chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, PCO2 normal, Pneumonia, Prohormone brain natriuretic peptide increased, Pyrexia
Clinical narrative: COVID Breakthrough Case Pfizer Dose 1 3/13/21 (EN6204) Pfizer Dose 2 4/3/21 (ER8729) COVID Positive 9/17/21  9/16/21: patient is a 54 year old female who presented to ED with complaints of shortness of breath. Patient has a past medical history of multiple sclerosis, hyperlipidemia, hypothyroidism, uncontrolled type 2 diabetes mellitus and anxiety/depression. She began feeling ill two weeks ago. She developed nasal congestion, right ear pain and diarrhea. She was seen at urgent care on Sept 12th and started on Augmentin. Her symptoms have progressively worsened. She has become severely short of breath, especially with exertion. No chest pain. Decreased appetite and oral intake. Reports ongoing nausea and vomiting, with persistent diarrhea. She developed a fever yesterday and dry cough. She went back to urgent care today and her pulse ox was in the 80s, she was referred to ED for further evaluation and treatment. She has been fully Covid-19 vaccinated.  On arrival to ED patient was febrile 101.6, tachycardic 117 and hypoxic on room air at 86%. 5 L nasal cannula was applied with improvement oxygenation saturation to 94%. Laboratory findings were significant for CO2 14, pH 7.31, pCO2 37 hyperglycemia 339. ProBNP 359.Rapid COVID positive. IV Levaquin initiated in ED.  IV fluid resuscitation given with LR 5 L bolus.  Decadron and DuoNebs initiated in ED. chest x-ray showed bilateral pneumonia.  10/1/21: 54-year-old lady presented to the emergency room with worsening shortness of breath.  The patient was noted to be hypoxic and admitted for COVID-19 pneumonia.  She was intubated 3 days later and put on the vent for severe hypoxic respiratory failure.  The patient received standard treatment for COVID-19 infection that improved on remdesivir, dexamethasone, empiric antibiotic therapy.  The patient received a standard treatment for COVID-19 infection.  She was eventually extubated.  She is doing much better.  She is only on 2 L of oxygen via nasal cannula at rest and with activity.  The patient is recuperating well with physical therapy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Tachycardia, Vaccine breakthrough infection, Vomiting
Clinical narrative: COVID Breakthrough Case Pfizer Dose 1 3/13/21 (EN6204) Pfizer Dose 2 4/3/21 (ER8729) COVID Positive 9/17/21  9/16/21: patient is a 54 year old female who presented to ED with complaints of shortness of breath. Patient has a past medical history of multiple sclerosis, hyperlipidemia, hypothyroidism, uncontrolled type 2 diabetes mellitus and anxiety/depression. She began feeling ill two weeks ago. She developed nasal congestion, right ear pain and diarrhea. She was seen at urgent care on Sept 12th and started on Augmentin. Her symptoms have progressively worsened. She has become severely short of breath, especially with exertion. No chest pain. Decreased appetite and oral intake. Reports ongoing nausea and vomiting, with persistent diarrhea. She developed a fever yesterday and dry cough. She went back to urgent care today and her pulse ox was in the 80s, she was referred to ED for further evaluation and treatment. She has been fully Covid-19 vaccinated.  On arrival to ED patient was febrile 101.6, tachycardic 117 and hypoxic on room air at 86%. 5 L nasal cannula was applied with improvement oxygenation saturation to 94%. Laboratory findings were significant for CO2 14, pH 7.31, pCO2 37 hyperglycemia 339. ProBNP 359.Rapid COVID positive. IV Levaquin initiated in ED.  IV fluid resuscitation given with LR 5 L bolus.  Decadron and DuoNebs initiated in ED. chest x-ray showed bilateral pneumonia.  10/1/21: 54-year-old lady presented to the emergency room with worsening shortness of breath.  The patient was noted to be hypoxic and admitted for COVID-19 pneumonia.  She was intubated 3 days later and put on the vent for severe hypoxic respiratory failure.  The patient received standard treatment for COVID-19 infection that improved on remdesivir, dexamethasone, empiric antibiotic therapy.  The patient received a standard treatment for COVID-19 infection.  She was eventually extubated.  She is doing much better.  She is only on 2 L of oxygen via nasal cannula at rest and with activity.  The patient is recuperating well with physical therapy.
