chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Laboratory test normal, Lumbar puncture normal, Magnetic resonance imaging abnormal, Optic disc hyperaemia
Clinical narrative: He is an healthy male with no past medical history or meds who developed headache and vision changes worse in left eye 2 days after the 2nd dose of the vaccine and was referred by local optometrist to the emergency department for optic nerve edema. He was then sent to me, who confirmed he does have papilledema (swelling of bilateral optic nerves) worse in the left eye with inferior peripheral visual field defect. He has had extensive workup including labs and MRI of the brain to r/o other etiologies, which were all normal.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Optic nerve injury, Optic neuritis, Papilloedema, Retinal disorder, Vision blurred
Clinical narrative: He is an healthy male with no past medical history or meds who developed headache and vision changes worse in left eye 2 days after the 2nd dose of the vaccine and was referred by local optometrist to the emergency department for optic nerve edema. He was then sent to me, who confirmed he does have papilledema (swelling of bilateral optic nerves) worse in the left eye with inferior peripheral visual field defect. He has had extensive workup including labs and MRI of the brain to r/o other etiologies, which were all normal.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Decreased appetite, Headache, Injection site pain
Clinical narrative: Severe headache for 20 hrs. starting at 2am. Very weak and no apatite. Severe lower back pain for 30+ hrs. Slight fever for short period of time. (100.1) Sore arm at shot location.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe headache for 20 hrs. starting at 2am. Very weak and no apatite. Severe lower back pain for 30+ hrs. Slight fever for short period of time. (100.1) Sore arm at shot location.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Peripheral swelling, Rash
Clinical narrative: rash, swollen hand, burning sensation on hand (not injection site)
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Antiphospholipid antibodies, Blood iron, Blood thyroid stimulating hormone, Epistaxis, Full blood count
Clinical narrative: Patient developed nosebleed requiring emergency room visit on 4/26/2021, 6 days after vaccination. The nosebleed did not stop until  60 minutes later and after 20 minutes of having clamp on the nose.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Von Willebrand's factor antibody
Clinical narrative: Patient developed nosebleed requiring emergency room visit on 4/26/2021, 6 days after vaccination. The nosebleed did not stop until  60 minutes later and after 20 minutes of having clamp on the nose.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Throat tightness
Clinical narrative: Pt arrived for dose #2 Moderna vaccine, vaccine given at approximately 0850.  Moderna Lot #008C21A Exp 13 Oct 21, .5ml given in left deltoid.  At approximately 0855 pt reports difficulty swallowing, no tingling.  Pt ambulated to triage room. Pt placed on gurney, Vital signs obtain BP 130/86, HR 71, O2 sat at 98%, lungs clear, heart  regular rhythm noted.  Notified Dr.  at 0856, continue to monitor patient.  At 0905, pt reports increased difficulty swallowing, tightness in throat , 0 hives, 0 tingling, difficulty breathing.  Epi Pen administered at 0904, Lot 0FM352 Exp Nov 21, administered in right thigh.  0905 vital signs: BP 170/75 HR 85 O2 sat 98%. Additional information for Item 18: History obtained: Pt alert, answered questions appropriately, pt reports 1st dose Moderna on 31 March, no adverse reaction noted.  Pt reports hx anaphylaxis reaction with chilis, shellfish and CT contrast, has used epi pen 3X in past.  Pt reports cardiac hx, ventricular hypertrophy has resolved post gastric bypass Nov 2019, metabolic disorder, HTN.  Vial signs at 0908: BP 173/97 HR 87, pt reports no change in symptoms.  0910 - EMS notified per responder, dispatch unit to facility.  Vital signs at 0912: BP 165/94  HR 77.  0913 EMS arrived, report given to responder. 0915 vital signs: BP 148/97 HR 73. Pt assessment per EMS personnel.  0917 vital signs 153/90 HR71 O2 98%, pt reports easing of tightness in throat. 0920 - pt departs via ambulance to Health Center, notified Dr.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Discomfort, Pruritus, Rash
Clinical narrative: Event:  received my 1st shot of Pfizer vaccine on 04/18/2021.  Subsequently experienced the onset of the rash on 04/23/2021.  Onset of the rash was in my left shoulder blade.  Quality of the rash includes burning discomfort and pain, limited itching.  Over the course of the next few days,  started experiencing the rash migrate across  shoulder and into  left anterior axilla.  Treatment: valACYclovir (VALTREX) 1000 MG tablet; Take 1 tablet (1,000 mg total) by mouth 3 (three) times daily for 7 days.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site swelling, Myalgia
Clinical narrative: Tiredness, headache, swelling at injection site, muscle pain, chills, joint pain and a fever of 101.0
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Tiredness, headache, swelling at injection site, muscle pain, chills, joint pain and a fever of 101.0
