chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.5 ml was administered by accident.  No adverse reactions occurred  and patient was notified and stated she had no issues with the vaccination.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Myalgia, Pallor, Rash
Clinical narrative: Generalized, red, pinpoint, pruretic rash, blanches.  Myalgias, fatigue, Afebrile
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Generalized, red, pinpoint, pruretic rash, blanches.  Myalgias, fatigue, Afebrile
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Dyspnoea, Throat irritation
Clinical narrative: 40 minutes after the vaccine I had itchy throat & I had trouble breathing. I had to go to the Emergency room & they gave me an IV with Benadryl & a steroid I was there for about 2 hours then I was cleared to go home.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Date: 3/22/2021  Problem:  Notes:   Time: 12:40P Upon arrival to nurses station. Patient noted pale, clammy & sweaty. BP 60/33 HR 48, RR18. Call placed to EMS Patient awake, alert &oriented x 3. Vaccinator stated that patient loss consciousness approx. 1-2 minutes after receiving vaccine. Patient states that she had a granola/ breakfast bar for breakfast & had not eaten lunch. Patient feet elevated to elevate patient BP. EMS Arrival pending. Will continue to monitor.  Time: 12:50p EMS Arrived. Patient assessed by HFD. Patient declined to go to hospital. Snacks & water provided to patient. Patient rested an additional 15 minutes. Will continue to monitor.  Time: 1320 Patient went home with fiancé in stable condition.
Age: 26.0
Sex: F
Vaccine: UNK
Symptoms: Pruritus, Rash, Vital signs measurement
Clinical narrative: 09:50 AM Patient is feeling itchy in her chest area and slushed. Observed for rash in upper arm and chest. B/P 123/86 and HR 76. Stated she has no allergies and no breakfast this AM. Pretzel and water given. Patient states feeling better after 25 minutes. Patient exited
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given a HPV (Gardasil)  vaccine the same day in error.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: 101.0°F fever, couldn't stop shivering, extreme nausea, exhaustion, headache in first 24hrs Fatigue lasted about 36hours  Tylenol for headache and fever  Symptoms completely resolved after 48 hrs
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance, Pyrexia
Clinical narrative: Fever to 99.9, then down to 97.6 (my normal for my life is 97.4), then today back up to 98.9.  Vaccine on Thursday, April 1st, on Sunday, April 4th had severe dizziness which subsided a bit, today, Monday the 5th I can hardly walk I'm so dizzy.  Can't think of anything that would cause it except for the vaccine.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Headache, Malaise, Pain, Pain in extremity
Clinical narrative: I woke the morning after not feeling the best. About 10:00 am or so, I started getting achy all over my back and shoulders. It got worse over next few hours and stayed with me all evening. Had a headache as well. The next morning I was 80% better and by the next morning I was fine. The pharmacist told me that most people only get sore arm and sometimes can hardly lift the arm. I had sore arm but nothing I couldn't deal with. He also said that second shot tends to make people sick. I guess I wanna be certain I should get second vaccine?! I tested positive for covid on 12/20/20 and negative on 1/8/21.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Near syncope.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypertension, Nausea
Clinical narrative: Patient reported dizziness and nausea following the administration of vaccine. Patient reported dizziness, lightheadedness, nausea, and exhibited hypertension throughout monitoring period. Patient monitored for a total of 1hr and 30 minutes. Patient received apple juice, water, and crackers during monitoring  period. Patient remained alert and oriented during monitoring period. Patient reported feelings of anxiety prior to vaccination. Patient exhibited various blood pressure reading see the following, 121/80 HR 79, 130/87 HR 79, 129/81 HR 82, 140/86 HR 79, 150/86 HR 77, 136/86 HR 76, 170/102 HR 86. Patient final blood pressure reading prior to leaving the facility was 175/102 HR 82.  Patient requested transfer to emergency room due to increased nausea, dizziness/ lightheadedness, and hypertension. Patient denied shortness of breath or difficulty breathing throughout monitoring period and prior to transfer.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injection site erythema, Injection site extravasation, Injection site pain, Injection site swelling
Clinical narrative: Pt visited our Urgent Care and states that she received the COVID-19 vaccine . The patient states that the vaccine was mistakenly administered via a subcutaneous route, and she could feel the vaccine leak out of her arm after injection. Over the next two days she experienced swelling, redness, and tenderness around the site of injection.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: patient stated she had an allergic reaction to ibuprofen that caused difficulty breathing.  I had patient wait an additional 10 minutes and patient left observation stating she felt fine.  Patient returned after shopping and stated she felt a pressure in her chest.  The patient denied nausea, sweating, itching, and any other sensation.  I took the patients blood pressure and it was 121/71.  Patient waited under observation for another 10 minutes and then left saying she felt fine
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Palpitations
