chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Hospitalized 11.23.21; COVID-19 positive (11.23.21); fully vaccinated  Admission Date: 11/23/2021 Discharge Date: Nov 26, 2021 PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: per HPI:  Patient is a 82 y.o. male with h/o CAD, CKD, T2DM, HTN, HLD, BPH and OSA, presenting to the ER on 11/23 with c/o acute worsening of dyspnea.  He was recently diagnosed with COVID-19 on 11/19 via home testing kit.  He reports symptom onset on 11/16 starting with fatigue, mild dyspnea, dry cough and subjective intermittent fevers.  Symptoms have waxed and waned since onset, but have been mostly manageable at home.  He does note intermittent production of yellowish sputum with no hemoptysis.  On the evening prior to presentation, he was at home watching TV when he began feeling more acutely short of breath.  He describes the sensation as being unable to catch his breath after moving even in a state of complete rest.  He tried using his CPAP that he has for OSA, but this was not helpful.  He denies any prior similar episodes.  He denies accompanying chest pain, palpitations, abdominal pains, or lightheadedness.  He did receive his original two vaccines when first available, but has yet to receive his booster.  He is a former smoker who quit several decades ago.  He denies any other present complaints or concerns. In the ER, he was afebrile, normotensive, mildly tachycardic and tachypnic, with hypoxia to 88% on RA.  He was placed on 2L via NC and is now saturating in the mid-90?s.  Initial labs were notable for AKI, NAGMA, normocytic anemia, lymphopenia, and elevated initial troponin (84), with 2 hour recheck increasing (90). EKG showed SR with PVC's. CXR shows bilateral GGO?s c/w COVID pneumonia. he was treated with IV Decadron. in-house:  patient admitted for COVID-19 PNA with acute hypoxemic respiratory failure. he also had an AKI as well as a troponin elevation. was started on dexamethasone, quickly weaned to room air but continue to require it at night and with ambulation; not started on remdesivir due to kidney function. also started on IVF for his AKI which responded eventually. given lasix for persistent hypoxemia and started on CAP coverage (received two days worth via IV) for his elevated procalcitonin level; after these measures patient was able to oxygenate adequately the next day as he was on room air at rest and with ambulation his lowest saturation was 88%. patient was given one more dose of lasix and sent home on the balance of his course of azithromycin and dexamethasone. kidney function was not quite back down to baseline so he was advised to hydrate, he has an outpatient BMP ordered to monitor kidney function with results to be forwarded to his PCP. at the time of discharge patient was in good spirits and eager to leave. his only complaint was a cough which was improving and some DOE which was also improving. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Electrocardiogram abnormal, Fatigue, Hypoxia
Clinical narrative: Hospitalized 11.23.21; COVID-19 positive (11.23.21); fully vaccinated  Admission Date: 11/23/2021 Discharge Date: Nov 26, 2021 PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: per HPI:  Patient is a 82 y.o. male with h/o CAD, CKD, T2DM, HTN, HLD, BPH and OSA, presenting to the ER on 11/23 with c/o acute worsening of dyspnea.  He was recently diagnosed with COVID-19 on 11/19 via home testing kit.  He reports symptom onset on 11/16 starting with fatigue, mild dyspnea, dry cough and subjective intermittent fevers.  Symptoms have waxed and waned since onset, but have been mostly manageable at home.  He does note intermittent production of yellowish sputum with no hemoptysis.  On the evening prior to presentation, he was at home watching TV when he began feeling more acutely short of breath.  He describes the sensation as being unable to catch his breath after moving even in a state of complete rest.  He tried using his CPAP that he has for OSA, but this was not helpful.  He denies any prior similar episodes.  He denies accompanying chest pain, palpitations, abdominal pains, or lightheadedness.  He did receive his original two vaccines when first available, but has yet to receive his booster.  He is a former smoker who quit several decades ago.  He denies any other present complaints or concerns. In the ER, he was afebrile, normotensive, mildly tachycardic and tachypnic, with hypoxia to 88% on RA.  He was placed on 2L via NC and is now saturating in the mid-90?s.  Initial labs were notable for AKI, NAGMA, normocytic anemia, lymphopenia, and elevated initial troponin (84), with 2 hour recheck increasing (90). EKG showed SR with PVC's. CXR shows bilateral GGO?s c/w COVID pneumonia. he was treated with IV Decadron. in-house:  patient admitted for COVID-19 PNA with acute hypoxemic respiratory failure. he also had an AKI as well as a troponin elevation. was started on dexamethasone, quickly weaned to room air but continue to require it at night and with ambulation; not started on remdesivir due to kidney function. also started on IVF for his AKI which responded eventually. given lasix for persistent hypoxemia and started on CAP coverage (received two days worth via IV) for his elevated procalcitonin level; after these measures patient was able to oxygenate adequately the next day as he was on room air at rest and with ambulation his lowest saturation was 88%. patient was given one more dose of lasix and sent home on the balance of his course of azithromycin and dexamethasone. kidney function was not quite back down to baseline so he was advised to hydrate, he has an outpatient BMP ordered to monitor kidney function with results to be forwarded to his PCP. at the time of discharge patient was in good spirits and eager to leave. his only complaint was a cough which was improving and some DOE which was also improving. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Lymphopenia, Metabolic acidosis, Normocytic anaemia, Positive airway pressure therapy
