chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Septic shock, Shock, Shock hypoglycaemic, Streptococcus test positive
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Subcutaneous emphysema, Thoracic operation, Thoracotomy, Ultrasound Doppler normal, White blood cell count increased
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 11/23/21  Reported fever, seen by PCP 11/23/21  Regeneron infusion given
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Approx 15-20 min after receiving the vaccine, Pt complained of "tingling under her tongue", 5 minutes later also complained of "tingling of her lips"  No swelling of face, lips, gums, inner mouth or neck noted, no hives, no rash or redness noted. Pt given 50 mg of Benadryl.  BP 130/98 Pulse 88 and regular, breathing normal, non labored.  After 30 minutes, Pt stated her lips still feel "tingly".  BP 122/92, Pulse 92 and regular, breathing normal, non labored.  Pt called her physician.  Physician told PT to follow up with Urgent Care.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Pneumonia bacterial, Superinfection
Clinical narrative: 11/4/21 presents "as transfer from hospital for COVID pneumonia and superimposed bacterial pneumonia". PMHx "hypertension, chronic back pain with opiod dependance"
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was administered 0.3ml Covid 19 Immunization (pfizer) instead of 0.2ml peds Covid19 (pfizer) vaccination.  We tried notifying mom as quickly as we could when the error was detected. Patient had no know reaction.  We have attempted to reach family to f/u.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received Booster shot for Moderna 2 months earlier than 6 month recommendation
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Illness, Somnolence, Vomiting
Clinical narrative: On Sunday around 8pm patient got extremely tired before bed. This was unusual for him. He was falling asleep on the couch. He complained of a headache which he maybe only ever had once in his life. He wasn't running a fever. He woke up at 5:30am throwing up. It was almost all yellow bile. He slept on the couch the entire day waking up briefly and threw up probably 7 or 8 times throughout the day. He couldn't even watch TV he felt so exhausted and sick. He never ran a fever the whole time. He was able to urinate and take a couple ounces of fluid around 6pm Sunday. So Sunday at 5pm was the last time he threw up. He threw up when we tried to give him Motrin.  We did have a call with a Dr and we're told to go to emergency room if he gets better or can't keep fluids down.  The next day (today that I'm writing this) he still spent most of the on the couch but was drinking and able to keep small food down. We have 2 adults and 2 other kids in the house and no one has been sick but him.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: 11/05/21 presents to local ED "who recently tested positive for COVID presents w/ worsening SOB and hypoxia". PMHx "HTN,BPH s/p prostatectomy"
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Carpal tunnel syndrome, Condition aggravated, Hypoaesthesia, Pain
Clinical narrative: Had mild Carpel tunnel prior to vaccine.  Now I?m in pain every night. I have to wear a brace and take pain medication.   Sometimes I?m numb up to my shoulder.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 16 minutes post vaccination patient reported dizziness. Vitals: 114/72, 92, 100%. VSS. Patient declined wheelchair and walked to the exit by RN. Patient had steady gait and in stable condition at 19:20.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Tinnitus
Clinical narrative: 2-3 days of flu-like symptoms; then 4 weeks of binaural tinnitus.
Age: 30.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Cough, Lower respiratory tract infection, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: It started with a sore throat, a cough, nasal congestion, and chest congestion. I took a COVID-19 test on November 18th, and the result was negative. I then had a virtual visit on November 20th. They thought it might be an upper respiratory infection and prescribed me antibiotics.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Scrotal pain
Clinical narrative: 11/05/21 presents to local ED "without significant past medical history for chief complaint of right scrotal pain".
