chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test abnormal, Legionella test, Leukocytosis, Lung infiltration, Lung opacity
Clinical narrative: Hospitalized 11/23/2021-currently still admitted; COVID-19 positive 11/17/2021; fully vaccinated  ASSESSMENT / PLAN: Patient is an 89 year old male with past medical history significant for CKD stage 3, chronic afib not on anticoagulation, CAD, chronic combined systolic and diastolic heart failure, and HTN. He was recently admitted 11/17 - 11/20 with fever and AKI. COVID positive but without respiratory symptoms. Discharged in prn 2L nasal cannula (felt to be more related to underlying OSA than COVID). ED reported patient was brought in for SOB although patient denied this. He was noted to have difficulty with ambulation in the ED and then became hypotensive requiring vasopressors. Labs were significant for AKI on CKD, troponin 301, procal .28, and mild leukocytosis. UA was unremarkable. Chest XR diffuse bilateral infiltrates (COVID vs bacterial pneumonia vs vascular congestion). He was started on vancomycin and Zosyn. NE weaned off shortly after arrival to ICU.  Sepsis: Etiology likely pneumonia given chest XR findings  COVID positive 11/17 (but patient reports no symptoms) Procalcitonin mildly elevated at .28 LA WNL  Blood cultures NGTD  Legionella and strep pneumo pending  MRSA screen pending  Sputum culture ordered  NE for MAP >65mmHg, weaned off shortly after arrival to ICU Vancomycin and Zosyn for empiric coverage COVID: Vaccinated in March COVID positive 11/17 Has denied current symptoms  Chest XR with bilateral infiltrates  Decadron 6mg daily  11/29/2021 note: Assessment & Plan: # Septic Shock (Resolved) # Aspiration PNA Presented 11/23 with fever and hypotension and presumed respiratory etiology. Placed on vasopressors Norepi (11/24) and weaned the same day. UA unremarkable. Started on Zosyn and Vancomycin while in ICU and Vancomycin discontinued as MRSA screen negative. Strep pneumonia and legionella antigen negative. Unable to provide sputum sample ---follow peripheral blood cultures x2 (11/23) and no growth to date, maintain MAP >65 ---IV Zosyn (3.375 mg q6 day #6) and continue for now given worsening hypoxia and plan for 5-7 days ---SLP consulted and recommending NPO until respiratory status improves, aspiration precautions ---consult nutrition and likely if respiratory status not improved by tomorrow will need CorPak  # COVID-19 PNA with Acute Hypoxic Respiratory Failure Admitted to hospital (11/17-11/20) with fever and AKI. Treated with UTI at the time with Fosfomycin. Tested positive for COVID-19 (11/17). CXR (11/23) with diffuse bilateral airspace opacities (worsening when compared to prior). Remdesivir (11/18-11/19), Decadron (11/17-11/20). States he is vaccinated against COVID-19, received 2 vaccines a couple months ago.  ---Decadron (6 mg IV daily day #6 - did receive prior to hospitalization),  ---continous pulse oximetry, hold on further lasix at this time given given NPO status    Discharge Coordination/Progress: Pt is currently on high flow O2, per nursing pt continues to aspirate Plan: Pt to d/c when medically stable, to return to assisted living
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia aspiration, Pneumonia bacterial, Procalcitonin increased, Pulmonary congestion, Pyrexia
Clinical narrative: Hospitalized 11/23/2021-currently still admitted; COVID-19 positive 11/17/2021; fully vaccinated  ASSESSMENT / PLAN: Patient is an 89 year old male with past medical history significant for CKD stage 3, chronic afib not on anticoagulation, CAD, chronic combined systolic and diastolic heart failure, and HTN. He was recently admitted 11/17 - 11/20 with fever and AKI. COVID positive but without respiratory symptoms. Discharged in prn 2L nasal cannula (felt to be more related to underlying OSA than COVID). ED reported patient was brought in for SOB although patient denied this. He was noted to have difficulty with ambulation in the ED and then became hypotensive requiring vasopressors. Labs were significant for AKI on CKD, troponin 301, procal .28, and mild leukocytosis. UA was unremarkable. Chest XR diffuse bilateral infiltrates (COVID vs bacterial pneumonia vs vascular congestion). He was started on vancomycin and Zosyn. NE weaned off shortly after arrival to ICU.  Sepsis: Etiology likely pneumonia given chest XR findings  COVID positive 11/17 (but patient reports no symptoms) Procalcitonin mildly elevated at .28 LA WNL  Blood cultures NGTD  Legionella and strep pneumo pending  MRSA screen pending  Sputum culture ordered  NE for MAP >65mmHg, weaned off shortly after arrival to ICU Vancomycin and Zosyn for empiric coverage COVID: Vaccinated in March COVID positive 11/17 Has denied current symptoms  Chest XR with bilateral infiltrates  Decadron 6mg daily  11/29/2021 note: Assessment & Plan: # Septic Shock (Resolved) # Aspiration PNA Presented 11/23 with fever and hypotension and presumed respiratory etiology. Placed on vasopressors Norepi (11/24) and weaned the same day. UA unremarkable. Started on Zosyn and Vancomycin while in ICU and Vancomycin discontinued as MRSA screen negative. Strep pneumonia and legionella antigen negative. Unable to provide sputum sample ---follow peripheral blood cultures x2 (11/23) and no growth to date, maintain MAP >65 ---IV Zosyn (3.375 mg q6 day #6) and continue for now given worsening hypoxia and plan for 5-7 days ---SLP consulted and recommending NPO until respiratory status improves, aspiration precautions ---consult nutrition and likely if respiratory status not improved by tomorrow will need CorPak  # COVID-19 PNA with Acute Hypoxic Respiratory Failure Admitted to hospital (11/17-11/20) with fever and AKI. Treated with UTI at the time with Fosfomycin. Tested positive for COVID-19 (11/17). CXR (11/23) with diffuse bilateral airspace opacities (worsening when compared to prior). Remdesivir (11/18-11/19), Decadron (11/17-11/20). States he is vaccinated against COVID-19, received 2 vaccines a couple months ago.  ---Decadron (6 mg IV daily day #6 - did receive prior to hospitalization),  ---continous pulse oximetry, hold on further lasix at this time given given NPO status    Discharge Coordination/Progress: Pt is currently on high flow O2, per nursing pt continues to aspirate Plan: Pt to d/c when medically stable, to return to assisted living
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased, Urinary tract infection, Urine analysis normal, White blood cells urine positive
Clinical narrative: Hospitalized 11/23/2021-currently still admitted; COVID-19 positive 11/17/2021; fully vaccinated  ASSESSMENT / PLAN: Patient is an 89 year old male with past medical history significant for CKD stage 3, chronic afib not on anticoagulation, CAD, chronic combined systolic and diastolic heart failure, and HTN. He was recently admitted 11/17 - 11/20 with fever and AKI. COVID positive but without respiratory symptoms. Discharged in prn 2L nasal cannula (felt to be more related to underlying OSA than COVID). ED reported patient was brought in for SOB although patient denied this. He was noted to have difficulty with ambulation in the ED and then became hypotensive requiring vasopressors. Labs were significant for AKI on CKD, troponin 301, procal .28, and mild leukocytosis. UA was unremarkable. Chest XR diffuse bilateral infiltrates (COVID vs bacterial pneumonia vs vascular congestion). He was started on vancomycin and Zosyn. NE weaned off shortly after arrival to ICU.  Sepsis: Etiology likely pneumonia given chest XR findings  COVID positive 11/17 (but patient reports no symptoms) Procalcitonin mildly elevated at .28 LA WNL  Blood cultures NGTD  Legionella and strep pneumo pending  MRSA screen pending  Sputum culture ordered  NE for MAP >65mmHg, weaned off shortly after arrival to ICU Vancomycin and Zosyn for empiric coverage COVID: Vaccinated in March COVID positive 11/17 Has denied current symptoms  Chest XR with bilateral infiltrates  Decadron 6mg daily  11/29/2021 note: Assessment & Plan: # Septic Shock (Resolved) # Aspiration PNA Presented 11/23 with fever and hypotension and presumed respiratory etiology. Placed on vasopressors Norepi (11/24) and weaned the same day. UA unremarkable. Started on Zosyn and Vancomycin while in ICU and Vancomycin discontinued as MRSA screen negative. Strep pneumonia and legionella antigen negative. Unable to provide sputum sample ---follow peripheral blood cultures x2 (11/23) and no growth to date, maintain MAP >65 ---IV Zosyn (3.375 mg q6 day #6) and continue for now given worsening hypoxia and plan for 5-7 days ---SLP consulted and recommending NPO until respiratory status improves, aspiration precautions ---consult nutrition and likely if respiratory status not improved by tomorrow will need CorPak  # COVID-19 PNA with Acute Hypoxic Respiratory Failure Admitted to hospital (11/17-11/20) with fever and AKI. Treated with UTI at the time with Fosfomycin. Tested positive for COVID-19 (11/17). CXR (11/23) with diffuse bilateral airspace opacities (worsening when compared to prior). Remdesivir (11/18-11/19), Decadron (11/17-11/20). States he is vaccinated against COVID-19, received 2 vaccines a couple months ago.  ---Decadron (6 mg IV daily day #6 - did receive prior to hospitalization),  ---continous pulse oximetry, hold on further lasix at this time given given NPO status    Discharge Coordination/Progress: Pt is currently on high flow O2, per nursing pt continues to aspirate Plan: Pt to d/c when medically stable, to return to assisted living
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: My understanding is I am experiencing a delayed hypersensitivity reaction. On day 8 after receiving vaccination had pain at the injection site, similar to the pain after receiving the injection. Injection area was swollen, warm, and very red. The size was about 3" in diameter. Day 9, same as day 8, but the diameter had increased to about 6". Today is day 10. So far diameter is the same  and area is itching.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: My understanding is I am experiencing a delayed hypersensitivity reaction. On day 8 after receiving vaccination had pain at the injection site, similar to the pain after receiving the injection. Injection area was swollen, warm, and very red. The size was about 3" in diameter. Day 9, same as day 8, but the diameter had increased to about 6". Today is day 10. So far diameter is the same  and area is itching.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Erythema, Feeling hot, Heart rate increased, Herpes zoster
Clinical narrative: Generalized Redness more distinct on the face and arms Feeling hot High BP  Rapid pulse ( >110) ( No treatment, monitored by fire dept who administered the shot.  got better after 1:5 hour ) After 3 days developed Shingles !!
