chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Limb mass, Pain in extremity, Petechiae, Platelet count decreased, Platelet transfusion
Clinical narrative: On the day after my second Covid vaccine (03/26/2021) I  had headache and fatigue.  On 04/10/2021, I started noticing a lot of bruising all over my body (petechiae and a lot of other areas of bruising) and I had a lump and pain behind my left calf.  I had some fatigue, but otherwise felt fine. I went to the Emergency Department on April11th thinking that my INR was too high since I?m on a blood thinner medication. The ER did an ultrasound of my legs and no blood clots were found. They did a CBC and I had a platelet count of 6,000. They admitted me, gave me a platelet transfusion and a steroid injection. They discharged me from the hospital on 04/12/2021 on 60 mg of Prednisone and to follow up with my hematologist, MD. My platelet count has since returned to normal.  I am having a CBC once a week and tapering off the Prednisone. Both Dr. and my Rheumatologist, MD believe that my severe drop in platelets were due to the Covid vaccine causing my Lupus to become very active and attack my platelets.  Please feel free to contact me if you have any additional questions. Thanks you,
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Systemic lupus erythematosus, Ultrasound Doppler normal
Clinical narrative: On the day after my second Covid vaccine (03/26/2021) I  had headache and fatigue.  On 04/10/2021, I started noticing a lot of bruising all over my body (petechiae and a lot of other areas of bruising) and I had a lump and pain behind my left calf.  I had some fatigue, but otherwise felt fine. I went to the Emergency Department on April11th thinking that my INR was too high since I?m on a blood thinner medication. The ER did an ultrasound of my legs and no blood clots were found. They did a CBC and I had a platelet count of 6,000. They admitted me, gave me a platelet transfusion and a steroid injection. They discharged me from the hospital on 04/12/2021 on 60 mg of Prednisone and to follow up with my hematologist, MD. My platelet count has since returned to normal.  I am having a CBC once a week and tapering off the Prednisone. Both Dr. and my Rheumatologist, MD believe that my severe drop in platelets were due to the Covid vaccine causing my Lupus to become very active and attack my platelets.  Please feel free to contact me if you have any additional questions. Thanks you,
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Magnetic resonance imaging, Nausea, Vertigo, Vision blurred
Clinical narrative: Patient came into the clinic about a month after recieving the Pfizer covid vaccine. She was complaining of extreme vertigo, blurred vision, dizziness and nausea.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Patient had itchiness & redness. BP 116/78; HR 70; RR 18.  Given Benadryl and symptoms improved.  Pt deemed stable and released from vaccination site
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Loss of consciousness, Unresponsive to stimuli
Clinical narrative: Client stood up and stated he felt lightheaded,I walked over and sat client down removed his mask and asked hi to take some breathes, as I called for RN client passed out and fell out of the chair  to the floor. Client was unresponsive for less than 30 seconds. Client then was A& O x 3. denies pain or discomfort. PERRLA, strength equal  on both sides. Vital signs BP 138/ 80 P 64 R 22 SP02 97% temp 36.9 C. EMS was called and @ nurses were present during event. Client ambulated without difficulty to stretcher and left with EMS for further evaluation.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Pulmonary Embolism
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise
Clinical narrative: Patient received her 2nd dose Pfizer vaccine at 13;30pm and was sitting in observation room when she told staff she felt dizzy nd slightly out of sorts at 1:40pm.Patient continued sitting and VS taken at 1:46pm BP 112/82, HR 78, and O2sat 100%. Patient continued talking and stating she has been anxious coming in. VS @ 1:48pm 135/66, HR 74, O2sat 97%. VS 1:50pm 130/69, HR 74 and O2sat 99%. Patient stating that she is feeling better. VS @2pm BP 124/69, HR 69, O2sat 97%. Patient stated she feels comfortable to go home at 2;05pm.
