chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest discomfort, Decreased appetite, Echocardiogram, Electrocardiogram normal, Fatigue
Clinical narrative: 1st shot taken at 2:30 p.m. on a Friday. By Saturday morning, I felt flu symptoms, severe headache, no appetite, unable to do anything but lie down. Heart palpitations started in the afternoon and continued for at least six hours. Felt like a party inside my chest, erratic, very scary.  next day I was completely wiped out and unable to do anything. 2nd shot I felt sick like the flu, bad for 24 hours and then mild for another 24. Booster shot I felt lousy but not as sick as with the first two shots.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fear, Feeling abnormal, Headache, Influenza, Loss of personal independence in daily activities
Clinical narrative: 1st shot taken at 2:30 p.m. on a Friday. By Saturday morning, I felt flu symptoms, severe headache, no appetite, unable to do anything but lie down. Heart palpitations started in the afternoon and continued for at least six hours. Felt like a party inside my chest, erratic, very scary.  next day I was completely wiped out and unable to do anything. 2nd shot I felt sick like the flu, bad for 24 hours and then mild for another 24. Booster shot I felt lousy but not as sick as with the first two shots.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mobility decreased
Clinical narrative: 1st shot taken at 2:30 p.m. on a Friday. By Saturday morning, I felt flu symptoms, severe headache, no appetite, unable to do anything but lie down. Heart palpitations started in the afternoon and continued for at least six hours. Felt like a party inside my chest, erratic, very scary.  next day I was completely wiped out and unable to do anything. 2nd shot I felt sick like the flu, bad for 24 hours and then mild for another 24. Booster shot I felt lousy but not as sick as with the first two shots.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Describe the adverse event(s), treatment, and outcome(s), if any: (symptoms, signs, time course, etc.) Event: Pediatric Pfizer Vaccine Lot Number FK5127, was improperly stored in an Immunizations Freezer that maintained a temperature between -15 Celsius and -24 Celsius. Per the Manufacture?s guidelines the vaccine must be stored in a Refrigerator maintaining temperature of 2-8 Degrees Celsius or an Ultra-Low Cold Freezer maintaining temperature of -90C or lower. The patient received the vaccine that was improperly stored.  Treatment: Not required, patient did not report any adverse reactions to the Vaccine.  Outcome: Patient?s guardian notified and offered to restart the Pediatric Pfizer Covid Vaccine series again stored at the proper temperature.  Signs, Symptoms course, etc. None reported by the patient?s guardian
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: PATIENT WAS GIVEN UNDILUTED PEDIATRIC DOSE INSTEAD OF ADULT DOSE
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccination. ProQuad expired on 3/16/2022. Vaccine given on 3/22/2022.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient presented to vaccination site and requested Pfizer COVID vaccine additional dose. Patient received Pfizer 1st dose on 3/5/21, Pfizer 2nd dose on 3/26/21, and Pfizer booster dose on 10/14/21. RN 1 submitted a medical consult to Clinical Project Coordinators requesting to proceed with Pfizer COVID vaccine additional dose. Clinical Project Coordinator RN 2 elevated request to medical consult team. MD 1 from medical consult team approved request for Pfizer COVID vaccine additional dose. On 3/21/21, patient received Pfizer COVID vaccine (LOT# FK9894) additional dose at 1634. EMT 1 educated patient on signs and symptoms of adverse reactions, when to seek emergency care, and to register on V-Safe. At approximately 1650, patient left facility with unlabored respirations and steady gait.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Interchange of vaccine products, Palpitations, Swollen tongue
Clinical narrative: patient received vaccine at 1:55 pm, at 2pm husband informed us she was having a reaction, the pharmacist and myself when outside to evaluate the patient, after noticing the patient was having trouble breathing feeling tightness and itchiness in the throat, tongue was swelling and was having palpitations so I administered the epi pen on the right thigh. By 2:05 patient was fully able to breath and started feeling better.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Throat tightness
Clinical narrative: patient received vaccine at 1:55 pm, at 2pm husband informed us she was having a reaction, the pharmacist and myself when outside to evaluate the patient, after noticing the patient was having trouble breathing feeling tightness and itchiness in the throat, tongue was swelling and was having palpitations so I administered the epi pen on the right thigh. By 2:05 patient was fully able to breath and started feeling better.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE NOTED
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient states she broke out in a rash all over her body and face.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, FLU4
Symptoms: COVID-19, Cough, Fatigue, Influenza, Influenza A virus test positive
Clinical narrative: SICK ON 12-30-2021 WITH CHEST CONGESTION, FATIGUE AND COUGH. TESTED POSITIVE FOR COVID-19 AND INFLUENZA A ON 01-01-2022. ADMITTED TO SHC ON 01-01-2022 DISCHARGED 01-05-2022
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, FLU4
Symptoms: Malaise, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: SICK ON 12-30-2021 WITH CHEST CONGESTION, FATIGUE AND COUGH. TESTED POSITIVE FOR COVID-19 AND INFLUENZA A ON 01-01-2022. ADMITTED TO SHC ON 01-01-2022 DISCHARGED 01-05-2022