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: Generalized Redness more distinct on the face and arms Feeling hot High BP  Rapid pulse ( >110) ( No treatment, monitored by fire dept who administered the shot.  got better after 1:5 hour ) After 3 days developed Shingles !!
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt received a Moderna booster 0.25ml instead of the Pfizer 0.3ml.  Pt had no reaction after vaccine was given we kept her in the clinic for 1 hour and 35 minutes.  We discharged her home with no reaction and advised/instructed to call clinic or go to ER if anything changed parent voiced understanding.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Joint swelling, Limb discomfort, Peripheral swelling
Clinical narrative: Four days following injection felt pain in left wrist
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Four days following injection felt pain in left wrist
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Brief syncopal event with immediate resolution.  No meds given.  Juice given.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Device expulsion, Heavy menstrual bleeding
Clinical narrative: I had some severed issue with my period, My IUV came out and my blood was extremely thick.  It started out on October 3rd and I IUV fell out on the 4th.  I saw my doctor on October 13th.  They reinserted my IUV on that same day.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy
Clinical narrative: Swollen lymph nods 2 weeks after vax, headache started same day as she was vaxed
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Feeling cold
Clinical narrative: Starting around 09:30 PM I started to get tired and cold. I was dizzy and unable to drive so someone drove me. At 11pm (exact time unknown but travel time estimate is one hour and thirty minutes) I was shaking from chills, could not get warm, nauseous, and dizzy. That evening (hours 12AM - 5AM) I experienced nausea, joint pain, chills, sweats, shaking, and a migraine. The symptoms remained but lessened in severity 36 hours after the injection time.   It is important to note that the only other time I have undergone those symptoms was when I removed myself off of Vicodin. I had been prescribed vicodin for pain management in 2016 and took myself off the medicine and went through withdrawal effects and the symptoms from the vaccine were the same as those I experienced as withdrawal from vicodin.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Impaired driving ability, Migraine, Nausea, Tremor
Clinical narrative: Starting around 09:30 PM I started to get tired and cold. I was dizzy and unable to drive so someone drove me. At 11pm (exact time unknown but travel time estimate is one hour and thirty minutes) I was shaking from chills, could not get warm, nauseous, and dizzy. That evening (hours 12AM - 5AM) I experienced nausea, joint pain, chills, sweats, shaking, and a migraine. The symptoms remained but lessened in severity 36 hours after the injection time.   It is important to note that the only other time I have undergone those symptoms was when I removed myself off of Vicodin. I had been prescribed vicodin for pain management in 2016 and took myself off the medicine and went through withdrawal effects and the symptoms from the vaccine were the same as those I experienced as withdrawal from vicodin.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Withdrawal syndrome
Clinical narrative: Starting around 09:30 PM I started to get tired and cold. I was dizzy and unable to drive so someone drove me. At 11pm (exact time unknown but travel time estimate is one hour and thirty minutes) I was shaking from chills, could not get warm, nauseous, and dizzy. That evening (hours 12AM - 5AM) I experienced nausea, joint pain, chills, sweats, shaking, and a migraine. The symptoms remained but lessened in severity 36 hours after the injection time.   It is important to note that the only other time I have undergone those symptoms was when I removed myself off of Vicodin. I had been prescribed vicodin for pain management in 2016 and took myself off the medicine and went through withdrawal effects and the symptoms from the vaccine were the same as those I experienced as withdrawal from vicodin.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed shingles (herpes zoster) on face and in left eye appx 3 days after vaccine.  Was treated with 2 courses of Valtrex.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Hypersensitivity, Hypoaesthesia, Impaired work ability, Injected limb mobility decreased
Clinical narrative: Hospitalized with left arm weakness and limitation of use and bilateral hands and feet numbness, tingling and sensitive to environment. Multiple exams performed and diagnosis in question is Guillain-Barre or Acute Inflammatory Demyelinating Polyneuropathy. Neurologist  treatment was IV prednisone for 3 days while in the hospital and then home care with  oral prednisone tapper for 5 days. I have not fully recovered. I regained use of the left arm but my hands and feet still tingle and currently unable to return to work.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture abnormal, Magnetic resonance imaging head, Magnetic resonance imaging spinal abnormal, Muscular weakness, Paraesthesia
Clinical narrative: Hospitalized with left arm weakness and limitation of use and bilateral hands and feet numbness, tingling and sensitive to environment. Multiple exams performed and diagnosis in question is Guillain-Barre or Acute Inflammatory Demyelinating Polyneuropathy. Neurologist  treatment was IV prednisone for 3 days while in the hospital and then home care with  oral prednisone tapper for 5 days. I have not fully recovered. I regained use of the left arm but my hands and feet still tingle and currently unable to return to work.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast
Clinical narrative: Hospitalized with left arm weakness and limitation of use and bilateral hands and feet numbness, tingling and sensitive to environment. Multiple exams performed and diagnosis in question is Guillain-Barre or Acute Inflammatory Demyelinating Polyneuropathy. Neurologist  treatment was IV prednisone for 3 days while in the hospital and then home care with  oral prednisone tapper for 5 days. I have not fully recovered. I regained use of the left arm but my hands and feet still tingle and currently unable to return to work.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: patient given vaccine that had expired approx. 8 hours prior.
