chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Raynaud's phenomenon, Russell's viper venom time, Skin discolouration
Clinical narrative: While standing at the sink on the evening of November 6, I was washing dishes. I was neither cold nor hot, just comfortable. The water was equally comfortable, neither cold nor hot. I noticed my hands started to turn a very dark blue and purple, starting with my fingertips. It moved down towards the center of my hands. At first my friends thought it was dye coming from the brush scrubber I was using. We tried putting nail polish remover on my hands to get the color off. Of course that did not work at all. My husband came in and suggested I raise my hands above my head. I did that for about 10 seconds. When I brought my hands back down they had pinked up a bit. But then they started turning that weird color again. This lasted about 30 minutes. A few days later I went to the doctor. He thought it was Reynaud's syndrome. He recommended me to a vascular surgeon. At the time of my initial doctor's visit, my blood clotting was out of range, meaning I was not clotting fast enough. When I went to see the surgeon she re-drew my blood, and the numbers were still the same, out of range. I experienced a couple more episodes of my hands changing color, but none as severe as the initial reaction. The surgeon confirmed Reynaud's syndrome.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Feeling abnormal, Hypertension, Palpitations, Vision blurred
Clinical narrative: BG over 200 during fasting. Normally it is 80-100. High blood pressure and heart racing/pounding. Blurry vision due to the high BG. Problem is all these effects have lasted over two weeks despite my attempts to fix it by increasing diabetes medication and keep to an even stricter diet: 0 carbs < 500 calorie meals. 2 day intermittent fasting has no effect which usually gets my BG back in gear if I eat something bad. It seemed to get a little bit better just before my last shot, but now I'm back where I was. Feeling like I'm going to die. I'm on day 2, hopefully these symptoms will go away someday.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Migraine, Oropharyngeal pain, Palpitations
Clinical narrative: Uti day after getting vaccine and I don?t normally get them. Sore throat heart palpitations fast heart rate fever chills severe migraine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urinary tract infection
Clinical narrative: Uti day after getting vaccine and I don?t normally get them. Sore throat heart palpitations fast heart rate fever chills severe migraine
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Diplopia, Ophthalmological examination, Visual impairment
Clinical narrative: Temporary Ocular Muscle Paralysis (Double Vision). Vision started to decline approximately 4 hours after receiving the 2 shot of Pfizer Covid 19 vaccine. Went to my eye doctor the following day and was given this diagnosis and was told that it is normally an 8 week recovery. It has now been 3 months and 2 weeks with some recovery, but still fighting issues with double vision.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Painful fist-sized swelling occurred at injection site on left shoulder. Swelling was red and raised about 1/4" above normal, and lasted for more than a week before finally subsiding. This type of vaccine reaction has never occurred for any other type of vaccine received.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Lung opacity
Clinical narrative: Covid19 breakthrough.  1st vaccine on 04/25/2021.  Of note, pt was vaccinated outside the country and no lot numbers available, card in different language.  Pt is 56y/o with PMH of Diabetes Type2 who presents to ED with 2 day history of cough, SOB.  Room air sat 87%, pt required Heated High flow O2 100/40 and 15L NRB on top of that.  CXR with bilat perihilar and bibasilar patchy interstitial airspace opacities.  Started on IV Steroids/ ABX and Remdesivir.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine on 04/25/2021.  Of note, pt was vaccinated outside the country and no lot numbers available, card in different language.  Pt is 56y/o with PMH of Diabetes Type2 who presents to ED with 2 day history of cough, SOB.  Room air sat 87%, pt required Heated High flow O2 100/40 and 15L NRB on top of that.  CXR with bilat perihilar and bibasilar patchy interstitial airspace opacities.  Started on IV Steroids/ ABX and Remdesivir.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death, Endotracheal intubation, General physical health deterioration, Hypoxia
Clinical narrative: pt admitted to hospital with diagnosis of COVID pneumonia; hypoxemia worsened and pt required intubation; given redesivir, dexamethasone, tocilizumab; condition progressively worsened; comfort measures; extubated and pt died
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care
Clinical narrative: pt admitted to hospital with diagnosis of COVID pneumonia; hypoxemia worsened and pt required intubation; given redesivir, dexamethasone, tocilizumab; condition progressively worsened; comfort measures; extubated and pt died
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 infection requiring hospitalization supplemental oxygen
