chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Fatigue
Clinical narrative: Extreme Exhaustion followng day - could not left head from pillow - did not eat for 3 days - appitiete has returned - But am left with deep fatigue for over 2 weeks - Friday, March 26th will be 3 weeks - leg still week - fatigue  - is this normal what can I do - Too weak to drive to see doctor - Last week he said - do what you can and take Tylenol - First dose same reaction for 2 weeks - but was fine for second dose  - Now I am going into 3 weeks with fatigue.  Is this normal - I did have the virus in April - had antibodies but did not have this reaction after.  Please will this cease?  Acknowledge ASAP
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Dehydration, Dizziness, Dyspnoea
Clinical narrative: Was at home, felt Dizziness,fainting,fever,strong headache,fatigue,cold sweat,body ache,clammy skin,nausea, short of breath ,dry mouth ,dehydrated, very bad I though Iwas going to pass out at any time,weak.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Was at home, felt Dizziness,fainting,fever,strong headache,fatigue,cold sweat,body ache,clammy skin,nausea, short of breath ,dry mouth ,dehydrated, very bad I though Iwas going to pass out at any time,weak.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Was at home, felt Dizziness,fainting,fever,strong headache,fatigue,cold sweat,body ache,clammy skin,nausea, short of breath ,dry mouth ,dehydrated, very bad I though Iwas going to pass out at any time,weak.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Fatigue x 1 day
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site rash, Injection site reaction, Injection site swelling, Skin reaction
Clinical narrative: Within about 24 hours of receiving the shot, I presented with a blistering headache. The headache continued into Thursday. As Thursday proceeded swelling occurred and a rash appeared beneath the shot area of my arm. I believe it is called Covid arm. I used My Chart to contact the Doctor on March 12th at 3:11 p.m. but did not receive a response till the next week March 15th at 3:11 p.m.  As time passed the swelling and rash began to subside. However, it took at least over 5 -7 days for arm symptoms to subside.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Condition aggravated, Injection site reaction, Rash erythematous, Tinnitus
Clinical narrative: My Tinnitus went up very next day which is 70% higher then prior taking the shot.  Also on Friday 03/19 my left arm where i got the shot show sign of red color rash and now I have pain inside my armpit which has not gone away till this day.  Tinnitus and pain is major concern at this point due to taking Moderna shot.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Disturbance in attention, Dizziness, Paraesthesia
Clinical narrative: Within  1 minute I felt it run down my arm and my 3 fingers , middle , ring, pinkie finger when tingling , then I felt it run across my chest and my heart or lungs physically hurt then it went to my head and from the moment on if I turned my head in any direction left or right I would be very dizzy. I could keep my head and vision straight ahead and only felt a distance and had to concentrate very hard .
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Dyspnoea
Clinical narrative: At 15:52 this RN was called down to the nurse clinic to evaluate a patient with a reaction after receiving her first dose of the covid shot. Upon my arrival to patient's side, she was sitting in a chair with complaints of slight shortness of breath and chest tightness. I observed patient for 30 + minutes as her symptoms subsided and she returned to her baseline. See vital signs below. Patient's blood pressure remained slightly elevated after several rechecks. At 16:45, patient denied any further symptoms and stated she felt better. MD was called with a brief report of these findings and advised that patient be provided with a follow up appointment for a blood pressure check. MD stated ok for patient to go home. Patient was advised to follow up or to go to Urgent Care if symptoms return or become worse. She verbalized an understanding of information provided her. Patient left ambulatory with no distress noted.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Headache, Migraine
Clinical narrative: Fever, chills, body aches, headaches 1st day- two, then  sick on stomach and diarrhea the next couple days, then migraine? And I don?t usually get migraines.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, headaches 1st day- two, then  sick on stomach and diarrhea the next couple days, then migraine? And I don?t usually get migraines.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Bursitis, Injection site pain, Insomnia, Magnetic resonance imaging abnormal, Mobility decreased
Clinical narrative: Pain on injection site on the day of injection. Patient took OTC pain medication (Advil) the next day, she said she can't move her arm where she had the injection. She wasn't able to sleep next couple days after getting the vaccine. Couple months after, she went to her doctor and they did an X-ray.  Few weeks after that, PCP also ordered MRI.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Rotator cuff syndrome, Tendonitis, X-ray abnormal
Clinical narrative: Pain on injection site on the day of injection. Patient took OTC pain medication (Advil) the next day, she said she can't move her arm where she had the injection. She wasn't able to sleep next couple days after getting the vaccine. Couple months after, she went to her doctor and they did an X-ray.  Few weeks after that, PCP also ordered MRI.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction
Clinical narrative: Raised bumps and inflamed and sore at sight of injection. Also spreading to above the shot location.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Lymphadenopathy