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Petechiae, Rash
Clinical narrative: Five days after his vaccination experienced petechiae rash above his lip and underneath his nose. It gave the appearance of a mustache. It appeared with flush cheeks and lasted for about two days before resolving.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The patient was inadvertently given 0.2 cc of the regular Pfizer  instead of the Peds Pfizer). The patient has not experienced any adverse side effects and the patient's father was notified of the error and stated understanding. The father was instructed to bring child back for 2nd dose of Peds Pfizer in 21 days, as scheduled.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dysstasia, Headache, Incorrect route of product administration, Injection site discolouration
Clinical narrative: 8 hours after vaccine administration, at 6 pm, I started to get a headache. Took Tylenol. Took repeat Tylenol at 10 pm and fell asleep. Woke up about 2 am, needing to pee. Went to stand up from bed and fell to my knees. I had no pain but could not hold myself up. Pushed on table and got myself back up to bed. Did not feel weak or tired. Just could not stand. Waited a few moments and shakily made it to the bathroom. At 5 am got up to pee again. Standing ok. Got done, and my whole abdomen started trembling. I felt like I was going to vomit and had dry heaves. The rest of the day I had diarrhea and the loudest GI sounds ever. I tried Gas-X. No help. Splitting headache. Fever of 102.1 with Tylenol taken every 4 hours. Fever seemed to break once with sweats, down to 99.8; but returned to 102.1. This lasted thru Friday and Saturday. I started to feel better Saturday evening and fever resolved. The injection site in my right upper buttock had been rock hard, sore, about 1" in diameter. On Sunday, the reaction at the injection site was 5" in diameter, hard in the center 3", pink, warm, and very sore.  Could not sit.  Still sore on Monday.  Today, Tuesday, it is down to 1" diameter and is much less sore.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site warmth, Nausea, Pyrexia
Clinical narrative: 8 hours after vaccine administration, at 6 pm, I started to get a headache. Took Tylenol. Took repeat Tylenol at 10 pm and fell asleep. Woke up about 2 am, needing to pee. Went to stand up from bed and fell to my knees. I had no pain but could not hold myself up. Pushed on table and got myself back up to bed. Did not feel weak or tired. Just could not stand. Waited a few moments and shakily made it to the bathroom. At 5 am got up to pee again. Standing ok. Got done, and my whole abdomen started trembling. I felt like I was going to vomit and had dry heaves. The rest of the day I had diarrhea and the loudest GI sounds ever. I tried Gas-X. No help. Splitting headache. Fever of 102.1 with Tylenol taken every 4 hours. Fever seemed to break once with sweats, down to 99.8; but returned to 102.1. This lasted thru Friday and Saturday. I started to feel better Saturday evening and fever resolved. The injection site in my right upper buttock had been rock hard, sore, about 1" in diameter. On Sunday, the reaction at the injection site was 5" in diameter, hard in the center 3", pink, warm, and very sore.  Could not sit.  Still sore on Monday.  Today, Tuesday, it is down to 1" diameter and is much less sore.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Retching, Tremor
Clinical narrative: 8 hours after vaccine administration, at 6 pm, I started to get a headache. Took Tylenol. Took repeat Tylenol at 10 pm and fell asleep. Woke up about 2 am, needing to pee. Went to stand up from bed and fell to my knees. I had no pain but could not hold myself up. Pushed on table and got myself back up to bed. Did not feel weak or tired. Just could not stand. Waited a few moments and shakily made it to the bathroom. At 5 am got up to pee again. Standing ok. Got done, and my whole abdomen started trembling. I felt like I was going to vomit and had dry heaves. The rest of the day I had diarrhea and the loudest GI sounds ever. I tried Gas-X. No help. Splitting headache. Fever of 102.1 with Tylenol taken every 4 hours. Fever seemed to break once with sweats, down to 99.8; but returned to 102.1. This lasted thru Friday and Saturday. I started to feel better Saturday evening and fever resolved. The injection site in my right upper buttock had been rock hard, sore, about 1" in diameter. On Sunday, the reaction at the injection site was 5" in diameter, hard in the center 3", pink, warm, and very sore.  Could not sit.  Still sore on Monday.  Today, Tuesday, it is down to 1" diameter and is much less sore.
