chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: headache, body ache, fatigue
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Nausea, Rash, Vomiting
Clinical narrative: Nausea (threw up) and inability to keep food down (roughly 18 hours after) that went away roughly 24 hours later Rash on left arm at site of injection that spread to entire upper arm, treatment being antihistamines (Claritin), icing of upper arm and time, starting 36 hours after vaccine and lasting 3-5 days
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 17 year old given Moderna. No adverse reactions noted.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cognitive disorder, Dizziness, Hypoaesthesia, Hypothermia
Clinical narrative: Very similar to previous effects. High temperature that night, followed by hypothermia (<95F) for two weeks. Dizziness, weakness, light headed, left side of face  is now about 50% numb rather than 33% (feels swollen/tingling), possible slight drooping left side of mouth, possible slight hearing loss left side. Loss of ability to mentally visualise at all has not changed since first dose
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia, Swelling face
Clinical narrative: Very similar to previous effects. High temperature that night, followed by hypothermia (<95F) for two weeks. Dizziness, weakness, light headed, left side of face  is now about 50% numb rather than 33% (feels swollen/tingling), possible slight drooping left side of mouth, possible slight hearing loss left side. Loss of ability to mentally visualise at all has not changed since first dose
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Red, Warm, bump on arm
Age: 58.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Cardiac disorder, Heart rate irregular, Palpitations
Clinical narrative: PATIENT HAD MODERNA BOOSTER DOSE 11/26/21 AND REPORTS HAVING CARDIAC ISSUES STARTING 12/2/21 DESCRIBED AS HEART "BANGS" INSTEAD OF HEART BEATS, HEART "BANGING AROUND" IN CHEST "POUNDING" STEADILY BUT FORCEFULLY UNTIL 12/17/21 AND COMPLETELY RESOLVED END OF DAY 12/18/21. SHE SPOKE TO HER DOCTOR AND DOCTOR SURMISES COULD POSSIBLY HAVE BEEN RELATED TO VACCINE / MYOCARDITIS / CARDIAC ISSUES AND TO REPORT TO PHARMACY TO REPORT TO VAERS. PATIENT HAD A FLU SHOT ON THE SAME DAY AS MODERNA BOOSTER.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site bruising
Clinical narrative: Bruise at injection site, chills, shoulder pain, body aches, knee pain, headache, congestion feeling in head, tiredness, underarm tenderness and swelling in arm injected.  Treated with Tylenol 2x/day for 3 days
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pain, Peripheral swelling, Tenderness
Clinical narrative: Bruise at injection site, chills, shoulder pain, body aches, knee pain, headache, congestion feeling in head, tiredness, underarm tenderness and swelling in arm injected.  Treated with Tylenol 2x/day for 3 days
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal, Cough, Dialysis
Clinical narrative: 12/17/21 ID physician's note: "Patient is a 67 year old female with PMH significant for diabetes type 2 and ESRD on HD, CAD, HTN, CHF, and emphysema with home o2, who presented to the hospital with c/o coughing and shortness of breath and was found to be positive for COVID-19 via rapid testing.  Daughter at bedside, assisting with HPI and ROS, although patient is AOx3, and also responds appropriately.  She first had symptoms of malaise and fatigue on 12/14 evening, and then developed a cough on 12/15. She had some nausea the day before yesterday, but otherwise denies n/v/d.  Shortness of breath has occurred only with coughing, but otherwise denies any problems breathing, but has been using home O2 since Wednesday.  Patient reportedly uses home O2 up to 4 LPM intermittently, but for example, last week only used O2 twice, whereas with the onset of cough she has been using it consistently.   She went to dialysis this morning before coming to the hospital.  In the ED, her chest xray showed pulmonary edema/pleural effusions, and she was given lasix.  Her hs troponin was 55, and BNP 1,813, ekg showing inferior infarct, repeat trop and ekg pending.  Denies chest pain/pressure.  No other concerns identified. She's been started on remdesivir and decadron.  Of note, she has received two vaccinations for covid, the second being in July 2021" .
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Fatigue, Malaise, Myocardial infarction
Clinical narrative: 12/17/21 ID physician's note: "Patient is a 67 year old female with PMH significant for diabetes type 2 and ESRD on HD, CAD, HTN, CHF, and emphysema with home o2, who presented to the hospital with c/o coughing and shortness of breath and was found to be positive for COVID-19 via rapid testing.  Daughter at bedside, assisting with HPI and ROS, although patient is AOx3, and also responds appropriately.  She first had symptoms of malaise and fatigue on 12/14 evening, and then developed a cough on 12/15. She had some nausea the day before yesterday, but otherwise denies n/v/d.  Shortness of breath has occurred only with coughing, but otherwise denies any problems breathing, but has been using home O2 since Wednesday.  Patient reportedly uses home O2 up to 4 LPM intermittently, but for example, last week only used O2 twice, whereas with the onset of cough she has been using it consistently.   She went to dialysis this morning before coming to the hospital.  In the ED, her chest xray showed pulmonary edema/pleural effusions, and she was given lasix.  Her hs troponin was 55, and BNP 1,813, ekg showing inferior infarct, repeat trop and ekg pending.  Denies chest pain/pressure.  No other concerns identified. She's been started on remdesivir and decadron.  Of note, she has received two vaccinations for covid, the second being in July 2021" .