Clinical narrative: Lymph gland on left side under armpit swelled up for four days then returned to normal size. No other symptoms or effects noticed.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: This was this person's second dose. She had episode of syncope following the first dose that required prolonged monitoring in the EC. Patient was laid down on stretcher prior to vaccine administration. Patient immediately went syncopal following injection and became unresponsive. Breathing remained even and nonlabored with good pulse. Patient remained lying down for about 30 minutes before she sat in a chair for approximately 15 minutes. Attempt to have patient leave but patient became syncopal again in bathroom and needed to be assisted into wheelchair and brought back to observation area where she laid down for another 15 minutes. Patient was alternating back and forth between being alert and unresponsive. Patient was finally able to leave area with mother at 1719. Refused to be transferred to the Emergency Room for evaluation.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Shoulder pain
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bone pain, Fatigue, Hypersomnia, Nausea
Clinical narrative: Very weak, nauseated, achy for about 36 hours - spent the day after the shot in bed, sleeping. Took two Alleve ibuprofens during that time, which helped a little. Fatigue diminished daily, but lasted about a week. A curious effect was tingling and slight pain at the site of two broken bones (tibia and fibula); breakage occurred over 40 years ago. Another curious note is that my orthopedic surgeon reported hearing the same thing from many other clients.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia
Clinical narrative: Very weak, nauseated, achy for about 36 hours - spent the day after the shot in bed, sleeping. Took two Alleve ibuprofens during that time, which helped a little. Fatigue diminished daily, but lasted about a week. A curious effect was tingling and slight pain at the site of two broken bones (tibia and fibula); breakage occurred over 40 years ago. Another curious note is that my orthopedic surgeon reported hearing the same thing from many other clients.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Swelling of  L arm from elbow to breast.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Delirium, Dizziness
Clinical narrative: I woke up with severe chills from 4am-10am and then had fever of 103 plus that afternoon, could barely get up out of bed, nausea, weakness, dizziness. Aches all over my body and joints especially, intense headache, pain at injection site. The next night, same thing, woke up at 5am with chills and fever of 103 plus and all the other symptoms the second day. I was in so much pain I considered going to the doctor but could barely move. Tylenol did not touch it. I was delirious. The third night/day the fever finally had broken but I was still super weak and tired. The next day I was better. Anyway, if I had the option I would not take the vaccine again because of these side effects.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Nausea, Pain
Clinical narrative: I woke up with severe chills from 4am-10am and then had fever of 103 plus that afternoon, could barely get up out of bed, nausea, weakness, dizziness. Aches all over my body and joints especially, intense headache, pain at injection site. The next night, same thing, woke up at 5am with chills and fever of 103 plus and all the other symptoms the second day. I was in so much pain I considered going to the doctor but could barely move. Tylenol did not touch it. I was delirious. The third night/day the fever finally had broken but I was still super weak and tired. The next day I was better. Anyway, if I had the option I would not take the vaccine again because of these side effects.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I woke up with severe chills from 4am-10am and then had fever of 103 plus that afternoon, could barely get up out of bed, nausea, weakness, dizziness. Aches all over my body and joints especially, intense headache, pain at injection site. The next night, same thing, woke up at 5am with chills and fever of 103 plus and all the other symptoms the second day. I was in so much pain I considered going to the doctor but could barely move. Tylenol did not touch it. I was delirious. The third night/day the fever finally had broken but I was still super weak and tired. The next day I was better. Anyway, if I had the option I would not take the vaccine again because of these side effects.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Asthenia, Blood test, Cardiac monitoring, Chest X-ray
Clinical narrative: 3/16/2021 Reaction from Pfizer second shot:  I received the second Pfizer vaccine on Tuesday, February 23rd, 2021 around 1PM.  Early Wednesday morning I developed Gastric reflux which I never had before. As the day progressed I had severe abdominal pain that lasted throughout the day, also something I never had before. Nausea set in late that evening. Although Thursday was fairly stable, on Friday I developed black diarrhea that continued all day.  By Sunday I was so weak that a nurse came and sent me to hospital via  ambulance. After 4 days of blood tests, transfusions, a chest x-ray, heart monitor, endoscopy and colonoscopy  etc. , the only diagnosis for the significant blood loss was a bleeding ulcer.  This must have been developing on Wednesday when the severe pain began. After release from the 4 day hospital stay, I was sent to our health clinic for 6 days to regain some strength. Since I never had ulcers, I firmly believe that everything was activated on Tuesday when I received the second Pfizer vaccine shot.  Please advise on your perspective of my situation. Is what I have described similar to others who have reported vaccine side-effects?  Thanks and be well.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Colonoscopy, Diarrhoea, Endoscopy, Gastrooesophageal reflux disease, Nausea
