chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: COVID19, PPV
Symptoms: Ultrasound Doppler, Vasodilatation
Clinical narrative: The day after the third dose I felt unwell but on the second day I started to have trouble breathing and my heart rate got erratic. It would go up for no reason and then it went back down. I couldn't seem to get enough air. I checked my Oxygen and it was a little lower than normal between 92-94% when I usually run close to 100. I waited until the next day and my doctor told me to go to the ER. I was tested and the tests area negative. A couple of days after when The next day I knew my left arm was in trouble because my vein was enlarged and rock hard. It was very sore and a visible enlargement of the vein in my arm. I have had had infusions and problems in that arm before so I knew there was something wrong. I called my doctor and I was given a Doppler scan on my left arm. I was diagnosed with a superficial clot in my arm. I was prescribed Eliquis at a higher dose and then tapered off. The Eliquis was discontinued on 10/01/2021 to prepare for surgery. I am a current Cancer patient. The clot seems to have resolved and my breathing problems are better. I was not given any lot numbers or information about my shots.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine error-vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Dizziness, Electrocardiogram, Gait disturbance, Headache
Clinical narrative: Dizziness; head spinning; gait issues; unable to focus or see straight; sharp pains in the back of my head. I was unable to walk straight or drive my vehicle. Dehydration and unable to think clearly.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Laboratory test, Mental impairment, SARS-CoV-2 test, Vertigo
Clinical narrative: Dizziness; head spinning; gait issues; unable to focus or see straight; sharp pains in the back of my head. I was unable to walk straight or drive my vehicle. Dehydration and unable to think clearly.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Dizziness; head spinning; gait issues; unable to focus or see straight; sharp pains in the back of my head. I was unable to walk straight or drive my vehicle. Dehydration and unable to think clearly.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Dyspepsia, Electrocardiogram
Clinical narrative: Severe chest pains, ER visit following. No definitive cause determined. Possibly heartburn.  Condition started after first shot and has continued ever since.  Now on daily prescription heartburn medicine to control this new condition.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, IgA nephropathy, Renal impairment
Clinical narrative: My kidney results were stable in March. The next time I did the kidney labs on August 2nd, 2021 it had more than doubled. Clearly my disease was progressing. Then I did telehealth with Dr. on 08/11/2021.  I  changed my diet and took the test again.  I dropped off my jug  on 09/03/2021 in the morning, I received my 3rd Pfizer shot that afternoon.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Hyperhidrosis, Interchange of vaccine products, Pallor
Clinical narrative: Patient received a J&J shot around 11 am. She was in the observation area for a 1 hour observation per patient request due to her reaction to the Moderna vaccine in March (patient reported shortness of breath and throat swelling but did not seek emergency care). After about 40 minutes, she complained of dizziness and appeared pale and diaphoretic. She was lowered to the ground and legs were propped up on a chair. She did not lose consciousness. Patient was then assisted to a wheelchair and then over to the gurney. She complained of chest tightness that began when she was lying on the ground. Patient was advised to go to the ER for a workup due to cardiac history and chest tightness. She wanted to wait a while to see how she felt. She rested for another 20 minutes and said her chest tightness subsided a little but was still present and had moved to the left side of her chest. She agreed to go to the ER and was transported via wheelchair. VS: 142/78 HR 75 99% on RA.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Impaired work ability, Influenza, Peripheral swelling, Pyrexia
Clinical narrative: The second shot my arm was swollen for maybe 5 days but it went away. Roughly about 3 weeks I had a fever and chills, went to the doctor and it was determined I had the flu. I was out of work for 5 days. I took medicine and stayed hydrated.  The end of September I had sinus issues and really bad sinuses. I went to the doctor and COVID test came back negative, they told me I just had a sinus infection. I was prescribed amoxicillin. It has been 3 weeks, and I am still having sinus issues. I can breathe through my nose though. I feel like my body is reacting differently now with the sinus infection than it previously has reacted.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinus disorder, Sinusitis
Clinical narrative: The second shot my arm was swollen for maybe 5 days but it went away. Roughly about 3 weeks I had a fever and chills, went to the doctor and it was determined I had the flu. I was out of work for 5 days. I took medicine and stayed hydrated.  The end of September I had sinus issues and really bad sinuses. I went to the doctor and COVID test came back negative, they told me I just had a sinus infection. I was prescribed amoxicillin. It has been 3 weeks, and I am still having sinus issues. I can breathe through my nose though. I feel like my body is reacting differently now with the sinus infection than it previously has reacted.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Dyspnoea, Ear discomfort, Ear infection, Fatigue
