chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Eczema, Gastric disorder, Neutropenia
Clinical narrative: After my vaccine my neutropenia went from mild to moderate. I developed repeat stomach infections and eczema. (I have never had eczema before). It has taken months to lessen; it has only been a month since the eczema has stopped, and I still have stomach issues. I am only reporting this because I believe that a vaccine should not increase an immune disorder and put someone at a higher risk for infection and autoimmune problems. I am going to mark recovered below because I can now handle the stomach issues with a change in diet.
Age: 65.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No Adverse effects - patient did receive a second influenza vaccine for the year. Received first on 9/17/21 then again on 12/21/21.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Nurse was at facility that said they had done all system look ups prior to the clinic and patients attending were due for their boosters.  Patient was vaccinated without incident. When patient was being entered into system after the vaccination, it was noted that he had received 2nd shot in primary series on  11/30/21 and was not yet eligible for a booster.  Nursing director.  Process has been changed that all patients are being checked in system prior to being vaccinated.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Basedow's disease, Blood test abnormal, Dizziness, Dyspnoea, Hyperthyroidism
Clinical narrative: Within a few weeks, Patient had shortness of breath and was light headed when exercising. His resting heart rate was 110/120 bpms.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death
Clinical narrative: Death
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: 11 yo presented to clinic w/parents to receive 1 dose of pfizer. Within the 15 minute observation pt started to c/o of chest tightness. No other symptoms. Parents stated pt has a history of a heart murmur, but no past reactions to vaccines or allergies to medication. Pt denied headache, nausea, blurred vision, or numbness/tingling. VS @ 1410 HR 100, BP 118/65, RR 20, O2 99, PAIN 2; @ HR 99, BP 122/64, RR 20, O2 98, PAIN 2. Parents were advised to speak with PCM before 2nd vaccine and to go to ER if sx get worse, they will continue to monitor PT  at home. Decided no ER transport at this time.
Age: 41.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Asthenia, Magnetic resonance imaging abnormal, Neuralgic amyotrophy
Clinical narrative: Progressive weakness and Parsonage Turner Syndrome confirmed by MRI.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle tightness, Sciatica
Clinical narrative: A LITTLE AFTER 24 HOURS, I HAD TIGHTNESS IN MY LOWER BACK AND SOME NUMBNESS IN MY LEFT LEG. THIS HAD SMILAR SYMPTOMS TO SCIATICA; WHICH I HAVE NEVER HAD AN OCCURRENCE.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Laboratory test, Lung disorder, Pyrexia, Swelling
Clinical narrative: fever, cpugh, armpit swelling, pe's in lung
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Joint stiffness, Malaise, Pyrexia
Clinical narrative: Patient's mother called reporting that patient is feeling exceptionally ill today. Reports fever, intense stomach cramping, and stiff joints after receiving the vaccine from a different location.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Bite, Dyskinesia, Facial pain, Facial paralysis
Clinical narrative: Right side of face droopy and paralysis of right side. Took booster on Monday morning and that night my face started to hurt but thought I was fine. The next day while trying to eat I bit my right side of my lip and my jaw would not open as far and I could not smile.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test abnormal
Clinical narrative: Right side of face droopy and paralysis of right side. Took booster on Monday morning and that night my face started to hurt but thought I was fine. The next day while trying to eat I bit my right side of my lip and my jaw would not open as far and I could not smile.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Central venous catheterisation, Epistaxis, Face injury
Clinical narrative: CHIEF COMPLAINT:   Mechanical fall into metal cabinet hitting his nose. (-) LOC, (+) thinner, plavix for a-fib. DM hx. CAO x3. (+) IV. Got 100 mL NS from EMS. Bleeding controlled with pressure. L upper arm fistula. R chest port. BPs on R lower arm   HISTORY OF PRESENT ILLNESS:     75-year-old gentleman with a history of ESRD on hemodialysis, A. fib on Eliquis, CAD, COPD, CHF presenting for the evaluation of a fall and epistaxis. Patient states that he tripped on a chair at work earlier this afternoon and hit his face on a metal file cabinet. He reports pain affecting his face and a nosebleed afterwards. Denies loss of consciousness. Presently reporting pain only in his nose. Has been noting pressure on the nosebleed without significant change. Denies back pain, neck pain, abdominal pain.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Facial pain, Fall, Fistula, Nasal injury