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pleural effusion, Pulmonary oedema, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: 12/17/21 ID physician's note: "Patient is a 67 year old female with PMH significant for diabetes type 2 and ESRD on HD, CAD, HTN, CHF, and emphysema with home o2, who presented to the hospital with c/o coughing and shortness of breath and was found to be positive for COVID-19 via rapid testing.  Daughter at bedside, assisting with HPI and ROS, although patient is AOx3, and also responds appropriately.  She first had symptoms of malaise and fatigue on 12/14 evening, and then developed a cough on 12/15. She had some nausea the day before yesterday, but otherwise denies n/v/d.  Shortness of breath has occurred only with coughing, but otherwise denies any problems breathing, but has been using home O2 since Wednesday.  Patient reportedly uses home O2 up to 4 LPM intermittently, but for example, last week only used O2 twice, whereas with the onset of cough she has been using it consistently.   She went to dialysis this morning before coming to the hospital.  In the ED, her chest xray showed pulmonary edema/pleural effusions, and she was given lasix.  Her hs troponin was 55, and BNP 1,813, ekg showing inferior infarct, repeat trop and ekg pending.  Denies chest pain/pressure.  No other concerns identified. She's been started on remdesivir and decadron.  Of note, she has received two vaccinations for covid, the second being in July 2021" .
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia
Clinical narrative: Patient presented on 12/17/21 for monoclonal treatment and upon arrival she was hypoxic and brough to emergency room.  She was admitted for supplemental oxygen, remdesivir and dexamethasone.  O2 needs increased from 3L to 15L the following day and was started on heated high flow o2.  Currently continues on HHFO2 at 50LPM and 80%Fi)2.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Fall, Loss of consciousness, Paraesthesia, Syncope
Clinical narrative: Received Moderna booster on 12/14/2021. On 12/15/2021, I woke up at 6 am and went downstairs to my kitchen. While filling a cup of water at the sink, I started seeing black and felt my hands tingling. I sat at my kitchen table, laid my head down and blacked-out. A few minutes later, I got up to try to walk back upstairs to my bed. After just a few steps, I fainted again, on the floor. A few minutes later I got up again and made it upstairs to lie down. I took two ibuprofens and within 20-30 minutes, felt relatively normal again. No other symptoms experienced after the incident. I do not have a history of low blood pressure or fainting.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Respiratory arrest
Clinical narrative: Patient tilted her head back and her face turned red and actually stopped breathing, then woke back up when i prepared to start cpr procedures. Patient woke back up and seemed fine and actually drank water and laid on the floor until EMS came to store.  Patient spoke with us the whole time and stated she ate a small snack this morning.  Patient is now doing okay and is shopping in our store at the moment and has been cleared by EMS. Patient  may have passed out due to excitement of the shot itself.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Tinnitus
Clinical narrative: Pt. states that after receiving the 1st dose of Jansen J&J 10/24/2021, started experiencing symptoms 10/26/2021 of continuous ringing in the both ears. ENT specialist appt. 12/15/2021, diagnosed with Tinnitus (previous use of Steroid Ear drops & Antibiotics) Follow-Up appt. 01/21/2022 for treatment.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic pigmented purpura
Clinical narrative: Pt says hes gotten Schamberg's disease after getting the booster about 30 days after getting booster
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Muscular weakness, Pain in extremity, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient completed two Pfizer vaccines on 9/28/2021. He had ongoing bilateral lower extremity pain for one week. He also noticed upper extremity weakness, and he came to hospital ED, subsequently admitted on 12/17/2021. He developed a 100.9 F. fever on 12/18/21, and the Covid-19 test resulted in a positive on 12/19/21. Hospital day 3, he is still low-grade fever of 100.3 F, but on room air and no Covid-19 treatment at this moment.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Decreased appetite, Fatigue, Headache
Clinical narrative: My scheduled appointment was 2:30pm on Dec 18 2021, but I arrived earlier due to the snow storm, so the pharmacist gave me the shot around 12:15pm (the first person of the day received the vaccine in that store). In the afternoon, I felt a bit tired, mild reaction, then around 11:00pm when I went to bed, I started to have fever, headache, muscle pain (the whole body), injection site pain, too, extremely tired, the symptoms get more severe by the hour, grade 3-4. On Sunday 19th/Dec, I was in the bed for the entire day because of the exhaustion, fever and headache, which lasted 30 hours till Monday (20th) morning, at which point I began to feel myself. During the first 24-48 hours, I drank 1.5 gallon water, and ate very little. I even didn't have the energy to take a shower till this morning (20th).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Mobility decreased, Myalgia, Pyrexia
Clinical narrative: My scheduled appointment was 2:30pm on Dec 18 2021, but I arrived earlier due to the snow storm, so the pharmacist gave me the shot around 12:15pm (the first person of the day received the vaccine in that store). In the afternoon, I felt a bit tired, mild reaction, then around 11:00pm when I went to bed, I started to have fever, headache, muscle pain (the whole body), injection site pain, too, extremely tired, the symptoms get more severe by the hour, grade 3-4. On Sunday 19th/Dec, I was in the bed for the entire day because of the exhaustion, fever and headache, which lasted 30 hours till Monday (20th) morning, at which point I began to feel myself. During the first 24-48 hours, I drank 1.5 gallon water, and ate very little. I even didn't have the energy to take a shower till this morning (20th).