Age: 73.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, Polymerase chain reaction
Clinical narrative: presented with COVID
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Musculoskeletal stiffness, Periarthritis
Clinical narrative: Left Frozen shoulder, elbow and wrist pain and stiffness
Age: 0.42
Sex: M
Vaccine: MMR
Symptoms: Inappropriate schedule of product administration
Clinical narrative: patient received vaccine earlier then recommended but did not have a reaction.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 10/4/21
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Pt. states that after receiving the 3rd dose of Moderna 11/05/2021, started experiencing symptoms that evening of swelling in the Left armpit lymphnoid (lasting 18hrs). No noted Primary visit/communications.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Influenza virus test negative, Pyrexia, Rhinorrhoea
Clinical narrative: I started to have symptoms on 01/04/2022, I had a runny nose, sneezing, fever, chills, and lots of mucus in my throat. I went to urgent care on 01/06/2022 and I had a Covid-19 test and flu test done. The Covid test was positive and the flu test negative. They recommended over the counter medications. I took Flonase and Robitussin.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing
Clinical narrative: I started to have symptoms on 01/04/2022, I had a runny nose, sneezing, fever, chills, and lots of mucus in my throat. I went to urgent care on 01/06/2022 and I had a Covid-19 test and flu test done. The Covid test was positive and the flu test negative. They recommended over the counter medications. I took Flonase and Robitussin.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray, Computerised tomogram, Disorientation, Dizziness, Echocardiogram
Clinical narrative: Dizziness, disoriented, passed out started 1/17/2022
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram, Laboratory test, Loss of consciousness, Magnetic resonance imaging, Ultrasound Doppler
Clinical narrative: Dizziness, disoriented, passed out started 1/17/2022
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeling cold, Tremor
Clinical narrative: Started feeling chilled around 10 pm.  By 11:30 pm I was freezing and shaking uncontrollably for almost 3 hours.  I put on warmer clothing and took two Aleve.  Symptoms were gone by 2:30 am.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Pyrexia, Tenderness, Tinnitus
Clinical narrative: Low Grad Temp Comes & Goes. Right Ear Tenderness Along Jaw Bone. Problems Result After Some Usage (Whether Talking, Chewing), Some Ear Ringing, Dizziness, and Cough.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Death, Dyspnoea
Clinical narrative: Pfizer COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/17/2021 and 4/14/2021. Presented to ED on 1/5/2022 and diagnosed with COVID-19, received monoclonal antibody treatment on 1/10/2022. Returned to ED 1/12/2022 with complaints of worsening shortness of breath, cough, altered mental status and weakness two weeks in duration. Per EMS SpO2 on room air was 78% and improved to the 90s on 2 L NC. Additionally, patient has not been eating or drinking. Continued to decline and expired on 1/17/2022.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fluid intake reduced, General physical health deterioration, Hypophagia, Inappropriate schedule of product administration, Mental status changes
Clinical narrative: Pfizer COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/17/2021 and 4/14/2021. Presented to ED on 1/5/2022 and diagnosed with COVID-19, received monoclonal antibody treatment on 1/10/2022. Returned to ED 1/12/2022 with complaints of worsening shortness of breath, cough, altered mental status and weakness two weeks in duration. Per EMS SpO2 on room air was 78% and improved to the 90s on 2 L NC. Additionally, patient has not been eating or drinking. Continued to decline and expired on 1/17/2022.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pfizer COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/17/2021 and 4/14/2021. Presented to ED on 1/5/2022 and diagnosed with COVID-19, received monoclonal antibody treatment on 1/10/2022. Returned to ED 1/12/2022 with complaints of worsening shortness of breath, cough, altered mental status and weakness two weeks in duration. Per EMS SpO2 on room air was 78% and improved to the 90s on 2 L NC. Additionally, patient has not been eating or drinking. Continued to decline and expired on 1/17/2022.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy bone marrow, Full blood count abnormal, Haemoglobin decreased, Myelodysplastic syndrome, Neutropenia
Clinical narrative: Had  routine  check up with internist. In usual state of health with no symptoms. CBC revealed low WBC count. Referred to hematologist for work up.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, White blood cell count decreased
Clinical narrative: Had  routine  check up with internist. In usual state of health with no symptoms. CBC revealed low WBC count. Referred to hematologist for work up.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Dialysis, Dyspnoea, Hypoxia