Clinical narrative: CHIEF COMPLAINT:   Mechanical fall into metal cabinet hitting his nose. (-) LOC, (+) thinner, plavix for a-fib. DM hx. CAO x3. (+) IV. Got 100 mL NS from EMS. Bleeding controlled with pressure. L upper arm fistula. R chest port. BPs on R lower arm   HISTORY OF PRESENT ILLNESS:     75-year-old gentleman with a history of ESRD on hemodialysis, A. fib on Eliquis, CAD, COPD, CHF presenting for the evaluation of a fall and epistaxis. Patient states that he tripped on a chair at work earlier this afternoon and hit his face on a metal file cabinet. He reports pain affecting his face and a nosebleed afterwards. Denies loss of consciousness. Presently reporting pain only in his nose. Has been noting pressure on the nosebleed without significant change. Denies back pain, neck pain, abdominal pain.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Injection site started swelling and turned red I noticed around 8pm on 12/21/21. My husband drew an outline around the welt. At 5am this morning it had almost double in size. It is still swollen as of 1348 12/22/21. It is sore but injection sites this is typical. Each time the injection site has been examined it has been noted to be red and warm to the touch.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Injection site started swelling and turned red I noticed around 8pm on 12/21/21. My husband drew an outline around the welt. At 5am this morning it had almost double in size. It is still swollen as of 1348 12/22/21. It is sore but injection sites this is typical. Each time the injection site has been examined it has been noted to be red and warm to the touch.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Lymph node in left axilla became swollen and enlarged right after 2nd dose in primary series and has remained enlarged and tender for 8 months.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash appeared on wrist and fingers, lower stomach and thigh area itchy with rash.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Swelling, Ultrasound scan, Varicose vein
Clinical narrative: Varicose vein in left leg became painful and swollen, took an aspirin in the middle of the night and pain subsided.  Went to see Dr the next day and had ultrasound to check for blood clots.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Pruritus
Clinical narrative: Pt received her Moderna 0.25 ml booster shot today at 0954. Pt began to experience flushing to neck and chest area, coupled with severe itching within ten mins of receiving injection. Pt was brought to triage area. Vital signs were taken and WNL. No c/o of SOB or dizzyness. Notified Dr and recvd verbal order for Zyrtec 10mg dissolvable tab PO x 1. Admin medication at 1014 and Vitals retaken 15mins later. Vitals retaken at 1045,VSS, redness and itching resolved. Pt D/Cd home and advised to monitor to a return of symptoms or SOB and act accordingly.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received a dose of .3 mL.  Recommended dose is .2 mL.  No adverse reaction was noted as of 12/21/2021.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Headache, Injection site pain, Mobility decreased
Clinical narrative: Initially headache. Some dizziness and disorientation. Strong tingling in tongue (tip) and lips. Things taste weird. The tingling in tongue and lips is much stronger and longer lasting than with Johnson and Johnson vaccine received in the summer. Symptoms ongoing, should hopefully resolve in time. Injection sight is extremely sore, arm is very tight and difficult to move.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia oral, Peripheral swelling, Taste disorder
Clinical narrative: Initially headache. Some dizziness and disorientation. Strong tingling in tongue (tip) and lips. Things taste weird. The tingling in tongue and lips is much stronger and longer lasting than with Johnson and Johnson vaccine received in the summer. Symptoms ongoing, should hopefully resolve in time. Injection sight is extremely sore, arm is very tight and difficult to move.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: 10 days after booster, I developed hives and rash from mid thigh to neck.  First 3 days were extremely itchy.  Dr gave predisone and told to be on Allerga.  today is day 16, rash still comes and goes on trunk and arms.  Not as bad as days 1-3 but still a reaction.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Blood test, Pruritus, Rash, Sensitive skin
Clinical narrative: There was a rash in different parts of the body, sensitive to hot water, clothing. Hives where the clothes touched my body. I never got relive from it. Those places that didn't have the rash was also itchy. The doctor put me on steroid and it did not help. Didn't mentioned the vaccine to the doctor. Went back several times and there was no relive and there were marks on my skin. This went on till Jul2021. Went liver heat and went on detox - natural doctor and referred to acupuncturist and took herbs and that helped lightened but never fully gone until July 2021. Took my 2nd dose - the rash never went away after 1st and got worse after the 2nd dose. More inflamed more. Still sporadically feel this. Skin feels a little warmer.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: There was a rash in different parts of the body, sensitive to hot water, clothing. Hives where the clothes touched my body. I never got relive from it. Those places that didn't have the rash was also itchy. The doctor put me on steroid and it did not help. Didn't mentioned the vaccine to the doctor. Went back several times and there was no relive and there were marks on my skin. This went on till Jul2021. Went liver heat and went on detox - natural doctor and referred to acupuncturist and took herbs and that helped lightened but never fully gone until July 2021. Took my 2nd dose - the rash never went away after 1st and got worse after the 2nd dose. More inflamed more. Still sporadically feel this. Skin feels a little warmer.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Electrocardiogram normal, Fibrin D dimer normal, Insomnia, Myocardial necrosis marker normal
