chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Blood testosterone, Blood thyroid stimulating hormone, Dehydroepiandrosterone test, Diarrhoea
Clinical narrative: On Oct 26,2021, I got my second Pfizer Covid vaccine around 3 pm. Later in the evening my fever went up to 102 F. and lasted for a full 24 hours around 101 degrees Fahrenheit. The evening after vaccine I was feeling freezing cold, shaking with chills and later sweating on/off, tension headache, and vertigo. My right foot kept tightening and was unable to put any weight on it from pain and my hands tightening up, it was difficult to open them. Around 5am my heart rate was beating very fast, and fit bit said it was at 122 bpm. The next day after vaccine I had vertigo, tension headache, chills, fever but my limbs tightening got better. Body felt overly bruised. Oct 30th- Severe upper abdominal pain around 11am, then around 2 pm watery diarrhea 10x and one more the next day. Afterwards stool is normal consistency since with 1-2 bowel movements day. Pain has made it difficult to walk and do daily activities. Feeling full, bloated, stomach really loud, carbonated, feels like volcano is erupting inside. Burning pain that feels like being punched really hard between middle rib, right in the center area where adrenals are located, adrenal pain constant for almost 2 weeks and gradually went away. Prescription Tincture 2 oz. 2 ounce(s) liquid2 dropper(s), 3 times a day. Ashwagandha, Prescribed By Dr., Prescribed On Nov 18, 2021. Prescription Tincture 4 oz. 4 ounce(s) liquid2 dropper(s), 3 times a day. Adrenal support. Prescribed By Dr., Prescribed On Nov 18, 2021. RelaxMax Unflavored 180 gram(s) powder1.0 scoop(s), Once a day, At Bedtime Mixed in liquid. Myo-inositol for thyroid antibodies. Manufacturer. Prescribed By Dr. Prescribed On Nov 18, 2021 Ther-biotic Complete Powder 2 ounce(s) powder 0.25 teaspoon, Twice a day, With Meals. Manufacturer: Prescribed By Dr. Prescribed On Nov 18, 2021   Saccharomyces Boulardii 60 cap(s) capsule1 capsule(s), Twice a day. CortiVive 120 cap(s) capsule2.0 capsule(s), Twice a day NEW: Capsule adrenal support. Do not take past 2pm.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Gait disturbance, Hyperhidrosis, Lipase, Loss of personal independence in daily activities
Clinical narrative: On Oct 26,2021, I got my second Pfizer Covid vaccine around 3 pm. Later in the evening my fever went up to 102 F. and lasted for a full 24 hours around 101 degrees Fahrenheit. The evening after vaccine I was feeling freezing cold, shaking with chills and later sweating on/off, tension headache, and vertigo. My right foot kept tightening and was unable to put any weight on it from pain and my hands tightening up, it was difficult to open them. Around 5am my heart rate was beating very fast, and fit bit said it was at 122 bpm. The next day after vaccine I had vertigo, tension headache, chills, fever but my limbs tightening got better. Body felt overly bruised. Oct 30th- Severe upper abdominal pain around 11am, then around 2 pm watery diarrhea 10x and one more the next day. Afterwards stool is normal consistency since with 1-2 bowel movements day. Pain has made it difficult to walk and do daily activities. Feeling full, bloated, stomach really loud, carbonated, feels like volcano is erupting inside. Burning pain that feels like being punched really hard between middle rib, right in the center area where adrenals are located, adrenal pain constant for almost 2 weeks and gradually went away. Prescription Tincture 2 oz. 2 ounce(s) liquid2 dropper(s), 3 times a day. Ashwagandha, Prescribed By Dr., Prescribed On Nov 18, 2021. Prescription Tincture 4 oz. 4 ounce(s) liquid2 dropper(s), 3 times a day. Adrenal support. Prescribed By Dr., Prescribed On Nov 18, 2021. RelaxMax Unflavored 180 gram(s) powder1.0 scoop(s), Once a day, At Bedtime Mixed in liquid. Myo-inositol for thyroid antibodies. Manufacturer. Prescribed By Dr. Prescribed On Nov 18, 2021 Ther-biotic Complete Powder 2 ounce(s) powder 0.25 teaspoon, Twice a day, With Meals. Manufacturer: Prescribed By Dr. Prescribed On Nov 18, 2021   Saccharomyces Boulardii 60 cap(s) capsule1 capsule(s), Twice a day. CortiVive 120 cap(s) capsule2.0 capsule(s), Twice a day NEW: Capsule adrenal support. Do not take past 2pm.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Pain, Pain in extremity, Pyrexia, Tension headache
Clinical narrative: On Oct 26,2021, I got my second Pfizer Covid vaccine around 3 pm. Later in the evening my fever went up to 102 F. and lasted for a full 24 hours around 101 degrees Fahrenheit. The evening after vaccine I was feeling freezing cold, shaking with chills and later sweating on/off, tension headache, and vertigo. My right foot kept tightening and was unable to put any weight on it from pain and my hands tightening up, it was difficult to open them. Around 5am my heart rate was beating very fast, and fit bit said it was at 122 bpm. The next day after vaccine I had vertigo, tension headache, chills, fever but my limbs tightening got better. Body felt overly bruised. Oct 30th- Severe upper abdominal pain around 11am, then around 2 pm watery diarrhea 10x and one more the next day. Afterwards stool is normal consistency since with 1-2 bowel movements day. Pain has made it difficult to walk and do daily activities. Feeling full, bloated, stomach