chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Intrusive thoughts, Self-injurious ideation, Thinking abnormal
Clinical narrative: 2/23 felt manic ?wired but tired?. new feeling for me. 3/3 sudden onset harm ocd. intrusive harm thoughts. ego dystonic but overwhelming and intense. not in context of any new  life stressors. no substance use. resolved slowly over the course of the year.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicitis, Herpes zoster, Surgery, Vertigo
Clinical narrative: Appendicitis, surgery, Shingles, Vertigo
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Headache, Joint stiffness, Pain
Clinical narrative: Body aches throughout; long lasting headache; joint stiffness and tingling; chest tightness and pain
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Body aches throughout; long lasting headache; joint stiffness and tingling; chest tightness and pain
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Extraocular muscle paresis, Eyelid disorder, Facial paresis, Flushing
Clinical narrative: did get vaccine nov 1 st 2021  vaccine moderna , then second vaccine nov 30th   , then december 2nd developed eye weakness    co bilateral lower extremity numbness only in feet -started 1st of october then developed flushing in face and the progressed to numbness on top of head and eyes and into mouth   co face and head numbness and face muscles feel weak seeing dr    then after second vaccine moderna, 2 days after developed facial weakness and inability to open eye-suspected bells palsy vs guillane barre  , scheduled for spinal tap next week and testing for tick borne illness and myasthenia gravis   denies generalized muscle weakness in other parts of body   was started on mestinon for MG
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia eye, Hypoaesthesia oral, Laboratory test normal, Magnetic resonance imaging head
Clinical narrative: did get vaccine nov 1 st 2021  vaccine moderna , then second vaccine nov 30th   , then december 2nd developed eye weakness    co bilateral lower extremity numbness only in feet -started 1st of october then developed flushing in face and the progressed to numbness on top of head and eyes and into mouth   co face and head numbness and face muscles feel weak seeing dr    then after second vaccine moderna, 2 days after developed facial weakness and inability to open eye-suspected bells palsy vs guillane barre  , scheduled for spinal tap next week and testing for tick borne illness and myasthenia gravis   denies generalized muscle weakness in other parts of body   was started on mestinon for MG
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Neurological examination normal
Clinical narrative: did get vaccine nov 1 st 2021  vaccine moderna , then second vaccine nov 30th   , then december 2nd developed eye weakness    co bilateral lower extremity numbness only in feet -started 1st of october then developed flushing in face and the progressed to numbness on top of head and eyes and into mouth   co face and head numbness and face muscles feel weak seeing dr    then after second vaccine moderna, 2 days after developed facial weakness and inability to open eye-suspected bells palsy vs guillane barre  , scheduled for spinal tap next week and testing for tick borne illness and myasthenia gravis   denies generalized muscle weakness in other parts of body   was started on mestinon for MG
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Fatigue, Palpitations
Clinical narrative: Chest pressure, shortness of breath, fatigue, and periodic episodes of heart racing or thumping - a few times a week from shortly after vaccine to present (a month)
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Herpes zoster, Incorrect route of product administration, Pain in extremity
Clinical narrative: After receiving the immunization the patient was experiencing pain under his left arm and middle of back.  The patient returned to the pharmacy stating the immunization was given to high and possibly hit a nerve causing his pain.  Patient was refurred to his provider but patient decided to go to emergency room instead.  When the patient returned to the pharmacy with presciptions  he was diagnosed with shingles.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder cancer, Haematuria
Clinical narrative: Started having frank hematuria in January. Dx with bladder cancer
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram normal, Electroencephalogram normal, Generalised tonic-clonic seizure, Laboratory test normal
Clinical narrative: Seizure activity x 3 in less than 24 hrs (Generalized tonic clonic)
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Urine analysis normal
Clinical narrative: Seizure activity x 3 in less than 24 hrs (Generalized tonic clonic)
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Spontaneous urticaria flare ups starting 1-2 months after 2nd dose.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Lethargy, Lymphadenopathy, Mechanical urticaria
Clinical narrative: 1. Fatigue, Fever, Lethargy (Now Recovered; Dates: 1/29/22 & 1/30/22) 2. Lymph node swelling under right armpit (Now Recovered; Dates: 1/30/22 - 2/2/22) 3. Hives all over body, except face: exacerbated by itching (Persisting: 2/1/22 - present)   Side Bar:---i have no hx of dermatographia. last incidence of hives was in the early 1990s,