Clinical narrative: Moderna COVID-19 Vaccine EUA This was the Moderna Booster (1 & 2 were also Moderna).  When I went to bed, I was unable to sleep. I laid in bed reading, hoping to fall asleep like normal. My heart was racing. My Apple watch said my heart rate was around 90. Around midnight I got up to go the the bathroom. My heart rate starting going up - 100, 110, 120, 130, 140, 150 - up to 156. I got dressed and went to the ER. The EKG, xray, cardiac enzyme and D-dimer  were normal.  Glucose was slightly elevated at 144 (no hx). They gave me metoprolol IV which brought my heart rate down,  I had no other problems.  Looking back, I had a similar reaction to the 2nd dose, just not as bad.  Did not attribute it to the vaccine at that time - just to a lot going on personally.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Moderna COVID-19 Vaccine EUA This was the Moderna Booster (1 & 2 were also Moderna).  When I went to bed, I was unable to sleep. I laid in bed reading, hoping to fall asleep like normal. My heart was racing. My Apple watch said my heart rate was around 90. Around midnight I got up to go the the bathroom. My heart rate starting going up - 100, 110, 120, 130, 140, 150 - up to 156. I got dressed and went to the ER. The EKG, xray, cardiac enzyme and D-dimer  were normal.  Glucose was slightly elevated at 144 (no hx). They gave me metoprolol IV which brought my heart rate down,  I had no other problems.  Looking back, I had a similar reaction to the 2nd dose, just not as bad.  Did not attribute it to the vaccine at that time - just to a lot going on personally.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Hyperhidrosis, Musculoskeletal stiffness
Clinical narrative: Chills and sweating. Joint and muscle ache & stiffness. Headache.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Vaccine positive rechallenge
Clinical narrative: Chills and sweating. Joint and muscle ache & stiffness. Headache.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Pfizer vaccine. Admitted to Medical Center on 12/02/2021. Tested positive for COVID 19 on 12/18/2021. Expired on 12/21/2021 while still hospitalized.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Injection site pain, Injection site warmth, Limb discomfort, Mobility decreased
Clinical narrative: Back in June I had to get hand surgery, I hadn't worked much since then. Recently in the last 2 months, my right arm has been having more trouble. I couldn't pick anything up without discomfort and pain. Ever since I got the vaccine, I couldn't go to sleep with my arm above my head. I can't do that without discomfort. The pain down the arm has recently started in the last month or so. The pain in my right arm has radiated down to my elbow. You can feel the heat coming from my arm like it's inflamed where the shot was. That's with both arms.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Skin warm
Clinical narrative: Back in June I had to get hand surgery, I hadn't worked much since then. Recently in the last 2 months, my right arm has been having more trouble. I couldn't pick anything up without discomfort and pain. Ever since I got the vaccine, I couldn't go to sleep with my arm above my head. I can't do that without discomfort. The pain down the arm has recently started in the last month or so. The pain in my right arm has radiated down to my elbow. You can feel the heat coming from my arm like it's inflamed where the shot was. That's with both arms.
Age: 13.0
Sex: F
Vaccine: COVID19, FLU4, MNQ, TDAP
Symptoms: Paraesthesia oral, Rash
Clinical narrative: 30min later had facial rash, lip tingling and possible lip swelling. No SOB, cough, tongue/throat swelling, nausea/vomit/abdominal pain , confusion.
Age: 78.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Pyrexia
Clinical narrative: Booster (half dose) - had Pfizer for first 2 doses. Fever, body aches, chills, nausea, fatigue. Duration 48 hours
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Arm red and warm to touch, and itching started next day. Still itching 5 days later.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Limb discomfort, Pain in extremity, Sleep disorder
Clinical narrative: Back in June I had to get hand surgery, I hadn't worked much since then. Recently in the last 2 months, my right arm has been having more trouble. I couldn't pick anything up without discomfort and pain. Ever since I got the vaccine, I couldn't go to sleep with my arm above my head. I can't do that without discomfort. The pain down the arm has recently started in the last month or so. The pain in my right arm has radiated down to my elbow. You can feel the heat coming from my arm like it's inflamed where the shot was. That's with both arms. Same report from first vaccination, pain has gotten worse in the last few months.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Dizziness, Musculoskeletal discomfort, Nausea
