chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 11/12/2021.  Dx admission COVID-10 pneumonia. This patient was admitted to the emergency room because of difficulty breathing.  The patient was tested positive for COVID-19.  The patient has been sick for almost over a week, where he was having nonproductive cough and pleuritic chest pain with difficulty, increase in nature along with generalized fatigue and weakness. SOB on exertion. Treatment:  Decadron, Lovenox, Stable.  Discharged to home.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Tension headache
Clinical narrative: 21yo F patient with no PMH, here to receive the Pfizer COVID vaccine booster. Immediately after receiving the vaccine she felt her "head was tense". Patient is associating the event to the fact that she was very anxious and scare about the vaccine. With the primary 2 doses she had lightheadedness that self-resolved within minutes. Denied any other symptom. Patient was evaluated by on-site EMS and MD. On PE AAO x 3; Initial VS: HR 77, RR 18, SpO2 100%, BP 110/60. Heart with RRR, lungs clear bilaterally. Patient was offered water and juice. After 15min observation patient felt better, repeated set of VS within normal limits. Patient was discharged with complete resolution of symptoms.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE WAS ADMINISTERED OUT OF EFFECTIVE DATE.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Ascites, Atelectasis, COVID-19, Chest X-ray normal
Clinical narrative: Patient is a pleasant 54 year old male, known to Dr., treating for recurrent liposarcoma. He has a PMH including HTN, OSA, and liposarcoma. He is S\P radical resection of retroperitoneal liposarcoma including cholecystectomy and right nephrectomy. He is comanaged with MSK. He has had multiple lines of therapy. He was on trial APG 115 trial with study drug and Keytruda. He most recently had POD at the end of 2021. He had unsuccessful bland particle embolization at MSK due to further progression in the liver on CT. Per Dr. last note, he may be a candidate for Y90. On 12/29/21 he was given his first cycle of Trabectedin. He had some increased n/v w/ this so olanzapine was added back with plans for IV fluids and antiemetics prior to his next cycle. He was also started on a bowel regimen. Most recent ECHO on 12/23 w/ EF of 60%. Patient presented to clinic this morning (1/6) with increased SOB/ DOE, epistaxis, rectal bleeding. He purchased a pulse OX to monitor his O2sat and he states it is averaging around 88% at rest with peaks to 90% on RA. SOB/ DOE has worsened over 24/­48 hours. He has mild conversational dyspnea with longer sentences today. Supplemental O2 improves this. Denies fever/chills, headache, sore throat, body aches, N/V/D/C. Denies chest pain. He is s/p C1 of Trabectedin last on 12/29/21: Hgb = 8.3. CT­A chest this morning was negative for PE. increase in right pleural effusion from small to moderate with trace left pleural effusion. Increased atelectatic changes in RML and RLL. Small amount of perihepatic ascites. Labs with WBC ­ 1.63, HGB ­ 13.3, HCT ­ 38.2, PLT ­ 25.0, ANC ­ 0.9, COVID swab was sent for PCR and was positive. Reports epistaxis with periods of dripping blood likely due to low platelets. He is also experiencing more hematochezia with stools. Hgb remains stable at 13. He was scheduled  to get 2u of plts. He was given Zarxio 1/6 w/ plans for 2 more days. He was also referred for home o2 due to his low oxygen saturations. His PCR came back positive for COVID on 1/7 and due to his thrombocytopenia and hypoxia he was sent to the ER. Upon arrival to the ER his o2 was noted to be 75% on RA.  However, when he got back to the room his oxygen was 96% per ER MD report. He has no CP. He notes blood in his vomit and BRB in his stool. He also has ongoing diarrhea. His labs on arrival revealed WBC 2.4; ANC 1.5; HGB 13.3; plts 16.  He is getting 2 units of plts in the ER w/ solumedrol, Benadryl, and Tylenol as premeds. His vitals are stable. CXR w/o acute issues. ProBNP WNL. PCT/LA pending. Troponin negative. Discharged: Discharged patient home with family care. Instructed patient to follow up with any previously scheduled appointment. Removed IV.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cholecystectomy, Diarrhoea, Dyspnoea, Dyspnoea exertional, Echocardiogram
Clinical narrative: Patient is a pleasant 54 year old male, known to Dr., treating for recurrent liposarcoma. He has a PMH including HTN, OSA, and liposarcoma. He is S\P radical resection of retroperitoneal liposarcoma including cholecystectomy and right nephrectomy. He is comanaged with MSK. He has had multiple lines of therapy. He was on trial APG 115 trial with study drug and Keytruda. He most recently had POD at the end of 2021. He had unsuccessful bland particle embolization at MSK due to further progression in the liver on CT. Per Dr. last note, he may be a candidate for Y90. On 12/29/21 he was given his first cycle of Trabectedin. He had some increased n/v w/ this so olanzapine was added back with plans for IV fluids and antiemetics prior to his next cycle. He was also started on a bowel regimen. Most recent ECHO on 12/23 w/ EF of 60%. Patient presented to clinic this morning (1/6) with increased SOB/ DOE, epistaxis, rectal bleeding. He purchased a pulse OX to monitor his O2sat and he states it is averaging around 88% at rest with peaks to 90% on RA. SOB/ DOE has worsened over 24/­48 hours. He has mild conversational dyspnea with longer sentences today. Supplemental O2 improves this. Denies fever/chills, headache, sore throat, body aches, N/V/D/C. Denies chest pain. He is s/p C1 of Trabectedin last on 12/29/21: Hgb = 8.3. CT­A chest this morning was negative for PE. increase in right pleural effusion from small to moderate with trace left pleural effusion. Increased atelectatic changes in RML and RLL. Small amount of perihepatic ascites. Labs with WBC ­ 1.63, HGB ­ 13.3, HCT ­ 38.2, PLT ­ 25.0, ANC ­ 0.9, COVID swab was sent for PCR and was positive. Reports epistaxis with periods of dripping blood likely due to low platelets. He is also experiencing more hematochezia with stools. Hgb remains stable at 13. He was scheduled  to get 2u of plts. He was given Zarxio 1/6 w/ plans for 2 more days. He was also referred for home o2 due to his low oxygen saturations. His PCR came back positive for COVID on 1/7 and due to his thrombocytopenia and hypoxia he was sent to the ER. Upon arrival to the ER his o2 was noted to be 75% on RA.  