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope - vitals wnl. Did not eat or drink before arriving at vaccine clinic.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Induration, Pain in extremity
Clinical narrative: Hardening of surface artery after both first and second dose in arm vaccination was given. Some pain at outset.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: fever of 104, 10/10 headache
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient complained  of feeling dizzy getting worse with time. Paramedics on site, assisted and assessed patient.  Patient felt better and walked out with significant other.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received mixed vaccine types (1st dose Pfizer, 2nd dose Moderna), no treatment was given.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, Dyspnoea, Dyspnoea exertional
Clinical narrative: Patient developed acute dyspnea with exertion 04/27.  Went to hospital ED, found to have acute hypoxic respiratory failure.  CT-PE showing submassive saddle pulmonary embolism with several large emboli in bilateral upper and lower pulmonary arteries.  Transferred from outside hospital to another Hospital.  Started on IV Heparin  infusion with transition to Enoxaparin.  Had significant drop in platelet count and developed peripheral thrombi in all extremities.  Concerned for HIT at that time, and review of CDC recommendations for COVID vaccine-associated thrombi, patient transitioned to Fondaparinux and remains on at present.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count abnormal, Lung infiltration, Platelet count decreased, Pneumonitis, Pulmonary embolism
Clinical narrative: Patient developed acute dyspnea with exertion 04/27.  Went to hospital ED, found to have acute hypoxic respiratory failure.  CT-PE showing submassive saddle pulmonary embolism with several large emboli in bilateral upper and lower pulmonary arteries.  Transferred from outside hospital to another Hospital.  Started on IV Heparin  infusion with transition to Enoxaparin.  Had significant drop in platelet count and developed peripheral thrombi in all extremities.  Concerned for HIT at that time, and review of CDC recommendations for COVID vaccine-associated thrombi, patient transitioned to Fondaparinux and remains on at present.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Thrombocytopenia, Ultrasound Doppler abnormal, Vaccination complication, Venous thrombosis limb
Clinical narrative: Patient developed acute dyspnea with exertion 04/27.  Went to hospital ED, found to have acute hypoxic respiratory failure.  CT-PE showing submassive saddle pulmonary embolism with several large emboli in bilateral upper and lower pulmonary arteries.  Transferred from outside hospital to another Hospital.  Started on IV Heparin  infusion with transition to Enoxaparin.  Had significant drop in platelet count and developed peripheral thrombi in all extremities.  Concerned for HIT at that time, and review of CDC recommendations for COVID vaccine-associated thrombi, patient transitioned to Fondaparinux and remains on at present.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Fever Vomiting
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Headache, Hot flush, Hyperhidrosis
Clinical narrative: Hot and cold flashes all night. Sweating. Probably a fever (didn't have a thermometer). Light headed. Feel like going to pass out. The headache, hot/cold lasted for around 20 hours into the next day.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Hot and cold flashes all night. Sweating. Probably a fever (didn't have a thermometer). Light headed. Feel like going to pass out. The headache, hot/cold lasted for around 20 hours into the next day.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Disturbance in attention, Fatigue, Feeling abnormal, Headache
Clinical narrative: Day after vaccine: Major brain fog/hard time concentrating. Headache (took ibuprofen), fatigue, low grade fever of 100.2 (took ibuprofen) Two days after vaccine: Minor brain fog, fatigue, hot flashes Three days after vaccine: Felt a little off, but mostly back to normal Four days after vaccine: Totally back to normal
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush
Clinical narrative: Day after vaccine: Major brain fog/hard time concentrating. Headache (took ibuprofen), fatigue, low grade fever of 100.2 (took ibuprofen) Two days after vaccine: Minor brain fog, fatigue, hot flashes Three days after vaccine: Felt a little off, but mostly back to normal Four days after vaccine: Totally back to normal
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lactation disorder, Maternal exposure during breast feeding
Clinical narrative: Significant reduction in breast milk production following COVID-19 vaccine. Began the same day I received the shot and continued for at least three weeks. At the time of my second shot production is still not where it was before the vaccine but was coming back with work. I got my second shot this morning and my pumping session this afternoon was very low again.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Posture abnormal
Clinical narrative: Patient found in EMT observation area diaphoretic and sitting hunched over 10 minutes following her vaccine. EMT assisted her to floor, laying supine with legs elevated over head. Patient states she is "feeling really good" 10 minutes following event. Patient left site at  10:33 am with steady, balanced gait.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Loss of consciousness, Musculoskeletal stiffness, Syncope