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/12/2021.  62 y/o with PMHx of ESRD on HD, PE/DVT s/p IVC filter, DM, HTN, Hypothyroidism, PAD,  Aortic stenosis s/p TAVR  presents to the ED with extreme hypoxia, SOB and 3 missed HD treatments.  Pt states was diagnosed with Covid over a week ago and opted not to go to dialysis so that she would not get anyone else sick.  Upon arrival to ED, pt's room air sats were in the 30's.  CXR-pulm edema.  Pt placed on BIPAP at 100%, given IV steroids, emergent dialysis and admitted to ICU.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Positive airway pressure therapy, Pulmonary oedema, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/12/2021.  62 y/o with PMHx of ESRD on HD, PE/DVT s/p IVC filter, DM, HTN, Hypothyroidism, PAD,  Aortic stenosis s/p TAVR  presents to the ED with extreme hypoxia, SOB and 3 missed HD treatments.  Pt states was diagnosed with Covid over a week ago and opted not to go to dialysis so that she would not get anyone else sick.  Upon arrival to ED, pt's room air sats were in the 30's.  CXR-pulm edema.  Pt placed on BIPAP at 100%, given IV steroids, emergent dialysis and admitted to ICU.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Cardioversion, Cough, Death
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 4/17/2021 and 5/15/2021. Presented to ED on 1/9/2022 with two week history of cough, shortness of breath, and diarrhea. COVID positive with PNA. 1/13 respiratory distress requiring intubation. On 1/15 septic shock requiring pressure support. 1/16  remained hypoxic despite maximum vent support. Developed atrial fibrillation with rapid ventricular response that did not respond to amiodarone, but improved with synchronized cardioversion. Patient subsequently expired on 1/18.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Endotracheal intubation, Hypoxia, Mechanical ventilation
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 4/17/2021 and 5/15/2021. Presented to ED on 1/9/2022 with two week history of cough, shortness of breath, and diarrhea. COVID positive with PNA. 1/13 respiratory distress requiring intubation. On 1/15 septic shock requiring pressure support. 1/16  remained hypoxic despite maximum vent support. Developed atrial fibrillation with rapid ventricular response that did not respond to amiodarone, but improved with synchronized cardioversion. Patient subsequently expired on 1/18.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, Respiratory distress, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 4/17/2021 and 5/15/2021. Presented to ED on 1/9/2022 with two week history of cough, shortness of breath, and diarrhea. COVID positive with PNA. 1/13 respiratory distress requiring intubation. On 1/15 septic shock requiring pressure support. 1/16  remained hypoxic despite maximum vent support. Developed atrial fibrillation with rapid ventricular response that did not respond to amiodarone, but improved with synchronized cardioversion. Patient subsequently expired on 1/18.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal X-ray, Abdominal pain upper, Abdominal tenderness, Blood test, Computerised tomogram abdomen
Clinical narrative: 12/29/2021 PM upper epigastric  pain, nausea, vomiting, low blood pressure and high heart rate, then later within hours turned to lower blood pressure and lower heart rate abdominal tenderness. Back and forth in this condition then emergency room on morning of 12/31/2021. Hospitalized after the emergency room visit. Discharged on Jan. 2, 2021.  Still getting follow-up test and not on any treatment.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Heart rate decreased, Heart rate increased, Hypotension
Clinical narrative: 12/29/2021 PM upper epigastric  pain, nausea, vomiting, low blood pressure and high heart rate, then later within hours turned to lower blood pressure and lower heart rate abdominal tenderness. Back and forth in this condition then emergency room on morning of 12/31/2021. Hospitalized after the emergency room visit. Discharged on Jan. 2, 2021.  Still getting follow-up test and not on any treatment.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Urine analysis, Vomiting
Clinical narrative: 12/29/2021 PM upper epigastric  pain, nausea, vomiting, low blood pressure and high heart rate, then later within hours turned to lower blood pressure and lower heart rate abdominal tenderness. Back and forth in this condition then emergency room on morning of 12/31/2021. Hospitalized after the emergency room visit. Discharged on Jan. 2, 2021.  Still getting follow-up test and not on any treatment.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Death, Hyporesponsive to stimuli
Clinical narrative: Janssen (J&J) COVID-19 and Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 4/20/2021 and Janssen (J&J) COVID-19 on 6/17/2021. Presented to the ED for decreased responsiveness. Reported COVID positive per nursing home. Admitted for sepsis and pneumonia due to COVID-19. Patient requiring increased oxygen requirements. Treated with: vitamin C, zinc, and antibiotics. DNR on arriaval. Expired 1/23/2022.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Janssen (J&J) COVID-19 and Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 4/20/2021 and Janssen (J&J) COVID-19 on 6/17/2021. Presented to the ED for decreased responsiveness. Reported COVID positive per nursing home. Admitted for sepsis and pneumonia due to COVID-19. Patient requiring increased oxygen requirements. Treated with: vitamin C, zinc, and antibiotics. DNR on arriaval. Expired 1/23/2022.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Cardiac arrest, Death, Electrocardiogram abnormal, Exposure to SARS-CoV-2
Clinical narrative: death as described above. No clear association to vaccination. COVID-19 positive  Asymptomatic by report Possible diagnosis of Marfan Syndrome
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Musculoskeletal stiffness, Peripheral coldness, Pupil fixed, SARS-CoV-2 test positive
Clinical narrative: death as described above. No clear association to vaccination. COVID-19 positive  Asymptomatic by report Possible diagnosis of Marfan Syndrome
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Snoring, Social avoidant behaviour
Clinical narrative: death as described above. No clear association to vaccination. COVID-19 positive  Asymptomatic by report Possible diagnosis of Marfan Syndrome