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: 1. Fatigue, Fever, Lethargy (Now Recovered; Dates: 1/29/22 & 1/30/22) 2. Lymph node swelling under right armpit (Now Recovered; Dates: 1/30/22 - 2/2/22) 3. Hives all over body, except face: exacerbated by itching (Persisting: 2/1/22 - present)   Side Bar:---i have no hx of dermatographia. last incidence of hives was in the early 1990s,
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hot flush, Lymph node pain, Lymphadenopathy
Clinical narrative: Lymph node under arm is severely swollen and extremely sore, fever of at least 101, severe headaches, drowsiness, chills, & hot flashes. Mainly reporting due to the size of swelling under arm and the amount of pain she's in. We will make an appointment if it doesn't get better in a couple more days. So far it's only gotten worse.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Somnolence
Clinical narrative: Lymph node under arm is severely swollen and extremely sore, fever of at least 101, severe headaches, drowsiness, chills, & hot flashes. Mainly reporting due to the size of swelling under arm and the amount of pain she's in. We will make an appointment if it doesn't get better in a couple more days. So far it's only gotten worse.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain, Dyspnoea, Heart rate increased, Injection site erythema
Clinical narrative: Feb 1 symptoms: Fever reaching high of 103.5, shortness of breath, mild intermittent chest pain right of center, high heart rate (105-139 bpm vs 70 resting), red lump slightly larger than a quarter at injection site, and pain around injection site. Feb 2 symptom changes: less frequent/severe chest pain, ~100-120 heart rate, fever 101.5, swelling and intense pain in armpit (lymph node?), injection site spot grew to slightly smaller than a half dollar, injection site pain, and shortness of breath still present.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain, Lymphadenopathy, Pyrexia
Clinical narrative: Feb 1 symptoms: Fever reaching high of 103.5, shortness of breath, mild intermittent chest pain right of center, high heart rate (105-139 bpm vs 70 resting), red lump slightly larger than a quarter at injection site, and pain around injection site. Feb 2 symptom changes: less frequent/severe chest pain, ~100-120 heart rate, fever 101.5, swelling and intense pain in armpit (lymph node?), injection site spot grew to slightly smaller than a half dollar, injection site pain, and shortness of breath still present.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Amnesia, Electroencephalogram, Encephalitis, Encephalomyelitis
Clinical narrative: 7 days following booster, high blood pressure 200/90plus.   Unaware of surroundings.  Hospital admission stroke suspected.  No stroke.  Head MRI normal.  blood pressure normalized, admitted to hospital.  Next day increasing paranoia, halucinations, short term memory loss.   Spinal tap not conclusive.  EEG not conclusive.  Anti seizure medication no improvment.  Deteriation of condition until iv steroids day 3 in hospital.  Immediate improvment of symptoms.  oral steroids for 5 days improved symptoms.  2 weeks later apparent full recovery.  being monitored by cardiologist. Never fever.Encephalitis and encephalomyelitis following immunization procedure (Discharge Diagnosis) - 1/23/22 NSTEMI (non-ST elevated myocardia
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: General physical health deterioration, Hallucination, Hypertension, Imperception, Lumbar puncture
Clinical narrative: 7 days following booster, high blood pressure 200/90plus.   Unaware of surroundings.  Hospital admission stroke suspected.  No stroke.  Head MRI normal.  blood pressure normalized, admitted to hospital.  Next day increasing paranoia, halucinations, short term memory loss.   Spinal tap not conclusive.  EEG not conclusive.  Anti seizure medication no improvment.  Deteriation of condition until iv steroids day 3 in hospital.  Immediate improvment of symptoms.  oral steroids for 5 days improved symptoms.  2 weeks later apparent full recovery.  being monitored by cardiologist. Never fever.Encephalitis and encephalomyelitis following immunization procedure (Discharge Diagnosis) - 1/23/22 NSTEMI (non-ST elevated myocardia
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging head normal, Paranoia
Clinical narrative: 7 days following booster, high blood pressure 200/90plus.   Unaware of surroundings.  Hospital admission stroke suspected.  No stroke.  Head MRI normal.  blood pressure normalized, admitted to hospital.  Next day increasing paranoia, halucinations, short term memory loss.   Spinal tap not conclusive.  EEG not conclusive.  Anti seizure medication no improvment.  Deteriation of condition until iv steroids day 3 in hospital.  Immediate improvment of symptoms.  oral steroids for 5 days improved symptoms.  2 weeks later apparent full recovery.  being monitored by cardiologist. Never fever.Encephalitis and encephalomyelitis following immunization procedure (Discharge Diagnosis) - 1/23/22 NSTEMI (non-ST elevated myocardia
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Fatigue, Hypothyroidism, Night sweats
Clinical narrative: Within a week, I developed night sweats. This is uncommon for me. Over the course of the following two months, my night sweats increased in frequency, as did general fatigue. When they did not go away, I visited my doctor. After a blood test discovered hypothyroidism. I've never had a thyroid issue before. I cannot be sure it's related to the vaccine. It felt worth reporting since the timeline of symptoms align with my booster shot.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Tinnitus