really loud, carbonated, feels like volcano is erupting inside. Burning pain that feels like being punched really hard between middle rib, right in the center area where adrenals are located, adrenal pain constant for almost 2 weeks and gradually went away. Prescription Tincture 2 oz. 2 ounce(s) liquid2 dropper(s), 3 times a day. Ashwagandha, Prescribed By Dr., Prescribed On Nov 18, 2021. Prescription Tincture 4 oz. 4 ounce(s) liquid2 dropper(s), 3 times a day. Adrenal support. Prescribed By Dr., Prescribed On Nov 18, 2021. RelaxMax Unflavored 180 gram(s) powder1.0 scoop(s), Once a day, At Bedtime Mixed in liquid. Myo-inositol for thyroid antibodies. Manufacturer. Prescribed By Dr. Prescribed On Nov 18, 2021 Ther-biotic Complete Powder 2 ounce(s) powder 0.25 teaspoon, Twice a day, With Meals. Manufacturer: Prescribed By Dr. Prescribed On Nov 18, 2021   Saccharomyces Boulardii 60 cap(s) capsule1 capsule(s), Twice a day. CortiVive 120 cap(s) capsule2.0 capsule(s), Twice a day NEW: Capsule adrenal support. Do not take past 2pm.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroxine, Tremor, Tri-iodothyronine, Urine analysis, Vertigo
Clinical narrative: On Oct 26,2021, I got my second Pfizer Covid vaccine around 3 pm. Later in the evening my fever went up to 102 F. and lasted for a full 24 hours around 101 degrees Fahrenheit. The evening after vaccine I was feeling freezing cold, shaking with chills and later sweating on/off, tension headache, and vertigo. My right foot kept tightening and was unable to put any weight on it from pain and my hands tightening up, it was difficult to open them. Around 5am my heart rate was beating very fast, and fit bit said it was at 122 bpm. The next day after vaccine I had vertigo, tension headache, chills, fever but my limbs tightening got better. Body felt overly bruised. Oct 30th- Severe upper abdominal pain around 11am, then around 2 pm watery diarrhea 10x and one more the next day. Afterwards stool is normal consistency since with 1-2 bowel movements day. Pain has made it difficult to walk and do daily activities. Feeling full, bloated, stomach really loud, carbonated, feels like volcano is erupting inside. Burning pain that feels like being punched really hard between middle rib, right in the center area where adrenals are located, adrenal pain constant for almost 2 weeks and gradually went away. Prescription Tincture 2 oz. 2 ounce(s) liquid2 dropper(s), 3 times a day. Ashwagandha, Prescribed By Dr., Prescribed On Nov 18, 2021. Prescription Tincture 4 oz. 4 ounce(s) liquid2 dropper(s), 3 times a day. Adrenal support. Prescribed By Dr., Prescribed On Nov 18, 2021. RelaxMax Unflavored 180 gram(s) powder1.0 scoop(s), Once a day, At Bedtime Mixed in liquid. Myo-inositol for thyroid antibodies. Manufacturer. Prescribed By Dr. Prescribed On Nov 18, 2021 Ther-biotic Complete Powder 2 ounce(s) powder 0.25 teaspoon, Twice a day, With Meals. Manufacturer: Prescribed By Dr. Prescribed On Nov 18, 2021   Saccharomyces Boulardii 60 cap(s) capsule1 capsule(s), Twice a day. CortiVive 120 cap(s) capsule2.0 capsule(s), Twice a day NEW: Capsule adrenal support. Do not take past 2pm.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Weight bearing difficulty
Clinical narrative: On Oct 26,2021, I got my second Pfizer Covid vaccine around 3 pm. Later in the evening my fever went up to 102 F. and lasted for a full 24 hours around 101 degrees Fahrenheit. The evening after vaccine I was feeling freezing cold, shaking with chills and later sweating on/off, tension headache, and vertigo. My right foot kept tightening and was unable to put any weight on it from pain and my hands tightening up, it was difficult to open them. Around 5am my heart rate was beating very fast, and fit bit said it was at 122 bpm. The next day after vaccine I had vertigo, tension headache, chills, fever but my limbs tightening got better. Body felt overly bruised. Oct 30th- Severe upper abdominal pain around 11am, then around 2 pm watery diarrhea 10x and one more the next day. Afterwards stool is normal consistency since with 1-2 bowel movements day. Pain has made it difficult to walk and do daily activities. Feeling full, bloated, stomach really loud, carbonated, feels like volcano is erupting inside. Burning pain that feels like being punched really hard between middle rib, right in the center area where adrenals are located, adrenal pain constant for almost 2 weeks and gradually went away. Prescription Tincture 2 oz. 2 ounce(s) liquid2 dropper(s), 3 times a day. Ashwagandha, Prescribed By Dr., Prescribed On Nov 18, 2021. Prescription Tincture 4 oz. 4 ounce(s) liquid2 dropper(s), 3 times a day. Adrenal support. Prescribed By Dr., Prescribed On Nov 18, 2021. RelaxMax Unflavored 180 gram(s) powder1.0 scoop(s), Once a day, At Bedtime Mixed in liquid. Myo-inositol for thyroid antibodies. Manufacturer. Prescribed By Dr. Prescribed On Nov 18, 2021 Ther-biotic Complete Powder 2 ounce(s) powder 0.25 teaspoon, Twice a day, With Meals. Manufacturer: Prescribed By Dr. Prescribed On Nov 18, 2021   Saccharomyces Boulardii 60 cap(s) capsule1 capsule(s), Twice a day. CortiVive 120 cap(s) capsule2.0 capsule(s), Twice a day NEW: Capsule adrenal support. Do not take past 2pm.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse reactions. A 0.3 ml dose of the pediatric vaccine was administered to this adult and followed on the same day by 0.15ml of the adult RTU vaccine to complete a 30mcg dose