Age: 76.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The patient received the vaccine that was later found to be involved in a temperature excursion. The manufacturer was contacted and gave additional  temp stability data but excursion fell outside of this. CDC was also contacted and advised to repeat dose since manufacturer unable to give recommendation. The excursion occurred in a refrigerator unit that went in and out of range for a total of 39 hours with max temp 8.54 Celsius. Patient will be contacted to reschedule the vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Pharyngeal swelling, Swollen tongue
Clinical narrative: half hour after given vaccine I began getting angioedema and was given Benadryl by the paramedic and was taking it every 6 hours but woke up with throat swelling and increasing tongue swelling and I went to ER and was given steroids and epi
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Anxiety, Balance disorder, Breast pain, Chest pain
Clinical narrative: Two weeks after my vaccine, side effects began to return: swollen, painful lymph nodes and breast pain on my vaccine side, fever, and fatigue. Over the course of a week (beginning May 18), they worsened and began to include chest pains and pins and needles in my left hand, arm, shoulder, neck, and face.  I sought emergency care on April 25.  The following day, I developed vomiting, diarrhea, and rash on my right side.  The following week, I developed balance issues and dizziness. My symptoms have never resolved, despite multiple follow ups with oncology, gynecology, infectious disease, neurology, and immunology/allergy across three hospital systems. I still have painful swelling on my vaccine side, intense fatigue, dizziness, balance issues, low fevers, elevated ALT levels (45-60), and bouts of nausea, diarrhea, and retching. I developed severe anxiety and depression in the summer of 2021. In November 2021, I began to develop neck pain and cardiac issues (chest pain, heart palpitations, racing heart, high blood pressure). I am currently being evaluated for late stage myocarditis.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Depression, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Two weeks after my vaccine, side effects began to return: swollen, painful lymph nodes and breast pain on my vaccine side, fever, and fatigue. Over the course of a week (beginning May 18), they worsened and began to include chest pains and pins and needles in my left hand, arm, shoulder, neck, and face.  I sought emergency care on April 25.  The following day, I developed vomiting, diarrhea, and rash on my right side.  The following week, I developed balance issues and dizziness. My symptoms have never resolved, despite multiple follow ups with oncology, gynecology, infectious disease, neurology, and immunology/allergy across three hospital systems. I still have painful swelling on my vaccine side, intense fatigue, dizziness, balance issues, low fevers, elevated ALT levels (45-60), and bouts of nausea, diarrhea, and retching. I developed severe anxiety and depression in the summer of 2021. In November 2021, I began to develop neck pain and cardiac issues (chest pain, heart palpitations, racing heart, high blood pressure). I am currently being evaluated for late stage myocarditis.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Lymph node pain, Lymphadenopathy, Myocarditis, Nausea
Clinical narrative: Two weeks after my vaccine, side effects began to return: swollen, painful lymph nodes and breast pain on my vaccine side, fever, and fatigue. Over the course of a week (beginning May 18), they worsened and began to include chest pains and pins and needles in my left hand, arm, shoulder, neck, and face.  I sought emergency care on April 25.  The following day, I developed vomiting, diarrhea, and rash on my right side.  The following week, I developed balance issues and dizziness. My symptoms have never resolved, despite multiple follow ups with oncology, gynecology, infectious disease, neurology, and immunology/allergy across three hospital systems. I still have painful swelling on my vaccine side, intense fatigue, dizziness, balance issues, low fevers, elevated ALT levels (45-60), and bouts of nausea, diarrhea, and retching. I developed severe anxiety and depression in the summer of 2021. In November 2021, I began to develop neck pain and cardiac issues (chest pain, heart palpitations, racing heart, high blood pressure). I am currently being evaluated for late stage myocarditis.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Palpitations, Paraesthesia, Pyrexia
Clinical narrative: Two weeks after my vaccine, side effects began to return: swollen, painful lymph nodes and breast pain on my vaccine side, fever, and fatigue. Over the course of a week (beginning May 18), they worsened and began to include chest pains and pins and needles in my left hand, arm, shoulder, neck, and face.  I sought emergency care on April 25.  The following day, I developed vomiting, diarrhea, and rash on my right side.  The following week, I developed balance issues and dizziness. My symptoms have never resolved, despite multiple follow ups with oncology, gynecology, infectious disease, neurology, and immunology/allergy across three hospital systems. I still have painful swelling on my vaccine side, intense fatigue, dizziness, balance issues, low fevers, elevated ALT levels (45-60), and bouts of nausea, diarrhea, and retching. I developed severe anxiety and depression in the summer of 2021. In November 2021, I began to develop neck pain and cardiac issues (chest pain, heart palpitations, racing heart, high blood pressure). I am currently being evaluated for late stage myocarditis.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Retching, Swelling, Vomiting