Age: 0.08
Sex: F
Vaccine: PNC13
Symptoms: Incorrect dose administered, Medication error, Product administered to patient of inappropriate age
Clinical narrative: Medication Error - Hepatitis B vaccine was ordered for the patient and Prevnar-13 vaccine given by staff. No adverse reaction noted and the Physician spoke to patient's parent.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Skin reaction
Clinical narrative: Reaction at estrogen patch.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Paraesthesia
Clinical narrative: Feels like cold sensation of pins and needles in both hands and arms
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: fever, chills,  vomiting, myalgia, headache,  abdominal cramping and pain
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: fever, chills,  vomiting, myalgia, headache,  abdominal cramping and pain
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Glossodynia, Incomplete course of vaccination, Swollen tongue, Tongue coated
Clinical narrative: Slightly swollen tongue.  Film on tongue developed and because very sore.  Has become more mild over time but still persists as of 5/13/2021
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV, VARCEL
Symptoms: Extra dose administered, Medication error, Product administered to patient of inappropriate age
Clinical narrative: Patient given MMRV instead of MMR vaccine, so was given an extra dose of varicella.  Mom has been contacted to check on patient and advised of error, have not heard back from her as of this filing.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Pain, Pyrexia
Clinical narrative: Tuesday night - Fever, body aches, Diarrhea and it lasted through Wednesday - Friday. I didn't work those three days. I went to the doctor on Friday. By Friday afternoon I was doing better. I was feeling better on Saturday.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fatigue, Immediate post-injection reaction, Impaired work ability, Pain
Clinical narrative: Tuesday night - Fever, body aches, Diarrhea and it lasted through Wednesday - Friday. I didn't work those three days. I went to the doctor on Friday. By Friday afternoon I was doing better. I was feeling better on Saturday.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Pain, Pyrexia
Clinical narrative: Tired, dizzy, body aches - right away after vaccine and through the weekend and until Monday. On Monday, I missed work and went to the doctor and he gave me a B12 shot. That helped me feel better. I slept for awhile and was then able to drive back to where I work.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fatigue, Immediate post-injection reaction, Impaired work ability, Pain
Clinical narrative: Tired, dizzy, body aches - right away after vaccine and through the weekend and until Monday. On Monday, I missed work and went to the doctor and he gave me a B12 shot. That helped me feel better. I slept for awhile and was then able to drive back to where I work.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles over the left loin
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Migraine, Pruritus, Swelling face
Clinical narrative: pt had allergic reaction. migraines, swelling of lips and face, itchiness all over body   started 5/11/2021- still occurring today 5/13/2021
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy, Pruritus, Urticaria
Clinical narrative: About a day after vaccination, the recipient developed lymphadenopathy on neck and arm; redness and swelling at injection site; itching and hives.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Hypoaesthesia, Magnetic resonance imaging abnormal, Magnetic resonance imaging head normal
Clinical narrative: Developed left-sided Bell's palsy on 5/3/21 prompting a visit to the ED. The patient states she had left body numbness after she received the vaccine on 4/7/21, but full Palsy until 5/3/21.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Immediate post-injection reaction, Impaired driving ability, Influenza like illness, Pain in extremity
Clinical narrative: side note, not sure who is "tracking" this info for people with bad allergies who get the vaccines, so i will notate it here. both shots in left arm - shot 1 almost very top-mid on the deltoid, shot 2 so low on deltoid it was almost into the brachialis symptomology post each shot:    shot 1: arm pain that didn't really hit till day after injection, and lasted for a couple of weeks, with random pains down left arm. day of shot, some heart fluttering-like palpitations ~20min after receiving shot and vertigo, but gone quickly. didn't call over medical squad, because honestly couldn't tell if that was the POTS acting up, or reaction to the vaccine.   shot 2: no palpitations post injection, but again with the vertigo, while waiting in the parking lot post injection. had gatorade with me this time, so nipped that in the bud real quick. definite arm pain immediately post injection, that made it difficult to drive back home. but all of that was light compared to the next 48hrs. hit with flu like joint pain symptoms and fever, ALL over. from regular shoulder pain, to vertebrae to hips. even the metacarpal and metatarsal joints. VERY weird. i took tylenol and naprosyn, then went back to bed. i can stand high levels of pain normally, but the oddness of the locations along with the fever, made me just want to curl up in a ball. still have some residual pains and random high temp moments, but the intensity has lowered tremendously since that first 48hrs.   now, i would NOT call ANY of this 'an allergic reaction' to the vaccine. but it does seem to be hitting me harder than others, so figured it should be notated somewhere. husband has only really ever gotten arm and a little joint pain, with mild temp increase after the first shot. yep, i'm jealous, LOL.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Vertigo