Clinical narrative: Hospitalized 11.23.21; COVID-19 positive (11.23.21); fully vaccinated  Admission Date: 11/23/2021 Discharge Date: Nov 26, 2021 PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: per HPI:  Patient is a 82 y.o. male with h/o CAD, CKD, T2DM, HTN, HLD, BPH and OSA, presenting to the ER on 11/23 with c/o acute worsening of dyspnea.  He was recently diagnosed with COVID-19 on 11/19 via home testing kit.  He reports symptom onset on 11/16 starting with fatigue, mild dyspnea, dry cough and subjective intermittent fevers.  Symptoms have waxed and waned since onset, but have been mostly manageable at home.  He does note intermittent production of yellowish sputum with no hemoptysis.  On the evening prior to presentation, he was at home watching TV when he began feeling more acutely short of breath.  He describes the sensation as being unable to catch his breath after moving even in a state of complete rest.  He tried using his CPAP that he has for OSA, but this was not helpful.  He denies any prior similar episodes.  He denies accompanying chest pain, palpitations, abdominal pains, or lightheadedness.  He did receive his original two vaccines when first available, but has yet to receive his booster.  He is a former smoker who quit several decades ago.  He denies any other present complaints or concerns. In the ER, he was afebrile, normotensive, mildly tachycardic and tachypnic, with hypoxia to 88% on RA.  He was placed on 2L via NC and is now saturating in the mid-90?s.  Initial labs were notable for AKI, NAGMA, normocytic anemia, lymphopenia, and elevated initial troponin (84), with 2 hour recheck increasing (90). EKG showed SR with PVC's. CXR shows bilateral GGO?s c/w COVID pneumonia. he was treated with IV Decadron. in-house:  patient admitted for COVID-19 PNA with acute hypoxemic respiratory failure. he also had an AKI as well as a troponin elevation. was started on dexamethasone, quickly weaned to room air but continue to require it at night and with ambulation; not started on remdesivir due to kidney function. also started on IVF for his AKI which responded eventually. given lasix for persistent hypoxemia and started on CAP coverage (received two days worth via IV) for his elevated procalcitonin level; after these measures patient was able to oxygenate adequately the next day as he was on room air at rest and with ambulation his lowest saturation was 88%. patient was given one more dose of lasix and sent home on the balance of his course of azithromycin and dexamethasone. kidney function was not quite back down to baseline so he was advised to hydrate, he has an outpatient BMP ordered to monitor kidney function with results to be forwarded to his PCP. at the time of discharge patient was in good spirits and eager to leave. his only complaint was a cough which was improving and some DOE which was also improving. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin increased, Pyrexia, Renal impairment, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Hospitalized 11.23.21; COVID-19 positive (11.23.21); fully vaccinated  Admission Date: 11/23/2021 Discharge Date: Nov 26, 2021 PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: per HPI:  Patient is a 82 y.o. male with h/o CAD, CKD, T2DM, HTN, HLD, BPH and OSA, presenting to the ER on 11/23 with c/o acute worsening of dyspnea.  He was recently diagnosed with COVID-19 on 11/19 via home testing kit.  He reports symptom onset on 11/16 starting with fatigue, mild dyspnea, dry cough and subjective intermittent fevers.  Symptoms have waxed and waned since onset, but have been mostly manageable at home.  He does note intermittent production of yellowish sputum with no hemoptysis.  On the evening prior to presentation, he was at home watching TV when he began feeling more acutely short of breath.  He describes the sensation as being unable to catch his breath after moving even in a state of complete rest.  He tried using his CPAP that he has for OSA, but this was not helpful.  He denies any prior similar episodes.  He denies accompanying chest pain, palpitations, abdominal pains, or lightheadedness.  He did receive his original two vaccines when first available, but has yet to receive his booster.  He is a former smoker who quit several decades ago.  He denies any other present complaints or concerns. In the ER, he was afebrile, normotensive, mildly tachycardic and tachypnic, with hypoxia to 88% on RA.  He was placed on 2L via NC and is now saturating in the mid-90?s.  