Clinical narrative: Right after 48 to 72 hours later when I was feeling fine - had BP shoot up and also had palpitations. The BP settled down after 6 hours to so (took a lot of water and did some breathing). I am not concerned about what happened in the three days or so of the vaccination.  However, I am worried about the continuation of palpitations that seem to happen a few times a week.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Tinnitus
Clinical narrative: Tinnitus- loud swooshing that wind go away
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Covid Arm Red patch 4? in diameter on vaccinated shoulder
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Lethargy, Musculoskeletal stiffness
Clinical narrative: Fever - one day, chills - two days, body aches - two days, stiffness - 1 day, headache - 3 days, diarrhea - 1 day, lethargy - 1 day
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever - one day, chills - two days, body aches - two days, stiffness - 1 day, headache - 3 days, diarrhea - 1 day, lethargy - 1 day
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Lip swelling, Paraesthesia oral, Swollen tongue
Clinical narrative: Patient received 1st dose of Moderna.  The patient immediately began c/o tongue and lip tingling and swelling.  No difficulty breathing or speaking.   HR: 80, RR: 17, O2: 94% Patient declined Benadryl dose
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Herpes zoster
Clinical narrative: Client states he developed blisters on  04/03-/21 starting at lower right buttocks radiating to the right leg onto his penis.  Client visited Dr and was diagnosed with shingles. Dr prescribed valtrex and prednisone. Client reports symptoms improving.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: I received my second coivd-19 shot and when the pharmacist went to put the needle in the bio-hazard container I noticed a long stream of the vaccine existing the needle.  I questioned the pharmacist and he stated that it was only the residual in the "needle."  I spoke with two pharmacist managers that I know and they both said all of the vaccine should be in the arm and if anything only a drop of residual should come from the needle if any at all.  My question, is there way to tell if I'm fully vaccinated?
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Pt received covid 19 vaccine. Few minutes later, pt was feeling dizzy and syncope. EMS responded to evaluate, however PT's condition was unchanged. Fire/Rescue was called in to assist. Fire/Rescue evaluated PT on scene at 17:25 hours. Pt declined transport.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Pain, Pyrexia
Clinical narrative: Body aches, chills, fatigue, fever (up to 102F).  Symptoms started approx  6 hours after injection, peak fever measured ~9 hours after injection.  OTC acetaminophen administered.  Symptoms persisted into next day, although less severe (~100F).  Fever cleared the following day, ~40 hours after injection.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Moderna Vaccine and she is 16 years of age.  No adverse event from Vaccination.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Gastritis haemorrhagic, Oesophagogastroduodenoscopy, Upper gastrointestinal haemorrhage
Clinical narrative: Went to hospital and diagnosed as hemorrhage gastritis... Bleeding from upper GI tract
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Vomiting
Clinical narrative: Severe headache, vomiting, nausea, body aches.  Most severe symptoms lasting 24 hours. Milder symptoms persisting 48 hours beyond.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: On day 8 following my vaccine, I noticed itchiness, redness and swelling at the injection site about 3 inches in diameter and perfectly circular. Now, today, on day 10 after my vaccine, it's about 4 inches in diameter and has a more blobby shape. It is much more itchy today.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Extrasystoles, Palpitations
Clinical narrative: Rapid pounding heart, heart palpitations, heart skipping beats. I have never had these symptoms. These symptoms did not accrue until after my Moderna first vaccine I will not be getting my second Moderna vaccination.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: When the shot was administered they were using a 1in needle instead of 1 1/2 inch needle. The next day it was red and swollen. It looked like the vaccine had moved from the middle of my arm to the right. The  whole area was red, warm to touch and as big as a baseball. Four weeks later I still had this, and went to the Dr. and gave me Keflex. My arm still hurts from the vaccine, there is still a lump there and painful to the touch.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong technique in product usage process
Clinical narrative: When the shot was administered they were using a 1in needle instead of 1 1/2 inch needle. The next day it was red and swollen. It looked like the vaccine had moved from the middle of my arm to the right. The  whole area was red, warm to touch and as big as a baseball. Four weeks later I still had this, and went to the Dr. and gave me Keflex. My arm still hurts from the vaccine, there is still a lump there and painful to the touch.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Antiacetylcholine receptor antibody positive, Cerebellar infarction, Diplopia, Dysphagia, Dyspnoea