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Condition aggravated, Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen lymph nodes in neck, pain moved down my body every day?neck lymph nodes day 2,  shoulders day 3, rib pain day 4, stomach/hips day 5, thighs day 6, knees and calves days  7 & 8, feet day 9, toes day 10.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Pain, Pain in extremity
Clinical narrative: Swollen lymph nodes in neck, pain moved down my body every day?neck lymph nodes day 2,  shoulders day 3, rib pain day 4, stomach/hips day 5, thighs day 6, knees and calves days  7 & 8, feet day 9, toes day 10.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Rash erythematous, Urticaria
Clinical narrative: Excessive hives and inflammation all over body. On face, neck, chest, shoulders, arms, hands, back, groin, buttocks, thighs (front and back), knees, behind knees, shins, calves. Red rash bumps everywhere.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, C-reactive protein normal, Chills, Full blood count normal, Head discomfort
Clinical narrative: After second dose of pfizer and 3rd dose of pfizer vaccines pt experienced whole body chills, tingling in extremities, muscle twitching, headache. Continues to have episodic chills, tingling, muscle twitches and head pressure 4 weeks after 3rd dose.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Metabolic function test, Muscle twitching, Paraesthesia, Red blood cell sedimentation rate normal
Clinical narrative: After second dose of pfizer and 3rd dose of pfizer vaccines pt experienced whole body chills, tingling in extremities, muscle twitching, headache. Continues to have episodic chills, tingling, muscle twitches and head pressure 4 weeks after 3rd dose.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin B12 normal
Clinical narrative: After second dose of pfizer and 3rd dose of pfizer vaccines pt experienced whole body chills, tingling in extremities, muscle twitching, headache. Continues to have episodic chills, tingling, muscle twitches and head pressure 4 weeks after 3rd dose.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Injection site pain, Tremor
Clinical narrative: Experienced pain and soreness at injection site for 3 days after injection. The day after injection I was feeling light headed and began to experience several bouts of uncontrollable tremors across my whole body. I have also experienced general chest discomfort and pain since the injection.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy breast abnormal, Breast cancer female, Breast mass, Erythema, Feeling hot
Clinical narrative: Hives started 16 days after 2nd Covid vaccine.  Primary Care physician prescribed antihistemines on 11/16, but they still got progressively worse until December 16th where I had to go to Urgent Care as my entire mouth swelled and I needed a steriod shot. Lymph nodes appear swollen on MRI and Ultra Sound still 1/31/2022.   I also developed a lump in my right breast mid September 2021 that could be felt.  I have since been diagnosed with triple negative breast cancer and a second seperate breast cancer was determined on 1/31, still awaiting reports on receptors. Based on the time line of the cancer, I truly believe it is linked to the vaccine and that my body is attacking itself.  never have been allergic to anything before and now my entire body always is red and feels warm.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Magnetic resonance imaging breast abnormal, Mammogram normal, Mouth swelling, Triple negative breast cancer
Clinical narrative: Hives started 16 days after 2nd Covid vaccine.  Primary Care physician prescribed antihistemines on 11/16, but they still got progressively worse until December 16th where I had to go to Urgent Care as my entire mouth swelled and I needed a steriod shot. Lymph nodes appear swollen on MRI and Ultra Sound still 1/31/2022.   I also developed a lump in my right breast mid September 2021 that could be felt.  I have since been diagnosed with triple negative breast cancer and a second seperate breast cancer was determined on 1/31, still awaiting reports on receptors. Based on the time line of the cancer, I truly believe it is linked to the vaccine and that my body is attacking itself.  never have been allergic to anything before and now my entire body always is red and feels warm.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound breast abnormal, Urticaria
Clinical narrative: Hives started 16 days after 2nd Covid vaccine.  Primary Care physician prescribed antihistemines on 11/16, but they still got progressively worse until December 16th where I had to go to Urgent Care as my entire mouth swelled and I needed a steriod shot. Lymph nodes appear swollen on MRI and Ultra Sound still 1/31/2022.   I also developed a lump in my right breast mid September 2021 that could be felt.  I have since been diagnosed with triple negative breast cancer and a second seperate breast cancer was determined on 1/31, still awaiting reports on receptors. Based on the time line of the cancer, I truly believe it is linked to the vaccine and that my body is attacking itself.  never have been allergic to anything before and now my entire body always is red and feels warm.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Vaginal haemorrhage
Clinical narrative: Severe unexpected vaginal bleeding for more than 2 days resulting in anemia.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Headache, Immediate post-injection reaction, Nausea, Somnolence