Clinical narrative: 3/16/2021 Reaction from Pfizer second shot:  I received the second Pfizer vaccine on Tuesday, February 23rd, 2021 around 1PM.  Early Wednesday morning I developed Gastric reflux which I never had before. As the day progressed I had severe abdominal pain that lasted throughout the day, also something I never had before. Nausea set in late that evening. Although Thursday was fairly stable, on Friday I developed black diarrhea that continued all day.  By Sunday I was so weak that a nurse came and sent me to hospital via  ambulance. After 4 days of blood tests, transfusions, a chest x-ray, heart monitor, endoscopy and colonoscopy  etc. , the only diagnosis for the significant blood loss was a bleeding ulcer.  This must have been developing on Wednesday when the severe pain began. After release from the 4 day hospital stay, I was sent to our health clinic for 6 days to regain some strength. Since I never had ulcers, I firmly believe that everything was activated on Tuesday when I received the second Pfizer vaccine shot.  Please advise on your perspective of my situation. Is what I have described similar to others who have reported vaccine side-effects?  Thanks and be well.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Transfusion, Ulcer haemorrhage
Clinical narrative: 3/16/2021 Reaction from Pfizer second shot:  I received the second Pfizer vaccine on Tuesday, February 23rd, 2021 around 1PM.  Early Wednesday morning I developed Gastric reflux which I never had before. As the day progressed I had severe abdominal pain that lasted throughout the day, also something I never had before. Nausea set in late that evening. Although Thursday was fairly stable, on Friday I developed black diarrhea that continued all day.  By Sunday I was so weak that a nurse came and sent me to hospital via  ambulance. After 4 days of blood tests, transfusions, a chest x-ray, heart monitor, endoscopy and colonoscopy  etc. , the only diagnosis for the significant blood loss was a bleeding ulcer.  This must have been developing on Wednesday when the severe pain began. After release from the 4 day hospital stay, I was sent to our health clinic for 6 days to regain some strength. Since I never had ulcers, I firmly believe that everything was activated on Tuesday when I received the second Pfizer vaccine shot.  Please advise on your perspective of my situation. Is what I have described similar to others who have reported vaccine side-effects?  Thanks and be well.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Asthenia, Blood test, Chest X-ray, Colonoscopy
Clinical narrative: 3/16/2021 Reaction from Pfizer second shot:  I received the second Pfizer vaccine on Tuesday, February 23rd, 2021 around 1PM.  Early Wednesday morning I developed Gastric reflux which I never had before. As the day progressed I had severe abdominal pain that lasted throughout the day, also something I never had before. Nausea set in late that evening. Although Thursday was fairly stable, on Friday I developed black diarrhea that continued all day.  By Sunday I was so weak that a nurse came and sent me to hospital via  ambulance. After 4 days of blood tests, transfusions, a chest x-ray, heart monitor, endoscopy and colonoscopy  etc. , the only diagnosis for the significant blood loss was a bleeding ulcer.  This must have been developing on Wednesday when the severe pain began. After release from the 4 day hospital stay, I was sent to our health clinic for 6 days to regain some strength. Since I never had ulcers, I firmly believe that everything was activated on Tuesday when I received the second Pfizer vaccine shot.  Please advise on your perspective of my situation. Is what I have described similar to others who have reported vaccine side-effects?  Thanks and be well.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Electrocardiogram, Endoscopy, Gastrooesophageal reflux disease, Nausea
Clinical narrative: 3/16/2021 Reaction from Pfizer second shot:  I received the second Pfizer vaccine on Tuesday, February 23rd, 2021 around 1PM.  Early Wednesday morning I developed Gastric reflux which I never had before. As the day progressed I had severe abdominal pain that lasted throughout the day, also something I never had before. Nausea set in late that evening. Although Thursday was fairly stable, on Friday I developed black diarrhea that continued all day.  By Sunday I was so weak that a nurse came and sent me to hospital via  ambulance. After 4 days of blood tests, transfusions, a chest x-ray, heart monitor, endoscopy and colonoscopy  etc. , the only diagnosis for the significant blood loss was a bleeding ulcer.  This must have been developing on Wednesday when the severe pain began. After release from the 4 day hospital stay, I was sent to our health clinic for 6 days to regain some strength. Since I never had ulcers, I firmly believe that everything was activated on Tuesday when I received the second Pfizer vaccine shot.  Please advise on your perspective of my situation. Is what I have described similar to others who have reported vaccine side-effects?  Thanks and be well.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ulcer haemorrhage
Clinical narrative: 3/16/2021 Reaction from Pfizer second shot:  I received the second Pfizer vaccine on Tuesday, February 23rd, 2021 around 1PM.  Early Wednesday morning I developed Gastric reflux which I never had before. As the day progressed I had severe abdominal pain that lasted throughout the day, also something I never had before. Nausea set in late that evening. Although Thursday was fairly stable, on Friday I developed black diarrhea that continued all day.  By Sunday I was so weak that a nurse came and sent me to hospital via  ambulance. After 4 days of blood tests, transfusions, a chest x-ray, heart monitor, endoscopy and colonoscopy  etc. , the only diagnosis for the significant blood loss was a bleeding ulcer.  This must have been developing on Wednesday when the severe pain began. After release from the 4 day hospital stay, I was sent to our health clinic for 6 days to regain some strength. Since I never had ulcers, I firmly believe that everything was activated on Tuesday when I received the second Pfizer vaccine shot.  Please advise on your perspective of my situation. Is what I have described similar to others who have reported vaccine side-effects?  Thanks and be well.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: admit 2/18, vaccine 1/9, 2/3. PNA, COVID+. Treated w/zinc, dexa, abx. DCd to home.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Fatigue, Feeling cold, Headache, Loss of consciousness