Age: 38.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: 12 days after vaccination, I developed full body itchiness that when scratched turns into hives and a large surface area of the skin turns red. The itchy areas travel but is usually located on my upper body: scalp, neck, ears (outer and inner), chest, stomach, palms of hands and feet. The itchiness and redness/rash is relieved with antihistamines (Benadryl and Claritin have been taken) but returns if none are taken. It has been like this for almost 3 weeks now. I have an appointment with an allergist at the end of this week. I  have ruled out any new environmental allergens as potential sources for itchiness.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Cerebrovascular accident, Chest X-ray abnormal
Clinical narrative: Acute Respiratory Failure, Acute CVA, COVID-19 pneumonia
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue
Clinical narrative: Diarrhea and tiredness
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Blood test abnormal, Condition aggravated, Eye pain, Magnetic resonance imaging normal
Clinical narrative: 04/29/2021 - optic nerve swelling dx annual exam 1 week prior - OD pain Dr.  saw pt 07/23/2021 - pt c/o eye aches as of 07/22/2021. DX with papilledema. Sent to ER and in hospital for 2 days. DX with syphillis in blood not in CFS; prescribed with vicillin.  11/23/2021 - COVID booster Moderna. C/o same eye pain within 8 hours of getting booster. Seeing a different doctor
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Papilloedema
Clinical narrative: 04/29/2021 - optic nerve swelling dx annual exam 1 week prior - OD pain Dr.  saw pt 07/23/2021 - pt c/o eye aches as of 07/22/2021. DX with papilledema. Sent to ER and in hospital for 2 days. DX with syphillis in blood not in CFS; prescribed with vicillin.  11/23/2021 - COVID booster Moderna. C/o same eye pain within 8 hours of getting booster. Seeing a different doctor
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Arthropod bite, Immune system disorder, Pruritus, Pustule, Wound
Clinical narrative: He noted in January after 1st Moderna vaccine.  Occurred <1 week after vaccine (within a few days).  He notes working with lumber and the wood that was wet, urgent care made an assumption of possible "spider mite" bite but no clear initial bite site.     Neck to ankles all over.  He describes pustules and he felt at least one time, he found a "miniature mite" inside the pustule but it "healed quickly". He does not recall being treated with any scabies medication.   Feels his immune system was "preoccupied" because of the Covid vaccine and developed this.  Was given 2nd Moderna and also booster but no worsening of symptoms.   Skin is much improved but continues to have chronic itchiness, opening wounds (without obvious trauma).
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Moderna COVID-19 Vaccine EUA - severe red rash all over body.  Skin shows signs of dermatographia 10 days after injection. Hives and welts.  OTC allergy med does not reduce or assist. No known allergies ever.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: I had fever and chills and headaches. I was fatigued and had arm pain. It went away after two weeks.