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Face oedema, Glossodynia, Swelling of eyelid, Tongue disorder, Tongue erythema
Clinical narrative: Pt complaining of tongue pain with visible facial edema and bilateral eyelid swelling. Noted red raised bumps on tongue. Pt denies respiratory distress, speaking in complete sentences. Pt alert and answering questions appropriately. Pt given personal EPI pen at 1550, no improvement. EMS called and arrived at 1605. Parent advised to take pt to nearest hospital for evaluation. Pt escorted with parent to car. Pt remained stable.  Per pt's step mother, pt was taken to ER, Hospital.  Pt stable.  Family called the next day, father indicated that patient stayed hospital overnight for observation.  Symptoms were resoloving
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: THE SECOND DOSE WAS ADMINISTRED BEFORE THE 21 DAYS INTERVAL, AT DAY TEN AFTER FIRST DOSE.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Normal symptoms- fever, chills, aches, headache, fatigue, also toothache.  But abnormal that I haven't read about is that I got muscle convulsions- may have been extreme chills.  Muscles throughout my body were shaking a lot:  like 2"-3" in each direction quickly.  I had a lot of trouble holding items and getting into bed.  It scare me but passed in 20 minutes or so.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache, Tremor
Clinical narrative: Normal symptoms- fever, chills, aches, headache, fatigue, also toothache.  But abnormal that I haven't read about is that I got muscle convulsions- may have been extreme chills.  Muscles throughout my body were shaking a lot:  like 2"-3" in each direction quickly.  I had a lot of trouble holding items and getting into bed.  It scare me but passed in 20 minutes or so.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Hyperaesthesia teeth
Clinical narrative: First night 101 fever, body aches, extreme fatigue, headache nausea. Saturday 12/18/21. Took Celebrex and tylenol generic. Fever spiked at 102.5. Chills, extreme fatigue, shaking , nausea, joint pain and body aches, tooth sensitivity. Sunday 12/19/21 fever of 101 body aches, fatigue, shaking, chills, headache. Monday 12/20/21 (today) headache fever of 99.1 fatigue, headache.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Tremor
Clinical narrative: First night 101 fever, body aches, extreme fatigue, headache nausea. Saturday 12/18/21. Took Celebrex and tylenol generic. Fever spiked at 102.5. Chills, extreme fatigue, shaking , nausea, joint pain and body aches, tooth sensitivity. Sunday 12/19/21 fever of 101 body aches, fatigue, shaking, chills, headache. Monday 12/20/21 (today) headache fever of 99.1 fatigue, headache.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Angiogram, Cardiac flutter, Chest pain
Clinical narrative: I began to experience a terrible headache four days and upper abdominal bloating and pain after my vaccine, so bad that I couldn't walk without feeling like I was being punched in the gut. I had never experienced anything like this. Then I began to notice phlegm in my throat and congestion in my lung. I also began to feel random shooting pains in my left chest and heart fluttering. My doctor had me get an xray which found fluid in my lungs. I somehow gained 7lbs of fluid. I couldn't walk without losing breath and couldn't sleep on my side. He said it was likely pericarditis, pneuminitis, or myocarditis, or a strange virus. He sent me to do a CTA scan to check for a pulmonary embolism - luckily they didn't find one. My bloodwork showed a high d dimer rate. My partner says that my skin was yellow during this time. It all lasted two or so weeks and then cleared on its own.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Dyspnoea exertional, Fibrin D dimer increased, Fluid retention, Gait disturbance
Clinical narrative: I began to experience a terrible headache four days and upper abdominal bloating and pain after my vaccine, so bad that I couldn't walk without feeling like I was being punched in the gut. I had never experienced anything like this. Then I began to notice phlegm in my throat and congestion in my lung. I also began to feel random shooting pains in my left chest and heart fluttering. My doctor had me get an xray which found fluid in my lungs. I somehow gained 7lbs of fluid. I couldn't walk without losing breath and couldn't sleep on my side. He said it was likely pericarditis, pneuminitis, or myocarditis, or a strange virus. He sent me to do a CTA scan to check for a pulmonary embolism - luckily they didn't find one. My bloodwork showed a high d dimer rate. My partner says that my skin was yellow during this time. It all lasted two or so weeks and then cleared on its own.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Insomnia, Myocarditis, Pain, Pericarditis
Clinical narrative: I began to experience a terrible headache four days and upper abdominal bloating and pain after my vaccine, so bad that I couldn't walk without feeling like I was being punched in the gut. I had never experienced anything like this. Then I began to notice phlegm in my throat and congestion in my lung. I also began to feel random shooting pains in my left chest and heart fluttering. My doctor had me get an xray which found fluid in my lungs. I somehow gained 7lbs of fluid. I couldn't walk without losing breath and couldn't sleep on my side. He said it was likely pericarditis, pneuminitis, or myocarditis, or a strange virus. He sent me to do a CTA scan to check for a pulmonary embolism - luckily they didn't find one. My bloodwork showed a high d dimer rate. My partner says that my skin was yellow during this time. It all lasted two or so weeks and then cleared on its own.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pulmonary congestion, Pulmonary oedema, Viral infection, X-ray abnormal