However, when he got back to the room his oxygen was 96% per ER MD report. He has no CP. He notes blood in his vomit and BRB in his stool. He also has ongoing diarrhea. His labs on arrival revealed WBC 2.4; ANC 1.5; HGB 13.3; plts 16.  He is getting 2 units of plts in the ER w/ solumedrol, Benadryl, and Tylenol as premeds. His vitals are stable. CXR w/o acute issues. ProBNP WNL. PCT/LA pending. Troponin negative. Discharged: Discharged patient home with family care. Instructed patient to follow up with any previously scheduled appointment. Removed IV.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ejection fraction normal, Epistaxis, Haematemesis, Haematochezia, Haematocrit decreased
Clinical narrative: Patient is a pleasant 54 year old male, known to Dr., treating for recurrent liposarcoma. He has a PMH including HTN, OSA, and liposarcoma. He is S\P radical resection of retroperitoneal liposarcoma including cholecystectomy and right nephrectomy. He is comanaged with MSK. He has had multiple lines of therapy. He was on trial APG 115 trial with study drug and Keytruda. He most recently had POD at the end of 2021. He had unsuccessful bland particle embolization at MSK due to further progression in the liver on CT. Per Dr. last note, he may be a candidate for Y90. On 12/29/21 he was given his first cycle of Trabectedin. He had some increased n/v w/ this so olanzapine was added back with plans for IV fluids and antiemetics prior to his next cycle. He was also started on a bowel regimen. Most recent ECHO on 12/23 w/ EF of 60%. Patient presented to clinic this morning (1/6) with increased SOB/ DOE, epistaxis, rectal bleeding. He purchased a pulse OX to monitor his O2sat and he states it is averaging around 88% at rest with peaks to 90% on RA. SOB/ DOE has worsened over 24/­48 hours. He has mild conversational dyspnea with longer sentences today. Supplemental O2 improves this. Denies fever/chills, headache, sore throat, body aches, N/V/D/C. Denies chest pain. He is s/p C1 of Trabectedin last on 12/29/21: Hgb = 8.3. CT­A chest this morning was negative for PE. increase in right pleural effusion from small to moderate with trace left pleural effusion. Increased atelectatic changes in RML and RLL. Small amount of perihepatic ascites. Labs with WBC ­ 1.63, HGB ­ 13.3, HCT ­ 38.2, PLT ­ 25.0, ANC ­ 0.9, COVID swab was sent for PCR and was positive. Reports epistaxis with periods of dripping blood likely due to low platelets. He is also experiencing more hematochezia with stools. Hgb remains stable at 13. He was scheduled  to get 2u of plts. He was given Zarxio 1/6 w/ plans for 2 more days. He was also referred for home o2 due to his low oxygen saturations. His PCR came back positive for COVID on 1/7 and due to his thrombocytopenia and hypoxia he was sent to the ER. Upon arrival to the ER his o2 was noted to be 75% on RA.  However, when he got back to the room his oxygen was 96% per ER MD report. He has no CP. He notes blood in his vomit and BRB in his stool. He also has ongoing diarrhea. His labs on arrival revealed WBC 2.4; ANC 1.5; HGB 13.3; plts 16.  He is getting 2 units of plts in the ER w/ solumedrol, Benadryl, and Tylenol as premeds. His vitals are stable. CXR w/o acute issues. ProBNP WNL. PCT/LA pending. Troponin negative. Discharged: Discharged patient home with family care. Instructed patient to follow up with any previously scheduled appointment. Removed IV.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemoglobin decreased, Hepatic embolisation, Hypoxia, Liver disorder, Nausea
Clinical narrative: Patient is a pleasant 54 year old male, known to Dr., treating for recurrent liposarcoma. He has a PMH including HTN, OSA, and liposarcoma. He is S\P radical resection of retroperitoneal liposarcoma including cholecystectomy and right nephrectomy. He is comanaged with MSK. He has had multiple lines of therapy. He was on trial APG 115 trial with study drug and Keytruda. He most recently had POD at the end of 2021. He had unsuccessful bland particle embolization at MSK due to further progression in the liver on CT. Per Dr. last note, he may be a candidate for Y90. On 12/29/21 he was given his first cycle of Trabectedin. He had some increased n/v w/ this so olanzapine was added back with plans for IV fluids and antiemetics prior to his next cycle. He was also started on a bowel regimen. Most recent ECHO on 12/23 w/ EF of 60%. Patient presented to clinic this morning (1/6) with increased SOB/ DOE, epistaxis, rectal bleeding. He purchased a pulse OX to monitor his O2sat and he states it is averaging around 88% at rest with peaks to 90% on RA. SOB/ DOE has worsened over 24/­48 hours. He has mild conversational dyspnea with longer sentences today. Supplemental O2 improves this. Denies fever/chills, headache, sore throat, body aches, N/V/D/C. Denies chest pain. He is s/p C1 of Trabectedin last on 12/29/21: Hgb = 8.3. CT­A chest this morning was negative for PE. increase in right pleural effusion from small to moderate with trace left pleural effusion. Increased atelectatic changes in RML and RLL. Small amount of perihepatic ascites. Labs with WBC ­ 1.63, HGB ­ 13.3, HCT ­ 38.2, PLT ­ 25.0, ANC ­ 0.9, COVID swab was sent for PCR and was positive. Reports epistaxis with periods of dripping blood likely due to low platelets. He is also experiencing more hematochezia with stools. Hgb remains stable at 13. He was scheduled  to get 2u of plts. He was given Zarxio 1/6 w/ plans for 2 more days. He was also referred for home o2 due to his low oxygen saturations. His PCR came back positive for COVID on 1/7 and due to his thrombocytopenia and hypoxia he was sent to the ER. Upon arrival to the ER his o2 was noted to be 75% on RA.  