Initial labs were notable for AKI, NAGMA, normocytic anemia, lymphopenia, and elevated initial troponin (84), with 2 hour recheck increasing (90). EKG showed SR with PVC's. CXR shows bilateral GGO?s c/w COVID pneumonia. he was treated with IV Decadron. in-house:  patient admitted for COVID-19 PNA with acute hypoxemic respiratory failure. he also had an AKI as well as a troponin elevation. was started on dexamethasone, quickly weaned to room air but continue to require it at night and with ambulation; not started on remdesivir due to kidney function. also started on IVF for his AKI which responded eventually. given lasix for persistent hypoxemia and started on CAP coverage (received two days worth via IV) for his elevated procalcitonin level; after these measures patient was able to oxygenate adequately the next day as he was on room air at rest and with ambulation his lowest saturation was 88%. patient was given one more dose of lasix and sent home on the balance of his course of azithromycin and dexamethasone. kidney function was not quite back down to baseline so he was advised to hydrate, he has an outpatient BMP ordered to monitor kidney function with results to be forwarded to his PCP. at the time of discharge patient was in good spirits and eager to leave. his only complaint was a cough which was improving and some DOE which was also improving. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Tachypnoea, Troponin increased, Ventricular extrasystoles
Clinical narrative: Hospitalized 11.23.21; COVID-19 positive (11.23.21); fully vaccinated  Admission Date: 11/23/2021 Discharge Date: Nov 26, 2021 PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: per HPI:  Patient is a 82 y.o. male with h/o CAD, CKD, T2DM, HTN, HLD, BPH and OSA, presenting to the ER on 11/23 with c/o acute worsening of dyspnea.  He was recently diagnosed with COVID-19 on 11/19 via home testing kit.  He reports symptom onset on 11/16 starting with fatigue, mild dyspnea, dry cough and subjective intermittent fevers.  Symptoms have waxed and waned since onset, but have been mostly manageable at home.  He does note intermittent production of yellowish sputum with no hemoptysis.  On the evening prior to presentation, he was at home watching TV when he began feeling more acutely short of breath.  He describes the sensation as being unable to catch his breath after moving even in a state of complete rest.  He tried using his CPAP that he has for OSA, but this was not helpful.  He denies any prior similar episodes.  He denies accompanying chest pain, palpitations, abdominal pains, or lightheadedness.  He did receive his original two vaccines when first available, but has yet to receive his booster.  He is a former smoker who quit several decades ago.  He denies any other present complaints or concerns. In the ER, he was afebrile, normotensive, mildly tachycardic and tachypnic, with hypoxia to 88% on RA.  He was placed on 2L via NC and is now saturating in the mid-90?s.  Initial labs were notable for AKI, NAGMA, normocytic anemia, lymphopenia, and elevated initial troponin (84), with 2 hour recheck increasing (90). EKG showed SR with PVC's. CXR shows bilateral GGO?s c/w COVID pneumonia. he was treated with IV Decadron. in-house:  patient admitted for COVID-19 PNA with acute hypoxemic respiratory failure. he also had an AKI as well as a troponin elevation. was started on dexamethasone, quickly weaned to room air but continue to require it at night and with ambulation; not started on remdesivir due to kidney function. also started on IVF for his AKI which responded eventually. given lasix for persistent hypoxemia and started on CAP coverage (received two days worth via IV) for his elevated procalcitonin level; after these measures patient was able to oxygenate adequately the next day as he was on room air at rest and with ambulation his lowest saturation was 88%. patient was given one more dose of lasix and sent home on the balance of his course of azithromycin and dexamethasone. kidney function was not quite back down to baseline so he was advised to hydrate, he has an outpatient BMP ordered to monitor kidney function with results to be forwarded to his PCP. at the time of discharge patient was in good spirits and eager to leave. his only complaint was a cough which was improving and some DOE which was also improving. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site bruising, Injection site swelling
Clinical narrative: Right after I administered the vaccine into the right deltoid, a bump appeared with a bruised appearance.  I consulted pt and applied ice to bump.  I also advised her to wait 10 minutes at the store.  She did this.  No further adverse effect at this time.  She will call us if she seeks additional information.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Head injury, Headache, Lethargy
