chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Antinuclear antibody, Arthralgia, Blood immunoglobulin G, C-reactive protein
Clinical narrative: Muscle soreness at site - began 2nd day, lasted about 2 days Nausea - lasted about 2 days Paraesthesia of both feet - began same day, lasted about a week, some residual sensation remains (is has now been 1 month) Pain of both feet extending up to knee - began same day, symptoms have not subsided to date (is has now been 1 month) Headaches/migraines - began same day of injection, has not seized completely to date (it has now been 1 month)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Full blood count, Hepatitis C antibody, Injection site pain, Lipids
Clinical narrative: Muscle soreness at site - began 2nd day, lasted about 2 days Nausea - lasted about 2 days Paraesthesia of both feet - began same day, lasted about a week, some residual sensation remains (is has now been 1 month) Pain of both feet extending up to knee - began same day, symptoms have not subsided to date (is has now been 1 month) Headaches/migraines - began same day of injection, has not seized completely to date (it has now been 1 month)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Migraine, Nausea, Pain in extremity, Paraesthesia
Clinical narrative: Muscle soreness at site - began 2nd day, lasted about 2 days Nausea - lasted about 2 days Paraesthesia of both feet - began same day, lasted about a week, some residual sensation remains (is has now been 1 month) Pain of both feet extending up to knee - began same day, symptoms have not subsided to date (is has now been 1 month) Headaches/migraines - began same day of injection, has not seized completely to date (it has now been 1 month)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate, Rheumatoid factor
Clinical narrative: Muscle soreness at site - began 2nd day, lasted about 2 days Nausea - lasted about 2 days Paraesthesia of both feet - began same day, lasted about a week, some residual sensation remains (is has now been 1 month) Pain of both feet extending up to knee - began same day, symptoms have not subsided to date (is has now been 1 month) Headaches/migraines - began same day of injection, has not seized completely to date (it has now been 1 month)
Age: 23.0
Sex: F
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration, Intentional product misuse
Clinical narrative: Varicella vaccine was administered after provider instructed me to since patient's titers were low. Previous varicella was given on 10/05/21, leaving only 9 days in between vaccines rather than the recommended 30 days. RN, Health Center Vaccine Coordinator notified, she will contact CDC for recommendations regarding any further need for vaccines.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bundle branch block right, Condition aggravated, Coronary arterial stent insertion, Dehydration
Clinical narrative: 93 yo M hx of HLD HTN RBBB presenting with weakness and feeling dehydrated.  Patient had received covid-19 shot and was unable to walk to his car (200 ft), because he was weak.  Asked another patient for help and they alerted staff, who wheeled him to the ED.  Patient initially declining any intervention, not in pain, or mental confusion. Vital signs mostly normal, elevated heart rate, ran ekg and tropinin  Patient Sent to cardiac unit at local Hospital then transferred to another HCF for stent
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Gait inability, Heart rate increased, Platelet count decreased, Troponin I increased
Clinical narrative: 93 yo M hx of HLD HTN RBBB presenting with weakness and feeling dehydrated.  Patient had received covid-19 shot and was unable to walk to his car (200 ft), because he was weak.  Asked another patient for help and they alerted staff, who wheeled him to the ED.  Patient initially declining any intervention, not in pain, or mental confusion. Vital signs mostly normal, elevated heart rate, ran ekg and tropinin  Patient Sent to cardiac unit at local Hospital then transferred to another HCF for stent
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Syncope
Clinical narrative: ADVERSE EVENTS: "DIZZINESS, FAINTING, NUMBNESS" EMS TRANSPORT
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure during pregnancy, Hypopnoea, Loss of consciousness
Clinical narrative: 39-year-old pregnant female came to receive 2nd dose Pfizer vaccine. Reported having  SOB from 1st dose, but MD still recommends patient to get her 2nd dose and may need to administer Epi-pen. Patient received vaccine on 10/15/21 around 10:20am. Within 5 minutes into observation time, patient waved and let us know she has trouble breathing, pharmacist went out to check on patient. Have to administer Epi-pen while patient stands before able to move patient to a clear space. Patient lost consciousness and slightly breathing, called 9-1-1 and did 10 compressions. Pulse came back, and patient was transported by paramedic to ER.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: The patient came into Primary care for his booster shot on 10/14/2021. The patient presented two different vaccine cards, from two separate locations. I verified in digital vaccination verification system if the additional doses were present as reported in registry of vaccination system.  The patient received first two doses at (Privacy) and the second set of two shots were received at Board of Health. There are no adverse effects to report other than the additional shots.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: Patient experienced prolonged soreness and pain at injection site, fatigue, and headache which is still occurring on 10/15/21, 11 days after vaccination. Patient did have a COVID infection previously. He alerted his PCP but wanted us to report to the CDC.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Burning sensation, Erythema, Sepsis, Skin discolouration