Clinical narrative: 9hrs post vaccination pt presented to the ED w/ shakiness, sob, pruritic rash to chest and arms, nausea.  Pt had Moderna  Booster dose  @ 11:45 , an hour after pt started to have a Fever, then chills and now  broke out with diffused rash, also having Nausea. Pt said 1st dose no problem , 2nd dose had all the above symptoms except hives.  12hrs post vaccination Pt then with itchy rash to neck/chest/extremities. No tongue/lip swelling, no sob or wheezing  No chest pain or palpitations + nausea, + vomiting, no diarrhea  Pt given dexamethason 10mg IM x1, Diphenhydramine 25mg PO x2, Zofran 4mg ODT x1 and discharged home. 12/18 Pt re-presents to ED now w/ hives extending all over body.  Reports itchy throat but denies fever, SOB, troubles swallowing.  Also notes that she feels like there is a lump developing on the right side of her neck and that the rash is much worse over her neck.  She denies any lip/face/tongue swelling, wheezing, shortness of breath, nausea, vomiting, diarrhea.  Pt was given methylprednisolone 125mg IV x1, Epi 0.3mg IM x1, famotidine 20mg PO x1 Prednisone 40mg POx1, Cetirizine 10mgx1, calamine lotion and triamcinolone 0.1% ointment.  Pt was admitted for observation. 12/19  Pt developed dizziness and fever to 38.3C She calls a rash as hives but never had wheels.  Rash was always a lacy pattern with extreme itching and burning sensation.  Initially noted it on her arms and spread all over her body now involving her groin, hands and feet on the palmar/plantar aspects.  Her last temperature was 100 °F at home last night.  Had vomiting on 1217 but none since.  Having right-sided neck swelling that is causing some discomfort from outside but denies any shortness of breath or hoarseness of voice or sore throat.  She feels like her fingers and toes are also swollen.  Did not notice any rash or burning sensation in her mouth.  Currently not having any urinary symptoms of burning micturition, frequency. Patient had already noted much improvement in her rash after she got the cocktail in ED. Likely reactive rash to Moderna booster vaccination.  Unlikely DRESS to Bactrim as no indication for such on laboratory evaluation and also timing correlates more with the booster vaccine.  Patient with significant improvement after she received Cetrizine, Pepcid, prednisone and epinephrine in ED.  No concern for mucosal involvement.   Patient had already noted much improvement in her rash after she got the cocktail in ED as mentioned below. Pt discharged w/ the following: calamine-zinc oxide 8-8 % topical susp Apply to affected areas as needed for Other (itching). cetirizine 10 MG tablet Take 1 tablet by mouth daily. famotidine 40 MG tablet Take 1 tablet by mouth daily for 10 days. hydrOXYzine HCL 25 MG tablet Take 1 tablet by mouth every 6 (six) hours as needed for Itching. predniSONE 20 MG tablet Take 2 tablets by mouth daily for 4 days. triamcinolone 0.1 % ointment Apply to affected areas 2 (two) times daily as needed for Other (itching).
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Neck mass, Peripheral swelling, Pyrexia, Rash, Rash pruritic
Clinical narrative: 9hrs post vaccination pt presented to the ED w/ shakiness, sob, pruritic rash to chest and arms, nausea.  Pt had Moderna  Booster dose  @ 11:45 , an hour after pt started to have a Fever, then chills and now  broke out with diffused rash, also having Nausea. Pt said 1st dose no problem , 2nd dose had all the above symptoms except hives.  12hrs post vaccination Pt then with itchy rash to neck/chest/extremities. No tongue/lip swelling, no sob or wheezing  No chest pain or palpitations + nausea, + vomiting, no diarrhea  Pt given dexamethason 10mg IM x1, Diphenhydramine 25mg PO x2, Zofran 4mg ODT x1 and discharged home. 12/18 Pt re-presents to ED now w/ hives extending all over body.  Reports itchy throat but denies fever, SOB, troubles swallowing.  Also notes that she feels like there is a lump developing on the right side of her neck and that the rash is much worse over her neck.  She denies any lip/face/tongue swelling, wheezing, shortness of breath, nausea, vomiting, diarrhea.  Pt was given methylprednisolone 125mg IV x1, Epi 0.3mg IM x1, famotidine 20mg PO x1 Prednisone 40mg POx1, Cetirizine 10mgx1, calamine lotion and triamcinolone 0.1% ointment.  Pt was admitted for observation. 12/19  Pt developed dizziness and fever to 38.3C She calls a rash as hives but never had wheels.  Rash was always a lacy pattern with extreme itching and burning sensation.  Initially noted it on her arms and spread all over her body now involving her groin, hands and feet on the palmar/plantar aspects.  Her last temperature was 100 °F at home last night.  Had vomiting on 1217 but none since.  Having right-sided neck swelling that is causing some discomfort from outside but denies any shortness of breath or hoarseness of voice or sore throat.  She feels like her fingers and toes are also swollen.  Did not notice any rash or burning sensation in her mouth.  Currently not having any urinary symptoms of burning micturition, frequency. Patient had already noted much improvement in her rash after she got the cocktail in ED. Likely reactive rash to Moderna booster vaccination.  Unlikely DRESS to Bactrim as no indication for such on laboratory evaluation and also timing correlates more with the booster vaccine.  Patient with significant improvement after she received Cetrizine, Pepcid, prednisone and epinephrine in ED.  No concern for mucosal involvement.   Patient had already noted much improvement in her rash after she got the cocktail in ED as mentioned below. Pt discharged w/ the following: calamine-zinc oxide 8-8 % topical susp Apply to affected areas as needed for Other (itching). cetirizine 10 MG tablet Take 1 tablet by mouth daily. famotidine 40 MG tablet Take 1 tablet by mouth daily for 10 days. hydrOXYzine HCL 25 MG tablet Take 1 tablet by mouth every 6 (six) hours as needed for Itching. predniSONE 20 MG tablet Take 2 tablets by mouth daily for 4 days. triamcinolone 0.1 % ointment Apply to affected areas 2 (two) times daily as needed for Other (itching).
