MDS.  Part of her symptoms is related to anemia, symptomatic.  She was treated with IV steroids, bronchodilators, IV antibiotic for possible superimposed bacterial pneumonia and remdesivir.  Received 2 units of packed RBC and her symptoms improved and hemoglobin went up to 8.4.  Her platelets was 34, but did not have any bleeding.  Patient was discharged on stable condition on oral prednisone, bronchodilators.  O2 @ room air by d/c
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Myelodysplastic syndrome, Pancytopenia, Platelet count decreased, Red blood cell transfusion
Clinical narrative: Presented with SOB/fatigue; Dx: Covid PNA; also has pancytopenia due to MDS.  Part of her symptoms is related to anemia, symptomatic.  She was treated with IV steroids, bronchodilators, IV antibiotic for possible superimposed bacterial pneumonia and remdesivir.  Received 2 units of packed RBC and her symptoms improved and hemoglobin went up to 8.4.  Her platelets was 34, but did not have any bleeding.  Patient was discharged on stable condition on oral prednisone, bronchodilators.  O2 @ room air by d/c
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chest X-ray, Computerised tomogram thorax, Condition aggravated
Clinical narrative: Pt had a fever late nigh after the vaccination, October 5. The next day, Friday he said he felt sick. Saturday, Sunday and Monday he began coughing more than usual and his weakness increased. I called his pulmonologist on Tuesday, October 10 to report Pt's symptoms. Dr. said to take him to the ED at the local hospital. Pt's Xray of his lungs showed an exacerbation of inflammation in his lungs. He had a chest CT scan a few months previous to the exacerbation and another CT scan while in the hospital. The doctor said his condition was not survivable. Pt died October 21, 2023.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Death, Malaise, Pneumonitis, Pyrexia
Clinical narrative: Pt had a fever late nigh after the vaccination, October 5. The next day, Friday he said he felt sick. Saturday, Sunday and Monday he began coughing more than usual and his weakness increased. I called his pulmonologist on Tuesday, October 10 to report Pt's symptoms. Dr. said to take him to the ED at the local hospital. Pt's Xray of his lungs showed an exacerbation of inflammation in his lungs. He had a chest CT scan a few months previous to the exacerbation and another CT scan while in the hospital. The doctor said his condition was not survivable. Pt died October 21, 2023.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Admitted with cough, fever, SOB, weakness, acute hypoxic respiratory failure: slow improvement,  Was on hfnc, now weaned to oxygen per nasal canula 2 liters, likely from COVID pna and suspected aspiration pneumonia. Little improvement, transferring to hospice
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia aspiration, Pyrexia
Clinical narrative: Admitted with cough, fever, SOB, weakness, acute hypoxic respiratory failure: slow improvement,  Was on hfnc, now weaned to oxygen per nasal canula 2 liters, likely from COVID pna and suspected aspiration pneumonia. Little improvement, transferring to hospice
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Blood culture, Blood lactic acid normal, Full blood count normal, Influenza virus test negative, Insomnia
Clinical narrative: Several days later,  had sudden onset of extreme full body tremors while at rest.  Prevented sleep for 3 nights.  Got so extreme, went to Emergency Room at 12:45 a.m. on November 27, 2023.  Labs run included POCT Metabolic Panel, CBC, Fluvid, Lactate, Liver Panel, Urinalysis, Blood cultures (pending), Thyroid.  All negative.  Given a dose of Ativan so he could get some sleep.
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Liver function test normal, Metabolic function test normal, SARS-CoV-2 test negative, Thyroid function test normal, Tremor
Clinical narrative: Several days later,  had sudden onset of extreme full body tremors while at rest.  Prevented sleep for 3 nights.  Got so extreme, went to Emergency Room at 12:45 a.m. on November 27, 2023.  Labs run included POCT Metabolic Panel, CBC, Fluvid, Lactate, Liver Panel, Urinalysis, Blood cultures (pending), Thyroid.  All negative.  Given a dose of Ativan so he could get some sleep.