Clinical narrative: Around 8pm I became very cold and tired. I took a bath, which is out of character, and tried to sleep. By 9 pm I was alternating between hot and cold sweats.  By 10 pm I was vomiting and defeating uncontrollably while still alternating between hot and cold sweats. I dry heaved until around 3 am and then finally passed out. My fever never exceeded right about 100 degrees. For the next 2 days I was incredibly exhausted with muscle aches and a minor headache. I didn?t return to baseline for approximately 6 days after the shot.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Retching, Vomiting
Clinical narrative: Around 8pm I became very cold and tired. I took a bath, which is out of character, and tried to sleep. By 9 pm I was alternating between hot and cold sweats.  By 10 pm I was vomiting and defeating uncontrollably while still alternating between hot and cold sweats. I dry heaved until around 3 am and then finally passed out. My fever never exceeded right about 100 degrees. For the next 2 days I was incredibly exhausted with muscle aches and a minor headache. I didn?t return to baseline for approximately 6 days after the shot.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery occlusion, Death, Syncope, Unresponsive to stimuli, Ventricular fibrillation
Clinical narrative: syncopal event. 911 was then called. Once EMS arrived he was found unresponsive and was in V fib.; transferred to the cath lab where he was found to have a proximal LAD occlusion deceased 3/17/2021
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: large red welt very itchy still getting larger on day 3 saw Md on 3/23
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Fatigue, Presyncope
Clinical narrative: beginning 20 minutes after the vaccine, patient had near syncope and shortness of breath.  no hives or flushing.  fatigue persisted several days after, along with chest discomfort, worrisome for anaphylaxis reaction.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Autoimmune haemolytic anaemia
Clinical narrative: Patient presented to the hospital with autoimmune hemolytic anemia after reportedly receiving Pfizer COVID19 vaccine 3 weeks prior. For some reason her vaccination is not documented on the computer.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood bilirubin, Blood iron, Blood lactate dehydrogenase, Blood smear test, Crossmatch
Clinical narrative: Patient presented to the hospital with autoimmune hemolytic anemia after reportedly receiving Pfizer COVID19 vaccine 3 weeks prior. For some reason her vaccination is not documented on the computer.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fatigue, Full blood count, Haemoglobin decreased, Haemolytic anaemia
Clinical narrative: Patient presented to the hospital with autoimmune hemolytic anemia after reportedly receiving Pfizer COVID19 vaccine 3 weeks prior. For some reason her vaccination is not documented on the computer.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Reticulocyte count, Transfusion, Vitamin B12
Clinical narrative: Patient presented to the hospital with autoimmune hemolytic anemia after reportedly receiving Pfizer COVID19 vaccine 3 weeks prior. For some reason her vaccination is not documented on the computer.
Age: 62.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Pruritus, Swelling, Urticaria
Clinical narrative: extreme swelling, redness, itching, hives, all over  face, eyes, ears, neck
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Laboratory test, Syncope
Clinical narrative: syncope the morning after vaccination
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Influenza virus test, Pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: By 4 pm, the body aches turned into a high fever and went to the emergency room at 8 pm with a fever of 105.5. I was given 2 bags of cold saline IV and it dropped to 101 and they released me.   Janssen COVID-19 Vaccine EUA
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: By 4 pm, the body aches turned into a high fever and went to the emergency room at 8 pm with a fever of 105.5. I was given 2 bags of cold saline IV and it dropped to 101 and they released me.   Janssen COVID-19 Vaccine EUA
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site reaction, Injection site swelling, Rash macular
Clinical narrative: Patient reported and sent picture of a egg shaped red blotch on left arm at injection site.  Reports this developed 9 days after injection. She reported icing site. Redness and swelling did decrease after a few days.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Hair texture abnormal, Heart rate, Heart rate increased, Hypoaesthesia oral
Clinical narrative: Patient reported and sent picture of a egg shaped red blotch on left arm at injection site.  Reports this developed 9 days after injection. She reported icing site. Redness and swelling did decrease after a few days.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Skin burning sensation
Clinical narrative: Patient reported and sent picture of a egg shaped red blotch on left arm at injection site.  Reports this developed 9 days after injection. She reported icing site. Redness and swelling did decrease after a few days.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Alanine aminotransferase increased, Anion gap normal, Aspartate aminotransferase increased, Atrial fibrillation
