chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Eczema, Ehrlichia test, Epstein-Barr virus test, Erythema multiforme
Clinical narrative: The patient is a 43-year-old male with type 2 diabetes mellitus on Metformin who was well until January 15th when he received a booster dose of the Pfizer COVID-19 vaccine.  Prior administration of 2 doses of the Pfizer vaccine in May 2021 were uneventful.  January 15-18th he was febrile and had body aches. He also experienced an episode on January 16th where he lost his balance and fell in the restroom, and remained down for over 30min. From January 18th to 30th, he continued to feel unwell, with persistent body aches, fevers and extreme fatigue. On January 30th, he developed bilateral ocular redness, mouth and tongue lesions and scrotal lesions. On February 3rd and 4th he experienced high fevers. On February 4th he also had increased lip swelling/numbness, a diffuse red rash over his chest, abdomen and back, and blisters on his hands, feet, and scrotum. He presented to urgent care where he was prescribed valacyclovir and lidocaine solution. On February 5th, his fever and blisters got worse and he went to the emergency room. He was admitted to the hospital the evening of February 5th and diagnosed with probable erythema multiforme major with progression to an SJS/TEN-like picture. He was treated empirically with IV acyclovir, Solu-Medrol (now transition to prednisone), and also received 2 doses of etanercept.  He was transferred to another hospital on 2/16 to the burn unit for additional specialized care. At this point, he had a whole-body desquamating rash. He did not have significant fevers during his hospitalization until 2/16 when he developed fever to 39.1 shortly after his arrival to the hospital.  Blood cultures were collected and have since grown methicillin-resistant Staph aureus in 4/4 bottles.  He was initiated on IV Vancomycin for an anticipated course of 4 weeks.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Exfoliative rash, Fall, Fatigue, Genital blister, Genital lesion
Clinical narrative: The patient is a 43-year-old male with type 2 diabetes mellitus on Metformin who was well until January 15th when he received a booster dose of the Pfizer COVID-19 vaccine.  Prior administration of 2 doses of the Pfizer vaccine in May 2021 were uneventful.  January 15-18th he was febrile and had body aches. He also experienced an episode on January 16th where he lost his balance and fell in the restroom, and remained down for over 30min. From January 18th to 30th, he continued to feel unwell, with persistent body aches, fevers and extreme fatigue. On January 30th, he developed bilateral ocular redness, mouth and tongue lesions and scrotal lesions. On February 3rd and 4th he experienced high fevers. On February 4th he also had increased lip swelling/numbness, a diffuse red rash over his chest, abdomen and back, and blisters on his hands, feet, and scrotum. He presented to urgent care where he was prescribed valacyclovir and lidocaine solution. On February 5th, his fever and blisters got worse and he went to the emergency room. He was admitted to the hospital the evening of February 5th and diagnosed with probable erythema multiforme major with progression to an SJS/TEN-like picture. He was treated empirically with IV acyclovir, Solu-Medrol (now transition to prednisone), and also received 2 doses of etanercept.  He was transferred to another hospital on 2/16 to the burn unit for additional specialized care. At this point, he had a whole-body desquamating rash. He did not have significant fevers during his hospitalization until 2/16 when he developed fever to 39.1 shortly after his arrival to the hospital.  Blood cultures were collected and have since grown methicillin-resistant Staph aureus in 4/4 bottles.  He was initiated on IV Vancomycin for an anticipated course of 4 weeks.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes simplex test negative, Herpes simplex test positive, Hypoaesthesia oral, Influenza virus test negative, Lip swelling
Clinical narrative: The patient is a 43-year-old male with type 2 diabetes mellitus on Metformin who was well until January 15th when he received a booster dose of the Pfizer COVID-19 vaccine.  Prior administration of 2 doses of the Pfizer vaccine in May 2021 were uneventful.  January 15-18th he was febrile and had body aches. He also experienced an episode on January 16th where he lost his balance and fell in the restroom, and remained down for over 30min. From January 18th to 30th, he continued to feel unwell, with persistent body aches, fevers and extreme fatigue. On January 30th, he developed bilateral ocular redness, mouth and tongue lesions and scrotal lesions. On February 3rd and 4th he experienced high fevers. On February 4th he also had increased lip swelling/numbness, a diffuse red rash over his chest, abdomen and back, and blisters on his hands, feet, and scrotum. He presented to urgent care where he was prescribed valacyclovir and lidocaine solution. On February 5th, his fever and blisters got worse and he went to the emergency room. He was admitted to the hospital the evening of February 5th and diagnosed with probable erythema multiforme major with progression to an SJS/TEN-like picture. He was treated empirically with IV acyclovir, Solu-Medrol (now transition to prednisone), and also received 2 doses of etanercept.  He was transferred to another hospital on 2/16 to the burn unit for additional specialized care. At this point, he had a whole-body desquamating rash. He did not have significant fevers during his hospitalization until 2/16 when he developed fever to 39.1 shortly after his arrival to the hospital.  Blood cultures were collected and have since grown methicillin-resistant Staph aureus in 4/4 bottles.  He was initiated on IV Vancomycin for an anticipated course of 4 weeks.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Mycobacterium tuberculosis complex test negative, Mycoplasma test positive, Necrosis