Clinical narrative: Two weeks after my vaccine, side effects began to return: swollen, painful lymph nodes and breast pain on my vaccine side, fever, and fatigue. Over the course of a week (beginning May 18), they worsened and began to include chest pains and pins and needles in my left hand, arm, shoulder, neck, and face.  I sought emergency care on April 25.  The following day, I developed vomiting, diarrhea, and rash on my right side.  The following week, I developed balance issues and dizziness. My symptoms have never resolved, despite multiple follow ups with oncology, gynecology, infectious disease, neurology, and immunology/allergy across three hospital systems. I still have painful swelling on my vaccine side, intense fatigue, dizziness, balance issues, low fevers, elevated ALT levels (45-60), and bouts of nausea, diarrhea, and retching. I developed severe anxiety and depression in the summer of 2021. In November 2021, I began to develop neck pain and cardiac issues (chest pain, heart palpitations, racing heart, high blood pressure). I am currently being evaluated for late stage myocarditis.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 10/8/21
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Lymph node pain, Lymphadenopathy, Malaise
Clinical narrative: Patient presented to this office on Monday, 01/24/22 for annual physical and Moderna mRNA COVID booster.  The patient received the injection around 0900 hours.  She endorses previous vaccination with Pfizer vaccines x 2 without any significant SE.  On Tuesday, 01/25/22, she woke up with generalized fatigue, malaise, injection site tenderness and also swollen LEFT axillary lymph nodes that were tender to touch.  She reports the size of node as approximately golf ball size.  She denies any other systemic issues related to the vaccine.  She did not apply any topical warm/cold compresses nor did she take analgesics for the discomfort.    Today, the swelling of the lymph node(s) has decreased, but are still tender touch.  No other systemic reactions or concerns appreciated.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Inhalation therapy, Vomiting
Clinical narrative: After receiving the vaccine I started to feel heavy in my chest. It felt like the same feeling I get when I have an asthma attack. I thought it wasn't that bad and that I would be okay. I was just coughing a little bit. I didn't think I should tell somebody. As I was walking back to the car it was getting hard to breath. I was about 300 yards from the clinic. I was coughing so hard that I started throwing up. Most of it was just mucus. I used my Ventolin inhaler and stopped to see if that would work. Me and my son opted to stay there close to the clinic and wait. My inhaler started to work and I could breath again.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: onset of symptoms 10/11/21
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Blood thyroid stimulating hormone decreased, Bradycardia, COVID-19
Clinical narrative: CONTRACTED covid-19 and required hospitilization
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Echocardiogram normal, Ejection fraction normal, Epistaxis, Euthyroid sick syndrome
Clinical narrative: CONTRACTED covid-19 and required hospitilization
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Haemorrhage, Thyroxine free normal, Troponin increased
Clinical narrative: CONTRACTED covid-19 and required hospitilization
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine received was stored in a freezer longer than recommended by the manufacturer. Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver. After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Pruritus
Clinical narrative: Joint swelling and pain, itching. Tylenol and rest. Day 2 now.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Exposure during pregnancy, Joint swelling, Mechanical urticaria, Peripheral swelling
Clinical narrative: On Monday November 15th patient experienced onset of pruritus around 6:00 p.m..  The following day Tuesday 11/16/2021 she developed welts on her chest which progressed to most of the skin surfaces over the course of 1-2 days.  She also experienced joint pain and swelling in the wrists, finger joints, then also knees and ankles.  The joints  swelling was prominent in her wrists and hands such that she had removed her  ring on her finger.  She had to remove her watch.  She could not close her hands for 3-4 days.  The joint swelling resolved after around 1 week before she could go back to exercise.  She has had persisting  dermatographia some at least into January 27, 2022.  She has a dermatitis type rash on the upper chest and upper back.    Estimated 9 month due date is June 3, 2022. (  Estimated 9 weeks pregnant at time of vaccine and around 10-11 weeks pregnant at the time of the onset of the pruritus and then rash and joint swelling) She appears to have had an otherwise normal pregnancy and describes very strict avoidance of any gluten products with a known history of celiac disease.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, SARS-CoV-2 test negative, Urticaria