However, when he got back to the room his oxygen was 96% per ER MD report. He has no CP. He notes blood in his vomit and BRB in his stool. He also has ongoing diarrhea. His labs on arrival revealed WBC 2.4; ANC 1.5; HGB 13.3; plts 16.  He is getting 2 units of plts in the ER w/ solumedrol, Benadryl, and Tylenol as premeds. His vitals are stable. CXR w/o acute issues. ProBNP WNL. PCT/LA pending. Troponin negative. Discharged: Discharged patient home with family care. Instructed patient to follow up with any previously scheduled appointment. Removed IV.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nephrectomy, Neutrophil count decreased, Oxygen saturation decreased, Platelet count decreased, Platelet transfusion
Clinical narrative: Patient is a pleasant 54 year old male, known to Dr., treating for recurrent liposarcoma. He has a PMH including HTN, OSA, and liposarcoma. He is S\P radical resection of retroperitoneal liposarcoma including cholecystectomy and right nephrectomy. He is comanaged with MSK. He has had multiple lines of therapy. He was on trial APG 115 trial with study drug and Keytruda. He most recently had POD at the end of 2021. He had unsuccessful bland particle embolization at MSK due to further progression in the liver on CT. Per Dr. last note, he may be a candidate for Y90. On 12/29/21 he was given his first cycle of Trabectedin. He had some increased n/v w/ this so olanzapine was added back with plans for IV fluids and antiemetics prior to his next cycle. He was also started on a bowel regimen. Most recent ECHO on 12/23 w/ EF of 60%. Patient presented to clinic this morning (1/6) with increased SOB/ DOE, epistaxis, rectal bleeding. He purchased a pulse OX to monitor his O2sat and he states it is averaging around 88% at rest with peaks to 90% on RA. SOB/ DOE has worsened over 24/­48 hours. He has mild conversational dyspnea with longer sentences today. Supplemental O2 improves this. Denies fever/chills, headache, sore throat, body aches, N/V/D/C. Denies chest pain. He is s/p C1 of Trabectedin last on 12/29/21: Hgb = 8.3. CT­A chest this morning was negative for PE. increase in right pleural effusion from small to moderate with trace left pleural effusion. Increased atelectatic changes in RML and RLL. Small amount of perihepatic ascites. Labs with WBC ­ 1.63, HGB ­ 13.3, HCT ­ 38.2, PLT ­ 25.0, ANC ­ 0.9, COVID swab was sent for PCR and was positive. Reports epistaxis with periods of dripping blood likely due to low platelets. He is also experiencing more hematochezia with stools. Hgb remains stable at 13. He was scheduled  to get 2u of plts. He was given Zarxio 1/6 w/ plans for 2 more days. He was also referred for home o2 due to his low oxygen saturations. His PCR came back positive for COVID on 1/7 and due to his thrombocytopenia and hypoxia he was sent to the ER. Upon arrival to the ER his o2 was noted to be 75% on RA.  However, when he got back to the room his oxygen was 96% per ER MD report. He has no CP. He notes blood in his vomit and BRB in his stool. He also has ongoing diarrhea. His labs on arrival revealed WBC 2.4; ANC 1.5; HGB 13.3; plts 16.  He is getting 2 units of plts in the ER w/ solumedrol, Benadryl, and Tylenol as premeds. His vitals are stable. CXR w/o acute issues. ProBNP WNL. PCT/LA pending. Troponin negative. Discharged: Discharged patient home with family care. Instructed patient to follow up with any previously scheduled appointment. Removed IV.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pleural effusion, Prohormone brain natriuretic peptide, Rectal haemorrhage, SARS-CoV-2 test positive, Soft tissue sarcoma
Clinical narrative: Patient is a pleasant 54 year old male, known to Dr., treating for recurrent liposarcoma. He has a PMH including HTN, OSA, and liposarcoma. He is S\P radical resection of retroperitoneal liposarcoma including cholecystectomy and right nephrectomy. He is comanaged with MSK. He has had multiple lines of therapy. He was on trial APG 115 trial with study drug and Keytruda. He most recently had POD at the end of 2021. He had unsuccessful bland particle embolization at MSK due to further progression in the liver on CT. Per Dr. last note, he may be a candidate for Y90. On 12/29/21 he was given his first cycle of Trabectedin. He had some increased n/v w/ this so olanzapine was added back with plans for IV fluids and antiemetics prior to his next cycle. He was also started on a bowel regimen. Most recent ECHO on 12/23 w/ EF of 60%. Patient presented to clinic this morning (1/6) with increased SOB/ DOE, epistaxis, rectal bleeding. He purchased a pulse OX to monitor his O2sat and he states it is averaging around 88% at rest with peaks to 90% on RA. SOB/ DOE has worsened over 24/­48 hours. He has mild conversational dyspnea with longer sentences today. Supplemental O2 improves this. Denies