Clinical narrative: The patient received her FIRST dose of Moderna COVID vaccine on 1/26/21 and SECOND dose on 2/23/21. On 3/8, she first started to experience shortness of breath, which was attributable to cardiac etiology and diastolic heart failure at the time, but which in retrospect may have been her earliest symptom of new onset myasthenia gravis, which is the AE I am wanting to report. She was hospitalized from 3/8-3/13, and underwent extensive cardiac workup that was negative. She again developed shortness of breath on 3/17/21 and was re-admitted to the hospital on 3/18/21 for diuresis for presumed diastolic heart failure exacerbation, received diuresis from 3/18-3/22/21 but then developed new onset diplopia, at which pint I evaluated her in neurological consultation on 3/22. Her brain MRI disclosed an UNrelated incidental  small left cerebellar infract, but her neurological exam showed a new R lateral rectus palsy and new moderate to severe left eyelid ptosis, suspicious for myasthenia gravis. Anti-acetylcholineseterase antibodies--- binding, blocking, and modulating, were all sent off and came back all strongly positive on 3/26-27/21. The patient then called stating she had developed recurrent shortness of breath, new onset dysphagia, and worsening double vision. I urgently re-evaluated her in outpatient follow-up in my office on 4/2/21 and sent her immediately to the hospital to be readmitted, where she remains as of this reporting date and she has been receiving IVIG with improvement in her symptoms. She did NOT have any previous known history of eyelid ptosis, dysphagia, diplopia, or muscle weakness. In retrospect, the patient states that her current symptomatology began around 3/7/21 with the benefit of hindsight. I am reporting this event because it is very unusual for an 82 year old WOMAN to develop new onset of myasthenia gravis, and it is a known autoimmune disease, and a vaccine would be a plausible trigger for its development, or trigger for its first symptomatic manifestation. I was also especially concerned because my fellow neurologist, ALSO had a patient develop myasthenia gravis about 2 weeks or so following their second dose of the Pfizer COVID vaccine. It would be an EXTRAORDINARY coincidence for two instances of new onset myasthenia gravis to occur 2 weeks post- vaccination at essentially the same time in an institution of our size, so we both felt obliged to report both cases ASAP to the VAERS. I was not able to reach the patient in her hospital room today to get additional specifics about where she got the vaccine, its lot number etc., however she is a retired and has indicated her willingness to provide you with any and all additional information you need, and I am also personally very willing to provide any additional information about her eventual outcome.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Eyelid ptosis, Immunoglobulin therapy, Left ventricular failure, Magnetic resonance imaging head abnormal, Muscular weakness
Clinical narrative: The patient received her FIRST dose of Moderna COVID vaccine on 1/26/21 and SECOND dose on 2/23/21. On 3/8, she first started to experience shortness of breath, which was attributable to cardiac etiology and diastolic heart failure at the time, but which in retrospect may have been her earliest symptom of new onset myasthenia gravis, which is the AE I am wanting to report. She was hospitalized from 3/8-3/13, and underwent extensive cardiac workup that was negative. She again developed shortness of breath on 3/17/21 and was re-admitted to the hospital on 3/18/21 for diuresis for presumed diastolic heart failure exacerbation, received diuresis from 3/18-3/22/21 but then developed new onset diplopia, at which pint I evaluated her in neurological consultation on 3/22. Her brain MRI disclosed an UNrelated incidental  small left cerebellar infract, but her neurological exam showed a new R lateral rectus palsy and new moderate to severe left eyelid ptosis, suspicious for myasthenia gravis. Anti-acetylcholineseterase antibodies--- binding, blocking, and modulating, were all sent off and came back all strongly positive on 3/26-27/21. The patient then called stating she had developed recurrent shortness of breath, new onset dysphagia, and worsening double vision. I urgently re-evaluated her in outpatient follow-up in my office on 4/2/21 and sent her immediately to the hospital to be readmitted, where she remains as of this reporting date and she has been receiving IVIG with improvement in her symptoms. She did NOT have any previous known history of eyelid ptosis, dysphagia, diplopia, or muscle weakness. In retrospect, the patient states that her current symptomatology began around 3/7/21 with the benefit of hindsight. I am reporting this event because it is very unusual for an 82 year old WOMAN to develop new onset of myasthenia gravis, and it is a known autoimmune disease, and a vaccine would be a plausible trigger for its development, or trigger for its first symptomatic manifestation. I was also especially concerned because my fellow neurologist, ALSO had a patient develop myasthenia gravis about 2 weeks or so following their second dose of the Pfizer COVID vaccine. It would be an EXTRAORDINARY coincidence for two instances of new onset myasthenia gravis to occur 2 weeks post- vaccination at essentially the same time in an institution of our size, so we both felt obliged to report both cases ASAP to the VAERS. I was not able to reach the patient in her hospital room today to get additional specifics about where she got the vaccine, its lot number etc., however she is a retired and has indicated her willingness to provide you with any and all additional information you need, and I am also personally very willing to provide any additional information about her eventual outcome.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Myasthenia gravis, Neurological examination abnormal, Paralysis, Polyuria