Clinical narrative: After receiving COVID vaccine, pt was sitting in a chair coloring and told mom she felt "funny". Mom stated "I thought she was joking" and then pt had syncopal episode from chair and fell back and hit head from child's chair. Writer and EMT immediately evaluated pt.  Initially pt was lethargic, tearful, and frightened by event, states she felt "dizzy" prior to syncope. Pt's VS WNL p episode. Pt appeared pale and stated "I'm scared", mom and staff attending to pt were there for support and mom was reassuring to pt. Pt began to smile and then was able to sit up independently, speak in full sentences, tolerate secretions, and was AAOx4. With mother's permission pt was given water and candy, pt tolerated well. Pt stated "my head hurts" and was provided ice pack by writer. No c-spine tenderness noted, pt denied neck pain. Mom VU of s/s to report, monitoring of pt, and given information for clinic for follow-up. NP aware and agreeable with plan of care. Mom encouraged to use ice pack and children's Tylenol as directed for pain. Pt was monitored for additional time before leaving with mom. Pt was smiling, interacting with staff and mom, laughing at jokes, and taking selfies with mom prior to leaving. Pt's gait steady, respirations even and unlabored
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Syncope, Tearfulness, Tenderness
Clinical narrative: After receiving COVID vaccine, pt was sitting in a chair coloring and told mom she felt "funny". Mom stated "I thought she was joking" and then pt had syncopal episode from chair and fell back and hit head from child's chair. Writer and EMT immediately evaluated pt.  Initially pt was lethargic, tearful, and frightened by event, states she felt "dizzy" prior to syncope. Pt's VS WNL p episode. Pt appeared pale and stated "I'm scared", mom and staff attending to pt were there for support and mom was reassuring to pt. Pt began to smile and then was able to sit up independently, speak in full sentences, tolerate secretions, and was AAOx4. With mother's permission pt was given water and candy, pt tolerated well. Pt stated "my head hurts" and was provided ice pack by writer. No c-spine tenderness noted, pt denied neck pain. Mom VU of s/s to report, monitoring of pt, and given information for clinic for follow-up. NP aware and agreeable with plan of care. Mom encouraged to use ice pack and children's Tylenol as directed for pain. Pt was monitored for additional time before leaving with mom. Pt was smiling, interacting with staff and mom, laughing at jokes, and taking selfies with mom prior to leaving. Pt's gait steady, respirations even and unlabored
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Discomfort, Interchange of vaccine products, Myocardial infarction, Pain
Clinical narrative: Heart Attack Pain short but very strong with pain..  Moderna..    I got a Pfizer Booster and the next morning had pressure and pain.  Chewed 3-325mg aspirin and sat still for 2 hours to let it subside.  I haven't been able to get an appointment with a Cardiologist.  I have been trying.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Cardiac disorder, Cardiac stress test, Computerised tomogram, Discomfort
Clinical narrative: First dose was administered on the afternoon of May 6, 2021. Onset of cardiac symptoms began approximately 72 hours after first dose, on the evening of May 9, 2021. Severe angina and heart palpitations.  Pain, discomfort, and heartbeat irregularity continued for months. Call with public health nurse advised to take ibuprofen, which produced no alleviation of symptoms. Following no resolution by over the counter anti-inflammatory, urgent care was sought on August 12, 2021. Initial ECG reflected:  * Abnormal sinus arrhythmia, extensive ST elevation suggestive of pericarditis.  Evaluation has involved multiple cardiologists since August, 2021. Multiple echocardiogram studies reflect inflammation of the pericardial sac and heart muscle. Inflammation may be responsive to a combination of colchicine, very high dose aspirin to prevent heart attack, and steroidal anti-inflammatories. Irregular heartbeat only seems to alleviate to some degree with administration of loratadine (antihistamine), which has yet to be fully explained and is awaiting further analysis by a rheumatologist (preliminary suspicion of immune modulating affect upon eosinophils and/or other cells).
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Heart rate irregular, Imaging procedure
Clinical narrative: First dose was administered on the afternoon of May 6, 2021. Onset of cardiac symptoms began approximately 72 hours after first dose, on the evening of May 9, 2021. Severe angina and heart palpitations.  Pain, discomfort, and heartbeat irregularity continued for months. Call with public health nurse advised to take ibuprofen, which produced no alleviation of symptoms. Following no resolution by over the counter anti-inflammatory, urgent care was sought on August 12, 2021. Initial ECG reflected:  * Abnormal sinus arrhythmia, extensive ST elevation suggestive of pericarditis.  Evaluation has involved multiple cardiologists since August, 2021. Multiple echocardiogram studies reflect inflammation of the pericardial sac and heart muscle. Inflammation may be responsive to a combination of colchicine, very high dose aspirin to prevent heart attack, and steroidal anti-inflammatories. Irregular heartbeat only seems to alleviate to some degree with administration of loratadine (antihistamine), which has yet to be fully explained and is awaiting further analysis by a rheumatologist (preliminary suspicion of immune modulating affect upon eosinophils and/or other cells).