Clinical narrative: side note, not sure who is "tracking" this info for people with bad allergies who get the vaccines, so i will notate it here. both shots in left arm - shot 1 almost very top-mid on the deltoid, shot 2 so low on deltoid it was almost into the brachialis symptomology post each shot:    shot 1: arm pain that didn't really hit till day after injection, and lasted for a couple of weeks, with random pains down left arm. day of shot, some heart fluttering-like palpitations ~20min after receiving shot and vertigo, but gone quickly. didn't call over medical squad, because honestly couldn't tell if that was the POTS acting up, or reaction to the vaccine.   shot 2: no palpitations post injection, but again with the vertigo, while waiting in the parking lot post injection. had gatorade with me this time, so nipped that in the bud real quick. definite arm pain immediately post injection, that made it difficult to drive back home. but all of that was light compared to the next 48hrs. hit with flu like joint pain symptoms and fever, ALL over. from regular shoulder pain, to vertebrae to hips. even the metacarpal and metatarsal joints. VERY weird. i took tylenol and naprosyn, then went back to bed. i can stand high levels of pain normally, but the oddness of the locations along with the fever, made me just want to curl up in a ball. still have some residual pains and random high temp moments, but the intensity has lowered tremendously since that first 48hrs.   now, i would NOT call ANY of this 'an allergic reaction' to the vaccine. but it does seem to be hitting me harder than others, so figured it should be notated somewhere. husband has only really ever gotten arm and a little joint pain, with mild temp increase after the first shot. yep, i'm jealous, LOL.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Blood test normal, Chills, Death
Clinical narrative: Illness set in either the day of the vaccination being administered or the day after, according to phone records. Signs include: nausea/vomiting, back aches, fever, chills, passing out, lack of appetite, extreme fatigue and low energy, bitter taste in the mouth and water tasting bitter.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dysgeusia, Fatigue, Illness, Loss of consciousness
Clinical narrative: Illness set in either the day of the vaccination being administered or the day after, according to phone records. Signs include: nausea/vomiting, back aches, fever, chills, passing out, lack of appetite, extreme fatigue and low energy, bitter taste in the mouth and water tasting bitter.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Illness set in either the day of the vaccination being administered or the day after, according to phone records. Signs include: nausea/vomiting, back aches, fever, chills, passing out, lack of appetite, extreme fatigue and low energy, bitter taste in the mouth and water tasting bitter.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Migraine, Pyrexia
Clinical narrative: Fever of 104F, chills, migraine, sweats lasting 2 days
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Dyspnoea, Fatigue
Clinical narrative: Approximately, 6 hours after vaccine: Temperature 102, Chills, all over body muscle aches, joint pain, bad headache, sinus pain, fatigue, short of breath. Took 500mg Tylenol every 4 hours. Second day:  same symptoms less severe & temperature down to 100. Still taking 500 mg Tylenol every 4 hours 3rd day: fatigue, short of breath on exertion, mild headache, mild muscle aches. Tylenol taken at night.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pain, Sinus pain
Clinical narrative: Approximately, 6 hours after vaccine: Temperature 102, Chills, all over body muscle aches, joint pain, bad headache, sinus pain, fatigue, short of breath. Took 500mg Tylenol every 4 hours. Second day:  same symptoms less severe & temperature down to 100. Still taking 500 mg Tylenol every 4 hours 3rd day: fatigue, short of breath on exertion, mild headache, mild muscle aches. Tylenol taken at night.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy to chemicals, Allergy to plants, Anaphylactic reaction, Crying, Dyspnoea
Clinical narrative: 5 minutes after vaccination, I felt unwell. I sat with EMS that was onsite. HR was 160's, BP 160's systolic. Right arm went numb in first 5 minutes and my face went numb after 15 minutes post injection. After sitting 45 minutes with EMS my vitals stabilized and no numbness present. I walked to the car, sat in the car for 10 minutes and then I went into anaphylaxis. My airways began to close. My husband got the EMS on site and I was taken by ambulance to the ER. I was given IM Benadryl in the ambulance. In the ER I was given IV Benadryl and IV steroids.   After anaphylaxis event I had difficulty breathing for 3 weeks from enlarged lymph nodes. I had extreme shortness of breath for the 2 weeks following injection in that I had to crawl up the flight of stairs to the second level of our home.   About the 3rd week after injection, I began having full body itching  with no known stimuli. Only benadryl would treat it. I was on allegra or zyrtec daily. I would also develop 1 or 2 hives on my right arm.   4 weeks after injections I was reacting to food and drink. I could not drink alcohol- gin or vodka- it would result in full body itching and a few hives. I did a course of prednisone, and it decreased my allergic reactions and I felt almost normal for several months.  On May 8th, 2021 I had be experiencing great stress since February from a family member's cancer diagnosis. I had a crying event and immediately after I had an allergic reaction to gin, which had not occurred since the course of steroids.  Today is 5/13 and I have had 2 additional allergic reactions: one involving food and the other flowers. None of which I have ever been allergic to before. I have full body itching and I am now developing hives more often.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Food allergy, Full blood count, Hypoaesthesia, Lymphadenopathy, Malaise
