chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Mastication disorder, Muscular weakness, Sensory loss
Clinical narrative: Clinical Indications 62 year old male with progressive symptoms over weeks to months of leg > arm weakness, gait abnormality, dysarthria, dysphagia, fatigue with chewing, and double vision with onset ~3-4 weeks after his J&J vaccine in March 2021. He reached his nadir in late July, with ongoing symptoms with mild fluctuations. His examination shows subtle extraocular movement abnormalities with report of double vision, mild distal sensory loss, and gait ataxia.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Pt was accidentally given the Pfizer vaccine for a booster dose after receiving an initial Moderna immunization.  No adverse events observed/reported at this time.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Condition aggravated, Feeling abnormal, Feeling cold
Clinical narrative: As with my first vaccine in August, it took several hours then I start getting chilly then, after about two hours of that, I get the uncontrollable shivers for, 6 hours after the first shot and four hours after the second. Last night was hell. You should know that I had covid last year from June until October when I had to return to work or starve and get evicted. I have never really recovered completely.  My breathing is only about 75%  of capacity so I get winded easily. JOINT PAIN. After each vaccine shot, and the shivering stops, It feels like every one of my joints is inflamed and hurts so bad I can imagine what arthritis feels like.  Today, the day after the second shot I walk around in agony feeling like I have been hit by a bus. Same after the first vaccine in August. It will take me days to recover comfortably.  The joint pain was one of the major symptoms I had during covid last year and comes and goes every few months. I have had to retire from work due to the symptoms.  So, all this BS you release about the second dose being mild or no effects is just that, BS. I will never get another jab even if the Omega variant comes around.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Pain
Clinical narrative: As with my first vaccine in August, it took several hours then I start getting chilly then, after about two hours of that, I get the uncontrollable shivers for, 6 hours after the first shot and four hours after the second. Last night was hell. You should know that I had covid last year from June until October when I had to return to work or starve and get evicted. I have never really recovered completely.  My breathing is only about 75%  of capacity so I get winded easily. JOINT PAIN. After each vaccine shot, and the shivering stops, It feels like every one of my joints is inflamed and hurts so bad I can imagine what arthritis feels like.  Today, the day after the second shot I walk around in agony feeling like I have been hit by a bus. Same after the first vaccine in August. It will take me days to recover comfortably.  The joint pain was one of the major symptoms I had during covid last year and comes and goes every few months. I have had to retire from work due to the symptoms.  So, all this BS you release about the second dose being mild or no effects is just that, BS. I will never get another jab even if the Omega variant comes around.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series of mRNA vaccine Pfizer and Moderna
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Blood test, Colonoscopy normal, Diarrhoea, Magnetic resonance imaging normal
Clinical narrative: 3 or 4 days after the first vaccine I developed a diarrhea illness. I went to my GI doctor after the second dose (which I received on 03/23/2021-lot number 0Y0A21A) on 04/15/2021. He ordered different tests for me and I ended up having a colonoscopy in 06/09/2021, which was normal. They also did blood work and they were some abnormalities. He said the vaccine created an autoimmune response that caused the diarrhea. I also ended up having tinnitus in my left ear after the second dose. I went to the ENT and audiologist on 04/20/2021 because the tinnitus will not go away. I had a hearing test and it showed no loss of hearing. They also did an MRI of my auditory canal on 05/20/2021, which came back normal. My ENT said they have seen more tinnitus since the pandemic. The audiologist also said they have seen more tinnitus since Covid. By 04/24/2021 all of my GI symptoms seem to have resolved. Sometimes the tinnitus gets really loud. It's like a high pitch ringing. I talked to another doctor and he did not know about it was caused by the vaccine but he said since it was unilateral it should go away.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: 3 or 4 days after the first vaccine I developed a diarrhea illness. I went to my GI doctor after the second dose (which I received on 03/23/2021-lot number 0Y0A21A) on 04/15/2021. He ordered different tests for me and I ended up having a colonoscopy in 06/09/2021, which was normal. They also did blood work and they were some abnormalities. He said the vaccine created an autoimmune response that caused the diarrhea. I also ended up having tinnitus in my left ear after the second dose. I went to the ENT and audiologist on 04/20/2021 because the tinnitus will not go away. I had a hearing test and it showed no loss of hearing. They also did an MRI of my auditory canal on 05/20/2021, which came back normal. My ENT said they have seen more tinnitus since the pandemic. The audiologist also said they have seen more tinnitus since Covid. By 04/24/2021 all of my GI symptoms seem to have resolved. Sometimes the tinnitus gets really loud. It's like a high pitch ringing. I talked to another doctor and he did not know about it was caused by the vaccine but he said since it was unilateral it should go away.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise
Clinical narrative: 10 minutes after receiving the second dose of Pfizer, pt expressed that she was dizzy, lightheaded, and didn?t feel well.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Coronary vascular graft occlusion, Echocardiogram, Ejection fraction decreased, Ventricular fibrillation
Clinical narrative: 2 weeks after the vaccine, patient had a complete coronary artery occlusion of 3 of the 4 vein grafts with an ejection fraction of 15-20% and resulting vfib.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Blood test, Chest X-ray, Diarrhoea
Clinical narrative: I had horrible stomach cramping and diarrhea and I lost consciousness. My husband called the ambulance - paramedics came and took to ER Hospital. They gave me IV fluids. They did not send me home with any treatment. I was very weak and dizzy after they released me but better. That was the only time that has happened. It took about three days until I was back to doing things.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Electrocardiogram ambulatory, Loss of consciousness
Clinical narrative: I had horrible stomach cramping and diarrhea and I lost consciousness. My husband called the ambulance - paramedics came and took to ER Hospital. They gave me IV fluids. They did not send me home with any treatment. I was very weak and dizzy after they released me but better. That was the only time that has happened. It took about three days until I was back to doing things.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Employee given expired flu vaccination.  Expiration date of 06/30/21.  No signs or symptoms reported thus far.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, SARS-CoV-2 test positive
Clinical narrative: ER c/o CP, non-productive cough, fatigue, and fever of 99 for the past three days. Patient was found to be COVID negative two days ago. Patient is currently on anti-rejection medication for scleroderma. Patient reports having received her COVID vaccinations in February 2021. She recently had COVID exposure. Patient discharged home in stable condition no steroids initiated as patient was not hypoxemic
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dizziness, Encephalopathy, SARS-CoV-2 test positive
Clinical narrative: Presented to emergency department 8/7/2021 with encephalopathy, cough and lightheadedness. Caregiver son (unvaccinated) unable to care for patient, so discharged delayed in order to find nursing home placement. Discharged in good condition on 8/20/21.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: Right underarm swelled up - swelling filled in arm pit - injection site swollen & warm to touch.  This was shown to my pharmacist- she felt the injection site was too high - and told me to report to Health department, where I got booster shot. I did but guess they didn?t tell anyone. My arm and underarm was swollen for a week. Used ice pal & Tylenol.  But still took a good week to go back to normal.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pharyngeal swelling, Swollen tongue
Clinical narrative: fatigue, delayed tongue/throat swelling (mild, no stridor, no resp distress)
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Swollen tongue, Throat irritation
Clinical narrative: fatigue, delayed tongue/throat swelling (mild, no stridor, no resp distress)
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pharyngeal swelling, Swollen tongue
Clinical narrative: 9/15/21: two days after injection , developed tongue swelling that has improved 09/24/21: has had throat "swelling" and irritation Has been taking OTC benadryl Given Decadron 10 mg IM (9/24/21) and medrol dose pack (6 day course) and epi pen as prescriptions and advised to have low threshold to go to ER if symptoms worsen
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Swollen tongue, Throat irritation
Clinical narrative: 9/15/21: two days after injection , developed tongue swelling that has improved 09/24/21: has had throat "swelling" and irritation Has been taking OTC benadryl Given Decadron 10 mg IM (9/24/21) and medrol dose pack (6 day course) and epi pen as prescriptions and advised to have low threshold to go to ER if symptoms worsen
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Amylase, Back pain, Computerised tomogram abdomen
Clinical narrative: Upper abdominal pain, radiates to back, diarrhea and stomach upset with eating, started 10 days after vaccine on 9/21/21 and isn't improving
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram pelvis, Diarrhoea, Lipase, Metabolic function test, Pain
Clinical narrative: Upper abdominal pain, radiates to back, diarrhea and stomach upset with eating, started 10 days after vaccine on 9/21/21 and isn't improving
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound scan
Clinical narrative: Pain in left calf started 2 days after vaccine. Pain progressed. Went to ER on 4th day. DVT in left leg noted. No history of DVT or clotting issues in past.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series of mRNA vaccine Pfizer and Moderna
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Swelling face
Clinical narrative: Patient's friend called an hour after patient left the pharmacy to report that he was having facial swelling and arm numbness. He received vaccine at 230pm and called the pharmacy back at 335pm. I recommended Benadryl and medical attention if needed. She was going to administer Benadryl  and seek medical attention if his symptoms stayed the same or worsened.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram, Erythema, Fatigue, Headache