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Throat irritation, Urticaria, Vaccination complication, Vomiting
Clinical narrative: 9hrs post vaccination pt presented to the ED w/ shakiness, sob, pruritic rash to chest and arms, nausea.  Pt had Moderna  Booster dose  @ 11:45 , an hour after pt started to have a Fever, then chills and now  broke out with diffused rash, also having Nausea. Pt said 1st dose no problem , 2nd dose had all the above symptoms except hives.  12hrs post vaccination Pt then with itchy rash to neck/chest/extremities. No tongue/lip swelling, no sob or wheezing  No chest pain or palpitations + nausea, + vomiting, no diarrhea  Pt given dexamethason 10mg IM x1, Diphenhydramine 25mg PO x2, Zofran 4mg ODT x1 and discharged home. 12/18 Pt re-presents to ED now w/ hives extending all over body.  Reports itchy throat but denies fever, SOB, troubles swallowing.  Also notes that she feels like there is a lump developing on the right side of her neck and that the rash is much worse over her neck.  She denies any lip/face/tongue swelling, wheezing, shortness of breath, nausea, vomiting, diarrhea.  Pt was given methylprednisolone 125mg IV x1, Epi 0.3mg IM x1, famotidine 20mg PO x1 Prednisone 40mg POx1, Cetirizine 10mgx1, calamine lotion and triamcinolone 0.1% ointment.  Pt was admitted for observation. 12/19  Pt developed dizziness and fever to 38.3C She calls a rash as hives but never had wheels.  Rash was always a lacy pattern with extreme itching and burning sensation.  Initially noted it on her arms and spread all over her body now involving her groin, hands and feet on the palmar/plantar aspects.  Her last temperature was 100 °F at home last night.  Had vomiting on 1217 but none since.  Having right-sided neck swelling that is causing some discomfort from outside but denies any shortness of breath or hoarseness of voice or sore throat.  She feels like her fingers and toes are also swollen.  Did not notice any rash or burning sensation in her mouth.  Currently not having any urinary symptoms of burning micturition, frequency. Patient had already noted much improvement in her rash after she got the cocktail in ED. Likely reactive rash to Moderna booster vaccination.  Unlikely DRESS to Bactrim as no indication for such on laboratory evaluation and also timing correlates more with the booster vaccine.  Patient with significant improvement after she received Cetrizine, Pepcid, prednisone and epinephrine in ED.  No concern for mucosal involvement.   Patient had already noted much improvement in her rash after she got the cocktail in ED as mentioned below. Pt discharged w/ the following: calamine-zinc oxide 8-8 % topical susp Apply to affected areas as needed for Other (itching). cetirizine 10 MG tablet Take 1 tablet by mouth daily. famotidine 40 MG tablet Take 1 tablet by mouth daily for 10 days. hydrOXYzine HCL 25 MG tablet Take 1 tablet by mouth every 6 (six) hours as needed for Itching. predniSONE 20 MG tablet Take 2 tablets by mouth daily for 4 days. triamcinolone 0.1 % ointment Apply to affected areas 2 (two) times daily as needed for Other (itching).
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Blood test, Chills, Decreased appetite
Clinical narrative: Perineal area pressure with urgency and frequency((first 2 days) and decreased urine output,thirst,  right flank pain. bad headache, fever chills shaking loss of appetite nausea muscle aches (thighs and back and neck) sweats fatigue and weakness with abdominal discomfort for 2 weeks.  Then sinus pain and headache for week 3, lessening up to week 4.  All symptoms coming in waves every 3 - 5 hours.  required tylenol 500mg progressing to 1 gm every 2-3 hours, alieve for 3 days, tylenol sinus.   Four weeks Dec 23, fatigue persists, emotional symptoms , abdominal discomfort persists
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Emotional disorder, Fatigue, Flank pain, Headache, Hyperhidrosis
Clinical narrative: Perineal area pressure with urgency and frequency((first 2 days) and decreased urine output,thirst,  right flank pain. bad headache, fever chills shaking loss of appetite nausea muscle aches (thighs and back and neck) sweats fatigue and weakness with abdominal discomfort for 2 weeks.  Then sinus pain and headache for week 3, lessening up to week 4.  All symptoms coming in waves every 3 - 5 hours.  required tylenol 500mg progressing to 1 gm every 2-3 hours, alieve for 3 days, tylenol sinus.   Four weeks Dec 23, fatigue persists, emotional symptoms , abdominal discomfort persists
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Micturition urgency, Myalgia, Nausea, Pollakiuria, Pyrexia
Clinical narrative: Perineal area pressure with urgency and frequency((first 2 days) and decreased urine output,thirst,  right flank pain. bad headache, fever chills shaking loss of appetite nausea muscle aches (thighs and back and neck) sweats fatigue and weakness with abdominal discomfort for 2 weeks.  Then sinus pain and headache for week 3, lessening up to week 4.  All symptoms coming in waves every 3 - 5 hours.  required tylenol 500mg progressing to 1 gm every 2-3 hours, alieve for 3 days, tylenol sinus.   Four weeks Dec 23, fatigue persists, emotional symptoms , abdominal discomfort persists
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinus pain, Thirst, Tremor, Urine analysis
Clinical narrative: Perineal area pressure with urgency and frequency((first 2 days) and decreased urine output,thirst,  right flank pain. bad headache, fever chills shaking loss of appetite nausea muscle aches (thighs and back and neck) sweats fatigue and weakness with abdominal discomfort for 2 weeks.  Then sinus pain and headache for week 3, lessening up to week 4.  All symptoms coming in waves every 3 - 5 hours.  required tylenol 500mg progressing to 1 gm every 2-3 hours, alieve for 3 days, tylenol sinus.   Four weeks Dec 23, fatigue persists, emotional symptoms , abdominal discomfort persists
