chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: MNQ
Symptoms: Expired product administered, No adverse event
Clinical narrative: expired dose of MENACTRA was administered with no adverse event; Initial information was received on 22-Feb-2022 regarding an unsolicited valid non-serious case received from a pharmacist via call center.  This case involves a 23years old female patient who was administered an expired dose of vaccine Meningococcal A-C-Y-W135 (D CONJ) vaccine [Menactra] with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On 21-Feb-2022, the patient received a 0.5 ml dose of suspect Meningococcal A-C-Y-W135 (D CONJ) vaccine (formulation: unknown) (batch number: U6827BA; expiration date: 18-Feb-2022) once (strength: unknown) via intramuscular route in an unknown administration site for immunization.  On 21-Feb-2022, the patient experienced no adverse event on administration of an expired dose of Meningococcal A-C-Y-W135 (D CONJ) vaccine (expired product administered) (latency: same day).  Action Taken: not applicable.  At time of reporting, the outcome was Unknown for the event (expired product administered).  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria chronic
Clinical narrative: Chronic uticaria
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinea versicolour
Clinical narrative: I had Tinea versicolor on my stomach for years. It was only a stable small patch. After receiving the two doses of Pfizer Covid vaccines, my Tinea versicolor spread all over my stomach and groin area within the month following the vaccines.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Dyspnoea, Rash, Rash erythematous
Clinical narrative: I started getting little rashes on 02/12/2022 then it started getting worse like bigger red rashes then a few days later my breathing started becoming off, like at night time when I lay down I can?t breath well (feels like my asthmas coming back) now it?s when I?m walking places I start not being able to breath well. I?ve been taking Benadryl daily since it started.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest pain, Swelling
Clinical narrative: Swollen armpit, heart burning feeling and fluttering sensation.
Age: 26.0
Sex: M
Vaccine: HPV9
Symptoms: Blood creatine phosphokinase normal, C-reactive protein, Full blood count normal, Metabolic function test normal, Pain in extremity
Clinical narrative: Pain in the lower thigh that started on the night of vaccine day. No weakness. Unable to sleep from the pain, had to take ibuprofen to sleep. The pain didn?t improve until time of this report. I visited my doctor on 2/24/2022 and she inspected me and ordered a few blood tests.
Age: 26.0
Sex: M
Vaccine: HPV9
Symptoms: Red blood cell sedimentation rate normal, Sleep disorder
Clinical narrative: Pain in the lower thigh that started on the night of vaccine day. No weakness. Unable to sleep from the pain, had to take ibuprofen to sleep. The pain didn?t improve until time of this report. I visited my doctor on 2/24/2022 and she inspected me and ordered a few blood tests.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Deep vein thrombosis, Gait disturbance, Movement disorder, Oedema
Clinical narrative: After 2 dose 5/2021 my skin was on fire was in bed for 3 days could not move to touch my skin hurt my legs hurt the most  sometimes I can barely walk my feet started swelling I have been to the ER because my feet kept swelling initial visit in Sept 2021 I had them look at my legs because I had little black and blue marks like someone was pinching me urgent care where they said Edema DVT I am going to the ER today for X-rays I can't take constant pain not being able to walk and having to go to sleep with my legs being elevated
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pain of skin, Peripheral swelling, Skin burning sensation, Skin discolouration
Clinical narrative: After 2 dose 5/2021 my skin was on fire was in bed for 3 days could not move to touch my skin hurt my legs hurt the most  sometimes I can barely walk my feet started swelling I have been to the ER because my feet kept swelling initial visit in Sept 2021 I had them look at my legs because I had little black and blue marks like someone was pinching me urgent care where they said Edema DVT I am going to the ER today for X-rays I can't take constant pain not being able to walk and having to go to sleep with my legs being elevated
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: After 2 dose 5/2021 my skin was on fire was in bed for 3 days could not move to touch my skin hurt my legs hurt the most  sometimes I can barely walk my feet started swelling I have been to the ER because my feet kept swelling initial visit in Sept 2021 I had them look at my legs because I had little black and blue marks like someone was pinching me urgent care where they said Edema DVT I am going to the ER today for X-rays I can't take constant pain not being able to walk and having to go to sleep with my legs being elevated
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Anxiety, Diarrhoea, Diarrhoea haemorrhagic