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash on arm at injection site.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/6/21 documented to have positive covid. PT received Janssen 7/28/21 Lot 205A21A for dose 1.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dysstasia, Gait disturbance, Pain in extremity
Clinical narrative: Severe pain in both legs and hips. Unable to stand or walk for a long period of time.  Has taken Advil. Patient described pain as a 10/10.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary normal, Anticoagulant therapy, Blood lactic acid increased, COVID-19
Clinical narrative: POSITIVE SCREEN FOR COVID 12/17/21.  PRESENTED TO EMERGENCY DEPARTMENT FOR EVALUATION OF SHORTNESS OF BREATH. ADMITTED 12/30/21 HOSPITAL COURSE: Patient is a 86 y.o. female with lymphoma in remission and recent diagnosis of Alzheimer's dementia. She was fully vaccinated for Covid including booster.  Came in with hypoxia from PCP office in setting of prior Covid positive test.  CXR consistent with pneumonia but also elevated procalcitonin with leukocytosis made concomitant bacterial pneumonia likely.  Elevated D-dimer but CTA was negative for PE.  Admit also with elevated lactic acid.  Initially started on Decadron, Lovenox with dose based on institutional protocol, started on cefuroxime and doxycycline for CAP coverage, cautiously volume repleted, provided supplemental oxygen.  Did have a downtrend in her procalcitonin which led us to believe that her CAP was being adequately treated. Unfortunately abrupt decline early morning 1/4 requiring BiPAP w/ 100% Fi02 felt to be from worsening of her Covid pneumonia.  After discussion with family was placed on comfort cares.  Palliative care was consulted, appreciate their support.  She was aggressively symptomatically managed until she passed in the hospital yesterday evening surrounded by her family. CAUSE OF DEATH:  Acute hypoxic respiratory failure suspect from Covid pneumonia
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Death, Dyspnoea, Fibrin D dimer increased
Clinical narrative: POSITIVE SCREEN FOR COVID 12/17/21.  PRESENTED TO EMERGENCY DEPARTMENT FOR EVALUATION OF SHORTNESS OF BREATH. ADMITTED 12/30/21 HOSPITAL COURSE: Patient is a 86 y.o. female with lymphoma in remission and recent diagnosis of Alzheimer's dementia. She was fully vaccinated for Covid including booster.  Came in with hypoxia from PCP office in setting of prior Covid positive test.  CXR consistent with pneumonia but also elevated procalcitonin with leukocytosis made concomitant bacterial pneumonia likely.  Elevated D-dimer but CTA was negative for PE.  Admit also with elevated lactic acid.  Initially started on Decadron, Lovenox with dose based on institutional protocol, started on cefuroxime and doxycycline for CAP coverage, cautiously volume repleted, provided supplemental oxygen.  Did have a downtrend in her procalcitonin which led us to believe that her CAP was being adequately treated. Unfortunately abrupt decline early morning 1/4 requiring BiPAP w/ 100% Fi02 felt to be from worsening of her Covid pneumonia.  After discussion with family was placed on comfort cares.  Palliative care was consulted, appreciate their support.  She was aggressively symptomatically managed until she passed in the hospital yesterday evening surrounded by her family. CAUSE OF DEATH:  Acute hypoxic respiratory failure suspect from Covid pneumonia
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Hypoxia, Leukocytosis, Pneumonia, Pneumonia bacterial
Clinical narrative: POSITIVE SCREEN FOR COVID 12/17/21.  PRESENTED TO EMERGENCY DEPARTMENT FOR EVALUATION OF SHORTNESS OF BREATH. ADMITTED 12/30/21 HOSPITAL COURSE: Patient is a 86 y.o. female with lymphoma in remission and recent diagnosis of Alzheimer's dementia. She was fully vaccinated for Covid including booster.  Came in with hypoxia from PCP office in setting of prior Covid positive test.  CXR consistent with pneumonia but also elevated procalcitonin with leukocytosis made concomitant bacterial pneumonia likely.  Elevated D-dimer but CTA was negative for PE.  Admit also with elevated lactic acid.  Initially started on Decadron, Lovenox with dose based on institutional protocol, started on cefuroxime and doxycycline for CAP coverage, cautiously volume repleted, provided supplemental oxygen.  Did have a downtrend in her procalcitonin which led us to believe that her CAP was being adequately treated. Unfortunately abrupt decline early morning 1/4 requiring BiPAP w/ 100% Fi02 felt to be from worsening of her Covid pneumonia.  After discussion with family was placed on comfort cares.  Palliative care was consulted, appreciate their support.  She was aggressively symptomatically managed until she passed in the hospital yesterday evening surrounded by her family. CAUSE OF DEATH:  Acute hypoxic respiratory failure suspect from Covid pneumonia
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Procalcitonin increased, SARS-CoV-2 test positive