Clinical narrative: On Monday November 15th patient experienced onset of pruritus around 6:00 p.m..  The following day Tuesday 11/16/2021 she developed welts on her chest which progressed to most of the skin surfaces over the course of 1-2 days.  She also experienced joint pain and swelling in the wrists, finger joints, then also knees and ankles.  The joints  swelling was prominent in her wrists and hands such that she had removed her  ring on her finger.  She had to remove her watch.  She could not close her hands for 3-4 days.  The joint swelling resolved after around 1 week before she could go back to exercise.  She has had persisting  dermatographia some at least into January 27, 2022.  She has a dermatitis type rash on the upper chest and upper back.    Estimated 9 month due date is June 3, 2022. (  Estimated 9 weeks pregnant at time of vaccine and around 10-11 weeks pregnant at the time of the onset of the pruritus and then rash and joint swelling) She appears to have had an otherwise normal pregnancy and describes very strict avoidance of any gluten products with a known history of celiac disease.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein, Chest discomfort, Chest pain, Dyspnoea, Echocardiogram normal
Clinical narrative: Individual (air traffic controller) developed shortness of breath, chest tightness, chest pain lasting for 2+ months, diagnosed with mild pericarditis by cardiology.  Neg troponins, CRP, ESR as reported by cardiology. TTE unremarkable. Removed from controlling status while symptomatic. Treatment included motrin, colchicine.   Symptoms improved by early Nov 2021 so member able to resume air traffic controlling status.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction normal, Haematocrit normal, Haemoglobin normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: Individual (air traffic controller) developed shortness of breath, chest tightness, chest pain lasting for 2+ months, diagnosed with mild pericarditis by cardiology.  Neg troponins, CRP, ESR as reported by cardiology. TTE unremarkable. Removed from controlling status while symptomatic. Treatment included motrin, colchicine.   Symptoms improved by early Nov 2021 so member able to resume air traffic controlling status.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Platelet count normal, Red blood cell sedimentation rate, Troponin normal, White blood cell count increased
Clinical narrative: Individual (air traffic controller) developed shortness of breath, chest tightness, chest pain lasting for 2+ months, diagnosed with mild pericarditis by cardiology.  Neg troponins, CRP, ESR as reported by cardiology. TTE unremarkable. Removed from controlling status while symptomatic. Treatment included motrin, colchicine.   Symptoms improved by early Nov 2021 so member able to resume air traffic controlling status.
Age: 78.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine  received was stored in a freezer longer than recommended by the manufacturer.  Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver.  After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Nausea, Pain, Pain in extremity
Clinical narrative: sore arm, chills, shivering, body aches and pain, headache, slight nausea.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Cough, Dyspnoea, Headache
Clinical narrative: On Friday I started with chills, then a lot of pain on my fingers and toes (they felt stiff), arm pain, then at night I had fever, woke up Saturday with fever, severe body aches, cough, chest tightness and mild difficulty breathing, headache that eventually became migraine. I was not able to stand up from bed up until at around 5pm when I took a cold shower to lower the fever. Sunday I still had headache and mild body aches, but no fever. I am informing about this cause I had some symptoms on my second shot but not as bad as this, and the symptoms lasted only 24 hours last time. Today, I am working but I still feel a little weak, like when you do a lot of exercises
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: On Friday I started with chills, then a lot of pain on my fingers and toes (they felt stiff), arm pain, then at night I had fever, woke up Saturday with fever, severe body aches, cough, chest tightness and mild difficulty breathing, headache that eventually became migraine. I was not able to stand up from bed up until at around 5pm when I took a cold shower to lower the fever. Sunday I still had headache and mild body aches, but no fever. I am informing about this cause I had some symptoms on my second shot but not as bad as this, and the symptoms lasted only 24 hours last time. Today, I am working but I still feel a little weak, like when you do a lot of exercises
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Flank pain, Laboratory test, Loss of personal independence in daily activities
Clinical narrative: Reports recent COVID booster (moderna--yesterday)Patient has had back pain since this morning, pain in neck and bilat flank/back affecting her abilities to do usual routines. Denies pain with urination.   ABC are intact. Febrile.   Patient nares swabbed.          HPI: Patient is a 39 y.o. female who presents to the ED with the complaint of body aches, flank pain and fever. Symptoms start today. She received the moderna booster vaccine yesterday afternoon. No dysuria or vomiting.   Review of Systems  Constitutional: Positive for fever and malaise/fatigue. Negative for chills.  Respiratory: Negative.  Negative for cough.   Cardiovascular: Negative.  Negative for chest pain.  Gastrointestinal: Negative for abdominal pain and vomiting.  Genitourinary: Positive for flank pain. Negative for dysuria and urgency.  Musculoskeletal: Positive for myalgias.  Skin: Negative for rash.  Neurological: Negative.  Negative for dizziness and seizures.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Neck pain, Pain, Pyrexia