Clinical narrative: The patient initially presented (3/3/21) with headache, fevers, nausea, vomiting, diarrhea, myalgias, malaise. Patient related she was in her normal state of health and only started to feel poorly after she received her second COVID-19 vaccination three days earlier.  She interestingly related that after her first Pfizer COVID-19 vaccination she had significant burning in her stomach that she noted but no other major symptoms and notably did not experience this severe burning in her stomach after the second dose. She denied any chest pain, current dyspnea, productive cough, sore throat, urinary symptoms, sick contacts.  She has no history of C. difficile, no recent antibiotics, no recent spoiled foods, no recent travel, no history of radiation.  She does have a history of GERD and has had gastritis with mild gastrointestinal bleeding in the past and undergone EGD negative for H. pylori infection.  She also has undergone colonoscopies with polyps that have been removed and reported as tubular adenomas.  As her hospitalization progressed, she was diagnosed with Severe Sepsis due to E. Coli bacteremia in setting of liver abscess, Cholelithiasis without acute cholecystitis, Atrial Fibrillation with rapid ventricular response, Transaminitis (which resolved). Patient was appropriately treated for these conditions. Also, her known uncontrolled diabetes was treated. Per an Infection Disease note on 3/9/21: The patient has had hx of biliary colic (self diagnosis) now with discovery of non-obstructive cholelithiasis on RUQ US it is plausible that the abscess originated from self limiting cholecystitis/cholangitis which would be consistent with recent abdominal pain exacerbated with oral intake. Difficult to state definitively any relation to COVID-19 vaccination, though may have resulted from associated dehydration.   Additional COVID vaccine info (both Pfizer): first dose: 2/7/21 lot# EN 5318 second dose: 2/28/21 lot# EN6202
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood glucose increased, Blood lactic acid, Blood magnesium normal, Blood sodium decreased
Clinical narrative: The patient initially presented (3/3/21) with headache, fevers, nausea, vomiting, diarrhea, myalgias, malaise. Patient related she was in her normal state of health and only started to feel poorly after she received her second COVID-19 vaccination three days earlier.  She interestingly related that after her first Pfizer COVID-19 vaccination she had significant burning in her stomach that she noted but no other major symptoms and notably did not experience this severe burning in her stomach after the second dose. She denied any chest pain, current dyspnea, productive cough, sore throat, urinary symptoms, sick contacts.  She has no history of C. difficile, no recent antibiotics, no recent spoiled foods, no recent travel, no history of radiation.  She does have a history of GERD and has had gastritis with mild gastrointestinal bleeding in the past and undergone EGD negative for H. pylori infection.  She also has undergone colonoscopies with polyps that have been removed and reported as tubular adenomas.  As her hospitalization progressed, she was diagnosed with Severe Sepsis due to E. Coli bacteremia in setting of liver abscess, Cholelithiasis without acute cholecystitis, Atrial Fibrillation with rapid ventricular response, Transaminitis (which resolved). Patient was appropriately treated for these conditions. Also, her known uncontrolled diabetes was treated. Per an Infection Disease note on 3/9/21: The patient has had hx of biliary colic (self diagnosis) now with discovery of non-obstructive cholelithiasis on RUQ US it is plausible that the abscess originated from self limiting cholecystitis/cholangitis which would be consistent with recent abdominal pain exacerbated with oral intake. Difficult to state definitively any relation to COVID-19 vaccination, though may have resulted from associated dehydration.   Additional COVID vaccine info (both Pfizer): first dose: 2/7/21 lot# EN 5318 second dose: 2/28/21 lot# EN6202
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea increased, Carbon dioxide decreased, Chest X-ray normal, Cholelithiasis, Dehydration
Clinical narrative: The patient initially presented (3/3/21) with headache, fevers, nausea, vomiting, diarrhea, myalgias, malaise. Patient related she was in her normal state of health and only started to feel poorly after she received her second COVID-19 vaccination three days earlier.  She interestingly related that after her first Pfizer COVID-19 vaccination she had significant burning in her stomach that she noted but no other major symptoms and notably did not experience this severe burning in her stomach after the second dose. She denied any chest pain, current dyspnea, productive cough, sore throat, urinary symptoms, sick contacts.  She has no history of C. difficile, no recent antibiotics, no recent spoiled foods, no recent travel, no history of radiation.  She does have a history of GERD and has had gastritis with mild gastrointestinal bleeding in the past and undergone EGD negative for H. pylori infection.  She also has undergone colonoscopies with polyps that have been removed and reported as tubular adenomas.  As her hospitalization progressed, she was diagnosed with Severe Sepsis due to E. Coli bacteremia in setting of liver abscess, Cholelithiasis without acute cholecystitis, Atrial Fibrillation with rapid ventricular response, Transaminitis (which resolved). Patient was appropriately treated for these conditions. Also, her known uncontrolled diabetes was treated. Per an Infection Disease note on 3/9/21: The patient has had hx of biliary colic (self diagnosis) now with discovery of non-obstructive cholelithiasis on RUQ US it is plausible that the abscess originated from self limiting cholecystitis/cholangitis which would be consistent with recent abdominal pain exacerbated with oral intake. Difficult to state definitively any relation to COVID-19 vaccination, though may have resulted from associated dehydration.   Additional COVID vaccine info (both Pfizer): first dose: 2/7/21 lot# EN 5318 second dose: 2/28/21 lot# EN6202