Age: 7.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Event: Pediatric Pfizer Vaccine Lot Number FK5127, was improperly stored in an Immunizations Freezer that maintained a temperature between -15 Celsius and -24 Celsius. Per the Manufacture?s guidelines the vaccine must be stored in a Refrigerator maintaining temperature of 2-8 Degrees Celsius or an Ultra-Low Cold Freezer maintaining temperature of -90C or lower. The patient received the vaccine that was improperly stored.  Treatment: Not required, patient did not report any adverse reactions to the Vaccine.  Outcome: Patient?s guardian notified and offered to restart the Pediatric Pfizer Covid Vaccine series again stored at the proper temperature.  Signs, Symptoms course, etc. None reported by the patient?s guardian
Age: 85.0
Sex: M
Vaccine: PNC13
Symptoms: Wrong product administered
Clinical narrative: Recommendations changed during time period prevnar 20 unavailable so prevnar 13 was administered and pt must return for 2nd dose per previous guidelines. patient understands he must return for pneumovax 23 in 2023
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Unevaluable event
Clinical narrative: Pt presented to the pharmacy specifically looking for prevnar 13 via doctor recommendation. We went over prevnar 13 vs 20 and the series itself. Pt wanted prenvar 13 and is aware it needs to be followed up in a year with pneumovax 23
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Axillary pain, Dizziness, Headache, Mobility decreased, Muscle swelling
Clinical narrative: Patient had extreme night sweats, lightheaded, bad headache, Swollen armpit/peck area. Unable to lift arm In severe pain in the arm area.. Armpit and pain still persists after 48 hours. Some nausea.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Night sweats, Oedema peripheral, Pain in extremity
Clinical narrative: Patient had extreme night sweats, lightheaded, bad headache, Swollen armpit/peck area. Unable to lift arm In severe pain in the arm area.. Armpit and pain still persists after 48 hours. Some nausea.
Age: 73.0
Sex: M
Vaccine: PNC13
Symptoms: Wrong product administered
Clinical narrative: Recommendations changed during time period prevnar 20 unavailable so prevnar 13 was administered and pt must return for 2nd dose per previous guidelines. patient understands he must return for pneumovax 23 in 2023
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Migraine, Oligomenorrhoea, Smear cervix abnormal, Surgery
Clinical narrative: End of March 2021, reported in April to my neurologist for migraines that were coming on and their severity. I had low grade cells and had to have a procedure done in April. Several months later I had told my physician that I was beginning to have bleeding past my typical cycle. It continued to get worse and finally just today 03/22/2022, I visited my physician and my bleeding had gotten to the point where I am bleeding for almost 23 days out of the month, I am now going to get uterine ultrasound and biopsy suggested by my doctor. Before doctor thought it may have been perimenopausal symptoms however she is now ruling that out.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Type 1 diabetes mellitus
Clinical narrative: Within 13 days of the last booster, He was diagnosed with Type 1 Diabetes. No previous symptoms had been observed.
Age: 65.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Epistaxis, Haematochezia
Clinical narrative: Patient reported bloody nose on Friday night. It didn't stop bleeding for about 45 minutes. Patient also reported blood in stool. Pt states that he does not have a hx of bloody nose.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia areata, Blood iron, Blood thyroid stimulating hormone, Glycosylated haemoglobin, Iron binding capacity total
Clinical narrative: Alopecia areata at the base of my neck upward approximately 3 inches on each side discovered by my hairdresser on 11-24-21.  I had been to the hairdresser on 10-15-21 and had no hair loss.  No previous hair loss at any other time in my life!
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroxine, Vitamin B12
Clinical narrative: Alopecia areata at the base of my neck upward approximately 3 inches on each side discovered by my hairdresser on 11-24-21.  I had been to the hairdresser on 10-15-21 and had no hair loss.  No previous hair loss at any other time in my life!
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Atrial fibrillation, Blood glucose, Chest X-ray, Coagulation test
Clinical narrative: Patient is a 55yo female with a history of atrial fibrillation, heart failure with preserved ER (Echo at FMC 11/2020 EF 50-55%), DM, HTN who presented to the ED with DOE for about 1 week. Found to be in Afib with RVR and admitted to for further management. Also found to be COVID positive. Course detailed by problem below. Covid (+) Did not require oxygen and was asymptomatic. Incidental finding on admission. Given rapid resolution of dyspnea, anticipate this was secondary to tachyarrhythmia with possible component of heart failure contributing. Advised 10 day isolation (test positive 1/13/22).
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea exertional, Full blood count, Metabolic function test, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Patient is a 55yo female with a history of atrial fibrillation, heart failure with preserved ER (Echo at FMC 11/2020 EF 50-55%), DM, HTN who presented to the ED with DOE for about 1 week. Found to be in Afib with RVR and admitted to for further management. Also found to be COVID positive. Course detailed by problem below. Covid (+) Did not require oxygen and was asymptomatic. Incidental finding on admission. Given rapid resolution of dyspnea, anticipate this was secondary to tachyarrhythmia with possible component of heart failure contributing. Advised 10 day isolation (test positive 1/13/22).