fever/chills, headache, sore throat, body aches, N/V/D/C. Denies chest pain. He is s/p C1 of Trabectedin last on 12/29/21: Hgb = 8.3. CT­A chest this morning was negative for PE. increase in right pleural effusion from small to moderate with trace left pleural effusion. Increased atelectatic changes in RML and RLL. Small amount of perihepatic ascites. Labs with WBC ­ 1.63, HGB ­ 13.3, HCT ­ 38.2, PLT ­ 25.0, ANC ­ 0.9, COVID swab was sent for PCR and was positive. Reports epistaxis with periods of dripping blood likely due to low platelets. He is also experiencing more hematochezia with stools. Hgb remains stable at 13. He was scheduled  to get 2u of plts. He was given Zarxio 1/6 w/ plans for 2 more days. He was also referred for home o2 due to his low oxygen saturations. His PCR came back positive for COVID on 1/7 and due to his thrombocytopenia and hypoxia he was sent to the ER. Upon arrival to the ER his o2 was noted to be 75% on RA.  However, when he got back to the room his oxygen was 96% per ER MD report. He has no CP. He notes blood in his vomit and BRB in his stool. He also has ongoing diarrhea. His labs on arrival revealed WBC 2.4; ANC 1.5; HGB 13.3; plts 16.  He is getting 2 units of plts in the ER w/ solumedrol, Benadryl, and Tylenol as premeds. His vitals are stable. CXR w/o acute issues. ProBNP WNL. PCT/LA pending. Troponin negative. Discharged: Discharged patient home with family care. Instructed patient to follow up with any previously scheduled appointment. Removed IV.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Thrombocytopenia, Troponin normal, Tumour excision, Vomiting, White blood cell count decreased
Clinical narrative: Patient is a pleasant 54 year old male, known to Dr., treating for recurrent liposarcoma. He has a PMH including HTN, OSA, and liposarcoma. He is S\P radical resection of retroperitoneal liposarcoma including cholecystectomy and right nephrectomy. He is comanaged with MSK. He has had multiple lines of therapy. He was on trial APG 115 trial with study drug and Keytruda. He most recently had POD at the end of 2021. He had unsuccessful bland particle embolization at MSK due to further progression in the liver on CT. Per Dr. last note, he may be a candidate for Y90. On 12/29/21 he was given his first cycle of Trabectedin. He had some increased n/v w/ this so olanzapine was added back with plans for IV fluids and antiemetics prior to his next cycle. He was also started on a bowel regimen. Most recent ECHO on 12/23 w/ EF of 60%. Patient presented to clinic this morning (1/6) with increased SOB/ DOE, epistaxis, rectal bleeding. He purchased a pulse OX to monitor his O2sat and he states it is averaging around 88% at rest with peaks to 90% on RA. SOB/ DOE has worsened over 24/­48 hours. He has mild conversational dyspnea with longer sentences today. Supplemental O2 improves this. Denies fever/chills, headache, sore throat, body aches, N/V/D/C. Denies chest pain. He is s/p C1 of Trabectedin last on 12/29/21: Hgb = 8.3. CT­A chest this morning was negative for PE. increase in right pleural effusion from small to moderate with trace left pleural effusion. Increased atelectatic changes in RML and RLL. Small amount of perihepatic ascites. Labs with WBC ­ 1.63, HGB ­ 13.3, HCT ­ 38.2, PLT ­ 25.0, ANC ­ 0.9, COVID swab was sent for PCR and was positive. Reports epistaxis with periods of dripping blood likely due to low platelets. He is also experiencing more hematochezia with stools. Hgb remains stable at 13. He was scheduled  to get 2u of plts. He was given Zarxio 1/6 w/ plans for 2 more days. He was also referred for home o2 due to his low oxygen saturations. His PCR came back positive for COVID on 1/7 and due to his thrombocytopenia and hypoxia he was sent to the ER. Upon arrival to the ER his o2 was noted to be 75% on RA.  However, when he got back to the room his oxygen was 96% per ER MD report. He has no CP. He notes blood in his vomit and BRB in his stool. He also has ongoing diarrhea. His labs on arrival revealed WBC 2.4; ANC 1.5; HGB 13.3; plts 16.  He is getting 2 units of plts in the ER w/ solumedrol, Benadryl, and Tylenol as premeds. His vitals are stable. CXR w/o acute issues. ProBNP WNL. PCT/LA pending. Troponin negative. Discharged: Discharged patient home with family care. Instructed patient to follow up with any previously scheduled appointment. Removed IV.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Pyrexia
Clinical narrative: Approximately 12 hours after the shot I started to have chills/fever, followed by intense diarrhea (approximately once an hour) and nausea lasting approximately six hours. Symptoms began to slowly subside after that with diarrhea present at 24 and 48 hours.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: None.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Patient with known seizure disorder, had had a seizure on the afternoon of her second dose of Covid vaccine In January 2021. Was scheduled for a booster on 1/6/2022, Advised to give an extra dose of Keppra from 1/6-1/8 by her neurologist. Remained symptom-free until 1/9 when she had  breakthrough seizuresX2, responded to Nayzilam.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Dyspnoea, Fatigue
Clinical narrative: Pt has a history of HTN and HLD.  She has had 10 days of body aches, weakness, fatigue, and now shortness of breath.  Admitted with acute respiratory failure with hypoxia and acute COVID-19.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: Pt has a history of HTN and HLD.  She has had 10 days of body aches, weakness, fatigue, and now shortness of breath.  Admitted with acute respiratory failure with hypoxia and acute COVID-19.