Age: 67.0
Sex: F
Vaccine: FLUA4, PPV
Symptoms: Pain in extremity
Clinical narrative: Pt reporting pain in Left arm, over 3 weeks after injection
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Peripheral swelling, Swelling, Urticaria
Clinical narrative: swelling with hives, started next day after the shot. Seen 11/11/2021 in the office giver orapred for four days. Follow up next day hives resolved and swelling of left thigh decreased.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Hypoaesthesia, Inflammation, Muscular weakness, Pain
Clinical narrative: 10/4 ? SI joint injection left side from the 2nd pain doctor Continued physical therapy  10/14 ? extra appointment with rheumatologist ? discussed pain and pain going down my leg and turned into sciatica ? she said you need an epidural and to go see someone else Continued physical therapy  11/2 ? saw my internist ? said I needed an epidural, did blood work to make sure Continuing PT  11/10 ? Doc showed us the inflammation on the left, showed diminished sensation on my left leg and diminished strength, increased weakness on my left leg. I didn?t realize my left leg was weak. Did a epidural ? pain got worse for a few days and then after a couple weeks, pain did not subside  11/26 ? went and saw him again and did a 2nd epidural from a different approach. The pain is getting worse even though everything we?ve tried (even with the 2nd epidural) should have helped. It used to be pain when I was laying down, etc. Now it hurts when I also sit down, etc. I?ve also had to use Vicodin a few times to manage the pain.   Questioning future vaccinations in regards to current health conditions after the 2nd vaccination and 3rd
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Sciatica
Clinical narrative: 10/4 ? SI joint injection left side from the 2nd pain doctor Continued physical therapy  10/14 ? extra appointment with rheumatologist ? discussed pain and pain going down my leg and turned into sciatica ? she said you need an epidural and to go see someone else Continued physical therapy  11/2 ? saw my internist ? said I needed an epidural, did blood work to make sure Continuing PT  11/10 ? Doc showed us the inflammation on the left, showed diminished sensation on my left leg and diminished strength, increased weakness on my left leg. I didn?t realize my left leg was weak. Did a epidural ? pain got worse for a few days and then after a couple weeks, pain did not subside  11/26 ? went and saw him again and did a 2nd epidural from a different approach. The pain is getting worse even though everything we?ve tried (even with the 2nd epidural) should have helped. It used to be pain when I was laying down, etc. Now it hurts when I also sit down, etc. I?ve also had to use Vicodin a few times to manage the pain.   Questioning future vaccinations in regards to current health conditions after the 2nd vaccination and 3rd
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia, Nausea
Clinical narrative: Nausea joint pain, muscle aches and chills
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received Moderna 3rd dose at 0.5mL
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Reporting system indicates adolescent received a pediatric dose for first immunization.  CDC card also shows pediatric dose.  Contacted family and will follow CDC guidelines to not repeat dose but to assure adolescent/adult dose at second shot in series.  Family will be provided with written documentation at second shot clinic.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters.  Booster dose should have been 0.25 milliliters.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling
Clinical narrative: patient called friday 11/26 concerned about redness/slight swelling and warmth , some itch at site of vaccine on wednesday.  advised patient on taking tylenol for pain or ibuprofen for the swelling, also to take benedryl to help with swelling and possible itch.  advised to watch closely and even page her primary doctor before monday if condition worsened.    called patient today 11/29 to see how she was.  she said area is redder and slightly tingling.  her daughter is a nurse and looked at area over weekend and thinks may be infected.  patient has schedule appointment with dr for tomorrow 11/30 at 2:30pm to check.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site warmth
Clinical narrative: patient called friday 11/26 concerned about redness/slight swelling and warmth , some itch at site of vaccine on wednesday.  advised patient on taking tylenol for pain or ibuprofen for the swelling, also to take benedryl to help with swelling and possible itch.  advised to watch closely and even page her primary doctor before monday if condition worsened.    called patient today 11/29 to see how she was.  she said area is redder and slightly tingling.  her daughter is a nurse and looked at area over weekend and thinks may be infected.  patient has schedule appointment with dr for tomorrow 11/30 at 2:30pm to check.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram head, Confusional state, Gait inability, Laboratory test
Clinical narrative: 12 hours after getting the third dose she could not walk, she didn't know where she was (very confused)
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: 12 hours after getting the third dose she could not walk, she didn't know where she was (very confused)
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Atrial fibrillation, COVID-19, Cough, Exposure to SARS-CoV-2
Clinical narrative: Patient presents to emergency department on 11/14/2021 following an episode of loss of consciousness. He also has a cough. He was exposed to COVID-19 and did test positive for COVID-19 at admission. He was treated for new onset atrial fibrillation during admission. He was asymptomatic for COVID-19 infection and did not require any treatment. Patient was discharged home on 11/16/2021.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, SARS-CoV-2 test positive
Clinical narrative: Patient presents to emergency department on 11/14/2021 following an episode of loss of consciousness. He also has a cough. He was exposed to COVID-19 and did test positive for COVID-19 at admission. He was treated for new onset atrial fibrillation during admission. He was asymptomatic for COVID-19 infection and did not require any treatment. Patient was discharged home on 11/16/2021.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pain, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: BODY ACHES, SINUS CONGESTION, COUGH, MAB INFUSION