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Diabetes mellitus, Diarrhoea, Electrocardiogram abnormal, Escherichia bacteraemia, Feeling abnormal
Clinical narrative: The patient initially presented (3/3/21) with headache, fevers, nausea, vomiting, diarrhea, myalgias, malaise. Patient related she was in her normal state of health and only started to feel poorly after she received her second COVID-19 vaccination three days earlier.  She interestingly related that after her first Pfizer COVID-19 vaccination she had significant burning in her stomach that she noted but no other major symptoms and notably did not experience this severe burning in her stomach after the second dose. She denied any chest pain, current dyspnea, productive cough, sore throat, urinary symptoms, sick contacts.  She has no history of C. difficile, no recent antibiotics, no recent spoiled foods, no recent travel, no history of radiation.  She does have a history of GERD and has had gastritis with mild gastrointestinal bleeding in the past and undergone EGD negative for H. pylori infection.  She also has undergone colonoscopies with polyps that have been removed and reported as tubular adenomas.  As her hospitalization progressed, she was diagnosed with Severe Sepsis due to E. Coli bacteremia in setting of liver abscess, Cholelithiasis without acute cholecystitis, Atrial Fibrillation with rapid ventricular response, Transaminitis (which resolved). Patient was appropriately treated for these conditions. Also, her known uncontrolled diabetes was treated. Per an Infection Disease note on 3/9/21: The patient has had hx of biliary colic (self diagnosis) now with discovery of non-obstructive cholelithiasis on RUQ US it is plausible that the abscess originated from self limiting cholecystitis/cholangitis which would be consistent with recent abdominal pain exacerbated with oral intake. Difficult to state definitively any relation to COVID-19 vaccination, though may have resulted from associated dehydration.   Additional COVID vaccine info (both Pfizer): first dose: 2/7/21 lot# EN 5318 second dose: 2/28/21 lot# EN6202
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Haematocrit decreased, Haemoglobin decreased, Headache, Liver abscess
Clinical narrative: The patient initially presented (3/3/21) with headache, fevers, nausea, vomiting, diarrhea, myalgias, malaise. Patient related she was in her normal state of health and only started to feel poorly after she received her second COVID-19 vaccination three days earlier.  She interestingly related that after her first Pfizer COVID-19 vaccination she had significant burning in her stomach that she noted but no other major symptoms and notably did not experience this severe burning in her stomach after the second dose. She denied any chest pain, current dyspnea, productive cough, sore throat, urinary symptoms, sick contacts.  She has no history of C. difficile, no recent antibiotics, no recent spoiled foods, no recent travel, no history of radiation.  She does have a history of GERD and has had gastritis with mild gastrointestinal bleeding in the past and undergone EGD negative for H. pylori infection.  She also has undergone colonoscopies with polyps that have been removed and reported as tubular adenomas.  As her hospitalization progressed, she was diagnosed with Severe Sepsis due to E. Coli bacteremia in setting of liver abscess, Cholelithiasis without acute cholecystitis, Atrial Fibrillation with rapid ventricular response, Transaminitis (which resolved). Patient was appropriately treated for these conditions. Also, her known uncontrolled diabetes was treated. Per an Infection Disease note on 3/9/21: The patient has had hx of biliary colic (self diagnosis) now with discovery of non-obstructive cholelithiasis on RUQ US it is plausible that the abscess originated from self limiting cholecystitis/cholangitis which would be consistent with recent abdominal pain exacerbated with oral intake. Difficult to state definitively any relation to COVID-19 vaccination, though may have resulted from associated dehydration.   Additional COVID vaccine info (both Pfizer): first dose: 2/7/21 lot# EN 5318 second dose: 2/28/21 lot# EN6202
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Nausea, Procalcitonin normal, Pyrexia
Clinical narrative: The patient initially presented (3/3/21) with headache, fevers, nausea, vomiting, diarrhea, myalgias, malaise. Patient related she was in her normal state of health and only started to feel poorly after she received her second COVID-19 vaccination three days earlier.  She interestingly related that after her first Pfizer COVID-19 vaccination she had significant burning in her stomach that she noted but no other major symptoms and notably did not experience this severe burning in her stomach after the second dose. She denied any chest pain, current dyspnea, productive cough, sore throat, urinary symptoms, sick contacts.  She has no history of C. difficile, no recent antibiotics, no recent spoiled foods, no recent travel, no history of radiation.  She does have a history of GERD and has had gastritis with mild gastrointestinal bleeding in the past and undergone EGD negative for H. pylori infection.  She also has undergone colonoscopies with polyps that have been removed and reported as tubular adenomas.  As her hospitalization progressed, she was diagnosed with Severe Sepsis due to E. Coli bacteremia in setting of liver abscess, Cholelithiasis without acute cholecystitis, Atrial Fibrillation with rapid ventricular response, Transaminitis (which resolved). Patient was appropriately treated for these conditions. Also, her known uncontrolled diabetes was treated. Per an Infection Disease note on 3/9/21: The patient has had hx of biliary colic (self diagnosis) now with discovery of non-obstructive cholelithiasis on RUQ US it is plausible that the abscess originated from self limiting cholecystitis/cholangitis which would be consistent with recent abdominal pain exacerbated with oral intake. Difficult to state definitively any relation to COVID-19 vaccination, though may have resulted from associated dehydration.   Additional COVID vaccine info (both Pfizer): first dose: 2/7/21 lot# EN 5318 second dose: 2/28/21 lot# EN6202