Clinical narrative: My first symptoms began two days after my second Pfizer injection and included lightheadedness, fatigue, and muscle cramping in my back and neck. Three days after my second injection I was experiencing nausea, vomiting and diarrhea. I could not successfully retain food, only clear liquids (solid food or liquid nutritional supplements were immediately vomited). By day seven my diarrhea was clear and/or mucous. By day eight and nine post second injection my diarrhea was a clear yellow tint and had pink colored tissue in it resembling grapefruit pulp and a little bit of blood as well. During this period I was experiencing intense stomach cramping that felt as if taking blows to the abdomen and also felt extremely light headed. When laying down it felt as if I were falling through the mattress and also felt an indescribable feeling of impending doom. I made a slow recovery after that and experienced intense abdominal pain and diarrhea if I exerted any significant energy or ate any more than small amounts of simple foods or drank any alcohol. I did not fully recover until about three months after receiving my second dose of the Pfizer injection.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Muscle spasms, Myoclonus, Nausea
Clinical narrative: My first symptoms began two days after my second Pfizer injection and included lightheadedness, fatigue, and muscle cramping in my back and neck. Three days after my second injection I was experiencing nausea, vomiting and diarrhea. I could not successfully retain food, only clear liquids (solid food or liquid nutritional supplements were immediately vomited). By day seven my diarrhea was clear and/or mucous. By day eight and nine post second injection my diarrhea was a clear yellow tint and had pink colored tissue in it resembling grapefruit pulp and a little bit of blood as well. During this period I was experiencing intense stomach cramping that felt as if taking blows to the abdomen and also felt extremely light headed. When laying down it felt as if I were falling through the mattress and also felt an indescribable feeling of impending doom. I made a slow recovery after that and experienced intense abdominal pain and diarrhea if I exerted any significant energy or ate any more than small amounts of simple foods or drank any alcohol. I did not fully recover until about three months after receiving my second dose of the Pfizer injection.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: My first symptoms began two days after my second Pfizer injection and included lightheadedness, fatigue, and muscle cramping in my back and neck. Three days after my second injection I was experiencing nausea, vomiting and diarrhea. I could not successfully retain food, only clear liquids (solid food or liquid nutritional supplements were immediately vomited). By day seven my diarrhea was clear and/or mucous. By day eight and nine post second injection my diarrhea was a clear yellow tint and had pink colored tissue in it resembling grapefruit pulp and a little bit of blood as well. During this period I was experiencing intense stomach cramping that felt as if taking blows to the abdomen and also felt extremely light headed. When laying down it felt as if I were falling through the mattress and also felt an indescribable feeling of impending doom. I made a slow recovery after that and experienced intense abdominal pain and diarrhea if I exerted any significant energy or ate any more than small amounts of simple foods or drank any alcohol. I did not fully recover until about three months after receiving my second dose of the Pfizer injection.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Skin warm
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: pt said that she started getting a sore arm that is red and hot and swollen. It is getting worse (now 2 days after) not better. I told her to go to urgent care to have it looked at.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: arm pain; radiates down to hand-Medium, Additional Details: Patient states she noticed pain the day after receiving vaccination and state her arm "has not felt right" since. She said she can hardly move her arm and it is very sore and she also has trouble using her right hand.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: FOLLOWING VACCINATION, PATIENT WAS IN OBSERVATION AREA SEATED WITH CAREGIVER. PATIENT STARTED SHOWING SIGN OF FAINTING, SWEATING, AND LIGHTHEADEDNESS. PATIENT WAS OFFERED BOTTLE OF WATER. CALLED AMBULANCE, EMT ARRIVED AND EXAMINED PATIENT. PATIENT DENIED TO GO TO HOSPTIAL. STATED HE HAS STARTED FEELING BETTER.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Lethargy, Syncope, Unresponsive to stimuli
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: FOLLOWING VACCINATION, PATIENT WAS IN OBSERVATION AREA SEATED WITH CAREGIVER. PATIENT STARTED SHOWING SIGN OF FAINTING, SWEATING, AND LIGHTHEADEDNESS. PATIENT WAS OFFERED BOTTLE OF WATER. CALLED AMBULANCE, EMT ARRIVED AND EXAMINED PATIENT. PATIENT DENIED TO GO TO HOSPTIAL. STATED HE HAS STARTED FEELING BETTER.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Rash, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Rash Generalized-Medium, Additional Details: Mom called to describe side effects pt was having.  Vaccine was administered at 11am 2/26/2022. Mom called about 545pm 2/26/2022 and said pt had rash all over and tightening in throat for the past hour. Mom said she had administed benadryl with out improvment in symptoms. I recommed taking pt to emergency room for further evaluation due to throat tightening and to call 911 if concerned breathing was rapidly becoming restricted