Clinical narrative: POSITIVE SCREEN FOR COVID 12/17/21.  PRESENTED TO EMERGENCY DEPARTMENT FOR EVALUATION OF SHORTNESS OF BREATH. ADMITTED 12/30/21 HOSPITAL COURSE: Patient is a 86 y.o. female with lymphoma in remission and recent diagnosis of Alzheimer's dementia. She was fully vaccinated for Covid including booster.  Came in with hypoxia from PCP office in setting of prior Covid positive test.  CXR consistent with pneumonia but also elevated procalcitonin with leukocytosis made concomitant bacterial pneumonia likely.  Elevated D-dimer but CTA was negative for PE.  Admit also with elevated lactic acid.  Initially started on Decadron, Lovenox with dose based on institutional protocol, started on cefuroxime and doxycycline for CAP coverage, cautiously volume repleted, provided supplemental oxygen.  Did have a downtrend in her procalcitonin which led us to believe that her CAP was being adequately treated. Unfortunately abrupt decline early morning 1/4 requiring BiPAP w/ 100% Fi02 felt to be from worsening of her Covid pneumonia.  After discussion with family was placed on comfort cares.  Palliative care was consulted, appreciate their support.  She was aggressively symptomatically managed until she passed in the hospital yesterday evening surrounded by her family. CAUSE OF DEATH:  Acute hypoxic respiratory failure suspect from Covid pneumonia
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Deafness unilateral, Ear pain, Vertigo
Clinical narrative: Taste &smell goes &comes,Extreme pain in Right Ear  Then Almost complete Hearing Loss as of 07/01/2021
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chest pain, Differential white blood cell count, Electrocardiogram
Clinical narrative: Severe pain: right arm, axillary chest shoulder, jaw , lethargy, syncopal episodes
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Lethargy, Metabolic function test, Pain in extremity, Pain in jaw
Clinical narrative: Severe pain: right arm, axillary chest shoulder, jaw , lethargy, syncopal episodes
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Troponin
Clinical narrative: Severe pain: right arm, axillary chest shoulder, jaw , lethargy, syncopal episodes
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 17.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Underdose
Clinical narrative: Pfizer 5-11 dose given instead of Pfizer 11+ This was a booster dose
Age: 36.0
Sex: U
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Discomfort, Erythema, Fatigue, Injection site erythema
Clinical narrative: 24 hours after vaccination patient was running a fever of 102, fatigued, and had body aches. Injection site was sore and armpit was sore and slightly swollen. Managed symptoms with tylenol and ibuprofen and cold packs. About 48 hours after vaccination we noticed more  swelling and redness at injection site and a lot more swelling and redness underarm and in armpit and it was hot to the touch. Over the next several hours the redness and swelling continued to get worse, and redness was spreading to chest and back from armpit. Area was hot and swollen and uncomfortable. Patient was around 100 all day. Symptoms were managed with ibuprofen and cold packs. That evening we went to an urgent care facility to make sure there was not an infection. They suggested monitoring closely and watching for more spreading or swelling. By following day fever was gone and redness had not gotten worse. 96 hours after vaccination redness and swelling started to go away.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: 24 hours after vaccination patient was running a fever of 102, fatigued, and had body aches. Injection site was sore and armpit was sore and slightly swollen. Managed symptoms with tylenol and ibuprofen and cold packs. About 48 hours after vaccination we noticed more  swelling and redness at injection site and a lot more swelling and redness underarm and in armpit and it was hot to the touch. Over the next several hours the redness and swelling continued to get worse, and redness was spreading to chest and back from armpit. Area was hot and swollen and uncomfortable. Patient was around 100 all day. Symptoms were managed with ibuprofen and cold packs. That evening we went to an urgent care facility to make sure there was not an infection. They suggested monitoring closely and watching for more spreading or swelling. By following day fever was gone and redness had not gotten worse. 96 hours after vaccination redness and swelling started to go away.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: 24 hours after vaccination patient was running a fever of 102, fatigued, and had body aches. Injection site was sore and armpit was sore and slightly swollen. Managed symptoms with tylenol and ibuprofen and cold packs. About 48 hours after vaccination we noticed more  swelling and redness at injection site and a lot more swelling and redness underarm and in armpit and it was hot to the touch. Over the next several hours the redness and swelling continued to get worse, and redness was spreading to chest and back from armpit. Area was hot and swollen and uncomfortable. Patient was around 100 all day. Symptoms were managed with ibuprofen and cold packs. That evening we went to an urgent care facility to make sure there was not an infection. They suggested monitoring closely and watching for more spreading or swelling. By following day fever was gone and redness had not gotten worse. 96 hours after vaccination redness and swelling started to go away.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Mental impairment, SARS-CoV-2 test negative, Sinus pain
Clinical narrative: Headache, fatigue, sinus pain, cloudy thinking.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, Neck pain, Pain