Clinical narrative: Swelling of the left ganglion accompanied by the red and black area. I feel burning inside my armpit. I have infection in the blood. Currently I have also felt pains in my heart.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Synovial cyst, White blood cell count increased
Clinical narrative: Swelling of the left ganglion accompanied by the red and black area. I feel burning inside my armpit. I have infection in the blood. Currently I have also felt pains in my heart.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: breakthrough case
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis
Clinical narrative: Systemic: Flushed / Sweating-Mild, Additional Details: resolved under 15 minutes. patient was given a bottle of water.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Patient reports that his arm, chest, and stomach are all numb.  I recommended that he presents to an ER, but he refused.   I emphasized to him that it's possible that he is having a serious event, but he still refused.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Feeling abnormal, Frequent bowel movements, Headache, Hyperhidrosis
Clinical narrative: He had his first vaccine for the Pfizer (lot 3013DBA?the D is either a D of an O) Covid 9/24/21. He is required by his work to get another form. He has had sweating, abdominal pain, and headaches since then. He feels ?off.? The abdominal pain was like a ?twist? from his umbilicus to his diaphragm that lasted three hours and resolved. Since then he has had 2-3 bowel movements a day. The sweating is profuse. This is getting less frequent.  The headaches are fight-frontal. They are stable?he did not get them before this?and now he gets two a day. He did not have a fever. Symptoms were first noted about four hours after the vaccine.  The patient?s symptom severity is rated as: ?8.?
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Initial onset of symptoms: 09/13/21: migraine-like headache, nausea, dizziness, small red patch at injection site, mild itchiness, arm very sore, couldn?t raise it above my chest, appetite suppressed. ibuprofen helped a little with headache, and soreness, not with itch,  Two weeks later:  large red, raised, swollen area from injection site to elbow, extreme itching, tiny bumps, mild headache, nausea, dizziness. still taking ibuprofen for headache. Benadryl helped with itch and swelling. After two weeks more, upper arm a light pink, mild itch continues .
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Mobility decreased, Nausea, Pain in extremity, Pruritus
Clinical narrative: Initial onset of symptoms: 09/13/21: migraine-like headache, nausea, dizziness, small red patch at injection site, mild itchiness, arm very sore, couldn?t raise it above my chest, appetite suppressed. ibuprofen helped a little with headache, and soreness, not with itch,  Two weeks later:  large red, raised, swollen area from injection site to elbow, extreme itching, tiny bumps, mild headache, nausea, dizziness. still taking ibuprofen for headache. Benadryl helped with itch and swelling. After two weeks more, upper arm a light pink, mild itch continues .
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin discolouration
Clinical narrative: Initial onset of symptoms: 09/13/21: migraine-like headache, nausea, dizziness, small red patch at injection site, mild itchiness, arm very sore, couldn?t raise it above my chest, appetite suppressed. ibuprofen helped a little with headache, and soreness, not with itch,  Two weeks later:  large red, raised, swollen area from injection site to elbow, extreme itching, tiny bumps, mild headache, nausea, dizziness. still taking ibuprofen for headache. Benadryl helped with itch and swelling. After two weeks more, upper arm a light pink, mild itch continues .
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered on 10/8/21 expired on 10/2/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: SOB, Fever.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Additional Details: Pt received the flu shot and Pfizer 3rd dose on 10/14/2021. after vaccine administration during the 15min wait time, pt became dizzy and light headed. Vital signs taken Bp 100/60 HR 70, SP02 99% on room air, FSBS 87,  patient placed in siting position and verbalized that he started feeling better, and he stated that he usually vasovagals after blood draws and he suffers from hypertension. Patient also verbalized his father died from covid 1 week prior.  EMS arrived and transported patient.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Wheezing
Clinical narrative: As per EMS, pt C/O dizziness and a "noticeably forced wheeze." Pt was transported to ER for possible allergic response to Pfizer COVID Vaccine. Pt given Ibuprofen and Benadryl with good results and spontaneous resolution of symptoms.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Gait disturbance, Hypoaesthesia
Clinical narrative: Dose 1 no problem at all, a little fatigue Dose 2 received the shot at 0800, at 0200 on 1-27-21 woke to use restroom, right side of my body I could not feel and fell into the hallway wall.  I immediately became dizzy and screamed for my husband thinking I was having a stroke as I could not walk well.  The dizzy/numbness lasted until  1-28-2021.  I did call my employee health to mention my symptoms so it could be documented.  On 10-8-2021 I went to my employee health for my first booster shot and was denied.  I was told to call my doctor and get a note in order to received the booster shot.  My physician was notified, and I was told not to receive the booster shot safely.  I was given the option to have a referral to see an allergist.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Balance disorder, Headache, Hypoaesthesia, Neuralgia
Clinical narrative: Joint pain, nerve pain/neurosis, right eye scleritis; pain and numbness down left arm, then pain to her left leg on 10/7/2021.  Reports  10/8/2021 right foot pain lasting 12 hours.  Intermittent shooting pain to head and body, and intermittent loss of balance and proprioception issues, "not thinking too clearly."