Clinical narrative: 5 minutes after vaccination, I felt unwell. I sat with EMS that was onsite. HR was 160's, BP 160's systolic. Right arm went numb in first 5 minutes and my face went numb after 15 minutes post injection. After sitting 45 minutes with EMS my vitals stabilized and no numbness present. I walked to the car, sat in the car for 10 minutes and then I went into anaphylaxis. My airways began to close. My husband got the EMS on site and I was taken by ambulance to the ER. I was given IM Benadryl in the ambulance. In the ER I was given IV Benadryl and IV steroids.   After anaphylaxis event I had difficulty breathing for 3 weeks from enlarged lymph nodes. I had extreme shortness of breath for the 2 weeks following injection in that I had to crawl up the flight of stairs to the second level of our home.   About the 3rd week after injection, I began having full body itching  with no known stimuli. Only benadryl would treat it. I was on allegra or zyrtec daily. I would also develop 1 or 2 hives on my right arm.   4 weeks after injections I was reacting to food and drink. I could not drink alcohol- gin or vodka- it would result in full body itching and a few hives. I did a course of prednisone, and it decreased my allergic reactions and I felt almost normal for several months.  On May 8th, 2021 I had be experiencing great stress since February from a family member's cancer diagnosis. I had a crying event and immediately after I had an allergic reaction to gin, which had not occurred since the course of steroids.  Today is 5/13 and I have had 2 additional allergic reactions: one involving food and the other flowers. None of which I have ever been allergic to before. I have full body itching and I am now developing hives more often.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Obstructive airways disorder, Pruritus, Urticaria
Clinical narrative: 5 minutes after vaccination, I felt unwell. I sat with EMS that was onsite. HR was 160's, BP 160's systolic. Right arm went numb in first 5 minutes and my face went numb after 15 minutes post injection. After sitting 45 minutes with EMS my vitals stabilized and no numbness present. I walked to the car, sat in the car for 10 minutes and then I went into anaphylaxis. My airways began to close. My husband got the EMS on site and I was taken by ambulance to the ER. I was given IM Benadryl in the ambulance. In the ER I was given IV Benadryl and IV steroids.   After anaphylaxis event I had difficulty breathing for 3 weeks from enlarged lymph nodes. I had extreme shortness of breath for the 2 weeks following injection in that I had to crawl up the flight of stairs to the second level of our home.   About the 3rd week after injection, I began having full body itching  with no known stimuli. Only benadryl would treat it. I was on allegra or zyrtec daily. I would also develop 1 or 2 hives on my right arm.   4 weeks after injections I was reacting to food and drink. I could not drink alcohol- gin or vodka- it would result in full body itching and a few hives. I did a course of prednisone, and it decreased my allergic reactions and I felt almost normal for several months.  On May 8th, 2021 I had be experiencing great stress since February from a family member's cancer diagnosis. I had a crying event and immediately after I had an allergic reaction to gin, which had not occurred since the course of steroids.  Today is 5/13 and I have had 2 additional allergic reactions: one involving food and the other flowers. None of which I have ever been allergic to before. I have full body itching and I am now developing hives more often.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Incorrect route of product administration, Insomnia, Joint range of motion decreased, Pain
Clinical narrative: Injection given high in upper arm, possibly injecting serum into shoulder joint.  Intense throbbing pain began around 6:00pm same day (Thursday, Jan 21) and lasted four days (into Monday).  Ibuprofen and Tylenol taken in maximum allowable doses offered mild relief but was insufficient.   Arm became unusable during that period, losing all motion.  Sleep almost impossible over that period.  Mild redness and little or no swelling as was commonly reported by others; pain was deep in shoulder joint and radiated from neck to elbow.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea
Clinical narrative: Reporting a symptomatic positive COVID swab after the Janssen J & J vaccine administration on 3/18/21. Description of symptoms   Loss of taste and smell Congested Cough Sore throat Shortness of breath-states he feels like he cannot draw out a full breath and feels short of breath even at rest Muscle fatigue
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Reporting a symptomatic positive COVID swab after the Janssen J & J vaccine administration on 3/18/21. Description of symptoms   Loss of taste and smell Congested Cough Sore throat Shortness of breath-states he feels like he cannot draw out a full breath and feels short of breath even at rest Muscle fatigue
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash papular
Clinical narrative: Per MD note: The rash is starting to resolve. She does not have any itching or any other discomfort. The rash had appeared on her right arm> left arm,  both the palms of her hands and the inner thighs.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal, Laparoscopic surgery
Clinical narrative: I had severe stomach pains six days after vaccine (on April 30th) and ended up at a walk-in clinic who sent me to the ER on May 3rd.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Appendicitis, Computerised tomogram, SARS-CoV-2 test
Clinical narrative: I had severe stomach pains six days after vaccine (on April 30th) and ended up at a walk-in clinic who sent me to the ER on May 3rd.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Facial pain, Feeling abnormal, Head discomfort, SARS-CoV-2 test positive
Clinical narrative: Reporting a symptomatic positive COVID swab after the completion of Moderna Vaccine series. Became symptomatic  with nasal symptoms back in April  Per nursing note on 4/19/21: Pt is scheduled to have a septo, turbs, bil max/ethmoid on 5/13/2021.  States he is feeling miserable, blowing out yellow/green thick drainage, facial pain and pressure.  PCP has typically given him Doxycycline in the past, please send rx to pharmacy.  Tested preoperatively for Covid on 5/11/21- Positive  Vaccinated with Moderna vaccine 2/5/21 and 3/5/2