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Palpitations, Pericarditis, Sinus arrhythmia
Clinical narrative: First dose was administered on the afternoon of May 6, 2021. Onset of cardiac symptoms began approximately 72 hours after first dose, on the evening of May 9, 2021. Severe angina and heart palpitations.  Pain, discomfort, and heartbeat irregularity continued for months. Call with public health nurse advised to take ibuprofen, which produced no alleviation of symptoms. Following no resolution by over the counter anti-inflammatory, urgent care was sought on August 12, 2021. Initial ECG reflected:  * Abnormal sinus arrhythmia, extensive ST elevation suggestive of pericarditis.  Evaluation has involved multiple cardiologists since August, 2021. Multiple echocardiogram studies reflect inflammation of the pericardial sac and heart muscle. Inflammation may be responsive to a combination of colchicine, very high dose aspirin to prevent heart attack, and steroidal anti-inflammatories. Irregular heartbeat only seems to alleviate to some degree with administration of loratadine (antihistamine), which has yet to be fully explained and is awaiting further analysis by a rheumatologist (preliminary suspicion of immune modulating affect upon eosinophils and/or other cells).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral
Clinical narrative: Swollen left armpit area. Putting on cold pack.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Electrocardiogram, Myocardial necrosis marker
Clinical narrative: Three nights after the shot, experienced prolonged chest pains for hours.  Went to Hospital for testing and observation.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue
Clinical narrative: Spike in resting heart rate (145-189)  Shortness of breath Extreme fatigue
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Feeling of body temperature change, Joint range of motion decreased, Migraine, Nausea
Clinical narrative: Hot and cold sweats. Unable to lift arm above head. Terrible migraine. Body aches. Nausea. Fever.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Hot and cold sweats. Unable to lift arm above head. Terrible migraine. Body aches. Nausea. Fever.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Itchy arm that developed hives by EOD #2
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Arthralgia, Aspartate aminotransferase increased, Blood potassium decreased, C-reactive protein increased
Clinical narrative: Symptoms acute onset day following vaccine administration (11/27/2021)  Presented to clinic with fever, shortness of breath, body aches, joint pain  on 11/29/2021 and found to have negative flu, strep and COVID rapid swabs. CXR obtained - positive for new pulmonary infiltrate.  Treated with steroids beginning on 11/30/2021 x 5 days  Patient to return on 12/3/2021 for repeat labs and evaluation
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Fibrin D dimer increased, Influenza virus test negative, Lung infiltration
Clinical narrative: Symptoms acute onset day following vaccine administration (11/27/2021)  Presented to clinic with fever, shortness of breath, body aches, joint pain  on 11/29/2021 and found to have negative flu, strep and COVID rapid swabs. CXR obtained - positive for new pulmonary infiltrate.  Treated with steroids beginning on 11/30/2021 x 5 days  Patient to return on 12/3/2021 for repeat labs and evaluation
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count decreased, Pain, Pyrexia, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative
Clinical narrative: Symptoms acute onset day following vaccine administration (11/27/2021)  Presented to clinic with fever, shortness of breath, body aches, joint pain  on 11/29/2021 and found to have negative flu, strep and COVID rapid swabs. CXR obtained - positive for new pulmonary infiltrate.  Treated with steroids beginning on 11/30/2021 x 5 days  Patient to return on 12/3/2021 for repeat labs and evaluation
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative
Clinical narrative: Symptoms acute onset day following vaccine administration (11/27/2021)  Presented to clinic with fever, shortness of breath, body aches, joint pain  on 11/29/2021 and found to have negative flu, strep and COVID rapid swabs. CXR obtained - positive for new pulmonary infiltrate.  Treated with steroids beginning on 11/30/2021 x 5 days  Patient to return on 12/3/2021 for repeat labs and evaluation
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram, Fatigue, Fibrin D dimer increased, Headache
Clinical narrative: Aside from sore arm, fatigue, headache which lasted a few days, the pt was taken to the ER with chest pain and was diagnosed with a new pulmonary emboli
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pulmonary embolism
Clinical narrative: Aside from sore arm, fatigue, headache which lasted a few days, the pt was taken to the ER with chest pain and was diagnosed with a new pulmonary emboli
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product administration error
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 21.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Cough, Loss of consciousness, Retching, Seizure, Skin warm
Clinical narrative: The patient received Pfizer vaccine in his left arm, then we reivewed his administration form about his flu shot and I gave the Flucelvax vaccine in his right arm.  As soon as I pulled the needle out and reached for the band aid, he lost conciousness.  A caretaker of the center called him by name many times and he was unresponsive for 15-20 seconds.  She said he was having a seizure.  She said he has had them in the past, but it has been a very long time since his last eipsode.  He regained conciousness after 15-20 seconds and he was warm to the touch.  He cough several times as if he was going to vomit, but he never did.  We called 911. The patient insisted that he was fine and he did not want to go to the ER and did not want to lay down.  Paramedics came and evaluated the patient.  His BP was 110/70, Pulse of 76, and had an oxygen sat of 97. They waited until about 1:10 and then they left when they felt he was stable. The patient left with a caretaker.