Clinical narrative: - Became tireder than usual immediately after booster was administered. This occurred after the previous injections but less severe. Tiredness necessitated a nap of over 2 hours Monday, a full night?s sleep (Usually has difficulty sleeping after that length of nap, especially late in the day),  sleepiness throughout Tuesday with a 4 hour nap in the afternoon, another full night?s sleep Tuesday night, felt better Wednesday and did chores and errands then took a 4 hour nap, then went to sleep earlier than usual (about 10 pm).   - Developed moderately severe headache after approximately 1 hour. Took 3 Tylenol (usually takes 2). Headache continued in severity throughout the rest of Monday and Tuesday. Headache receded to normal by Wednesday.  - Nausea appeared Monday night after a nap, approximately 8 PM. Nausea was severe by Tuesday morning and remained so throughout Tuesday. Wednesday morning is was much less and faded throughout the day. No vomiting occurred but a small trash can was kept ready just in case.  This is being reported Wednesday at 10:30 by her Husband.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash macular, Urticaria
Clinical narrative: Rash on both arms. Hives and big blotches mainly on left arm.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Burning sensation, Cardiac stress test, Chest discomfort, Chest pain
Clinical narrative: 12/31/21: Tight muscles, visual migraine 1/4/22: Transitory chest pressure or pain started in lower-left of rib cage. Moved to right lower side, then up.  Continued to move for several weeks.   ER trip 1/7, 1/11 for chest pain. ECG and Troponin levels normal in both cases. 1/26: Cardio stress test shows no issues.  Currently suspect myocarditis.  Echo test scheduled for 2/7.  Pain moderately better immediately after exercise, burning sensation beings 30-120min after completion of exercise.  Initial Pfizer 2 dose on 4/10/21, 5/1/21. Breakthrough COVID infection started 11/12/21.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Muscle tightness, Musculoskeletal chest pain, Myocarditis, Troponin normal
Clinical narrative: 12/31/21: Tight muscles, visual migraine 1/4/22: Transitory chest pressure or pain started in lower-left of rib cage. Moved to right lower side, then up.  Continued to move for several weeks.   ER trip 1/7, 1/11 for chest pain. ECG and Troponin levels normal in both cases. 1/26: Cardio stress test shows no issues.  Currently suspect myocarditis.  Echo test scheduled for 2/7.  Pain moderately better immediately after exercise, burning sensation beings 30-120min after completion of exercise.  Initial Pfizer 2 dose on 4/10/21, 5/1/21. Breakthrough COVID infection started 11/12/21.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Tinnitus
Clinical narrative: I developed tinnitus the evening i got a booster (4th dose - im immunocompromised). It has been 10 days and has not abated. I received the Moderna vaccine for all my vaccinations
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Groin infection, Rash
Clinical narrative: 1) 3/19/2021 Rash - both legs + inner thighs 2) 4/19/2021 Groin infection 3) 4/23/2021 Check up of above 4) 5/26/2021 Rash over right eye 6) 6/19/2021 "        "      "      ', etc (above) 7) 7/8/2021   "        "     eyes +above 8) 12/30/2021 Groin infection + Rash nose 9) 1/27/2022 Check up above
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Vaccine order placed by Dr. Vaccine and order double checked by Nurse, LVN. Vaccine administered to patients by CMA and patient and mother was given after visit summary at discharge. Once patient had left, upon attempting to enter the  vaccine that was I administered into system I noticed that orders were gone/canceled. Spoke with Dr and informed that I had given patient vaccine as ordered. Called Patients mother on same day and informed that extra dose was given to patient per order. Answered questions and concerns mother had and patient did not have any side effects at the time. Patient's mother verbalized her understanding. Report documented in system. DTAP/IPV (Kinrix) past vaccine given - 10/15/2021 MMRV (Proquad) past vaccine given - 7/30/2021
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anti-cyclic citrullinated peptide antibody, Antinuclear antibody positive, Aspiration pleural cavity, Atelectasis
Clinical narrative: Pt was seen in ER for CP on 1/24/21 for CP and underwent a negative w/u, she was dx with costochondritis and sent home with improvement in dx on naproxen. She received her first COVID-19 vaccine on 2/3 and states she immediately developed cough, dry mouth, congestion, fevers (101), chills, and worsening CP. She was still having symptoms we we talked on 2/18 and was seen on 2/20. CXR revealed b/l pleural effusions and she was sent to ER. She was started on cefpodoxime and azithromycin and sent home. I saw her for f/u on 2/22 and f/u CXR showed worsening effusions and she was sent back to ER. CT showed b/l pleural effusions, ground glass opacities, and pericardial effusion. She underwent thoracentesis and 400ml ex was removed. Her inflammatory markers were extremely elevated (ESN=132, CRP=14.9) and her ANA has since returned positive in a titer of 1:320 in a speckled pattern. She was started on prednisone and has had significant improvement in symptoms. She is back home now and awaiting rheumatology f/u to confirm if she has a new dx of SLE, (am uncertain what role the vaccine played in this given she had some possible prodromal sx prior to receiving the vaccine but she did note that her sx markedly worsened after her vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest X-ray abnormal, Chest pain, Chills, Computerised tomogram thorax abnormal