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: I was informed by patient's husband that she was hospitalized about 1 week after second dose and was diagnosed with Guillian Barre Syndrome.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BUD WAS 1/19 ADMINDISTERED 1-20-22
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Impaired work ability, Oropharyngeal pain, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: I woke up with like an obstruction in my throat, it was painful to talk and swallow, I got a covid test and was negative and also tested for Strep A& B and they both came out negative. it was painful for about 4 days and i was able to go back to work on the 6th day.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: I woke up with like an obstruction in my throat, it was painful to talk and swallow, I got a covid test and was negative and also tested for Strep A& B and they both came out negative. it was painful for about 4 days and i was able to go back to work on the 6th day.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity, Product preparation issue, Pyrexia
Clinical narrative: Patient received a higher dose than intended due to dilution error.  The patient has a sore arm and had a fever. Mom feels her son is getting better and is not concerned.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood iron decreased, Fatigue, Full blood count abnormal, Haemoglobin decreased, Influenza like illness
Clinical narrative: Normal flu-like symptoms and fatigue at time of vaccinations. My real issue is that when having my quarterly checkup in July, my CBC indicated a SHARP drop in my Hemoglobin, Iron Saturation, Iron Serum and Ferritin levels. As of January 2022, the numbers are SLOWLY recovering - but NOT THE FERRITIN number. That remain at 7. My understanding is that it should be between 13 and 150.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Serum ferritin decreased, Transferrin saturation decreased
Clinical narrative: Normal flu-like symptoms and fatigue at time of vaccinations. My real issue is that when having my quarterly checkup in July, my CBC indicated a SHARP drop in my Hemoglobin, Iron Saturation, Iron Serum and Ferritin levels. As of January 2022, the numbers are SLOWLY recovering - but NOT THE FERRITIN number. That remain at 7. My understanding is that it should be between 13 and 150.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Culture urine, Gout, Myalgia, Renal disorder
Clinical narrative: 03/2021My kidney was discovered, after a routine blood work check-up, to be "leaking" proteins into my urine. Also was still dealing with gout issues that arose after the first dose. This started 7 days after the first dose (01/15/2021) The issue started around 1/22 and did not seek medical care or advise because I knew gout has to run it course. The doctor advised to keep checking because the count was too low in his professional opinion for treatment or further testing. Will recheck this in a year. I had muscle pain throughout my body as well, and it was unusual and extreme compared to my usual pain. Was not tested or treated at that time and yet. I have inflammation for a long time throughout my body but only after the shots did I feel it worsen. Currently has lessened but it is still more widespread than before the shots.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BUD 1/19, administered 1/20.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted to Hospital  on 1/16/2022 for Hypoxia due to COVID-19. This is considered a breakthrough case.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BUD 1-19-22 SHOT GIVEN ON 1-20-22
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Condition aggravated, Crohn's disease
Clinical narrative: Crohns, intense abdominal pain.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: bud 1/19, administered 1/20
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: 11:10 - *Safety Officer called by vaccinator lead to incident with vaccinator. *Client was here for Moderna 2nd dose, was accidentally given Pfizer by vaccinator. *Client was given appropriate identification slips (Moderna, 2nd dose) but assigned to Pfizer table by line flow. *Vaccinator did not verbally confirm vaccine type with client prior to vaccinating. *Vaccinator failed to check prior vaccine logged into system.
Age: 51.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: bud 1/19, administered 1/20
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity, Product preparation issue
Clinical narrative: Patient received a higher dose than intended due to dilution error. Patient had a sore arm and his mom who is a nurse, had no concerns. I will follow up with the parent in 1 week.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Respiratory tract congestion
Clinical narrative: I had a severe coughing and congested and fatigued but I had no fever.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient received Janssen COVID vaccine on 5/28/21 (lot # 041A21A) and Moderna COVID vaccine on 1/22/22 (lot # 013H21B). On 1/18/22, patient admitted to our inpatient facility (med/surg unit) for acute hypoxemic respiratory failure and pneumonia due to COVID-19. As of today (1/21/22), patient is still admitted in the med/surg unit.