Age: 21.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Unresponsive to stimuli
Clinical narrative: The patient received Pfizer vaccine in his left arm, then we reivewed his administration form about his flu shot and I gave the Flucelvax vaccine in his right arm.  As soon as I pulled the needle out and reached for the band aid, he lost conciousness.  A caretaker of the center called him by name many times and he was unresponsive for 15-20 seconds.  She said he was having a seizure.  She said he has had them in the past, but it has been a very long time since his last eipsode.  He regained conciousness after 15-20 seconds and he was warm to the touch.  He cough several times as if he was going to vomit, but he never did.  We called 911. The patient insisted that he was fine and he did not want to go to the ER and did not want to lay down.  Paramedics came and evaluated the patient.  His BP was 110/70, Pulse of 76, and had an oxygen sat of 97. They waited until about 1:10 and then they left when they felt he was stable. The patient left with a caretaker.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Echocardiogram, Electrocardiogram, Gait inability, Grip strength decreased
Clinical narrative: First episode was on 4/18/21 - 911 called, no motor function, bp was 70/30, couldn't form sentences, couldn't walk or hold a glass,  2 more hospital visits within 2 weeks, many many test, another ER visit in August, I am still battling to this day for normalcy in my life.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Motor dysfunction, Speech disorder
Clinical narrative: First episode was on 4/18/21 - 911 called, no motor function, bp was 70/30, couldn't form sentences, couldn't walk or hold a glass,  2 more hospital visits within 2 weeks, many many test, another ER visit in August, I am still battling to this day for normalcy in my life.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Peripheral coldness
Clinical narrative: Numbness in arm within 15 minutes of injection, coldness in fingers on right arm for approximately 1 hour after injection.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: 101 fever for over 12 hours, sore arm
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Anger, Chills, Cold sweat, Confusional state, Disorientation
Clinical narrative: chills and shivering, following by waking in the night in a cold sweat disoriented, confused, and upset
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain in extremity, Pyrexia
Clinical narrative: 102 fever for more than 24 hours, chills, sore arm
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: ON 12/02/2021 PATIENT TOLD ME HE HAD RECENTLY BEEN HOSPITALIZED AND DIAGNOSED WITH GUILLAIN-BARRE SYNDROME AND WAS TOLD THAT IT WAS RELATED TO HIS COVID-19 VACCINE
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hyperhidrosis
Clinical narrative: Approximately 2-3 minutes after administering vaccine patient felt "light headed".  Patient was sweating.  Gave him water and ice.  Patient was advised to remain sitting in consultation booth due to his previous reaction to the Moderna vaccine. Patient stated he did not feel the fainting from his first dose was from the vaccine, but due to "anxiety".  I stayed with patient in booth and asked him how he was feeling approximately every 5 minutes and each time he stated he felt "better". Patient stopped sweating and I observed he had color in his face (did not look pale).  Patient and wife felt he was better and did not want any more attention.  I asked his wife if she was driving him home and she said yes. Patient said he was appreciative and was certain it was his "anxiety" that made him feel light headed/sweaty. Observed patient walk out of pharmacy area with family.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Menstruation irregular
Clinical narrative: Irregular menstruation starting the first cycle beyond my second dose and continuing until present month at the time of this document.  Continuous spotting daily with monthly heavy bleeding. .
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral, Hypoacusis, Sudden hearing loss
Clinical narrative: Eleven days after my first dose of the Pfizer COVID-19 vaccine, I experienced sudden partial hearing loss in my right ear. I have never experienced hearing loss like this before, nor have I had any chronic or acute ear or hearing problems. It appears to have affected lower decibels. I do not have complete hearing loss. It sounds like my right ear is under water. There is no pain and it came on suddenly and has not gone away now for several hours. I will be seeking evaluation tomorrow if it has not resolved overnight. I have no other symptoms... no cold, no congestion, no sound of water in my ears from a shower. It is bizarre.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, pain at injection site, hardening about an inch in diameter, feeling hot to touch, redness.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicitis, Computerised tomogram
Clinical narrative: patient received COVID booster on 11/1/2021 and developed acute appendicitis on 11/3/2021
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Swelling
Clinical narrative: left axillary pain and swelling that started a day after the vaccine.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: A booster dose was administered to a 16 year old. Was explained to patients mother the situation. She indicated that her daughter weighs 160lb  and believes there shoudnt be any issue.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Administration error: Given Moderna vaccine less than 18 yo
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: Sore arm, chills starting 24 hours after, fever since around 6pm last night (99.3 - 100), body aches, headache, fatigue
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Sore arm, chills starting 24 hours after, fever since around 6pm last night (99.3 - 100), body aches, headache, fatigue
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: Mild Guillan Barre Syndrome
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Rash, Urticaria
Clinical narrative: Day 12 after vaccine booster (3rd dose) - I broke out into hives all over body. I did not have an immediate reaction to the vaccine. I have never had hives in my life. I am not sure if this is due to the vaccine or something else, but I can not think of any major diet/environmental changes. I do not have any allergies. Please help - this rash is scaring me.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Urticaria