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Troponin
Clinical narrative: Patient is a 55yo female with a history of atrial fibrillation, heart failure with preserved ER (Echo at FMC 11/2020 EF 50-55%), DM, HTN who presented to the ED with DOE for about 1 week. Found to be in Afib with RVR and admitted to for further management. Also found to be COVID positive. Course detailed by problem below. Covid (+) Did not require oxygen and was asymptomatic. Incidental finding on admission. Given rapid resolution of dyspnea, anticipate this was secondary to tachyarrhythmia with possible component of heart failure contributing. Advised 10 day isolation (test positive 1/13/22).
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Deafness unilateral, Tinnitus
Clinical narrative: Developed chronic Tinnitus in April 2021 after 2nd completed COVID-19 vaccine dose. It is in both ears. Also have some hearing loss.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Diabetes mellitus inadequate control, Exposure during pregnancy, Feeling abnormal, Gestational diabetes
Clinical narrative: 2nd pregnancy (delivered on Oct 27, 2021), birth weight of kid: 10 lb 2.3 oz I had headache for around 3 days and started having brain fog moments after 2nd shot. Brain fog (for an hour or so each day) lasted for about 6 months. I also developed gestational diabetes right after vaccination even though my HbA1c was normal during this and prior pregnancy (no gestational diabetes with first pregnancy). HbA1c was slightly elevated (higher than before) even 3.5 months after delivery even though I was still following a diabetic diet (less carbs, more protein). I am almost certain vaccine caused the poor blood sugar control and brain fog.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Glucose tolerance test normal, Glycosylated haemoglobin normal, Headache
Clinical narrative: 2nd pregnancy (delivered on Oct 27, 2021), birth weight of kid: 10 lb 2.3 oz I had headache for around 3 days and started having brain fog moments after 2nd shot. Brain fog (for an hour or so each day) lasted for about 6 months. I also developed gestational diabetes right after vaccination even though my HbA1c was normal during this and prior pregnancy (no gestational diabetes with first pregnancy). HbA1c was slightly elevated (higher than before) even 3.5 months after delivery even though I was still following a diabetic diet (less carbs, more protein). I am almost certain vaccine caused the poor blood sugar control and brain fog.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given his 2nd Moderna vaccine 5 days before the recommended time between the 1st and 2nd dose.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Colitis, Colonoscopy abnormal, Computerised tomogram abdomen abnormal, Diverticulitis
Clinical narrative: After my first vaccine I did start to have stomach issues come on drastically. 2 months to the day of the 2nd vaccine, I came down with diverticulitis and ended up in the emergency room. I had been out of work this week due to stomach pains. I had a lot of painful bowel movements and I started to pass very large amounts of blood during bowel movements and went straight to the emergency room. From the ER visit, they did not diagnose me with diverticulitis but did state I may have colitis. A week later I ended up back in the ER and was then diagnosed with Diverticulitis. I was then prescribed Flagel, Cipro, and Hydrocodone, and had me follow up with a GI who then performed a colonoscopy. Then removed a polyp that came back precancerous. After finishing my antibiotics, sometime in September I had another flare up and was given antibiotics again. Since September flare-up I have not had any more instances.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dyschezia, Haematochezia, Impaired work ability, Large intestinal polypectomy, Large intestine polyp
Clinical narrative: After my first vaccine I did start to have stomach issues come on drastically. 2 months to the day of the 2nd vaccine, I came down with diverticulitis and ended up in the emergency room. I had been out of work this week due to stomach pains. I had a lot of painful bowel movements and I started to pass very large amounts of blood during bowel movements and went straight to the emergency room. From the ER visit, they did not diagnose me with diverticulitis but did state I may have colitis. A week later I ended up back in the ER and was then diagnosed with Diverticulitis. I was then prescribed Flagel, Cipro, and Hydrocodone, and had me follow up with a GI who then performed a colonoscopy. Then removed a polyp that came back precancerous. After finishing my antibiotics, sometime in September I had another flare up and was given antibiotics again. Since September flare-up I have not had any more instances.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Precancerous lesion of digestive tract
Clinical narrative: After my first vaccine I did start to have stomach issues come on drastically. 2 months to the day of the 2nd vaccine, I came down with diverticulitis and ended up in the emergency room. I had been out of work this week due to stomach pains. I had a lot of painful bowel movements and I started to pass very large amounts of blood during bowel movements and went straight to the emergency room. From the ER visit, they did not diagnose me with diverticulitis but did state I may have colitis. A week later I ended up back in the ER and was then diagnosed with Diverticulitis. I was then prescribed Flagel, Cipro, and Hydrocodone, and had me follow up with a GI who then performed a colonoscopy. Then removed a polyp that came back precancerous. After finishing my antibiotics, sometime in September I had another flare up and was given antibiotics again. Since September flare-up I have not had any more instances.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION, vaccine was stored in freezer longer than manufacture recommended