Age: 60.0
Sex: F
Vaccine: FLUC4
Symptoms: Pruritus, Rash macular
Clinical narrative: I woke up during the night due to extreme itching on my stomach and legs. When I checked my skin, it was covered in red blotches. The intense itching lasted for about two hours, and then I  experienced  milder symptoms for another 30 hours, with some itching on my neck, arms and back as well.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pain, Skin warm
Clinical narrative: Swelling and redness circumference of a baseball at injection site. Painful and warm to touch. Finally abating now.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: pt is 12 y/o and received a Pfizer pediatric dose 0.2 ml, Patient has no symptoms. Patient should haved received adult dose 0.3ml.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 09/28/2021. PATIENT FULLY VACCINATED ON 03/09/2021.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Nosebleeds
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the best-used-date but before expiration date.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Pyrexia, Urticaria
Clinical narrative: I received the Moderna booster on 11/5. on 11/11, six days after receiving the Moderna booster shot, I developed an itchy bump at the injection site with red hives surrounding, it was feverish to the touch. Over the course next nearly two weeks, the hives have grown progressively worse, and are covering my entire body. I received a prednisone shot on 11/17, which only helped temporarily. Have since been taking oral prednisone and Benadryl daily, both of which barely alleviate the symptoms.   I saw my allergist today, 11/23, and was prescribed Zyrtec, Pepcid AC, more prednisone, and an epi pen.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chest X-ray normal, Confusional state, Decreased appetite, Fall
Clinical narrative: Patient admitted with worsening weakness and confusion.  Patient has poor appetite, also.  Patient fell prior to admission.  No hypoxia.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inflammatory marker increased
Clinical narrative: Patient admitted with worsening weakness and confusion.  Patient has poor appetite, also.  Patient fell prior to admission.  No hypoxia.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON  09/03/2021. PATIENT FULLY VACCINATED ON 03/09/2021.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy test negative, Blood immunoglobulin E normal, Fatigue, Pyrexia, Urticaria
Clinical narrative: Took 2nd vaccine of Pfizer-BioNTech on May 10, 2021.  The day of the vaccine and time after, I didn't have any major symptoms other than low grade fever and fatigue. Starting Aug 16, 2021, starting seeing spontaneous urticaria (hives). These were happening daily for the first week or so and would regularly after that, but would be less often, maybe every 2-3 days. I took Benadryl or Claritin to treat the hives when I got it. I saw Doctor on Aug 18, 2021 and she recommended continue to take the antihistamines as needed and get blood work done for testing Basic Food Allergy and Upper Respiratory Allergy panel. All tests came back normal, I did not show any allergy to commonly tested food and environmental allergens. Nothing about my diet or environment has changed. And I have been working at home for the past 20 months. After the panel came back to be fine, i was referred to allergist at facility in city, I saw allergist on Nov 23, 2021 and told him about the Chronic Spontaneous Urticaria and a possible trigger of cold winds/temperatures. He has suggested I do urticaria screening labs to rule out any other possible systemic disorders. Up till now, I still get hives every 2-3 days and take antihistamines to resolve them. The hives always start on my thighs and travels to my lower legs, as well as up to the lower back. Rarely, it will show up on arms as well. I have no history of allergies and no other medical conditions prior to this problem.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Pallor, Skin warm
Clinical narrative: Patient received his vaccine and sat down for his 15 minute observation period.  After approx 5 min of sitting, staff noticed patient was sweating profusely.  patient skin pale and clammy, very sweaty.  Patient stated he felt dizzy and his vision was blurry and he felt like he was going to pass out.  staff used an ammonia inhalant under patient's nose.  Cool papertowels applied to head.  Patient's mask and jacket were removed.  Patient given cold beverage.  Patient declined to lie on the floor.  BP 110/82, pulse 76 and regular.  Breathing normal, non labored.   staff sat next to patient for 15 minutes until patient stated he no longer felt he had to pass out.  Patient sat for an additional 15 minutes.  After 40 minutes of sitting, patient's color of face was no longer pale, skin warm to touch, no longer clammy and sweaty. staff stood next to patient as he stood from sitting position. patient stated he felt fine, no dizziness. Patient stated he was fine to drive himself home and he was going to go home and rest.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Patient received his vaccine and sat down for his 15 minute observation period.  After approx 5 min of sitting, staff noticed patient was sweating profusely.  patient skin pale and clammy, very sweaty.  Patient stated he felt dizzy and his vision was blurry and he felt like he was going to pass out.  staff used an ammonia inhalant under patient's nose.  Cool papertowels applied to head.  Patient's mask and jacket were removed.  Patient given cold beverage.  Patient declined to lie on the floor.  BP 110/82, pulse 76 and regular.  Breathing normal, non labored.   staff sat next to patient for 15 minutes until patient stated he no longer felt he had to pass out.  Patient sat for an additional 15 minutes.  After 40 minutes of sitting, patient's color of face was no longer pale, skin warm to touch, no longer clammy and sweaty. staff stood next to patient as he stood from sitting position. patient stated he felt fine, no dizziness. Patient stated he was fine to drive himself home and he was going to go home and rest.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Asthenia, Back pain, Extra dose administered
Clinical narrative: Received simultaneous flu and Pfizer Covid vaccine (3rd dose) on September 28. 30 hours later woke up with right thigh pain. Worsened over the next three days and evolved to include low back through knee. Essentially bed-ridden, unable to ambulate any significant amount without crutches or severe pain. Writhing in pain virtually around the clock. Associated numbness and weakness L3-L4. Rt hip film showed mild arthritis. PCP suggested physical therapy, with essentially no appreciation that I had gone from walking 6 miles a day/swimming/tennis to bedridden status. Lumbar MRI on day 19 showed bulging discs and stenosis ( worse on left -the "good" side) which I regard as old findings (please note I am a physician, board certified in /Internal Medicine and Radiation Oncology). Pain gradually started to subside at three weeks. Pain-free at 6-7 weeks. Numbness seems largely gone, now at 7 weeks.  My suspicion is that this was an inflammatory neuritis, presumably related to the Covid vaccine (acknowledging that a flu shot was given concurrently).