Clinical narrative: 12/30/21 @2130, patient experienced chest pain, centralized that radiated to the neck bilaterally, he then went to sleep. Had another episode with SOB and went to ER 12/31/21, Covid-19 positive incidentally- no s/s. Patient admitted.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 12/30/21 @2130, patient experienced chest pain, centralized that radiated to the neck bilaterally, he then went to sleep. Had another episode with SOB and went to ER 12/31/21, Covid-19 positive incidentally- no s/s. Patient admitted.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Balance disorder, Chest X-ray normal, Chest discomfort, Dizziness
Clinical narrative: Within 24 hrs a lot of dizziness and racing heart. By 12/10/21 began to notice "heart jabs" and dizziness to point of feeling like falling over. On 12/17/21 called HCP as jabs were waking me up in the night; recommended I go to ER which I did. HCP incorrectly called me "past history of pericarditis" - this was a misrepresentation of our conversation. Also incorrectly stated that jabs came on with deep breathing. I NEVER said that at any time. HCP recommended ibuprofen (although that was NOT included in the discharge papers), which I began upon return home. Ibuprofen did provide relief, but after 3 consecutive days, despite concomitant use of famotidine, stomach would get very upset, so I would skip a day and heart jabs would return. They are gradually becoming less prominent and less frequent. There is no activity that I can tie to the occurrence of these feelings in my chest. I have had no chest wall injury or any activity that exacerbates the episodes. Moving muscles around the area of pain does nothing to worsen or relieve the episodes. HCP in ER never asked any of these questions.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Palpitations, Sleep disorder, Troponin normal
Clinical narrative: Within 24 hrs a lot of dizziness and racing heart. By 12/10/21 began to notice "heart jabs" and dizziness to point of feeling like falling over. On 12/17/21 called HCP as jabs were waking me up in the night; recommended I go to ER which I did. HCP incorrectly called me "past history of pericarditis" - this was a misrepresentation of our conversation. Also incorrectly stated that jabs came on with deep breathing. I NEVER said that at any time. HCP recommended ibuprofen (although that was NOT included in the discharge papers), which I began upon return home. Ibuprofen did provide relief, but after 3 consecutive days, despite concomitant use of famotidine, stomach would get very upset, so I would skip a day and heart jabs would return. They are gradually becoming less prominent and less frequent. There is no activity that I can tie to the occurrence of these feelings in my chest. I have had no chest wall injury or any activity that exacerbates the episodes. Moving muscles around the area of pain does nothing to worsen or relieve the episodes. HCP in ER never asked any of these questions.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Adverse event: Vaccine was administered 3 weeks after beyond use date and is less effective. Treatment: Pt returning to our office for additional vaccine based on Pfizer and State recommendations.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Breast pain, Breast swelling, Fatigue
Clinical narrative: 1st 24 hour: Extreme pain at left arm injection site, fatigue, overall body pain (muscles & joints), sore/swollen breasts, and brain fog. 10/9/2021-Present: Fatigue, sore breasts, menstrual issues (unusual bleeding: random spotting when not menstruating, heavier than usual bleeding during menstruation, longer & shorter menstrual bleeding), one short 17 day cycle with no ovulation, abdominal pains in reproductive area (lower abdomen)
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Heavy menstrual bleeding, Injection site pain, Intermenstrual bleeding, Lyme disease
Clinical narrative: 1st 24 hour: Extreme pain at left arm injection site, fatigue, overall body pain (muscles & joints), sore/swollen breasts, and brain fog. 10/9/2021-Present: Fatigue, sore breasts, menstrual issues (unusual bleeding: random spotting when not menstruating, heavier than usual bleeding during menstruation, longer & shorter menstrual bleeding), one short 17 day cycle with no ovulation, abdominal pains in reproductive area (lower abdomen)
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Oligomenorrhoea, Pain, Polymenorrhoea, Ultrasound scan
Clinical narrative: 1st 24 hour: Extreme pain at left arm injection site, fatigue, overall body pain (muscles & joints), sore/swollen breasts, and brain fog. 10/9/2021-Present: Fatigue, sore breasts, menstrual issues (unusual bleeding: random spotting when not menstruating, heavier than usual bleeding during menstruation, longer & shorter menstrual bleeding), one short 17 day cycle with no ovulation, abdominal pains in reproductive area (lower abdomen)
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Oedema peripheral, Pain, Pyrexia, Rash
Clinical narrative: Friday the 7th when I received the shot I was fine, Saturday the 8th I had a fever and body aches, Sunday the 9th I felt better but my armpit was hurting a lot and was swollen, Monday the 10th my armpit was hurting and swollen and I started to notice a spot on my neck by my jaw line on my left side, tuesday the 11th my armpit started feeling better but the spot on my neck got bigger and I started putting cortisone cream on it, Wednesday the 12th my armpit was feeling much better but the spot on my neck was super itchy and my throat was scratchy so I took Benadryl, today is Thursday the 13th and my armpit is good but my neck is really itchy and hurts to the touch. I?ve been putting cortisone cream on it and still taking Benadryl.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Tenderness, Throat irritation