Clinical narrative: I began to experience a terrible headache four days and upper abdominal bloating and pain after my vaccine, so bad that I couldn't walk without feeling like I was being punched in the gut. I had never experienced anything like this. Then I began to notice phlegm in my throat and congestion in my lung. I also began to feel random shooting pains in my left chest and heart fluttering. My doctor had me get an xray which found fluid in my lungs. I somehow gained 7lbs of fluid. I couldn't walk without losing breath and couldn't sleep on my side. He said it was likely pericarditis, pneuminitis, or myocarditis, or a strange virus. He sent me to do a CTA scan to check for a pulmonary embolism - luckily they didn't find one. My bloodwork showed a high d dimer rate. My partner says that my skin was yellow during this time. It all lasted two or so weeks and then cleared on its own.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Yellow skin
Clinical narrative: I began to experience a terrible headache four days and upper abdominal bloating and pain after my vaccine, so bad that I couldn't walk without feeling like I was being punched in the gut. I had never experienced anything like this. Then I began to notice phlegm in my throat and congestion in my lung. I also began to feel random shooting pains in my left chest and heart fluttering. My doctor had me get an xray which found fluid in my lungs. I somehow gained 7lbs of fluid. I couldn't walk without losing breath and couldn't sleep on my side. He said it was likely pericarditis, pneuminitis, or myocarditis, or a strange virus. He sent me to do a CTA scan to check for a pulmonary embolism - luckily they didn't find one. My bloodwork showed a high d dimer rate. My partner says that my skin was yellow during this time. It all lasted two or so weeks and then cleared on its own.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Gait disturbance, Hypotonia, Pallor
Clinical narrative: About 2 minutes after the patient received the first dose of the vaccine, she said she felt faint and her face turned pale. Her father and I helped her get to a safe area where she could lie down. Her body went limp and she could not stand or walk. I had her elevate her feet and placed cool ice packs around her neck and face. She did not fully lose consciousness and still had her eyes open and was talking. She did not have any symptoms of anaphylaxis. I had her lie there and sip on water for 30 m,inutes and the patient was able to walk away. I checked in on her in an hour and she was still fine.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Compression garment application, Deep vein thrombosis, Echocardiogram abnormal
Clinical narrative: 41 yo M hx of OSA, HTN. DVT Right leg: Progressive worsening pain in right thigh began 3 days post-vaccination w/ J&J, progressed to severe pain on day 10. Patient alerted us to symptoms on 8/4/21. Exam: temp: 99.1, HR 101, BP 145/85, O2 97%. >400lbs obese man with severe bilateral lower extremity edema, bilateral varicose veins visible lower extremities. (-) Homan's sign. No initial erythema/redness, no warmth throughout. Gait: ambulated with visible mild limp favoring left LE. 8/10/21 ultrasound demonstrated large right lower extremity thrombus extending into femoral junction. ER/hospital admission 8/10/21: Echocardiogram: right heart strain with right ventricular diastolic dysfunction, pulmonary hypertension. CT Chest angiogram: 8/10/21: bilateral pulmonary emboli with saddle embolism.  He was admitted with full dose anticoagulation with heparin x 24 hours, then with Lovenox 40mg subcutaneous q 12 hours x 3 days, then eventually transitioned to long term apixaban (Eliquis) 5mg bid long term.  VIR consulted: Thrombolysis was deferred since he was hemodynamically stable with echocardiogram. Now with chronic LE edema, compression stockings, and has returned to activities daily living/work. He had significant risk factors of OSA, HTN, morbid obesity and reported he was very sedentary during the week of his vaccine.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Gait disturbance, Homans' sign negative, Impaired work ability, Loss of personal independence in daily activities
Clinical narrative: 41 yo M hx of OSA, HTN. DVT Right leg: Progressive worsening pain in right thigh began 3 days post-vaccination w/ J&J, progressed to severe pain on day 10. Patient alerted us to symptoms on 8/4/21. Exam: temp: 99.1, HR 101, BP 145/85, O2 97%. >400lbs obese man with severe bilateral lower extremity edema, bilateral varicose veins visible lower extremities. (-) Homan's sign. No initial erythema/redness, no warmth throughout. Gait: ambulated with visible mild limp favoring left LE. 8/10/21 ultrasound demonstrated large right lower extremity thrombus extending into femoral junction. ER/hospital admission 8/10/21: Echocardiogram: right heart strain with right ventricular diastolic dysfunction, pulmonary hypertension. CT Chest angiogram: 8/10/21: bilateral pulmonary emboli with saddle embolism.  He was admitted with full dose anticoagulation with heparin x 24 hours, then with Lovenox 40mg subcutaneous q 12 hours x 3 days, then eventually transitioned to long term apixaban (Eliquis) 5mg bid long term.  VIR consulted: Thrombolysis was deferred since he was hemodynamically stable with echocardiogram. Now with chronic LE edema, compression stockings, and has returned to activities daily living/work. He had significant risk factors of OSA, HTN, morbid obesity and reported he was very sedentary during the week of his vaccine.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Pain in extremity, Pulmonary embolism, Pulmonary hypertension, Right ventricular dysfunction