Clinical narrative: Reacted to the first dose 12 days after the shot, had severe itching, rash on entire upper arm, swelling, redness, red, hot, hard, pain went up into right upper chest (lymph nodes possibly), had a fever and headache for 3 days. Arm issues lasted for 8 days. No sore throat or cough, but unsure if I may have had Covid (did not test at the time). On July 3rd began experiencing neurological issues and low-grade fever for whole month, had fatigue, evaluated for stroke. Saw Nurse Practitioner in urgent care on 19th of July, ordered stat labs and CT of brain, saw doctor the next day on the 20th. Symptoms began to subside for a bit then resurged a bit in early August, then went back to normal.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Laboratory test, Nervous system disorder, Pruritus, Pyrexia
Clinical narrative: Reacted to the first dose 12 days after the shot, had severe itching, rash on entire upper arm, swelling, redness, red, hot, hard, pain went up into right upper chest (lymph nodes possibly), had a fever and headache for 3 days. Arm issues lasted for 8 days. No sore throat or cough, but unsure if I may have had Covid (did not test at the time). On July 3rd began experiencing neurological issues and low-grade fever for whole month, had fatigue, evaluated for stroke. Saw Nurse Practitioner in urgent care on 19th of July, ordered stat labs and CT of brain, saw doctor the next day on the 20th. Symptoms began to subside for a bit then resurged a bit in early August, then went back to normal.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin warm, Swelling
Clinical narrative: Reacted to the first dose 12 days after the shot, had severe itching, rash on entire upper arm, swelling, redness, red, hot, hard, pain went up into right upper chest (lymph nodes possibly), had a fever and headache for 3 days. Arm issues lasted for 8 days. No sore throat or cough, but unsure if I may have had Covid (did not test at the time). On July 3rd began experiencing neurological issues and low-grade fever for whole month, had fatigue, evaluated for stroke. Saw Nurse Practitioner in urgent care on 19th of July, ordered stat labs and CT of brain, saw doctor the next day on the 20th. Symptoms began to subside for a bit then resurged a bit in early August, then went back to normal.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Disturbance in attention, Dizziness, Headache, Loss of personal independence in daily activities
Clinical narrative: About a week after my second shot I started to have a consistent haze and low grade dizziness that was about a 3/10 in severity and would increase during certain head movements. My vision was slightly affected. Barometric pressure headaches which I would get a couple a month turned into a couple a week.    Dizziness started about a few days to a week after second shot. Hard to be sure exactly when but after second shot. Had no issues during or after first shot. It?s made driving a little harder and created symptoms I?ve never had like certain motion sickness, heightened dizziness after turning my head left/right or up/down and a feeling of not as sharp concentration.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging, Visual impairment
Clinical narrative: About a week after my second shot I started to have a consistent haze and low grade dizziness that was about a 3/10 in severity and would increase during certain head movements. My vision was slightly affected. Barometric pressure headaches which I would get a couple a month turned into a couple a week.    Dizziness started about a few days to a week after second shot. Hard to be sure exactly when but after second shot. Had no issues during or after first shot. It?s made driving a little harder and created symptoms I?ve never had like certain motion sickness, heightened dizziness after turning my head left/right or up/down and a feeling of not as sharp concentration.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: After receiving vaccine, patient was sitting in observation. Patient passed out in the chair - did not fall. RN assisted patient to wheelchair. Patient regained consciousness prior to transferring. Laid patient down in EMS room cot. Patient's symptoms quickly resolved. BP: 94/58, P:60, R:16, O2 Sats 98% on room air. Repeat BP: 110/52
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Constant and pulsatile Tinnitus
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Loss of consciousness, Nausea, Posture abnormal
Clinical narrative: Patient came in for Covid 19 Pfizer 1st dose - 9/24/21 (walk in) had not eaten and was anxious about receiving the vaccine.  After administration of the vaccine, patient became lightheaded and nauseated, went limp and slumped over in chair. She did not hit her head, but was unconscious for approximately 15-30 seconds.  When she regained consciousness, she was slightly disoriented but WAS oriented to person and place. Her pulse was faint and her blood pressure was 100/58. An ambulance was called and she was transported to the hospital via emergency personnel.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pulse abnormal
Clinical narrative: Patient came in for Covid 19 Pfizer 1st dose - 9/24/21 (walk in) had not eaten and was anxious about receiving the vaccine.  After administration of the vaccine, patient became lightheaded and nauseated, went limp and slumped over in chair. She did not hit her head, but was unconscious for approximately 15-30 seconds.  When she regained consciousness, she was slightly disoriented but WAS oriented to person and place. Her pulse was faint and her blood pressure was 100/58. An ambulance was called and she was transported to the hospital via emergency personnel.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Mobility decreased, Myalgia, Pain in extremity