Clinical narrative: Altered taste and smelling things not present such as smoke. My taste and smell have been "off" since the evening or receiving the vaccine. Things don't taste right. I keep smelling things that are not present, and my normally sensitive smell is off. Sensory issues: Feelings of poky/stinging sensations in my arms, hands, shoulder, legs, and feet. Ears plugged up the day I received the shot. Now diagnosed with an ear infection. Winded and out of breath. Daily headaches General feeling of being unwell. Lethargy and fatigue.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Hallucination, olfactory, Headache, Lethargy, Malaise, Paraesthesia
Clinical narrative: Altered taste and smelling things not present such as smoke. My taste and smell have been "off" since the evening or receiving the vaccine. Things don't taste right. I keep smelling things that are not present, and my normally sensitive smell is off. Sensory issues: Feelings of poky/stinging sensations in my arms, hands, shoulder, legs, and feet. Ears plugged up the day I received the shot. Now diagnosed with an ear infection. Winded and out of breath. Daily headaches General feeling of being unwell. Lethargy and fatigue.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia, SARS-CoV-2 test, Taste disorder
Clinical narrative: Altered taste and smelling things not present such as smoke. My taste and smell have been "off" since the evening or receiving the vaccine. Things don't taste right. I keep smelling things that are not present, and my normally sensitive smell is off. Sensory issues: Feelings of poky/stinging sensations in my arms, hands, shoulder, legs, and feet. Ears plugged up the day I received the shot. Now diagnosed with an ear infection. Winded and out of breath. Daily headaches General feeling of being unwell. Lethargy and fatigue.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient received a Covid Pfizer vaccine but was originally given Moderna (2 doses) and should not have received Pfizer dose
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: On September 25th my leg started hurting really bad. I called Monday to make an appointment because I thought I might have done something to my muscle. I went Tuesday 09/28/2021 and I take blood thinner so my Doctor said he did not think I would have a blood clot, but they did an Ultrasound and I did have a blood clot in my leg. They put me on Eliquis and said I would need to be treated for three months.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Moderna given as first shot 09/01/2021. Pfizer given as second shot 10/06/2021.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: RASH AND SWELLING AT INJECTION SITE SHORTLY AFTETR INJECTION ON 9/30/21.  AS OF TODAY 10/6/21, SWELLING IS GONE, RASH IS STILL THERE
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: Patient reported swelling of the throat after receiving first dose of Pfizer Vaccine. Per protocol, 50mg Diphenhydramine administered IM to Right Upper Quadrant- Gluteal. Lot #6123821 Exp date 03/22. Immediate response to Benadryl, no further medication administration required. Patient discharged 30 minutes post vaccination.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Feeding disorder, Hypoaesthesia, Insomnia, Pain, Paraesthesia
Clinical narrative: 101.5 Fever, body aches, couldn't sleep or eat. Felt exactly like having COVID but more intense in a shorter time frame. Also felt numb and tingling in my arms and legs.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 101.5 Fever, body aches, couldn't sleep or eat. Felt exactly like having COVID but more intense in a shorter time frame. Also felt numb and tingling in my arms and legs.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash papular, Rash pruritic
Clinical narrative: skin rash over large areas - raised bumps - itching - seen by dr at yearly visit
Age: 68.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Peripheral swelling
Clinical narrative: PATIENT PRESENTED WITH SWOLLEN RIGHT UPPER ARM BELOW THE DELTOID MUSCLE BUT ABOVE ELBOW. SHE HAD NOT TAKEN ANY TREATMENT, COUNSELLED TO TAKE SOME BENADRYL AND IF SYMPTOMS PERSIST SEEK MEDICAL ATTENTION.
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Peripheral swelling, Pharyngeal swelling, Rash, Rash pruritic, Swelling face
Clinical narrative: On 10/5/21 I started to experience swelling in my face, this was coming on rapidly and followed by an itchy rash all over my body. I took 50 mg of Benadryl and went to bed. I woke up at 2:30 in the morning and had swelling in my tongue and throat as well as the continued rash and itchiness and swelling of the face. At 8 AM I called the urgent care where I got my vaccination and then I went in for an evaluation. They gave me an injection of decadron and a prednisone dose pack. As the day progressed the swelling in my throat cleared and almost all the swelling in my tongue. My foot is swelling minimized but was still there and the rash minimized.