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Urine analysis normal
Clinical narrative: Several days later,  had sudden onset of extreme full body tremors while at rest.  Prevented sleep for 3 nights.  Got so extreme, went to Emergency Room at 12:45 a.m. on November 27, 2023.  Labs run included POCT Metabolic Panel, CBC, Fluvid, Lactate, Liver Panel, Urinalysis, Blood cultures (pending), Thyroid.  All negative.  Given a dose of Ativan so he could get some sleep.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dyspnoea, Fatigue, Migraine, Pain
Clinical narrative: Hours 8 to 36 after the vaccine: fever, chills, body aches, migraine-like headache, fatigue Hours 15 -72 after vaccine: extreme shortness of breath, hives-like rash over torso, neck, face (I'm still experiencing shortness of breath and rash is fading at 72 hrs post-vaccine) Pfizer 12+ Years Monovalent COVID Vaccine: age 47, fever, chills, body aches, torso rash, headache, fatigue, brain fog; both doses 18Mar21, 08Apr21 SPIKEVAX (Moderna) 12+ Yrs Monovalent COVID Vaccine: age 48, fever, chills, body aches, torso rash, headache, fatigue, brain fog; 12Feb22 Pfizer 12+ Yrs Bivalent COVID Vaccine: age 48, headache, brain fog, fatigue, 29Sep22
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Rash
Clinical narrative: Hours 8 to 36 after the vaccine: fever, chills, body aches, migraine-like headache, fatigue Hours 15 -72 after vaccine: extreme shortness of breath, hives-like rash over torso, neck, face (I'm still experiencing shortness of breath and rash is fading at 72 hrs post-vaccine) Pfizer 12+ Years Monovalent COVID Vaccine: age 47, fever, chills, body aches, torso rash, headache, fatigue, brain fog; both doses 18Mar21, 08Apr21 SPIKEVAX (Moderna) 12+ Yrs Monovalent COVID Vaccine: age 48, fever, chills, body aches, torso rash, headache, fatigue, brain fog; 12Feb22 Pfizer 12+ Yrs Bivalent COVID Vaccine: age 48, headache, brain fog, fatigue, 29Sep22
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Peripheral swelling, Pyrexia
Clinical narrative: upper left arm and armpit is red and swollen, fever, chills, tiredness, body aches
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Body temperature increased, Musculoskeletal disorder, Vomiting
Clinical narrative: Extreme vomiting for 10 hrs Temperature of 103 for 12 hrs Loss of limb function for 8 hrs
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Myalgia
Clinical narrative: Extreme pain in muscle by elbow. Has been going on for two weeks and was report to pharmacy on 11/28/23. Patient stated her all her joints were hurting , but her elbow was the worst pain. No other vaccines with arexvy.
Age: 30.0
Sex: M
Vaccine: FLU4
Symptoms: Unevaluable event
Clinical narrative: unable to reach patient.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Injection site swelling, Paraesthesia oral
Clinical narrative: Patient experienced an adverse reaction; s/sx included swelling and tenderness at site of injection and swelling and tingling of tongue. Patient spoke with PCP who recommended them to seek immediate care at a immediate care facility. Patient was seen at Immediate care - they administered a one time dose of Dexamethasone 10 mg IM and Prescribed Medrol dose pack. Patient reported that swelling and tingling of tongue has started to resolve at 12:15pm on 11-28-2023.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Pain
Clinical narrative: Later in the evening after vaccine administration, developed temperature of 99.4F, feeling chills, bodyaches, and fatigue.
Age: 89.0
Sex: F
Vaccine: FLU4
Symptoms: Blood test, Magnetic resonance imaging, Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: the first 2 days arm pain with continual swelling in upper arm area and by third day much more of both plus unable to lift arm
Age: 89.0
Sex: F
Vaccine: FLU4
Symptoms: Ultrasound scan, X-ray
Clinical narrative: the first 2 days arm pain with continual swelling in upper arm area and by third day much more of both plus unable to lift arm
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: She got her vaccine, lost her taste and smell.  It did not return.  She subsequently got her 2nd and 3rd vaccines, and still did not come back.  She thought it would come back, and it has been almost 3 years and she still has not had return of her smell and taste.    She states she will never get another vaccine.  She did go to her doctor and they told her that there was nothing that they could do.   Her PCP suggested that she go to an ENT but she did not go to one.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt never experienced AE to the vaccine, vaccine expired.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Headache, Hypersomnia, Hypopnoea
Clinical narrative: Nausea, vomiting, upset stomach, headache, shallow breathing, trembling/weakness. Slept most of the day and didn't eat from 8a until 6:30p, at which point I ate plain Cheerios and unsweetened applesauce and started to feel slightly better. Slept through the night and mostly recovered today, 11/28/23, but still some upset stomach.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Tremor, Vomiting
Clinical narrative: Nausea, vomiting, upset stomach, headache, shallow breathing, trembling/weakness. Slept most of the day and didn't eat from 8a until 6:30p, at which point I ate plain Cheerios and unsweetened applesauce and started to feel slightly better. Slept through the night and mostly recovered today, 11/28/23, but still some upset stomach.