Clinical narrative: Low-grade fever, fatigue enough to stay in bed all day, general muscle aches, left arm very sore, red and hot to the touch.   No treatment.  Took fluids, rested and was groggy the next day, but able to work. Third day, I felt normal.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Skin warm, Somnolence
Clinical narrative: Low-grade fever, fatigue enough to stay in bed all day, general muscle aches, left arm very sore, red and hot to the touch.   No treatment.  Took fluids, rested and was groggy the next day, but able to work. Third day, I felt normal.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series of mRNA vaccine Pfizer and Moderna
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death sometime the next A.M.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received J&J COVID-19  vaccine on 3/8/21. Pt also received a dose of Pfizer COVID-19 vaccine on 9/7/21.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: After being fully vaccinated patient contracted the COVID-19 virus and was hospitalized.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Feeling abnormal, Headache, Migraine
Clinical narrative: I received the vaccine and started having headaches the next day. It has now been 12 days and I am not better. I was forced to take the vaccine by university as a remote student. My doctor sent a medical exemption that they denied and didn't tell me why
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Abdominal pain upper, Angioedema, Crying, Pruritus, Pyrexia
Clinical narrative: At his 5 year appointment. He had DTAP and MMR booster. They left the clinic, he started crying, his stomach started to hurt. While on the car ride home he developed angioedema. They turned around and he went to the pediatrician's office. He had diffuse hives and pruritus at that time. He was treated with cetirizine and symptoms improves. He did not vomit. No difficulty breathing. They are not sure if his BP was checked. He has not had vaccines since that time. His vaccines were up to date prior to that appointment. The first time he had chicken pox vaccine he had combined chicken pox mmr and he had a high fever.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Urticaria
Clinical narrative: At his 5 year appointment. He had DTAP and MMR booster. They left the clinic, he started crying, his stomach started to hurt. While on the car ride home he developed angioedema. They turned around and he went to the pediatrician's office. He had diffuse hives and pruritus at that time. He was treated with cetirizine and symptoms improves. He did not vomit. No difficulty breathing. They are not sure if his BP was checked. He has not had vaccines since that time. His vaccines were up to date prior to that appointment. The first time he had chicken pox vaccine he had combined chicken pox mmr and he had a high fever.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Malaise
Clinical narrative: The patient tested positive for COVID-19. The patient arrived in the emergency room with fever, cough, malaise, fatigue, and shortness of breath. The patient was discharged on 08/21/21 in good health.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: The patient tested positive for COVID-19. The patient arrived in the emergency room with fever, cough, malaise, fatigue, and shortness of breath. The patient was discharged on 08/21/21 in good health.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Joint swelling, Limb discomfort, Pain in extremity
Clinical narrative: When I wake up, my feet, ankles, and my knees where in pain. I felt like I am walking like I was walking on bare bones.  By Saturday my left knee was swollen. I try taking medicine and I iced it. It feels like my knee is twisted one way and my leg twisted another way. I went to my doctor. This is joint pain in my legs and foot. He put in a referral for a physical therapy and pain medicine. I as feel very fatigue.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Macular oedema
Clinical narrative: A few months after, a development of macular edema in 1 eye that never existed before.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Fatigue, Loss of personal independence in daily activities, Somnolence
Clinical narrative: Extreme fatigue that prevents normal work day activities,  and life activities. I am always exhausted, in need of a nap and have to stop in order to take a nap that lasts from 30 minutes to 3 hours. As time has passed the length of napping has increased. I cannot make it through the day. I go to bed at night between 8:30 and 9:00 PM and still need naps. I have never been a napper and never liked napping but now it is what gets me through the day.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Patient was sitting in observation area. C/o some numbness to right arm. States she got her vaccine in right arm.  States her left arm was also numb immediately after 1st Covid vaccine and c/o still being numb today.  Advise her to mention it to her PCP. Full range of motion in bilateral arms.  No other complaints
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Vaginal haemorrhage
Clinical narrative: About a week later I started to have spotting that I have not had previously before getting the vaccine. From August 6th to about a week ago I was having light spotting and sometimes the spotting would be heavier than others. I have never experienced that before after receiving my depo shot for birth control. When I went to the doctor she said it was a possible side effect from the depo shot. I had some fatigue when I was spotting for almost a month.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was given on 9/22/21 and vaccine had expired on 9/21/21
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Arthralgia, Chest discomfort, Dyspnoea, Headache
Clinical narrative: Heart pain , chest tightness , headache , joint pain , neck pain , shortness of breath .