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Neurosis, Pain, Pain in extremity, Scleritis, Thinking abnormal
Clinical narrative: Joint pain, nerve pain/neurosis, right eye scleritis; pain and numbness down left arm, then pain to her left leg on 10/7/2021.  Reports  10/8/2021 right foot pain lasting 12 hours.  Intermittent shooting pain to head and body, and intermittent loss of balance and proprioception issues, "not thinking too clearly."
Age: 32.0
Sex: F
Vaccine: UNK
Symptoms: Expired product administered, Product storage error
Clinical narrative: The Pfizer vaccine that was administered to this patient was in the freezer from 09.14.2021 -10.06.2021, having been expired at that time due to not being transferred from the freezer to the refrigerator prior to 10.06.2021.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered on 10/8/21 expired on 10/02/21
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Lethargy, Myalgia
Clinical narrative: fatigue, muscle aches, lethargy, chills
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache
Clinical narrative: cough, headache, fatigue
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Ipsilateral axillary lymphadenopathy starting the day following the injection. Visible swelling and significant tenderness. Uncomfortable enough to require Motrin around the clock for 3 days. Resolved completed by day 5 after the injection.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 10/15/21 after being fully vaccinated.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Seizure
Clinical narrative: PATIENT HAD NAUSEA, FELT LIKE VOMITING, AND REPORTS HAVING A "STRESS SEIZURE"
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Presented to the vaccination site on 10/15/2021. The client notified RN that she received a single dose of the AstraZeneca vaccine in  on 07/10/2021. Medical consult team was contacted, and advised to proceed with first dose of Pfizer per CDC guidance. Client received Pfizer lot #30145BA on 10/15/2021. The client did not report any symptoms during the observation period.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Presented to the vaccination site on 10/15/2021. The client notified RN that she received a single dose of the AstraZeneca vaccine in  on 07/10/2021. Medical consult team was contacted, and advised to proceed with first dose of Pfizer per CDC guidance. Client received Pfizer lot #30145BA on 10/15/2021. The client did not report any symptoms during the observation period.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: I had a sore throat that developed into congestion, mild fever, and sinus issues. I called my doctor and they said because I did not have a cough it was probably not COVID. They thought it was just a virus going around. I had a COVID test, and it was negative. I recovered in about a week. A couple of weeks later I developed a dry cough which was worse when I slept. I took a couple COVID tests, and they were negative. In September I talked to my doctor, and they prescribed a couple medications to try to calm down the cough. The medications they gave me helped with the cough, but I still have it. I also went to a wedding over the summer and a lot of my friends who went to the wedding also developed a cough and they have had negative COVID tests as well.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder
Clinical narrative: I had a sore throat that developed into congestion, mild fever, and sinus issues. I called my doctor and they said because I did not have a cough it was probably not COVID. They thought it was just a virus going around. I had a COVID test, and it was negative. I recovered in about a week. A couple of weeks later I developed a dry cough which was worse when I slept. I took a couple COVID tests, and they were negative. In September I talked to my doctor, and they prescribed a couple medications to try to calm down the cough. The medications they gave me helped with the cough, but I still have it. I also went to a wedding over the summer and a lot of my friends who went to the wedding also developed a cough and they have had negative COVID tests as well.