Age: 26.0
Sex: F
Vaccine: RSV
Symptoms: Chills, Pyrexia
Clinical narrative: Fevers and chills
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Excessive eye blinking, Eye irritation, Pruritus
Clinical narrative: Patient returned to clinic with complaints of itching right side of face/shoulder and right eye irritation.  I observed her blinking her right eye.  No complaints of shortness of breath and no visible swelling/redness.  Advised patient to seek medical attention with PCP or emergency room.
Age: 59.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Patient was in with husband and 2 children for flu and COVID vaccinations.  After vaccinating Patient, I discovered I had 2 Moderna Spikevax left to give her husband.   I then inspected the 2 vaccines I had administered to Patient.  They were both Afluria influenza vaccinations.  I explained to her what happened, and she was subsequently given the COVID vaccination also. Patient reported that she had no unusual or severe side effects on 11/3/23.  She has since reported good health as of 11/28/23. My supervisor and I have discussed and adjusted vaccination procedures.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Diarrhoea, Nausea
Clinical narrative: Extreme Nausea and Diarrhea
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt never experienced AE to the vaccine, vaccine expired.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt never experienced AE to the vaccine, vaccine expired.
Age: 57.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Injection site reaction, Oral discomfort, Urticaria
Clinical narrative: Welts below injection site and burning sensation in the mouth
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt never experienced AE to the vaccine, vaccine expired.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injection site bruising, Mobility decreased, Muscle spasms
Clinical narrative: Severe muscle spasms and weakness over a week after shot. Required a call to 911 and ambulance to emergency because couldn't move. Doctors couldn't determine cause and gave muscle relaxers etc and sent home that afternoon. Injection site on left arm was heavily bruised for three weeks (and still shows bruising today). Prior 6 Covid shots were all Moderna and there was no bruising or adverse reaction - this was completely different. Emergency visit cost almost $20,000.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt never experienced AE to the vaccine, vaccine expired.
Age: 57.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Back pain, Burning sensation, Chest pain, Fatigue, Herpes zoster
Clinical narrative: ED RN on 11/24/2023: "C/o continued pain from dx shingles rash to left upper back and right side of chest at patient first 11/6 s/p "accidentally receiving live shingles vaccine on 10/30". Pt has been symptomatic since 10/31 with fever, rash, all over body aches, fatigue. He saw PCP who prescribed gabapentin, percocet, and a 7 day course of valacyclovir - pt denies relief"  ED Hospitalist 11/24/2023: "Reports that the symptoms started 4 weeks ago after receiving zoster vaccine.  Diagnosed with shingles and was started on Valtrex?completed 7 days of treatment.  Reports that he continued to have the pain over the back area and noted new rash with burning over the chest area despite completing the antivirals.  Currently reports burning pain over the chest and back.  No other complaints."
Age: 57.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Pain, Product administration error, Pyrexia, Rash
Clinical narrative: ED RN on 11/24/2023: "C/o continued pain from dx shingles rash to left upper back and right side of chest at patient first 11/6 s/p "accidentally receiving live shingles vaccine on 10/30". Pt has been symptomatic since 10/31 with fever, rash, all over body aches, fatigue. He saw PCP who prescribed gabapentin, percocet, and a 7 day course of valacyclovir - pt denies relief"  ED Hospitalist 11/24/2023: "Reports that the symptoms started 4 weeks ago after receiving zoster vaccine.  Diagnosed with shingles and was started on Valtrex?completed 7 days of treatment.  Reports that he continued to have the pain over the back area and noted new rash with burning over the chest area despite completing the antivirals.  Currently reports burning pain over the chest and back.  No other complaints."