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Inappropriate schedule of product administration, Intervertebral disc protrusion, Magnetic resonance imaging, Mobility decreased
Clinical narrative: Received simultaneous flu and Pfizer Covid vaccine (3rd dose) on September 28. 30 hours later woke up with right thigh pain. Worsened over the next three days and evolved to include low back through knee. Essentially bed-ridden, unable to ambulate any significant amount without crutches or severe pain. Writhing in pain virtually around the clock. Associated numbness and weakness L3-L4. Rt hip film showed mild arthritis. PCP suggested physical therapy, with essentially no appreciation that I had gone from walking 6 miles a day/swimming/tennis to bedridden status. Lumbar MRI on day 19 showed bulging discs and stenosis ( worse on left -the "good" side) which I regard as old findings (please note I am a physician, board certified in /Internal Medicine and Radiation Oncology). Pain gradually started to subside at three weeks. Pain-free at 6-7 weeks. Numbness seems largely gone, now at 7 weeks.  My suspicion is that this was an inflammatory neuritis, presumably related to the Covid vaccine (acknowledging that a flu shot was given concurrently).
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Neuritis, Pain, Pain in extremity, Stenosis, X-ray of pelvis and hip
Clinical narrative: Received simultaneous flu and Pfizer Covid vaccine (3rd dose) on September 28. 30 hours later woke up with right thigh pain. Worsened over the next three days and evolved to include low back through knee. Essentially bed-ridden, unable to ambulate any significant amount without crutches or severe pain. Writhing in pain virtually around the clock. Associated numbness and weakness L3-L4. Rt hip film showed mild arthritis. PCP suggested physical therapy, with essentially no appreciation that I had gone from walking 6 miles a day/swimming/tennis to bedridden status. Lumbar MRI on day 19 showed bulging discs and stenosis ( worse on left -the "good" side) which I regard as old findings (please note I am a physician, board certified in /Internal Medicine and Radiation Oncology). Pain gradually started to subside at three weeks. Pain-free at 6-7 weeks. Numbness seems largely gone, now at 7 weeks.  My suspicion is that this was an inflammatory neuritis, presumably related to the Covid vaccine (acknowledging that a flu shot was given concurrently).
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was inadvertently given 0.2cc of regular Pfizer instead of Peds Pfizer. Mother notified and plans to contact doctor for further advice. Plans to bring pt. back in 21 days for second dose of Peds Pfizer. Patient has not experienced any adverse side effects.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Magnetic resonance imaging head, Optic neuritis, Optical coherence tomography, Visual impairment
Clinical narrative: Left retrobulbar optic neuritis manifesting with visual disturbance (but no visual field defects) and pain with eye movement. Symptom onset may have preceded vaccination. By the time the diagnosis was made, it was unclear when the symptoms had started, but it was close in time to vaccination. Common causes of ON such as MS, etc. were ruled out.  The vaccination was the third dose (booster) of Moderna given about 9 months after the second dose.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Started on 10/27 during the first cycle of menstruation  after the initial vaccine dose. Period blood was abnormally heavy, saturating one pad every 3 hours. This is extremely unusual. This continued for 2 days straight. Then the period ended after the 5th day. Two weeks later it returned and was bright red blood. I have NEVER had irregular periods  my entire life! I can?t believe this vaccine has caused my body such changes. Please advise others of menstrual side effects prior to administering. I hope this does not continue. I have always been regular with my period since I began menstruating during puberty so I know my body and this vaccine has caused my period to be irregular.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Arthralgia, Asthenia, Bacterial infection, Blood bicarbonate increased
Clinical narrative: ED 11/15/2021 - transferred to Hospital -admitted Hospitalized (11.16.21 - 11/22/21; COVID-19 positive (11.15.21); Fully vaccinated  Details of Hospital Stay PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE: This is a 69-year-old female with past medical history significant for asthma, OSA, morbid obesity, borderline personality disorder and GERD who presented to emergency department with weakness and cough.  For in the emergency department, the patient was found to be hypoxic requiring 2 L nasal cannula.  COVID-19 PCR was positive.  Chest x-ray showed nonspecific left lower perihilar opacity.  The patient received Decadron in the emergency department and was transferred to Hospital for further evaluation.   The patient was treated with Decadron and remdesivir for COVID-19 pneumonia.  Procalcitonin was noted to be normal with low suspicion for bacterial infection.  The patient's prescribed Lasix was continued.  Oxygen saturation remained stable on 3-4 L nasal cannula. She was seen by Rehab who recommended 4L NC with rest and 8L with oximizer with activity. PT recommended home with assist. She was discharged on decadron to complete course at home as well as given scripts for tessalon and guaifenesin. The patient was hemodynamically stable and all questions were answered at discharge.    Consults None   Procedures None