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaemia, COVID-19, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: Hospitalized, anemic, thrombocytopenic, COVID-19 positive s/p 23 days post-booster shot.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cyanosis, Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: I felt fine after my booster (10:30AM). At 6:15PM, I noticed that the skin on my left hand (my injection arm) looked noticeably blue from the wrist down through my fingers, while my right hand looked totally fine and normal. After moving my hand around for a few minutes, the blueness was just in my fingers (no longer up to my wrist), but my fingers stayed with a blue/purple tint to them for the rest of the night. I have a photo of it. The next morning, when I woke up, the tint was very slight blue (still only in my left hand), but by 8:00AM, it was entirely back to normal. I went to my PCP around 9:30-10AM the next day anyway just to be safe. The Physicians Assistant saw me and said he didn't see anything to be concerned about, all my vitals were normal and my blood oxygen was 98 in my left hand and 99 in my right.  He had no explanation for the blue fingers in one hand.    Other than this, my side effects were normal and similar to my second vaccine - sore arm, swollen lymph nodes, feeling slow and a little achey, low-grade fever (99.9). I was entirely better by the second day mid-day, except for the swollen lymph nodes in my left armpit, which are still swollen (fourth day after). This year after my regular flu shot, my lymph nodes in my left armpit (same arm as the flu vaccine given) were also quite swollen for a few weeks.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Sluggishness
Clinical narrative: I felt fine after my booster (10:30AM). At 6:15PM, I noticed that the skin on my left hand (my injection arm) looked noticeably blue from the wrist down through my fingers, while my right hand looked totally fine and normal. After moving my hand around for a few minutes, the blueness was just in my fingers (no longer up to my wrist), but my fingers stayed with a blue/purple tint to them for the rest of the night. I have a photo of it. The next morning, when I woke up, the tint was very slight blue (still only in my left hand), but by 8:00AM, it was entirely back to normal. I went to my PCP around 9:30-10AM the next day anyway just to be safe. The Physicians Assistant saw me and said he didn't see anything to be concerned about, all my vitals were normal and my blood oxygen was 98 in my left hand and 99 in my right.  He had no explanation for the blue fingers in one hand.    Other than this, my side effects were normal and similar to my second vaccine - sore arm, swollen lymph nodes, feeling slow and a little achey, low-grade fever (99.9). I was entirely better by the second day mid-day, except for the swollen lymph nodes in my left armpit, which are still swollen (fourth day after). This year after my regular flu shot, my lymph nodes in my left armpit (same arm as the flu vaccine given) were also quite swollen for a few weeks.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE WAS ADMINISTERED OUT OF EFFECTIVE DATE.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Haemorrhage, Joint stiffness, Menstrual disorder
Clinical narrative: Joint stiffness,  blurry vision,  fatigue,  abnormal periods, bleeding Psoriasis
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Psoriasis, Vision blurred
Clinical narrative: Joint stiffness,  blurry vision,  fatigue,  abnormal periods, bleeding Psoriasis
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Blood catecholamines normal, Cardiac stress test normal, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: I have been to the ER twice--once with significant heart palpitations and angina mimicking heart attack symptoms and once with angina and ear ringing mimicking stroke symptoms.   Ongoing stage 2 hypertension.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram coronary artery, Hypertension, Palpitations, Tinnitus
Clinical narrative: I have been to the ER twice--once with significant heart palpitations and angina mimicking heart attack symptoms and once with angina and ear ringing mimicking stroke symptoms.   Ongoing stage 2 hypertension.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swelling of left arm pit
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive Covid-19.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Erythema, Exposure during pregnancy
Clinical narrative: At time of vaccination, 20 weeks gestation.  No immediate reaction noted.  Redness, tenderness developed within 24 hours and subsided within 72 hours.  No other signs.  However, starting December 26  (day 10 post vaccination), hives appeared on my elbows, abdomen, eyes, neck and breasts.  Intense itching also started at the same time, and whenever itched, red welts appeared.  Itching was throughout the body, from feet to head, and along all extremities.  Visit to obstetrician on the 27th, and 50 mg diphenhydramine started q6 hours, which would control 80% of symptoms but did not resolve all hives or pruritis.  Completed liver bloodwork to exclude cholestasis of pregnancy on December 28th.  Saw dermatologist on the 29th for persistent signs despite use of diphenhydramine and was changed to 10 mg certirizine q24 hours, which resolved 90-95% of the pruritis, 100% of hives/urticaria, but dermatographia persists even after 12 days of continuous therapy and pruritis returns when dosing interval id complete.  There is no known topical or oral exposure to allergen to cause signs, and there are no signs in other members of the household.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Mechanical urticaria, Pruritus, Tenderness, Urticaria