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong patient received product
Clinical narrative: No adverse reactions noted. The covid vaccine was supposed to be given to another patient.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse events nor reaction
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Vision blurred
Clinical narrative: pt had dizziness and slight blurring in the left eye felt like she was going to pass out right after the injection a couple days later felt lightheaded with slight blurring in the left eye
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills
Clinical narrative: ever, chills, cough, congestion, malaise and myalgias; + covid in ED; received a dose of Regeneron and Decadron 10mg IV x 1. Her CXR was c/w COVID 19 pneumonia. O2 sats remain fine on RA at rest; admission due to elevated lactic acid of 2.7.  Patient was seen by ID and treated with IV antibiotics .  CT chest was done with did not show any pneumonia.   Steroids and remdesivir not recommended as patient is not hypoxic.  Patient remained afebrile.  She was cleared for discharge on oral antibiotics
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax normal, Cough, Malaise, Myalgia, Respiratory tract congestion
Clinical narrative: ever, chills, cough, congestion, malaise and myalgias; + covid in ED; received a dose of Regeneron and Decadron 10mg IV x 1. Her CXR was c/w COVID 19 pneumonia. O2 sats remain fine on RA at rest; admission due to elevated lactic acid of 2.7.  Patient was seen by ID and treated with IV antibiotics .  CT chest was done with did not show any pneumonia.   Steroids and remdesivir not recommended as patient is not hypoxic.  Patient remained afebrile.  She was cleared for discharge on oral antibiotics
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: ever, chills, cough, congestion, malaise and myalgias; + covid in ED; received a dose of Regeneron and Decadron 10mg IV x 1. Her CXR was c/w COVID 19 pneumonia. O2 sats remain fine on RA at rest; admission due to elevated lactic acid of 2.7.  Patient was seen by ID and treated with IV antibiotics .  CT chest was done with did not show any pneumonia.   Steroids and remdesivir not recommended as patient is not hypoxic.  Patient remained afebrile.  She was cleared for discharge on oral antibiotics
Age: 81.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Received Abrysvo 11/27/23. Had already received Arexvy 10/6/23. No known symptoms or signs.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, UNK
Symptoms: Computerised tomogram, Haemorrhagic stroke, Magnetic resonance imaging
Clinical narrative: Hemorragic stroke right side
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Erythema, Induration, Nodule, Peripheral swelling, Skin warm
Clinical narrative: Large hives, red, hot, and swollen and hard knots at top of arm and down to elbow bend
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Urticaria
Clinical narrative: Large hives, red, hot, and swollen and hard knots at top of arm and down to elbow bend
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, COVID-19, Dialysis, Nausea, Pyrexia
Clinical narrative: Presented with fever, N/V, fever; covid +; Initially he  required 2-3 L oxygen nasal cannula; quickly was able to be weaned off oxygen.  He was seen by ID and because he was doing so well they recommended not starting him on remdesevir steroids or toci. He was monitored in the hospital, symptoms were very mild and patient was very anxious to go home After dialysis patient was discharged home in stable condition.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Presented with fever, N/V, fever; covid +; Initially he  required 2-3 L oxygen nasal cannula; quickly was able to be weaned off oxygen.  He was seen by ID and because he was doing so well they recommended not starting him on remdesevir steroids or toci. He was monitored in the hospital, symptoms were very mild and patient was very anxious to go home After dialysis patient was discharged home in stable condition.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring abnormal, Echocardiogram normal, Electrocardiogram normal, Supraventricular extrasystoles
Clinical narrative: Premature Atrial Contracts started a few days after getting vaccinated and lasted for about 4 days. Premature Atrial contracts started 2 days after 2nd vaccination and lasted for about 4 days. Have been experienced on-going episodes of PACs since the original vaccination in March of 2021 (episodes can last hours to days). I am now taking Metropolol which does seem to help some, but does not completely eliminate the PACs. When I stop taking the Metrolopolol, they come back very strong and very frequent.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Periarthritis
Clinical narrative: Frozen Shouler
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization
Age: 57.0
Sex: M
Vaccine: COVID19-2, FLU4, PNC20
Symptoms: Cerebrovascular accident, Headache, Immunisation reaction, Magnetic resonance imaging head abnormal, Scan with contrast abnormal
Clinical narrative: SEVERE PAIN IN FRONTAL OF HEAD AND AN MRI WAS DONE AND THEY STATED I HAD A SMALL STOKE THEY HAD PUT ME ON PAIN MEDICATIONS NOT KNOWING WHAT WAS WRONG.I STILL HAVE IT BUT NOT AS BAD THE DOCTOR THINKS IT WAS THE VACCINE I HAD ALL THREE IN THE SAME ARM THE SAME DAY!