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride decreased, Blood creatinine normal, Blood glucose normal, Blood potassium decreased, Blood sodium normal
Clinical narrative: ED 11/15/2021 - transferred to Hospital -admitted Hospitalized (11.16.21 - 11/22/21; COVID-19 positive (11.15.21); Fully vaccinated  Details of Hospital Stay PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE: This is a 69-year-old female with past medical history significant for asthma, OSA, morbid obesity, borderline personality disorder and GERD who presented to emergency department with weakness and cough.  For in the emergency department, the patient was found to be hypoxic requiring 2 L nasal cannula.  COVID-19 PCR was positive.  Chest x-ray showed nonspecific left lower perihilar opacity.  The patient received Decadron in the emergency department and was transferred to Hospital for further evaluation.   The patient was treated with Decadron and remdesivir for COVID-19 pneumonia.  Procalcitonin was noted to be normal with low suspicion for bacterial infection.  The patient's prescribed Lasix was continued.  Oxygen saturation remained stable on 3-4 L nasal cannula. She was seen by Rehab who recommended 4L NC with rest and 8L with oximizer with activity. PT recommended home with assist. She was discharged on decadron to complete course at home as well as given scripts for tessalon and guaifenesin. The patient was hemodynamically stable and all questions were answered at discharge.    Consults None   Procedures None
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea normal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: ED 11/15/2021 - transferred to Hospital -admitted Hospitalized (11.16.21 - 11/22/21; COVID-19 positive (11.15.21); Fully vaccinated  Details of Hospital Stay PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE: This is a 69-year-old female with past medical history significant for asthma, OSA, morbid obesity, borderline personality disorder and GERD who presented to emergency department with weakness and cough.  For in the emergency department, the patient was found to be hypoxic requiring 2 L nasal cannula.  COVID-19 PCR was positive.  Chest x-ray showed nonspecific left lower perihilar opacity.  The patient received Decadron in the emergency department and was transferred to Hospital for further evaluation.   The patient was treated with Decadron and remdesivir for COVID-19 pneumonia.  Procalcitonin was noted to be normal with low suspicion for bacterial infection.  The patient's prescribed Lasix was continued.  Oxygen saturation remained stable on 3-4 L nasal cannula. She was seen by Rehab who recommended 4L NC with rest and 8L with oximizer with activity. PT recommended home with assist. She was discharged on decadron to complete course at home as well as given scripts for tessalon and guaifenesin. The patient was hemodynamically stable and all questions were answered at discharge.    Consults None   Procedures None
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Hypoxia, Lung opacity, Platelet count increased
Clinical narrative: ED 11/15/2021 - transferred to Hospital -admitted Hospitalized (11.16.21 - 11/22/21; COVID-19 positive (11.15.21); Fully vaccinated  Details of Hospital Stay PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE: This is a 69-year-old female with past medical history significant for asthma, OSA, morbid obesity, borderline personality disorder and GERD who presented to emergency department with weakness and cough.  For in the emergency department, the patient was found to be hypoxic requiring 2 L nasal cannula.  COVID-19 PCR was positive.  Chest x-ray showed nonspecific left lower perihilar opacity.  The patient received Decadron in the emergency department and was transferred to Hospital for further evaluation.   The patient was treated with Decadron and remdesivir for COVID-19 pneumonia.  Procalcitonin was noted to be normal with low suspicion for bacterial infection.  The patient's prescribed Lasix was continued.  Oxygen saturation remained stable on 3-4 L nasal cannula. She was seen by Rehab who recommended 4L NC with rest and 8L with oximizer with activity. PT recommended home with assist. She was discharged on decadron to complete course at home as well as given scripts for tessalon and guaifenesin. The patient was hemodynamically stable and all questions were answered at discharge.    Consults None   Procedures None
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin normal, SARS-CoV-2 test positive, White blood cell count normal