Clinical narrative: The patient is a 43-year-old male with type 2 diabetes mellitus on Metformin who was well until January 15th when he received a booster dose of the Pfizer COVID-19 vaccine.  Prior administration of 2 doses of the Pfizer vaccine in May 2021 were uneventful.  January 15-18th he was febrile and had body aches. He also experienced an episode on January 16th where he lost his balance and fell in the restroom, and remained down for over 30min. From January 18th to 30th, he continued to feel unwell, with persistent body aches, fevers and extreme fatigue. On January 30th, he developed bilateral ocular redness, mouth and tongue lesions and scrotal lesions. On February 3rd and 4th he experienced high fevers. On February 4th he also had increased lip swelling/numbness, a diffuse red rash over his chest, abdomen and back, and blisters on his hands, feet, and scrotum. He presented to urgent care where he was prescribed valacyclovir and lidocaine solution. On February 5th, his fever and blisters got worse and he went to the emergency room. He was admitted to the hospital the evening of February 5th and diagnosed with probable erythema multiforme major with progression to an SJS/TEN-like picture. He was treated empirically with IV acyclovir, Solu-Medrol (now transition to prednisone), and also received 2 doses of etanercept.  He was transferred to another hospital on 2/16 to the burn unit for additional specialized care. At this point, he had a whole-body desquamating rash. He did not have significant fevers during his hospitalization until 2/16 when he developed fever to 39.1 shortly after his arrival to the hospital.  Blood cultures were collected and have since grown methicillin-resistant Staph aureus in 4/4 bottles.  He was initiated on IV Vancomycin for an anticipated course of 4 weeks.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Neisseria test, Ocular hyperaemia, Oral disorder, Pain, Parasitic blood test negative
Clinical narrative: The patient is a 43-year-old male with type 2 diabetes mellitus on Metformin who was well until January 15th when he received a booster dose of the Pfizer COVID-19 vaccine.  Prior administration of 2 doses of the Pfizer vaccine in May 2021 were uneventful.  January 15-18th he was febrile and had body aches. He also experienced an episode on January 16th where he lost his balance and fell in the restroom, and remained down for over 30min. From January 18th to 30th, he continued to feel unwell, with persistent body aches, fevers and extreme fatigue. On January 30th, he developed bilateral ocular redness, mouth and tongue lesions and scrotal lesions. On February 3rd and 4th he experienced high fevers. On February 4th he also had increased lip swelling/numbness, a diffuse red rash over his chest, abdomen and back, and blisters on his hands, feet, and scrotum. He presented to urgent care where he was prescribed valacyclovir and lidocaine solution. On February 5th, his fever and blisters got worse and he went to the emergency room. He was admitted to the hospital the evening of February 5th and diagnosed with probable erythema multiforme major with progression to an SJS/TEN-like picture. He was treated empirically with IV acyclovir, Solu-Medrol (now transition to prednisone), and also received 2 doses of etanercept.  He was transferred to another hospital on 2/16 to the burn unit for additional specialized care. At this point, he had a whole-body desquamating rash. He did not have significant fevers during his hospitalization until 2/16 when he developed fever to 39.1 shortly after his arrival to the hospital.  Blood cultures were collected and have since grown methicillin-resistant Staph aureus in 4/4 bottles.  He was initiated on IV Vancomycin for an anticipated course of 4 weeks.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pigmentation disorder, Pyrexia, Rash, Rash erythematous, Respiratory syncytial virus test negative
Clinical narrative: The patient is a 43-year-old male with type 2 diabetes mellitus on Metformin who was well until January 15th when he received a booster dose of the Pfizer COVID-19 vaccine.  Prior administration of 2 doses of the Pfizer vaccine in May 2021 were uneventful.  January 15-18th he was febrile and had body aches. He also experienced an episode on January 16th where he lost his balance and fell in the restroom, and remained down for over 30min. From January 18th to 30th, he continued to feel unwell, with persistent body aches, fevers and extreme fatigue. On January 30th, he developed bilateral ocular redness, mouth and tongue lesions and scrotal lesions. On February 3rd and 4th he experienced high fevers. On February 4th he also had increased lip swelling/numbness, a diffuse red rash over his chest, abdomen and back, and blisters on his hands, feet, and scrotum. He presented to urgent care where he was prescribed valacyclovir and lidocaine solution. On February 5th, his fever and blisters got worse and he went to the emergency room. He was admitted to the hospital the evening of February 5th and diagnosed with probable erythema multiforme major with progression to an SJS/TEN-like picture. He was treated empirically with IV acyclovir, Solu-Medrol (now transition to prednisone), and also received 2 doses of etanercept.  He was transferred to another hospital on 2/16 to the burn unit for additional specialized care. At this point, he had a whole-body desquamating rash. He did not have significant fevers during his hospitalization until 2/16 when he developed fever to 39.1 shortly after his arrival to the hospital.  Blood cultures were collected and have since grown methicillin-resistant Staph aureus in 4/4 bottles.  He was initiated on IV Vancomycin for an anticipated course of 4 weeks.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Staphylococcus test positive, Stevens-Johnson syndrome, Sweat gland disorder