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Swollen tongue
Clinical narrative: On 10/5/21 I started to experience swelling in my face, this was coming on rapidly and followed by an itchy rash all over my body. I took 50 mg of Benadryl and went to bed. I woke up at 2:30 in the morning and had swelling in my tongue and throat as well as the continued rash and itchiness and swelling of the face. At 8 AM I called the urgent care where I got my vaccination and then I went in for an evaluation. They gave me an injection of decadron and a prednisone dose pack. As the day progressed the swelling in my throat cleared and almost all the swelling in my tongue. My foot is swelling minimized but was still there and the rash minimized.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Headache, Hypoaesthesia, Mobility decreased
Clinical narrative: Next day sore arm and numb. Unable to lift arm above head. Shortness of breath. Tightness in chest. Headache.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Next day sore arm and numb. Unable to lift arm above head. Shortness of breath. Tightness in chest. Headache.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: Headache, fever, fatigue, sore arm lasting 18 hours
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No  adverse reaction
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Vaccination site swelling, Vaccination site warmth
Clinical narrative: swelling (size of a dime), redness, and warmth at the site of vaccination and surrounding area/shoulder, total area approx 3 inches
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient arrived at vaccine site at approximately 1520 reporting that she had received dose 1 of the AstraZeneca COVID vaccine (lot 77673) in Mexico on 7/23/2021. She requested to receive the Pfizer COVID vaccine. PHN called PHN supervisor and the medical team. Dr from the medical team approved Pfizer vaccine series for the patient. Patient received dose 1 of the Pfizer COVID vaccine (lot 30145BA) at 1530. Patient waited in observation area, no report of adverse symptoms. Patient left walking at approximately 1548 with steady gait.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed, Paraesthesia, Pruritus, Rash, Rash vesicular
Clinical narrative: Patient reports intermittent generalized skin rash with blisters, "welts", and associated intermittent itching and "pins and needles" sensation. Occurs 4-5x per day and began 3 days after she received her first dose of Pfizer COVID-19 vaccine. Mainly occurs on her extremities and back but she also notices it on her face. Also reports her menstrual cycle is 2 days late and it is usually regular and always on time.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient reports intermittent generalized skin rash with blisters, "welts", and associated intermittent itching and "pins and needles" sensation. Occurs 4-5x per day and began 3 days after she received her first dose of Pfizer COVID-19 vaccine. Mainly occurs on her extremities and back but she also notices it on her face. Also reports her menstrual cycle is 2 days late and it is usually regular and always on time.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: 2nd for vaccination in July.  Since that time, day of the 2nd vaccine he has had intermittent ?hives".  Describes a generalized rash "under the skin" happening a few times/week, lasting minutes to hours, itchy.  History of hives as a child.  Mother reports that this is similar to his hives as a child.  Taking loratadine which has improved symptoms.  When he forgets to take loratadine notices an outbreak of the rash.  No rash today
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Cerebrovascular accident, Chest pain, Hypoaesthesia
Clinical narrative: Had L side shoulder and chest pain and L arm numbness. Later noticed worsening vision, diagnosed with stroke.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Visual impairment
Clinical narrative: Had L side shoulder and chest pain and L arm numbness. Later noticed worsening vision, diagnosed with stroke.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Emotional distress, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Extremely emotional.  Could not stop crying for 2 days.  My period came 10 days earlier than expected and was heaviest in past 2 years.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Reporting a vaccine administration error.  Patient was given a dose of Moderna vaccine that was expired at the time of administration.  Vial that dose was drawn from was moved from freezer to fridge on 8/30/2021 at 8:45pm, starting a 30 day expiration per manufacturer.   Error was discovered on 10/5/2021 after a subsequent vial from the same box was identified as being expired.  Manufacturer was contacted on 10/6/2021  for guidance.  Manufacturer indicated on 10/6/2021 that they will "conduct an analysis to determine if the vaccine administered past 30 days provided the necessary protection against a COVID-19 infection".  Patient was contacted and informed of the vaccine administration error.  Patient reports no AE's and is awaiting follow up guidance from manufacturer.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Extra dose administered, Injection site discomfort
Clinical narrative: Patient was seen on 10/5/21 for Pfizer Booster vaccine. Approximately 10 minutes into her post observation time she reported SOB and difficulty breathing. I was called into vaccine clinic where I assessed the patient and noted her labored breathing. Per WOG Emergency meds were pulled. 50 mg of Diphenhydramine was administered IM in upper right quadrant of gluteus. After 2 minutes patient was reassessed and declined needing further medication, no epinephrine was administered. Deep breathing practiced with the patient and within moments after the Benadryl injection patient reported feeling better. Her son was present, they denied needing further medical attention and opted to not take her in for further evaluation. I called to follow up with patient and her son today who reported she was doing well and only had mild discomfort at the injection site of her Covid vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Contusion, Pain in extremity
Clinical narrative: Chest pressure almost constant since vaccine. Also sore arm and bruising started 1 week after.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Fatigue, Interchange of vaccine products, Pain, Pain in extremity
Clinical narrative: Patient completed the screening tool and denied having received covid vaccine in the past. Patient was given one dose of Janssen vaccine 0.5mg IM in right deltoid. This medication administration error was noted the following day when the when staff went to enter the vaccine dose into the immunization data base it was determined that the patient had received two doses of Pfizer previously.  Both previous doses were given at clinic (8/18/21 and 9/8/2021).  The nurse upon realizing the error immediately made a follow-up phone call to the patient who initially denied knowledge of receiving prior vaccine. Then indicated that she had only received one dose "because I walked out before they gave it". Student indicates that she is feeling fine. That she has the typical side effects, "sore arm, tired and achy".  Instructed to call nurse if issues or concerns arise.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Impaired quality of life, Insomnia, Pain in extremity, Paraesthesia, Pruritus
Clinical narrative: Since receiving my first Pfizer Covid shot in my left arm in May 2021, I have experienced continuous, painful (pins & needles) and unbearable burning and itching on BOTH of my arms, mostly my forearms.  I have a constant red rash with itching that never subsides, day or night.  It's difficult to sleep at night.  I have tried to put aloe vera ointment on them, various over-the-counter creams and nothing helps to relieve  the pain to any real degree.  The second shot weeks later made it even worse.  Lately, I need to take a Benadryl every night just to be able to sleep but the minute I wake up...the rash, pain in my arms, itching starts all over again.  I hate this!  This "vaccine" has ruined the quality of my life.  I wish I had never gotten this untested, unapproved "vaccine."  I will NOT be taking any booster shots and the government better not force me to with mandates.  I keep hoping this crazy experimental "vaccine" wears off and I can have my life back.  We are not guinea pigs.  This whole thing needs to end until the appropriate tests have been studied carefully.  I have not been to the doctor for my rash because what will they do?