Age: 45.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Erythema, Induration, Mass, Pruritus
Clinical narrative: redness, itchiness and hard lump
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Hypoaesthesia, Injection site pain, Pain
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Bell's Palsy-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: Patient returned approximately 1 hour after receiving Pfizer booster complaining of pain radiating from inject site up into left side of face.  Advised to seek immediate medical attention.  Returned with MD orders for Medrol dose pack.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Individual was vaccinated for COVID-19 with the Moderna vaccine when they were under age 18. A second dose was given in alignment with CDC recommendations for off label use on  4/24/21. No reported adverse effects.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Uveitis
Clinical narrative: Received shot on Friday.  Had flare up of chronic uveitis on Monday.  Still treating  Headache started on Sunday, and it has not resolved.  It gets better and worse, but is always there.  Does not go away with ibuprofen and Tylenol.  Appointment for eye doctor is scheduled.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Pyrexia, Respiratory tract congestion
Clinical narrative: Weak and febrile, cough, congestion, fever 102.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Weak and febrile, cough, congestion, fever 102.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Incorrect route of product administration, X-ray
Clinical narrative: I believe the shot was given too high in my shoulder, about less than an inch below my shoulder joint and developed excruciating pain in my shoulder joint. After a couple weeks it didn't subside, so I reached out to my PCP and set an appointment with an orthopedic doctor. The orthopedic prescribed ibuprofen and EXCEDRIN and ordered physical therapy. I started the PT at the beginning of this week and have a regimen of PT scheduled over the next month. An X-ray was performed but was advised if the PT doesn't help within this next month an MRI will then be scheduled for possible further treatment.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood magnesium, Blood thyroid stimulating hormone, Brain natriuretic peptide, Cardiomegaly
Clinical narrative: 71yr old male who presents ambulatory to ED with complaints of dizziness, lightheadedness, and vomiting. Patient states he started throwing up this morning around 0800 and vomited about seven times, which stopped at 1100. Patient states he became nauseous and vomited after turning his head quickly and when he opened his eyes suddenly. Patient states he took some ibuprofen around 1100. Patient called clinic and they advised him to come into ED. Patient rates pain 5/10 to his tooth upon arrival.    DIAGNOSIS 1. New onset a-fib    2. Dizziness        ASSESSMENT/PLAN/DECISION MAKING: 1. New onset a-fib    2. Dizziness      -1715:  Assessed patient, placed order for labs/ekg - labs pending, EKG shows new-onset atrial fibrillation.  Patient denies cardiac history besides hypertension. Prior EKG studies on hand (2016) do not show a-fib.  - 1800: Turned over care of patient to oncoming ER provider  Differential diagnosis includes benign positional vertigo although testing is negative, labyrinthitis.  CT scan will rule out any intracranial abnormalities. His D-dimer was elevated and he has atrial fibrillation and that is why we will obtain a CTA to rule out pulmonary embolism.  His atrial fibrillation appears to be newly diagnosed.  We are not sure how long he has been having this condition.  He is rate controlled and he is on a beta-blocker.   CTA  "1. No acute pulmonary embolism identified.  2. Extensive pleural thickening and pleural nodularity left greater than right lungs. Although this could represent asbestosis, mesothelioma or pleural-based metastases are not excluded. I would recommend PET/CT for further evaluation.  2. A few scattered pulmonary nodules are present. Largest is a triangular 9 mm nodule along the minor fissure most likely representing a fissural lymph node but warrants attention on follow-up imaging. There is also a 4.5 mm subpleural nodule right lung base.  4. Severe cardiomegaly.  5. Mild subpleural reticulation suggestive of scarring/fibrosis.  6. Soft tissue right tracheal lumen at the thoracic inlet potentially representing secretions although a soft tissue nodules not excluded. Attention on follow-up imaging is recommended.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head, Computerised tomogram thorax, Differential white blood cell count, Dizziness, Electrocardiogram