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus operation
Clinical narrative: Reporting a symptomatic positive COVID swab after the completion of Moderna Vaccine series. Became symptomatic  with nasal symptoms back in April  Per nursing note on 4/19/21: Pt is scheduled to have a septo, turbs, bil max/ethmoid on 5/13/2021.  States he is feeling miserable, blowing out yellow/green thick drainage, facial pain and pressure.  PCP has typically given him Doxycycline in the past, please send rx to pharmacy.  Tested preoperatively for Covid on 5/11/21- Positive  Vaccinated with Moderna vaccine 2/5/21 and 3/5/2
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Fatigue, Hyperhidrosis
Clinical narrative: I had fatigue, sweats, chills, shoulder pains stabbing me in my right shoulder blade, stabbing pains in the left side of my pelvis, and terrible back pain in my lower back & nausea
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pelvic pain
Clinical narrative: I had fatigue, sweats, chills, shoulder pains stabbing me in my right shoulder blade, stabbing pains in the left side of my pelvis, and terrible back pain in my lower back & nausea
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Premenstrual pain
Clinical narrative: painful PMS,  very long period (10 days +)
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received vaccine after FDA approval but prior to CDC approval.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: I didn't get any swelling around the injection sight, but I got swelling in the lower and mid area of my armpit. Maybe the lymph nodes are just reacting to the shot. Just wanted to report just in case it hasn't been recorded yet.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Depressed level of consciousness, Disorientation, Tremor
Clinical narrative: patient had received the second dose of Pfizer vaccine and he did not wait the 15 minutes as suggested ( but he did have nurse with him) and as he was in front of store he almost passed out, he was given a seat, he was shaking, disoriented, and kept trying to pass out .  we called 911 and they determined he needed to go to hospital
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Bilevel positive airway pressure, Blood sodium decreased, Bronchoscopy
Clinical narrative: Hospitalization, on ECMO, deteriorating lung function - now on lung transplant list, hx. sarcoidosis.  Question of whether vaccination caused worsening of lung function / sarcoidosis.  Still currently hospitalized.  Transferred to our organization for ECMO.    Hospital Course: Patient is 62y.o. male with PMH of Sarcoidosis who presented to the hospital with worsening shortness of breath. Over the past 2 weeks, patient has had worsening shortness of breath on exertion and also while talking. On 4/23, patient noted intermittent fever, TMax 102F. Patient was seen by his PCP on 4/25 and started on a zpack, and was also seen in our ED on 4/25. He was discharged home with OP pulm follow up. Since then, patient has been feeling progressively worse, He noted 4/27, that his pulse ox was in the 70s with ambulation and that the cough and shortness of breath were worsening.    In ER, patient has been placed on 6 L of oxygen via nasal cannula. He was also febrile with TMax of 101.5 F. POC COVID-19 testing was negative. WBC was slightly elevated at 10.7, Na level was noted to be 129. PCT was negative. CTA PE protocol was negative for PE, there was significant interval progression of nodular and consolidative opacities throughout both lungs when compared to 2017, compatible with interval progression of sarcoidosis. Patient was admitted for further workup and management.   Patient's oxygen requirements gradually increased. He was initially treated with IV antibiotics and antifungals. He underwent extensive testing, including urine histoplasma, cryptococcal, respiratory viral panel which will negative. TB QuantiFERON was indeterminate, along with elevated IgM mycoplasma for which he received azithromycin. Patient was also placed on IV Solu-Medrol initially, transitioned to IV Decadron. Inflammatory markers were elevated. D-dimer was noted to be greater than 10,000, he was placed on therapeutic Lovenox dosing. Patient did have Covid testing which was negative, he was also vaccinated. His oxygen requirements continue to increase, he was eventually placed on BiPAP, although due to lethargy and increased work of breathing patient was eventually intubated and sedated. He was also started on paralytics. Patient was transferred to another hospital for possible need of ECMO or lung transplantation.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax normal, Condition aggravated, Cough, Cryptococcus test, Culture
Clinical narrative: Hospitalization, on ECMO, deteriorating lung function - now on lung transplant list, hx. sarcoidosis.  Question of whether vaccination caused worsening of lung function / sarcoidosis.  Still currently hospitalized.  Transferred to our organization for ECMO.    Hospital Course: Patient is 62y.o. male with PMH of Sarcoidosis who presented to the hospital with worsening shortness of breath. Over the past 2 weeks, patient has had worsening shortness of breath on exertion and also while talking. On 4/23, patient noted intermittent fever, TMax 102F. Patient was seen by his PCP on 4/25 and started on a zpack, and was also seen in our ED on 4/25. He was discharged home with OP pulm follow up. Since then, patient has been feeling progressively worse, He noted 4/27, that his pulse ox was in the 70s with ambulation and that the cough and shortness of breath were worsening.    In ER, patient has been placed on 6 L of oxygen via nasal cannula. He was also febrile with TMax of 101.5 F. POC COVID-19 testing was negative. WBC was slightly elevated at 10.7, Na level was noted to be 129. PCT was negative. CTA PE protocol was negative for PE, there was significant interval progression of nodular and consolidative opacities throughout both lungs when compared to 2017, compatible with interval progression of sarcoidosis. Patient was admitted for further workup and management.   