Clinical narrative: The patient received her FIRST dose of Moderna COVID vaccine on 1/26/21 and SECOND dose on 2/23/21. On 3/8, she first started to experience shortness of breath, which was attributable to cardiac etiology and diastolic heart failure at the time, but which in retrospect may have been her earliest symptom of new onset myasthenia gravis, which is the AE I am wanting to report. She was hospitalized from 3/8-3/13, and underwent extensive cardiac workup that was negative. She again developed shortness of breath on 3/17/21 and was re-admitted to the hospital on 3/18/21 for diuresis for presumed diastolic heart failure exacerbation, received diuresis from 3/18-3/22/21 but then developed new onset diplopia, at which pint I evaluated her in neurological consultation on 3/22. Her brain MRI disclosed an UNrelated incidental  small left cerebellar infract, but her neurological exam showed a new R lateral rectus palsy and new moderate to severe left eyelid ptosis, suspicious for myasthenia gravis. Anti-acetylcholineseterase antibodies--- binding, blocking, and modulating, were all sent off and came back all strongly positive on 3/26-27/21. The patient then called stating she had developed recurrent shortness of breath, new onset dysphagia, and worsening double vision. I urgently re-evaluated her in outpatient follow-up in my office on 4/2/21 and sent her immediately to the hospital to be readmitted, where she remains as of this reporting date and she has been receiving IVIG with improvement in her symptoms. She did NOT have any previous known history of eyelid ptosis, dysphagia, diplopia, or muscle weakness. In retrospect, the patient states that her current symptomatology began around 3/7/21 with the benefit of hindsight. I am reporting this event because it is very unusual for an 82 year old WOMAN to develop new onset of myasthenia gravis, and it is a known autoimmune disease, and a vaccine would be a plausible trigger for its development, or trigger for its first symptomatic manifestation. I was also especially concerned because my fellow neurologist, ALSO had a patient develop myasthenia gravis about 2 weeks or so following their second dose of the Pfizer COVID vaccine. It would be an EXTRAORDINARY coincidence for two instances of new onset myasthenia gravis to occur 2 weeks post- vaccination at essentially the same time in an institution of our size, so we both felt obliged to report both cases ASAP to the VAERS. I was not able to reach the patient in her hospital room today to get additional specifics about where she got the vaccine, its lot number etc., however she is a retired and has indicated her willingness to provide you with any and all additional information you need, and I am also personally very willing to provide any additional information about her eventual outcome.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: patient reports 90 minutes after injection she experienced tongue swelling, took benadryl and symptoms resolved
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Injection site pain, Lymphadenopathy, Pyrexia
Clinical narrative: soreness at injection site, swollen lymph nodes in armpit (same arm as injection), fatigue, fever of 100.5, cough
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Gait inability
Clinical narrative: couldn't walk
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Warm, red spot at injection site. Area with redness had minor itching as well.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine administered to person under 18 years of age.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 0.5 ml was given by accident.  No adverse reaction occurred.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Nausea, Vertigo
Clinical narrative: Nausea, weakness, chills. More than what they reported on possible side effects. Got shot on 3/22/21. Started having vertigo yesterday 4/4/2021. Never had this issue before. Completely healthy no underlying conditions and no history of vertigo. All started after moderna shot.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site pain, Pain, Pain in extremity
Clinical narrative: Immediately on injection felt severe pain in arm - the pain radiated downward but at time of typing this report patient states pain is lightening up and remains only at injection site.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute interstitial pneumonitis, Antinuclear antibody positive, Bacterial test positive, Blood culture negative, Blood lactate dehydrogenase increased
Clinical narrative: 4/2020 presumed COVID-19 (not formally diagnosed, not hospitalized) 2/07/21 Moderna vaccine #1 (date per pt's daughter) 2/21/21 onset SOB/DOE, fever 2/24/21 Seen at Urgent Care: RML crackles and infiltrate on CXR, given azithromycin and Augmentin 2/27/21 Presented to ED with progression of SOB/DOE, fatigue, diarrhea.  Hypoxemic requiring low-flow NC, B/L basilar crackles noted; started on CTX/azithro (2/27-3/3) for presumed CAP  3/08/21 Required HFNC; first seen by me personally: diffuse, distinct velcro crackles, lower > upper fields 3/12/21 Started on high-dose steroids without improvement; unable to wean from HFNC with progressively worsening hypoxemia; pt declined intubation. 03/22/21 Patient died in Palliative Care Unit Diagnosis:  Interstitial lung disease of uncertain etiology, acute interstitial pneumonitis vs. undiagnosed connective tissue disease
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchiectasis, Bronchoscopy, C-reactive protein increased, Chest X-ray abnormal, Computerised tomogram abnormal