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Urine output decreased, Vulvovaginal discomfort
Clinical narrative: Perineal area pressure with urgency and frequency((first 2 days) and decreased urine output,thirst,  right flank pain. bad headache, fever chills shaking loss of appetite nausea muscle aches (thighs and back and neck) sweats fatigue and weakness with abdominal discomfort for 2 weeks.  Then sinus pain and headache for week 3, lessening up to week 4.  All symptoms coming in waves every 3 - 5 hours.  required tylenol 500mg progressing to 1 gm every 2-3 hours, alieve for 3 days, tylenol sinus.   Four weeks Dec 23, fatigue persists, emotional symptoms , abdominal discomfort persists
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Lymphadenopathy, Pain
Clinical narrative: Swollen axillary lymph node, body aches, joint pain
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Heart rate decreased, Hypotension, Syncope
Clinical narrative: PT WAS ADMINISTERED PEDIATRIC PFIZER. SHE FAINTED AND HIT HER HEAD ON THE FLOOR WITHIN A COUPLE OF MINUTES OF ADMINISTRATION. EMS DETERMINED PATIENT HAD LOW HEART RATE AND LOW BLOOD PRESSURE. RECOMMENDED TO TAKE TO ER
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Nausea, Pain, Somnolence
Clinical narrative: I had vomiting and diarrhea. I was really nauseous.  I hurt really bad from my toes to my head.  I could not get up and wake.  I could not eat or drink anything because it would come back up.  These lasted for about 3 days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I had vomiting and diarrhea. I was really nauseous.  I hurt really bad from my toes to my head.  I could not get up and wake.  I could not eat or drink anything because it would come back up.  These lasted for about 3 days.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Pain, Productive cough, Pyrexia
Clinical narrative: came to ED with a cough that had been productive and some generalized body aches. He had been having some shortness of breath and fever
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Eye irritation, Immediate post-injection reaction, Nausea, Vision blurred
Clinical narrative: After receiving the COVID vaccine the client was standing with his step mother in the vaccination room while his dad was receiving a vaccine. RN noted the client's step mother instructing the client to breathe and responded. The client reported that his "eyes burning" and "nausea." The client sat down in the anti-gravity chair in a high fowler's position and was provided an emesis bag. Vitals obtained at 11:50AM were as follows: BP 110/70, HR 84, O2 97%. The client stated that immediately after receiving the vaccine he experienced blurry vision for about 2-3 minutes. The client denied any current blurry vision, headache, numbness, or shortness of breath. The client and his family members reported the client has a history of anxiety with nausea and a history of anxiety with receiving vaccines. Repeat vitals obtained at 11:50AM were as follows: BP 120/74, Hr 88, and O2 99%. The client denied any dizziness and stated he felt "normal." The client was alert and oriented to person, place, time, and situation. The client was offered water and began drinking it at 12:00PM. RN provided education to the client and his family regarding s/s of anaphylaxis, when to seek EMS, and to follow up with the client's primary care physician. The client, his father, and step-mother voiced understanding of this education. Vitals obtained at 12:10PM were as follows: BP 118/92, HR 92, O2 99%. The client denied any symptoms. The client stood up unassisted from the anti-gravity chair and ambulated unassisted out of the vaccination site at 12:15PM. VAERS completed. VAERS confirmation number.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient got second moderna Booster --- so 2 full shots and 2 boosters
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: None specified
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Acute coronavirus disease-19 infection, complicated by acute hypoxic respiratory failure + COVID19 test
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: 24 hours after receiving vaccines, developed a rash on the upper chest and left side of neck.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash pruritic
Clinical narrative: Patient sat for 15 minutes after vaccination and shopped around the store with parent. Started to itch and came back to the pharmacy about 20 minutes after. Small itchy spots were located on both arms and calves area. After some time it was disappearing. But patient took Benadryl when itchy spots were fading. Recommended to see MD as soon as possible. Reported to supervisor and store manager.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Devolped a rash that covered his entire backa d shoulders. Also had patches on his stomach, chest and on his waistline.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pityriasis rosea, Rash, Rash erythematous, Rash papular
Clinical narrative: Pityriasis rosea, rash presented 5 days after vaccination. Asymptomatic besides being red and slightly raised. Still present as of 12/22/2021
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Rash, Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: Hives and body rash Started in scalp and moved all the way down body Extremely red and itchy patches  Hives have started to fade but still active, going on 16 days now