Age: 75.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: bud 1/19, administered 1/20
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Injection site erythema, Injection site rash
Clinical narrative: Patient called pharmacy to report a rash and erythema at and around injection site. I thought that she may have been experiencing Covid Arm. I suggested that patient use OTC pain reliever/fever reducer to help with the discomfort as well as oral Benadryl.  Patient presented back into the pharmacy 6 days after vaccination; She had drawn a circle around the rash area and it had continued to spread beyond the margins defined by patient. At this time, I recommended that the patient visit an urgent care/ER so that a physician could take a look at it as it had still not improved even after OTC remedies and time.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Pulmonary embolism
Clinical narrative: Plattlets dropped from 96 K/mcl to 10 K/mcl  Pumonary Embolish requiring ER and Hospitalization
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BUD 1-19-22
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This patient was admitted to Hospital on 1/16/2022 for COVID related symptoms. This is considered a breakthrough case.
Age: 33.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Oral mucosal blistering, Pain, Pyrexia
Clinical narrative: Fever, fatigue, body aches,  and  blisters on the inside of mouth
Age: 35.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: bud 1/19, administered 1/20
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BUD 1-19-22
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Bone pain, Fatigue, Headache
Clinical narrative: Extreme headache, weakness, tired, bones, joint and muscular pain, injection site swelling. Treatment: Motrin, ice pack.  Over 24 hours after injection still feel the same.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Myalgia
Clinical narrative: Extreme headache, weakness, tired, bones, joint and muscular pain, injection site swelling. Treatment: Motrin, ice pack.  Over 24 hours after injection still feel the same.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Malaise, Nausea, Pyrexia
Clinical narrative: patient described nausea, fever, chills, and general unwell feeling that took 5 days to resolve.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Infection
Clinical narrative: Patient was admitted to a local Hospital  on 1/17/22 for COVID pneumonia. This is considered a breakthrough case.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Beyond Use Date 1-19-22
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Underdose
Clinical narrative: Pfizer Peds Vaccine given to 12 year old. Should have received adult dose of Pfizer vaccine.
Age: 28.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: bud 1/19, administered 1/20
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt noticed about a day later swelling, redness and itching at the site of admin
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BUD 1-19-22
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: the syringe was left out overnight and not discarded. the assistant who gave the injection beyond the use date and time.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Alanine aminotransferase increased, Anaemia, Aspartate aminotransferase increased
Clinical narrative: Patient is a 13 y.o. 11 m.o. female with no significant past medical history presenting with 6 days of fever, abdominal pain, emesis, and conjunctivitis admitted for shock requiring pressor support with signs of multi-organ involvement and systemic inflammation. She received her first COVID vaccination in May 2021, second vaccination in June 2021, and booster on 1/10/22 (3 days prior to symptom onset).    CV: Patient presented with hypotension requiring pressors and elevated troponin level. Her first ECHO showed normal EF and coronaries, however she developed low normal EF 52%, abnormal GLS -16%, and dilated left main and LAD arteries on D4 of admission. Her troponin elevation has improved with supportive measures, and she has weaned off pressor support.   GI: Patient requiring MIVF due to poor PO intake due to persistent abdominal pain.  RENAL: Patient presented with significant uremia and AKI. Other laboratory evaluation concerning for possible hemolytic process such as HUS (although complements normal and no hypertension). This has improved with supportive measures.  ID: Viral swab, blood and urine cultures with no growth. She is completing 7 days of CTX and flagyl for culture negative sepsis.   HEME: She developed anemia on D2 of admission with signs of hemolysis (elevated haptoglobin and LDH) with schistocytes on smear.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Azotaemia, Blood creatine increased, Blood culture negative, Blood lactate dehydrogenase increased, Blood urea increased
Clinical narrative: Patient is a 13 y.o. 11 m.o. female with no significant past medical history presenting with 6 days of fever, abdominal pain, emesis, and conjunctivitis admitted for shock requiring pressor support with signs of multi-organ involvement and systemic inflammation. She received her first COVID vaccination in May 2021, second vaccination in June 2021, and booster on 1/10/22 (3 days prior to symptom onset).    CV: Patient presented with hypotension requiring pressors and elevated troponin level. Her first ECHO showed normal EF and coronaries, however she developed low normal EF 52%, abnormal GLS -16%, and dilated left main and LAD arteries on D4 of admission. Her troponin elevation has improved with supportive measures, and she has weaned off pressor support.   GI: Patient requiring MIVF due to poor PO intake due to persistent abdominal pain.  RENAL: Patient presented with significant uremia and AKI. Other laboratory evaluation concerning for possible hemolytic process such as HUS (although complements normal and no hypertension). This has improved with supportive measures.  ID: Viral swab, blood and urine cultures with no growth. She is completing 7 days of CTX and flagyl for culture negative sepsis.   HEME: She developed anemia on D2 of admission with signs of hemolysis (elevated haptoglobin and LDH) with schistocytes on smear.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Conjunctivitis, Coronary artery dilatation, Culture urine negative, Echocardiogram abnormal