Clinical narrative: At time of vaccination, 20 weeks gestation.  No immediate reaction noted.  Redness, tenderness developed within 24 hours and subsided within 72 hours.  No other signs.  However, starting December 26  (day 10 post vaccination), hives appeared on my elbows, abdomen, eyes, neck and breasts.  Intense itching also started at the same time, and whenever itched, red welts appeared.  Itching was throughout the body, from feet to head, and along all extremities.  Visit to obstetrician on the 27th, and 50 mg diphenhydramine started q6 hours, which would control 80% of symptoms but did not resolve all hives or pruritis.  Completed liver bloodwork to exclude cholestasis of pregnancy on December 28th.  Saw dermatologist on the 29th for persistent signs despite use of diphenhydramine and was changed to 10 mg certirizine q24 hours, which resolved 90-95% of the pruritis, 100% of hives/urticaria, but dermatographia persists even after 12 days of continuous therapy and pruritis returns when dosing interval id complete.  There is no known topical or oral exposure to allergen to cause signs, and there are no signs in other members of the household.
Sex: U
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized, COVID-19 positive.
Age: 97.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Pt had a breakthrough covid infection after completing vaccination series.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Eye inflammation, Eye pain, Eyelid ptosis, Feeling abnormal
Clinical narrative: I am following up regarding your message to document my vaccine reaction after vaccination for Covid on 04Jan22. The lot administered was J&J lot 21ID21A. As you noted, I had drooping of the left eye with pain and inflammation that was also associated with headache, brain fog, and an extreme fever of 103 and chills for 2 3 days un responsive to anti pyretics. I started getting strength back on 08Jan22 and feel  pretty normal finally today 10Jan22.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: I am following up regarding your message to document my vaccine reaction after vaccination for Covid on 04Jan22. The lot administered was J&J lot 21ID21A. As you noted, I had drooping of the left eye with pain and inflammation that was also associated with headache, brain fog, and an extreme fever of 103 and chills for 2 3 days un responsive to anti pyretics. I started getting strength back on 08Jan22 and feel  pretty normal finally today 10Jan22.
Age: 60.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient presented with SOB and was positive for COVID. Patient is fully vaccinated.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction was reported by patient.  Patient received Moderna vaccine two-dose series even though they were only 16 years of age at the time of vaccination, rather than the recommended 18 years of age. Pharmacy was notified by another pharmacy when patient presented to receive booster shot.  We are reporting this as a vaccination error due to the patient's age.  It was recommended to patient to receive the Pfizer vaccine as a booster dose.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Patient received his 2nd dose of Pfizer on 1/6/22 at Pharmacy  Late Thursday, early Friday, patient developed low grade fever, intermittent diarrhea, body aches, fatigue, sore throat and possible cough. Day 4 and still with symptoms.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE WAS ADMINISTERED OUT OF EFFECTIVE DATE.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Feeling abnormal, Myocardial infarction, Vaccination complication
Clinical narrative: Received (2nd) injection of Moderna COVID vaccine, about 8:30am. Left Pharmacy, drove 1/4 mile to convenience store, to obtain breakfast. Drove 1/2 mile to clinic for scheduled appointment. Arrived approximately, 9:05am. Took seat, outside clinic, to await COVID screening. Nurse asked "How are you feeling?" I replied. "Not too good. Then I fell out of my chair. I awoke in Regional Medical Center, four days later. I had suffered, as my cardiologist put it, a "vaccine induced myocardial infarction". I am still attempting to recover.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Coordination abnormal, Disturbance in attention, Dysuria
Clinical narrative: Numbness and tingling in hands and feet. Loss of balance, coordination and strength in legs and feet. Difficulty sleeping, concentrating, urinating, and extreme fatigue. Nerve issues. Slowed reflexes.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Hyporeflexia, Insomnia, Nervous system disorder
Clinical narrative: Numbness and tingling in hands and feet. Loss of balance, coordination and strength in legs and feet. Difficulty sleeping, concentrating, urinating, and extreme fatigue. Nerve issues. Slowed reflexes.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Numbness and tingling in hands and feet. Loss of balance, coordination and strength in legs and feet. Difficulty sleeping, concentrating, urinating, and extreme fatigue. Nerve issues. Slowed reflexes.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, General physical health deterioration, Hypophagia, Lethargy, Unresponsive to stimuli
Clinical narrative: CHIEF COMPLAINT:   Lethargic w/increased weakness. Pt usually active, now unresposive x 1week. From Nursing Home DNR/DNI.   HISTORY OF PRESENT ILLNESS:     pt with massive weakness and failure to take p.o. ongoing from 1 week.  Daughter reports the patient had been living with him up until a little over a week ago when she was sent to rehab for weakness and strengthening. Daughter noted unresponsive today, but has a steady decline over the last 7 days. Denies nausea, vomiting, diarrhea, or abdominal pain. History of present illness, ROS, and physical exam are all limited by patient's condition.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound scan abnormal
Clinical narrative: Developed symptoms of DVT after three weeks, officially was diagnosed by ultrasound
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy breast abnormal, Breast cancer female