Age: 0.08
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Restricted breathing, difficulty taking deep breath,, expiratory wheezing, shortness of breath
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria, Scratch, Urticaria
Clinical narrative: Dermatographia diagnosis after doctor's appointment.  Hives, welts, scratch marks on skin when itched or irritated.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Lymphadenopathy, Pain
Clinical narrative: Fever over 101, achy all over, headache, chills, soreness at injection site, swollen lymph nodes
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever over 101, achy all over, headache, chills, soreness at injection site, swollen lymph nodes
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Condition aggravated, Cough, Fatigue
Clinical narrative: Had headache and low fever day after booster. On 1/10/22, had chills and fever during early hours of the morning. Fatigue throughout day. 1/11 bad headache. Tested positive for COVID on a home test. Quarantined for five days. Runny nose and cough developed after a week. Intermittent fatigue followed.  Recovered but developed a bad cold 1/28 which eventually created chest congestion and was treated with antibiotics
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nasopharyngitis, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Had headache and low fever day after booster. On 1/10/22, had chills and fever during early hours of the morning. Fatigue throughout day. 1/11 bad headache. Tested positive for COVID on a home test. Quarantined for five days. Runny nose and cough developed after a week. Intermittent fatigue followed.  Recovered but developed a bad cold 1/28 which eventually created chest congestion and was treated with antibiotics
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Had headache and low fever day after booster. On 1/10/22, had chills and fever during early hours of the morning. Fatigue throughout day. 1/11 bad headache. Tested positive for COVID on a home test. Quarantined for five days. Runny nose and cough developed after a week. Intermittent fatigue followed.  Recovered but developed a bad cold 1/28 which eventually created chest congestion and was treated with antibiotics
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION, vaccine was stored in freezer longer than manufacture recommendation.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Contracted Covid 19 after full Moderna series and booster 4 months prior.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-thyroid antibody decreased, Antinuclear antibody negative, Blood immunoglobulin E increased, C-reactive protein normal, Erythema
Clinical narrative: About 11 days post Moderna booster,  extreme itchiness started on scalp and migrated towards back of neck and eventually throughout entire body. The areas that were scratched became red and welts. Took a benadryl which improved itchines but once that wore off the hives and itchiness returned. Went to urgent care which prescribed at 5 day course of prednisone as well as hydroxozine which helped with hives and itchiness but i then developed dermatographia. Visited dermatologist who affirmed that he as seen other patients have this delayed reaction post  Moderna booster. Have been on 180 mg of allegra once a day as well as hydroxozine at night. If i do not take antihistamines the hives and extreme itchiness return. Dermatographia is still present - develop red marks with flushing feel when too  much pressure is applied to skin - usuallly resolves in 5-10 min.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Mechanical urticaria, Pruritus, Scratch, Urticaria
Clinical narrative: About 11 days post Moderna booster,  extreme itchiness started on scalp and migrated towards back of neck and eventually throughout entire body. The areas that were scratched became red and welts. Took a benadryl which improved itchines but once that wore off the hives and itchiness returned. Went to urgent care which prescribed at 5 day course of prednisone as well as hydroxozine which helped with hives and itchiness but i then developed dermatographia. Visited dermatologist who affirmed that he as seen other patients have this delayed reaction post  Moderna booster. Have been on 180 mg of allegra once a day as well as hydroxozine at night. If i do not take antihistamines the hives and extreme itchiness return. Dermatographia is still present - develop red marks with flushing feel when too  much pressure is applied to skin - usuallly resolves in 5-10 min.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION, vaccine was stored in freezer longer than manufactures recommendation.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION, vaccine was stored in freezer longer than manufactures recommendation.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION, vaccine was stored in freezer longer than manufactures recommendation.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Discomfort, Headache