Clinical narrative: Friday the 7th when I received the shot I was fine, Saturday the 8th I had a fever and body aches, Sunday the 9th I felt better but my armpit was hurting a lot and was swollen, Monday the 10th my armpit was hurting and swollen and I started to notice a spot on my neck by my jaw line on my left side, tuesday the 11th my armpit started feeling better but the spot on my neck got bigger and I started putting cortisone cream on it, Wednesday the 12th my armpit was feeling much better but the spot on my neck was super itchy and my throat was scratchy so I took Benadryl, today is Thursday the 13th and my armpit is good but my neck is really itchy and hurts to the touch. I?ve been putting cortisone cream on it and still taking Benadryl.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event, Product storage error
Clinical narrative: Adverse event: Vaccine was administered 3 weeks after beyond use date and is less effective. Treatment: Pt returning to our office for additional vaccine based on Pfizer and State of MA recommendations.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PT RECEIVED MONDERNA AS FIRST DOSE AND RECEIVED PFIZER AS SECOND DOSE.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Concussion, Dizziness, Fall, Head injury, Nasal discomfort
Clinical narrative: Fainted - after using bathroom, felt light-headed, sat down for a bit, stood up and woke up on floor with scratched, sore nose. Assume I fainted and hit head on door on way to floor. Not sure how long I was out. Probably suffered a mild concussion,
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Syncope
Clinical narrative: Fainted - after using bathroom, felt light-headed, sat down for a bit, stood up and woke up on floor with scratched, sore nose. Assume I fainted and hit head on door on way to floor. Not sure how long I was out. Probably suffered a mild concussion,
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: Extreme itchiness, hives and dermatographia after third dose of Moderna.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: I immediately started experiencing a severe headache that lasted for 2 months after Dose 1. My doctor advised me at first not to take the vaccine. I did anyway so I could see my new grandchild and the headache continued after Dose 2. As of present I'm still suffering from fatigue.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Adverse event: Vaccine was administered 3 weeks after beyond use date and is less effective. Treatment: Pt returning to our office for additional vaccine based on Pfizer and State recommendations.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Deafness unilateral, Injection site pain, Musculoskeletal stiffness, Neck pain
Clinical narrative: Within 2 hours after injection patient started experiencing pain left arm pain around in injection site and extending down his arm all the way to his wrist. This pain was described as 5 of 10 on 10 point pain scale. Patient woke up at 6 am the next morning with symptoms of moderate facial swelling mostly to right cheek, hearing loss to right ear, blurred vision to right eye, neck stiffness, and neck pain to the posterior right side extending down his upper back.  Symptoms still persist today but have improved. Facial swelling has improved as well as arm pain. His vision remains blurred and he 's still experiencing hearing loss, both to the right side.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Swelling face, Vision blurred
Clinical narrative: Within 2 hours after injection patient started experiencing pain left arm pain around in injection site and extending down his arm all the way to his wrist. This pain was described as 5 of 10 on 10 point pain scale. Patient woke up at 6 am the next morning with symptoms of moderate facial swelling mostly to right cheek, hearing loss to right ear, blurred vision to right eye, neck stiffness, and neck pain to the posterior right side extending down his upper back.  Symptoms still persist today but have improved. Facial swelling has improved as well as arm pain. His vision remains blurred and he 's still experiencing hearing loss, both to the right side.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Per orders of the patient's hematologist/oncologist -Dr a 4th full dose (0.5mL) of Moderna was administered to the patient on 1/12/22,
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Depression, Insomnia, Magnetic resonance imaging head, Tinnitus
Clinical narrative: Ringing in ears resulting in insomnia, contributing to depression and anxiety episode
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cognitive disorder, Laboratory test, Tremor
Clinical narrative: Patient reports having tremors in neck and down right arm, lastly 30 secs.  Two weeks later patient ( around 10/24/2021) was found to be driving on the wrong side of the road (twice in one week).  Patient went to see PCP  and was sent to another physician for cognitive testing. He told patient that it "wasn't alzheimer's or dementia  that it was from covid."