Clinical narrative: Patient is a 13 y.o. 11 m.o. female with no significant past medical history presenting with 6 days of fever, abdominal pain, emesis, and conjunctivitis admitted for shock requiring pressor support with signs of multi-organ involvement and systemic inflammation. She received her first COVID vaccination in May 2021, second vaccination in June 2021, and booster on 1/10/22 (3 days prior to symptom onset).    CV: Patient presented with hypotension requiring pressors and elevated troponin level. Her first ECHO showed normal EF and coronaries, however she developed low normal EF 52%, abnormal GLS -16%, and dilated left main and LAD arteries on D4 of admission. Her troponin elevation has improved with supportive measures, and she has weaned off pressor support.   GI: Patient requiring MIVF due to poor PO intake due to persistent abdominal pain.  RENAL: Patient presented with significant uremia and AKI. Other laboratory evaluation concerning for possible hemolytic process such as HUS (although complements normal and no hypertension). This has improved with supportive measures.  ID: Viral swab, blood and urine cultures with no growth. She is completing 7 days of CTX and flagyl for culture negative sepsis.   HEME: She developed anemia on D2 of admission with signs of hemolysis (elevated haptoglobin and LDH) with schistocytes on smear.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Haemolysis, Haptoglobin increased, Hypophagia, Hypotension
Clinical narrative: Patient is a 13 y.o. 11 m.o. female with no significant past medical history presenting with 6 days of fever, abdominal pain, emesis, and conjunctivitis admitted for shock requiring pressor support with signs of multi-organ involvement and systemic inflammation. She received her first COVID vaccination in May 2021, second vaccination in June 2021, and booster on 1/10/22 (3 days prior to symptom onset).    CV: Patient presented with hypotension requiring pressors and elevated troponin level. Her first ECHO showed normal EF and coronaries, however she developed low normal EF 52%, abnormal GLS -16%, and dilated left main and LAD arteries on D4 of admission. Her troponin elevation has improved with supportive measures, and she has weaned off pressor support.   GI: Patient requiring MIVF due to poor PO intake due to persistent abdominal pain.  RENAL: Patient presented with significant uremia and AKI. Other laboratory evaluation concerning for possible hemolytic process such as HUS (although complements normal and no hypertension). This has improved with supportive measures.  ID: Viral swab, blood and urine cultures with no growth. She is completing 7 days of CTX and flagyl for culture negative sepsis.   HEME: She developed anemia on D2 of admission with signs of hemolysis (elevated haptoglobin and LDH) with schistocytes on smear.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Lymphocyte count, Pericardial effusion, Platelet count decreased, Procalcitonin increased
Clinical narrative: Patient is a 13 y.o. 11 m.o. female with no significant past medical history presenting with 6 days of fever, abdominal pain, emesis, and conjunctivitis admitted for shock requiring pressor support with signs of multi-organ involvement and systemic inflammation. She received her first COVID vaccination in May 2021, second vaccination in June 2021, and booster on 1/10/22 (3 days prior to symptom onset).    CV: Patient presented with hypotension requiring pressors and elevated troponin level. Her first ECHO showed normal EF and coronaries, however she developed low normal EF 52%, abnormal GLS -16%, and dilated left main and LAD arteries on D4 of admission. Her troponin elevation has improved with supportive measures, and she has weaned off pressor support.   GI: Patient requiring MIVF due to poor PO intake due to persistent abdominal pain.  RENAL: Patient presented with significant uremia and AKI. Other laboratory evaluation concerning for possible hemolytic process such as HUS (although complements normal and no hypertension). This has improved with supportive measures.  ID: Viral swab, blood and urine cultures with no growth. She is completing 7 days of CTX and flagyl for culture negative sepsis.   HEME: She developed anemia on D2 of admission with signs of hemolysis (elevated haptoglobin and LDH) with schistocytes on smear.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Red blood cell schistocytes present, Schistocytosis, Serum ferritin increased, Shock
Clinical narrative: Patient is a 13 y.o. 11 m.o. female with no significant past medical history presenting with 6 days of fever, abdominal pain, emesis, and conjunctivitis admitted for shock requiring pressor support with signs of multi-organ involvement and systemic inflammation. She received her first COVID vaccination in May 2021, second vaccination in June 2021, and booster on 1/10/22 (3 days prior to symptom onset).    CV: Patient presented with hypotension requiring pressors and elevated troponin level. Her first ECHO showed normal EF and coronaries, however she developed low normal EF 52%, abnormal GLS -16%, and dilated left main and LAD arteries on D4 of admission. Her troponin elevation has improved with supportive measures, and she has weaned off pressor support.   GI: Patient requiring MIVF due to poor PO intake due to persistent abdominal pain.  RENAL: Patient presented with significant uremia and AKI. Other laboratory evaluation concerning for possible hemolytic process such as HUS (although complements normal and no hypertension). This has improved with supportive measures.  ID: Viral swab, blood and urine cultures with no growth. She is completing 7 days of CTX and flagyl for culture negative sepsis.   HEME: She developed anemia on D2 of admission with signs of hemolysis (elevated haptoglobin and LDH) with schistocytes on smear.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Systemic inflammatory response syndrome, Troponin increased, Viral test negative, Vomiting