Clinical narrative: After the shot I experienced severe pain in my arm where the shot was administered which did not cease for 5 days after and felt like it slowly spread into the rest of my arm which lessened but felt uncomfortable for more than 5 days. It felt like my left arm was experiencing muscle spasms and aches from my shoulder down to my pinky. During the night around 8 p.m. I also began to feel the symptoms that were said to be normal after a COVID-19 vaccination such as fever, chills, lethargy, headaches, sweats, and body aches. What I didn't expect and what alerted me the most was what I began to feel at about 6:30 am on the following morning which was the inflammation under my armpits, I'm aware that my lymphatic sacs are located there. They swelled up until I was unable to put my arms to my sides and the discomfort was unbearable, I researched and called walk in clinics for help but I currently do not have insurance and I've been waiting to be approved for health care program. Simultaneously, I started to fill a sharp pain and tingling sensation in my chest around the area where my heart is. I felt a heavy pressure on my chest for several days and the swelling under my arms did not start to lessen for 5 straight days. I'm still feeling some discomfort and slight swelling under my arms and it has now been over a week since I was vaccinated.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Injection site pain, Lethargy, Limb discomfort, Muscle spasms
Clinical narrative: After the shot I experienced severe pain in my arm where the shot was administered which did not cease for 5 days after and felt like it slowly spread into the rest of my arm which lessened but felt uncomfortable for more than 5 days. It felt like my left arm was experiencing muscle spasms and aches from my shoulder down to my pinky. During the night around 8 p.m. I also began to feel the symptoms that were said to be normal after a COVID-19 vaccination such as fever, chills, lethargy, headaches, sweats, and body aches. What I didn't expect and what alerted me the most was what I began to feel at about 6:30 am on the following morning which was the inflammation under my armpits, I'm aware that my lymphatic sacs are located there. They swelled up until I was unable to put my arms to my sides and the discomfort was unbearable, I researched and called walk in clinics for help but I currently do not have insurance and I've been waiting to be approved for health care program. Simultaneously, I started to fill a sharp pain and tingling sensation in my chest around the area where my heart is. I felt a heavy pressure on my chest for several days and the swelling under my arms did not start to lessen for 5 straight days. I'm still feeling some discomfort and slight swelling under my arms and it has now been over a week since I was vaccinated.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Pain, Pain in extremity, Paraesthesia, Pyrexia
Clinical narrative: After the shot I experienced severe pain in my arm where the shot was administered which did not cease for 5 days after and felt like it slowly spread into the rest of my arm which lessened but felt uncomfortable for more than 5 days. It felt like my left arm was experiencing muscle spasms and aches from my shoulder down to my pinky. During the night around 8 p.m. I also began to feel the symptoms that were said to be normal after a COVID-19 vaccination such as fever, chills, lethargy, headaches, sweats, and body aches. What I didn't expect and what alerted me the most was what I began to feel at about 6:30 am on the following morning which was the inflammation under my armpits, I'm aware that my lymphatic sacs are located there. They swelled up until I was unable to put my arms to my sides and the discomfort was unbearable, I researched and called walk in clinics for help but I currently do not have insurance and I've been waiting to be approved for health care program. Simultaneously, I started to fill a sharp pain and tingling sensation in my chest around the area where my heart is. I felt a heavy pressure on my chest for several days and the swelling under my arms did not start to lessen for 5 straight days. I'm still feeling some discomfort and slight swelling under my arms and it has now been over a week since I was vaccinated.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea, Headache
Clinical narrative: On 8/8/2021, I woke up achy and with a low-grade fever and headache. That very day, I went to an urgent care clinic, where I tested positive for COVID-19. On 8/9/2021, I received a Remdesivir infusion at Hospital. On 8/11/2021, I went to the ER when I had trouble breathing. I was put on oxygen and given tests, after which I was informed that I had COVID pneumonia and was admitted to the hospital. During my hospital stay, I was given DECADRON every day. On 8/15/2021, I was given another Remdesivir infusion and discharged that very day. The two days following my discharge were worse than my time in the hospital, because I had no Decadron or inhalers to provide relief. On 8/18/2021, I went to see my PCP, Dr. She ran tests and performed X-rays, and afterwards she informed me that I still had double pneumonia. Dr. gave me antibiotics, an albuterol inhaler, and Ventolin. She also prescribed me a breathing machine for at-home use. On 8/30/2021, after I had finished my antibiotics, I went back to see Dr. for a follow-up, and she informed me that both of my lungs were now clear.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On 8/8/2021, I woke up achy and with a low-grade fever and headache. That very day, I went to an urgent care clinic, where I tested positive for COVID-19. On 8/9/2021, I received a Remdesivir infusion at Hospital. On 8/11/2021, I went to the ER when I had trouble breathing. I was put on oxygen and given tests, after which I was informed that I had COVID pneumonia and was admitted to the hospital. During my hospital stay, I was given DECADRON every day. On 8/15/2021, I was given another Remdesivir infusion and discharged that very day. The two days following my discharge were worse than my time in the hospital, because I had no Decadron or inhalers to provide relief. On 8/18/2021, I went to see my PCP, Dr. She ran tests and performed X-rays, and afterwards she informed me that I still had double pneumonia. Dr. gave me antibiotics, an albuterol inhaler, and Ventolin. She also prescribed me a breathing machine for at-home use. On 8/30/2021, after I had finished my antibiotics, I went back to see Dr. for a follow-up, and she informed me that both of my lungs were now clear.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: pt complaining of red, swollen warm to the touch injection site maybe the size of a baseball or so