Clinical narrative: ED 11/15/2021 - transferred to Hospital -admitted Hospitalized (11.16.21 - 11/22/21; COVID-19 positive (11.15.21); Fully vaccinated  Details of Hospital Stay PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE: This is a 69-year-old female with past medical history significant for asthma, OSA, morbid obesity, borderline personality disorder and GERD who presented to emergency department with weakness and cough.  For in the emergency department, the patient was found to be hypoxic requiring 2 L nasal cannula.  COVID-19 PCR was positive.  Chest x-ray showed nonspecific left lower perihilar opacity.  The patient received Decadron in the emergency department and was transferred to Hospital for further evaluation.   The patient was treated with Decadron and remdesivir for COVID-19 pneumonia.  Procalcitonin was noted to be normal with low suspicion for bacterial infection.  The patient's prescribed Lasix was continued.  Oxygen saturation remained stable on 3-4 L nasal cannula. She was seen by Rehab who recommended 4L NC with rest and 8L with oximizer with activity. PT recommended home with assist. She was discharged on decadron to complete course at home as well as given scripts for tessalon and guaifenesin. The patient was hemodynamically stable and all questions were answered at discharge.    Consults None   Procedures None
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 infection. Tested positive on 08/17/2021. Patient fully vaccinated on 03/14/2021.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Incorrect dose administered, Vomiting
Clinical narrative: Pt was given 0.3ml of Pfizer adult dose, rather then childs dose.  Pt immediately vomited
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Vision blurred
Clinical narrative: For about 4 days, I had a splitting headache, blurry vision, and  elevated heart rate
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 10/25/2021. PATIENT FULLY VACCINATED ON 04/15/2021.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation irregular, Oligomenorrhoea
Clinical narrative: Since I have taken the second dose of the vaccine, my menstrual cycle has lasted 10+ more days longer than normal (it is typically 7 days long)and irregular start dates for my cycle (I have had one occurrence of it starting up to 12 days early).
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, Malaise
Clinical narrative: Patient admitted with worsening shortness of breath.  The patient was sick for about a week with sore throat, cough, shortness of breath, and hypoxia.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Patient admitted with worsening shortness of breath.  The patient was sick for about a week with sore throat, cough, shortness of breath, and hypoxia.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Menstruation irregular, Pain
Clinical narrative: Body ache, body chills, headache, fatigue, irregular start of period.   Took Tylenol. It lasted for about 48 hours.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No immediate signs or symptoms but since it was administered outside of FDA approval the patient went to the ER to be evaluated.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID-19 infection. Tested positive on 08/27/2021. Patient fully vaccinated on 02/20/2021.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID illness
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Blood test, Chest X-ray, Chest pain, Chills
Clinical narrative: After vaccination felt fine other than sore arm.  At bedtime had mild chills and body aches.  Next morning I felt ok, had a headache, went to my physical therapy appt and couldn't do the exercises.  I tired very quickly.  I could do those exercises easily 2 days prior.  I went to work, felt malaise overall.  Felt better the next morning, mild headache - went to work.  I had been working on my feet all day for about 4 hours when I started to feel chest pain on the left side.  It was mild so kept working for about an hour or two.  I started to feel it on the left side of my back as well.  It started to get worse and I was starting to feel dizzy - I left work and went to ER. They did a bunch of tests to rule out all the bad stuff (heart attack, stroke, clots, etc).  All tests came back negative.  My blood pressure was higher than 180 when I presented at the ER and returned to normal after 3 hours at the ER.  Felt nauseated after the ER visit (assuming it was from the contrast dye injected during ER visit for CT scan).  Next day had overall malaise.  Still had chest pain but it was lessening.  Felt like the aftermath of something exploding in your chest and I was sore from the inside/out (vs outside/in when you workout - if that makes sense).  Minimally sore on day 4 and overall malaise - went to urgent care because I felt I should feel better by now.  Had a mild low grade fever of 99.4 (I normally run 98 or below and my 2nd covid vax elevated to 99.4 as well).  They tested me for covid (neg) and told me to give it a couple more days and come back if I still wasn't feeling well.  Day 5 felt more normal - was trying to check my blood pressure at home, but was consistently getting high readings - went to ER next day (urgent care refused to see me for high bp) - BP was only slightly elevated (127/92) - so suspect the high readings were false - as I felt normal that day.   I have history of mildly elevated bp in which I have controlled with diet/exercise last 2 years - no meds for it.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Fatigue, Feeling abnormal, Headache