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Immediate post-injection reaction, Incorrect route of product administration, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Patient states sharp pain at injection site immediately after vaccination. He was told pain would go away in 2-3 days, but hasn't resolved. He didn't take any pain meds at the time, but dr has advised on ibuprofen and possible further testing. States administration of vaccine felt like stabbing motion.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Limb injury, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Patient states sharp pain at injection site immediately after vaccination. He was told pain would go away in 2-3 days, but hasn't resolved. He didn't take any pain meds at the time, but dr has advised on ibuprofen and possible further testing. States administration of vaccine felt like stabbing motion.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Headache, Immediate post-injection reaction, Throat irritation
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Additional Details: pt began coughing, difficulty breathing within 5 minutes of pfizer 3rd dose. pt used albuterol at least twice during the 15 mins after before paramedics took pt to hospital. pt reported having itchy throat along with difficulty breathing but no headache. no swelling or generalized itchiness per pt. Pt had similar experience the first 2 doses (difficulty breathing and HA immediately after the vaccine but was manageable by albuterol alone). pt's bp was 134/85 with 57 pulse. on metoprolol
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Repeated vomiting all night long
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Hepatic enzyme abnormal, Hepatic neoplasm, Magnetic resonance imaging
Clinical narrative: My Liver levels started to increase and subsequently the liver tumors increased in size
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Impaired work ability, Loss of personal independence in daily activities, Nausea, Vomiting
Clinical narrative: Symptoms started about 5 to 6 weeks after 2 dose. I strongly believe that the following Symptoms are due to receiving the vaccine: Nausea, vomiting, stomach pain
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Genital herpes
Clinical narrative: I experienced an outbreak of herpes sores the day after the vaccine was administered. This also happened after my first and second dose. I did not report it the first time because I thought it was just a coincidence. I have medication (acyclovir) that I keep on hand for episodic outbreaks. I took that and the outbreak is resolving as normal. I did call the pharmacy after the first outbreak after my very first dose (June 2021) to verify that taking acyclovir would not affect the efficacy of the vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood immunoglobulin M, Blood test abnormal, Chills, Cold-stimulus headache
Clinical narrative: Initial reaction beginning day 1:  fever of 103, most severe headache I've ever experienced, similar to a "brain freeze" when drinking something too cold, severe chills, body aches, dizziness, and blurry vision.  Day 3:  went to urgent care for right-sided weakness and my right foot had been asleep for 11 hours.  Urgent care doctor suspected potential Guillain-Barre and it was strongly suggested to go to ER for neuro workup.  The medical chart said "rare inflammatory immune response due to vaccine".  I went home, hoping it would pass.  Woke up on Day 5 with right-sided facial paralysis.  Went to ER and had an MRI, CT of the head and neck to rule out stroke, EKG, and bloodwork.  Suspected bells-palsy and loss of peripheral vision, medical chart included vaccine-related injury.  Was referred to neurology, despite intense pressure to be admitted, we agreed that I would follow up with neuro.  Appointment with neurologist and complete battery of tests resulted in a positive monoclonal IGM Lamda and positive for myasthenia gravis.  Referred to Hematologist.  Follow up bloodwork in January resulted in the monoclonal IGM Lamda had resolved itself and I was released from care of Hematologist.  Follow up with neurologist, I have now been referred to have chest CT to rule out thymus gland issues.  Still have ongoing symptoms of myasthenia gravis.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Computerised tomogram neck, Dizziness, Electrocardiogram, Electrophoresis protein