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood culture positive, Body temperature increased, COVID-19, Chest X-ray normal, Confusional state
Clinical narrative: Covid19 breakthrough.  1st vaccine on 01/14/2021.  Pt states had booster on 10/10/2021 but lot # not available.  80 y/o presents to ED with 4 day history of shaking, incoherent speech, increased confusion, hallucinations, decreased oral intake and sleeping more than usual.  T-101.5 and Urine/Blood cultures + for Staph Lugdunensis.  CXR no acute and Room air sat 98%.  Started IV ABX/Steroids.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Culture urine positive, Hallucination, Hypophagia, Incoherent, SARS-CoV-2 test positive
Clinical narrative: Covid19 breakthrough.  1st vaccine on 01/14/2021.  Pt states had booster on 10/10/2021 but lot # not available.  80 y/o presents to ED with 4 day history of shaking, incoherent speech, increased confusion, hallucinations, decreased oral intake and sleeping more than usual.  T-101.5 and Urine/Blood cultures + for Staph Lugdunensis.  CXR no acute and Room air sat 98%.  Started IV ABX/Steroids.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Somnolence, Staphylococcal infection, Tremor, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine on 01/14/2021.  Pt states had booster on 10/10/2021 but lot # not available.  80 y/o presents to ED with 4 day history of shaking, incoherent speech, increased confusion, hallucinations, decreased oral intake and sleeping more than usual.  T-101.5 and Urine/Blood cultures + for Staph Lugdunensis.  CXR no acute and Room air sat 98%.  Started IV ABX/Steroids.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chest pain, Diarrhoea, Headache, Myalgia
Clinical narrative: Rash, nausea, vomiting, diarrhea, chest pain, headaches, muscle and joint pain.  after having received her 1st Pfizer vaccine on Jan 4th, 2022. Patient reports that she received the vaccine and midday and during the evening, she developed multiple symptoms
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Rash, Vomiting
Clinical narrative: Rash, nausea, vomiting, diarrhea, chest pain, headaches, muscle and joint pain.  after having received her 1st Pfizer vaccine on Jan 4th, 2022. Patient reports that she received the vaccine and midday and during the evening, she developed multiple symptoms
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chest pain, Diarrhoea, Dyspnoea, Headache
Clinical narrative: Rash, nausea, vomiting, diarrhea, chest pain, headaches, muscle and joint pain.  after having received her 1st Pfizer vaccine on Jan 4th, 2022. Patient reports that she received the vaccine and midday and during the evening, she developed multiple symptoms
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint stiffness, Joint swelling, Lymphadenopathy, Nausea, Pain
Clinical narrative: Rash, nausea, vomiting, diarrhea, chest pain, headaches, muscle and joint pain.  after having received her 1st Pfizer vaccine on Jan 4th, 2022. Patient reports that she received the vaccine and midday and during the evening, she developed multiple symptoms
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Rash
Clinical narrative: Rash, nausea, vomiting, diarrhea, chest pain, headaches, muscle and joint pain.  after having received her 1st Pfizer vaccine on Jan 4th, 2022. Patient reports that she received the vaccine and midday and during the evening, she developed multiple symptoms
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chest pain, Diarrhoea, Headache, Myalgia
Clinical narrative: After receiving vaccine and waited 15 min I went home and started feeling nausea, diarrhea, body ache, joint stiffness, swelling, pain, head ache, swollen neck gland, shortness of breath, chest pain, tingling of arms and legs and a rash.  Rash lasted 3 days but other symptoms are still there, some come and go.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Rash, Vomiting
Clinical narrative: After receiving vaccine and waited 15 min I went home and started feeling nausea, diarrhea, body ache, joint stiffness, swelling, pain, head ache, swollen neck gland, shortness of breath, chest pain, tingling of arms and legs and a rash.  Rash lasted 3 days but other symptoms are still there, some come and go.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chest pain, Diarrhoea, Dyspnoea, Headache
Clinical narrative: After receiving vaccine and waited 15 min I went home and started feeling nausea, diarrhea, body ache, joint stiffness, swelling, pain, head ache, swollen neck gland, shortness of breath, chest pain, tingling of arms and legs and a rash.  Rash lasted 3 days but other symptoms are still there, some come and go.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint stiffness, Joint swelling, Lymphadenopathy, Nausea, Pain
Clinical narrative: After receiving vaccine and waited 15 min I went home and started feeling nausea, diarrhea, body ache, joint stiffness, swelling, pain, head ache, swollen neck gland, shortness of breath, chest pain, tingling of arms and legs and a rash.  Rash lasted 3 days but other symptoms are still there, some come and go.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Rash