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sepsis, Shift to the left, Streptococcus test, Transaminases increased
Clinical narrative: The patient initially presented (3/3/21) with headache, fevers, nausea, vomiting, diarrhea, myalgias, malaise. Patient related she was in her normal state of health and only started to feel poorly after she received her second COVID-19 vaccination three days earlier.  She interestingly related that after her first Pfizer COVID-19 vaccination she had significant burning in her stomach that she noted but no other major symptoms and notably did not experience this severe burning in her stomach after the second dose. She denied any chest pain, current dyspnea, productive cough, sore throat, urinary symptoms, sick contacts.  She has no history of C. difficile, no recent antibiotics, no recent spoiled foods, no recent travel, no history of radiation.  She does have a history of GERD and has had gastritis with mild gastrointestinal bleeding in the past and undergone EGD negative for H. pylori infection.  She also has undergone colonoscopies with polyps that have been removed and reported as tubular adenomas.  As her hospitalization progressed, she was diagnosed with Severe Sepsis due to E. Coli bacteremia in setting of liver abscess, Cholelithiasis without acute cholecystitis, Atrial Fibrillation with rapid ventricular response, Transaminitis (which resolved). Patient was appropriately treated for these conditions. Also, her known uncontrolled diabetes was treated. Per an Infection Disease note on 3/9/21: The patient has had hx of biliary colic (self diagnosis) now with discovery of non-obstructive cholelithiasis on RUQ US it is plausible that the abscess originated from self limiting cholecystitis/cholangitis which would be consistent with recent abdominal pain exacerbated with oral intake. Difficult to state definitively any relation to COVID-19 vaccination, though may have resulted from associated dehydration.   Additional COVID vaccine info (both Pfizer): first dose: 2/7/21 lot# EN 5318 second dose: 2/28/21 lot# EN6202
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin, Ultrasound abdomen abnormal, Urine analysis normal, Vomiting, White blood cell count increased
Clinical narrative: The patient initially presented (3/3/21) with headache, fevers, nausea, vomiting, diarrhea, myalgias, malaise. Patient related she was in her normal state of health and only started to feel poorly after she received her second COVID-19 vaccination three days earlier.  She interestingly related that after her first Pfizer COVID-19 vaccination she had significant burning in her stomach that she noted but no other major symptoms and notably did not experience this severe burning in her stomach after the second dose. She denied any chest pain, current dyspnea, productive cough, sore throat, urinary symptoms, sick contacts.  She has no history of C. difficile, no recent antibiotics, no recent spoiled foods, no recent travel, no history of radiation.  She does have a history of GERD and has had gastritis with mild gastrointestinal bleeding in the past and undergone EGD negative for H. pylori infection.  She also has undergone colonoscopies with polyps that have been removed and reported as tubular adenomas.  As her hospitalization progressed, she was diagnosed with Severe Sepsis due to E. Coli bacteremia in setting of liver abscess, Cholelithiasis without acute cholecystitis, Atrial Fibrillation with rapid ventricular response, Transaminitis (which resolved). Patient was appropriately treated for these conditions. Also, her known uncontrolled diabetes was treated. Per an Infection Disease note on 3/9/21: The patient has had hx of biliary colic (self diagnosis) now with discovery of non-obstructive cholelithiasis on RUQ US it is plausible that the abscess originated from self limiting cholecystitis/cholangitis which would be consistent with recent abdominal pain exacerbated with oral intake. Difficult to state definitively any relation to COVID-19 vaccination, though may have resulted from associated dehydration.   Additional COVID vaccine info (both Pfizer): first dose: 2/7/21 lot# EN 5318 second dose: 2/28/21 lot# EN6202
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Peripheral swelling, Rash macular, Tenderness
Clinical narrative: Swollen upper arm and tender for 2 days after the injection.  The ringworm rash seemed to spread like wildfire on the third day and within a couple of days, both my legs were covered with the blotches.  I had continued using the tolnaftate but on Saturday the 13th of March I went to get medical advise at the local ER and was told to take Allegra and Clotrimazole-Betamethazone cream.  The rash got worse and I called Dr. and he told me to contniue to take the Allegra but stop the cream and start with Lotrimin because the Betamethazone in the cream counteracts the positive effects of the Clotrimazole.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Background: pharmacy received 49 vials of Pfizer COVID vaccine (Lot number EN6199) on 5 March 2021 and stored them in the pharmacy refrigerator.   The doses were labeled with an expiration date of 10 March 2021 at 0701.   Since starting the COVID-19 vaccine program, the pharmacy has always used the doses before they approached the expiration date.  This time, there were 16 vials of the Pfizer vaccine that had not been used and set to expire. The labeled expiration date and time were clearly present on the outside of the bag containing the doses.  