Clinical narrative: The patient is a 43-year-old male with type 2 diabetes mellitus on Metformin who was well until January 15th when he received a booster dose of the Pfizer COVID-19 vaccine.  Prior administration of 2 doses of the Pfizer vaccine in May 2021 were uneventful.  January 15-18th he was febrile and had body aches. He also experienced an episode on January 16th where he lost his balance and fell in the restroom, and remained down for over 30min. From January 18th to 30th, he continued to feel unwell, with persistent body aches, fevers and extreme fatigue. On January 30th, he developed bilateral ocular redness, mouth and tongue lesions and scrotal lesions. On February 3rd and 4th he experienced high fevers. On February 4th he also had increased lip swelling/numbness, a diffuse red rash over his chest, abdomen and back, and blisters on his hands, feet, and scrotum. He presented to urgent care where he was prescribed valacyclovir and lidocaine solution. On February 5th, his fever and blisters got worse and he went to the emergency room. He was admitted to the hospital the evening of February 5th and diagnosed with probable erythema multiforme major with progression to an SJS/TEN-like picture. He was treated empirically with IV acyclovir, Solu-Medrol (now transition to prednisone), and also received 2 doses of etanercept.  He was transferred to another hospital on 2/16 to the burn unit for additional specialized care. At this point, he had a whole-body desquamating rash. He did not have significant fevers during his hospitalization until 2/16 when he developed fever to 39.1 shortly after his arrival to the hospital.  Blood cultures were collected and have since grown methicillin-resistant Staph aureus in 4/4 bottles.  He was initiated on IV Vancomycin for an anticipated course of 4 weeks.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Tongue disorder, Toxic epidermal necrolysis, Treponema test negative, Varicella virus test negative
Clinical narrative: The patient is a 43-year-old male with type 2 diabetes mellitus on Metformin who was well until January 15th when he received a booster dose of the Pfizer COVID-19 vaccine.  Prior administration of 2 doses of the Pfizer vaccine in May 2021 were uneventful.  January 15-18th he was febrile and had body aches. He also experienced an episode on January 16th where he lost his balance and fell in the restroom, and remained down for over 30min. From January 18th to 30th, he continued to feel unwell, with persistent body aches, fevers and extreme fatigue. On January 30th, he developed bilateral ocular redness, mouth and tongue lesions and scrotal lesions. On February 3rd and 4th he experienced high fevers. On February 4th he also had increased lip swelling/numbness, a diffuse red rash over his chest, abdomen and back, and blisters on his hands, feet, and scrotum. He presented to urgent care where he was prescribed valacyclovir and lidocaine solution. On February 5th, his fever and blisters got worse and he went to the emergency room. He was admitted to the hospital the evening of February 5th and diagnosed with probable erythema multiforme major with progression to an SJS/TEN-like picture. He was treated empirically with IV acyclovir, Solu-Medrol (now transition to prednisone), and also received 2 doses of etanercept.  He was transferred to another hospital on 2/16 to the burn unit for additional specialized care. At this point, he had a whole-body desquamating rash. He did not have significant fevers during his hospitalization until 2/16 when he developed fever to 39.1 shortly after his arrival to the hospital.  Blood cultures were collected and have since grown methicillin-resistant Staph aureus in 4/4 bottles.  He was initiated on IV Vancomycin for an anticipated course of 4 weeks.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pediatric Pfizer not diluted prior to administration.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient given a booster dose too early.  Received pediatric dose on 11/18/2021, a second adult dose on 01/10/2022 and his booster dose on 02/24/2022.  After review of CDC guidance the parent was instructed no further booster is needed at this time.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, SARS-CoV-2 test positive, Vomiting
Clinical narrative: I tested positive January 04, 2022 for Omicron. I had a horrible headache and I started throwing everything up and that was it. It was a very mild case. No other type symptoms.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given a vaccine that was expired, he had no reaction or symptoms from the event.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No Adverse event's to report. The Issue is he was not 18 years old and some how got into the clinic and was not detected as being under 18 at the Time.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Arthritis bacterial, Blood culture positive, COVID-19, Chest X-ray normal