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Since receiving my first Pfizer Covid shot in my left arm in May 2021, I have experienced continuous, painful (pins & needles) and unbearable burning and itching on BOTH of my arms, mostly my forearms.  I have a constant red rash with itching that never subsides, day or night.  It's difficult to sleep at night.  I have tried to put aloe vera ointment on them, various over-the-counter creams and nothing helps to relieve  the pain to any real degree.  The second shot weeks later made it even worse.  Lately, I need to take a Benadryl every night just to be able to sleep but the minute I wake up...the rash, pain in my arms, itching starts all over again.  I hate this!  This "vaccine" has ruined the quality of my life.  I wish I had never gotten this untested, unapproved "vaccine."  I will NOT be taking any booster shots and the government better not force me to with mandates.  I keep hoping this crazy experimental "vaccine" wears off and I can have my life back.  We are not guinea pigs.  This whole thing needs to end until the appropriate tests have been studied carefully.  I have not been to the doctor for my rash because what will they do?
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone increased, C-reactive protein normal, Full blood count, Glycosylated haemoglobin, Metabolic function test
Clinical narrative: 20 minutes after vaccine developed paresthesia bilateral cheeks and both upper and lower lips.  resolved shortly after so went home and reports the same symptoms recurred and haven't resolved since.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Red blood cell sedimentation rate normal
Clinical narrative: 20 minutes after vaccine developed paresthesia bilateral cheeks and both upper and lower lips.  resolved shortly after so went home and reports the same symptoms recurred and haven't resolved since.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysgeusia, Lymphadenopathy
Clinical narrative: Swelling of left lymph node under jaw, salty taste in mouth, slight swelling of right lymph node under jaw, beginning around July 1, 2021  Went to Urgent Care and they prescribed antibiotic for 12 days and suggested getting ultrasound. Went to HCF   Dr  and she ordered an ultrasound. Ultrasound showed swollen lymph node with no hard cyst. Have a follow up scheduled in 4 months. Have salty taste in mouth on left side.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Irritability, Rash, Rash macular, Skin discolouration
Clinical narrative: when I received my first dose I got covid arm. I had a large rash on my right arm. It eventually went away and then came back and went away again. My 2nd dose I got in my left arm because I had a rash on my right arm.  I now have a purple splotch mark on my neck that will not go away. When I should my physician and kidney specialist they say they have no idea! Kinda freakin here. Anyways, I have pictures.Maybe because I have dioxin and agent orange contamination from where I was born the vaccine mutated , I have no clue. Anyways this rash is annoying and embarrassing.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood folate, Blood glucose decreased, Blood potassium decreased, Blood thyroid stimulating hormone increased, Chest X-ray
Clinical narrative: Pancytopenia including platelet nadir of 50,000, Altered mental status, fever and chills.   Patient received 3rd dose of Pfizer on Friday September 24th and has since been feeling more so fatigued, decreased appetite, and having fevers and chills.  ED clinical summary: Vitals T 36.4 °C, P 74, RR 18, BP 167/83, SPO2 95%.  UA unremarkable.  CBC remarkable for hemoglobin 9.9, hematocrit 20.9, platelets 84.  CMP remarkable for potassium 3.3, glucose 105.  Pro-Cal 0.56.  CT head/brain showed no evidence of acute intracranial process.  CXR showed parenchymal clear and left lungs obscured by patient and and cardiac silhouette.  Patient given Rocephin/doxy and Tylenol in ED and admitted for further evaluation. Peripheral smear: Thrombocytopenia demonstrating, morphologically normal platelets. Hemolysis work up negative, folic acid and Vitamin B12 normal.  Does not drink alcohol.  TSH mildly elevated at 5.5 (patient has known history of hypothyroidism).  Ferritin 554. D-Dimer elevated at 798.  Last CBC was in 12/2020 Hb was 13.7 and PLT was 180 at that time.  Patient's platelets decreased to nadir of 50,000 on 4th day of hospitalization and then increased to 66,000 on day 6 without any treatment. patient's mentation improved to baseline on 2-3 day of hospitalization.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram head normal, Decreased appetite, Fatigue, Fibrin D dimer