Clinical narrative: 71yr old male who presents ambulatory to ED with complaints of dizziness, lightheadedness, and vomiting. Patient states he started throwing up this morning around 0800 and vomited about seven times, which stopped at 1100. Patient states he became nauseous and vomited after turning his head quickly and when he opened his eyes suddenly. Patient states he took some ibuprofen around 1100. Patient called clinic and they advised him to come into ED. Patient rates pain 5/10 to his tooth upon arrival.    DIAGNOSIS 1. New onset a-fib    2. Dizziness        ASSESSMENT/PLAN/DECISION MAKING: 1. New onset a-fib    2. Dizziness      -1715:  Assessed patient, placed order for labs/ekg - labs pending, EKG shows new-onset atrial fibrillation.  Patient denies cardiac history besides hypertension. Prior EKG studies on hand (2016) do not show a-fib.  - 1800: Turned over care of patient to oncoming ER provider  Differential diagnosis includes benign positional vertigo although testing is negative, labyrinthitis.  CT scan will rule out any intracranial abnormalities. His D-dimer was elevated and he has atrial fibrillation and that is why we will obtain a CTA to rule out pulmonary embolism.  His atrial fibrillation appears to be newly diagnosed.  We are not sure how long he has been having this condition.  He is rate controlled and he is on a beta-blocker.   CTA  "1. No acute pulmonary embolism identified.  2. Extensive pleural thickening and pleural nodularity left greater than right lungs. Although this could represent asbestosis, mesothelioma or pleural-based metastases are not excluded. I would recommend PET/CT for further evaluation.  2. A few scattered pulmonary nodules are present. Largest is a triangular 9 mm nodule along the minor fissure most likely representing a fissural lymph node but warrants attention on follow-up imaging. There is also a 4.5 mm subpleural nodule right lung base.  4. Severe cardiomegaly.  5. Mild subpleural reticulation suggestive of scarring/fibrosis.  6. Soft tissue right tracheal lumen at the thoracic inlet potentially representing secretions although a soft tissue nodules not excluded. Attention on follow-up imaging is recommended.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Fibrosis, Full blood count, International normalised ratio, Metabolic function test
Clinical narrative: 71yr old male who presents ambulatory to ED with complaints of dizziness, lightheadedness, and vomiting. Patient states he started throwing up this morning around 0800 and vomited about seven times, which stopped at 1100. Patient states he became nauseous and vomited after turning his head quickly and when he opened his eyes suddenly. Patient states he took some ibuprofen around 1100. Patient called clinic and they advised him to come into ED. Patient rates pain 5/10 to his tooth upon arrival.    DIAGNOSIS 1. New onset a-fib    2. Dizziness        ASSESSMENT/PLAN/DECISION MAKING: 1. New onset a-fib    2. Dizziness      -1715:  Assessed patient, placed order for labs/ekg - labs pending, EKG shows new-onset atrial fibrillation.  Patient denies cardiac history besides hypertension. Prior EKG studies on hand (2016) do not show a-fib.  - 1800: Turned over care of patient to oncoming ER provider  Differential diagnosis includes benign positional vertigo although testing is negative, labyrinthitis.  CT scan will rule out any intracranial abnormalities. His D-dimer was elevated and he has atrial fibrillation and that is why we will obtain a CTA to rule out pulmonary embolism.  His atrial fibrillation appears to be newly diagnosed.  We are not sure how long he has been having this condition.  He is rate controlled and he is on a beta-blocker.   CTA  "1. No acute pulmonary embolism identified.  2. Extensive pleural thickening and pleural nodularity left greater than right lungs. Although this could represent asbestosis, mesothelioma or pleural-based metastases are not excluded. I would recommend PET/CT for further evaluation.  2. A few scattered pulmonary nodules are present. Largest is a triangular 9 mm nodule along the minor fissure most likely representing a fissural lymph node but warrants attention on follow-up imaging. There is also a 4.5 mm subpleural nodule right lung base.  4. Severe cardiomegaly.  5. Mild subpleural reticulation suggestive of scarring/fibrosis.  6. Soft tissue right tracheal lumen at the thoracic inlet potentially representing secretions although a soft tissue nodules not excluded. Attention on follow-up imaging is recommended.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pleural thickening, Pulmonary mass, Toothache, Troponin I
Clinical narrative: 71yr old male who presents ambulatory to ED with complaints of dizziness, lightheadedness, and vomiting. Patient states he started throwing up this morning around 0800 and vomited about seven times, which stopped at 1100. Patient states he became nauseous and vomited after turning his head quickly and when he opened his eyes suddenly. Patient states he took some ibuprofen around 1100. Patient called clinic and they advised him to come into ED. Patient rates pain 5/10 to his tooth upon arrival.    DIAGNOSIS 1. New onset a-fib    2. Dizziness        ASSESSMENT/PLAN/DECISION MAKING: 1. New onset a-fib    2. Dizziness      -1715:  Assessed patient, placed order for labs/ekg - labs pending, EKG shows new-onset atrial fibrillation.  Patient denies cardiac history besides hypertension. Prior EKG studies on hand (2016) do not show a-fib.  - 1800: Turned over care of patient to oncoming ER provider  Differential diagnosis includes benign positional vertigo although testing is negative, labyrinthitis.  CT scan will rule out any intracranial abnormalities. His D-dimer was elevated and he has atrial fibrillation and that is why we will obtain a CTA to rule out pulmonary embolism.  His atrial fibrillation appears to be newly diagnosed.  We are not sure how long he has been having this condition.  He is rate controlled and he is on a beta-blocker.   CTA  "1. No acute pulmonary embolism identified.  