Clinical narrative: After vaccination felt fine other than sore arm.  At bedtime had mild chills and body aches.  Next morning I felt ok, had a headache, went to my physical therapy appt and couldn't do the exercises.  I tired very quickly.  I could do those exercises easily 2 days prior.  I went to work, felt malaise overall.  Felt better the next morning, mild headache - went to work.  I had been working on my feet all day for about 4 hours when I started to feel chest pain on the left side.  It was mild so kept working for about an hour or two.  I started to feel it on the left side of my back as well.  It started to get worse and I was starting to feel dizzy - I left work and went to ER. They did a bunch of tests to rule out all the bad stuff (heart attack, stroke, clots, etc).  All tests came back negative.  My blood pressure was higher than 180 when I presented at the ER and returned to normal after 3 hours at the ER.  Felt nauseated after the ER visit (assuming it was from the contrast dye injected during ER visit for CT scan).  Next day had overall malaise.  Still had chest pain but it was lessening.  Felt like the aftermath of something exploding in your chest and I was sore from the inside/out (vs outside/in when you workout - if that makes sense).  Minimally sore on day 4 and overall malaise - went to urgent care because I felt I should feel better by now.  Had a mild low grade fever of 99.4 (I normally run 98 or below and my 2nd covid vax elevated to 99.4 as well).  They tested me for covid (neg) and told me to give it a couple more days and come back if I still wasn't feeling well.  Day 5 felt more normal - was trying to check my blood pressure at home, but was consistently getting high readings - went to ER next day (urgent care refused to see me for high bp) - BP was only slightly elevated (127/92) - so suspect the high readings were false - as I felt normal that day.   I have history of mildly elevated bp in which I have controlled with diet/exercise last 2 years - no meds for it.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Malaise, Nausea, Pain, Pain in extremity
Clinical narrative: After vaccination felt fine other than sore arm.  At bedtime had mild chills and body aches.  Next morning I felt ok, had a headache, went to my physical therapy appt and couldn't do the exercises.  I tired very quickly.  I could do those exercises easily 2 days prior.  I went to work, felt malaise overall.  Felt better the next morning, mild headache - went to work.  I had been working on my feet all day for about 4 hours when I started to feel chest pain on the left side.  It was mild so kept working for about an hour or two.  I started to feel it on the left side of my back as well.  It started to get worse and I was starting to feel dizzy - I left work and went to ER. They did a bunch of tests to rule out all the bad stuff (heart attack, stroke, clots, etc).  All tests came back negative.  My blood pressure was higher than 180 when I presented at the ER and returned to normal after 3 hours at the ER.  Felt nauseated after the ER visit (assuming it was from the contrast dye injected during ER visit for CT scan).  Next day had overall malaise.  Still had chest pain but it was lessening.  Felt like the aftermath of something exploding in your chest and I was sore from the inside/out (vs outside/in when you workout - if that makes sense).  Minimally sore on day 4 and overall malaise - went to urgent care because I felt I should feel better by now.  Had a mild low grade fever of 99.4 (I normally run 98 or below and my 2nd covid vax elevated to 99.4 as well).  They tested me for covid (neg) and told me to give it a couple more days and come back if I still wasn't feeling well.  Day 5 felt more normal - was trying to check my blood pressure at home, but was consistently getting high readings - went to ER next day (urgent care refused to see me for high bp) - BP was only slightly elevated (127/92) - so suspect the high readings were false - as I felt normal that day.   I have history of mildly elevated bp in which I have controlled with diet/exercise last 2 years - no meds for it.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: After vaccination felt fine other than sore arm.  At bedtime had mild chills and body aches.  Next morning I felt ok, had a headache, went to my physical therapy appt and couldn't do the exercises.  I tired very quickly.  I could do those exercises easily 2 days prior.  I went to work, felt malaise overall.  Felt better the next morning, mild headache - went to work.  I had been working on my feet all day for about 4 hours when I started to feel chest pain on the left side.  It was mild so kept working for about an hour or two.  I started to feel it on the left side of my back as well.  It started to get worse and I was starting to feel dizzy - I left work and went to ER. They did a bunch of tests to rule out all the bad stuff (heart attack, stroke, clots, etc).  All tests came back negative.  My blood pressure was higher than 180 when I presented at the ER and returned to normal after 3 hours at the ER.  Felt nauseated after the ER visit (assuming it was from the contrast dye injected during ER visit for CT scan).  Next day had overall malaise.  Still had chest pain but it was lessening.  Felt like the aftermath of something exploding in your chest and I was sore from the inside/out (vs outside/in when you workout - if that makes sense).  