Clinical narrative: Pancytopenia including platelet nadir of 50,000, Altered mental status, fever and chills.   Patient received 3rd dose of Pfizer on Friday September 24th and has since been feeling more so fatigued, decreased appetite, and having fevers and chills.  ED clinical summary: Vitals T 36.4 °C, P 74, RR 18, BP 167/83, SPO2 95%.  UA unremarkable.  CBC remarkable for hemoglobin 9.9, hematocrit 20.9, platelets 84.  CMP remarkable for potassium 3.3, glucose 105.  Pro-Cal 0.56.  CT head/brain showed no evidence of acute intracranial process.  CXR showed parenchymal clear and left lungs obscured by patient and and cardiac silhouette.  Patient given Rocephin/doxy and Tylenol in ED and admitted for further evaluation. Peripheral smear: Thrombocytopenia demonstrating, morphologically normal platelets. Hemolysis work up negative, folic acid and Vitamin B12 normal.  Does not drink alcohol.  TSH mildly elevated at 5.5 (patient has known history of hypothyroidism).  Ferritin 554. D-Dimer elevated at 798.  Last CBC was in 12/2020 Hb was 13.7 and PLT was 180 at that time.  Patient's platelets decreased to nadir of 50,000 on 4th day of hospitalization and then increased to 66,000 on day 6 without any treatment. patient's mentation improved to baseline on 2-3 day of hospitalization.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Haemolysis, Mental status changes, Pancytopenia
Clinical narrative: Pancytopenia including platelet nadir of 50,000, Altered mental status, fever and chills.   Patient received 3rd dose of Pfizer on Friday September 24th and has since been feeling more so fatigued, decreased appetite, and having fevers and chills.  ED clinical summary: Vitals T 36.4 °C, P 74, RR 18, BP 167/83, SPO2 95%.  UA unremarkable.  CBC remarkable for hemoglobin 9.9, hematocrit 20.9, platelets 84.  CMP remarkable for potassium 3.3, glucose 105.  Pro-Cal 0.56.  CT head/brain showed no evidence of acute intracranial process.  CXR showed parenchymal clear and left lungs obscured by patient and and cardiac silhouette.  Patient given Rocephin/doxy and Tylenol in ED and admitted for further evaluation. Peripheral smear: Thrombocytopenia demonstrating, morphologically normal platelets. Hemolysis work up negative, folic acid and Vitamin B12 normal.  Does not drink alcohol.  TSH mildly elevated at 5.5 (patient has known history of hypothyroidism).  Ferritin 554. D-Dimer elevated at 798.  Last CBC was in 12/2020 Hb was 13.7 and PLT was 180 at that time.  Patient's platelets decreased to nadir of 50,000 on 4th day of hospitalization and then increased to 66,000 on day 6 without any treatment. patient's mentation improved to baseline on 2-3 day of hospitalization.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Procalcitonin, Pyrexia, Serum ferritin increased, Thrombocytopenia
Clinical narrative: Pancytopenia including platelet nadir of 50,000, Altered mental status, fever and chills.   Patient received 3rd dose of Pfizer on Friday September 24th and has since been feeling more so fatigued, decreased appetite, and having fevers and chills.  ED clinical summary: Vitals T 36.4 °C, P 74, RR 18, BP 167/83, SPO2 95%.  UA unremarkable.  CBC remarkable for hemoglobin 9.9, hematocrit 20.9, platelets 84.  CMP remarkable for potassium 3.3, glucose 105.  Pro-Cal 0.56.  CT head/brain showed no evidence of acute intracranial process.  CXR showed parenchymal clear and left lungs obscured by patient and and cardiac silhouette.  Patient given Rocephin/doxy and Tylenol in ED and admitted for further evaluation. Peripheral smear: Thrombocytopenia demonstrating, morphologically normal platelets. Hemolysis work up negative, folic acid and Vitamin B12 normal.  Does not drink alcohol.  TSH mildly elevated at 5.5 (patient has known history of hypothyroidism).  Ferritin 554. D-Dimer elevated at 798.  Last CBC was in 12/2020 Hb was 13.7 and PLT was 180 at that time.  Patient's platelets decreased to nadir of 50,000 on 4th day of hospitalization and then increased to 66,000 on day 6 without any treatment. patient's mentation improved to baseline on 2-3 day of hospitalization.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal, Vitamin B12 normal
Clinical narrative: Pancytopenia including platelet nadir of 50,000, Altered mental status, fever and chills.   Patient received 3rd dose of Pfizer on Friday September 24th and has since been feeling more so fatigued, decreased appetite, and having fevers and chills.  ED clinical summary: Vitals T 36.4 °C, P 74, RR 18, BP 167/83, SPO2 95%.  UA unremarkable.  CBC remarkable for hemoglobin 9.9, hematocrit 20.9, platelets 84.  CMP remarkable for potassium 3.3, glucose 105.  Pro-Cal 0.56.  CT head/brain showed no evidence of acute intracranial process.  CXR showed parenchymal clear and left lungs obscured by patient and and cardiac silhouette.  Patient given Rocephin/doxy and Tylenol in ED and admitted for further evaluation. Peripheral smear: Thrombocytopenia demonstrating, morphologically normal platelets. Hemolysis work up negative, folic acid and Vitamin B12 normal.  Does not drink alcohol.  TSH mildly elevated at 5.5 (patient has known history of hypothyroidism).  Ferritin 554. D-Dimer elevated at 798.  Last CBC was in 12/2020 Hb was 13.7 and PLT was 180 at that time.  Patient's platelets decreased to nadir of 50,000 on 4th day of hospitalization and then increased to 66,000 on day 6 without any treatment. patient's mentation improved to baseline on 2-3 day of hospitalization.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Pain in extremity, Tachycardia, Vaccination site erythema