2. Extensive pleural thickening and pleural nodularity left greater than right lungs. Although this could represent asbestosis, mesothelioma or pleural-based metastases are not excluded. I would recommend PET/CT for further evaluation.  2. A few scattered pulmonary nodules are present. Largest is a triangular 9 mm nodule along the minor fissure most likely representing a fissural lymph node but warrants attention on follow-up imaging. There is also a 4.5 mm subpleural nodule right lung base.  4. Severe cardiomegaly.  5. Mild subpleural reticulation suggestive of scarring/fibrosis.  6. Soft tissue right tracheal lumen at the thoracic inlet potentially representing secretions although a soft tissue nodules not excluded. Attention on follow-up imaging is recommended.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis, Vertigo positional, Vomiting
Clinical narrative: 71yr old male who presents ambulatory to ED with complaints of dizziness, lightheadedness, and vomiting. Patient states he started throwing up this morning around 0800 and vomited about seven times, which stopped at 1100. Patient states he became nauseous and vomited after turning his head quickly and when he opened his eyes suddenly. Patient states he took some ibuprofen around 1100. Patient called clinic and they advised him to come into ED. Patient rates pain 5/10 to his tooth upon arrival.    DIAGNOSIS 1. New onset a-fib    2. Dizziness        ASSESSMENT/PLAN/DECISION MAKING: 1. New onset a-fib    2. Dizziness      -1715:  Assessed patient, placed order for labs/ekg - labs pending, EKG shows new-onset atrial fibrillation.  Patient denies cardiac history besides hypertension. Prior EKG studies on hand (2016) do not show a-fib.  - 1800: Turned over care of patient to oncoming ER provider  Differential diagnosis includes benign positional vertigo although testing is negative, labyrinthitis.  CT scan will rule out any intracranial abnormalities. His D-dimer was elevated and he has atrial fibrillation and that is why we will obtain a CTA to rule out pulmonary embolism.  His atrial fibrillation appears to be newly diagnosed.  We are not sure how long he has been having this condition.  He is rate controlled and he is on a beta-blocker.   CTA  "1. No acute pulmonary embolism identified.  2. Extensive pleural thickening and pleural nodularity left greater than right lungs. Although this could represent asbestosis, mesothelioma or pleural-based metastases are not excluded. I would recommend PET/CT for further evaluation.  2. A few scattered pulmonary nodules are present. Largest is a triangular 9 mm nodule along the minor fissure most likely representing a fissural lymph node but warrants attention on follow-up imaging. There is also a 4.5 mm subpleural nodule right lung base.  4. Severe cardiomegaly.  5. Mild subpleural reticulation suggestive of scarring/fibrosis.  6. Soft tissue right tracheal lumen at the thoracic inlet potentially representing secretions although a soft tissue nodules not excluded. Attention on follow-up imaging is recommended.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: SWELLING IN THROAT, NO EMS, LET GO
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Joint Pain-Medium, Systemic: Lymph Node Swelling-Mild
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Joint Pain-Medium, Systemic: Lymph Node Swelling-Mild
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Hypoaesthesia, Malaise, Paraesthesia
Clinical narrative: First episode occurred appox 2 weeks after vaccination.  Started feeling warm and lightheaded, followed by severe pins and needles feeling over face and head, followed by pins and needles over most of body.  I thought I might be having a stroke or something, so I called to a fellow worker to tell them I didn't feel well, and sat down and talked.  Whole face felt strangely numb and tingly.  Severe feeling reduced after a few minutes, and I felt better after about 15 minutes.  I did not connect this with the vaccine at first.  A similar, less severe episode happened approx a week after this.  Since this happened, I have had on and off tingling, sometimes pretty severe, over my whole body.  Sometimes it is only in my hands and arms, other times my face, legs, etc.  Sometimes it feels like it is all over my body.  It is most apparent when I am sitting still working at a computer, reading, watching TV, etc.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Nausea, Pyrexia
Clinical narrative: Fever Headache Vomiting Nausea Fatigue Soreness of injection site
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Fever Headache Vomiting Nausea Fatigue Soreness of injection site
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Inflammation
Clinical narrative: Persistent dizziness for up to several hours daily in month of April and May, initially diagnosed as inflammation in forehead area brought on by allergy to unknown substance. Dizziness went away in about a month after starting medication recommended by doctor (Zyrtec over the counter medication).  In August, a close blood relative had severe reaction to another vaccine (Covishield or Astra Zeneca) leading to inflammation in brain and was hospitalized for 11 days for monitoring  and management of inflammation. I correlated my allergic reaction with the Moderna vaccine after this incident with my relative.