Age: 10.0
Sex: M
Vaccine: FLU4, HEPA, HPV9, IPV
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: Pt was given four vaccines. He stated that he felt okay and began walking out of the student health clinic. The medical assistant noticed him swaying and patient reported that he felt dizzy. Patient fainted , medical assistant steadied the patient and called for provider. Pt was eased into a chair. No injury occurred. Pt regained consciousness  and sat in chair for awhile. He eventually had orange juice and laid down on a cot. Once he felt better, patient was walked back to his classroom after about thirty minutes.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chills, Computerised tomogram, Confusional state, Decreased appetite
Clinical narrative: He got his vaccine, started getting the chills, not feeling good, body aches.  They didn't think anything of it, was driving.  By 10/11/23 he was during the night and during the day he was hurting badly, legs hurting, and they felt that it was due to a hernia that he had.  He went to the doctor and he said that it would not be from the hernia.  They asked him to do the hernia surgery as soon as possible. He fell out of bed, tried to stand up but could not.  EMS was called and put him back into bed.  By that time he had been to the ER 3 times.  They finally did a MRI that he had hydrocephalus, and had lumbar puncture that showed herpes virus.  They gave him Acyclovir and after 3 weeks and he seem to get better.  They are thinking that it was just the hydrocephalus.  He went to a neurosurgeon, and they have an APT tomorrow with a neurologist to get a complete work up.  They feel that the remedy is a brain shunt to remove the liquid constant removal, but he has an artificial heart valve so they will determine whether they can do the surgery or not.    The second day is when the symptoms actually started with chills, normal reactions to a vaccine.  He had not experienced that before.  Those symptoms got worse, had confusion and his legs were getting worse and could not walk, which they attributed it to the hernia.  It made sense that it had to be the shot.  There is no medical treatment for hydrocephulus other than the brain shunt.    He went to ER.  He was then taken to the ER again and was admitted to the hospital due to the hydrocephalus as they felt that he aseptic meningitis.   He has lost approximately 10# since the vaccine, he is not eating really well.    He is not able to take care of himself, and is incontinent, wears diapers and has to be dressed and he is noncompliant.  He can walk from the easy chair to the bedroom, and that is the only walking that he does.  Prior to the vaccine he was fine with no abnormalities.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Fall, Feeling abnormal, Gait inability, Herpes virus test abnormal
Clinical narrative: He got his vaccine, started getting the chills, not feeling good, body aches.  They didn't think anything of it, was driving.  By 10/11/23 he was during the night and during the day he was hurting badly, legs hurting, and they felt that it was due to a hernia that he had.  He went to the doctor and he said that it would not be from the hernia.  They asked him to do the hernia surgery as soon as possible. He fell out of bed, tried to stand up but could not.  EMS was called and put him back into bed.  By that time he had been to the ER 3 times.  They finally did a MRI that he had hydrocephalus, and had lumbar puncture that showed herpes virus.  They gave him Acyclovir and after 3 weeks and he seem to get better.  They are thinking that it was just the hydrocephalus.  He went to a neurosurgeon, and they have an APT tomorrow with a neurologist to get a complete work up.  They feel that the remedy is a brain shunt to remove the liquid constant removal, but he has an artificial heart valve so they will determine whether they can do the surgery or not.    The second day is when the symptoms actually started with chills, normal reactions to a vaccine.  He had not experienced that before.  Those symptoms got worse, had confusion and his legs were getting worse and could not walk, which they attributed it to the hernia.  It made sense that it had to be the shot.  There is no medical treatment for hydrocephulus other than the brain shunt.    He went to ER.  He was then taken to the ER again and was admitted to the hospital due to the hydrocephalus as they felt that he aseptic meningitis.   He has lost approximately 10# since the vaccine, he is not eating really well.    He is not able to take care of himself, and is incontinent, wears diapers and has to be dressed and he is noncompliant.  He can walk from the easy chair to the bedroom, and that is the only walking that he does.  Prior to the vaccine he was fine with no abnormalities.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Hydrocephalus, Incontinence, Loss of personal independence in daily activities, Lumbar puncture abnormal, Magnetic resonance imaging head abnormal