Clinical narrative: On 09/04/2021, the day after the vaccination, my left upper arm was sore, red, warm and swollen for a whole week, 7 days. I think it was because  the extremely kind and competent,  student pharmacist who administered the shot,  and I don't think she shoved needle in at first so I could feel the cold vaccine just beneath the surface. On 09/04/2021,  the other adverse event I experienced  was fatigue, it's off and on , more than normal. And the fatigue continues until today.   On 10/02/2021 and 10/03/2021, I started to experience the  tachycardia. I would attribute this to the long hours at work,  not the vaccine, which coincided with the long hours.  And I think it resolved yesterday, 10/05/2021.  The fatigue is unknown, because yesterday was okay but today was still weird.  I am grateful for the vaccines and for this call.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: On 09/04/2021, the day after the vaccination, my left upper arm was sore, red, warm and swollen for a whole week, 7 days. I think it was because  the extremely kind and competent,  student pharmacist who administered the shot,  and I don't think she shoved needle in at first so I could feel the cold vaccine just beneath the surface. On 09/04/2021,  the other adverse event I experienced  was fatigue, it's off and on , more than normal. And the fatigue continues until today.   On 10/02/2021 and 10/03/2021, I started to experience the  tachycardia. I would attribute this to the long hours at work,  not the vaccine, which coincided with the long hours.  And I think it resolved yesterday, 10/05/2021.  The fatigue is unknown, because yesterday was okay but today was still weird.  I am grateful for the vaccines and for this call.
Age: 33.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: At injection site: pain, swelling, redness, itching, lump, warm to touch
Age: 33.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site warmth
Clinical narrative: At injection site: pain, swelling, redness, itching, lump, warm to touch
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Cold sweat, Condition aggravated, Dizziness
Clinical narrative: Associate felt dizzy and weak after vaccination, BP was elevated. clammy skin. HR elevated. Monitored closely for 60 minutes. Associate felt better after about 48 minutes post vaccine. Closely monitored. Did not drive home after vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Associate felt dizzy and weak after vaccination, BP was elevated. clammy skin. HR elevated. Monitored closely for 60 minutes. Associate felt better after about 48 minutes post vaccine. Closely monitored. Did not drive home after vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Oral herpes, Oropharyngeal pain
Clinical narrative: Pfeizer 3rd Booster shot October 2, 2021:  The inside of my  mouth broke  out in a Herpes rash; on the outside,  my upper lip broke out into 5 clusters of Herpes cold sores;  throat is sore as a result of this breakout.  I applied ice to lips, Lysene ointment, took Lysene tablets, but nothing helped.   Pfeizer 2nd shot February 12, 2021:  outside on my upper lip- the lip turned red and I felt burning as though I was going to get cold sores,  but I applied ice on lips, took Lysene tablets & applied Lysene ointment and NO  cold sores.  But my reaction to 2nd shot was milder than reaction to 3rd shot.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Pain in extremity, Pyrexia
Clinical narrative: Reporting a vaccine administration error.  Patient was given a dose of Moderna vaccine that was expired at the time of administration.  Vial that dose was drawn from was moved from freezer to fridge on 8/30/2021 at 8:45pm, starting a 30 day expiration per manufacturer.   Error was discovered on 10/5/2021 after a subsequent vial from the same box was identified as being expired.  Manufacturer was contacted on 10/6/2021  for guidance.  Manufacturer indicated on 10/6/2021 that they will "conduct an analysis to determine if the vaccine administered past 30 days provided the necessary protection against a COVID-19 infection".  Patient was contacted and informed of the vaccine administration error.  Patient reported mild AE's consistent with common Covid-19 vaccine AE's (arm pain, low grade fever) that have resolved.  Patient is awaiting follow up guidance from manufacturer.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Lymph node pain, Lymphadenopathy, Tenderness
Clinical narrative: Visible swelling in left clavicle appears to be fluid filled.  Tender, slightly painful. Palpable swelling in left upper breast. This is more diffuse but not visible. Tender.
Age: 77.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: Approximately an hour after receiving this injection, the patient stated he began to have severe left arm pain with movement. There was no pain to palpation over the injection site. The patient states that the pain shoots down his arm to fingers, and is unable to move the shoulder/arm without significant pain, but still has appropriate strength in hand. He took ibuprofen and acetaminophen with minimal relief, and thus returned to the clinic a few hours later.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood electrolytes, Blood magnesium normal, Dyskinesia, Nitrite urine present, Vitamin D
Clinical narrative: 3 hours after injection my right thumb started involuntary movements, which I never ever had before in my life. Went to doctor. Tested my electrolytes, magnesium good, vitamin D 46 but my nitrates were not supposed to be over 19 and were 24. Never ever had that on my test that high, probably due to the shot.