Clinical narrative: Urticaria and symptomatic dermatographism, intermittent, responds to Zyrtec, still happening now but seems to be improving
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Feeling of body temperature change, Muscle spasms, Nausea, Tremor, Vomiting
Clinical narrative: About 12 hours after receiving my second dose I experienced nausea, constant vomiting,  uncontrollable shaking, muscle cramps that affected my arms and legs, and experienced periods of cold chills that changed to feeling extremely overheated back and forth for several hours. After experiencing these symptoms for about 6 hours the only symptom that remained was the muscle cramps which ended after 24 hours after symptoms first appeared.  I did not receive any medical treatment nor did I take any over the counter pain medication. I would rate the severity of my symptoms as an 8/10 when comparing it to previously experienced flu like symptoms.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Hypoaesthesia, Joint range of motion decreased, Muscular weakness, Musculoskeletal stiffness
Clinical narrative: Arm/shoulder pain, numbness, stiff arm/shoulder, tingling in fingers, decreased range of motion, weakening of arm, unable to lift, etc. Received flu vaccine on 11/12/2021  instant pain right after injection, shoulder got worse the next day 11/13/2021, stiff, painful, unable to lift arm etc
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Pain in extremity, Paraesthesia, Periarthritis, Shoulder injury related to vaccine administration
Clinical narrative: Arm/shoulder pain, numbness, stiff arm/shoulder, tingling in fingers, decreased range of motion, weakening of arm, unable to lift, etc. Received flu vaccine on 11/12/2021  instant pain right after injection, shoulder got worse the next day 11/13/2021, stiff, painful, unable to lift arm etc
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Oral lichen planus
Clinical narrative: Developed Oral Lichen Planus about a week after injection. Have tried various treatments with no success. Still suffering from it unfortunately and I am told there is no cure.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Exposure during pregnancy, Headache, Myalgia
Clinical narrative: Headache, sore muscles and joint, Swelling and welt at injection site. Baby due date is 5/29/22
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Menstrual disorder
Clinical narrative: First two does are fine. I did not get any side effect other than minor fatigue. However, when i receive my booster (lot# FG3527) , my period cycle is delayed. My period cycle was accurate. It is usually 29-30 days and stays the same over 2-3 years. I got my booster shot one week before my period and my period is delayed for 6 days.  There is no potential for me to get pregnant or anything. I will keep tracking my period cycle for the future but it is very strange that my period cycle is delayed
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Confusional state, Diarrhoea, Dyspnoea, Joint stiffness
Clinical narrative: Fever, chills, diarrhea, migraine, stiff joints,  trouble catching my breath , tremors, slight confusion
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Pyrexia, Tremor
Clinical narrative: Fever, chills, diarrhea, migraine, stiff joints,  trouble catching my breath , tremors, slight confusion
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: She woke up the next day covered  with rash/hives on her right arm from the top to her fingers and was itching
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Asthenia, Balance disorder, Cerebral disorder, Fatigue
Clinical narrative: I did not have a severe reaction from either one of the shots.But with that said  I was quite miserable for about two days with the second shot. I have been extremely fatigued to the point where I cannot even get up for longer than about an hour a few times a day and walk around. I lost complete strength in my arms and legs, my brain seems to be misfiring. I can?t remember things I have a loss of smell that has not come back it seems to come and go. Rest and sleep does not help The chronic fatigue. I have also noticed an Extreme change in equilibrium and balance. The shoulder I got the injection in has felt like it has been dislocated, no matter how hard I try to stretch it out or to try to put it back into place it seems to be permanently dislocated. I had almost all of these symptoms before the vaccine but not to this extreme. I am almost unable to do anything at this point. I just want to know if there are others besides me that have the same symptoms in condition that I am suffering from I just want to know if this is normal for people that have had the pre-existing conditions that I have and if anybody else is out there experiencing this. I am a single mother of two kids and I can?t seem to get life back on a normal level, enough to function.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Injection site discomfort, Memory impairment
Clinical narrative: I did not have a severe reaction from either one of the shots.But with that said  I was quite miserable for about two days with the second shot. I have been extremely fatigued to the point where I cannot even get up for longer than about an hour a few times a day and walk around. I lost complete strength in my arms and legs, my brain seems to be misfiring. I can?t remember things I have a loss of smell that has not come back it seems to come and go. Rest and sleep does not help The chronic fatigue. I have also noticed an Extreme change in equilibrium and balance. The shoulder I got the injection in has felt like it has been dislocated, no matter how hard I try to stretch it out or to try to put it back into place it seems to be permanently dislocated. I had almost all of these symptoms before the vaccine but not to this extreme. I am almost unable to do anything at this point. I just want to know if there are others besides me that have the same symptoms in condition that I am suffering from I just want to know if this is normal for people that have had the pre-existing conditions that I have and if anybody else is out there experiencing this. I am a single mother of two kids and I can?t seem to get life back on a normal level, enough to function.