Clinical narrative: Approximately 3-5 minutes post-vaccination, patient was seated, texting a message on cell phone, and fainted. Slumped out of chair face down. Witnessed by several volunteer employees. Not witnessed by pharmacist who had administered the vaccine. Volunteers called for help. Immediately pharmacist responded to patient. Loss of conscious noted. Patient was assessed and gently rolled to back with head support and began to regain consciousness, stiffened arms and legs noted. Patient asked, "Do you have a history of seizure disorder?" Initially unable to respond. Pharmacist requested 911 be called as is looked like a seizure. Asked again, and then patient shook head no and then verbal no. Muscles more relaxed. Stroke assessment performed with arms and legs equal to weight, no facial droop, verbal back to normal. Patient asked if he would like to sit up in chair after about 5 minutes on back. Patient complained of headache but no other injuries. Stated he had no bump on his head. Paramedics arrive in less than 10 minutes from call.  Assessed patient. Vitals normal. Skin color normal from pale. Paramedics assumed vasovagal fainting episode. Pharmacist agreed. Patient offered water and consumed 12 ounces. Stayed additional 30 minutes. Stood and sit tested for balance. Left without complaint.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: The patient was administered 2nd dose of Pfizer vaccine in right arm. Within seconds, the patient complained of itching to his neck, head, arms, and shoulders.  He denied difficulty breathing; VS were nromal. Affected areas appeared red due to scratching, but no other visible lesions noted. Pt denies history of reactions to medications and past immunizations.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Moderate headaches
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Computerised tomogram abdomen, Computerised tomogram normal, Computerised tomogram pelvis, Diarrhoea
Clinical narrative: Stomach Cramps, Stomach Ache. Diarrhea
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Developed generalized itching throughout entire body. Administered benedryl 50 mg PO x1 once patient complained of itching (approx 15 min after vaccine administration) with no improvement/worsening of itching. Patient was walked over to ER at hospital for further evaluation and monitoring. Denied all other symptoms. No respiratory distress or symptoms.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse event.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Somnolence, Vaccine positive rechallenge
Clinical narrative: Pt developed extreme fatigue. Felt tired and sleepy. BP 160/70, HR 70, O2sat 97% RA. Denied chest pain, sob, palpitations, headache, dizziness. Sent to ER via w/c.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pain, Paraesthesia, Rash, Rash pruritic
Clinical narrative: Patient exhibited shooting pain/tingling in hands and legs 5-7 days after vaccination. On March 29, 2021, the patient noticed an itchy rash on the left side of her lower back.  She received the vaccine in her left arm. She was diagnosed with shingles on March 30, 2021, two weeks after receiving the vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Headache, Nausea
Clinical narrative: Headache, extreme arm pain, fever of 99.9, body aches, chills, nauseousness, dizzy beginning about 2AM and lasting through next day.  Today 4/29/2021 a few aches in arm and shoulders otherwise much better.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Headache, extreme arm pain, fever of 99.9, body aches, chills, nauseousness, dizzy beginning about 2AM and lasting through next day.  Today 4/29/2021 a few aches in arm and shoulders otherwise much better.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Oral herpes
Clinical narrative: Patient reported that the evening of his vaccination he started to get cold sores.  Overnight he got several more cold sores.  These are located on his lips and inside his mouth.  Looks to be around 5-10 cold sores currently.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Eructation, Flatulence
Clinical narrative: Patient describes having increased gas and belching starting two weeks after the first dose and has been continuing daily for the last few weeks. Reports no changes in diet or lifestyle.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Mean cell volume normal, Neutrophil count decreased, Thrombocytopenia, White blood cell count decreased
Clinical narrative: Thrombocytopenia.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Syncope
Clinical narrative: Patient fainted but she attributes it to her intense anxiety due to her OCD and anxiety disorder.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Condition aggravated, Tinnitus
Clinical narrative: Extreme change in the volume of tinnitus
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Hypoaesthesia, Neuropathy peripheral, Paraesthesia, Temperature intolerance
Clinical narrative: Since the second shot, I have experienced minor hot flashes and numbness/tingling and heightened sensitivity to hot and cold on my hands and forearms, nothing debilitating, and could also Be attributed to periomenopause?