On the morning of 10 March 2021, a pharmacist retrieved 1 vial at 0754 and 7 vials at 1138 from that allocation and provided them to nursing for the day?s administrations.  The pharmacy placed those doses in a new amber bag and did not label the bag with an expiration date and time.   The nursing team received the vials, diluted and drew up 20 doses that were administered to patients before 1230.    The charge nurse did not question the expiration date until after 20 patients had been vaccinated.  At that time she messaged the pharmacist to verify the expiration date.  The pharmacist indicated that the label did not state am or pm and misinterpreted the expiration time for the doses as 7:01 PM rather than 7:01 AM.  There was not a defined double check at the time of distribution from the pharmacy to nursing  The remaining 11 vials were quarantined.  The pharmacy manager contacted the manufacturer.  According to Pfizer it?s recommended to use the thawed vaccine within 120 hours, but can be used up to 144 hours.  The doses in question were administered before 125 hours after they were thawed.  The remaining expired vials will be wasted and appropriate notifications sent.  Assessment: Twenty patients received Pfizer COVID vaccine 5 hours passed the labeled expiration date and time.  While exceeding the manufacturer?s recommended beyond use dating, the doses were within the acceptable 144 hours post thaw period and still safe for patient administration.  There was misinterpretation of the labeled expiration time by the dispensing pharmacist, the container of COVID vaccine vials provided to nursing was not labeled with an expiration date or time, there was not a double check on hand off, the nursing team did not double check the expiration date/time before dilution or administration.  Recommendation:  When repackaging COVID Vaccine vials for distribution to vaccination centers, a label including the expiration date and time should be placed on the new container.    When COVID vaccine is transferred from one location or department to the next, a double check of the product, quantity, integrity and expiration date and time may prevent a recurrence of this situation.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Gingival pruritus, Pharyngeal paraesthesia
Clinical narrative: Tingling throat, itching gums, 15 minutes of uncontrollable hacking cough at onset. Cough subsided but throat still tingles 3 hours after event began
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Headache, Nausea
Clinical narrative: Headache, stomach ache, slight nausea. Some fatigue. Started late evening 3/23, lasted til late afternoon 3/24. No treatment.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Heart rate increased, Palpitations, Tachycardia
Clinical narrative: Pt developed palpitations, tachycardia and lightheadedness appx. 10 minutes after injection. HR was noted to be elevated initially at appx. 120.  Symptoms improved after several minutes. BP was noted to be158/94.  HR improved to 70s. Pt noted a metallic taste in mouth as well. EMS services and hospital evaluation were offered but pt declined. She elected to go home and mentioned that she will call her doctor.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Sustained fever up to 104 F (48 hours), extreme chills and body shakes, muscle aches, body aches, headache, nausea, fatigue.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Sustained fever up to 104 F (48 hours), extreme chills and body shakes, muscle aches, body aches, headache, nausea, fatigue.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Rash, Rash pruritic
Clinical narrative: Mild itchy rash on right arm between elbow and wrist, with small blisters - reminiscent of urushiol (poison ivy/oak/sumac) exposure, but patient had no known exposure. Reporting only as precaution for data. Treated with spot application of OTC hydrocortisone cream, nearly resolved at 6 days.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Headache, Musculoskeletal stiffness, Neck pain
Clinical narrative: First Vaccine was 1/13/21 same location. I received the 2nd dose of the COVID-19 Vaccine (Pfizer) on 2/3/21. On 2/4/21 I had body aches, headache, low grade fever, joint pain. On 2/5/21 Fever up to 102, severe body aches and headache and joint pain. By 2/6/21, most S/S had gone no more fever or body aches. However, I noticed significant swelling Left shoulder blade and arm pit. Left shoulder was painful to touch and arm pit was sore. The headache continued but milder now located almost completely at base of skull. By 2/17/21 I noticed the swelling in Left shoulder blade had gone down, however the armpit remained very swollen. Also, in addition I have a lot of bilateral swelling in my neck most noticeable right above my clavicle on both sides. This swelling is also painful and my neck is very stiff and painful to turn to the sides. I saw my PCP on 3/19/21 regarding as I am now over 6 weeks post vaccination.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: First Vaccine was 1/13/21 same location. I received the 2nd dose of the COVID-19 Vaccine (Pfizer) on 2/3/21. On 2/4/21 I had body aches, headache, low grade fever, joint pain. On 2/5/21 Fever up to 102, severe body aches and headache and joint pain. By 2/6/21, most S/S had gone no more fever or body aches. However, I noticed significant swelling Left shoulder blade and arm pit. Left shoulder was painful to touch and arm pit was sore. The headache continued but milder now located almost completely at base of skull. By 2/17/21 I noticed the swelling in Left shoulder blade had gone down, however the armpit remained very swollen. Also, in addition I have a lot of bilateral swelling in my neck most noticeable right above my clavicle on both sides. This swelling is also painful and my neck is very stiff and painful to turn to the sides. I saw my PCP on 3/19/21 regarding as I am now over 6 weeks post vaccination.