Clinical narrative: 41 yo M hx of OSA, HTN. DVT Right leg: Progressive worsening pain in right thigh began 3 days post-vaccination w/ J&J, progressed to severe pain on day 10. Patient alerted us to symptoms on 8/4/21. Exam: temp: 99.1, HR 101, BP 145/85, O2 97%. >400lbs obese man with severe bilateral lower extremity edema, bilateral varicose veins visible lower extremities. (-) Homan's sign. No initial erythema/redness, no warmth throughout. Gait: ambulated with visible mild limp favoring left LE. 8/10/21 ultrasound demonstrated large right lower extremity thrombus extending into femoral junction. ER/hospital admission 8/10/21: Echocardiogram: right heart strain with right ventricular diastolic dysfunction, pulmonary hypertension. CT Chest angiogram: 8/10/21: bilateral pulmonary emboli with saddle embolism.  He was admitted with full dose anticoagulation with heparin x 24 hours, then with Lovenox 40mg subcutaneous q 12 hours x 3 days, then eventually transitioned to long term apixaban (Eliquis) 5mg bid long term.  VIR consulted: Thrombolysis was deferred since he was hemodynamically stable with echocardiogram. Now with chronic LE edema, compression stockings, and has returned to activities daily living/work. He had significant risk factors of OSA, HTN, morbid obesity and reported he was very sedentary during the week of his vaccine.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal, Varicose vein
Clinical narrative: 41 yo M hx of OSA, HTN. DVT Right leg: Progressive worsening pain in right thigh began 3 days post-vaccination w/ J&J, progressed to severe pain on day 10. Patient alerted us to symptoms on 8/4/21. Exam: temp: 99.1, HR 101, BP 145/85, O2 97%. >400lbs obese man with severe bilateral lower extremity edema, bilateral varicose veins visible lower extremities. (-) Homan's sign. No initial erythema/redness, no warmth throughout. Gait: ambulated with visible mild limp favoring left LE. 8/10/21 ultrasound demonstrated large right lower extremity thrombus extending into femoral junction. ER/hospital admission 8/10/21: Echocardiogram: right heart strain with right ventricular diastolic dysfunction, pulmonary hypertension. CT Chest angiogram: 8/10/21: bilateral pulmonary emboli with saddle embolism.  He was admitted with full dose anticoagulation with heparin x 24 hours, then with Lovenox 40mg subcutaneous q 12 hours x 3 days, then eventually transitioned to long term apixaban (Eliquis) 5mg bid long term.  VIR consulted: Thrombolysis was deferred since he was hemodynamically stable with echocardiogram. Now with chronic LE edema, compression stockings, and has returned to activities daily living/work. He had significant risk factors of OSA, HTN, morbid obesity and reported he was very sedentary during the week of his vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: I got body aches, developed a low grade fever, felt fatigue, headache and I also developed a swollen lymph node in my left armpit.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Colitis microscopic, Colonoscopy, Diarrhoea, Weight decreased
Clinical narrative: I had extreme diarrhea a week after my vaccination and I have never experienced this before. I lost a total of 10 pounds because of it and it all happened after I got my Pfizer COVID-19 Vaccine. I had to see a doctor (Gastroenterologist) and was diagnosed with Microscopic Colitis and was prescribed with steroids (desonide), (3 tablets/day) on the 1st month and 2 tablets for the 2nd month and 1 tablet for the 3rd month. After the 1st day of taking desonide my diarrhea went away.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Mental status changes, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Pt has advanced dementia and lives in an assisted living appt with her husband.   Pt has been exposed to COVID and has had worsening mental status.  Pt found to be COVID positive and admitted for acute sepsis.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given an expired Moderna vaccine.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Interchange of vaccine products, Tinnitus
Clinical narrative: Significant increase in tinnitus, continuous since shortly after injection.  This is consistent with symptoms experienced after COVID infection in February 2020, Pfizer vaccine #1 (3/17/21), Pfizer vaccine #2 (4/7/21).  Between Pfizer #2 and Moderna Booster, tinnitus finally seemed to begin improving after roughly 6 months.  Following Moderna #3, symptoms have returned to a similar level experienced previously.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Endotracheal intubation, Mechanical ventilation complication
Clinical narrative: pt presented to hosp with c/o worsening SOB, fever, aches (x5dys); positive for COVID; takes rituximab infusions for NMS; started on remdesivir, steroids, antibiotics; required emergent intubation; pt experienced ventilator dyssynchrony, increased sedation; pt began to spike fevers; pt's condition worsened; comfort measures; extubated and pt died in the hospital
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: pt presented to hosp with c/o worsening SOB, fever, aches (x5dys); positive for COVID; takes rituximab infusions for NMS; started on remdesivir, steroids, antibiotics; required emergent intubation; pt experienced ventilator dyssynchrony, increased sedation; pt began to spike fevers; pt's condition worsened; comfort measures; extubated and pt died in the hospital
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pruritus, Musculoskeletal stiffness, Myalgia, Pain in extremity
Clinical narrative: Patient presented to the clinic with left arm pain and itching at the injection site. Patient stated that she has observed increased itching and limited range of motion since the injection, reporting that she was unable to lift her arm to a 180 degree angle due to stiffness and soreness. During this time period, I anticipated an allergic reaction/inflammation. The patient was given a medrol dosage pack and 2.5 milligrams of hydrocortisone to administer to the injection site.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal, X-ray limb normal