Clinical narrative: Breast Cancer
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain, Pyrexia
Clinical narrative: 103.8 fever with Tylenol  Migraine Body pain
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Computerised tomogram, Dizziness, Dyspnoea, Echocardiogram
Clinical narrative: nausea, dizziness, fogginess, uncontrolled trembling, high blood pressure, anxiety, headaches, body aches, generalized unwell feeling, weight loss, shortness of breath on and off for the passed 7 months and counting.  multiple doctor visits, er visits, and specialists visits. almost $2000 in medical debt. Multiple labs, x-rays, CT scans, mri, pft, ekg, Ultrasound, Echo, and medications. Missed numerous days of work and important events from being sick. My life has been turned upside down since receiving this vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Feeling abnormal, Headache, Hypertension, Impaired work ability
Clinical narrative: nausea, dizziness, fogginess, uncontrolled trembling, high blood pressure, anxiety, headaches, body aches, generalized unwell feeling, weight loss, shortness of breath on and off for the passed 7 months and counting.  multiple doctor visits, er visits, and specialists visits. almost $2000 in medical debt. Multiple labs, x-rays, CT scans, mri, pft, ekg, Ultrasound, Echo, and medications. Missed numerous days of work and important events from being sick. My life has been turned upside down since receiving this vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Loss of personal independence in daily activities, Magnetic resonance imaging, Malaise, Nausea
Clinical narrative: nausea, dizziness, fogginess, uncontrolled trembling, high blood pressure, anxiety, headaches, body aches, generalized unwell feeling, weight loss, shortness of breath on and off for the passed 7 months and counting.  multiple doctor visits, er visits, and specialists visits. almost $2000 in medical debt. Multiple labs, x-rays, CT scans, mri, pft, ekg, Ultrasound, Echo, and medications. Missed numerous days of work and important events from being sick. My life has been turned upside down since receiving this vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pulmonary function test, Tremor, Ultrasound scan, Weight decreased
Clinical narrative: nausea, dizziness, fogginess, uncontrolled trembling, high blood pressure, anxiety, headaches, body aches, generalized unwell feeling, weight loss, shortness of breath on and off for the passed 7 months and counting.  multiple doctor visits, er visits, and specialists visits. almost $2000 in medical debt. Multiple labs, x-rays, CT scans, mri, pft, ekg, Ultrasound, Echo, and medications. Missed numerous days of work and important events from being sick. My life has been turned upside down since receiving this vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: nausea, dizziness, fogginess, uncontrolled trembling, high blood pressure, anxiety, headaches, body aches, generalized unwell feeling, weight loss, shortness of breath on and off for the passed 7 months and counting.  multiple doctor visits, er visits, and specialists visits. almost $2000 in medical debt. Multiple labs, x-rays, CT scans, mri, pft, ekg, Ultrasound, Echo, and medications. Missed numerous days of work and important events from being sick. My life has been turned upside down since receiving this vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized, COVID-19 positive.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated  8/26/2021, 3/9/2021, 2/16/2021. Hospitalized with COVID 1/7/22
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Muscle tightness, Oedema peripheral
Clinical narrative: 104.0 fever first 24 hours with severe chills and severe all over body soreness and muscle tightening. Severe fatigue. Rash on top of hands more of right side than left side. Very swollen right upper arm, axillary and into neck. Severe headache. All listed lasted for 4 days. Still have temperature though has come down and rash on hands.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Pyrexia, Rash, Swelling
Clinical narrative: 104.0 fever first 24 hours with severe chills and severe all over body soreness and muscle tightening. Severe fatigue. Rash on top of hands more of right side than left side. Very swollen right upper arm, axillary and into neck. Severe headache. All listed lasted for 4 days. Still have temperature though has come down and rash on hands.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized, COVID-19 positive.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Erythema, Eye swelling, Joint swelling, Lip swelling
Clinical narrative: on Sunday 12/19  I woke up with itchy red circles on both elbows, both knee caps, backs of knees and on one butt cheek.  They were very uncomfortable and continued to get worse throughout the day.  By the end of night I had them on my finger, palms. and wrists.  On Monday morning 12/20 I woke up with swollen wrists, and swollen eyes and welts all over my body.  They started spreading to the bottoms of my feet and that is when I called my doctor.  After speaking with her on the phone I went to ER and was admitted.   I was released on Monday with 3 prescriptions which i did not take on Tuesday.  On Wednesday I woke up with all the same symptoms and swollen lips.  I spoke with doctor again and she told me to get on the methylprednisolone and Benadryl immediately.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: on Sunday 12/19  I woke up with itchy red circles on both elbows, both knee caps, backs of knees and on one butt cheek.  They were very uncomfortable and continued to get worse throughout the day.  By the end of night I had them on my finger, palms. and wrists.  On Monday morning 12/20 I woke up with swollen wrists, and swollen eyes and welts all over my body.  They started spreading to the bottoms of my feet and that is when I called my doctor.  After speaking with her on the phone I went to ER and was admitted.   I was released on Monday with 3 prescriptions which i did not take on Tuesday.  On Wednesday I woke up with all the same symptoms and swollen lips.  I spoke with doctor again and she told me to get on the methylprednisolone and Benadryl immediately.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Chest pain, Chills, Cough