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: Heart pain , chest tightness , headache , joint pain , neck pain , shortness of breath .
Age: 94.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was to be given Fluzone HD, but was given Pfizer Covid vaccine. Upon discovery of error, patient was informed of what had happened and patient opted to still receive Fluzone HD, which was then administered.  Patient was instructed to stay for 15 minutes for observation, in which time, no adverse events occurred.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac stress test, Cardiovascular disorder, Chest X-ray, Dyspnoea
Clinical narrative: Complete loss of cardiovascular fitness approximately one month following second vaccination shot. Racing heart beat not corresponding to physical activity. Shortness of breath not corresponding to physical activity. Exhaustion.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Exercise electrocardiogram, Fatigue, Palpitations
Clinical narrative: Complete loss of cardiovascular fitness approximately one month following second vaccination shot. Racing heart beat not corresponding to physical activity. Shortness of breath not corresponding to physical activity. Exhaustion.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Paraesthesia
Clinical narrative: A few hours after the injection I had tingling and numbness in my left arm and hand.  As the day progressed the tingling and numbness also started in my left leg and I had a pain in the left side of my head (above my temple area).  I hoped that the next day these side effects would subside, but they have continued and I am now 4 days post injection.
Age: 12.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Nausea, Tinnitus, Vision blurred
Clinical narrative: Nausea (feeling of needing to throw up); Blurred vision; High pitched ringing noise
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Ear discomfort, Erythema, Foot deformity
Clinical narrative: It started with sore muscles. Over the next week it spread up to the top of my shoulder and neck. My neck was really really sore. My jaw and mandibular area were really sore too. It took at least 2 a half weeks to fade. My ears felt really awful, especially the right ear. Finally, all that muscle pain went again. My ear still feels really stuffy. I get ringing all the time. During the day it does not bother me so much but at night it does since everything is really quiet. Then my right hip started hurting really badly. It still flares up. I have some tendonitis in my right shoulder. I have a bunion in my right toe that has never bother me but now it is really red and swollen. I have been to the doctor for the ear and I am having an appointment with an audiologist. They have not done any medical tests yet but I think they are doing an x-ray of my hip soon. They did not prescribe any medications either.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neck pain, Pain in jaw, Swelling, Tendonitis
Clinical narrative: It started with sore muscles. Over the next week it spread up to the top of my shoulder and neck. My neck was really really sore. My jaw and mandibular area were really sore too. It took at least 2 a half weeks to fade. My ears felt really awful, especially the right ear. Finally, all that muscle pain went again. My ear still feels really stuffy. I get ringing all the time. During the day it does not bother me so much but at night it does since everything is really quiet. Then my right hip started hurting really badly. It still flares up. I have some tendonitis in my right shoulder. I have a bunion in my right toe that has never bother me but now it is really red and swollen. I have been to the doctor for the ear and I am having an appointment with an audiologist. They have not done any medical tests yet but I think they are doing an x-ray of my hip soon. They did not prescribe any medications either.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: It started with sore muscles. Over the next week it spread up to the top of my shoulder and neck. My neck was really really sore. My jaw and mandibular area were really sore too. It took at least 2 a half weeks to fade. My ears felt really awful, especially the right ear. Finally, all that muscle pain went again. My ear still feels really stuffy. I get ringing all the time. During the day it does not bother me so much but at night it does since everything is really quiet. Then my right hip started hurting really badly. It still flares up. I have some tendonitis in my right shoulder. I have a bunion in my right toe that has never bother me but now it is really red and swollen. I have been to the doctor for the ear and I am having an appointment with an audiologist. They have not done any medical tests yet but I think they are doing an x-ray of my hip soon. They did not prescribe any medications either.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Fatigue, Headache, Myalgia