Clinical narrative: Patient presented to the clinic with left arm pain and itching at the injection site. Patient stated that she has observed increased itching and limited range of motion since the injection, reporting that she was unable to lift her arm to a 180 degree angle due to stiffness and soreness. During this time period, I anticipated an allergic reaction/inflammation. The patient was given a medrol dosage pack and 2.5 milligrams of hydrocortisone to administer to the injection site.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Client was 12 years old on the date of vaccination, and received the Pfizer formulation for ages 5-11. Both vaccine types were offered at this clinic. Multiple safeguards to prevent this type of error were in place, including color-coded wristbands, staff education prior to the clinic and just-in-time training at clinic, only one vaccine type per vaccinator station, and at least 2 points in clinic flow where age and vaccine type are verified. This error was discovered after the clinic during record review. The client's guardian (mother) was informed. She misinterpreted the posted signage and thought there was only one type of vaccine available for children <18 years old, and brought this client and their younger sibling to the same table. The vaccinator did not verify age before administering. Per CDC guidance, the client may receive another age-appropriate dose of Pfizer vaccine in 21 days; this was discussed with the client's guardian. At the time of this submission, no known adverse effects have occurred.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given an expired Moderna vaccine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain
Clinical narrative: pt came in on 12/9/2021 and indicated he had shoulder pain since the vaccine and hadn't gotten follow up dose because of it.  Pain to lift and lay on that side
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Pharyngeal swelling
Clinical narrative: Allergic reaction started in arm about a hour after given.  throat got swollen but not closed  went to walk in clinic they gave: epi, steriod shot, sent home with steriod oral, antihistamine and hydroxyzine.   She is fine and no reactions since
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pain in extremity, Sleep disorder, Tremor
Clinical narrative: By that evening already I was starting to ache and at night I was shaking and I was in pain. I was like that the whole night I couldn't sleep. This lasted total of 2 days and then I went back to my normal life. On 11/27/2021 I started getting leg pain in my muscles. These pains were the same pains. It reminded me of the day of the vaccination. We really don't know why this is happening.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given an expired Moderna vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Pain, Rash pruritic, Urticaria
Clinical narrative: I broke out in hives on December 16th, 2021 1 week and 1 day after receiving the Moderna booster shot. I only had fatigue, body aches on the first day just like my second shot of Moderna. I was feeling great until December 16th, 2021. The hives started on my hairline on the back of my neck and now have progressed to all over my body. I have no allergies to food or medication. Every time my skin touches something it leaves a red mark or streak and extremely itchy bumps pop up everywhere.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Bursitis, Emotional distress, Hypoaesthesia
Clinical narrative: She stated she received a COVID vaccination on 4/55/2021. States nursing giving the vaccination hit her bone and since that time has had pain in left arm. Not able to lift arm above her head and difficulty with completing ADL's. Has seen primary care provider at a local healthcare facility. Completed two weeks of physical therapy. Had an Xray recently and MRI. MRI showed tear in rotator cuff and another injury. Has consult with orthopedic surgeon. Described emotional distress in feeling as though people do not believe her and also worried about being prescribed pain medication and fear of becoming addicted. Per immunization history, patient had COVID-19 vaccine (Pfizer) on 4/1/21 and 4/22/21 (left deltoid). Additional vaccines that the patient has received since that time include: Shingrix - 6/17/21 (site not documented), 9/14/21 (right deltoid).  Multiple clinic encounters between April and September for psychiatric care/counseling. First mention of shoulder pain/injury is 9/13/21 where patient reached out to the clinic indicating that since getting her second COVID vaccine she has been unable to lift her arm over head, has neck pain and intermittent hand numbness.  Office visit on 9/23 for deltoid arm pain. Noted to have tenderness over the deltoid region, in the left supracapsular region and some weakness to resistance. Treated with naproxen and Medrol dose pack. Also referred for occupational therapy. Social work notes from September also start to refer to patient's arm pain. MRI completed on 10/29: low grade partial thickness tearing of the supraspinatus tendon, bursal fraying, mild tendinopathy, degeneration and probably tearing of the superior glenoid labrum at the biceps anchor, mild bursitis. MRI findings of mild bursitis, low grade partial thickness tearing of the supraspinatus tendon (rotator cuff tear), bursal fraying, mild tendinopathy, and degeneration and probably tearing of the superior glenoid labrum at the biceps anchor. Patient has been treated with NSAIDs, steroids and referred to occupational therapy and orthropedic surgery consult. (Possible SIRVA secondary IM injection site technique).  In speaking with the patient on 11/26/21 she continues to report significant pain in her shoulder. She did reference that her shoulder still feels like she received the vaccination yesterday. She will see ortho on 12/9/2021.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Limb injury, Loss of personal independence in daily activities, Magnetic resonance imaging abnormal, Neck pain