Clinical narrative: Patient is a 13 y.o. 11 m.o. female with no significant past medical history presenting with 6 days of fever, abdominal pain, emesis, and conjunctivitis admitted for shock requiring pressor support with signs of multi-organ involvement and systemic inflammation. She received her first COVID vaccination in May 2021, second vaccination in June 2021, and booster on 1/10/22 (3 days prior to symptom onset).    CV: Patient presented with hypotension requiring pressors and elevated troponin level. Her first ECHO showed normal EF and coronaries, however she developed low normal EF 52%, abnormal GLS -16%, and dilated left main and LAD arteries on D4 of admission. Her troponin elevation has improved with supportive measures, and she has weaned off pressor support.   GI: Patient requiring MIVF due to poor PO intake due to persistent abdominal pain.  RENAL: Patient presented with significant uremia and AKI. Other laboratory evaluation concerning for possible hemolytic process such as HUS (although complements normal and no hypertension). This has improved with supportive measures.  ID: Viral swab, blood and urine cultures with no growth. She is completing 7 days of CTX and flagyl for culture negative sepsis.   HEME: She developed anemia on D2 of admission with signs of hemolysis (elevated haptoglobin and LDH) with schistocytes on smear.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: anaphylaxis within 10 minutes, epinephrine 0.3 administered, eval by ems, patient declinced transport to hospital, followed up doing well.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Pain, Swelling
Clinical narrative: Started with insomnia and body aches. Started swelling from feet up to chest area, engorged pubic area lower abdomen  veins.  ER visit 11/30/2021 - prescribed Lasix 20 mg and removed 19 pounds of fluid.  2nd ER visit 01/21/2022. Will see a Dr on 01/24/2022
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cognitive disorder, Computerised tomogram normal, Confusional state, Dysarthria, Dysphagia
Clinical narrative: Patient?s daughter, reported that her mom received the Moderna COVID-19 vaccinations on the following dates: Moderna 1st dose 3/18/21 Lot# 047A21A Moderna 2nd dose 4/15/21 Lot# 040B21A Moderna Booster 11/01/2021 Lot# 039F21A  patient?s daughter, noted that she noticed her mother?s state of confusion on Wednesday, January 5th, 2022, the day prior to her birthday, when the family was discussing plans to celebrate her birthday the next day.  Patient responded in confusion, thinking that it was currently October, not January.  The following day, the family took her to the ER with extremely high blood pressure and confusion.  The results of the CT were negative, but MRI showed Acute Ischemic Stroke around the thalamus.  Patient was hospitalized and became worse.  By Friday, patient?s face began to droop, she had difficulty swallowing, was not able to walk, could not eat, and had slurred speech.  As of today, January 21, 2022, patient is still hospitalized, does not recognize her daughter, still has slurred speech, and has cognitive impairment.  Patient is in rehab and is able to walk with the assistance of a walker.  Pts daughter noted that MD?s were unaware of the trigger of her mom?s stroke
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Facial paralysis, Feeding disorder, Gait inability, Hypertension, Ischaemic stroke
Clinical narrative: Patient?s daughter, reported that her mom received the Moderna COVID-19 vaccinations on the following dates: Moderna 1st dose 3/18/21 Lot# 047A21A Moderna 2nd dose 4/15/21 Lot# 040B21A Moderna Booster 11/01/2021 Lot# 039F21A  patient?s daughter, noted that she noticed her mother?s state of confusion on Wednesday, January 5th, 2022, the day prior to her birthday, when the family was discussing plans to celebrate her birthday the next day.  Patient responded in confusion, thinking that it was currently October, not January.  The following day, the family took her to the ER with extremely high blood pressure and confusion.  The results of the CT were negative, but MRI showed Acute Ischemic Stroke around the thalamus.  Patient was hospitalized and became worse.  By Friday, patient?s face began to droop, she had difficulty swallowing, was not able to walk, could not eat, and had slurred speech.  As of today, January 21, 2022, patient is still hospitalized, does not recognize her daughter, still has slurred speech, and has cognitive impairment.  Patient is in rehab and is able to walk with the assistance of a walker.  Pts daughter noted that MD?s were unaware of the trigger of her mom?s stroke
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging abnormal, Memory impairment, Walking aid user
Clinical narrative: Patient?s daughter, reported that her mom received the Moderna COVID-19 vaccinations on the following dates: Moderna 1st dose 3/18/21 Lot# 047A21A Moderna 2nd dose 4/15/21 Lot# 040B21A Moderna Booster 11/01/2021 Lot# 039F21A  patient?s daughter, noted that she noticed her mother?s state of confusion on Wednesday, January 5th, 2022, the day prior to her birthday, when the family was discussing plans to celebrate her birthday the next day.  Patient responded in confusion, thinking that it was currently October, not January.  The following day, the family took her to the ER with extremely high blood pressure and confusion.  The results of the CT were negative, but MRI showed Acute Ischemic Stroke around the thalamus.  Patient was hospitalized and became worse.  By Friday, patient?s face began to droop, she had difficulty swallowing, was not able to walk, could not eat, and had slurred speech.  As of today, January 21, 2022, patient is still hospitalized, does not recognize her daughter, still has slurred speech, and has cognitive impairment.  Patient is in rehab and is able to walk with the assistance of a walker.  Pts daughter noted that MD?s were unaware of the trigger of her mom?s stroke
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: CVA