Clinical narrative: onset with headache which resolved, then weakness, muscle pain/aches, tingling sensations, fatigue, loss of strength (feels like acute onset of arthritic like pains
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: onset with headache which resolved, then weakness, muscle pain/aches, tingling sensations, fatigue, loss of strength (feels like acute onset of arthritic like pains
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Rashes, welts, itchiness over body. Looks like covid like rash.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Hot flush
Clinical narrative: Abrupt stop of menstrual and immediate onset of menopause symptoms. Extreme repeated hot flashes, menstrual cycle stopped for four months.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error: Mixed series mRNA vaccine Pfizer and Moderna.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Metallic taste in mouth within 20 minutes of receiving the vaccine
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Patient contracted COVID after being fully vaccinated Cough, congestion, sore throat, runny nose
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: redness to bil arms
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: COVID vaccine 1st dose was given on 9/17/2021 and 2nd dose on 9/24/2021
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: after vaccine at 1640, at 1643, member reported feeling sweaty and faint.  b/p was 68/40 with a pulse of 78.  noted skin was pale.  Advised needed help from facility NP and RN.  Transferred member to exam table, laid flat.  at 1648 bp of 110/68 with pulse of 76.  Provided apple juice and pb crackers.  member admitted to not drinking much during last overnight shift, waking up and drinking an energy drink prior to arrival, no food since midnight night before.  at 1653 bp of 124/82 pulse 78. Member stayed in center and was assessed every 5 minutes at 1700/1705/1710/1715.  Left center at 1720, advised to get food/drink from area fast food to get sugar up.  Emergency number was called at start of event, ambulance arrived, member refused transport to local ER.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing
Clinical narrative: Patient in observation. Said she felt flushed and light-headed. (Just a little bit light-headed). Took patient back to EMS room and gave her water and a snack. Patient says she had not eaten lunch as yet and felt better after eating.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: sore throat, fatigue, muscle aches, headache,  nausea, low fever (less than 100);  over-the-counter drugs, rest - returned to work after a negative COVID test
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: sore throat, fatigue, muscle aches, headache,  nausea, low fever (less than 100);  over-the-counter drugs, rest - returned to work after a negative COVID test
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Tinnitus
Clinical narrative: Dizziness, nausea and periodic light ringing in my right ear.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Dizziness, Dysarthria, Echocardiogram normal, Head discomfort
Clinical narrative: I got my second Pfizer vaccine on 9/16/2021. On 9/18/2021 at 5:00 PM, I suddenly felt like someone was sitting on top of my head, and it was the worst pain I have ever felt. The person I was talking to on the phone told me I was slurring my words, so I put them on hold and called my work supervisor. My supervisor sent me home early from work, because I couldn't even remember what I was saying to him as I was talking. I couldn't drive, so I called my son to pick me up and take me home. The next morning when I woke up, I still had the headache and felt dizzy and lightheaded. I called Ask a Nurse, and I was advised to go to an urgent care clinic with an MRI; I was also advised not to drive. My husband drove me to an urgent care clinic, but their MRI machine was down. My husband then drove me to Medical Center, where they did an echocardiogram and a CT scan of my brain and admitted me. My doctor told me that they were looking for a possible aneurysm and that I would need to undergo an MRI with contrast and a spinal tap. He also said that it would take 3-4 days to get all the necessary tests done, but since there is a hospital bed shortage and I am immunocompromised, I told him I preferred to do it on an outpatient basis. I then went home. On 9/23/2021, I saw a Dr. who referred me to a neurologist; I am still awaiting a call for an appointment with the neurologist. I still have the headache, but it isn't as severe as before, though it feels like there is something on the back of my head that I keep trying to brush away.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired driving ability, Impaired work ability, Memory impairment, Sensory disturbance