Clinical narrative: 4/2020 presumed COVID-19 (not formally diagnosed, not hospitalized) 2/07/21 Moderna vaccine #1 (date per pt's daughter) 2/21/21 onset SOB/DOE, fever 2/24/21 Seen at Urgent Care: RML crackles and infiltrate on CXR, given azithromycin and Augmentin 2/27/21 Presented to ED with progression of SOB/DOE, fatigue, diarrhea.  Hypoxemic requiring low-flow NC, B/L basilar crackles noted; started on CTX/azithro (2/27-3/3) for presumed CAP  3/08/21 Required HFNC; first seen by me personally: diffuse, distinct velcro crackles, lower > upper fields 3/12/21 Started on high-dose steroids without improvement; unable to wean from HFNC with progressively worsening hypoxemia; pt declined intubation. 03/22/21 Patient died in Palliative Care Unit Diagnosis:  Interstitial lung disease of uncertain etiology, acute interstitial pneumonitis vs. undiagnosed connective tissue disease
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Diarrhoea, Dyspnoea, Endotracheal intubation, Fatigue
Clinical narrative: 4/2020 presumed COVID-19 (not formally diagnosed, not hospitalized) 2/07/21 Moderna vaccine #1 (date per pt's daughter) 2/21/21 onset SOB/DOE, fever 2/24/21 Seen at Urgent Care: RML crackles and infiltrate on CXR, given azithromycin and Augmentin 2/27/21 Presented to ED with progression of SOB/DOE, fatigue, diarrhea.  Hypoxemic requiring low-flow NC, B/L basilar crackles noted; started on CTX/azithro (2/27-3/3) for presumed CAP  3/08/21 Required HFNC; first seen by me personally: diffuse, distinct velcro crackles, lower > upper fields 3/12/21 Started on high-dose steroids without improvement; unable to wean from HFNC with progressively worsening hypoxemia; pt declined intubation. 03/22/21 Patient died in Palliative Care Unit Diagnosis:  Interstitial lung disease of uncertain etiology, acute interstitial pneumonitis vs. undiagnosed connective tissue disease
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Fungal test negative, HIV test negative, Hypoxia, Influenza virus test negative, Interstitial lung disease
Clinical narrative: 4/2020 presumed COVID-19 (not formally diagnosed, not hospitalized) 2/07/21 Moderna vaccine #1 (date per pt's daughter) 2/21/21 onset SOB/DOE, fever 2/24/21 Seen at Urgent Care: RML crackles and infiltrate on CXR, given azithromycin and Augmentin 2/27/21 Presented to ED with progression of SOB/DOE, fatigue, diarrhea.  Hypoxemic requiring low-flow NC, B/L basilar crackles noted; started on CTX/azithro (2/27-3/3) for presumed CAP  3/08/21 Required HFNC; first seen by me personally: diffuse, distinct velcro crackles, lower > upper fields 3/12/21 Started on high-dose steroids without improvement; unable to wean from HFNC with progressively worsening hypoxemia; pt declined intubation. 03/22/21 Patient died in Palliative Care Unit Diagnosis:  Interstitial lung disease of uncertain etiology, acute interstitial pneumonitis vs. undiagnosed connective tissue disease
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Legionella test, Lung infiltration, Lung opacity, Mycobacterium test negative, Neutrophil count increased
Clinical narrative: 4/2020 presumed COVID-19 (not formally diagnosed, not hospitalized) 2/07/21 Moderna vaccine #1 (date per pt's daughter) 2/21/21 onset SOB/DOE, fever 2/24/21 Seen at Urgent Care: RML crackles and infiltrate on CXR, given azithromycin and Augmentin 2/27/21 Presented to ED with progression of SOB/DOE, fatigue, diarrhea.  Hypoxemic requiring low-flow NC, B/L basilar crackles noted; started on CTX/azithro (2/27-3/3) for presumed CAP  3/08/21 Required HFNC; first seen by me personally: diffuse, distinct velcro crackles, lower > upper fields 3/12/21 Started on high-dose steroids without improvement; unable to wean from HFNC with progressively worsening hypoxemia; pt declined intubation. 03/22/21 Patient died in Palliative Care Unit Diagnosis:  Interstitial lung disease of uncertain etiology, acute interstitial pneumonitis vs. undiagnosed connective tissue disease
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Procalcitonin normal, Pyrexia, Red blood cell count increased, Respiratory syncytial virus test negative
Clinical narrative: 4/2020 presumed COVID-19 (not formally diagnosed, not hospitalized) 2/07/21 Moderna vaccine #1 (date per pt's daughter) 2/21/21 onset SOB/DOE, fever 2/24/21 Seen at Urgent Care: RML crackles and infiltrate on CXR, given azithromycin and Augmentin 2/27/21 Presented to ED with progression of SOB/DOE, fatigue, diarrhea.  Hypoxemic requiring low-flow NC, B/L basilar crackles noted; started on CTX/azithro (2/27-3/3) for presumed CAP  3/08/21 Required HFNC; first seen by me personally: diffuse, distinct velcro crackles, lower > upper fields 3/12/21 Started on high-dose steroids without improvement; unable to wean from HFNC with progressively worsening hypoxemia; pt declined intubation. 03/22/21 Patient died in Palliative Care Unit Diagnosis:  Interstitial lung disease of uncertain etiology, acute interstitial pneumonitis vs. undiagnosed connective tissue disease
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test, SARS-CoV-2 test negative, White blood cell count increased
Clinical narrative: 4/2020 presumed COVID-19 (not formally diagnosed, not hospitalized) 2/07/21 Moderna vaccine #1 (date per pt's daughter) 2/21/21 onset SOB/DOE, fever 2/24/21 Seen at Urgent Care: RML crackles and infiltrate on CXR, given azithromycin and Augmentin 2/27/21 Presented to ED with progression of SOB/DOE, fatigue, diarrhea.  Hypoxemic requiring low-flow NC, B/L basilar crackles noted; started on CTX/azithro (2/27-3/3) for presumed CAP  3/08/21 Required HFNC; first seen by me personally: diffuse, distinct velcro crackles, lower > upper fields 3/12/21 Started on high-dose steroids without improvement; unable to wean from HFNC with progressively worsening hypoxemia; pt declined intubation. 03/22/21 Patient died in Palliative Care Unit Diagnosis:  Interstitial lung disease of uncertain etiology, acute interstitial pneumonitis vs. undiagnosed connective tissue disease
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Dyspnoea, Throat irritation