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Troponin increased
Clinical narrative: Chest pain that began the morning of 10/15, resolved with ibuprofen. admitted to the hospital for further evaluation
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Myocarditis, Troponin increased
Clinical narrative: Chest pain that began the morning of 10/15, resolved with ibuprofen. admitted to the hospital for further evaluation
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Contusion, Dyspnoea, Hypoaesthesia, Pain in extremity
Clinical narrative: Sudden-onset, Severe stabbing chest pain, left side of chest only.  Pain/numbness in left arm and shoulder/back also.  Pain subsided about 3 hours later and shortness of breath and "bruising" sensation in left chest persisted 24 hrs.  I had the same incident exactly 5 weeks after having COVID also - same time period.  I am a very healthy person with a very clean diet and competitive athlete.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The Pfizer vaccine that was administered to this patient was in the freezer from 09.14.2021 -10.06.2021, having been expired at that time due to not being transferred from the freezer to the refrigerator prior to 10.06.2021.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received Janssen COVID vaccine. After vaccine was administered it was identified that patient was 16 years old and did not meet EUA age requirements. No adverse reactions were noted.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Lymph node pain, Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: I experienced swollen and painful lymph nodes, aches, soreness in my arm and sickness.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 10/15/21 after being fully vaccinated.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Incorrect route of product administration, Pain in extremity, Paraesthesia
Clinical narrative: Vaccine injected too high, into the shoulder joint. Immediate pain and tingling down my arm. Continued pain down to the elbow for the rest of the day. Seemed to resolve by the following morning
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash papular, Rash pruritic, Skin discolouration, Urticaria
Clinical narrative: I just developed this rash on my stomach and I can't remember exactly when it was either 10/11 or 10/12. And it was itching. When I looked at my stomach, I saw this darker circle the size of a plum. And then there were margins, it was a bit discolored. And it was the size of an open hand that enveloped that. And if I itched it, it would raise, like a hive. Which it's still doing. So I called the doctor on 10/13/2021. And I was calling her mostly because I have poison ivy. I have bumps and oozing and itching and it's on my forearms. And I showed her the rash on my belly on a telehealth call. And I told her there was no oozing but there was itching. And she thought it might be poison ivy. And it's still there and it's still itching so I started prednisone today 10/15/2021.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: PATIENT RECEIVED J&J COVID VACCINE ON 4-11-21 AND REQUESTED  (AND RECEIVED) A PFIZER DOSE
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Headache, Hypoxia, Nausea, Retching
Clinical narrative: headache then vasovagal syncope then nausea/dry heave then hypoxia 02 ~ 80%
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: headache then vasovagal syncope then nausea/dry heave then hypoxia 02 ~ 80%
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: Began vomiting during the night, about 12+ hours after vaccination. Vomiting stopped by the next morning.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Nausea, Pyrexia, Vomiting
Clinical narrative: fever, nausea and vomiting every 2-3 hours for ~ 12 hours,   Soreness at the injection area.  Fatigue.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Basal ganglia haemorrhage, Computerised tomogram head, Intraventricular haemorrhage
Clinical narrative: Found down, found to have basal ganglia hemorrhage with intraventricular hemorrhage. Cause unclear. Patient has well controlled blood pressure in the community and at presentation. No family history of brain hemorrhages. No evidence of ischemic stroke with hemorrhagic transformation. MRI pending, but already had extensive CT imaging.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Rash vesicular
Clinical narrative: Starting 1 day after the second dose of Pfizer vaccine, pt developed behind her ears spread across the scalp and down the neck.  The rash spread to bilaterally to the shoulders, forearms, thighs, calves and ankles.  The rash is pruritic and is painful upon palpation/scratching.  Blisters developed in the area of the rash and burst after scratching.  It's been approximately 2 months since the first appearance of the rash, and pt was prescribed 2 courses of abx which have not improved symptoms.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The Pfizer vaccine that was administered to this patient was in the freezer from 09.14.2021 -10.06.2021, having been expired at that time due to not being transferred from the freezer to the refrigerator prior to 10.06.2021.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Fluid retention
Clinical narrative: Memory loss, fluid retention in one leg
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: no adverse reaction.  Patient was given Pfizer in error as 3rd dose.  Patient's previous 2 doses were Moderna.    (I don't know how the 3rd dose appt was made; unclear from the information I have access to whether this patient is immune-compromised and was supposed to actually get a 3rd Moderna dose.)