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Heart rate increased, Impaired driving ability
Clinical narrative: Night of the vaccine: Elevated heart rate, vertigo, muscles locked up in neck, chills, shortness of breath, feeling faint. It induced a panic attack because my husband was gone on a work trip and I was alone with kids some of the symptoms subsided a bit the next day but the vertigo and more elevated heart rate lasted 5 days. After acupuncture on day 3 to try and release muscle tension, and chiropractic treatment, by day 7 I felt almost 100%. I'm a physically active person who works out about 30-40 minutes a day 5 days a week with two young kids at home. This sent me spinning and left me unable to complete normal functions well (driving a car, getting groceries, picking up kids from school) for 5 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Musculoskeletal stiffness, Panic attack, Vertigo
Clinical narrative: Night of the vaccine: Elevated heart rate, vertigo, muscles locked up in neck, chills, shortness of breath, feeling faint. It induced a panic attack because my husband was gone on a work trip and I was alone with kids some of the symptoms subsided a bit the next day but the vertigo and more elevated heart rate lasted 5 days. After acupuncture on day 3 to try and release muscle tension, and chiropractic treatment, by day 7 I felt almost 100%. I'm a physically active person who works out about 30-40 minutes a day 5 days a week with two young kids at home. This sent me spinning and left me unable to complete normal functions well (driving a car, getting groceries, picking up kids from school) for 5 days.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Blood test abnormal, Chest X-ray, Chest X-ray abnormal
Clinical narrative: Severe pain to lower left leg without injury hx. Went to doctor on 3/17/21 and was examined and doppler to left leg showing no blockage.  Dr prescribed nsaid as needed for pain and monitor. Monitored and pain continued until approx 4/9 and noticed swelling starting and some redness to skin slightly warm. Returned to dr on 4/13 and was placed on antibiotics. On 4/14 noticed slight shortness of breath on exertion and on 4/15 shortness of breath worsened and some irregular heartrate. I  went to hospital. Bloodwork, EKG, Chest xray and CT showed multiple pulmonary embolisms and several DVTs in left leg. Admitted to hospital and placed on Heparin drip and monitored for three days. Released from hospital on 4/19 on Eliquis and advised to follow up with personal physician and report severe breathing problems or CP.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Deep vein thrombosis, Dyspnoea, Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: Severe pain to lower left leg without injury hx. Went to doctor on 3/17/21 and was examined and doppler to left leg showing no blockage.  Dr prescribed nsaid as needed for pain and monitor. Monitored and pain continued until approx 4/9 and noticed swelling starting and some redness to skin slightly warm. Returned to dr on 4/13 and was placed on antibiotics. On 4/14 noticed slight shortness of breath on exertion and on 4/15 shortness of breath worsened and some irregular heartrate. I  went to hospital. Bloodwork, EKG, Chest xray and CT showed multiple pulmonary embolisms and several DVTs in left leg. Admitted to hospital and placed on Heparin drip and monitored for three days. Released from hospital on 4/19 on Eliquis and advised to follow up with personal physician and report severe breathing problems or CP.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Heart rate irregular, Pain in extremity, Peripheral swelling, Pulmonary embolism
Clinical narrative: Severe pain to lower left leg without injury hx. Went to doctor on 3/17/21 and was examined and doppler to left leg showing no blockage.  Dr prescribed nsaid as needed for pain and monitor. Monitored and pain continued until approx 4/9 and noticed swelling starting and some redness to skin slightly warm. Returned to dr on 4/13 and was placed on antibiotics. On 4/14 noticed slight shortness of breath on exertion and on 4/15 shortness of breath worsened and some irregular heartrate. I  went to hospital. Bloodwork, EKG, Chest xray and CT showed multiple pulmonary embolisms and several DVTs in left leg. Admitted to hospital and placed on Heparin drip and monitored for three days. Released from hospital on 4/19 on Eliquis and advised to follow up with personal physician and report severe breathing problems or CP.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Skin warm, Thrombosis, Ultrasound Doppler normal
Clinical narrative: Severe pain to lower left leg without injury hx. Went to doctor on 3/17/21 and was examined and doppler to left leg showing no blockage.  Dr prescribed nsaid as needed for pain and monitor. Monitored and pain continued until approx 4/9 and noticed swelling starting and some redness to skin slightly warm. Returned to dr on 4/13 and was placed on antibiotics. On 4/14 noticed slight shortness of breath on exertion and on 4/15 shortness of breath worsened and some irregular heartrate. I  went to hospital. Bloodwork, EKG, Chest xray and CT showed multiple pulmonary embolisms and several DVTs in left leg. Admitted to hospital and placed on Heparin drip and monitored for three days. Released from hospital on 4/19 on Eliquis and advised to follow up with personal physician and report severe breathing problems or CP.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Conjunctivitis, Stomatitis
Clinical narrative: Severe oral sores/stomatitis. Conjunctivitis bilateral
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-thyroid antibody, Blood thyroid stimulating hormone decreased, Thyroiditis subacute, Thyroxine free decreased, Tri-iodothyronine
Clinical narrative: Pt developed Subacute Thyroiditis.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal
Clinical narrative: Pt developed Subacute Thyroiditis.