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given has expired approx 8 hours prior
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Dizziness, Headache, Hyperhidrosis, Injection site pain
Clinical narrative: This is my first booster (my second shot in the two dose shot gave me a reaction as well). I ran a high fever, above 100 degrees (I normally do not even have normal 98.6 temp), even though I did tylenol every 4 hours. My left arm at the injection site has been very tender since the shot, even 6 days later and was swollen at the injection site. My lymph nodes under my arm and up to my collarbone on my left side were also very painful and swollen. On Friday night, after hving run moderately high temp all day, I got very sweaty and plummeted in temperature down to 93.4. I have had an overall headache, different from my typical migraines, and have felt dizzy and off since getting the shot.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Lymph node pain, Lymphadenopathy, Migraine, Pyrexia
Clinical narrative: This is my first booster (my second shot in the two dose shot gave me a reaction as well). I ran a high fever, above 100 degrees (I normally do not even have normal 98.6 temp), even though I did tylenol every 4 hours. My left arm at the injection site has been very tender since the shot, even 6 days later and was swollen at the injection site. My lymph nodes under my arm and up to my collarbone on my left side were also very painful and swollen. On Friday night, after hving run moderately high temp all day, I got very sweaty and plummeted in temperature down to 93.4. I have had an overall headache, different from my typical migraines, and have felt dizzy and off since getting the shot.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient and patient mother request booster dose of Pfizer. Dose given one moth early on 11/10/21 , due on 12/8/21. Mother is aware and ok with the dose being early as the family is going on vacation and patient will have additional protection against Covid.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Paraesthesia, Presyncope
Clinical narrative: Pt stated they were anxious at seeing vaccinator assemble needle.  Vaccine given and pt reported tingling sensation down arm and then across chest.  Pt with vaso vagal response and unconscious for a few seconds, awoke sweaty, following commands.  Stated first vaccine he had tingling in lips.  EMS called and pt agreed to hospital transport.  VSWNL
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: received peds dose instead of adult dose
Age: 43.0
Sex: M
Vaccine: FLU4
Symptoms: Pain, Pain in extremity
Clinical narrative: patient has persistent arm pain especially upon raising the arm
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram, Myocarditis, X-ray
Clinical narrative: Myocarditis
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthroscopic surgery, Cerebrovascular accident, Condition aggravated, Deep vein thrombosis, Knee operation
Clinical narrative: I underwent arthroscopic surgery on my right knee on Tuesday May 11th. A few days later, I noticed pain increasing in my right calf. On Sunday morning (9:00 a.m.) I suffered a stroke. After being transported to Hospital, they discovered that I also had developed significant DVT in my right calf. This stroke occurred only 20 days after my 2nd Moderna vaccination. It's taken me a while to connect the dots, but considering my 4 prior knee surgeries did not result in any complications (including the prior surgery on the same knee in January of 2020), I suspect my clotting response was an overreaction to the knee surgery brought on by the vaccine.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I underwent arthroscopic surgery on my right knee on Tuesday May 11th. A few days later, I noticed pain increasing in my right calf. On Sunday morning (9:00 a.m.) I suffered a stroke. After being transported to Hospital, they discovered that I also had developed significant DVT in my right calf. This stroke occurred only 20 days after my 2nd Moderna vaccination. It's taken me a while to connect the dots, but considering my 4 prior knee surgeries did not result in any complications (including the prior surgery on the same knee in January of 2020), I suspect my clotting response was an overreaction to the knee surgery brought on by the vaccine.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Exertional headache, Headache, Influenza, Magnetic resonance imaging normal
Clinical narrative: flu symptoms for a few days with minor headache, experienced a Primary Exertion Headache (16 hour duration), ongoing headaches with somedays more servere than others, using over the counter medication. Doctor proscribed additional medication after the Exertion Headache occured.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Large intestine infection
Clinical narrative: Infectious colitis, 2 nights hospitalized with IV fluids and antibiotics.  Post discharge prescription dicyclomine
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Client came into the health dept on 11-24-21 to receive her 2nd dose of the children Pfizer vaccine, however, it was discovered on  11-24-21 that she actually received the adult Pfizer vaccine (0.3 ml) instead of the children Pfizer vaccine (0.2ml). Spoke with mom to inform her of the medication error on 11-24-21 and she and the client stated there were no adverse events noticed the day she received the adult Pfizer vaccine on 11-3-21 or after.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhagic disorder, Pain in extremity
Clinical narrative: Had painful legs and bleeding disorder starting 3 weeks after vaccination.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: I developed very itchy hives on my palms, occipital area, acillae, a couple over the abdomen and groin. Improved with Zyrtec 10 mg x1.  About 12-20 hours later as Zyrtec started to wear off, the hives returned, this time over extensor surfaces of elbows, right inguinal region, right wrist, and ears (to include ear canals).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest pain, Chills, Pain