Clinical narrative: "Patient up to date on vaccinations who admitted to hospital with incidental positive COVID test during admission testing - no respiratory issues during stay.  Provider discharge note below:  "63 year old male with PMH of COVID (tested positive 2/15/22), hx of CVA in 2018, CAD s/p stent in 2008, hx of DVT in 2015, CKD3, DM2, L BKA and multiple finger amputations presented to ED yesterday with dizziness, fever, chills, and shock like pains in his hands and finger tips after receiving Zio monitor on 2/15/22. Patient was found to be septic, likely secondary to osteomyelitis in his R hand. CXR was negative for acute cardiopulmonary processes. Pt's renally excreted medications were held secondary to acute kidney injury. His type 2 diabetes was addressed during admission and his insulin was adjusted to keep glucose within a controllable range.    Patient received MRIs of both hands for burns of fingertips and concern for osteomyelitis. Patient was started on IV antibiotics for suspected osteomyelitis. MRI confirmed osteomyelitis and septic arthritis in the 1st carpometacarpal joint of  R hand. Transthoracic echocardiography was negative for vegetations. MRI of the Left hand showed osteomyelitis and osteoarthrosis. Blood cultures grew group B strep. Patient was transitioned from IV vancomycin to Rocephin. Tunneled catheter placed via IV radiology to receive outpatient IV antibiotics. Patient to follow up with Hand/Plastic surgery as outpatient.    Pt will receive IV antibiotics at infusion clinic. Follow up with ID scheduled along with weekly CBC, CMP, and CRP.  Pt also has f/u with cardiology to get his Zio monitor replaced in the outpatient setting. Of note, his ACEi was discontinued prior to discharge secondary to AKI. "
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Condition aggravated, Dizziness, Echocardiogram, Electric shock sensation
Clinical narrative: "Patient up to date on vaccinations who admitted to hospital with incidental positive COVID test during admission testing - no respiratory issues during stay.  Provider discharge note below:  "63 year old male with PMH of COVID (tested positive 2/15/22), hx of CVA in 2018, CAD s/p stent in 2008, hx of DVT in 2015, CKD3, DM2, L BKA and multiple finger amputations presented to ED yesterday with dizziness, fever, chills, and shock like pains in his hands and finger tips after receiving Zio monitor on 2/15/22. Patient was found to be septic, likely secondary to osteomyelitis in his R hand. CXR was negative for acute cardiopulmonary processes. Pt's renally excreted medications were held secondary to acute kidney injury. His type 2 diabetes was addressed during admission and his insulin was adjusted to keep glucose within a controllable range.    Patient received MRIs of both hands for burns of fingertips and concern for osteomyelitis. Patient was started on IV antibiotics for suspected osteomyelitis. MRI confirmed osteomyelitis and septic arthritis in the 1st carpometacarpal joint of  R hand. Transthoracic echocardiography was negative for vegetations. MRI of the Left hand showed osteomyelitis and osteoarthrosis. Blood cultures grew group B strep. Patient was transitioned from IV vancomycin to Rocephin. Tunneled catheter placed via IV radiology to receive outpatient IV antibiotics. Patient to follow up with Hand/Plastic surgery as outpatient.    Pt will receive IV antibiotics at infusion clinic. Follow up with ID scheduled along with weekly CBC, CMP, and CRP.  Pt also has f/u with cardiology to get his Zio monitor replaced in the outpatient setting. Of note, his ACEi was discontinued prior to discharge secondary to AKI. "
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging abnormal, Osteoarthritis, Osteomyelitis, Pain in extremity, Pyrexia
Clinical narrative: "Patient up to date on vaccinations who admitted to hospital with incidental positive COVID test during admission testing - no respiratory issues during stay.  Provider discharge note below:  "63 year old male with PMH of COVID (tested positive 2/15/22), hx of CVA in 2018, CAD s/p stent in 2008, hx of DVT in 2015, CKD3, DM2, L BKA and multiple finger amputations presented to ED yesterday with dizziness, fever, chills, and shock like pains in his hands and finger tips after receiving Zio monitor on 2/15/22. Patient was found to be septic, likely secondary to osteomyelitis in his R hand. CXR was negative for acute cardiopulmonary processes. Pt's renally excreted medications were held secondary to acute kidney injury. His type 2 diabetes was addressed during admission and his insulin was adjusted to keep glucose within a controllable range.    Patient received MRIs of both hands for burns of fingertips and concern for osteomyelitis. Patient was started on IV antibiotics for suspected osteomyelitis. MRI confirmed osteomyelitis and septic arthritis in the 1st carpometacarpal joint of  R hand. Transthoracic echocardiography was negative for vegetations. MRI of the Left hand showed osteomyelitis and osteoarthrosis. Blood cultures grew group B strep. Patient was transitioned from IV vancomycin to Rocephin. Tunneled catheter placed via IV radiology to receive outpatient IV antibiotics. Patient to follow up with Hand/Plastic surgery as outpatient.    Pt will receive IV antibiotics at infusion clinic. Follow up with ID scheduled along with weekly CBC, CMP, and CRP.  Pt also has f/u with cardiology to get his Zio monitor replaced in the outpatient setting. Of note, his ACEi was discontinued prior to discharge secondary to AKI. "
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Streptococcus test positive, Thermal burn