Clinical narrative: Pt is covid + on 11/12/2021 and fully vaccinated. Pt says he has felt sick and tired with chest pain for 1 week. Positive for chills, fatigue, cough, chest pain, arthralgias, myalgias. Pt stable for outpatient care. Discharged
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Myalgia, SARS-CoV-2 test positive
Clinical narrative: Pt is covid + on 11/12/2021 and fully vaccinated. Pt says he has felt sick and tired with chest pain for 1 week. Positive for chills, fatigue, cough, chest pain, arthralgias, myalgias. Pt stable for outpatient care. Discharged
Age: 69.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Unevaluable event
Clinical narrative: Hospitalization of vaccinated COVID patient.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE WAS ADMINISTERED OUT OF EFFECTIVE DATE
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Somnolence
Clinical narrative: On 01/07/2022 the patient, inadvertently received the Moderna booster vaccine (0.25ml) in the left deltoid. Parent expressed she is  a medical doctor and insisted the daughter receive the Moderna booster. Both the site supervisor, Dr. , and the parent of the patient, were notified. When asked if the patient was showing any symptoms the parent explained that the patient had been sleeping. Parent was advised to seek medical attention if the patient developed signs/symptoms.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Loss of consciousness, Nausea, Pyrexia
Clinical narrative: Pt stated that 12 hrs after she received her first dose of Moderna vaccine, she experienced some side effects i.e., fever ,chills, nausea, dizzy. Seh said she passed out cold. The side effects lasted about 24-48hrs. She is feeling much better today.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dizziness postural, Dyspnoea, Heart rate increased
Clinical narrative: Been having rapid heartbeats of 105bpm -120bpm even when resting. Sometimes shortness of breath. Some nausea and light headedness.  A little chest discomfort not chest pain. Usually doesn't last for long but upon getting up out of bed,  I feel a little dizzy. The palpitations are most at night.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Palpitations
Clinical narrative: Been having rapid heartbeats of 105bpm -120bpm even when resting. Sometimes shortness of breath. Some nausea and light headedness.  A little chest discomfort not chest pain. Usually doesn't last for long but upon getting up out of bed,  I feel a little dizzy. The palpitations are most at night.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough hospitalization in patient that completed vaccination series
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass, Lymphadenopathy
Clinical narrative: I developed a swelling in left armpit, like a big bulge. Told to come in 3 weeks if the lump does not go down. The lump went down in about two, give or take.
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized, COVID-19 positive.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, COVID-19, Chills, Condition aggravated, Dizziness
Clinical narrative: I fell ill for a couple of days and my arm was tender and sore but I expected that. I just felt generally unwell for the next week or so with fatigue and not feeling like myself. After a week I was feeling a little better but 2 weeks after having the vaccine my husband came down ill and I immediately came down ill a day later. I was testing initially negative but I was becoming more symptomatic with fatigue, sore throat, muscle and body aches, and chills. My sense of taste and smell changed but didn't go away. I testing again and it was positive. I had an antibody infusion and I started to feel better after 3 days and my symptoms started to go away a bit, but my asthma during this had flared up and I was still very congested in my chest and very shortness of breath on activity. As my other symptoms began to recede, my asthma continued to get worse and I was having difficulty doing minor things around the house. I did try to work but I was unable to because I couldn't tolerate having a mask over my face because it made me shortness of breath and light headed. I started to see pulmonology during this time and we tried different medications, nebulizers, and inhalers in addition to my own maintenance inhalers. He put me on antibiotics and steroids. I know that during that past year I've been on steroids and antibiotics 6-7 times. I'd go off of them for a couple of weeks to see how I was doing but it would go right back to the way it was. I talked to an ENT and he was looking at my sinuses to see if there was anything that would be causing asthma to get worse and it was inflamed so he put me on more antibiotics. I worked myself down to only needing 4 breathing treatments a day. We talked about how my weight might be a factor, so I seen a weight loss surgeon and with the amount of steroids I had been taking, my weight had climbed higher than it had ever been. Leading up to the surgery, I did everything I could to improve my asthma but I was still needing 2-3 treatments a day. I was able to start becoming a little more better. I had the surgery and I am still needing 2-3 treatments a day still. I got Covid again and I have a lot of congestion and drainage and I'm getting shortness of breath back again and needing breathing treatments again. The month of February-September is the time during which I was taking so my antibiotics and steroids and having such a difficult time. January 5th, 2022 I caught Covid again.