Clinical narrative: I got my second Pfizer vaccine on 9/16/2021. On 9/18/2021 at 5:00 PM, I suddenly felt like someone was sitting on top of my head, and it was the worst pain I have ever felt. The person I was talking to on the phone told me I was slurring my words, so I put them on hold and called my work supervisor. My supervisor sent me home early from work, because I couldn't even remember what I was saying to him as I was talking. I couldn't drive, so I called my son to pick me up and take me home. The next morning when I woke up, I still had the headache and felt dizzy and lightheaded. I called Ask a Nurse, and I was advised to go to an urgent care clinic with an MRI; I was also advised not to drive. My husband drove me to an urgent care clinic, but their MRI machine was down. My husband then drove me to Medical Center, where they did an echocardiogram and a CT scan of my brain and admitted me. My doctor told me that they were looking for a possible aneurysm and that I would need to undergo an MRI with contrast and a spinal tap. He also said that it would take 3-4 days to get all the necessary tests done, but since there is a hospital bed shortage and I am immunocompromised, I told him I preferred to do it on an outpatient basis. I then went home. On 9/23/2021, I saw a Dr. who referred me to a neurologist; I am still awaiting a call for an appointment with the neurologist. I still have the headache, but it isn't as severe as before, though it feels like there is something on the back of my head that I keep trying to brush away.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound chest
Clinical narrative: I got my second Pfizer vaccine on 9/16/2021. On 9/18/2021 at 5:00 PM, I suddenly felt like someone was sitting on top of my head, and it was the worst pain I have ever felt. The person I was talking to on the phone told me I was slurring my words, so I put them on hold and called my work supervisor. My supervisor sent me home early from work, because I couldn't even remember what I was saying to him as I was talking. I couldn't drive, so I called my son to pick me up and take me home. The next morning when I woke up, I still had the headache and felt dizzy and lightheaded. I called Ask a Nurse, and I was advised to go to an urgent care clinic with an MRI; I was also advised not to drive. My husband drove me to an urgent care clinic, but their MRI machine was down. My husband then drove me to Medical Center, where they did an echocardiogram and a CT scan of my brain and admitted me. My doctor told me that they were looking for a possible aneurysm and that I would need to undergo an MRI with contrast and a spinal tap. He also said that it would take 3-4 days to get all the necessary tests done, but since there is a hospital bed shortage and I am immunocompromised, I told him I preferred to do it on an outpatient basis. I then went home. On 9/23/2021, I saw a Dr. who referred me to a neurologist; I am still awaiting a call for an appointment with the neurologist. I still have the headache, but it isn't as severe as before, though it feels like there is something on the back of my head that I keep trying to brush away.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Arm became swollen, red, and painful.  Redness and swelling resolved.  Pain continues to this day, unable to lift arm without pain.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acidosis, Acute respiratory failure, Ageusia, Blood bicarbonate increased, Blood chloride decreased
Clinical narrative: 8/25/21 Pt was seen by PCP office for cough and loss of taste. Was positive for SARS-CoV-2 8/29/21 He presented to the ED w/ worsening cough and SOB. RA pulse ox was 85%. He was admitted. Hospital course as below. Family did change his care to comfort care and the patient died on 9/4/21 Patient is a 66 year old male with a history of end-stage renal disease requiring hemodialysis, chronic systolic heart failure with LVEF 20%, chronic hypotension, anemia of chronic disease, secondary hyperparathyroidism, DVT who was admitted on August 28 for acute hypoxemic respiratory failure, Covid pneumonia, and fluid volume overload.  Nephrology was consulted with management of hemodialysis while hospitalized.  Infectious disease was consulted.  He was started on IV steroids, IV remdesivir, and daily inflammatory markers.  The patient experienced worsening hypoxemia and respiratory failure requiring high flow nasal cannula.  He required escalating requirements on high flow nasal cannula and was transferred to the intensive care unit on 9/2/2021.  Critical care was consulted for management.  Palliative care was consulted for goals of care discussion with no changes in plan of care.  On 9/3/2021, the patient deteriorated requiring endotracheal intubation and mechanical ventilation.  He was placed in the prone position due to hypoxemia.  He developed severe acidosis.  Temporary HD catheter was placed.  This evening, he had continued acidosis with increasing vasopressor requirements.  The case was discussed with nephrology and he was started on CVVHD.  There were complications with initiation of CVVHD as multiple filters clotted off after initiation.  The patient developed progressive hypotension and shock requiring max dosing of norepinephrine, phenylephrine, vasopressin, epinephrine.  He received a total of 6 A of sodium bicarb.  The patient's deteriorating condition was discussed with his daughters.  He was transitioned to a DNR CCA.  The patient expired cessation of vital signs on 9/4/2021 at 1:10am.    Discharge Diagnoses: Acute hypoxemic respiratory failure Covid pneumonia ESRD HD dependent Shock Systolic heart failure with LVEF 20% OSA on CPAP