Sex: U
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Hypoaesthesia, Non-cardiac chest pain, Pain in extremity
Clinical narrative: Numbness and pain in left hand, left forearm, left shoulder blade and left side of chest. Numbness of face and ears. Pain in back, hip and heel. Took steroids for treatment and it gave temporary reliefe. Took pain relievers as well with no effect.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Facial discomfort, Rash
Clinical narrative: Two hours after having my second shot, my face became very tight and felt like it was burning. I had a reddish rash on my face, which gradually went away after about 6 hours. I put a wet, cold cloth on my face, which helped the burning feeling.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Body aches and soreness from 7pm after the injection (1:40pm).  24 hours after the injection was the most intense.  Upon wakin the second morning after the injection event was over.  Ibuprofen was taken to relieve symptoms with good results.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Feeling abnormal, Pain, Vomiting
Clinical narrative: Minutes after receiving  vaccines, the child vomited, stated she  feels funny in her legs and c/o body aches.  School personnel called her mother.  The mother picked up child and stated she would take her to the ER.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Symptoms: Fever (101.5 degrees F), chills, headache Duration: about 24 hours Treatment: Ibuprofen for fever reduction Outcome: Recovered
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Oral discomfort, Paraesthesia oral, Throat irritation
Clinical narrative: Burning sensation around the lips, particularly the bottom lip at the edge of lip/lining.  It started within four hours of the vaccine and has continued now for 24 hours.  Slight burning in the throat that lasted for a few hours and stopped. Is this a side effect or a reaction?  The same burning sensation happened in both the throat and lips after the first dose within two hours but went away by the next day. After the first dose, burning in throat lasted a day and the lips went from burning sensation to tingling around the entire lips for one day.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Headache, Hyperhidrosis, Malaise
Clinical narrative: Sudden fever, sweats, headache, chills, vomiting X1, stomach pain, malaise and headache.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Sudden fever, sweats, headache, chills, vomiting X1, stomach pain, malaise and headache.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Haematuria, Urine analysis
Clinical narrative: Episode of hematuria
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Product administered at inappropriate site, Syringe issue
Clinical narrative: Morbidly obese ( Wt (!) 185.5 kg (409 lb) | BMI 64.06 kg/m² 12/2020) patient with PMH paroxysmal atrial fibrillation, HTN, and other comorbidities (documented allergies:  aspirin, losartan, and shellfish) presented for dose 2 of COVID-19 Moderna vaccine on 4/16.  COVID-19 Moderna vaccine (LOT # 044B21A) administered IM to patient's right deltoid by Staff at Clinic ~ 1647.  This clinic has not been routinely using syringes with the 1.5 inch needles recommended for larger patients to prepare vaccinations.  Patient returned to clinic on 4/21 noting she felt vaccine had been given in subcutaneous tissue instead of deltoid.  Right arm injection site noted to be red with some induration and and "appears to be down Additional information for Item 18: Right arm injection site noted to be red with some induration and and "appears to be down and to side of deltoid".  Patient with questions regarding titers and whether she should receive another dose due to possible incorrect administration technique.  Clinic leadership aware and ID contacted to address patient's concerns.  Of note, Moderna COVID vaccine #1 given on 3/19/21 (LOT # 038A21A, IM LD).  oF NOTE, UPDATED WEIGHT NOT AVAILABLE.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Dermatitis bullous, Fibrin D dimer increased, Full blood count, Granulocyte count increased
Clinical narrative: 2 days after second COVID vaccine patient began to have purple spots on his legs and erythematous spots on the rest of his body.  lower extremity rash become bullous purpura with eventually necrotic tissue in the center of the larger lesions that became up to 3 inches in diameter and many 1/2 inch to inch size lesions as well.  swelling of ankles and feet all causing severe pain.    seen over several weeks and had biopsy and placed on Norco for pain control and prednsione for inflammation.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit normal, Inflammation, Joint swelling, Metabolic function test, Necrosis
Clinical narrative: 2 days after second COVID vaccine patient began to have purple spots on his legs and erythematous spots on the rest of his body.  lower extremity rash become bullous purpura with eventually necrotic tissue in the center of the larger lesions that became up to 3 inches in diameter and many 1/2 inch to inch size lesions as well.  swelling of ankles and feet all causing severe pain.    seen over several weeks and had biopsy and placed on Norco for pain control and prednsione for inflammation.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Platelet count increased, Purpura, Rash, Rash erythematous
Clinical narrative: 2 days after second COVID vaccine patient began to have purple spots on his legs and erythematous spots on the rest of his body.  lower extremity rash become bullous purpura with eventually necrotic tissue in the center of the larger lesions that became up to 3 inches in diameter and many 1/2 inch to inch size lesions as well.  swelling of ankles and feet all causing severe pain.    seen over several weeks and had biopsy and placed on Norco for pain control and prednsione for inflammation.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count decreased, Skin discolouration, Ultrasound Doppler normal, White blood cell count increased