Clinical narrative: She stated she received a COVID vaccination on 4/55/2021. States nursing giving the vaccination hit her bone and since that time has had pain in left arm. Not able to lift arm above her head and difficulty with completing ADL's. Has seen primary care provider at a local healthcare facility. Completed two weeks of physical therapy. Had an Xray recently and MRI. MRI showed tear in rotator cuff and another injury. Has consult with orthopedic surgeon. Described emotional distress in feeling as though people do not believe her and also worried about being prescribed pain medication and fear of becoming addicted. Per immunization history, patient had COVID-19 vaccine (Pfizer) on 4/1/21 and 4/22/21 (left deltoid). Additional vaccines that the patient has received since that time include: Shingrix - 6/17/21 (site not documented), 9/14/21 (right deltoid).  Multiple clinic encounters between April and September for psychiatric care/counseling. First mention of shoulder pain/injury is 9/13/21 where patient reached out to the clinic indicating that since getting her second COVID vaccine she has been unable to lift her arm over head, has neck pain and intermittent hand numbness.  Office visit on 9/23 for deltoid arm pain. Noted to have tenderness over the deltoid region, in the left supracapsular region and some weakness to resistance. Treated with naproxen and Medrol dose pack. Also referred for occupational therapy. Social work notes from September also start to refer to patient's arm pain. MRI completed on 10/29: low grade partial thickness tearing of the supraspinatus tendon, bursal fraying, mild tendinopathy, degeneration and probably tearing of the superior glenoid labrum at the biceps anchor, mild bursitis. MRI findings of mild bursitis, low grade partial thickness tearing of the supraspinatus tendon (rotator cuff tear), bursal fraying, mild tendinopathy, and degeneration and probably tearing of the superior glenoid labrum at the biceps anchor. Patient has been treated with NSAIDs, steroids and referred to occupational therapy and orthropedic surgery consult. (Possible SIRVA secondary IM injection site technique).  In speaking with the patient on 11/26/21 she continues to report significant pain in her shoulder. She did reference that her shoulder still feels like she received the vaccination yesterday. She will see ortho on 12/9/2021.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rotator cuff syndrome, Tenderness, Tendon disorder, X-ray
Clinical narrative: She stated she received a COVID vaccination on 4/55/2021. States nursing giving the vaccination hit her bone and since that time has had pain in left arm. Not able to lift arm above her head and difficulty with completing ADL's. Has seen primary care provider at a local healthcare facility. Completed two weeks of physical therapy. Had an Xray recently and MRI. MRI showed tear in rotator cuff and another injury. Has consult with orthopedic surgeon. Described emotional distress in feeling as though people do not believe her and also worried about being prescribed pain medication and fear of becoming addicted. Per immunization history, patient had COVID-19 vaccine (Pfizer) on 4/1/21 and 4/22/21 (left deltoid). Additional vaccines that the patient has received since that time include: Shingrix - 6/17/21 (site not documented), 9/14/21 (right deltoid).  Multiple clinic encounters between April and September for psychiatric care/counseling. First mention of shoulder pain/injury is 9/13/21 where patient reached out to the clinic indicating that since getting her second COVID vaccine she has been unable to lift her arm over head, has neck pain and intermittent hand numbness.  Office visit on 9/23 for deltoid arm pain. Noted to have tenderness over the deltoid region, in the left supracapsular region and some weakness to resistance. Treated with naproxen and Medrol dose pack. Also referred for occupational therapy. Social work notes from September also start to refer to patient's arm pain. MRI completed on 10/29: low grade partial thickness tearing of the supraspinatus tendon, bursal fraying, mild tendinopathy, degeneration and probably tearing of the superior glenoid labrum at the biceps anchor, mild bursitis. MRI findings of mild bursitis, low grade partial thickness tearing of the supraspinatus tendon (rotator cuff tear), bursal fraying, mild tendinopathy, and degeneration and probably tearing of the superior glenoid labrum at the biceps anchor. Patient has been treated with NSAIDs, steroids and referred to occupational therapy and orthropedic surgery consult. (Possible SIRVA secondary IM injection site technique).  In speaking with the patient on 11/26/21 she continues to report significant pain in her shoulder. She did reference that her shoulder still feels like she received the vaccination yesterday. She will see ortho on 12/9/2021.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain in extremity
Clinical narrative: Seen ER provider on 12/18/21 with left arm pain and lymphadenopathy  after 3rd covid booster on 12/13/21, no prior response noted with first 2 vaccines, MD felt this was her body's immune response to vaccine and should go away on own, no neuro deficits of arm noted, prednisone 40mg po daily for 6 days ordered, follow up with provider in 1 week.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood cholesterol increased, Headache, Thrombosis
Clinical narrative: Approximately two weeks after receiving this mandatory investigational injection I started having severe headaches. The headaches last only about 3-5 seconds, but they are so severe, I would probably lose consciousness if they lasted any longer.  The pain in my head is more extreme than getting burned or passing a kidney stone, and I've passed three kidney stones. This mystery shot was "fixing" what was not broken to begin with.  Having had the chinese corona virus I already had natural immunity to it.  I was never getting headaches, now I get severe episodes every 2-3 days.  I will NOT take any more of your mystery clot shots!  Fire and prosecute me, but my employer or this government is not my doctor and I won't let it make medical decisions for me!!  My body, my choice!