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Heart rate increased, Tremor, Vaginal discharge
Clinical narrative: Vaginal discharge, feel shaky (gotten progressively worse), increased heart rate (gotten progressively worse), chest discomfort, increased anxiety
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dizziness, Flatulence, Headache
Clinical narrative: Began feeling like I had a gas bubble/burb in my upper abdomen that wouldn?t come up.  Then I developed a very mild headache. In the late evening around 9pm on 7-Jan, I was standing up at my desk and began to feel faint. That resolved by 8-Jan, but the pressure in my upper abdomen, mild headache, and light headedness didn?t resolve until  10-Jan. Since then I?ve felt fine. If the symptoms hadn?t started to lessen on 9-Jan, I would have called my doctor.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: the syringe was left out beyond the use date and time. No one discarded them at the end of the day and the medical assistant gave it beyond the use date and time.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: SEVERE HEADACHE, FEVER
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Headache, Somnolence, Tremor, Vomiting
Clinical narrative: Patient was vaccinated at 5:33 pm in the   room. During vaccination patient was screaming and struggling while mother was holding him down. Patient was very anxious and combative. Mother brought patient to wait in the car. Volunteer alerted staff that patient?s mother had concerns about patient?s symptoms at 5:40 pm. Staff came out to see patient in the car. Observed that patient vomited twice. Patient?s mother stated that he had sharp pain on right side of his head, was shaking and nodding off. She stated that his behavior was not normal. Post vomiting, patient stated that the pain in his head went away. 911 was called, patient?s mother refused ambulance due to potential long wait. Fire department arrived on scene. Patient?s vital signs were stable. Paramedics conveyed to mother that it seemed like it might be a post anxiety attack and to let their doctor know what occurred. Patient?s mother decided to take patient home and will observe if any changes occur.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Acute myocardial infarction, Angina unstable, Anticoagulant therapy, Arteriogram coronary abnormal
Clinical narrative: The symptoms began on 1/16/22 at 5:40am, I woke up with chest pain that was unremitting. I took 2 Advil and the pain went away.  At 4pm the same day the chest pain started again the pain was in the center of my chest and radiated out to both my left and right arms and up my neck.  I then began to feel nauseous and hot but had no temperature.  I took 2 Advil and (4 )81mg aspirin. The pain did not stop so I called my parents to take me to hospital this was at 7pm.  I went to the hospital and was brought back immediately and then admitted after several tests. I was treated with Nitroglycerin and Heparin.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood urea nitrogen/creatinine ratio increased, Carbon dioxide normal, Cardiac ventriculogram left, Catheterisation cardiac abnormal
Clinical narrative: The symptoms began on 1/16/22 at 5:40am, I woke up with chest pain that was unremitting. I took 2 Advil and the pain went away.  At 4pm the same day the chest pain started again the pain was in the center of my chest and radiated out to both my left and right arms and up my neck.  I then began to feel nauseous and hot but had no temperature.  I took 2 Advil and (4 )81mg aspirin. The pain did not stop so I called my parents to take me to hospital this was at 7pm.  I went to the hospital and was brought back immediately and then admitted after several tests. I was treated with Nitroglycerin and Heparin.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Computerised tomogram thorax abnormal, Differential white blood cell count, Echocardiogram normal
Clinical narrative: The symptoms began on 1/16/22 at 5:40am, I woke up with chest pain that was unremitting. I took 2 Advil and the pain went away.  At 4pm the same day the chest pain started again the pain was in the center of my chest and radiated out to both my left and right arms and up my neck.  I then began to feel nauseous and hot but had no temperature.  I took 2 Advil and (4 )81mg aspirin. The pain did not stop so I called my parents to take me to hospital this was at 7pm.  I went to the hospital and was brought back immediately and then admitted after several tests. I was treated with Nitroglycerin and Heparin.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction, Ejection fraction normal, Feeling hot, Fibrin D dimer increased, Full blood count
Clinical narrative: The symptoms began on 1/16/22 at 5:40am, I woke up with chest pain that was unremitting. I took 2 Advil and the pain went away.  At 4pm the same day the chest pain started again the pain was in the center of my chest and radiated out to both my left and right arms and up my neck.  I then began to feel nauseous and hot but had no temperature.  I took 2 Advil and (4 )81mg aspirin. The pain did not stop so I called my parents to take me to hospital this was at 7pm.  I went to the hospital and was brought back immediately and then admitted after several tests. I was treated with Nitroglycerin and Heparin.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Lung disorder, Lung opacity, Lymphocyte count, Metabolic function test, Nausea
Clinical narrative: The symptoms began on 1/16/22 at 5:40am, I woke up with chest pain that was unremitting. I took 2 Advil and the pain went away.  At 4pm the same day the chest pain started again the pain was in the center of my chest and radiated out to both my left and right arms and up my neck.  I then began to feel nauseous and hot but had no temperature.  I took 2 Advil and (4 )81mg aspirin. The pain did not stop so I called my parents to take me to hospital this was at 7pm.  I went to the hospital and was brought back immediately and then admitted after several tests. I was treated with Nitroglycerin and Heparin.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Neutrophil percentage decreased, Pain, Pain in extremity, Red cell distribution width increased