Clinical narrative: After receiving vaccine and waited 15 min I went home and started feeling nausea, diarrhea, body ache, joint stiffness, swelling, pain, head ache, swollen neck gland, shortness of breath, chest pain, tingling of arms and legs and a rash.  Rash lasted 3 days but other symptoms are still there, some come and go.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid now
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Patient received her first Shingrix vaccine on 12/7/21, and received her second dose of same series on 1/11/22. Patient and her primary care physician were notified of the error on 1/13/22. Patient has had no adverse effects except for a sore arm where the injection was given. Pharmacist contacted GSK manufacturer to see if there was any data (efficacy/safety) in receiving the second dose a month early. GSK stated they did not have any studies or data BUT the CDC states if a person is immunocompromised, they may receive their second Shingrix dose 1 to 2 months after their first. This patient, is not immunocompromised but has comorbidities.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Pneumonia, Tongue erythema, Tongue geographic, Tongue ulceration
Clinical narrative: Developed URI symptoms the week following the injection. Then on the 19th, parents noted a distinct targetoid lesion on the tongue with concentric bright red annular rings. this was non painful. These occurred in the setting of a URI.  Seen in Urgent Care on 12/24. Diagnosed with LLL pneumonia and started on azithromycin. Pictures taken and saved in patients chart for reference. Dermatology reviewed images and felt most consistent with geographic tongue. He continues to improve, but lesions on tongue still present. I have seen a lot of geographic tongue, but never one that has a targetoid appearance.  No other skin findings by report. He is overall healthy now. Planning to get second Pfizer injection tomorrow.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Upper respiratory tract infection
Clinical narrative: Developed URI symptoms the week following the injection. Then on the 19th, parents noted a distinct targetoid lesion on the tongue with concentric bright red annular rings. this was non painful. These occurred in the setting of a URI.  Seen in Urgent Care on 12/24. Diagnosed with LLL pneumonia and started on azithromycin. Pictures taken and saved in patients chart for reference. Dermatology reviewed images and felt most consistent with geographic tongue. He continues to improve, but lesions on tongue still present. I have seen a lot of geographic tongue, but never one that has a targetoid appearance.  No other skin findings by report. He is overall healthy now. Planning to get second Pfizer injection tomorrow.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Dyspnoea, Echocardiogram, Electrocardiogram, Heart rate increased
Clinical narrative: A week and half later, I started having SOB and my heart rate would go really high. I went to the ER. They did Echocardiogram, MRI, EKG, and CT scan. They found that my aortic valve was not closing. They said that the vaccine could have irritated the valve. I winded up having surgery.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Heart valve incompetence, Heart valve operation, Magnetic resonance imaging
Clinical narrative: A week and half later, I started having SOB and my heart rate would go really high. I went to the ER. They did Echocardiogram, MRI, EKG, and CT scan. They found that my aortic valve was not closing. They said that the vaccine could have irritated the valve. I winded up having surgery.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 1/6/22 documented to have positive covid. PT received Moderna 3/5/21 Lot 027A21A for dose 1. Dose 2 was Moderna given on 4/2/21 Lot 017B21A. PT received Moderna Booster on 11/23/21 Lot 017B21A.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Erythema, Hypersensitivity, Pruritus, Urticaria
Clinical narrative: 3/8/21 had first vax. 4/5/21 had second vax. Weeks later started to notice red spots on bottom of feet the itched. This continued until a full blown outbreak on 8/12/21. Hives on hands, feet, arms and legs. Very itchy. Also had itching in hairline at base of neck and ears.  Went to Dermatologist same day. Had punch biopsy. Results were hypersensitivity to drug. Hive lasted until 10/5/21. Only experienced few red spots primarily around elbows. Next outbreak was on 12/22/21 and lasted about one week. Less severe than initial outbreak. To date, still get a handful of red spots around elbows.
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Pain in extremity, Pyrexia, Rash, Urticaria
Clinical narrative: Pfizer dose 2: 3/24/2021, Gym, Right Arm,11:30 AM                          3/25/2021 rash/hives and low-grade fever (took Benadryl)  Contacted a PA: She suggested Benadryl.  Also contacted a PA before getting the booster and they suggested switching up since I had a reaction to Pfizer.  Moderna booster: 11/27/2021 (Saturday), Pharmacy, Left Arm, 4:30 Symptoms: 11/28/2021 (Sunday) Sore arm, swollen arm pit, and achy (morning, all day)                                            (Sunday night) Hives/rash on my shoulders.                      11/29/201 (Monday) Sore arm and arm pit swollen more than Sunday (all day) hives/rash spread to neck, face, and down my sides. (took Bena 11/30/2021 (Tuesday) Arm pit still swollen but decreased a lot from Monday and still some rash/hives on the left side of my body (injection sight side).