Clinical narrative: I have had ongoing, intermittent side effects of fever, body/joint aches, chills. It happened first within 12 hours of the second dose and lasted a day. It has reoccurred 3 times since then. Each time I tested negative for COVID but it's the exact same 'after effect' from 2nd dose.  I also have a sharp pain when breathing in deep in my mid-back/chest area. This is ongoing and intermittent more frequently.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Painful respiration, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I have had ongoing, intermittent side effects of fever, body/joint aches, chills. It happened first within 12 hours of the second dose and lasted a day. It has reoccurred 3 times since then. Each time I tested negative for COVID but it's the exact same 'after effect' from 2nd dose.  I also have a sharp pain when breathing in deep in my mid-back/chest area. This is ongoing and intermittent more frequently.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chest pain, Headache, Heart rate increased
Clinical narrative: Chest pains with specific "feeling" my heartbeat about 4 to 5 times a day since taking the first vaccine.  This has been going on for over a month now.  Also, stomach issues has persisted since taking the vaccine.  Also, daily headaches.  I have experienced none of these symptoms until the day after getting the vaccine.  I have not visited a Doctor because I was told these symptoms are normal and will go away.  They have not gone away in about 6 weeks and I will be visiting DR office soon per advice of family during Thanksgiving.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters.  Booster dose should have been 0.25 milliliters.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity, Skin warm
Clinical narrative: Swelling and red bullseye mark at injection site. Very hot to the touch. Painful arm.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Alanine aminotransferase increased, Aspartate aminotransferase increased, Eructation, Feeling abnormal
Clinical narrative: Symptoms started 3-4 days after the second dose of the covid vaccine. Fairly sudden onset. Severe GI symptoms. Profound abdominal bloating, pain, gas, sulfurous belching, nausea. Multiple ER visits. Elevated liver enzyme lab results lasted for about a month and a half. Was examined by multiple doctors over that period of time. No other cause could be found for the elevated liver enzymes, except for it being a strong reaction to the second dose of the vaccine. Also experienced significant brain fog with both the first and second shot, which lasted for a few days.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Flatulence, Gastrointestinal disorder, Hepatic enzyme increased, Laboratory test, Nausea
Clinical narrative: Symptoms started 3-4 days after the second dose of the covid vaccine. Fairly sudden onset. Severe GI symptoms. Profound abdominal bloating, pain, gas, sulfurous belching, nausea. Multiple ER visits. Elevated liver enzyme lab results lasted for about a month and a half. Was examined by multiple doctors over that period of time. No other cause could be found for the elevated liver enzymes, except for it being a strong reaction to the second dose of the vaccine. Also experienced significant brain fog with both the first and second shot, which lasted for a few days.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Symptoms started 3-4 days after the second dose of the covid vaccine. Fairly sudden onset. Severe GI symptoms. Profound abdominal bloating, pain, gas, sulfurous belching, nausea. Multiple ER visits. Elevated liver enzyme lab results lasted for about a month and a half. Was examined by multiple doctors over that period of time. No other cause could be found for the elevated liver enzymes, except for it being a strong reaction to the second dose of the vaccine. Also experienced significant brain fog with both the first and second shot, which lasted for a few days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Mobility decreased, Pain in extremity
Clinical narrative: I started to experience a headache, arm pain right away and a little pain in my knee. I was feeling fatigue and my knee pain started to increase. I am still experiencing pain from time to time in my knee. The pain in my shoulder has been excruciating still. I'm having a lot of trouble with using my arm pain.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient give dose approx 8 hours after expired
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt felt lightheaded after vaccine administration. Pt laid down, vitals stable. Pt stated she started her monthly menses this AM and had a migraine prior to vaccine. Pt states nausea and vomiting is normal with her menses.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood lactic acid normal, Blood potassium decreased, Blood sodium normal, Brain natriuretic peptide normal
Clinical narrative: Hospital Course (Recall) 13-year-old male presenting with two days of intermittent chest pressure and an episode of tachycardia and shaking prompting EMS call and ER visit.    Patient afebrile.   Sinus tachy in ER.  Adenosine given without significant effect.   ER work up:  Chem-7 panel is unremarkable with a white count of 5.5, hemoglobin 16.2, platelets of 255.  Chemistry panel unremarkable with sodium 142, slightly low potassium of 3.0, and chloride 104.  Venous lactate was 2.1.  Troponin was less than 0.012.  CRP of 0.5.  BMP was 18.  Procalcitonin was slightly elevated 0.13.  CXR normal lung and heart appearance.   ER Treatment: Adenosine x 1.   Ativan 0.5 mg IV x 1.    Dad very concerned patient had reaction to Covid vaccine.   Work up not consistent at this time with myocarditis.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein normal, Cardiac monitoring abnormal, Chest X-ray normal, Chest discomfort, Echocardiogram normal
Clinical narrative: Hospital Course (Recall) 13-year-old male presenting with two days of intermittent chest pressure and an episode of tachycardia and shaking prompting EMS call and ER visit.    Patient afebrile.   Sinus tachy in ER.  Adenosine given without significant effect.   ER work up:  Chem-7 panel is unremarkable with a white count of 5.5, hemoglobin 16.2, platelets of 255.  Chemistry panel unremarkable with sodium 142, slightly low potassium of 3.0, and chloride 104.  Venous lactate was 2.1.  Troponin was less than 0.012.  CRP of 0.5.  BMP was 18.  Procalcitonin was slightly elevated 0.13.  CXR normal lung and heart appearance.   ER Treatment: Adenosine x 1.   Ativan 0.5 mg IV x 1.    Dad very concerned patient had reaction to Covid vaccine.   Work up not consistent at this time with myocarditis.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Haemoglobin increased, Metabolic function test, Platelet count normal, Procalcitonin increased