Clinical narrative: Pt was seen in ER for CP on 1/24/21 for CP and underwent a negative w/u, she was dx with costochondritis and sent home with improvement in dx on naproxen. She received her first COVID-19 vaccine on 2/3 and states she immediately developed cough, dry mouth, congestion, fevers (101), chills, and worsening CP. She was still having symptoms we we talked on 2/18 and was seen on 2/20. CXR revealed b/l pleural effusions and she was sent to ER. She was started on cefpodoxime and azithromycin and sent home. I saw her for f/u on 2/22 and f/u CXR showed worsening effusions and she was sent back to ER. CT showed b/l pleural effusions, ground glass opacities, and pericardial effusion. She underwent thoracentesis and 400ml ex was removed. Her inflammatory markers were extremely elevated (ESN=132, CRP=14.9) and her ANA has since returned positive in a titer of 1:320 in a speckled pattern. She was started on prednisone and has had significant improvement in symptoms. She is back home now and awaiting rheumatology f/u to confirm if she has a new dx of SLE, (am uncertain what role the vaccine played in this given she had some possible prodromal sx prior to receiving the vaccine but she did note that her sx markedly worsened after her vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dry mouth, Fibrin D dimer, Immediate post-injection reaction, Inflammatory marker increased
Clinical narrative: Pt was seen in ER for CP on 1/24/21 for CP and underwent a negative w/u, she was dx with costochondritis and sent home with improvement in dx on naproxen. She received her first COVID-19 vaccine on 2/3 and states she immediately developed cough, dry mouth, congestion, fevers (101), chills, and worsening CP. She was still having symptoms we we talked on 2/18 and was seen on 2/20. CXR revealed b/l pleural effusions and she was sent to ER. She was started on cefpodoxime and azithromycin and sent home. I saw her for f/u on 2/22 and f/u CXR showed worsening effusions and she was sent back to ER. CT showed b/l pleural effusions, ground glass opacities, and pericardial effusion. She underwent thoracentesis and 400ml ex was removed. Her inflammatory markers were extremely elevated (ESN=132, CRP=14.9) and her ANA has since returned positive in a titer of 1:320 in a speckled pattern. She was started on prednisone and has had significant improvement in symptoms. She is back home now and awaiting rheumatology f/u to confirm if she has a new dx of SLE, (am uncertain what role the vaccine played in this given she had some possible prodromal sx prior to receiving the vaccine but she did note that her sx markedly worsened after her vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Pericardial effusion, Pleural effusion, Pyrexia, Respiratory tract congestion
Clinical narrative: Pt was seen in ER for CP on 1/24/21 for CP and underwent a negative w/u, she was dx with costochondritis and sent home with improvement in dx on naproxen. She received her first COVID-19 vaccine on 2/3 and states she immediately developed cough, dry mouth, congestion, fevers (101), chills, and worsening CP. She was still having symptoms we we talked on 2/18 and was seen on 2/20. CXR revealed b/l pleural effusions and she was sent to ER. She was started on cefpodoxime and azithromycin and sent home. I saw her for f/u on 2/22 and f/u CXR showed worsening effusions and she was sent back to ER. CT showed b/l pleural effusions, ground glass opacities, and pericardial effusion. She underwent thoracentesis and 400ml ex was removed. Her inflammatory markers were extremely elevated (ESN=132, CRP=14.9) and her ANA has since returned positive in a titer of 1:320 in a speckled pattern. She was started on prednisone and has had significant improvement in symptoms. She is back home now and awaiting rheumatology f/u to confirm if she has a new dx of SLE, (am uncertain what role the vaccine played in this given she had some possible prodromal sx prior to receiving the vaccine but she did note that her sx markedly worsened after her vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Serositis
Clinical narrative: Pt was seen in ER for CP on 1/24/21 for CP and underwent a negative w/u, she was dx with costochondritis and sent home with improvement in dx on naproxen. She received her first COVID-19 vaccine on 2/3 and states she immediately developed cough, dry mouth, congestion, fevers (101), chills, and worsening CP. She was still having symptoms we we talked on 2/18 and was seen on 2/20. CXR revealed b/l pleural effusions and she was sent to ER. She was started on cefpodoxime and azithromycin and sent home. I saw her for f/u on 2/22 and f/u CXR showed worsening effusions and she was sent back to ER. CT showed b/l pleural effusions, ground glass opacities, and pericardial effusion. She underwent thoracentesis and 400ml ex was removed. Her inflammatory markers were extremely elevated (ESN=132, CRP=14.9) and her ANA has since returned positive in a titer of 1:320 in a speckled pattern. She was started on prednisone and has had significant improvement in symptoms. She is back home now and awaiting rheumatology f/u to confirm if she has a new dx of SLE, (am uncertain what role the vaccine played in this given she had some possible prodromal sx prior to receiving the vaccine but she did note that her sx markedly worsened after her vaccine.