Clinical narrative: 40 minutes after the vaccine I started having itchy throat & trouble breathing. I had to go to the Emergency Room they put me an IV with Benadryl & a steroid then I was cleared to go home after 2 hours.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hyperhidrosis, Hypoaesthesia oral, Vital signs measurement
Clinical narrative: Pt complained of numbness in tongue. Benadryl 25mg given. Very anxious and diaphoretic. Pt left with husband.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Headache, Myalgia, Pyrexia
Clinical narrative: chest tightness , headache, fever, fatigue, muscle pain,
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: On 02-Apr-2021 at the clinic I took Pfizer vaccine at 5:00 p.m. O that same day night around 11:00 p.m. I have developed small rash at one spot on my right side of the stomach and later on next day developed 4 to 5 rashes on right side of the stomach towards back. They look small red bumpy rashes, and itchy from past 3-days.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: On the right side, broke out in spiderweb rash over collarbone where neck joins the shoulder.  The rash has maintained the approximate size of an index card and itches slightly.  It was originally mistaken as dry skin until a friend who had a more severe reaction noted the rash was the same, if much less intense, as their rash had been.  The rash persists, but is not irritating.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Feeling hot, Pain of skin, Peripheral swelling, Pruritus
Clinical narrative: My right upper arm, about four inches in diameter around the injection site, became swollen, hot, tender and incredibly itchy. I attempted to control with oral benadryl for 24 hours, the redness grew and the itchiness remained intense. Topical benadryl with cold packs seemed to help temporarily. This lasted approximately 4 days. At that time the redness and swelling faded, giving way to bruising, and the itching has become less intense but still requires some topical benadryl at least twice per day. No blisters or open sores.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Vomiting, diarrhea, intense fatigue, fever, chills, muscle pain, joint pain, headache, dizziness. Lasted 48 hours.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia, Vomiting
Clinical narrative: Vomiting, diarrhea, intense fatigue, fever, chills, muscle pain, joint pain, headache, dizziness. Lasted 48 hours.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: After administration of vaccine, the vaccinating pharmacist noticed that they was an air bubble in the syringe and it is possible that patient received 1/2 of the dose. Possibly 0.25 MLS instead of 0.5 MLS.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Mobility decreased, Musculoskeletal stiffness, Nausea
Clinical narrative: I felt nauseous the day (Friday) of my first Covid-19 shot. The following day (Saturday) I had a fever of 103 degrees and I was shivering. My body was stiff and I had trouble moving. The next day (Sunday), my fever had reduced to 100 degrees. I still felt sore. Today (Monday), my fever is mostly gone, yet I am exhausted.   The day after my shot, I thought to go to the hospital, but I was too tired, and sore to move. Instead, I called Teladoc. They issued me medication for nausea and told me to take Tylenol for my fever. I realize that this is a typical reaction. I had a really bad bout of Covid-19 in December of 2020, which lasted for over a month in which I had a very high fever for long periods of time as well as memory loss, which I am still recovering from.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I felt nauseous the day (Friday) of my first Covid-19 shot. The following day (Saturday) I had a fever of 103 degrees and I was shivering. My body was stiff and I had trouble moving. The next day (Sunday), my fever had reduced to 100 degrees. I still felt sore. Today (Monday), my fever is mostly gone, yet I am exhausted.   The day after my shot, I thought to go to the hospital, but I was too tired, and sore to move. Instead, I called Teladoc. They issued me medication for nausea and told me to take Tylenol for my fever. I realize that this is a typical reaction. I had a really bad bout of Covid-19 in December of 2020, which lasted for over a month in which I had a very high fever for long periods of time as well as memory loss, which I am still recovering from.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Electric shock sensation, Injection site pain
Clinical narrative: Patient reports shocking sensations in limbs for the last 30 days, elevated blood pressure, and a soreness at injection site
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Gait disturbance, Headache, Pyrexia
Clinical narrative: 24 hours after vaccination I spiked a 101.4 fever and it has not resolved 48 hours after the vaccine. My head is pounding. I feel weak and I find it hard to stand up for very long
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood electrolytes decreased, Injury, Syncope
Clinical narrative: Fainted 5 times in 1 hour starting 4 hours after receiving vaccine Fainted in bathroom and was injured. Called 911. Went to  ER.  Treated at hospital for 5 days -repeated fainting spells.  Released  3/30/21, Remains very weak.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Laboratory test, Thrombosis, Ultrasound Doppler
Clinical narrative: DVT / Blood Clot
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Fall, Head injury, Injection site pain