Patient's oxygen requirements gradually increased. He was initially treated with IV antibiotics and antifungals. He underwent extensive testing, including urine histoplasma, cryptococcal, respiratory viral panel which will negative. TB QuantiFERON was indeterminate, along with elevated IgM mycoplasma for which he received azithromycin. Patient was also placed on IV Solu-Medrol initially, transitioned to IV Decadron. Inflammatory markers were elevated. D-dimer was noted to be greater than 10,000, he was placed on therapeutic Lovenox dosing. Patient did have Covid testing which was negative, he was also vaccinated. His oxygen requirements continue to increase, he was eventually placed on BiPAP, although due to lethargy and increased work of breathing patient was eventually intubated and sedated. He was also started on paralytics. Patient was transferred to another hospital for possible need of ECMO or lung transplantation.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Endotracheal intubation, Fibrin D dimer increased, Gram stain positive
Clinical narrative: Hospitalization, on ECMO, deteriorating lung function - now on lung transplant list, hx. sarcoidosis.  Question of whether vaccination caused worsening of lung function / sarcoidosis.  Still currently hospitalized.  Transferred to our organization for ECMO.    Hospital Course: Patient is 62y.o. male with PMH of Sarcoidosis who presented to the hospital with worsening shortness of breath. Over the past 2 weeks, patient has had worsening shortness of breath on exertion and also while talking. On 4/23, patient noted intermittent fever, TMax 102F. Patient was seen by his PCP on 4/25 and started on a zpack, and was also seen in our ED on 4/25. He was discharged home with OP pulm follow up. Since then, patient has been feeling progressively worse, He noted 4/27, that his pulse ox was in the 70s with ambulation and that the cough and shortness of breath were worsening.    In ER, patient has been placed on 6 L of oxygen via nasal cannula. He was also febrile with TMax of 101.5 F. POC COVID-19 testing was negative. WBC was slightly elevated at 10.7, Na level was noted to be 129. PCT was negative. CTA PE protocol was negative for PE, there was significant interval progression of nodular and consolidative opacities throughout both lungs when compared to 2017, compatible with interval progression of sarcoidosis. Patient was admitted for further workup and management.   Patient's oxygen requirements gradually increased. He was initially treated with IV antibiotics and antifungals. He underwent extensive testing, including urine histoplasma, cryptococcal, respiratory viral panel which will negative. TB QuantiFERON was indeterminate, along with elevated IgM mycoplasma for which he received azithromycin. Patient was also placed on IV Solu-Medrol initially, transitioned to IV Decadron. Inflammatory markers were elevated. D-dimer was noted to be greater than 10,000, he was placed on therapeutic Lovenox dosing. Patient did have Covid testing which was negative, he was also vaccinated. His oxygen requirements continue to increase, he was eventually placed on BiPAP, although due to lethargy and increased work of breathing patient was eventually intubated and sedated. He was also started on paralytics. Patient was transferred to another hospital for possible need of ECMO or lung transplantation.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hyponatraemia, Inflammatory marker increased, Lethargy, Leukocytosis, Lung assist device therapy
Clinical narrative: Hospitalization, on ECMO, deteriorating lung function - now on lung transplant list, hx. sarcoidosis.  Question of whether vaccination caused worsening of lung function / sarcoidosis.  Still currently hospitalized.  Transferred to our organization for ECMO.    Hospital Course: Patient is 62y.o. male with PMH of Sarcoidosis who presented to the hospital with worsening shortness of breath. Over the past 2 weeks, patient has had worsening shortness of breath on exertion and also while talking. On 4/23, patient noted intermittent fever, TMax 102F. Patient was seen by his PCP on 4/25 and started on a zpack, and was also seen in our ED on 4/25. He was discharged home with OP pulm follow up. Since then, patient has been feeling progressively worse, He noted 4/27, that his pulse ox was in the 70s with ambulation and that the cough and shortness of breath were worsening.    In ER, patient has been placed on 6 L of oxygen via nasal cannula. He was also febrile with TMax of 101.5 F. POC COVID-19 testing was negative. WBC was slightly elevated at 10.7, Na level was noted to be 129. PCT was negative. CTA PE protocol was negative for PE, there was significant interval progression of nodular and consolidative opacities throughout both lungs when compared to 2017, compatible with interval progression of sarcoidosis. Patient was admitted for further workup and management.   Patient's oxygen requirements gradually increased. He was initially treated with IV antibiotics and antifungals. He underwent extensive testing, including urine histoplasma, cryptococcal, respiratory viral panel which will negative. TB QuantiFERON was indeterminate, along with elevated IgM mycoplasma for which he received azithromycin. Patient was also placed on IV Solu-Medrol initially, transitioned to IV Decadron. Inflammatory markers were elevated. D-dimer was noted to be greater than 10,000, he was placed on therapeutic Lovenox dosing. Patient did have Covid testing which was negative, he was also vaccinated. His oxygen requirements continue to increase, he was eventually placed on BiPAP, although due to lethargy and increased work of breathing patient was eventually intubated and sedated. He was also started on paralytics. Patient was transferred to another hospital for possible need of ECMO or lung transplantation.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder, Lung opacity, Mycoplasma test positive, Oxygen saturation decreased, Pneumocystis test negative