Clinical narrative: Reports recent COVID booster (moderna--yesterday)Patient has had back pain since this morning, pain in neck and bilat flank/back affecting her abilities to do usual routines. Denies pain with urination.   ABC are intact. Febrile.   Patient nares swabbed.          HPI: Patient is a 39 y.o. female who presents to the ED with the complaint of body aches, flank pain and fever. Symptoms start today. She received the moderna booster vaccine yesterday afternoon. No dysuria or vomiting.   Review of Systems  Constitutional: Positive for fever and malaise/fatigue. Negative for chills.  Respiratory: Negative.  Negative for cough.   Cardiovascular: Negative.  Negative for chest pain.  Gastrointestinal: Negative for abdominal pain and vomiting.  Genitourinary: Positive for flank pain. Negative for dysuria and urgency.  Musculoskeletal: Positive for myalgias.  Skin: Negative for rash.  Neurological: Negative.  Negative for dizziness and seizures.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Irritability, Pruritus, Rash
Clinical narrative: The day following receiving her COVID vaccine she developed itchiness, fussiness, and a rash behind her knees
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Malaise, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   The individual was vaccinated with the Pfizer product on 01/15/2021 and 02/05/2021. They became symptomatic for COVID-19 disease on 08/17/2021. They tested negative for COVID-19 on 08/17/2021 but then tested positive  via PCR on 08/19/2021 twice. They were seen in emergency department on 08/19/2021 and again on 08/20/2021. They were hospitalized and died on 08/30/2021.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Breast pain, Chest pain, Headache, Lymphadenopathy
Clinical narrative: feeling of throat closing up, back of tongue swelling, left side of body swollen, lump and pain in left breast, swollen lymph nodes in whole body, unable to regulate body temperature, chest pain, chronic headaches, hives with itchiness
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling, Swollen tongue, Temperature regulation disorder, Throat tightness
Clinical narrative: feeling of throat closing up, back of tongue swelling, left side of body swollen, lump and pain in left breast, swollen lymph nodes in whole body, unable to regulate body temperature, chest pain, chronic headaches, hives with itchiness
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: feeling of throat closing up, back of tongue swelling, left side of body swollen, lump and pain in left breast, swollen lymph nodes in whole body, unable to regulate body temperature, chest pain, chronic headaches, hives with itchiness
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: Discolorization brown complextion on chin area
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Ear discomfort, Eye swelling, Eyelid irritation, Headache
Clinical narrative: I received my second dose of Moderna in the late morning of February 26, 2021. I felt fine while at want as well as driving home.  Within a few hours of getting home I had the sensation that my eyes were swollen and took my contact lenses off.  When I looked in the mirror I could not see signs of swelling.  Within 24 hours I felt pressure across the forehead and face.  Within 36 hours after vaccination I had a severe headache.  I was extremely light and sound sensitive. The area where I had received the shot had a very large round shaped red circle that was warm to the touch.    I was treated for a sinus infection at first with Ceftin.  The headache persisted. Took Motrin.  Headache persisted. I was then treated for migraine.  butalb-acetaminphen- caffeine (no codeine).  Excedrin migraine. Headache persisted. Then given Prednisone, which gave me some relief. Headache, sound sensitivity , burning around lower eyelids persisted. Neck discomfort and ear fullness. Seen by Neurologist who said he believed I had a reaction to the second dose of the Moderna Covid vaccine. resulting in a severe holistic headache.  He believed this may have been aseptic meningitis.  He believed the steroids which I was given would be effective without further intervention.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperacusis, Injection site erythema, Injection site warmth, Meningitis aseptic, Migraine
Clinical narrative: I received my second dose of Moderna in the late morning of February 26, 2021. I felt fine while at want as well as driving home.  Within a few hours of getting home I had the sensation that my eyes were swollen and took my contact lenses off.  When I looked in the mirror I could not see signs of swelling.  Within 24 hours I felt pressure across the forehead and face.  Within 36 hours after vaccination I had a severe headache.  I was extremely light and sound sensitive. The area where I had received the shot had a very large round shaped red circle that was warm to the touch.    I was treated for a sinus infection at first with Ceftin.  The headache persisted. Took Motrin.  Headache persisted. I was then treated for migraine.  butalb-acetaminphen- caffeine (no codeine).  Excedrin migraine. Headache persisted. Then given Prednisone, which gave me some relief. Headache, sound sensitivity , burning around lower eyelids persisted. Neck discomfort and ear fullness. Seen by Neurologist who said he believed I had a reaction to the second dose of the Moderna Covid vaccine. resulting in a severe holistic headache.  He believed this may have been aseptic meningitis.  He believed the steroids which I was given would be effective without further intervention.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort, Photophobia, Scan brain, Sinusitis