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Eye pain, Lip swelling, Nasal congestion, Ocular hyperaemia, Swelling of eyelid
Clinical narrative: **Kinrix (Dtap was the 5th dose & IPV was the 4th dose)**  The following Sx started about 10 minutes after vaccines were given: Patient started c/o eye pain (like sun was in his eyes), his mother then noted his eyes were red and lids were puffy, his nose was swollen and lips were swollen,  Patient was starting to wheeze when they returned to our office.    He was speaking and swallowing  normally no stridor, Lungs Normal effects but he has diffuse wheeze.    TREATMENT: Mother had given 37.5mg of Diphenhydramine before returning to our office, No resp distress.  Patient was given a FULL dose of albuterol nub.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Wheezing
Clinical narrative: **Kinrix (Dtap was the 5th dose & IPV was the 4th dose)**  The following Sx started about 10 minutes after vaccines were given: Patient started c/o eye pain (like sun was in his eyes), his mother then noted his eyes were red and lids were puffy, his nose was swollen and lips were swollen,  Patient was starting to wheeze when they returned to our office.    He was speaking and swallowing  normally no stridor, Lungs Normal effects but he has diffuse wheeze.    TREATMENT: Mother had given 37.5mg of Diphenhydramine before returning to our office, No resp distress.  Patient was given a FULL dose of albuterol nub.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION, vaccine was stored in freezer longer than manufactures recommendation.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrophic glossitis, Laboratory test normal
Clinical narrative: I started to have episodes of idiopathic atrophic glossitis on the right said of my tongue after my second covid shot. The atrophied spot on my tongue grows over a few days and then disappears. Always happens in the same place. Was happening pretty regularly after my second shot, but eventually, it got better and stopped. Then, I got my booster and a few weeks later it started happening again. It has not subsided after the booster (10/17/21).  It is benign and doesn't cause me any discomfort. It's not painful. It just comes around and then goes away. It just looks weird!  The only reason I felt like I should report this despite it being such a small issue is because this vaccine is new and wanted to provide data in case this was happening to others. I don't even know if this is related to the vaccine. All I know is that if correlated with my shots. This tongue thing has not affected my overall health and I am so grateful to be vaccinated!
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION, vaccine was stored in freezer longer than manufactures recommendation. PATIENT DID NOT HAVE ANY REACTION TO THE VACCINE
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: TEMPERATURE EXCURSION, vaccine was stored in freezer longer than manufactures recommendation. PATIENT DID NOT HAVE ANY ADVERSE REACTION TO THE VACCINE
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Injection site erythema, Injection site induration
Clinical narrative: Sick - nausea, headache, body aches, red arm for 1wk, sore arm, injection site swollen and hard, sweats/chills.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Malaise, Nausea, Pain
Clinical narrative: Sick - nausea, headache, body aches, red arm for 1wk, sore arm, injection site swollen and hard, sweats/chills.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: TEMPERATURE EXCURSION, vaccine was stored in freezer longer than manufactures recommendation. PATIENT DID NOT HAVE ANY ADVERSE REACTION TO THE COVID VACCINE
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Chest X-ray abnormal, Cognitive disorder, Computerised tomogram abnormal
Clinical narrative: Massive PE DVT?s both Legs Massive Fluid around Left Lung Shortness of Breath  Unsteady when trying to stand or walk Extreme tiredness  Loss of Appetite  Listless Cognitive confusion  Runny nose Itchy eyes
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Confusional state, Decreased appetite, Deep vein thrombosis, Dyspnoea
Clinical narrative: Massive PE DVT?s both Legs Massive Fluid around Left Lung Shortness of Breath  Unsteady when trying to stand or walk Extreme tiredness  Loss of Appetite  Listless Cognitive confusion  Runny nose Itchy eyes
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pruritus, Fatigue, Gait disturbance, Listless, Magnetic resonance imaging abnormal
Clinical narrative: Massive PE DVT?s both Legs Massive Fluid around Left Lung Shortness of Breath  Unsteady when trying to stand or walk Extreme tiredness  Loss of Appetite  Listless Cognitive confusion  Runny nose Itchy eyes
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Pulmonary imaging procedure abnormal, Rhinorrhoea, SARS-CoV-2 test positive, X-ray limb abnormal
Clinical narrative: Massive PE DVT?s both Legs Massive Fluid around Left Lung Shortness of Breath  Unsteady when trying to stand or walk Extreme tiredness  Loss of Appetite  Listless Cognitive confusion  Runny nose Itchy eyes
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Bursitis, Cartilage injury, Magnetic resonance imaging abnormal, Osteoarthritis, Product administered at inappropriate site
Clinical narrative: Shot given too high up on shoulder.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Rotator cuff syndrome, Tendon disorder
Clinical narrative: Shot given too high up on shoulder.