Age: 0.75
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Headache, Loss of personal independence in daily activities, Magnetic resonance imaging head, Magnetic resonance imaging spinal
Clinical narrative: Severe headache that did not stopped and lasts 9 months. Right side of the head. Diagnosis: hemicrania continua. Neurological treatment. A persistant incapacity of the ability to conduct normal life functions.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Breast swelling, Headache, Lymphadenopathy, Pain in extremity
Clinical narrative: 2 DAYS AFTER RECEIVING THE BOOSTER I HAD A HORRIBLE HEADACHE, SWOLLEN LYMPH GLAND IN RIGHT ARMPIT AND PAIN ALONG ARM (CONSTANT PAIN IN THIS RIGHT ARM SINCE 2ND DOSE ON 4/02/2021 - XRAYS DONE) EVENING OF TUESDAY 11/30 DEVELOPED RIGHT BREAST PAIN AND ON EXAMINATION MY BREAST WAS SWOLLEN ALMOST TWICE THE SIZE OF MY LEFT BREAST. I CALLED THE MODERNA HOTLINE AND WAS ADVISED TO CONTACT MY PCP. I HAVE LEFT A MESSAGE. AS I AM WRITING, MY BREAST FEELS SORE AND PAINFUL, AND IS STILL SWOLLEN, PAIN ALONG MY RIGHT ARM. I HAVE TAKEN A MOTRIN 600MG WHICH PROVIDES AT LEAST 30 MINS OF RELIEF. MY MAMMOGRAM WAS DONE ON 8/19/2021 AND IS NORMAL.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test abnormal
Clinical narrative: Blood labs came back bad
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Condition aggravated, Dizziness, Electric shock sensation, Injection site mass
Clinical narrative: I started to feel a "lump" that was warm to touch earlier in the day at the injection site about 730PM in the evening on 12/2/21. I started to get rapid, intense pain at the injection site with radiating pain down my forearm and to my fingers on the left arm.  I also experienced intense pain to the left side of my chest and ribs with intermittent prodding/stabbing pain that felt like voltage (10/10 scale).  This was intermittent for approximately 70 min.  It has subsided to a tolerable level at this point (4/10 scale); and felt it was best to report.  I am keeping icepacks on to alleviate pain.  I am also currently experiencing droning/hissing sound in my left ear - this has not subsided.   The left ear rining/hissing is something I also experienced after my 2nd dose.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Injection site warmth, Musculoskeletal chest pain, Tinnitus
Clinical narrative: I started to feel a "lump" that was warm to touch earlier in the day at the injection site about 730PM in the evening on 12/2/21. I started to get rapid, intense pain at the injection site with radiating pain down my forearm and to my fingers on the left arm.  I also experienced intense pain to the left side of my chest and ribs with intermittent prodding/stabbing pain that felt like voltage (10/10 scale).  This was intermittent for approximately 70 min.  It has subsided to a tolerable level at this point (4/10 scale); and felt it was best to report.  I am keeping icepacks on to alleviate pain.  I am also currently experiencing droning/hissing sound in my left ear - this has not subsided.   The left ear rining/hissing is something I also experienced after my 2nd dose.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pain, Paraesthesia
Clinical narrative: I started to feel a "lump" that was warm to touch earlier in the day at the injection site about 730PM in the evening on 12/2/21. I started to get rapid, intense pain at the injection site with radiating pain down my forearm and to my fingers on the left arm.  I also experienced intense pain to the left side of my chest and ribs with intermittent prodding/stabbing pain that felt like voltage (10/10 scale).  This was intermittent for approximately 70 min.  It has subsided to a tolerable level at this point (4/10 scale); and felt it was best to report.  I am keeping icepacks on to alleviate pain.  I am also currently experiencing droning/hissing sound in my left ear - this has not subsided.   The left ear rining/hissing is something I also experienced after my 2nd dose.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: I started to feel a "lump" that was warm to touch earlier in the day at the injection site about 730PM in the evening on 12/2/21. I started to get rapid, intense pain at the injection site with radiating pain down my forearm and to my fingers on the left arm.  I also experienced intense pain to the left side of my chest and ribs with intermittent prodding/stabbing pain that felt like voltage (10/10 scale).  This was intermittent for approximately 70 min.  It has subsided to a tolerable level at this point (4/10 scale); and felt it was best to report.  I am keeping icepacks on to alleviate pain.  I am also currently experiencing droning/hissing sound in my left ear - this has not subsided.   The left ear rining/hissing is something I also experienced after my 2nd dose.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Aortic dissection, Aortic valve repair, Cardiac operation
Clinical narrative: A 78-years-old male patient (my father) received two doses of mRNA-1273 (Moderna Covid-19 Vaccine) in April 2021.  Medical history included ongoing (managed) hypertension. No acute health issues, no cardiac issues, no family history of cardiac issues, never had COVID-19. Patient does not smoke or drink and leads fairly active lifestyle.   The patient awoke on Monday morning, November 29, 2021 with acute chest and stomach pain, nausea and bowel discomfort. He was rushed to the hospital and diagnosed with type A aortic dissection and emergency open heart surgery was performed to repair the dissection. Outcome: not recovered.  Patient still in ICU. This Type A aortic dissection occurred seven months after vaccination.