Age: 67.0
Sex: U
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell's Palsy reported by wife
Age: 0.25
Sex: M
Vaccine: HEP, PNC13
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Pyrexia
Clinical narrative: The adult Hep B was given when a Pediatric Hep B should have been given. Patient had fever initially that resolved in 24 hours.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Chest pain, Electrocardiogram normal
Clinical narrative: chest pain
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Pancreatic carcinoma, Respiratory arrest, Unresponsive to stimuli, Vomiting
Clinical narrative: Hospice resident found unresponsive, no hear rate, respiration with large amount of emesis
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Magnetic resonance imaging heart, Myocarditis
Clinical narrative: Cardiac arrest with evidence of myocarditis
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia
Clinical narrative: Shooting numbness in arm  Dizzyness, felt like Blacking out
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Patient passed out for a couple minutes while seated. She was pale, sweaty, clammy after. Paramedics checked on her.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Dysarthria, Headache, Renal neoplasm
Clinical narrative: 15 yr old hx NFII with resection; optho involvement; received pfizer 6/23& 7/14, by 7/15 had terrible ha with slurred speech,  nothing noted on scans; by December had LQ abdomen pain and 50 lb wt loss; found to have a kidney tumor with necrosis; was covid + 1/2/2022
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Scan normal, Tumour necrosis, Weight decreased
Clinical narrative: 15 yr old hx NFII with resection; optho involvement; received pfizer 6/23& 7/14, by 7/15 had terrible ha with slurred speech,  nothing noted on scans; by December had LQ abdomen pain and 50 lb wt loss; found to have a kidney tumor with necrosis; was covid + 1/2/2022
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site paraesthesia, Lip swelling, Mouth swelling, Paraesthesia oral
Clinical narrative: She reports she just got her 3rd COVID shot earlier this afternoon (9/3/21). She reports after the 15 minutes were up, she felt some tingling at the injection site and a bit woozy. She is also feeling a bit tingly around her lips. She feels her lips are a bit swollen and maybe her lower jaw/mouth as well. She otherwise was feeling fine and ignored the tingling feeling in her lips. She and her husband were on her way home and in the car, her husband noticed her lips beginning to swell. They became concerned and she came back to the office. She denies any difficulty breathing or swallowing. She has no difficulty talking and doesn't feel her tongue is getting larger. She was given 50mg of benadryl immediately upon assessment. Her upper eyelids were beginning to swell during assessment. Patient was closely monitored for approximately another 10-15 minutes after benadryl oral administration and the swelling of her eyelids, mouth and face, overall, improved. Her vitals were monitored, particularly, her pulse oximeter was monitored continuously and did not drop below 97%. Her HR averaged in the 90s the entire time. No epinephrine administration was required and EMS/911 was not needed to be called. She was stable for discharge home with strict ED precautions. She will do a steroid taper and then stop at her usual 5mg daily dose. Pepcid was also prescribe for her to take daily while on the steroid taper and she was instructed to take benadryl 25mg every 6 hours for the next 3 days around the clock.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Swelling of eyelid
Clinical narrative: She reports she just got her 3rd COVID shot earlier this afternoon (9/3/21). She reports after the 15 minutes were up, she felt some tingling at the injection site and a bit woozy. She is also feeling a bit tingly around her lips. She feels her lips are a bit swollen and maybe her lower jaw/mouth as well. She otherwise was feeling fine and ignored the tingling feeling in her lips. She and her husband were on her way home and in the car, her husband noticed her lips beginning to swell. They became concerned and she came back to the office. She denies any difficulty breathing or swallowing. She has no difficulty talking and doesn't feel her tongue is getting larger. She was given 50mg of benadryl immediately upon assessment. Her upper eyelids were beginning to swell during assessment. Patient was closely monitored for approximately another 10-15 minutes after benadryl oral administration and the swelling of her eyelids, mouth and face, overall, improved. Her vitals were monitored, particularly, her pulse oximeter was monitored continuously and did not drop below 97%. Her HR averaged in the 90s the entire time. No epinephrine administration was required and EMS/911 was not needed to be called. She was stable for discharge home with strict ED precautions. She will do a steroid taper and then stop at her usual 5mg daily dose. Pepcid was also prescribe for her to take daily while on the steroid taper and she was instructed to take benadryl 25mg every 6 hours for the next 3 days around the clock.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Bursitis, Magnetic resonance imaging abnormal, Mobility decreased, Osteoarthritis
Clinical narrative: Severe pain in both shoulders affecting mobility. Diagnosed initially as bilateral shoulder bursitis, but following an MRI, impingement syndrome, tendinosis and joint arthrosis was also diagnosed. This condition has continued for five months and I have been treated with cortisone injections and continuing physical therapy.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rotator cuff syndrome, Tendon disorder
Clinical narrative: Severe pain in both shoulders affecting mobility. Diagnosed initially as bilateral shoulder bursitis, but following an MRI, impingement syndrome, tendinosis and joint arthrosis was also diagnosed. This condition has continued for five months and I have been treated with cortisone injections and continuing physical therapy.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal lymphadenopathy, Abdominal pain lower, Asthenia, Computerised tomogram abdomen abnormal, Conjunctivitis