Clinical narrative: Moderna COVID-19 Vaccine EUA first dose given at 6pm.  Mild pain at injection site within a few hours.  3am (9 hours after injection) I went to the bathroom, and while standing got dizzy and lightheaded tried to sit down.  Collapsed while trying to sit down and hit head on bathroom floor.  Cut right eyebrow on floor.  Tried to get back to bed and was in and out of consciousness for 30-60 seconds per spouse.  Vasovagal response symptoms.  Cold sweats.  I was very thirsty and drank a tall glass of water.  5 minutes later I stood up and went back to bed feeling fine.  I slept the rest of the night and felt fine the next day, and for the rest of the weekend with no other symptoms.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Presyncope, Skin laceration, Thirst
Clinical narrative: Moderna COVID-19 Vaccine EUA first dose given at 6pm.  Mild pain at injection site within a few hours.  3am (9 hours after injection) I went to the bathroom, and while standing got dizzy and lightheaded tried to sit down.  Collapsed while trying to sit down and hit head on bathroom floor.  Cut right eyebrow on floor.  Tried to get back to bed and was in and out of consciousness for 30-60 seconds per spouse.  Vasovagal response symptoms.  Cold sweats.  I was very thirsty and drank a tall glass of water.  5 minutes later I stood up and went back to bed feeling fine.  I slept the rest of the night and felt fine the next day, and for the rest of the weekend with no other symptoms.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site pruritus, Injection site swelling, Injection site warmth, Tenderness
Clinical narrative: On about Day 3 after my first dose, my arm felt back to normal, and I had no other side effects other than a tender arm for the first 3 days.  But one week after receiving the first dose, my arm started to itch around the injection site.  It was inflamed, swollen, itchy, and hot to the touch.  It didn't really hurt, though it was a bit tender, but more itchy than anything.  It is no longer itchy or hot to touch, but there is still a bit of redness and some swelling one week after I first noticed the reaction, so it's been now 2 weeks post first dose.  But I've had no other symptoms.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.5 ml was given IM accidentally.  No adverse reaction occurred.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Approximately 15 minutes after receiving the first dose of the vaccine, my face became tingly/numb around my cheeks and mouth. No swelling occurred and there was no hinderance to my breathing. Upon leaving the vaccination site and arriving home, I took a Benadryl which alleviated my symptom within 30 minutes.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Rhinorrhoea, Skin mass, Urticaria
Clinical narrative: Itching, swelling and knots at the bottom of my feet and the back-side of both forearms. Small hives on my forehead. Excessive runny nose. - 3 days
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Palpitations, Throat tightness
Clinical narrative: Shortly after receiving his second dose of  Covid 19 vaccine, he reported feeling throat and chest tightness, SOB and palpitations.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Pt c/o red face, also stated she had been in the sun yesterday. After 10 minutes symptom resolved and patient left the site -RN
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Immediate post-injection reaction, Pruritus, Urticaria
Clinical narrative: Entire body covered in red, raised, itchy hives.  I was mildly itchy immediately following injection, but did not break out  until the  next day,   Approx 30 hours after shot.   It was miserable.   Attempted to do home remedies for 48 hours but could not handle it.  Went to urgent care early Sunday morning and received a steroid shot in my butt and a methyl prednisone package to take for 6 days.   Hives subsided after 4 days of medication
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: 8am on 4/4 - extreme chills, muscle and joint aches, fatigue, fever, skin feels sensitive (small normal touches hurt), back area between shoulder blades burns and hurts but no rash  By 1pm on 4/4 - now hot, still muscle and joint aches, fatigue, and fever, back burning and skin sensitivity continue - took 2 aleeve  By 8pm on 4/4 - felt better, no chills or feeling hot, less joint aches, still muscle aches, back burning and skin sensitivity continue  7am on 4/5 - Felt much better, only slight muscle aches , back burning and skin sensitivity continued - took one aleeve before work  6pm on 4/5 - still feeling better, slight muscle and joint aches. Skin sensativity is much less. Back burning continues.  Injection Site: for the first shot, I had no injection site redness or swelling. After the second dose (1:30pm on 4/3), the morning of 4/4 I noticed my arm was extremely swollen, hard, and hot at the injection site. About the size of a fist in terms of the amount of area and raised enough to be visible. Felt much hotter than surrounding skin and extremely red. Hurts to the touch.  By 6am on 4/5 red area had grown slightly larger, than night before, still hot, hard/swollen, and painful to the touch. By 6pm on 4/5 red area has grown slightly again larger than this morning, still hot, hard/swollen, and painful to the touch. Waiting another 24 before seeking medical advice.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Sensitive skin, Skin burning sensation