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Mobility decreased
Clinical narrative: The injection itself was much more painful than the other two doses and my shoulder became very sore within a few hours. By 5:00 pm I was unable to lift my arm at the shoulder. Pain became worse throughout the night and into the next day.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Feeding disorder, Gastrooesophageal reflux disease, Headache
Clinical narrative: Swelling in lymph nodes under left arm, low grade fever, headache, nausea, dry heaving, vomiting, diarrhea, muscle aches, fatigue all occurring Wednesday 15 Dec, and Thursday 16 December;  thought it was over Friday 17 December, and maintained fatigue, low grade fever, vomiting. Could not eat solid foods until Monday, 20 December, now experiencing acid reflux most likely from the vomiting.  Note: previously had doses 1&2 from Pfizer and did know know this would be a Moderna shot until arrival at Pharmacy.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Lymphadenopathy, Myalgia, Nausea, Pyrexia
Clinical narrative: Swelling in lymph nodes under left arm, low grade fever, headache, nausea, dry heaving, vomiting, diarrhea, muscle aches, fatigue all occurring Wednesday 15 Dec, and Thursday 16 December;  thought it was over Friday 17 December, and maintained fatigue, low grade fever, vomiting. Could not eat solid foods until Monday, 20 December, now experiencing acid reflux most likely from the vomiting.  Note: previously had doses 1&2 from Pfizer and did know know this would be a Moderna shot until arrival at Pharmacy.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Retching, Vomiting
Clinical narrative: Swelling in lymph nodes under left arm, low grade fever, headache, nausea, dry heaving, vomiting, diarrhea, muscle aches, fatigue all occurring Wednesday 15 Dec, and Thursday 16 December;  thought it was over Friday 17 December, and maintained fatigue, low grade fever, vomiting. Could not eat solid foods until Monday, 20 December, now experiencing acid reflux most likely from the vomiting.  Note: previously had doses 1&2 from Pfizer and did know know this would be a Moderna shot until arrival at Pharmacy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adverse event, Angiogram pulmonary abnormal, Aspiration pleural cavity, Dyspnoea, Dyspnoea exertional
Clinical narrative: Janssen COVID-19 Vaccine and Moderna COVID-19 EUA resulting in adverse event. 62 y/o female PMHx HTN, morbid obesity and T2DM presented to ED c/o productive cough and SOB increasing x1 week. Dyspnea on exertion and bilateral lower extremity edema noted. Covid negative. Admitted for pneumonia, severe sepsis, pericardial effusion, and bilateral pleural effusions. Received thoracentesis finding transudative fluid , no bacterial growth, consistent with serositis presumably from recent vaccination. Responded well to steroids. Also treated with antibiotics. Discharged 12/16/21.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, Lung infiltration, Oedema peripheral, Pericardial effusion, Pleural effusion
Clinical narrative: Janssen COVID-19 Vaccine and Moderna COVID-19 EUA resulting in adverse event. 62 y/o female PMHx HTN, morbid obesity and T2DM presented to ED c/o productive cough and SOB increasing x1 week. Dyspnea on exertion and bilateral lower extremity edema noted. Covid negative. Admitted for pneumonia, severe sepsis, pericardial effusion, and bilateral pleural effusions. Received thoracentesis finding transudative fluid , no bacterial growth, consistent with serositis presumably from recent vaccination. Responded well to steroids. Also treated with antibiotics. Discharged 12/16/21.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, Productive cough, Right ventricular dysfunction, SARS-CoV-2 test negative, Sepsis
Clinical narrative: Janssen COVID-19 Vaccine and Moderna COVID-19 EUA resulting in adverse event. 62 y/o female PMHx HTN, morbid obesity and T2DM presented to ED c/o productive cough and SOB increasing x1 week. Dyspnea on exertion and bilateral lower extremity edema noted. Covid negative. Admitted for pneumonia, severe sepsis, pericardial effusion, and bilateral pleural effusions. Received thoracentesis finding transudative fluid , no bacterial growth, consistent with serositis presumably from recent vaccination. Responded well to steroids. Also treated with antibiotics. Discharged 12/16/21.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Serositis
Clinical narrative: Janssen COVID-19 Vaccine and Moderna COVID-19 EUA resulting in adverse event. 62 y/o female PMHx HTN, morbid obesity and T2DM presented to ED c/o productive cough and SOB increasing x1 week. Dyspnea on exertion and bilateral lower extremity edema noted. Covid negative. Admitted for pneumonia, severe sepsis, pericardial effusion, and bilateral pleural effusions. Received thoracentesis finding transudative fluid , no bacterial growth, consistent with serositis presumably from recent vaccination. Responded well to steroids. Also treated with antibiotics. Discharged 12/16/21.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given an expired Moderna vaccine.