Clinical narrative: Hospitalization, on ECMO, deteriorating lung function - now on lung transplant list, hx. sarcoidosis.  Question of whether vaccination caused worsening of lung function / sarcoidosis.  Still currently hospitalized.  Transferred to our organization for ECMO.    Hospital Course: Patient is 62y.o. male with PMH of Sarcoidosis who presented to the hospital with worsening shortness of breath. Over the past 2 weeks, patient has had worsening shortness of breath on exertion and also while talking. On 4/23, patient noted intermittent fever, TMax 102F. Patient was seen by his PCP on 4/25 and started on a zpack, and was also seen in our ED on 4/25. He was discharged home with OP pulm follow up. Since then, patient has been feeling progressively worse, He noted 4/27, that his pulse ox was in the 70s with ambulation and that the cough and shortness of breath were worsening.    In ER, patient has been placed on 6 L of oxygen via nasal cannula. He was also febrile with TMax of 101.5 F. POC COVID-19 testing was negative. WBC was slightly elevated at 10.7, Na level was noted to be 129. PCT was negative. CTA PE protocol was negative for PE, there was significant interval progression of nodular and consolidative opacities throughout both lungs when compared to 2017, compatible with interval progression of sarcoidosis. Patient was admitted for further workup and management.   Patient's oxygen requirements gradually increased. He was initially treated with IV antibiotics and antifungals. He underwent extensive testing, including urine histoplasma, cryptococcal, respiratory viral panel which will negative. TB QuantiFERON was indeterminate, along with elevated IgM mycoplasma for which he received azithromycin. Patient was also placed on IV Solu-Medrol initially, transitioned to IV Decadron. Inflammatory markers were elevated. D-dimer was noted to be greater than 10,000, he was placed on therapeutic Lovenox dosing. Patient did have Covid testing which was negative, he was also vaccinated. His oxygen requirements continue to increase, he was eventually placed on BiPAP, although due to lethargy and increased work of breathing patient was eventually intubated and sedated. He was also started on paralytics. Patient was transferred to another hospital for possible need of ECMO or lung transplantation.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin normal, Pulmonary function test decreased, Pyrexia, Respiratory viral panel, SARS-CoV-2 test negative
Clinical narrative: Hospitalization, on ECMO, deteriorating lung function - now on lung transplant list, hx. sarcoidosis.  Question of whether vaccination caused worsening of lung function / sarcoidosis.  Still currently hospitalized.  Transferred to our organization for ECMO.    Hospital Course: Patient is 62y.o. male with PMH of Sarcoidosis who presented to the hospital with worsening shortness of breath. Over the past 2 weeks, patient has had worsening shortness of breath on exertion and also while talking. On 4/23, patient noted intermittent fever, TMax 102F. Patient was seen by his PCP on 4/25 and started on a zpack, and was also seen in our ED on 4/25. He was discharged home with OP pulm follow up. Since then, patient has been feeling progressively worse, He noted 4/27, that his pulse ox was in the 70s with ambulation and that the cough and shortness of breath were worsening.    In ER, patient has been placed on 6 L of oxygen via nasal cannula. He was also febrile with TMax of 101.5 F. POC COVID-19 testing was negative. WBC was slightly elevated at 10.7, Na level was noted to be 129. PCT was negative. CTA PE protocol was negative for PE, there was significant interval progression of nodular and consolidative opacities throughout both lungs when compared to 2017, compatible with interval progression of sarcoidosis. Patient was admitted for further workup and management.   Patient's oxygen requirements gradually increased. He was initially treated with IV antibiotics and antifungals. He underwent extensive testing, including urine histoplasma, cryptococcal, respiratory viral panel which will negative. TB QuantiFERON was indeterminate, along with elevated IgM mycoplasma for which he received azithromycin. Patient was also placed on IV Solu-Medrol initially, transitioned to IV Decadron. Inflammatory markers were elevated. D-dimer was noted to be greater than 10,000, he was placed on therapeutic Lovenox dosing. Patient did have Covid testing which was negative, he was also vaccinated. His oxygen requirements continue to increase, he was eventually placed on BiPAP, although due to lethargy and increased work of breathing patient was eventually intubated and sedated. He was also started on paralytics. Patient was transferred to another hospital for possible need of ECMO or lung transplantation.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Sarcoidosis, Sedative therapy, Serology test, Tuberculin test, Urine analysis normal
Clinical narrative: Hospitalization, on ECMO, deteriorating lung function - now on lung transplant list, hx. sarcoidosis.  Question of whether vaccination caused worsening of lung function / sarcoidosis.  Still currently hospitalized.  Transferred to our organization for ECMO.    Hospital Course: Patient is 62y.o. male with PMH of Sarcoidosis who presented to the hospital with worsening shortness of breath. Over the past 2 weeks, patient has had worsening shortness of breath on exertion and also while talking. On 4/23, patient noted intermittent fever, TMax 102F. Patient was seen by his PCP on 4/25 and started on a zpack, and was also seen in our ED on 4/25. He was discharged home with OP pulm follow up. Since then, patient has been feeling progressively worse, He noted 4/27, that his pulse ox was in the 70s with ambulation and that the cough and shortness of breath were worsening.    In ER, patient has been placed on 6 L of oxygen via nasal cannula. He was also febrile with TMax of 101.5 F. POC COVID-19 testing was negative. WBC was slightly elevated at 10.7, Na level was noted to be 129. PCT was negative. CTA PE protocol was negative for PE, there was significant interval progression of nodular and consolidative opacities throughout both lungs when compared to 2017, compatible with interval progression of sarcoidosis. Patient was admitted for further workup and management.   