Clinical narrative: I received my second dose of Moderna in the late morning of February 26, 2021. I felt fine while at want as well as driving home.  Within a few hours of getting home I had the sensation that my eyes were swollen and took my contact lenses off.  When I looked in the mirror I could not see signs of swelling.  Within 24 hours I felt pressure across the forehead and face.  Within 36 hours after vaccination I had a severe headache.  I was extremely light and sound sensitive. The area where I had received the shot had a very large round shaped red circle that was warm to the touch.    I was treated for a sinus infection at first with Ceftin.  The headache persisted. Took Motrin.  Headache persisted. I was then treated for migraine.  butalb-acetaminphen- caffeine (no codeine).  Excedrin migraine. Headache persisted. Then given Prednisone, which gave me some relief. Headache, sound sensitivity , burning around lower eyelids persisted. Neck discomfort and ear fullness. Seen by Neurologist who said he believed I had a reaction to the second dose of the Moderna Covid vaccine. resulting in a severe holistic headache.  He believed this may have been aseptic meningitis.  He believed the steroids which I was given would be effective without further intervention.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: Vaccine error/Patient was given Covid orange top 5-11 yr vaccine that was past it's expiration time, vaccine had been drawn up in syringes and left at room temp for 19 hours. Vaccine is only viable for 12 hours at room temp.   Pfizer pharmacist recommended to repeat vaccine since there is no data to support vaccine efficacy beyond the 12 hour room temp. Family notified and scheduled for a repeat dose.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Decreased appetite, Fatigue, Headache
Clinical narrative: Every joint had deep aching. Slight fever of 99.8 degrees. Head ache (different than my migraines). Low energy. Lethargic. Exhaustion. No appetite. Lasted about 3 days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pyrexia
Clinical narrative: Every joint had deep aching. Slight fever of 99.8 degrees. Head ache (different than my migraines). Low energy. Lethargic. Exhaustion. No appetite. Lasted about 3 days.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Fatigue, Headache, Influenza like illness, SARS-CoV-2 test negative
Clinical narrative: 05/05 I felt dehydrated right after the shot and later developed into Flu-like symptoms. Was advised to take Tylenol and took rest. And it took about 2 weeks to recover. Took a Covid test to return to work and it came back negative. Fatigue and Headaches still occur even now.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Breast feeding, Breast pain, Breast swelling, Erythema
Clinical narrative: Pt presented to the hospital with complaints of worsening swelling, erythema and pain to her right breast - currently breastfeeding - 3 months postpartum. Pt's son tested positive 1.5 weeks before admission - pt was tested on 1/20/22 and found to be positive for COVID 19. Patient remained asymptomatic during hospitalization. Discharged 1/24/22. Pfizer 9/24/21 & 10/15/21.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Postpartum state, SARS-CoV-2 test positive
Clinical narrative: Pt presented to the hospital with complaints of worsening swelling, erythema and pain to her right breast - currently breastfeeding - 3 months postpartum. Pt's son tested positive 1.5 weeks before admission - pt was tested on 1/20/22 and found to be positive for COVID 19. Patient remained asymptomatic during hospitalization. Discharged 1/24/22. Pfizer 9/24/21 & 10/15/21.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Antinuclear antibody positive, Blood potassium normal, Blood thyroid stimulating hormone, Deafness unilateral
Clinical narrative: Sudden hearing loss and pain left ear. Began mid-October continues to date. Hearing test and appointment in otolaryngology 1/5/2022. Significant neurosensory hearing loss left ear. Treated with burst and taper of prednisone. 1/26/2022 second appointment in otolaryngology with hearing test. No improvement. Treated with inner ear steroid injection. Scheduled for 2 more inner ear steroid injections.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Double stranded DNA antibody, Ear pain, Rheumatoid factor negative, Sudden hearing loss
Clinical narrative: Sudden hearing loss and pain left ear. Began mid-October continues to date. Hearing test and appointment in otolaryngology 1/5/2022. Significant neurosensory hearing loss left ear. Treated with burst and taper of prednisone. 1/26/2022 second appointment in otolaryngology with hearing test. No improvement. Treated with inner ear steroid injection. Scheduled for 2 more inner ear steroid injections.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac ablation
Clinical narrative: Patient went into Atrial Fibrulation sometime between March 15th and April 5th when it was discovered during a visit to Dr.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Adrenocortical insufficiency acute, Arthralgia, Blood cortisol, Chills, Decreased appetite
Clinical narrative: Moderna Booster -Severe headache, rigors, no fevers, joint pain , hypotension, nausea, diarrhea . Likely sent me into an adrenal crisis  .  Symptoms improved after dose(s)  of hydrocortef were given , with ongoing lack of appetite and diarrhea on 1/27/22.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Hypotension, Nausea
Clinical narrative: Moderna Booster -Severe headache, rigors, no fevers, joint pain , hypotension, nausea, diarrhea . Likely sent me into an adrenal crisis  .  Symptoms improved after dose(s)  of hydrocortef were given , with ongoing lack of appetite and diarrhea on 1/27/22.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Palpitations
Clinical narrative: Racing heart beat for over an hour. Rate up to 105 bpm
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product storage error
Clinical narrative: Patient was administered a dose of Moderna that had been at room temperature for greater than 12 hrs after first puncture. Patient was due for a booster dose and was give 0.5mL dose -per chart review.  No known adverse reaction at this time.