Age: 66.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Postmenopausal haemorrhage, Ultrasound pelvis normal, Ultrasound scan vagina, Vaginal haemorrhage
Clinical narrative: Post-menopausal vaginal bleeding. Light bleeding for one day. Had never occurred since 2008 menopause.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event(s) experienced or reported by patient. Reporting to VAERS due to patient being 16 years of age and Moderna only currently approved for 18+ years old.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Peripheral swelling, X-ray
Clinical narrative: Left arm swollen from to fingers
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy to arthropod sting, Local reaction, Swelling
Clinical narrative: After receiving the shot I have had severe allergic reactions to bee stings, insect bites and allergens. I never had any of these before. My hand swole up to 3 times its size after bee stings, my legs have huge red welts after any insect bite. Previously to the vaccine I never had issues with either bee stings or insect bites.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Reporting a vaccine administration error.  Patient was given a dose of Moderna vaccine that was expired at the time of administration.  Vial that dose was drawn from was moved from freezer to fridge on 8/30/2021 at 8:45pm, starting a 30 day expiration per manufacturer.   Error was discovered on 10/5/2021 after a subsequent vial from the same box was identified as being expired.  Manufacturer was contacted on 10/6/2021  for guidance.  Manufacturer indicated on 10/6/2021 that they will "conduct an analysis to determine if the vaccine administered past 30 days provided the necessary protection against a COVID-19 infection".  Attempted to contact patient on 10/6/2021, and left voicemail for patient to call back to discuss error.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood culture negative, Blood test abnormal, Blood uric acid abnormal, Chronic lymphocytic leukaemia
Clinical narrative: Living with CLL, diagnosed in July 2014, (2) prior rounds of treatment.  A recurrence led to plans for additional treatment, but the only action as of the Covid vaccine date was a prior month of Allopurinal as prophylactic for TLS.  On 6/10, I had an inguinal hernia repair in an outpatient surgery center.  I had noted some pain in the kidney area for a couple of weeks prior, and the medical staff performed a pre-surgical urinalysis to diagnose a potential UTI, which was negative.  The day following my 2nd Moderna injection (6/15) I awoke with mild headache, nausea, and fatigue which lasted for approximately (4) days.    Fast forward to 6/24 (10 days after the vaccination), I appeared to relapse with similar symptoms.  The fatigue and subsequent onset of fever was debilitating. I stopped eating and got weaker and mentally incoherent.  I was taken to the ER on 6/28, and admitted for about (4) days total.  I had a 103F fever, and blood tests showed kidney failure levels of uric acid, etc.  They also showed that my already elevated WBC was spiking.  I was put on IV antibiotic (cephalexin analog I believe), constant hydration, and heparin injections.    After three days the fever resolved.  The Infectious Disease Team was unable to identify any causative organism in the blood culture.  I was released to the care of my Oncologist, who scheduled me for infusions of 2 L. daily hydration for two weeks.  After completion of that regimen, my kidney chemistry was back to normal ranges and I was able to resume regular activities including gym workouts.  Prior to all of this, CLL blood monitoring had tracked my WBC to around 86K, leading to the plan to enter treatment.  While I was hospitalized, they took daily blood draws which showed a large upswing in WBC to roughly 162K.  By the time I was released the WBC was on its way back down to pre-event levels.  Since that time, I have begun the new CLL regimen of Calquence (acalabrutinib), an orally administered kinase inhibitor.  The WBC at the most recent draw was in the low 30K's.  No one has drawn a clear connection between my experiences and the Covid vaccination unless the affect on eating and drinking led to extreme dehydration.  I've previously had CLL/WBC numbers much higher than this with no outward symptoms beyond swollen lymph nodes and splenomegaly.  One of my nurses, during the recent hospitalization, simply suggested that I submit this report due to the odd sequence of events.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Decreased appetite, Dehydration, Fatigue, Headache
Clinical narrative: Living with CLL, diagnosed in July 2014, (2) prior rounds of treatment.  A recurrence led to plans for additional treatment, but the only action as of the Covid vaccine date was a prior month of Allopurinal as prophylactic for TLS.  On 6/10, I had an inguinal hernia repair in an outpatient surgery center.  I had noted some pain in the kidney area for a couple of weeks prior, and the medical staff performed a pre-surgical urinalysis to diagnose a potential UTI, which was negative.  The day following my 2nd Moderna injection (6/15) I awoke with mild headache, nausea, and fatigue which lasted for approximately (4) days.    Fast forward to 6/24 (10 days after the vaccination), I appeared to relapse with similar symptoms.  The fatigue and subsequent onset of fever was debilitating. I stopped eating and got weaker and mentally incoherent.  I was taken to the ER on 6/28, and admitted for about (4) days total.  