Patient's oxygen requirements gradually increased. He was initially treated with IV antibiotics and antifungals. He underwent extensive testing, including urine histoplasma, cryptococcal, respiratory viral panel which will negative. TB QuantiFERON was indeterminate, along with elevated IgM mycoplasma for which he received azithromycin. Patient was also placed on IV Solu-Medrol initially, transitioned to IV Decadron. Inflammatory markers were elevated. D-dimer was noted to be greater than 10,000, he was placed on therapeutic Lovenox dosing. Patient did have Covid testing which was negative, he was also vaccinated. His oxygen requirements continue to increase, he was eventually placed on BiPAP, although due to lethargy and increased work of breathing patient was eventually intubated and sedated. He was also started on paralytics. Patient was transferred to another hospital for possible need of ECMO or lung transplantation.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Viral test negative, White blood cell count, White blood cell count normal
Clinical narrative: Hospitalization, on ECMO, deteriorating lung function - now on lung transplant list, hx. sarcoidosis.  Question of whether vaccination caused worsening of lung function / sarcoidosis.  Still currently hospitalized.  Transferred to our organization for ECMO.    Hospital Course: Patient is 62y.o. male with PMH of Sarcoidosis who presented to the hospital with worsening shortness of breath. Over the past 2 weeks, patient has had worsening shortness of breath on exertion and also while talking. On 4/23, patient noted intermittent fever, TMax 102F. Patient was seen by his PCP on 4/25 and started on a zpack, and was also seen in our ED on 4/25. He was discharged home with OP pulm follow up. Since then, patient has been feeling progressively worse, He noted 4/27, that his pulse ox was in the 70s with ambulation and that the cough and shortness of breath were worsening.    In ER, patient has been placed on 6 L of oxygen via nasal cannula. He was also febrile with TMax of 101.5 F. POC COVID-19 testing was negative. WBC was slightly elevated at 10.7, Na level was noted to be 129. PCT was negative. CTA PE protocol was negative for PE, there was significant interval progression of nodular and consolidative opacities throughout both lungs when compared to 2017, compatible with interval progression of sarcoidosis. Patient was admitted for further workup and management.   Patient's oxygen requirements gradually increased. He was initially treated with IV antibiotics and antifungals. He underwent extensive testing, including urine histoplasma, cryptococcal, respiratory viral panel which will negative. TB QuantiFERON was indeterminate, along with elevated IgM mycoplasma for which he received azithromycin. Patient was also placed on IV Solu-Medrol initially, transitioned to IV Decadron. Inflammatory markers were elevated. D-dimer was noted to be greater than 10,000, he was placed on therapeutic Lovenox dosing. Patient did have Covid testing which was negative, he was also vaccinated. His oxygen requirements continue to increase, he was eventually placed on BiPAP, although due to lethargy and increased work of breathing patient was eventually intubated and sedated. He was also started on paralytics. Patient was transferred to another hospital for possible need of ECMO or lung transplantation.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: At 1 pm, patient claimed to have some throat tightness, about 10 mins after the vaccine. The patient was offered EpiPen, he accepted and was administered one dose. The patient never lost consciousness and was responsive at all times. The patient was offered 911 services but he refused. After 20 mins of the EpiPen administration, he said he was feeling better without any symptoms and left the facility. I gave the patient instructions on what to do in case of anaphylaxis and he confirmed understanding. I gave him a call at 3:30 pm. He was doing well at home with no complaints. I once again advised him on what to do incase of emergency.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Product administration error, Wrong technique in product usage process
Clinical narrative: Dose was given SC instead of IM   No signs/symptoms  Researched it and CDC states it is an administration error Dose does not need to be repeated.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine was thawed on 4/12/2021. Received in clinic on 4/30/2021 and placed in freezer. Rethawed on 5/12/2021 and given to patient on 5/13/2021.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: heavy vaginal bleeding
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Dizziness, Electrocardiogram
Clinical narrative: 59 yo BF  c/o dizziness ten minutes after receiving 2nd dose of Pfizer vaccine. Staff member notified EMS and NP of the incident   PT was evaluated by on-site EMS and NP.  VS, BS and EKG initiated. Patient has a medical Hx of Diabetes. Patient stated that she had not eaten since breakfast. After 1 hour, patient stated he was feeling and will allow her daughter to drive her home.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Lip swelling, Musculoskeletal stiffness, Neck pain, Oral pain
Clinical narrative: Shingles, stiff sore neck, swollen lips, a sore inside his mouth.
Age: 1.25
Sex: F
Vaccine: DTAPIPVHIB, MMRV
Symptoms: Fall, Musculoskeletal stiffness, Seizure
Clinical narrative: Had seizure-like activity approximately 24 hours after receiving Pentacel. Fell to floor, stiffened, lasted approximately 20 seconds.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Aggression, Condition aggravated, Disorientation, Electrocardiogram, Generalised tonic-clonic seizure
Clinical narrative: 31 yo F presented with gran mal seizure, bleeding tongue, bleeding forehead, and disorientation in a post-dictal state. Pt was combative while disoriented. Pt transported to treatment area and evaluated by EMS. Pt became cooperative over time. Has a history of seizures. Pt states that her doctor just changed her seizure medication last week. Pt care transferred to responding EMS unit and transported to local hospital emergency room for continued treatment.