Clinical narrative: He got his vaccine, started getting the chills, not feeling good, body aches.  They didn't think anything of it, was driving.  By 10/11/23 he was during the night and during the day he was hurting badly, legs hurting, and they felt that it was due to a hernia that he had.  He went to the doctor and he said that it would not be from the hernia.  They asked him to do the hernia surgery as soon as possible. He fell out of bed, tried to stand up but could not.  EMS was called and put him back into bed.  By that time he had been to the ER 3 times.  They finally did a MRI that he had hydrocephalus, and had lumbar puncture that showed herpes virus.  They gave him Acyclovir and after 3 weeks and he seem to get better.  They are thinking that it was just the hydrocephalus.  He went to a neurosurgeon, and they have an APT tomorrow with a neurologist to get a complete work up.  They feel that the remedy is a brain shunt to remove the liquid constant removal, but he has an artificial heart valve so they will determine whether they can do the surgery or not.    The second day is when the symptoms actually started with chills, normal reactions to a vaccine.  He had not experienced that before.  Those symptoms got worse, had confusion and his legs were getting worse and could not walk, which they attributed it to the hernia.  It made sense that it had to be the shot.  There is no medical treatment for hydrocephulus other than the brain shunt.    He went to ER.  He was then taken to the ER again and was admitted to the hospital due to the hydrocephalus as they felt that he aseptic meningitis.   He has lost approximately 10# since the vaccine, he is not eating really well.    He is not able to take care of himself, and is incontinent, wears diapers and has to be dressed and he is noncompliant.  He can walk from the easy chair to the bedroom, and that is the only walking that he does.  Prior to the vaccine he was fine with no abnormalities.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Meningitis aseptic, Pain, Pain in extremity, Weight decreased
Clinical narrative: He got his vaccine, started getting the chills, not feeling good, body aches.  They didn't think anything of it, was driving.  By 10/11/23 he was during the night and during the day he was hurting badly, legs hurting, and they felt that it was due to a hernia that he had.  He went to the doctor and he said that it would not be from the hernia.  They asked him to do the hernia surgery as soon as possible. He fell out of bed, tried to stand up but could not.  EMS was called and put him back into bed.  By that time he had been to the ER 3 times.  They finally did a MRI that he had hydrocephalus, and had lumbar puncture that showed herpes virus.  They gave him Acyclovir and after 3 weeks and he seem to get better.  They are thinking that it was just the hydrocephalus.  He went to a neurosurgeon, and they have an APT tomorrow with a neurologist to get a complete work up.  They feel that the remedy is a brain shunt to remove the liquid constant removal, but he has an artificial heart valve so they will determine whether they can do the surgery or not.    The second day is when the symptoms actually started with chills, normal reactions to a vaccine.  He had not experienced that before.  Those symptoms got worse, had confusion and his legs were getting worse and could not walk, which they attributed it to the hernia.  It made sense that it had to be the shot.  There is no medical treatment for hydrocephulus other than the brain shunt.    He went to ER.  He was then taken to the ER again and was admitted to the hospital due to the hydrocephalus as they felt that he aseptic meningitis.   He has lost approximately 10# since the vaccine, he is not eating really well.    He is not able to take care of himself, and is incontinent, wears diapers and has to be dressed and he is noncompliant.  He can walk from the easy chair to the bedroom, and that is the only walking that he does.  Prior to the vaccine he was fine with no abnormalities.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient came into clinic to receive Moderna Spikevax Covid vaccine. Patient was instructed to wait 15 minutes after vaccine administration to observe for adverse reactions. Patient did not experience any adverse reactions from receiving the vaccine.  After patient received vaccine it was realized that vaccine was two days past 30 day expiration date from when vaccines were removed from freezer into refrigerator. Patient's PCP was immediately notified who stated the patient did not need to repeat Covid vaccine. Patient's mother was informed of this information who verbalized understanding and had no questions regarding the administration of the vaccine.
Age: 29.0
Sex: M
Vaccine: COVID19-2
Symptoms: Seizure
Clinical narrative: Seizure