Clinical narrative: "Patient up to date on vaccinations who admitted to hospital with incidental positive COVID test during admission testing - no respiratory issues during stay.  Provider discharge note below:  "63 year old male with PMH of COVID (tested positive 2/15/22), hx of CVA in 2018, CAD s/p stent in 2008, hx of DVT in 2015, CKD3, DM2, L BKA and multiple finger amputations presented to ED yesterday with dizziness, fever, chills, and shock like pains in his hands and finger tips after receiving Zio monitor on 2/15/22. Patient was found to be septic, likely secondary to osteomyelitis in his R hand. CXR was negative for acute cardiopulmonary processes. Pt's renally excreted medications were held secondary to acute kidney injury. His type 2 diabetes was addressed during admission and his insulin was adjusted to keep glucose within a controllable range.    Patient received MRIs of both hands for burns of fingertips and concern for osteomyelitis. Patient was started on IV antibiotics for suspected osteomyelitis. MRI confirmed osteomyelitis and septic arthritis in the 1st carpometacarpal joint of  R hand. Transthoracic echocardiography was negative for vegetations. MRI of the Left hand showed osteomyelitis and osteoarthrosis. Blood cultures grew group B strep. Patient was transitioned from IV vancomycin to Rocephin. Tunneled catheter placed via IV radiology to receive outpatient IV antibiotics. Patient to follow up with Hand/Plastic surgery as outpatient.    Pt will receive IV antibiotics at infusion clinic. Follow up with ID scheduled along with weekly CBC, CMP, and CRP.  Pt also has f/u with cardiology to get his Zio monitor replaced in the outpatient setting. Of note, his ACEi was discontinued prior to discharge secondary to AKI. "
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Blood test, Bone cancer, Computerised tomogram, Pain in extremity
Clinical narrative: Very sore arm for over a week and has been diagnosed with stage 4 bone cancer.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Positron emission tomogram
Clinical narrative: Very sore arm for over a week and has been diagnosed with stage 4 bone cancer.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Vaccinated pt admitted and acquired covid infection
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chest pain, Chills, Cold sweat, Feeling abnormal
Clinical narrative: She got her vaccine at 9:00 AM and felt weird. Then by 9:00 PM when it started hitting her. She started having chills, chattering teeth, and then started running a fever to 101.6, could not lift her arm. She took Tylenol and drank some water, and had a low grade fever of 99.9. Around 8:00 she started vomiting profusely and drank Gatorade which calmed it down some, and still continued to vomit. Then around 11:00 yesterday she started to feel clammy and then the weirded thing ever, her hands drew up like she had arthritis and she could not move her hands, they were numb and tingling. After about 10-15 minutes it subsided and started having chest pains. She called her daughter who is a nurse and she had severe chest pains. She told her to go to the hospital, which she did not.   After about 30 minutes they subsided. Her temp then went up to 102, and was lifeless and kept vomiting. This morning around 5:00 AM all her symptoms went away other than weakness. She has no fever, and feeling better.  She called her PCP who informed her that she had an AE and to report it.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Paraesthesia, Pyrexia, Vomiting
Clinical narrative: She got her vaccine at 9:00 AM and felt weird. Then by 9:00 PM when it started hitting her. She started having chills, chattering teeth, and then started running a fever to 101.6, could not lift her arm. She took Tylenol and drank some water, and had a low grade fever of 99.9. Around 8:00 she started vomiting profusely and drank Gatorade which calmed it down some, and still continued to vomit. Then around 11:00 yesterday she started to feel clammy and then the weirded thing ever, her hands drew up like she had arthritis and she could not move her hands, they were numb and tingling. After about 10-15 minutes it subsided and started having chest pains. She called her daughter who is a nurse and she had severe chest pains. She told her to go to the hospital, which she did not.   After about 30 minutes they subsided. Her temp then went up to 102, and was lifeless and kept vomiting. This morning around 5:00 AM all her symptoms went away other than weakness. She has no fever, and feeling better.  She called her PCP who informed her that she had an AE and to report it.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Extremity contracture, Hypoaesthesia, Incomplete course of vaccination, Paraesthesia
Clinical narrative: She got her vaccine at 9:00 AM and felt weird. Then by 9:00 PM when it started hitting her. She started having chills, chattering teeth, and then started running a fever to 101.6, could not lift her arm. She took Tylenol and drank some water, and had a low grade fever of 99.9. Around 8:00 she started vomiting profusely and drank Gatorade which calmed it down some, and still continued to vomit. Then around 11:00 yesterday she started to feel clammy and then the weirded thing ever, her hands drew up like she had arthritis and she could not move her hands, they were numb and tingling. After about 10-15 minutes it subsided and started having chest pains. She called her daughter who is a nurse and she had severe chest pains. She told her to go to the hospital, which she did not.   After about 30 minutes they subsided. Her temp then went up to 102, and was lifeless and kept vomiting. This morning around 5:00 AM all her symptoms went away other than weakness. She has no fever, and feeling better.  She called her PCP who informed her that she had an AE and to report it.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: She got her vaccine at 9:00 AM and felt weird. Then by 9:00 PM when it started hitting her. She started having chills, chattering teeth, and then started running a fever to 101.6, could not lift her arm. She took Tylenol and drank some water, and had a low grade fever of 99.9. Around 8:00 she started vomiting profusely and drank Gatorade which calmed it down some, and still continued to vomit. Then around 11:00 yesterday she started to feel clammy and then the weirded thing ever, her hands drew up like she had arthritis and she could not move her hands, they were numb and tingling. After about 10-15 minutes it subsided and started having chest pains. She called her daughter who is a nurse and she had severe chest pains. She told her to go to the hospital, which she did not.   