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood potassium normal, Blood sodium normal, Blood urea normal, C-reactive protein increased
Clinical narrative: 8/25/21 Pt was seen by PCP office for cough and loss of taste. Was positive for SARS-CoV-2 8/29/21 He presented to the ED w/ worsening cough and SOB. RA pulse ox was 85%. He was admitted. Hospital course as below. Family did change his care to comfort care and the patient died on 9/4/21 Patient is a 66 year old male with a history of end-stage renal disease requiring hemodialysis, chronic systolic heart failure with LVEF 20%, chronic hypotension, anemia of chronic disease, secondary hyperparathyroidism, DVT who was admitted on August 28 for acute hypoxemic respiratory failure, Covid pneumonia, and fluid volume overload.  Nephrology was consulted with management of hemodialysis while hospitalized.  Infectious disease was consulted.  He was started on IV steroids, IV remdesivir, and daily inflammatory markers.  The patient experienced worsening hypoxemia and respiratory failure requiring high flow nasal cannula.  He required escalating requirements on high flow nasal cannula and was transferred to the intensive care unit on 9/2/2021.  Critical care was consulted for management.  Palliative care was consulted for goals of care discussion with no changes in plan of care.  On 9/3/2021, the patient deteriorated requiring endotracheal intubation and mechanical ventilation.  He was placed in the prone position due to hypoxemia.  He developed severe acidosis.  Temporary HD catheter was placed.  This evening, he had continued acidosis with increasing vasopressor requirements.  The case was discussed with nephrology and he was started on CVVHD.  There were complications with initiation of CVVHD as multiple filters clotted off after initiation.  The patient developed progressive hypotension and shock requiring max dosing of norepinephrine, phenylephrine, vasopressin, epinephrine.  He received a total of 6 A of sodium bicarb.  The patient's deteriorating condition was discussed with his daughters.  He was transitioned to a DNR CCA.  The patient expired cessation of vital signs on 9/4/2021 at 1:10am.    Discharge Diagnoses: Acute hypoxemic respiratory failure Covid pneumonia ESRD HD dependent Shock Systolic heart failure with LVEF 20% OSA on CPAP
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Catheter placement, Chest X-ray abnormal, Condition aggravated
Clinical narrative: 8/25/21 Pt was seen by PCP office for cough and loss of taste. Was positive for SARS-CoV-2 8/29/21 He presented to the ED w/ worsening cough and SOB. RA pulse ox was 85%. He was admitted. Hospital course as below. Family did change his care to comfort care and the patient died on 9/4/21 Patient is a 66 year old male with a history of end-stage renal disease requiring hemodialysis, chronic systolic heart failure with LVEF 20%, chronic hypotension, anemia of chronic disease, secondary hyperparathyroidism, DVT who was admitted on August 28 for acute hypoxemic respiratory failure, Covid pneumonia, and fluid volume overload.  Nephrology was consulted with management of hemodialysis while hospitalized.  Infectious disease was consulted.  He was started on IV steroids, IV remdesivir, and daily inflammatory markers.  The patient experienced worsening hypoxemia and respiratory failure requiring high flow nasal cannula.  He required escalating requirements on high flow nasal cannula and was transferred to the intensive care unit on 9/2/2021.  Critical care was consulted for management.  Palliative care was consulted for goals of care discussion with no changes in plan of care.  On 9/3/2021, the patient deteriorated requiring endotracheal intubation and mechanical ventilation.  He was placed in the prone position due to hypoxemia.  He developed severe acidosis.  Temporary HD catheter was placed.  This evening, he had continued acidosis with increasing vasopressor requirements.  The case was discussed with nephrology and he was started on CVVHD.  There were complications with initiation of CVVHD as multiple filters clotted off after initiation.  The patient developed progressive hypotension and shock requiring max dosing of norepinephrine, phenylephrine, vasopressin, epinephrine.  He received a total of 6 A of sodium bicarb.  The patient's deteriorating condition was discussed with his daughters.  He was transitioned to a DNR CCA.  The patient expired cessation of vital signs on 9/4/2021 at 1:10am.    Discharge Diagnoses: Acute hypoxemic respiratory failure Covid pneumonia ESRD HD dependent Shock Systolic heart failure with LVEF 20% OSA on CPAP