Clinical narrative: Initial reaction beginning day 1:  fever of 103, most severe headache I've ever experienced, similar to a "brain freeze" when drinking something too cold, severe chills, body aches, dizziness, and blurry vision.  Day 3:  went to urgent care for right-sided weakness and my right foot had been asleep for 11 hours.  Urgent care doctor suspected potential Guillain-Barre and it was strongly suggested to go to ER for neuro workup.  The medical chart said "rare inflammatory immune response due to vaccine".  I went home, hoping it would pass.  Woke up on Day 5 with right-sided facial paralysis.  Went to ER and had an MRI, CT of the head and neck to rule out stroke, EKG, and bloodwork.  Suspected bells-palsy and loss of peripheral vision, medical chart included vaccine-related injury.  Was referred to neurology, despite intense pressure to be admitted, we agreed that I would follow up with neuro.  Appointment with neurologist and complete battery of tests resulted in a positive monoclonal IGM Lamda and positive for myasthenia gravis.  Referred to Hematologist.  Follow up bloodwork in January resulted in the monoclonal IGM Lamda had resolved itself and I was released from care of Hematologist.  Follow up with neurologist, I have now been referred to have chest CT to rule out thymus gland issues.  Still have ongoing symptoms of myasthenia gravis.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Guillain-Barre syndrome, Headache, Hemiparesis, Immunology test
Clinical narrative: Initial reaction beginning day 1:  fever of 103, most severe headache I've ever experienced, similar to a "brain freeze" when drinking something too cold, severe chills, body aches, dizziness, and blurry vision.  Day 3:  went to urgent care for right-sided weakness and my right foot had been asleep for 11 hours.  Urgent care doctor suspected potential Guillain-Barre and it was strongly suggested to go to ER for neuro workup.  The medical chart said "rare inflammatory immune response due to vaccine".  I went home, hoping it would pass.  Woke up on Day 5 with right-sided facial paralysis.  Went to ER and had an MRI, CT of the head and neck to rule out stroke, EKG, and bloodwork.  Suspected bells-palsy and loss of peripheral vision, medical chart included vaccine-related injury.  Was referred to neurology, despite intense pressure to be admitted, we agreed that I would follow up with neuro.  Appointment with neurologist and complete battery of tests resulted in a positive monoclonal IGM Lamda and positive for myasthenia gravis.  Referred to Hematologist.  Follow up bloodwork in January resulted in the monoclonal IGM Lamda had resolved itself and I was released from care of Hematologist.  Follow up with neurologist, I have now been referred to have chest CT to rule out thymus gland issues.  Still have ongoing symptoms of myasthenia gravis.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Magnetic resonance imaging, Metabolic function test, Myasthenia gravis, Neurological examination abnormal
Clinical narrative: Initial reaction beginning day 1:  fever of 103, most severe headache I've ever experienced, similar to a "brain freeze" when drinking something too cold, severe chills, body aches, dizziness, and blurry vision.  Day 3:  went to urgent care for right-sided weakness and my right foot had been asleep for 11 hours.  Urgent care doctor suspected potential Guillain-Barre and it was strongly suggested to go to ER for neuro workup.  The medical chart said "rare inflammatory immune response due to vaccine".  I went home, hoping it would pass.  Woke up on Day 5 with right-sided facial paralysis.  Went to ER and had an MRI, CT of the head and neck to rule out stroke, EKG, and bloodwork.  Suspected bells-palsy and loss of peripheral vision, medical chart included vaccine-related injury.  Was referred to neurology, despite intense pressure to be admitted, we agreed that I would follow up with neuro.  Appointment with neurologist and complete battery of tests resulted in a positive monoclonal IGM Lamda and positive for myasthenia gravis.  Referred to Hematologist.  Follow up bloodwork in January resulted in the monoclonal IGM Lamda had resolved itself and I was released from care of Hematologist.  Follow up with neurologist, I have now been referred to have chest CT to rule out thymus gland issues.  Still have ongoing symptoms of myasthenia gravis.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Pyrexia, Red blood cell sedimentation rate, Vaccination complication
Clinical narrative: Initial reaction beginning day 1:  fever of 103, most severe headache I've ever experienced, similar to a "brain freeze" when drinking something too cold, severe chills, body aches, dizziness, and blurry vision.  Day 3:  went to urgent care for right-sided weakness and my right foot had been asleep for 11 hours.  Urgent care doctor suspected potential Guillain-Barre and it was strongly suggested to go to ER for neuro workup.  The medical chart said "rare inflammatory immune response due to vaccine".  I went home, hoping it would pass.  Woke up on Day 5 with right-sided facial paralysis.  Went to ER and had an MRI, CT of the head and neck to rule out stroke, EKG, and bloodwork.  Suspected bells-palsy and loss of peripheral vision, medical chart included vaccine-related injury.  Was referred to neurology, despite intense pressure to be admitted, we agreed that I would follow up with neuro.  Appointment with neurologist and complete battery of tests resulted in a positive monoclonal IGM Lamda and positive for myasthenia gravis.  Referred to Hematologist.  Follow up bloodwork in January resulted in the monoclonal IGM Lamda had resolved itself and I was released from care of Hematologist.  Follow up with neurologist, I have now been referred to have chest CT to rule out thymus gland issues.  Still have ongoing symptoms of myasthenia gravis.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred, Visual field defect