After about 30 minutes they subsided. Her temp then went up to 102, and was lifeless and kept vomiting. This morning around 5:00 AM all her symptoms went away other than weakness. She has no fever, and feeling better.  She called her PCP who informed her that she had an AE and to report it.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pediatric Pfizer not diluted prior to administration.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: 1:30 pm- Patient walked into the office with a swollen right side of his face. That morning he had come into the office and received his 2nd Covid-19 vaccine. Patient had no reaction during his 15 minute waiting period after receiving the vaccine; denied any SOB, wheezing, throat closing. The patient was given 50mg/10mL of Benadryl and 40mg of Prednisone while in the office, which he took. He waited 30 minutes after receiving both medications and his swelling improved. No worsened symptoms. Patient given Vsafe information and advised per provider to go to the ER if symptoms worsen. Prescriptions for Prednisone sent to pharmacy and instructed patient to start taking it tomorrow. Patient was also advised to take Pepcid and Benadryl as instructed that evening if symptoms not improved.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Lip swelling
Clinical narrative: Pt had swollen lips and redness around injection site  the next day after receiving the vaccine.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine was given past the beyond use date. Moderna was notified and per Moderna that vaccine maintained the necessary activity to protect against COVID-19. No additional intervention required.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Localised infection, SARS-CoV-2 test positive, Surgery
Clinical narrative: Patient with 2 COVID vaccines, last one 05/05/21, who admitted to hospital for surgical intervention on infected foot who incidentally tested detected for COVID during admission testing.  No respiratory concerns with COVID during his stay.  Discharged home after surgical intervention.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given 2nd Moderna dose after use-by date of 02/10/2022.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Mother requested daughter received the Janssen vaccine.  Mother signed form on behalf of underaged daughter to confirm this was the vaccine she insisted on.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Vaccinated pt admitted to inpatient facillty with covid infection
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt received first Heplisav-B on 9/29/2021, and was to receive the second Heplisav-B on 10/28/2021, but received Engerix-B instead.  Pharmacy noted inventory discrepancy 02/24/2022 and review previous consent forms for Heplisav-B to discover the event.  2/24/2022 Pharmacist contacted patient to explain and recommended third Engerix-B to complete the series as recommended per guidelines.  Pharmacist offered to schedule appointment for patient to receive, which she will be in for soon.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient administered Moderna booster after the use-by date of 2/10/2022.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pediatric Pfizer not diluted prior to administration.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia oral, Lymphadenopathy, Neck pain, Pain in extremity
Clinical narrative: Swollen lymph node in Left clavicle area. Neck and Left arm pain.  Tongue numbness or swelling. Bilateral hip pain.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Swollen lymph node in Left clavicle area. Neck and Left arm pain.  Tongue numbness or swelling. Bilateral hip pain.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated, Mechanical ventilation
Clinical narrative: "Patient with 2 Moderna COVID vaccinations, last dose 07/12/21 who admitted with COVID complications.  Provider discharge note below:  "Reason for Admission: 69 yo female with pmhx ADHD, asthma, chronic resp failure on 2L at home from COPD, dementia, HTN, IBS, left hemiparesis admitted with COVID pneumonia and COPD exacerbation.   Brief Summary of Hospital Stay: Pt improved with supportive care, steroids, aerosol therapy, doxy, and remdesivir. She is back to her baseline and eager to go home. I recommended that she stay to complete the complete remdesivir course, she declines in favor of going home, I explained the risks that she may get worse without it and this could be life threatening. She will continue to use her home oxygen at 2L and home ventilator as directed. She will see pulmonology this month and agrees to see PCP ASAP. "
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: "Patient with 2 Moderna COVID vaccinations, last dose 07/12/21 who admitted with COVID complications.  Provider discharge note below:  "Reason for Admission: 69 yo female with pmhx ADHD, asthma, chronic resp failure on 2L at home from COPD, dementia, HTN, IBS, left hemiparesis admitted with COVID pneumonia and COPD exacerbation.   Brief Summary of Hospital Stay: Pt improved with supportive care, steroids, aerosol therapy, doxy, and remdesivir. She is back to her baseline and eager to go home. I recommended that she stay to complete the complete remdesivir course, she declines in favor of going home, I explained the risks that she may get worse without it and this could be life threatening. She will continue to use her home oxygen at 2L and home ventilator as directed. She will see pulmonology this month and agrees to see PCP ASAP. "
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event in office
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Chest pain, Cough, Dyspnoea, Oropharyngeal pain