Minimally sore on day 4 and overall malaise - went to urgent care because I felt I should feel better by now.  Had a mild low grade fever of 99.4 (I normally run 98 or below and my 2nd covid vax elevated to 99.4 as well).  They tested me for covid (neg) and told me to give it a couple more days and come back if I still wasn't feeling well.  Day 5 felt more normal - was trying to check my blood pressure at home, but was consistently getting high readings - went to ER next day (urgent care refused to see me for high bp) - BP was only slightly elevated (127/92) - so suspect the high readings were false - as I felt normal that day.   I have history of mildly elevated bp in which I have controlled with diet/exercise last 2 years - no meds for it.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Upper-airway cough syndrome
Clinical narrative: 36mins post vaccination pt reports post nasal drip and pressure in the ears. Vitals: 131/71, 82, 20, 100% Pt voiced complaints at the end of observation time.  Pt feels that post nasal drip and pressure in the ears are new after vaccine was administered.  Pt was given 25mg PO Benadryl and was instructed to call 911 if having any respiratory distress or symptoms worsen.  Pt's parents picked up the patient so she does not have to drive.  NO swelling of lips or tongue.  No S/S of distress.  Prior to D/C pt reports symptoms have improved and has no further complaints.  Pt released in stable condition.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Injection site reaction, Rash erythematous, Rash pruritic
Clinical narrative: From patient report: "I just wanted to let you know that I think I had a reaction to the Covid booster shot. I had it last Monday, and noticed that evening a quarter sized red circular rash next to the injection site. The next two days, it was very itchy and got much larger. It almost looked like what you see with cellulitis. It was gone by this past Saturday. I have also noticed some odd lower leg sensations, like electric current running through or something. I don?t know if those two things have any relation, or if the leg thing is just a coincidence".
Age: 1.25
Sex: M
Vaccine: TDAP
Symptoms: Adverse reaction
Clinical narrative: no symptoms or adverse reactions noted
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Headaches and dizziness.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Hypertension, Nausea, Rash
Clinical narrative: Nauseous - wanted to throw up , also had an upset stomach  called the doctor was advised to rest up due to vaccine effect and afterwards had noticed spots all over my skin specifically near my eyes, and had a headache then called the doctor again and had my daughter pick me up and took me to the doctor.  When I arrived at the doctor's office they said my blood pressure was high and I was given an iv medication then after a few hours was feeling better and blood pressure was normal as well
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Haemorrhage, Headache, Pain, Pyrexia
Clinical narrative: pain in back/body/legs, stomach pain, headaches, prominent diarrhea with bleeding, fever (102.7 F).
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Treponema test false positive
Clinical narrative: Ever since I received the vaccines, every time I donate blood, I have received a false positive test for syphilis.  I have no syphilis symptoms and haven?t had sex in 10 years.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 09/22/2021. PATIENT FULLY VACCINATED ON 02/12/2021.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Body ache, chills, headache, fatigue. Taking Tylenol.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Influenza virus test negative, Pain, Pulmonary congestion, SARS-CoV-2 test negative
Clinical narrative: Severe lung congestion  Severe sinus congestion  Severe body aches  Extreme tiredness Three weeks  Z-pac Albuterol inhaler Mucinex
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: Severe lung congestion  Severe sinus congestion  Severe body aches  Extreme tiredness Three weeks  Z-pac Albuterol inhaler Mucinex
Age: 52.0
Sex: F
Vaccine: FLUA4
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: The vaccinator, a registered nurse, accidentally administered Fluad (ages 65+) to a 55-year old patient that had been originally processed for Fluzone Quad (ages 6 months-64 years).    Patient has not reported any adverse events to this point and we have not yet been able to contact the patient, though we have left a message for her to call us back soon.
Age: 99.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Muscular weakness, Nucleic acid test, SARS-CoV-2 test positive
Clinical narrative: 11/06/21 presents to EC ED for "cc of BL LE extremity weakness". PMHx "GERD, dyslipidemia, HTN"
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site paraesthesia, Injection site reaction
Clinical narrative: patient experienced numbing and tingling in her left arm (same arm she received the vaccine) after receiving the pfizer covid shot. she went home and the numbing and tingling went away but now she feels like her muscles around the injection site is tight.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the best-used date but before expiration date.