Clinical narrative: Initial reaction beginning day 1:  fever of 103, most severe headache I've ever experienced, similar to a "brain freeze" when drinking something too cold, severe chills, body aches, dizziness, and blurry vision.  Day 3:  went to urgent care for right-sided weakness and my right foot had been asleep for 11 hours.  Urgent care doctor suspected potential Guillain-Barre and it was strongly suggested to go to ER for neuro workup.  The medical chart said "rare inflammatory immune response due to vaccine".  I went home, hoping it would pass.  Woke up on Day 5 with right-sided facial paralysis.  Went to ER and had an MRI, CT of the head and neck to rule out stroke, EKG, and bloodwork.  Suspected bells-palsy and loss of peripheral vision, medical chart included vaccine-related injury.  Was referred to neurology, despite intense pressure to be admitted, we agreed that I would follow up with neuro.  Appointment with neurologist and complete battery of tests resulted in a positive monoclonal IGM Lamda and positive for myasthenia gravis.  Referred to Hematologist.  Follow up bloodwork in January resulted in the monoclonal IGM Lamda had resolved itself and I was released from care of Hematologist.  Follow up with neurologist, I have now been referred to have chest CT to rule out thymus gland issues.  Still have ongoing symptoms of myasthenia gravis.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atelectasis, Blood lactic acid increased, C-reactive protein increased, COVID-19
Clinical narrative: PT presented on 02/11/2022 for worsening generalized weakness, fatigue and fall.   On arrival to ED patient was found to have BP 131/81 with tachycardia 108 with SpO2 98% on room air with temp 99 F with normal other vitals. Labs showed normal CBC/CMP/HS troponin with elevated lactic acid 2.6 with elevated CRP 6.09 within normal procalcitonin with unremarkable UA.  COVID-19 positive   Chest x-ray showed faint patchy subsegmental atelectasis/airspace disease in both lower lungs CT head negative for any acute intracranial process   Patient was admitted for further management of possible COVID-19 pneumonia and she was started with IV fluid/PT/OT.  Patient was not hypoxic on admission.  However during hospital stay patient developed hypoxia requiring NC O2 and she was started with dexamethasone/Remdesivir by ID.  Hypoxic respiratory failure got better and she is on 2 L NC O2 at this time. Patient finished Remdesivir / and about 5 days of Decadron.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head normal, Fall, Fatigue, Full blood count normal
Clinical narrative: PT presented on 02/11/2022 for worsening generalized weakness, fatigue and fall.   On arrival to ED patient was found to have BP 131/81 with tachycardia 108 with SpO2 98% on room air with temp 99 F with normal other vitals. Labs showed normal CBC/CMP/HS troponin with elevated lactic acid 2.6 with elevated CRP 6.09 within normal procalcitonin with unremarkable UA.  COVID-19 positive   Chest x-ray showed faint patchy subsegmental atelectasis/airspace disease in both lower lungs CT head negative for any acute intracranial process   Patient was admitted for further management of possible COVID-19 pneumonia and she was started with IV fluid/PT/OT.  Patient was not hypoxic on admission.  However during hospital stay patient developed hypoxia requiring NC O2 and she was started with dexamethasone/Remdesivir by ID.  Hypoxic respiratory failure got better and she is on 2 L NC O2 at this time. Patient finished Remdesivir / and about 5 days of Decadron.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Lung disorder, Metabolic function test normal, Procalcitonin normal, Respiratory failure
Clinical narrative: PT presented on 02/11/2022 for worsening generalized weakness, fatigue and fall.   On arrival to ED patient was found to have BP 131/81 with tachycardia 108 with SpO2 98% on room air with temp 99 F with normal other vitals. Labs showed normal CBC/CMP/HS troponin with elevated lactic acid 2.6 with elevated CRP 6.09 within normal procalcitonin with unremarkable UA.  COVID-19 positive   Chest x-ray showed faint patchy subsegmental atelectasis/airspace disease in both lower lungs CT head negative for any acute intracranial process   Patient was admitted for further management of possible COVID-19 pneumonia and she was started with IV fluid/PT/OT.  Patient was not hypoxic on admission.  However during hospital stay patient developed hypoxia requiring NC O2 and she was started with dexamethasone/Remdesivir by ID.  Hypoxic respiratory failure got better and she is on 2 L NC O2 at this time. Patient finished Remdesivir / and about 5 days of Decadron.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia, Troponin normal, Urine analysis normal