Age: 62.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: PT STATES SWELLING AND ITCHING AT INJECTION SITE, PT TAKING BENADRYL AND USING HYDROCORTISON CREAM AND STATES THAT IT IS HELPING
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cardiovascular disorder, Chest pain
Clinical narrative: chest pains. loss of energy. Permanent damage to cardiovascular system
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was vaccinated with pediatric pfizer dose instead of receiving the adult Pfizer dose. The error at screening when (Pharmacy Clerk) took in the patient for second covid shot but indicated it for Pediatric covid vaccine.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen, sore lymph node in left axillary region - believed to be axillary adenopathy
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: The day after I felt much like I did after the 2nd shot - headache, BOTH shoulder muscles sore, lower backache, quite sore at site of injection.  I took ibuprofen in the morning which helped a great deal but about 6 hours later the pain is coming back.  It was NOT so severe that I had to lie down.  No nausea, no fever.  Just achy, sore, and tired
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: The day after I felt much like I did after the 2nd shot - headache, BOTH shoulder muscles sore, lower backache, quite sore at site of injection.  I took ibuprofen in the morning which helped a great deal but about 6 hours later the pain is coming back.  It was NOT so severe that I had to lie down.  No nausea, no fever.  Just achy, sore, and tired
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever, chills, back ache, headache, overall aches and pain all over
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Discomfort, Injected limb mobility decreased, Injection site pain, Injection site reaction, Joint range of motion decreased
Clinical narrative: Patient reports pain at the injection site that was not abnormal initially. It did not resolve and she does not have full range of motion after four months. She can not reach behind her back. It is very uncomfortable. She was seen by primary care provider. She has tried a Pred Pak and recently picked up a prescription for naproxen. Upon xray the provider saw a thickening in the area of injection that he could not diagnose and has referred her to an orthopedic. Her provider suggested that she may want us to report this
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: X-ray abnormal
Clinical narrative: Patient reports pain at the injection site that was not abnormal initially. It did not resolve and she does not have full range of motion after four months. She can not reach behind her back. It is very uncomfortable. She was seen by primary care provider. She has tried a Pred Pak and recently picked up a prescription for naproxen. Upon xray the provider saw a thickening in the area of injection that he could not diagnose and has referred her to an orthopedic. Her provider suggested that she may want us to report this
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neuralgia, Rash vesicular
Clinical narrative: Blistered rash, neuropathic pain, headache,
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Raynaud's phenomenon
Clinical narrative: Started having Raynaud's and I thought that was strange, kept on getting it and now it is spring and despite of warmer temperatures it is not gone. No work up or medical advice as I am a physician . Temporal relation to receiving the 3rd dose of COVID vaccination!
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Angiogram pulmonary abnormal, Bronchoscopy abnormal, COVID-19
Clinical narrative: Patient is DECEASED.  Hospitalized 1.30.22 - 3.14.22 (died).  COVID-19 positive (2.3.22).  Fully vaccinated (no booster) Discharge Provider: Withheld Primary Care Physician at Discharge: Withheld Admission Date: 1/30/2022 Date of Death: 3/14/22 Time of Death:  5:47 PM Preliminary Cause of Death: Respiratory failure with hypoxia  Discharge Disposition: Deceased DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure  Pneumonia of both lungs due to infectious organism, unspecified part of lung  Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present Acute respiratory failure with hypoxia  HOSPITAL COURSE: Patient is a 74 year old female with past medical history significant for stage IV mantle cell lymphoma diagnosed 12/2019 on maintenance Rituxan, PVT on Xarelto, prior ESBL UTI, history of colovaginal fistula s/p sigmoid colectomy. She initially tested positive for COVID 12/14 and was treated with monoclonals without hospitalization. She was admitteed1/23-1/25 with leg pain and was found to be hypoxic - treated as possible pneumonia. She presented to the ED 1/30 with progressive SOB/dyspnea. Initial CTA w/o PE but did show patchy GGO through bilateral lung fields and new bronchiectasis involving RML and lung bases, and newly identified centrilobular emphysema. She was treated with broad spectrum antibiotics. She underwent bronchoscopy 2/3 - COVID positive on film array otherwise infectious workup negative. She had progressive worsening of oxygen needs progressing to HFNC. Repeat CTA 2/9 with worsening airspace disease. Repeat CTA again on 2/17 without remarkable changes. Patient transferred to the ICU 2/20 for worsening oxygen requirements. Failed HFNC and NRB with desaturations to 60% and was intubated 2/22 and subsequently paralyzed for vent dyssynchrony. Her course was complicated by AKI with hyperkalemia which improved with supportive care. Paralytic gtt was stopped 2/25.  Liver US with dopplers 2/26 showed cirrhotic morphology with sequela of portal hypertension and negative for PV thrombus. Doppler US on 3/3 (+) for left peroneal vein DVT. Lip lesions (+) for HSV. Trach placed 3/9, PEG placed 3/10. 3/11 echo was normal, although study was limited. Course now complicated by pneumomomediastinum with extensive sub Q air, hypotension, hypernatremia and Enterobacter VAP. Family mtng today with Dr. explaining clinical course as well as new VAP and pneumomediastinum.  Family was in agreement to transition to comfort care at this time.  Pt passed peacefully at 1747.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Death, Deep vein thrombosis, Echocardiogram normal, Endotracheal intubation