Clinical narrative: ADMITTED W/ SORE THROAD, CHEST CONGESTION/PAIN, DRY COUGH, FEVERS, BODY ACHES, URI SYMPTOMS, SOB, GENERALIZED WEAKNESS FOR 3 DAYS PTA.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pulmonary congestion, Pyrexia, Respiratory symptom
Clinical narrative: ADMITTED W/ SORE THROAD, CHEST CONGESTION/PAIN, DRY COUGH, FEVERS, BODY ACHES, URI SYMPTOMS, SOB, GENERALIZED WEAKNESS FOR 3 DAYS PTA.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature, Cold sweat, Dizziness, Fatigue, Feeling hot
Clinical narrative: After taking the vaccine 15 min later she started to feel hot, sweating, body temp and fatigue. She also couldn't drive due to dizziness.  She became extremely  ill.  For 3 wks she was having cold sweats and fever off and on. Her remaining adverse effects is that she is now having nerve pain in her arms and hands. She also is experiencing numbness in her fingertips and dizziness on and off.  She has been to a neurologist.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoaesthesia, Illness, Impaired driving ability, Neuralgia
Clinical narrative: After taking the vaccine 15 min later she started to feel hot, sweating, body temp and fatigue. She also couldn't drive due to dizziness.  She became extremely  ill.  For 3 wks she was having cold sweats and fever off and on. Her remaining adverse effects is that she is now having nerve pain in her arms and hands. She also is experiencing numbness in her fingertips and dizziness on and off.  She has been to a neurologist.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological examination, Pain in extremity, Pyrexia
Clinical narrative: After taking the vaccine 15 min later she started to feel hot, sweating, body temp and fatigue. She also couldn't drive due to dizziness.  She became extremely  ill.  For 3 wks she was having cold sweats and fever off and on. Her remaining adverse effects is that she is now having nerve pain in her arms and hands. She also is experiencing numbness in her fingertips and dizziness on and off.  She has been to a neurologist.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Pt admitted with covid infection
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Discomfort, Dyspnoea, Flank pain, Pulmonary embolism
Clinical narrative: Patient presented to local ED with complaints of increasing dyspnea, flank pain, and discomfort for 48 hours. History of COPD, TIA, Stage 3a chronic kidney disease, hypertension, Vertigo, Atrial fibrillation, Coronary Artery Disease, AAA, and S/P aortic valve repair. COVID test was negative, however CTA showed acute PE. Previously vaccinated with Pfizer on 2/6/21, 2/27/21, and boosted on 12/11/21. Patient admitted 12/12/21 and discharged 12/20/21.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Patient presented to local ED with complaints of increasing dyspnea, flank pain, and discomfort for 48 hours. History of COPD, TIA, Stage 3a chronic kidney disease, hypertension, Vertigo, Atrial fibrillation, Coronary Artery Disease, AAA, and S/P aortic valve repair. COVID test was negative, however CTA showed acute PE. Previously vaccinated with Pfizer on 2/6/21, 2/27/21, and boosted on 12/11/21. Patient admitted 12/12/21 and discharged 12/20/21.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Moderna booster dose.  Child is 15 years old.  No adverse reactions noted during  waiting period.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatologic examination, Mechanical urticaria, Respiratory viral panel, Urticaria
Clinical narrative: 10 days post COVID19 booster developed hives and was prescribed prednisone 40mg daily x 5 days. Hives subsided but dermatographia has continued. Taking certirizine 10mg daily under the instruction of dermatologist.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Injection site swelling, Menstruation irregular, Rash, Rash erythematous
Clinical narrative: Patient had her second Moderna vaccine and then nine days later she developed a painful burning/red rash and swelling to the injection site in April, 2021.  Reports that in starting in December of 2021, her periods began to become very irregular- four periods in 2 months
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Adrenal insufficiency, Asthenia, Contusion, Epistaxis, Fatigue
Clinical narrative: Started having bloody nose non-stop for two weeks, petechia in arms legs and back front of torso, large bruises on arms and legs, Went to ER on the 24th of December - no test ran, they packed her nose and sent us home same day. Continued to have bloody nose, weakness, couldn't stay up and was constantly tired, high heart rate and high blood pressure.  Fainted on January 9th, called Ambulance and she was rushed to Hospital ER.  Was admitted and diagnosed with ITP.  She had 2-3 blood transfusions and 1 platelet transfusion.  Was discharged on the 12th or 13th.  Went in for a follow-up appointment on the following Monday, the 17th, and was admitted again because platelets dropped back to 0.  Was discharged on the 19th.  On the 20th rushed her back to ER for heavy bleeding and she was admitted again to the hospital until the 23 or 24th.  Bleeding has kept to a minimal since discharged, but she was rushed back to the ER on the 8th of February with other issues.  She was diagnosed with tachycardia, hypertonia, adrenal insufficiency, fatigue, hyperthyroidism and tremulousness and was then discharged on the 11th of Feb.  She is currently on steroids, promacta, iron pills, atenolol, tranexamic, and methimazole.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Heart rate increased, Hypertension, Hyperthyroidism, Hypertonia