Clinical narrative: 2 days after second COVID vaccine patient began to have purple spots on his legs and erythematous spots on the rest of his body.  lower extremity rash become bullous purpura with eventually necrotic tissue in the center of the larger lesions that became up to 3 inches in diameter and many 1/2 inch to inch size lesions as well.  swelling of ankles and feet all causing severe pain.    seen over several weeks and had biopsy and placed on Norco for pain control and prednsione for inflammation.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Phlebitis superficial, Ultrasound scan
Clinical narrative: superficial phlebitis Right lower leg
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site haemorrhage, Loss of consciousness
Clinical narrative: Patient received vaccination in their right arm. Patient looked at injection site and saw a drop of blood, then lost consciousness in the chair. They were held upright by the nurse who administered the vaccination. Patient regained consciousness after several seconds and was transferred to the cot. Ice pack applied to patient's head due to warm observation area. Patient declined VS, declined a snack, sat with girlfriend and requested to leave at 1420.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram abnormal, Arterial thrombosis, Echocardiogram, Hypoaesthesia, Iliac artery occlusion
Clinical narrative: LEFT LOWER EXTREMITY ISCHEMIC LIMB; ARTERIAL THROMBOSIS A week after the first dose, patient develop acute onset of left 3rd toe tip pain and tenderness.This gradually progressed to pain under his metatarsal head in the left foot.  Gradually over the last 2 weeks, he has also noted increasing hip and buttock muscle fatigue with walking.  Two nights ago, he developed increasing pain in his left forefoot.  Yesterday, his left foot became numb and he went to Medical Center for evaluation.  While there, he was found to have an ischemic left leg with lack of Doppler signals in his left foot and subsequently underwent CT angiography.  This CT scan demonstrated left internal iliac occlusion, partially occlusive thrombus within the left external iliac artery with widely patent femoral popliteal system bilaterally.  However, his left peroneal and anterior tibial arteries were occluded for segments, while the distal left posterior tibial artery appears occluded, although this may represent contrast bolus timing issues He has no known prior history of thrombotic issues.  He has no family history of clotting abnormalities.  He denies any palpitations or history of cardiac arrhythmia.  He has been in sinus rhythm since his initial presentation.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle fatigue, Musculoskeletal discomfort, Pain in extremity, Peripheral ischaemia, Sinus rhythm
Clinical narrative: LEFT LOWER EXTREMITY ISCHEMIC LIMB; ARTERIAL THROMBOSIS A week after the first dose, patient develop acute onset of left 3rd toe tip pain and tenderness.This gradually progressed to pain under his metatarsal head in the left foot.  Gradually over the last 2 weeks, he has also noted increasing hip and buttock muscle fatigue with walking.  Two nights ago, he developed increasing pain in his left forefoot.  Yesterday, his left foot became numb and he went to Medical Center for evaluation.  While there, he was found to have an ischemic left leg with lack of Doppler signals in his left foot and subsequently underwent CT angiography.  This CT scan demonstrated left internal iliac occlusion, partially occlusive thrombus within the left external iliac artery with widely patent femoral popliteal system bilaterally.  However, his left peroneal and anterior tibial arteries were occluded for segments, while the distal left posterior tibial artery appears occluded, although this may represent contrast bolus timing issues He has no known prior history of thrombotic issues.  He has no family history of clotting abnormalities.  He denies any palpitations or history of cardiac arrhythmia.  He has been in sinus rhythm since his initial presentation.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tenderness, Thrombectomy, Ultrasound Doppler abnormal
Clinical narrative: LEFT LOWER EXTREMITY ISCHEMIC LIMB; ARTERIAL THROMBOSIS A week after the first dose, patient develop acute onset of left 3rd toe tip pain and tenderness.This gradually progressed to pain under his metatarsal head in the left foot.  Gradually over the last 2 weeks, he has also noted increasing hip and buttock muscle fatigue with walking.  Two nights ago, he developed increasing pain in his left forefoot.  Yesterday, his left foot became numb and he went to Medical Center for evaluation.  While there, he was found to have an ischemic left leg with lack of Doppler signals in his left foot and subsequently underwent CT angiography.  This CT scan demonstrated left internal iliac occlusion, partially occlusive thrombus within the left external iliac artery with widely patent femoral popliteal system bilaterally.  However, his left peroneal and anterior tibial arteries were occluded for segments, while the distal left posterior tibial artery appears occluded, although this may represent contrast bolus timing issues He has no known prior history of thrombotic issues.  He has no family history of clotting abnormalities.  He denies any palpitations or history of cardiac arrhythmia.  He has been in sinus rhythm since his initial presentation.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Dizziness, Fatigue, Headache
Clinical narrative: Vertigo, dizziness, headache, stomach cramps, aches, muscle pain, joint pain, fatigue, malaise.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pain, Vertigo
Clinical narrative: Vertigo, dizziness, headache, stomach cramps, aches, muscle pain, joint pain, fatigue, malaise.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol withdrawal syndrome, Angiogram abnormal, Cerebral infarction, Cerebrovascular accident, Echocardiogram normal