Clinical narrative: Patient is DECEASED.  Hospitalized 1.30.22 - 3.14.22 (died).  COVID-19 positive (2.3.22).  Fully vaccinated (no booster) Discharge Provider: Withheld Primary Care Physician at Discharge: Withheld Admission Date: 1/30/2022 Date of Death: 3/14/22 Time of Death:  5:47 PM Preliminary Cause of Death: Respiratory failure with hypoxia  Discharge Disposition: Deceased DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure  Pneumonia of both lungs due to infectious organism, unspecified part of lung  Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present Acute respiratory failure with hypoxia  HOSPITAL COURSE: Patient is a 74 year old female with past medical history significant for stage IV mantle cell lymphoma diagnosed 12/2019 on maintenance Rituxan, PVT on Xarelto, prior ESBL UTI, history of colovaginal fistula s/p sigmoid colectomy. She initially tested positive for COVID 12/14 and was treated with monoclonals without hospitalization. She was admitteed1/23-1/25 with leg pain and was found to be hypoxic - treated as possible pneumonia. She presented to the ED 1/30 with progressive SOB/dyspnea. Initial CTA w/o PE but did show patchy GGO through bilateral lung fields and new bronchiectasis involving RML and lung bases, and newly identified centrilobular emphysema. She was treated with broad spectrum antibiotics. She underwent bronchoscopy 2/3 - COVID positive on film array otherwise infectious workup negative. She had progressive worsening of oxygen needs progressing to HFNC. Repeat CTA 2/9 with worsening airspace disease. Repeat CTA again on 2/17 without remarkable changes. Patient transferred to the ICU 2/20 for worsening oxygen requirements. Failed HFNC and NRB with desaturations to 60% and was intubated 2/22 and subsequently paralyzed for vent dyssynchrony. Her course was complicated by AKI with hyperkalemia which improved with supportive care. Paralytic gtt was stopped 2/25.  Liver US with dopplers 2/26 showed cirrhotic morphology with sequela of portal hypertension and negative for PV thrombus. Doppler US on 3/3 (+) for left peroneal vein DVT. Lip lesions (+) for HSV. Trach placed 3/9, PEG placed 3/10. 3/11 echo was normal, although study was limited. Course now complicated by pneumomomediastinum with extensive sub Q air, hypotension, hypernatremia and Enterobacter VAP. Family mtng today with Dr. explaining clinical course as well as new VAP and pneumomediastinum.  Family was in agreement to transition to comfort care at this time.  Pt passed peacefully at 1747.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Enterobacter pneumonia, Gastrostomy, Herpes simplex test positive, Hyperkalaemia, Hypernatraemia
Clinical narrative: Patient is DECEASED.  Hospitalized 1.30.22 - 3.14.22 (died).  COVID-19 positive (2.3.22).  Fully vaccinated (no booster) Discharge Provider: Withheld Primary Care Physician at Discharge: Withheld Admission Date: 1/30/2022 Date of Death: 3/14/22 Time of Death:  5:47 PM Preliminary Cause of Death: Respiratory failure with hypoxia  Discharge Disposition: Deceased DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure  Pneumonia of both lungs due to infectious organism, unspecified part of lung  Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present Acute respiratory failure with hypoxia  HOSPITAL COURSE: Patient is a 74 year old female with past medical history significant for stage IV mantle cell lymphoma diagnosed 12/2019 on maintenance Rituxan, PVT on Xarelto, prior ESBL UTI, history of colovaginal fistula s/p sigmoid colectomy. She initially tested positive for COVID 12/14 and was treated with monoclonals without hospitalization. She was admitteed1/23-1/25 with leg pain and was found to be hypoxic - treated as possible pneumonia. She presented to the ED 1/30 with progressive SOB/dyspnea. Initial CTA w/o PE but did show patchy GGO through bilateral lung fields and new bronchiectasis involving RML and lung bases, and newly identified centrilobular emphysema. She was treated with broad spectrum antibiotics. She underwent bronchoscopy 2/3 - COVID positive on film array otherwise infectious workup negative. She had progressive worsening of oxygen needs progressing to HFNC. Repeat CTA 2/9 with worsening airspace disease. Repeat CTA again on 2/17 without remarkable changes. Patient transferred to the ICU 2/20 for worsening oxygen requirements. Failed HFNC and NRB with desaturations to 60% and was intubated 2/22 and subsequently paralyzed for vent dyssynchrony. Her course was complicated by AKI with hyperkalemia which improved with supportive care. Paralytic gtt was stopped 2/25.  Liver US with dopplers 2/26 showed cirrhotic morphology with sequela of portal hypertension and negative for PV thrombus. Doppler US on 3/3 (+) for left peroneal vein DVT. Lip lesions (+) for HSV. Trach placed 3/9, PEG placed 3/10. 3/11 echo was normal, although study was limited. Course now complicated by pneumomomediastinum with extensive sub Q air, hypotension, hypernatremia and Enterobacter VAP. Family mtng today with Dr. explaining clinical course as well as new VAP and pneumomediastinum.  Family was in agreement to transition to comfort care at this time.  Pt passed peacefully at 1747.