Clinical narrative: Hospital Course (Recall) 13-year-old male presenting with two days of intermittent chest pressure and an episode of tachycardia and shaking prompting EMS call and ER visit.    Patient afebrile.   Sinus tachy in ER.  Adenosine given without significant effect.   ER work up:  Chem-7 panel is unremarkable with a white count of 5.5, hemoglobin 16.2, platelets of 255.  Chemistry panel unremarkable with sodium 142, slightly low potassium of 3.0, and chloride 104.  Venous lactate was 2.1.  Troponin was less than 0.012.  CRP of 0.5.  BMP was 18.  Procalcitonin was slightly elevated 0.13.  CXR normal lung and heart appearance.   ER Treatment: Adenosine x 1.   Ativan 0.5 mg IV x 1.    Dad very concerned patient had reaction to Covid vaccine.   Work up not consistent at this time with myocarditis.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus rhythm, Sinus tachycardia, Tachycardia, Tremor, Troponin normal
Clinical narrative: Hospital Course (Recall) 13-year-old male presenting with two days of intermittent chest pressure and an episode of tachycardia and shaking prompting EMS call and ER visit.    Patient afebrile.   Sinus tachy in ER.  Adenosine given without significant effect.   ER work up:  Chem-7 panel is unremarkable with a white count of 5.5, hemoglobin 16.2, platelets of 255.  Chemistry panel unremarkable with sodium 142, slightly low potassium of 3.0, and chloride 104.  Venous lactate was 2.1.  Troponin was less than 0.012.  CRP of 0.5.  BMP was 18.  Procalcitonin was slightly elevated 0.13.  CXR normal lung and heart appearance.   ER Treatment: Adenosine x 1.   Ativan 0.5 mg IV x 1.    Dad very concerned patient had reaction to Covid vaccine.   Work up not consistent at this time with myocarditis.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Hospital Course (Recall) 13-year-old male presenting with two days of intermittent chest pressure and an episode of tachycardia and shaking prompting EMS call and ER visit.    Patient afebrile.   Sinus tachy in ER.  Adenosine given without significant effect.   ER work up:  Chem-7 panel is unremarkable with a white count of 5.5, hemoglobin 16.2, platelets of 255.  Chemistry panel unremarkable with sodium 142, slightly low potassium of 3.0, and chloride 104.  Venous lactate was 2.1.  Troponin was less than 0.012.  CRP of 0.5.  BMP was 18.  Procalcitonin was slightly elevated 0.13.  CXR normal lung and heart appearance.   ER Treatment: Adenosine x 1.   Ativan 0.5 mg IV x 1.    Dad very concerned patient had reaction to Covid vaccine.   Work up not consistent at this time with myocarditis.
Age: 12.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Reporting system indicates adolescent received a pediatric dose for first immunization.  CDC card also shows pediatric dose.  Contacted family (with interpreter) and will follow CDC guidelines to not repeat dose but to assure adolescent/adult dose at second shot in series.  Family will be provided with written documentation at second shot clinic in English and native language.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: patient received 27 mcg of pfizer instead of 10 mcg due to incorrect vial reconstituted... patient received no adverse reaction to this occurrence
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Decreased appetite, Dyspnoea, Electrocardiogram abnormal, Malaise
Clinical narrative: COVID arm (Swollen- she couldn't move it), fever, general malaise, thyroid storm (loss of appetite, general malaise, heart racing, SOB) -She was taken to ED because her symptoms kept getting worse. She was found to have an abnormal EKG - " Afib with rapid ventricular response..."
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Palpitations, Peripheral swelling, Pyrexia, Thyrotoxic crisis
Clinical narrative: COVID arm (Swollen- she couldn't move it), fever, general malaise, thyroid storm (loss of appetite, general malaise, heart racing, SOB) -She was taken to ED because her symptoms kept getting worse. She was found to have an abnormal EKG - " Afib with rapid ventricular response..."
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: COVID arm (Swollen- she couldn't move it), fever, general malaise, thyroid storm (loss of appetite, general malaise, heart racing, SOB) -She was taken to ED because her symptoms kept getting worse. She was found to have an abnormal EKG - " Afib with rapid ventricular response..."
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Urticaria
Clinical narrative: Hives.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: patient received 27 mcg of Pfizer instead of 10 mcg due to incorrect vial reconstituted - patient experienced no adverse effects from this occurrence
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Anion gap, Aspartate aminotransferase increased, Blood creatinine increased, Blood glucose increased
Clinical narrative: Of note, patient had received J&J vaccine 3/17/2021 (approx 8 months prior), this was the Moderna to boost him. He had vaccine in the morning; that same night, his symptoms started: subjective fevers, chills, body aches. Later, facial swelling. He came to the hospital, where he was noted to have gross lab abnormalities (below). He remains hospitalized, quite sick. Overall, no other explanation for his sudden symptoms and apparent multiorgan dysfunction (including oliguric renal failure), other than the vaccine.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Laboratory test abnormal, Multi-organ disorder, Neutrophil count decreased, Pain
Clinical narrative: Of note, patient had received J&J vaccine 3/17/2021 (approx 8 months prior), this was the Moderna to boost him. He had vaccine in the morning; that same night, his symptoms started: subjective fevers, chills, body aches. Later, facial swelling. He came to the hospital, where he was noted to have gross lab abnormalities (below). He remains hospitalized, quite sick. Overall, no other explanation for his sudden symptoms and apparent multiorgan dysfunction (including oliguric renal failure), other than the vaccine.