Clinical narrative: Started having bloody nose non-stop for two weeks, petechia in arms legs and back front of torso, large bruises on arms and legs, Went to ER on the 24th of December - no test ran, they packed her nose and sent us home same day. Continued to have bloody nose, weakness, couldn't stay up and was constantly tired, high heart rate and high blood pressure.  Fainted on January 9th, called Ambulance and she was rushed to Hospital ER.  Was admitted and diagnosed with ITP.  She had 2-3 blood transfusions and 1 platelet transfusion.  Was discharged on the 12th or 13th.  Went in for a follow-up appointment on the following Monday, the 17th, and was admitted again because platelets dropped back to 0.  Was discharged on the 19th.  On the 20th rushed her back to ER for heavy bleeding and she was admitted again to the hospital until the 23 or 24th.  Bleeding has kept to a minimal since discharged, but she was rushed back to the ER on the 8th of February with other issues.  She was diagnosed with tachycardia, hypertonia, adrenal insufficiency, fatigue, hyperthyroidism and tremulousness and was then discharged on the 11th of Feb.  She is currently on steroids, promacta, iron pills, atenolol, tranexamic, and methimazole.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Immune thrombocytopenia, Petechiae, Platelet count decreased, Platelet transfusion, Syncope
Clinical narrative: Started having bloody nose non-stop for two weeks, petechia in arms legs and back front of torso, large bruises on arms and legs, Went to ER on the 24th of December - no test ran, they packed her nose and sent us home same day. Continued to have bloody nose, weakness, couldn't stay up and was constantly tired, high heart rate and high blood pressure.  Fainted on January 9th, called Ambulance and she was rushed to Hospital ER.  Was admitted and diagnosed with ITP.  She had 2-3 blood transfusions and 1 platelet transfusion.  Was discharged on the 12th or 13th.  Went in for a follow-up appointment on the following Monday, the 17th, and was admitted again because platelets dropped back to 0.  Was discharged on the 19th.  On the 20th rushed her back to ER for heavy bleeding and she was admitted again to the hospital until the 23 or 24th.  Bleeding has kept to a minimal since discharged, but she was rushed back to the ER on the 8th of February with other issues.  She was diagnosed with tachycardia, hypertonia, adrenal insufficiency, fatigue, hyperthyroidism and tremulousness and was then discharged on the 11th of Feb.  She is currently on steroids, promacta, iron pills, atenolol, tranexamic, and methimazole.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Transfusion, Tremor
Clinical narrative: Started having bloody nose non-stop for two weeks, petechia in arms legs and back front of torso, large bruises on arms and legs, Went to ER on the 24th of December - no test ran, they packed her nose and sent us home same day. Continued to have bloody nose, weakness, couldn't stay up and was constantly tired, high heart rate and high blood pressure.  Fainted on January 9th, called Ambulance and she was rushed to Hospital ER.  Was admitted and diagnosed with ITP.  She had 2-3 blood transfusions and 1 platelet transfusion.  Was discharged on the 12th or 13th.  Went in for a follow-up appointment on the following Monday, the 17th, and was admitted again because platelets dropped back to 0.  Was discharged on the 19th.  On the 20th rushed her back to ER for heavy bleeding and she was admitted again to the hospital until the 23 or 24th.  Bleeding has kept to a minimal since discharged, but she was rushed back to the ER on the 8th of February with other issues.  She was diagnosed with tachycardia, hypertonia, adrenal insufficiency, fatigue, hyperthyroidism and tremulousness and was then discharged on the 11th of Feb.  She is currently on steroids, promacta, iron pills, atenolol, tranexamic, and methimazole.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine was given past the beyond use date. Moderna was notified and per Moderna that vaccine maintained the necessary activity to protect against COVID-19. No additional intervention required.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for covid while being admitted to inpatient faclity
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Pain in extremity, Peripheral swelling, Rash pruritic
Clinical narrative: Itchy rash and hives- like lesions to ears, wrists, ankles and feet and mild swelling and pain of the ankles and feet.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Skin lesion, Urticaria
Clinical narrative: Itchy rash and hives- like lesions to ears, wrists, ankles and feet and mild swelling and pain of the ankles and feet.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Cardiac disorder, Palpitations, Vomiting
Clinical narrative: Racing hard beeping heart. Heart felt like it was going to explode. The nlmorning after. Then Vomiting for 6 days. Heart still hurts and feels like its beeping weird. Its been a week and my 8 yera old.boy.is still down and needing more testing.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine was given past the beyond use date. Moderna was notified and per Moderna that vaccine maintained the necessary activity to protect against COVID-19. No additional intervention required.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased, Palpitations, Sleep disorder
Clinical narrative: Patient states she felt fine in afternoon after receiving shot.  She was awakened in the middle of the night by a pounding, racing heartbeat.  She almost woke up her husband to take her to the ER.  It lasted for several hours, then resolved and she felt fine the next morning
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: intractable vomiting
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient presented to ER with worsening SOB of moderate severity. Patient developed symptoms of COVID on 10/14 and had a formal positive test on 10/17. Previously vaccinated with J&J on 5/11/21 and Pfizer on 12/8/21. Admitted to Hospital 10/29 and discharged 10/31/21.