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received a dose of .3 mL.  Recommended dose is .2 mL.  No adverse reaction was noted as of 12/21/2021.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Breast cancer metastatic, Death, Metastases to liver
Clinical narrative: Pt admitted with metastatic breast cancer with liver metastasis and died on 12/21/21.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Chest pain, Dizziness, Electrocardiogram
Clinical narrative: On March 11 soreness in arm and on the 12th feeling feverish. My chest started hurting for about two weeks then came back. Body aches and joint aches bothered me for a few weeks then gone. All done two weeks later after 2nd shot fine.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: On March 11 soreness in arm and on the 12th feeling feverish. My chest started hurting for about two weeks then came back. Body aches and joint aches bothered me for a few weeks then gone. All done two weeks later after 2nd shot fine.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea exertional, Fatigue, SARS-CoV-2 test positive
Clinical narrative: worsening cough, exertional dyspnea and fatigue  + COVID 19 test
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Injection site erythema, Injection site induration, Musculoskeletal pain
Clinical narrative: Employee reported reaction to Covid Moderna booster today, 12/22/21.  Her Moderna booster was given on 12/10/21.  With her first two doses, she only had a headache following the administrations.  With booster dose on 12/10/21, the following happened:  Horrible pain right shoulder blade and side and right breast area for a week.  Pain was intense?like shingles pain.  No rash or redness.  At injection site on right arm, employee reports that it was hard as a rock and red?the size of half dollar.  Still having some pain on 12/22/21 when reported, but able to wear bra and clothes now.
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product use issue
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Reporting system indicates adolescent received a pediatric dose for first immunization.  CDC card also shows pediatric dose.  Contacted family and will follow CDC guidelines to not repeat dose but to assure adolescent/adult dose at second shot in series.  Family provided with written documentation at second shot clinic received 12/18/21.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Eructation, Gastritis, Gastrooesophageal reflux disease
Clinical narrative: About a week after the second shot felt sick to my stomach and thought I would vomit but came out as a belch instead. Ever since I am belching constantly. No other dietary or medical changes in years. Six months later (late August) I had massive diarrhea and some vomiting for three to four days making it utterly impossible to keep anything down. Couldn't have been a stomach bug as people I had shared food and even a bottle of water with were fine. At that point the frequency and severity of belching has been steadily increasing and now with reflux almost daily. GI specialist prescribed omeprazole which made all symptoms worse. Two visits to chiropractor had no affect. Did probiotics for a month and a half which had brief improvement but now no effect.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hepatobiliary scan, Oesophagogastroduodenoscopy abnormal, Ultrasound scan, Vomiting
Clinical narrative: About a week after the second shot felt sick to my stomach and thought I would vomit but came out as a belch instead. Ever since I am belching constantly. No other dietary or medical changes in years. Six months later (late August) I had massive diarrhea and some vomiting for three to four days making it utterly impossible to keep anything down. Couldn't have been a stomach bug as people I had shared food and even a bottle of water with were fine. At that point the frequency and severity of belching has been steadily increasing and now with reflux almost daily. GI specialist prescribed omeprazole which made all symptoms worse. Two visits to chiropractor had no affect. Did probiotics for a month and a half which had brief improvement but now no effect.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient c/o dizziness and wanted to pass out.  Patient felt nervous when it comes to needle and report that happened in the past. Vital was taken BP: 129/82, HR: 60, Oxygen: 98. Nurse attended and gave patient 2 ice packs. Patient was observed longer and cleared by nurse.
Age: 59.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product use issue
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated
Clinical narrative: Janssen Primary, Pfizer booster 12mins post vaccination pt c/o anxiety. Vitals: 11:18 126/58, 84, 99% -- > 11:30 120/64, 84, 99% Pt stable and released from the vaccination site.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Cholecystitis, Colonoscopy, Computerised tomogram abdomen, Diarrhoea
Clinical narrative: Sudden onset of diarrhea and vomiting in the afternoon and last until evening. I was admitted into hospital the next day and was treated with antibiotics and fluid. The cause was later on determined as idiosyncratic cholecystitis.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging abdominal, Vomiting
Clinical narrative: Sudden onset of diarrhea and vomiting in the afternoon and last until evening. I was admitted into hospital the next day and was treated with antibiotics and fluid. The cause was later on determined as idiosyncratic cholecystitis.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Had headache the first 2 days following the shot. On the third day, I was extremely dizzy, light-headed, and nauseous. Symptoms improved each day. I received the shot on 12.16.2021. As of 12.22.2021 I still feel slightly dizzy and nauseous.