Clinical narrative: This patient was admitted 11/30/2021 because of concern for septic shock. Patient is a 12 yo female previously healthy, s/p surgery for right wrist fracture on 10/13 (pin removed), now presenting with a 6 day history of abdominal pain and febrile illness. Per parents, patient received the 2nd dose of her Pfizer COVID-19 vaccine on Nov 21. On Nov 26, she started developing b/l lower abdominal pain. The following day, she started having other symptoms including fever, sore throat, headaches, and weakness/dizziness. She was seen at the hospital on Nov 27th and had a CT scan of her abdomen which revealed mesenteric adenopathy (appendix not well visualized) and she was discharged home. Yesterday, she developed a non-pruritic sh over her abdomen, conjunctivitis, and worsening fevers, neck pain and headaches so they presented to the ED.  No nausea, vomiting, diarrhea, cough, congestion, dysuria, bone pain or other complaints. She was treated for MIS-C.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Multisystem inflammatory syndrome in children, Neck pain, Oropharyngeal pain
Clinical narrative: This patient was admitted 11/30/2021 because of concern for septic shock. Patient is a 12 yo female previously healthy, s/p surgery for right wrist fracture on 10/13 (pin removed), now presenting with a 6 day history of abdominal pain and febrile illness. Per parents, patient received the 2nd dose of her Pfizer COVID-19 vaccine on Nov 21. On Nov 26, she started developing b/l lower abdominal pain. The following day, she started having other symptoms including fever, sore throat, headaches, and weakness/dizziness. She was seen at the hospital on Nov 27th and had a CT scan of her abdomen which revealed mesenteric adenopathy (appendix not well visualized) and she was discharged home. Yesterday, she developed a non-pruritic sh over her abdomen, conjunctivitis, and worsening fevers, neck pain and headaches so they presented to the ED.  No nausea, vomiting, diarrhea, cough, congestion, dysuria, bone pain or other complaints. She was treated for MIS-C.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: This patient was admitted 11/30/2021 because of concern for septic shock. Patient is a 12 yo female previously healthy, s/p surgery for right wrist fracture on 10/13 (pin removed), now presenting with a 6 day history of abdominal pain and febrile illness. Per parents, patient received the 2nd dose of her Pfizer COVID-19 vaccine on Nov 21. On Nov 26, she started developing b/l lower abdominal pain. The following day, she started having other symptoms including fever, sore throat, headaches, and weakness/dizziness. She was seen at the hospital on Nov 27th and had a CT scan of her abdomen which revealed mesenteric adenopathy (appendix not well visualized) and she was discharged home. Yesterday, she developed a non-pruritic sh over her abdomen, conjunctivitis, and worsening fevers, neck pain and headaches so they presented to the ED.  No nausea, vomiting, diarrhea, cough, congestion, dysuria, bone pain or other complaints. She was treated for MIS-C.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Electrocardiogram, Fatigue
Clinical narrative: chest pain approx. 3 days after Covid #1 vac - PT seen by PCM and diagnosed with pericarditis. Paresthesia in left hand in 1st, 2nd and third digit. Also reports lightheadedness, SOA and fatigue since initial inoculation.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pericarditis
Clinical narrative: chest pain approx. 3 days after Covid #1 vac - PT seen by PCM and diagnosed with pericarditis. Paresthesia in left hand in 1st, 2nd and third digit. Also reports lightheadedness, SOA and fatigue since initial inoculation.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chest X-ray, Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram neck
Clinical narrative: Patient experienced loss of control of arms and legs with tingling in arms and fingers and couldn't hold anything the same day of receiving the vaccine (1/2). She fell twice on 1/7 with difficulty standing back up and also experienced urinary retention. She was admitted to hospital on 1/8 and was started on IVIG on 1/11; respiratory status worsened and she was intubated 1/11. She was transferred to a different hospitals NSICU on 1/12 for further care, including mechanical ventilation and eventual tracheostomy.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax, Dysphagia, Endotracheal intubation, Guillain-Barre syndrome, Hypoxia
Clinical narrative: Patient experienced loss of control of arms and legs with tingling in arms and fingers and couldn't hold anything the same day of receiving the vaccine (1/2). She fell twice on 1/7 with difficulty standing back up and also experienced urinary retention. She was admitted to hospital on 1/8 and was started on IVIG on 1/11; respiratory status worsened and she was intubated 1/11. She was transferred to a different hospitals NSICU on 1/12 for further care, including mechanical ventilation and eventual tracheostomy.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunoglobulin therapy, Paralysis, Ultrasound abdomen
Clinical narrative: Patient experienced loss of control of arms and legs with tingling in arms and fingers and couldn't hold anything the same day of receiving the vaccine (1/2). She fell twice on 1/7 with difficulty standing back up and also experienced urinary retention. She was admitted to hospital on 1/8 and was started on IVIG on 1/11; respiratory status worsened and she was intubated 1/11. She was transferred to a different hospitals NSICU on 1/12 for further care, including mechanical ventilation and eventual tracheostomy.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Dysstasia, Endotracheal intubation, Fall, Grip strength decreased