Clinical narrative: PT presented on 02/11/2022 for worsening generalized weakness, fatigue and fall.   On arrival to ED patient was found to have BP 131/81 with tachycardia 108 with SpO2 98% on room air with temp 99 F with normal other vitals. Labs showed normal CBC/CMP/HS troponin with elevated lactic acid 2.6 with elevated CRP 6.09 within normal procalcitonin with unremarkable UA.  COVID-19 positive   Chest x-ray showed faint patchy subsegmental atelectasis/airspace disease in both lower lungs CT head negative for any acute intracranial process   Patient was admitted for further management of possible COVID-19 pneumonia and she was started with IV fluid/PT/OT.  Patient was not hypoxic on admission.  However during hospital stay patient developed hypoxia requiring NC O2 and she was started with dexamethasone/Remdesivir by ID.  Hypoxic respiratory failure got better and she is on 2 L NC O2 at this time. Patient finished Remdesivir / and about 5 days of Decadron.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, COVID-19, Chest X-ray normal, Cough, Diarrhoea
Clinical narrative: Patient was brought to the ER with shortness of breath and cough from last 24 hours and wheezing. Also he reported diarrhea last 2 days. Former smoker.  In emergency room, he was tachycardic with 103 and his O2 saturation was 95% on room air.    COVID-19 was positive.  Chest x-ray was unremarkablev.The patient was started on IV hydration.  Creatinine was 1.7.  He has chronic shortness of breath, COPD is not worsening The patient was admitted for further evaluation.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, SARS-CoV-2 test positive, Tachycardia, Wheezing
Clinical narrative: Patient was brought to the ER with shortness of breath and cough from last 24 hours and wheezing. Also he reported diarrhea last 2 days. Former smoker.  In emergency room, he was tachycardic with 103 and his O2 saturation was 95% on room air.    COVID-19 was positive.  Chest x-ray was unremarkablev.The patient was started on IV hydration.  Creatinine was 1.7.  He has chronic shortness of breath, COPD is not worsening The patient was admitted for further evaluation.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: vomiting
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Severe joint pain, injection site pain.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after Janssen vaccination; breakthrough case admission
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Magnetic resonance imaging spinal abnormal, Spinal cord neoplasm
Clinical narrative: There has been a tumor found on my spine that was not there before and if directly related with some chest pain issues I was dealing (2nd and third right intercostal space and t6-t7 tumor on my spinal cord.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after Janssen vaccine; breakthrough case admission.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Pain, X-ray
Clinical narrative: Pain, decreased range of motion
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: event occurred after 3rd vaccine; breakthrough case admission
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pain, Pyrexia
Clinical narrative: Fever of 102 within 12 hours of vaccine. Moderate to severe body aches and dizziness. Symptoms lasted 48 hours. No treatment applied. Full recovery.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Interchange of vaccine products, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Dizziness, Hypoaesthesia, Vertigo
Clinical narrative: Head went numb, dizziness, vertigo and double vision.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Glossodynia, Head discomfort, Hypoaesthesia, Oropharyngeal pain
Clinical narrative: Swollen tongue, throat pain, discoloration to throat and palate (white patches)lesions/painful sores on both sides of tongue, difficulty swallowing, burning tongue, white discoloration of tongue, jaw pain mostly right sided, frontal head pressure, numbness and tingling from forehead down both sides of face down jawline.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Paraesthesia, Swollen tongue, Tongue discolouration, Tongue discomfort
Clinical narrative: Swollen tongue, throat pain, discoloration to throat and palate (white patches)lesions/painful sores on both sides of tongue, difficulty swallowing, burning tongue, white discoloration of tongue, jaw pain mostly right sided, frontal head pressure, numbness and tingling from forehead down both sides of face down jawline.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue ulceration, Tonsillar inflammation
Clinical narrative: Swollen tongue, throat pain, discoloration to throat and palate (white patches)lesions/painful sores on both sides of tongue, difficulty swallowing, burning tongue, white discoloration of tongue, jaw pain mostly right sided, frontal head pressure, numbness and tingling from forehead down both sides of face down jawline.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Interchange of vaccine products, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 3rd vaccine; breakthrough case admission
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever, body aches, headache, chills, and lack of energy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after third vaccine; breakthrough case admission; patient received third vaccine on 11/3/21 Moderna but no lot# available