Clinical narrative: 8am on 4/4 - extreme chills, muscle and joint aches, fatigue, fever, skin feels sensitive (small normal touches hurt), back area between shoulder blades burns and hurts but no rash  By 1pm on 4/4 - now hot, still muscle and joint aches, fatigue, and fever, back burning and skin sensitivity continue - took 2 aleeve  By 8pm on 4/4 - felt better, no chills or feeling hot, less joint aches, still muscle aches, back burning and skin sensitivity continue  7am on 4/5 - Felt much better, only slight muscle aches , back burning and skin sensitivity continued - took one aleeve before work  6pm on 4/5 - still feeling better, slight muscle and joint aches. Skin sensativity is much less. Back burning continues.  Injection Site: for the first shot, I had no injection site redness or swelling. After the second dose (1:30pm on 4/3), the morning of 4/4 I noticed my arm was extremely swollen, hard, and hot at the injection site. About the size of a fist in terms of the amount of area and raised enough to be visible. Felt much hotter than surrounding skin and extremely red. Hurts to the touch.  By 6am on 4/5 red area had grown slightly larger, than night before, still hot, hard/swollen, and painful to the touch. By 6pm on 4/5 red area has grown slightly again larger than this morning, still hot, hard/swollen, and painful to the touch. Waiting another 24 before seeking medical advice.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Spinal pain
Clinical narrative: Severe pain in my spine. It felt like my spine was being ripped out of my back. It was consistently achey, but would also get frequent waves of excruciating shooting pain. The entire event lasted about 14 hours.   I didn't even cry this much when I tore every ligament in my knee. The worst pain I have ever been in.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion, Heart rate increased
Clinical narrative: Elevated heart rate?atrial Fibulation Cardio version-03/25/2021
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Fatigue, Myalgia, Platelet count normal, Rash macular
Clinical narrative: I started getting small red marks on my skin about 3 days after the injection. They are about 8-10 in number now and are on my arms and chest area predominantly.  I was also feeling muscle soreness which is a bit better and I still feel very fatigued.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Real, real bad headache. That lasted all day long. I took Tylenol - it would leave for a couple hours and come right back. It went on for a few days and then I went into the doctor and then it lasted for a good couple of weeks.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Hypertension, Paraesthesia, Paraesthesia oral
Clinical narrative: Since pt had reported allergies to other medications, we asked her to stay 30 mins instead of 15 mins.  At the end of 30 mins, patient asked clinical observer if it was normal to feel tingling lips and swelling at the back of her tongue.  Clinical observer LPN, said no and took pt to triage area.  Pt continued to report tingling different places ie hands, back of her head, and legs. She also stated she felt flushed and hot.  911 was called.  I gave her 25 mg Diphenhydramine po with water. Nurse repeatedly took the pts blood presser the last one was 207/102, HR 92, O2 sats 100%.  Due to pt's high blood pressure and when asked if she had difficulty breathing she said no, I did not administer Epi pen.  PMH and vitals were handed off to ambulance personnel when they arrived.  Pt was still alert, awake, oriented, and no difficulty breathing,
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Since pt had reported allergies to other medications, we asked her to stay 30 mins instead of 15 mins.  At the end of 30 mins, patient asked clinical observer if it was normal to feel tingling lips and swelling at the back of her tongue.  Clinical observer LPN, said no and took pt to triage area.  Pt continued to report tingling different places ie hands, back of her head, and legs. She also stated she felt flushed and hot.  911 was called.  I gave her 25 mg Diphenhydramine po with water. Nurse repeatedly took the pts blood presser the last one was 207/102, HR 92, O2 sats 100%.  Due to pt's high blood pressure and when asked if she had difficulty breathing she said no, I did not administer Epi pen.  PMH and vitals were handed off to ambulance personnel when they arrived.  Pt was still alert, awake, oriented, and no difficulty breathing,
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hyperhidrosis, Loss of consciousness
Clinical narrative: Pt passed out, diaphoretic, anxious. Quickly came to. Left with mother to go to urgent care for evaluation.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: As I inserted the needle of the syringe into the patient's arm, some drops (2-3) ran down her arm.  Most of the vaccine went into the deltoid muscle thereafter.  The patient was calm.  The patient was calm, responsive and show no signs of adverse reactions to the vaccine.  3/24/21
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin reaction
Clinical narrative: Skin reaction. Started Sunday, April 4 in the evening maybe around 9:30 pm.  Thought a bug bit me, but woke up today with more spots.  Around 12 total. Some look like bug bites, some hives, some have raised center.  Red, itchy.  Some itch more than others. Located on arms, leg, stomach, back, near outside of armpit creases.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Chest discomfort, Presyncope, Restlessness, Swollen tongue
Clinical narrative: Patient c/o chest tightness, audible wheezing with use of stethoscope, tongue appears to have mild swelling, patient restless, agitated and not following commands.  Near syncope, did not go completely out.   Epinephrine 0.3mg given IM in R thigh.  Patient tolerated well.  EMS initiated Epinephrine _ Lot number 0FM502, Expires: 05/03/2022, NDC 49502 10201
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Patient c/o chest tightness, audible wheezing with use of stethoscope, tongue appears to have mild swelling, patient restless, agitated and not following commands.  Near syncope, did not go completely out.   Epinephrine 0.3mg given IM in R thigh.  Patient tolerated well.  EMS initiated Epinephrine _ Lot number 0FM502, Expires: 05/03/2022, NDC 49502 10201