Clinical narrative: Patient admitted with left sided weakness on 4/21/21. First covid-19 vaccine (Moderna) received on 3/23/21. MRI/MRA shows acute infarcts of the right caudate body and striatum. H/o HTN, hep C with cirrhosis, COPD, tobacco abuse, alcohol use disorder, GTC seizure disorder. ECHO on 4/21/21 which was normal. Patient thought to be actively overusing alcohol at home. Patient was treated for stroke and discharged on medications to help with alcohol withdrawal symptoms (clonidine, gabapentin) as well as aspirin, plavix, and atorvastatin for new stroke. Thrombocytopenia noted (platelets 50K), however patient?s platelets have historically been low likely related to alcohol use. Per hospitalist discharge summary, low suspicion for vaccine induced thrombocytopenia. HIT Ab test ordered on 4/21/21, resulted negative. It seems to be coincidental that stroke occurred about a month after patient?s first covid-19 vaccine but reported to VAERS for completeness. Did not add covid-19 vaccine to patient?s allergy list. Patient received second covid-19 vaccine (Moderna) on 4/28/21.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hemiparesis, Heparin-induced thrombocytopenia test, Magnetic resonance imaging, Magnetic resonance imaging head abnormal, Platelet count decreased
Clinical narrative: Patient admitted with left sided weakness on 4/21/21. First covid-19 vaccine (Moderna) received on 3/23/21. MRI/MRA shows acute infarcts of the right caudate body and striatum. H/o HTN, hep C with cirrhosis, COPD, tobacco abuse, alcohol use disorder, GTC seizure disorder. ECHO on 4/21/21 which was normal. Patient thought to be actively overusing alcohol at home. Patient was treated for stroke and discharged on medications to help with alcohol withdrawal symptoms (clonidine, gabapentin) as well as aspirin, plavix, and atorvastatin for new stroke. Thrombocytopenia noted (platelets 50K), however patient?s platelets have historically been low likely related to alcohol use. Per hospitalist discharge summary, low suspicion for vaccine induced thrombocytopenia. HIT Ab test ordered on 4/21/21, resulted negative. It seems to be coincidental that stroke occurred about a month after patient?s first covid-19 vaccine but reported to VAERS for completeness. Did not add covid-19 vaccine to patient?s allergy list. Patient received second covid-19 vaccine (Moderna) on 4/28/21.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombocytopenia
Clinical narrative: Patient admitted with left sided weakness on 4/21/21. First covid-19 vaccine (Moderna) received on 3/23/21. MRI/MRA shows acute infarcts of the right caudate body and striatum. H/o HTN, hep C with cirrhosis, COPD, tobacco abuse, alcohol use disorder, GTC seizure disorder. ECHO on 4/21/21 which was normal. Patient thought to be actively overusing alcohol at home. Patient was treated for stroke and discharged on medications to help with alcohol withdrawal symptoms (clonidine, gabapentin) as well as aspirin, plavix, and atorvastatin for new stroke. Thrombocytopenia noted (platelets 50K), however patient?s platelets have historically been low likely related to alcohol use. Per hospitalist discharge summary, low suspicion for vaccine induced thrombocytopenia. HIT Ab test ordered on 4/21/21, resulted negative. It seems to be coincidental that stroke occurred about a month after patient?s first covid-19 vaccine but reported to VAERS for completeness. Did not add covid-19 vaccine to patient?s allergy list. Patient received second covid-19 vaccine (Moderna) on 4/28/21.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance
Clinical narrative: she was a little tired for few minutes. she couldn't walk for few minutes
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Dysstasia, Gait disturbance, Hyperhidrosis
Clinical narrative: The patient began feeling light-headed and diaphoretic immediately after vaccine administration. He was taken by wheelchair to a medical exam table to recline, with feet elevated on pillows. He stated he had not had anything to eat that morning or the evening prior. He was offered juice, and would take sips if it was held to his mouth, however did not want to eat any crackers. He was not verbal, answering questions by shaking his head yes or now only. Unsure if he remained oriented. He was also noted to have a brief syncopal episode. He was noted to be shaky and anxious. He complained of lethargy and was unable to bear weight/walk.  His vitals upon arriving at the exam table were: BP 110/64 HR 45 SpO2 97% It was determined by RN that he may be hypoglycemic. No glucometer was available. She stated he was not able to tell them if he was diabetic. She decided to administer 1mg glucagon subcutaneously. He also continued sipping on apple juice. His vitals were repeated five minutes later and at that time were: 110/82 HR 84 SpO2 96% Ten minutes after this: 122/80 HR 74 SpO2 95%.  This was now 1045. He was complaining of his head spinning when he tried to sit up and remained shaky. He was unable to stand or walk independently. At this time it was recommended that he go to the emergency room or urgent care. He denied an ambulance, but stated his mother could come pick him up and take him to the emergency room. She was contacted, arrived at 1105.  His last set of vitals remained within normal limits at 1106. He was taken by wheelchair to his mother's car.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Hyporesponsive to stimuli, Immediate post-injection reaction, Lethargy, Syncope, Tremor