I had a 103F fever, and blood tests showed kidney failure levels of uric acid, etc.  They also showed that my already elevated WBC was spiking.  I was put on IV antibiotic (cephalexin analog I believe), constant hydration, and heparin injections.    After three days the fever resolved.  The Infectious Disease Team was unable to identify any causative organism in the blood culture.  I was released to the care of my Oncologist, who scheduled me for infusions of 2 L. daily hydration for two weeks.  After completion of that regimen, my kidney chemistry was back to normal ranges and I was able to resume regular activities including gym workouts.  Prior to all of this, CLL blood monitoring had tracked my WBC to around 86K, leading to the plan to enter treatment.  While I was hospitalized, they took daily blood draws which showed a large upswing in WBC to roughly 162K.  By the time I was released the WBC was on its way back down to pre-event levels.  Since that time, I have begun the new CLL regimen of Calquence (acalabrutinib), an orally administered kinase inhibitor.  The WBC at the most recent draw was in the low 30K's.  No one has drawn a clear connection between my experiences and the Covid vaccination unless the affect on eating and drinking led to extreme dehydration.  I've previously had CLL/WBC numbers much higher than this with no outward symptoms beyond swollen lymph nodes and splenomegaly.  One of my nurses, during the recent hospitalization, simply suggested that I submit this report due to the odd sequence of events.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incoherent, Nausea, Pyrexia, Renal failure, White blood cell count increased
Clinical narrative: Living with CLL, diagnosed in July 2014, (2) prior rounds of treatment.  A recurrence led to plans for additional treatment, but the only action as of the Covid vaccine date was a prior month of Allopurinal as prophylactic for TLS.  On 6/10, I had an inguinal hernia repair in an outpatient surgery center.  I had noted some pain in the kidney area for a couple of weeks prior, and the medical staff performed a pre-surgical urinalysis to diagnose a potential UTI, which was negative.  The day following my 2nd Moderna injection (6/15) I awoke with mild headache, nausea, and fatigue which lasted for approximately (4) days.    Fast forward to 6/24 (10 days after the vaccination), I appeared to relapse with similar symptoms.  The fatigue and subsequent onset of fever was debilitating. I stopped eating and got weaker and mentally incoherent.  I was taken to the ER on 6/28, and admitted for about (4) days total.  I had a 103F fever, and blood tests showed kidney failure levels of uric acid, etc.  They also showed that my already elevated WBC was spiking.  I was put on IV antibiotic (cephalexin analog I believe), constant hydration, and heparin injections.    After three days the fever resolved.  The Infectious Disease Team was unable to identify any causative organism in the blood culture.  I was released to the care of my Oncologist, who scheduled me for infusions of 2 L. daily hydration for two weeks.  After completion of that regimen, my kidney chemistry was back to normal ranges and I was able to resume regular activities including gym workouts.  Prior to all of this, CLL blood monitoring had tracked my WBC to around 86K, leading to the plan to enter treatment.  While I was hospitalized, they took daily blood draws which showed a large upswing in WBC to roughly 162K.  By the time I was released the WBC was on its way back down to pre-event levels.  Since that time, I have begun the new CLL regimen of Calquence (acalabrutinib), an orally administered kinase inhibitor.  The WBC at the most recent draw was in the low 30K's.  No one has drawn a clear connection between my experiences and the Covid vaccination unless the affect on eating and drinking led to extreme dehydration.  I've previously had CLL/WBC numbers much higher than this with no outward symptoms beyond swollen lymph nodes and splenomegaly.  One of my nurses, during the recent hospitalization, simply suggested that I submit this report due to the odd sequence of events.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Cardiac failure congestive, Chest X-ray abnormal, Chronic kidney disease
Clinical narrative: Hospitalized 10/4/2021; COVID-19 Positive 10/04/2021; fully vaccinated  CHIEF COMPLAINT: COVID-19     Assessment/Plan   HISTORY OF PRESENT ILLNESS: Pt is a 91 y.o. male who presented yesterday for evaluation of shortness of breath, fatigue and poor po intake. He was treated for pneumonia in September but recovered from that infection with antibiotics. He had several weeks of feeling well before starting to feel symptoms again the past week (not sure of date). Has family recently diagnosed with covid as well. Follows with cardiology for CHF and valvular heart disease.    In the ER, Pt was hypoxic on RA. He required o2 via NC. Labs showed an elevated BNP, hyperkalemia, his known CKD and an elevated troponin. COVID-19 was positive. Chest xray showed CHF with a moderate right pleural effusion. He was started on Decadron and lasix with significant improvement. Initially, we did not have beds to accept him so he was pending transfer but was later admitted to HCF. Denies chest pain. Afebrile.  Care Management note 10/6/2021: Plan/Reassessment: Plan Discharge Coordination/Progress: Pt plans to return home with family supports. He denies need for further services Plan: return home. Patient-Specific Goals (Include Timeframe): return home 1-2 days