Clinical narrative: The symptoms began on 1/16/22 at 5:40am, I woke up with chest pain that was unremitting. I took 2 Advil and the pain went away.  At 4pm the same day the chest pain started again the pain was in the center of my chest and radiated out to both my left and right arms and up my neck.  I then began to feel nauseous and hot but had no temperature.  I took 2 Advil and (4 )81mg aspirin. The pain did not stop so I called my parents to take me to hospital this was at 7pm.  I went to the hospital and was brought back immediately and then admitted after several tests. I was treated with Nitroglycerin and Heparin.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin T increased
Clinical narrative: The symptoms began on 1/16/22 at 5:40am, I woke up with chest pain that was unremitting. I took 2 Advil and the pain went away.  At 4pm the same day the chest pain started again the pain was in the center of my chest and radiated out to both my left and right arms and up my neck.  I then began to feel nauseous and hot but had no temperature.  I took 2 Advil and (4 )81mg aspirin. The pain did not stop so I called my parents to take me to hospital this was at 7pm.  I went to the hospital and was brought back immediately and then admitted after several tests. I was treated with Nitroglycerin and Heparin.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased, Pain, Product administered at inappropriate site
Clinical narrative: Vaccine was injected into shoulder- above deltoid- likely into bursa. Injector seemed nervous-alarmed upon penetrating needle into firm shoulder tissue but attempted to remain calm. Severe constant shoulder pain that evening following injection and worsening over first 48 hours. Includes significant loss of range of motion for 5 days with no improvement.  Seating pain upon attempt to lift left arm. No pin in arm or shoulder prior to vaccine booster on 1/16/22.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Palpitations, Pyrexia
Clinical narrative: Racing heart, SOB, high fever for 24 hours, vertigo, "feelings of blacking-out," and chest tightness. All symptoms occurred at random times up to 6 or more times in the last 7 months.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Racing heart, SOB, high fever for 24 hours, vertigo, "feelings of blacking-out," and chest tightness. All symptoms occurred at random times up to 6 or more times in the last 7 months.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Echocardiogram normal, Electrocardiogram abnormal, Laboratory test normal
Clinical narrative: Patient presented to hospital with chest pain that began the morning of 1/20/2022. He recently received his COVID-19 booster vaccine 1/17/2022. EKG was performed in the ER, showed changes concerning for myocarditis. A chest x-ray was performed and did not show any pathology. An ECHO was also obtained and showed adequate cardiac function. Basic labs that were drawn were mostly within normal limits, other than a high troponin level of 9,913 ng/L. The patient was given ibuprofen 400mg Q6H and was monitored overnight.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Patient presented to hospital with chest pain that began the morning of 1/20/2022. He recently received his COVID-19 booster vaccine 1/17/2022. EKG was performed in the ER, showed changes concerning for myocarditis. A chest x-ray was performed and did not show any pathology. An ECHO was also obtained and showed adequate cardiac function. Basic labs that were drawn were mostly within normal limits, other than a high troponin level of 9,913 ng/L. The patient was given ibuprofen 400mg Q6H and was monitored overnight.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient came in to get her booster dose. She reported experiencing a local rash with her first dose.  She self treated with Benadryl and did not report to her doctor. She had no adverse reactions with the second dose and currently doing fine with her booster dose.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lymph node pain, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Swollen lymph node in armpit that was very painful, chills, fever, body aches, rash on lower arm last 6 weeks and still not gone(being treated currently)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Swollen lymph node in armpit that was very painful, chills, fever, body aches, rash on lower arm last 6 weeks and still not gone(being treated currently)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Candida infection, Gastrostomy, Oral pain, SARS-CoV-2 test positive
Clinical narrative: Patient received Moderna COVID vaccine on 4/7/21 (lot # 032B21A), 5/3/21 (lot # 004C21A), and 11/7/21 (lot # 012F21A).  On 1/17/22, patient tested positive for COVID. On 1/18/22, patient admitted to our med/surg unit for a G-tube placement 2/2 inability to tolerate PO with mouth pain/thrush secondary to radiation treatment. On 1/18/22, during attempted IR placement of PEG tube under moderate sedation, patient had two episodes of emesis and the procedure was aborted. On 1/19/22, patient underwent PEG tube placement  under general anesthesia without complication. Patient is planning to be discharged home later today (1/21/22). During admission, patient was asymptomatic even though she was COVID positive.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient received Moderna COVID vaccine on 4/7/21 (lot # 032B21A), 5/3/21 (lot # 004C21A), and 11/7/21 (lot # 012F21A).  On 1/17/22, patient tested positive for COVID. On 1/18/22, patient admitted to our med/surg unit for a G-tube placement 2/2 inability to tolerate PO with mouth pain/thrush secondary to radiation treatment. On 1/18/22, during attempted IR placement of PEG tube under moderate sedation, patient had two episodes of emesis and the procedure was aborted. On 1/19/22, patient underwent PEG tube placement  under general anesthesia without complication. Patient is planning to be discharged home later today (1/21/22). During admission, patient was asymptomatic even though she was COVID positive.