Clinical narrative: The patient began feeling light-headed and diaphoretic immediately after vaccine administration. He was taken by wheelchair to a medical exam table to recline, with feet elevated on pillows. He stated he had not had anything to eat that morning or the evening prior. He was offered juice, and would take sips if it was held to his mouth, however did not want to eat any crackers. He was not verbal, answering questions by shaking his head yes or now only. Unsure if he remained oriented. He was also noted to have a brief syncopal episode. He was noted to be shaky and anxious. He complained of lethargy and was unable to bear weight/walk.  His vitals upon arriving at the exam table were: BP 110/64 HR 45 SpO2 97% It was determined by RN that he may be hypoglycemic. No glucometer was available. She stated he was not able to tell them if he was diabetic. She decided to administer 1mg glucagon subcutaneously. He also continued sipping on apple juice. His vitals were repeated five minutes later and at that time were: 110/82 HR 84 SpO2 96% Ten minutes after this: 122/80 HR 74 SpO2 95%.  This was now 1045. He was complaining of his head spinning when he tried to sit up and remained shaky. He was unable to stand or walk independently. At this time it was recommended that he go to the emergency room or urgent care. He denied an ambulance, but stated his mother could come pick him up and take him to the emergency room. She was contacted, arrived at 1105.  His last set of vitals remained within normal limits at 1106. He was taken by wheelchair to his mother's car.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: The patient began feeling light-headed and diaphoretic immediately after vaccine administration. He was taken by wheelchair to a medical exam table to recline, with feet elevated on pillows. He stated he had not had anything to eat that morning or the evening prior. He was offered juice, and would take sips if it was held to his mouth, however did not want to eat any crackers. He was not verbal, answering questions by shaking his head yes or now only. Unsure if he remained oriented. He was also noted to have a brief syncopal episode. He was noted to be shaky and anxious. He complained of lethargy and was unable to bear weight/walk.  His vitals upon arriving at the exam table were: BP 110/64 HR 45 SpO2 97% It was determined by RN that he may be hypoglycemic. No glucometer was available. She stated he was not able to tell them if he was diabetic. She decided to administer 1mg glucagon subcutaneously. He also continued sipping on apple juice. His vitals were repeated five minutes later and at that time were: 110/82 HR 84 SpO2 96% Ten minutes after this: 122/80 HR 74 SpO2 95%.  This was now 1045. He was complaining of his head spinning when he tried to sit up and remained shaky. He was unable to stand or walk independently. At this time it was recommended that he go to the emergency room or urgent care. He denied an ambulance, but stated his mother could come pick him up and take him to the emergency room. She was contacted, arrived at 1105.  His last set of vitals remained within normal limits at 1106. He was taken by wheelchair to his mother's car.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site pruritus, Rash erythematous
Clinical narrative: Moderna COVID-19 Vaccine EUA "Covid arm" : itchy, red knot at injection site followed by a large round rash/red area for about 36 hours
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Itchy fingers, both hands.  Red.  No rash.  It occurred after the 1st dose too but thought it was a new soap that was then discontinued.  No treatment. Three weeks to subside.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmological examination, Retinal vein occlusion
Clinical narrative: Central retinal venous occulsion
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Headache
Clinical narrative: Non intractable headache, unspecified headache type
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pallor, Vision blurred
Clinical narrative: Patient visibly pale upon sitting. Patient reported feeling lightheaded, dizzy and having blurred vision. Patient denies allergies or any medical history. Patient evaluated by NP and EMT. VS taken: BP 122/103, O2 SAT 99 on room air and pulse 69.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Contusion, Fatigue, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Moderna Covid-19 Vaccine  Shot one gave some mild allergy signs showing a two inch round area which changed into a green bruise as it slowly faded-diffused in time over 3 weeks. Shot two is showing a strong 5 x 8 inch weld at the shot site on the left arm.  Weld is red (shade 6 of 10) with allergy bumps getting more abundant and prominent with time. (Slow bubbling up over time) There is also a hundred degree fever present with weld being quite hot to the touch. Muscle aches include neck cramping, continual headaches, fatigue, and some nausea. Saw Dr  at 24hr mark who suggested using ice packs, Tylenol, Benedryl Salve, and Claritin, additionally avoid hot shower, and watch for signs of infection.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site warmth, Muscle spasms, Myalgia, Nausea, Pyrexia
Clinical narrative: Moderna Covid-19 Vaccine  Shot one gave some mild allergy signs showing a two inch round area which changed into a green bruise as it slowly faded-diffused in time over 3 weeks. Shot two is showing a strong 5 x 8 inch weld at the shot site on the left arm.  Weld is red (shade 6 of 10) with allergy bumps getting more abundant and prominent with time. (Slow bubbling up over time) There is also a hundred degree fever present with weld being quite hot to the touch. Muscle aches include neck cramping, continual headaches, fatigue, and some nausea. Saw Dr  at 24hr mark who suggested using ice packs, Tylenol, Benedryl Salve, and Claritin, additionally avoid hot shower, and watch for signs of infection.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Moderna Covid-19 Vaccine  Shot one gave some mild allergy signs showing a two inch round area which changed into a green bruise as it slowly faded-diffused in time over 3 weeks. Shot two is showing a strong 5 x 8 inch weld at the shot site on the left arm.  Weld is red (shade 6 of 10) with allergy bumps getting more abundant and prominent with time. (Slow bubbling up over time) There is also a hundred degree fever present with weld being quite hot to the touch. Muscle aches include neck cramping, continual headaches, fatigue, and some nausea. Saw Dr  at 24hr mark who suggested using ice packs, Tylenol, Benedryl Salve, and Claritin, additionally avoid hot shower, and watch for signs of infection.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral
Clinical narrative: left axillary swelling