Age: 29.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse effects at this time
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives all over body.  Oral antihistamines have been taken, along with 1% hydrocortisone applied topically to affected areas as needed; medication helps lessen but not eliminate symptom
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Reporting system indicates adult received a pediatric dose for Pfizer booster.   Contacted patient and advised to repeat booster dose as soon as convenient at adult dose.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Crying, Fall, Head injury, Syncope
Clinical narrative: PATIENT WAS ADMINISTERED THE VACCINE WITHOUT ANY ISSUES. PATIENT LEFT IMMUNIZATION ROOM TO SIT ON A BENCH NEXT TO HIS OLDER BROTHER. MOMENTS LATER, PATIENT FAINTED/ FELL STRAIGHT FORWARD ON HIS HEAD WHILE SITTING. PATIENT AWOKE IMMEDIATELY AFTER FALLING AND WAS SITTING UP CRYING. PATIENT WAS GIVEN AN ICE PACK. PATIENT ALSO ATE SOME SNACKS. PATIENT MOM DECLINED EMERGENCY SERVICES. PATIENT WAS ABLE TO GET UP AND WALK AWAY AFTER APPROXIMATELY 30 MINUTES.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Blood test, Erythema, Fear, Nervousness
Clinical narrative: She got her vaccine, she started feeling itchy on the sides of both ribs and her chest.  It started subtle but then it started getting really red, under her arms, parts of her back, mostly her upper torso and the back of her upper legs.  She is still having the reaction, not as severe as it was, but saw her dermatologist and was put on oral steroids for 14 days.  It subsides some, and has been on all types of cream.  She also went to UC at first and they treated her for shingles, which she told her it was all over it was not that.  They then said it was scabies but then it was not that as well.  They put her on Promethazone and they put her on different creams, etc.  Had a biopsy that said it was medication done and that it was affiliated with the COVID vaccine.  She had another set of biopsies done 2 weeks ago and could have been due to medication/vaccine or insects.  She had a lot of blood work done that she is waiting to see what they show including Lyme and other diseases.  Since she has been diagnosed with RA she seems like her body has gone haywire.    She is still under treatment but is still having the reactions to her upper torso and back of her legs, not as red and looks more like a measle outbreak.  She did itch it which made it worse and also had sores on her head as well.  Not on her legs, but mainly upper torso.   It was not on her hands or lower arms, necks, breasts and upper arms were bad, as well as her stomach, but not female areas, but did have a spot on her rectal area.    She has had dental work to get ready for dentures and they put her to sleep to remove her teeth and she had a flare after that anesthesia.    Last week when she went to the dermatologist she discontinued her Pravastatin as it said it could flare up.    She is very nervous with this, and is scared to get the booster and is scared due to the other variences of these.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash morbilliform, Rheumatoid arthritis, Skin ulcer
Clinical narrative: She got her vaccine, she started feeling itchy on the sides of both ribs and her chest.  It started subtle but then it started getting really red, under her arms, parts of her back, mostly her upper torso and the back of her upper legs.  She is still having the reaction, not as severe as it was, but saw her dermatologist and was put on oral steroids for 14 days.  It subsides some, and has been on all types of cream.  She also went to UC at first and they treated her for shingles, which she told her it was all over it was not that.  They then said it was scabies but then it was not that as well.  They put her on Promethazone and they put her on different creams, etc.  Had a biopsy that said it was medication done and that it was affiliated with the COVID vaccine.  She had another set of biopsies done 2 weeks ago and could have been due to medication/vaccine or insects.  She had a lot of blood work done that she is waiting to see what they show including Lyme and other diseases.  Since she has been diagnosed with RA she seems like her body has gone haywire.    She is still under treatment but is still having the reactions to her upper torso and back of her legs, not as red and looks more like a measle outbreak.  She did itch it which made it worse and also had sores on her head as well.  Not on her legs, but mainly upper torso.   It was not on her hands or lower arms, necks, breasts and upper arms were bad, as well as her stomach, but not female areas, but did have a spot on her rectal area.    She has had dental work to get ready for dentures and they put her to sleep to remove her teeth and she had a flare after that anesthesia.    Last week when she went to the dermatologist she discontinued her Pravastatin as it said it could flare up.    She is very nervous with this, and is scared to get the booster and is scared due to the other variences of these.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness, Syncope
Clinical narrative: Child lost consciousness, fainted and fell to the floor within 10 seconds of receiving first vaccine dose.  He regained consciousness within a few seconds.  Paramedics were called as the nurses monitored his vital signs.  He stabilized within 30 minutes or so and was cleared to go home.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac arrest
Clinical narrative: hospitalization, cardiac arrest, arrythmia
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Resident received vaccine greater than 8 hours after being drawn up.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Injection site pain, Rash
Clinical narrative: Shortness of breath, rash appeared on skin, chills, faint feeling, pain at injection site.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: high fever, Extreme rash covering my entire body that has lasted 4 days and till there.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Reporting system indicates adult received a pediatric dose for Pfizer booster.   Contacted patient and advised to repeat booster dose as soon as convenient at adult dose.