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Discomfort, Extra dose administered, Inflammation, Urine analysis
Clinical narrative: 09/18/2021 Vaccination of dose 3, 09/19/2021 began having back pains. Went to get x-ray 09/24/2021, walk in. 9/22/2021 client to see primary very next day. Prescribed a muscle relaxer, cleared up after 8 days then upper back tensing up and never having back problems before. Just taking the muscle relaxer as needed. X-ray and ibuprofen. Diagnosis due to inflammation. Still ongoing discomfort.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: 09/18/2021 Vaccination of dose 3, 09/19/2021 began having back pains. Went to get x-ray 09/24/2021, walk in. 9/22/2021 client to see primary very next day. Prescribed a muscle relaxer, cleared up after 8 days then upper back tensing up and never having back problems before. Just taking the muscle relaxer as needed. X-ray and ibuprofen. Diagnosis due to inflammation. Still ongoing discomfort.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aspiration, COVID-19, Chest X-ray abnormal, Hypotension, Hypoxia
Clinical narrative: Patient presented to BWH ED on 8/21/21 with intermittent fevers, hypoxia, and hypotension found to be covid 19  positive with possible RLL aspiration pneumonia as well. Patient was fully vaccinated for covid.  Patient was treated for covid and was also given antibiotics given immunosuppression and concern for RLL PNA superinfection.  Patient developed worsening oxygen requirement times which were treated appropriately. Patient was discharged on 9/17/21.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient presented to BWH ED on 8/21/21 with intermittent fevers, hypoxia, and hypotension found to be covid 19  positive with possible RLL aspiration pneumonia as well. Patient was fully vaccinated for covid.  Patient was treated for covid and was also given antibiotics given immunosuppression and concern for RLL PNA superinfection.  Patient developed worsening oxygen requirement times which were treated appropriately. Patient was discharged on 9/17/21.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain lower, Dizziness, Hyperhidrosis, Malaise, Nausea
Clinical narrative: Clinic Location: Facility   Situation: Possible reaction to flu vaccine               Name of Reactive drug/vaccine:  Flulaval             Time of Immunization Administration: 1207   Time of Reaction: symptoms reported to me by patient via telephone at approximately 1245   Subjective symptoms reported by patient: After vaccination, patient's coworker came to flu clinic and reported patient not feeling well. Coworker called patient on phone and I spoke to patient. Patient reported feeling sweaty, lightheaded, nauseous, and lower abdominal pain. Rated pain a 10/10 and was worsening. Patient told to call emergency services.   Anaphylaxis: No               Immediate nursing interventions:  Advised patient to call EMS for transport to ED   Was the Emergency Protocol for Anaphylaxis Initiated?  No   Patient response to interventions and additional details: Patient stated she would call emergency services
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Impaired work ability
Clinical narrative: After I took the 2nd shot I became weak an very tired .. I missed work left early an then on may the 31had a small strike.. I?m still off work.. I don?t know if the shot had anything to do with it but I never completely got my strength back.. an I worked every day until I got the shot. I just didn?t feel like working?
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Flushing, Headache
Clinical narrative: fever of 100, horrible body aches, headache, dizziness, diarrhea, chills, flushing
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: fever of 100, horrible body aches, headache, dizziness, diarrhea, chills, flushing
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac discomfort, Dyspnoea, Electrocardiogram normal
Clinical narrative: Intense pressure over heart, mild difficulty breathing
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeling cold, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Medium, Additional Details: Customer sitting next to the patient came to the pharmacist and reported a man had passed out. Rph went over to examine the patient. Patient was unresponsive apon arrival. Pulse 54, shallow breathing. Patient started to regain consciousness. Patient was shaking, sweating, cold, and vomiting. Pt stated "very nauseous, blurred vision, no trouble breathing." Pt symptoms were not resolving after a few minutes pass. Rph instrcuted tech to call 911. Rph waited with the patient until EMS arrived.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Hypopnoea, Loss of consciousness, Nausea, Pain, Syncope
Clinical narrative: Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Medium, Additional Details: Customer sitting next to the patient came to the pharmacist and reported a man had passed out. Rph went over to examine the patient. Patient was unresponsive apon arrival. Pulse 54, shallow breathing. Patient started to regain consciousness. Patient was shaking, sweating, cold, and vomiting. Pt stated "very nauseous, blurred vision, no trouble breathing." Pt symptoms were not resolving after a few minutes pass. Rph instrcuted tech to call 911. Rph waited with the patient until EMS arrived.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, Unresponsive to stimuli, Vision blurred, Visual impairment, Vomiting
Clinical narrative: Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Medium, Additional Details: Customer sitting next to the patient came to the pharmacist and reported a man had passed out. Rph went over to examine the patient. Patient was unresponsive apon arrival. Pulse 54, shallow breathing. Patient started to regain consciousness. Patient was shaking, sweating, cold, and vomiting. Pt stated "very nauseous, blurred vision, no trouble breathing." Pt symptoms were not resolving after a few minutes pass. Rph instrcuted tech to call 911. Rph waited with the patient until EMS arrived.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest pain, Echocardiogram normal, Electrocardiogram ambulatory, Electrocardiogram normal
Clinical narrative: The night I received the first dose my heart was racing and beating really hard when I tried to go to sleep. This happened every night for at least a week. By the fourth day I was also having really intense, frequent palpitations. Every other hour or so my heart felt like it was fluttering or skipping a beat. After a couple days of palpitations I also started having intermittent chest pain. After a few more days of racing, pounding heart, palpitations and chest pain I decided to make an appointment with my PCP.