Clinical narrative: Patient experienced loss of control of arms and legs with tingling in arms and fingers and couldn't hold anything the same day of receiving the vaccine (1/2). She fell twice on 1/7 with difficulty standing back up and also experienced urinary retention. She was admitted to hospital on 1/8 and was started on IVIG on 1/11; respiratory status worsened and she was intubated 1/11. She was transferred to a different hospitals NSICU on 1/12 for further care, including mechanical ventilation and eventual tracheostomy.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunoglobulin therapy, Intensive care, Mechanical ventilation, Musculoskeletal disorder, Paraesthesia
Clinical narrative: Patient experienced loss of control of arms and legs with tingling in arms and fingers and couldn't hold anything the same day of receiving the vaccine (1/2). She fell twice on 1/7 with difficulty standing back up and also experienced urinary retention. She was admitted to hospital on 1/8 and was started on IVIG on 1/11; respiratory status worsened and she was intubated 1/11. She was transferred to a different hospitals NSICU on 1/12 for further care, including mechanical ventilation and eventual tracheostomy.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tracheostomy, Urinary retention
Clinical narrative: Patient experienced loss of control of arms and legs with tingling in arms and fingers and couldn't hold anything the same day of receiving the vaccine (1/2). She fell twice on 1/7 with difficulty standing back up and also experienced urinary retention. She was admitted to hospital on 1/8 and was started on IVIG on 1/11; respiratory status worsened and she was intubated 1/11. She was transferred to a different hospitals NSICU on 1/12 for further care, including mechanical ventilation and eventual tracheostomy.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory distress syndrome, COVID-19 pneumonia, Chronic kidney disease, Endotracheal intubation
Clinical narrative: Received Pfizer vaccines on  4/8/21, 5/4/21 COVID-19 positive by PCR on  1/2/22 admitted to hospital 1/15/22 w/ COVID-19 infection, acute respiratory failure medical comorbidities of CAD [no stents], granulomatosis with polyangiitis with renal involvement on chronic prednisone and s/p rituximab [last infusion October 2021], hyperlipidemia, hypertensive heart disease with CKD expired on 2/2/22.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mechanical ventilation, Paralysis, Prone position, Respiratory failure, Sedative therapy
Clinical narrative: Received Pfizer vaccines on  4/8/21, 5/4/21 COVID-19 positive by PCR on  1/2/22 admitted to hospital 1/15/22 w/ COVID-19 infection, acute respiratory failure medical comorbidities of CAD [no stents], granulomatosis with polyangiitis with renal involvement on chronic prednisone and s/p rituximab [last infusion October 2021], hyperlipidemia, hypertensive heart disease with CKD expired on 2/2/22.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on  4/8/21, 5/4/21 COVID-19 positive by PCR on  1/2/22 admitted to hospital 1/15/22 w/ COVID-19 infection, acute respiratory failure medical comorbidities of CAD [no stents], granulomatosis with polyangiitis with renal involvement on chronic prednisone and s/p rituximab [last infusion October 2021], hyperlipidemia, hypertensive heart disease with CKD expired on 2/2/22.
Age: 13.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received an unknown dose of COVID vaccine.
Age: 13.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient received an unknown dose of COVID vaccine.
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site rash, Pharyngeal swelling, Rash, Throat tightness
Clinical narrative: Suspected allergic reaction- 10 minutes after had itching and hives near vaccine site, then started to feel throat closing so received IM epinephrine and transferred from vaccine clinic to emergency room. Had first 2 pfizer vaccines previously without any reaction.  Was discharged on steroids and antihistamines, then had another episode the next day of rash with throat closing sensation so was seen in ED and received epinephrine again, then discharged.
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypersensitivity, Injection site urticaria, Pruritus, Rash, Throat tightness
Clinical narrative: Suspected allergic reaction- 10 minutes after had itching and hives near vaccine site, then started to feel throat closing so received IM epinephrine and transferred from vaccine clinic to emergency room. Had first 2 pfizer vaccines previously without any reaction.  Was discharged on steroids and antihistamines, then had another episode the next day of rash with throat closing sensation so was seen in ED and received epinephrine again, then discharged.
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction, Dyspnoea, Pruritus, SARS-CoV-2 test, Throat tightness
Clinical narrative: Suspected allergic reaction- 10 minutes after had itching and hives near vaccine site, then started to feel throat closing so received IM epinephrine and transferred from vaccine clinic to emergency room. Had first 2 pfizer vaccines previously without any reaction.  Was discharged on steroids and antihistamines, then had another episode the next day of rash with throat closing sensation so was seen in ED and received epinephrine again, then discharged.
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Suspected allergic reaction- 10 minutes after had itching and hives near vaccine site, then started to feel throat closing so received IM epinephrine and transferred from vaccine clinic to emergency room. Had first 2 pfizer vaccines previously without any reaction.  Was discharged on steroids and antihistamines, then had another episode the next day of rash with throat closing sensation so was seen in ED and received epinephrine again, then discharged.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, Lethargy
Clinical narrative: General malaise and lethargic after dose for 34 hours.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Malaise
Clinical narrative: General malaise and lethargic after dose for 34 hours.