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Atrial flutter, Chest X-ray normal, Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: High blood pressure, atrial flutter, AFib. Documents through 09/01/2021 showing that these were not present  nor was there a history of these conditions prior to this date. Within less than 24 hours of the Moderna booster, BPM rose to 200 according and continued to be high. Doctor placed a heart monitor for two weeks and took blood pressure.  Monitor showed AFib and all subsequent blood pressure readings were high (in the 150s to 160s) until placed on Eliquis and Deltiazem after a trip to the emergency room when BPM were in the 150s for over an hour. I was sent to an electrophysiologist and will need an ablation.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Heart rate increased, Hypertension, Laboratory test normal, Ventricular arrhythmia
Clinical narrative: High blood pressure, atrial flutter, AFib. Documents through 09/01/2021 showing that these were not present  nor was there a history of these conditions prior to this date. Within less than 24 hours of the Moderna booster, BPM rose to 200 according and continued to be high. Doctor placed a heart monitor for two weeks and took blood pressure.  Monitor showed AFib and all subsequent blood pressure readings were high (in the 150s to 160s) until placed on Eliquis and Deltiazem after a trip to the emergency room when BPM were in the 150s for over an hour. I was sent to an electrophysiologist and will need an ablation.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test positive, Antinuclear antibody positive, Arthralgia, Fatigue, Laboratory test
Clinical narrative: Dose 2 administered 2 April 2021.   Patient has been experiencing episodes of spontaneous urticaria diffusely across body starting in July 2021. Will also have joint pain and fatigue. Most episodes respond to antihistamines and resolve within 24-48 hours, but some episodes with last 5-7 days. Patient has required steroids for prolonged episodes. Patient currently takes fexofenadine 180 mg BID, and when she has a flare, will also take Pepcid 20 mg qd and Benadryl or Hydroxyzine as needed.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Seasonal allergy, Thyroid function test abnormal, Urticaria
Clinical narrative: Dose 2 administered 2 April 2021.   Patient has been experiencing episodes of spontaneous urticaria diffusely across body starting in July 2021. Will also have joint pain and fatigue. Most episodes respond to antihistamines and resolve within 24-48 hours, but some episodes with last 5-7 days. Patient has required steroids for prolonged episodes. Patient currently takes fexofenadine 180 mg BID, and when she has a flare, will also take Pepcid 20 mg qd and Benadryl or Hydroxyzine as needed.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Amenorrhoea, Biopsy endometrium normal, Blood test normal, Endometrial thickening, Heavy menstrual bleeding
Clinical narrative: My periods have always been between 3 and 6 weeks apart.  They lasted no more than 5 days with relatively light bleeding.  On 9/24/21, after not having a period for 3 and a half months, I started a period that lasted three full weeks and was characterized by unpredictable and excessive bleeding.  On at least two occasions I missed work and considered going to the ER, because I was soaking overnight pads every half hour to two hours.  After about three hours on each of those occasions, the bleeding was not quite as heavy, so I opted to call my gynecologist instead.  In October of 2021, I had an endometrial biopsy and trans-vaginal ultrasound with normal results.  My "period" returned on 1/5/22, with the same pattern of unpredictable and excessive bleeding.  At the end of January, I called my doctor and made another appointment.  I missed at least one day of work during this time due to the excessive bleeding.  The doctor ordered another trans-vaginal ultrasound (to re-check), another abdominal ultrasound (I had to fill my bladder prior to having that ultrasound), and bloodwork.  Bloodwork came back normal.  Ultrasound results showed possible polyp (s) and the endometrium had grown by 1 cm over the past month.  The doctor was concerned about the endometrial thickening and we scheduled a D and C to test the tissue and try to stop the bleeding.  I was prescribed Prevara for one month leading up to the surgery, but it did not completely stop the bleeding and prior to surgery I was bleeding heavily again.  I had a D and C on 2/24/22 and will get the pathology report from the tissue that was removed by 2/14/22.   I am still bleeding three days post surgery but not as heavily as before the surgery.  Outcome is not certain at this time.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Impaired work ability, Menometrorrhagia, Pathology test, Progestin therapy, Surgery