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Discoloured vomit, Fatigue, Malaise, Nausea
Clinical narrative: Patient is a 77 y.o. White or Caucasian male who presents with complaint of worsening weakness, nausea, vomiting.  Report of dark emesis prior to admission in facility.  Patient endorses that he hasnt felt well for approximately 2 week.  Primarily complaints to include weakness, fatigue, nausea and more recently past day or two emesis.  patient admitted on 1/6/22.  Booster was given on 12/21/2022.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Patient is a 77 y.o. White or Caucasian male who presents with complaint of worsening weakness, nausea, vomiting.  Report of dark emesis prior to admission in facility.  Patient endorses that he hasnt felt well for approximately 2 week.  Primarily complaints to include weakness, fatigue, nausea and more recently past day or two emesis.  patient admitted on 1/6/22.  Booster was given on 12/21/2022.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.   COVID infection breakthrough with inpatient hospital stay.   LOT NUMBER OF VACCINE 1 NOT DOCUMENTED
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: When I spoke with patient she did not have any adverse events. She stated that she was feeling normal. Advised to watch for symptoms and reach out to the clinic if she had questions.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Adverse event: Vaccine was administered 3 weeks after beyond use date and is less effective. Treatment: Pt returning to our office for additional vaccine based on Pfizer and State recommendations.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid breakthrough case
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after beyond use date of 12/22/21.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood thyroid stimulating hormone, C-reactive protein normal, Chest pain, Echocardiogram abnormal
Clinical narrative: Pt w/sharp chest pain 1 day after vaccination + palpitations. Chest pain worse with laying back. Symptoms persisting into 1/13/22, though much improved. Echo 1/13/22 reveals trivial pericardial effusion. Suspect vaccine-induced pericarditis.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Metabolic function test, Palpitations, Pericardial effusion, Pericarditis
Clinical narrative: Pt w/sharp chest pain 1 day after vaccination + palpitations. Chest pain worse with laying back. Symptoms persisting into 1/13/22, though much improved. Echo 1/13/22 reveals trivial pericardial effusion. Suspect vaccine-induced pericarditis.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal
Clinical narrative: Pt w/sharp chest pain 1 day after vaccination + palpitations. Chest pain worse with laying back. Symptoms persisting into 1/13/22, though much improved. Echo 1/13/22 reveals trivial pericardial effusion. Suspect vaccine-induced pericarditis.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Product storage error
Clinical narrative: Adverse event: Vaccine was administered 3 weeks after beyond use date and is less effective. Treatment: Pt returning to our office for additional vaccine based on Pfizer and State recommendations.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chills, Dizziness, Injection site erythema, Myalgia
Clinical narrative: Right upper arm redness, swelling, pain, fever, chills, myalgias, right axillary swelling, dizziness, loss of stability on feet.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Pain, Pyrexia, Swelling
Clinical narrative: Right upper arm redness, swelling, pain, fever, chills, myalgias, right axillary swelling, dizziness, loss of stability on feet.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event, Product storage error
Clinical narrative: Adverse event: Vaccine was administered 3 weeks after beyond use date and is less effective. Treatment: Pt returning to our office for additional vaccine based on Pfizer and State recommendations.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Diarrhoea, Excessive eye blinking
Clinical narrative: Received a steroid shot the same day. Later that night she had serious diarrhea and her eyes started blinking uncontrollable. Blood pressure shot up to 185/101. Been to the ER 3xs and urgent care twice. She was put on prednisone which made her have trouble breathing .
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular, Sensory loss, Vaccine breakthrough infection
Clinical narrative: Extreme shift in menstrual cycle. Did nit have it for the entire month of august, then had it for the entirety of September, half of October, twice in December. After being fully vaccinated, I had a breakthrough case of COVID over the holiday which caused me to start my cycle early yet again in January. I started birth control in hopes to regulate it, so far it has overridden it in my first month. My cycles went from being fairly light, minimal day of pain (a couple days at most), lasting 3-5 days. And now they last on average 10 days, very heavy bleeding, and pain for the entire duration of the cycle, along with about a week of pain, sensory, cramping a week before.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event, Product storage error
Clinical narrative: Adverse event: Vaccine was administered 3 weeks after beyond use date and is less effective. Treatment: Pt returning to our office for additional vaccine based on Pfizer recommendations.