Clinical narrative: My periods have always been between 3 and 6 weeks apart.  They lasted no more than 5 days with relatively light bleeding.  On 9/24/21, after not having a period for 3 and a half months, I started a period that lasted three full weeks and was characterized by unpredictable and excessive bleeding.  On at least two occasions I missed work and considered going to the ER, because I was soaking overnight pads every half hour to two hours.  After about three hours on each of those occasions, the bleeding was not quite as heavy, so I opted to call my gynecologist instead.  In October of 2021, I had an endometrial biopsy and trans-vaginal ultrasound with normal results.  My "period" returned on 1/5/22, with the same pattern of unpredictable and excessive bleeding.  At the end of January, I called my doctor and made another appointment.  I missed at least one day of work during this time due to the excessive bleeding.  The doctor ordered another trans-vaginal ultrasound (to re-check), another abdominal ultrasound (I had to fill my bladder prior to having that ultrasound), and bloodwork.  Bloodwork came back normal.  Ultrasound results showed possible polyp (s) and the endometrium had grown by 1 cm over the past month.  The doctor was concerned about the endometrial thickening and we scheduled a D and C to test the tissue and try to stop the bleeding.  I was prescribed Prevara for one month leading up to the surgery, but it did not completely stop the bleeding and prior to surgery I was bleeding heavily again.  I had a D and C on 2/24/22 and will get the pathology report from the tissue that was removed by 2/14/22.   I am still bleeding three days post surgery but not as heavily as before the surgery.  Outcome is not certain at this time.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ultrasound abdomen abnormal, Ultrasound scan vagina normal, Uterine dilation and curettage
Clinical narrative: My periods have always been between 3 and 6 weeks apart.  They lasted no more than 5 days with relatively light bleeding.  On 9/24/21, after not having a period for 3 and a half months, I started a period that lasted three full weeks and was characterized by unpredictable and excessive bleeding.  On at least two occasions I missed work and considered going to the ER, because I was soaking overnight pads every half hour to two hours.  After about three hours on each of those occasions, the bleeding was not quite as heavy, so I opted to call my gynecologist instead.  In October of 2021, I had an endometrial biopsy and trans-vaginal ultrasound with normal results.  My "period" returned on 1/5/22, with the same pattern of unpredictable and excessive bleeding.  At the end of January, I called my doctor and made another appointment.  I missed at least one day of work during this time due to the excessive bleeding.  The doctor ordered another trans-vaginal ultrasound (to re-check), another abdominal ultrasound (I had to fill my bladder prior to having that ultrasound), and bloodwork.  Bloodwork came back normal.  Ultrasound results showed possible polyp (s) and the endometrium had grown by 1 cm over the past month.  The doctor was concerned about the endometrial thickening and we scheduled a D and C to test the tissue and try to stop the bleeding.  I was prescribed Prevara for one month leading up to the surgery, but it did not completely stop the bleeding and prior to surgery I was bleeding heavily again.  I had a D and C on 2/24/22 and will get the pathology report from the tissue that was removed by 2/14/22.   I am still bleeding three days post surgery but not as heavily as before the surgery.  Outcome is not certain at this time.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Low grade fever, chills, nausea, headache, fatigue
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Patient stated her arm pain began the day after her vaccination, and it hasn't stopped since then.
Age: 43.0
Sex: M
Vaccine: UNK
Symptoms: Chillblains, Contusion, Lymphadenopathy, Pain, Vaccination complication
Clinical narrative: Chilblains in second and third right toes. I experienced COVID toes with bruising and soreness for going on 2.5 months after Moderna booster. Similar reaction occured in feet after Pfizer 2nd shot.  I also experienced swollen lymph under armpits feet Moderna booster which lasted for 5-7 days after shot.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dyspnoea, Feeling jittery, Headache
Clinical narrative: HA, SOB on and off, jitters on and off, severe back stabbing pain on and off for 2 weeks going on 3rd week.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain
Clinical narrative: NUMBNESS IN BOTH UPPER ARMS AND BOTH LEGS BOVE KNEES WITH SHOOTING PAINS DOWN INNER PART OF ARMS TO ELBOW AND INNER PART OF BOTH LEGS.  SHOOTING PAINS FINALLY SUBSIDED.  NUMBNESS CONTINUES. . WENT TO DR ON 4/19/21.  NO TREATMENT GIVEN
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Headache
Clinical narrative: Woke up with sever headache during the night, dizzy. For the next 3 weeks had balance issues,.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Blood test normal, Endometrial ablation, Haemoglobin decreased, Heavy menstrual bleeding
Clinical narrative: Completely skipped my menstrual cycle that should have started the next day. Then I did not have another cycle until December. So from August to December I did not bleed. Then starting the first week of December I bled for 8 weeks straight with a lot of heavy blood loss and huge clots. I ended up having to have a D&C and a uterine Ablation to stop the bleeding. My hemoglobin was staying around an 8 or 7 until I had the procedure.  This is the first time in my entire adult menstral cycle that I have not been normal to the date of starting and I have never had problems or heavy bleeding at all before. Now out of the blue I am having to pay for surgery bills to cover a D&C and ablation.