chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chills, Dyspnoea exertional, Dysstasia
Clinical narrative: Chief Complaint  via EMS patient reports increased weakness today after outpatient MAB infusion at LMH, unable to stand on own.  COVID+ on Saturday.  38.8 in triage, hx of HTN.  + generalized aching, chills.  History of Present Illness  88yo woman with h/o HTN, paroxysmal afib, 2015 TIA, OSA, prior DVT, obesity, who had COVID vaccination with Moderna earlier this year.  Was in usual state of health until trip to another state, last week.  Then 3 days ago tested positive for COVID after feeling like she had a head cold.  Received antibody infusion yesterday, and weakness became so profound that she went to her knees.  Some DOE and cough that is minimally productive as well with no bloody component.  Did not really feel the fever she had on arrival.  No GI symptoms.  No syncope, rashes, other pain.  Was surprised that she was hypoxic on ED arrival.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Nasopharyngitis, Pain, Productive cough, Pyrexia
Clinical narrative: Chief Complaint  via EMS patient reports increased weakness today after outpatient MAB infusion at LMH, unable to stand on own.  COVID+ on Saturday.  38.8 in triage, hx of HTN.  + generalized aching, chills.  History of Present Illness  88yo woman with h/o HTN, paroxysmal afib, 2015 TIA, OSA, prior DVT, obesity, who had COVID vaccination with Moderna earlier this year.  Was in usual state of health until trip to another state, last week.  Then 3 days ago tested positive for COVID after feeling like she had a head cold.  Received antibody infusion yesterday, and weakness became so profound that she went to her knees.  Some DOE and cough that is minimally productive as well with no bloody component.  Did not really feel the fever she had on arrival.  No GI symptoms.  No syncope, rashes, other pain.  Was surprised that she was hypoxic on ED arrival.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Chief Complaint  via EMS patient reports increased weakness today after outpatient MAB infusion at LMH, unable to stand on own.  COVID+ on Saturday.  38.8 in triage, hx of HTN.  + generalized aching, chills.  History of Present Illness  88yo woman with h/o HTN, paroxysmal afib, 2015 TIA, OSA, prior DVT, obesity, who had COVID vaccination with Moderna earlier this year.  Was in usual state of health until trip to another state, last week.  Then 3 days ago tested positive for COVID after feeling like she had a head cold.  Received antibody infusion yesterday, and weakness became so profound that she went to her knees.  Some DOE and cough that is minimally productive as well with no bloody component.  Did not really feel the fever she had on arrival.  No GI symptoms.  No syncope, rashes, other pain.  Was surprised that she was hypoxic on ED arrival.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Computerised tomogram, Dizziness, Dyspnoea
Clinical narrative: Started off severe headache 30 minutes after shot.  1 hour after vaccine light headed, dizziness started and could not drive home when sent home from work.  Ibuprofen 800mg taken about 2 hours after vaccine to help with headache.  4 hours after vaccine chest tightness and wheezing.   Called online nurse consultant for advice and was told to visit urgent care if symptoms worsen.    Patient did not seek additional care that night.  Next morning , symptoms continued with dizziness, lightheaded, SOB.  That afternoon, headache turned into "migraine" - went home to sleep.  Used daughters nebulizer and took more ibuprofen that evening.  On Day 2, patient was gasping for breath having trouble breathing and went to urgent care based on PCM recommendation.  Received breathing treatment and steroid in urgent care.  Discharged with Prescription for prednisone and inhalers.   On Day 3, still had all symptoms despite starting prednisone and inhalers.  PCM Follow up on Day 4 - ordered CBP, CT scan,   To date 3 weeks later, patient still has SOB/wheezing symptoms and chronic headache.  Still using Albuterol inhaler three times daily and ibuprofen 800mg  prn to help with symptoms
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Impaired driving ability, Impaired work ability, Migraine, Wheezing
Clinical narrative: Started off severe headache 30 minutes after shot.  1 hour after vaccine light headed, dizziness started and could not drive home when sent home from work.  Ibuprofen 800mg taken about 2 hours after vaccine to help with headache.  4 hours after vaccine chest tightness and wheezing.   Called online nurse consultant for advice and was told to visit urgent care if symptoms worsen.    Patient did not seek additional care that night.  Next morning , symptoms continued with dizziness, lightheaded, SOB.  That afternoon, headache turned into "migraine" - went home to sleep.  Used daughters nebulizer and took more ibuprofen that evening.  On Day 2, patient was gasping for breath having trouble breathing and went to urgent care based on PCM recommendation.  Received breathing treatment and steroid in urgent care.  Discharged with Prescription for prednisone and inhalers.   On Day 3, still had all symptoms despite starting prednisone and inhalers.  PCM Follow up on Day 4 - ordered CBP, CT scan,   To date 3 weeks later, patient still has SOB/wheezing symptoms and chronic headache.  Still using Albuterol inhaler three times daily and ibuprofen 800mg  prn to help with symptoms
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Dose administered to an 11 year old
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Diabetic neuropathy, Dialysis, End stage renal disease
Clinical narrative: Hospitalization - acute respiratory failure with hypoxia; ESRD on dialysis; COVID-19; T2M with diabetic polyneuropathy with long-term current use of insulin
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Insulin-requiring type 2 diabetes mellitus
Clinical narrative: Hospitalization - acute respiratory failure with hypoxia; ESRD on dialysis; COVID-19; T2M with diabetic polyneuropathy with long-term current use of insulin
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Palpitations
Clinical narrative: palpitations
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Teen age 16 given Moderna vaccine-under age for this particular vaccine according to requirements/recommendations
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Headache, Myalgia
Clinical narrative: Complaint of cough, chills, headache, runny nose/congestion, and myalgia
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Complaint of cough, chills, headache, runny nose/congestion, and myalgia
Age: 68.0
Sex: F
Vaccine: FLUR4
Symptoms: Erythema, Pruritus
Clinical narrative: PATIENT'S ARM WAS BECOMING RED AND ITCHY.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Feeling abnormal, Impaired work ability, Limb discomfort, Mobility decreased
Clinical narrative: She got her vaccine, just felt a little bit weirdness in the arm, and felt that she would just give it time.  For the week it was completely sore to the point that she could not lift it up.  She has never had a reaction to any vaccines.  She was told that it was normal and she said OK.  Then about 10/1/21, she noticed that all of a sudden she felt like something was being pulled inside her arm, burning sensation as if she was getting a flu shot.  She started rubbing her arm and scratched it and was trying to feel to see if there was something, it just always pulls and burns now.  She doesn't know if it's a cramp but just a burning sensation.  She cannot carry her purse on her arm now, and swing her arm back as it triggers the pain to the point that she screams in pain.  She took some anti-inflammatories three times (Ibuprofen 800 mg), and this has not relieved her symptoms.  If she needs to use the arm she can't and she works in the hospital and picks up patient's and it's affecting her job performance.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Scratch, Screaming
Clinical narrative: She got her vaccine, just felt a little bit weirdness in the arm, and felt that she would just give it time.  For the week it was completely sore to the point that she could not lift it up.  She has never had a reaction to any vaccines.  She was told that it was normal and she said OK.  Then about 10/1/21, she noticed that all of a sudden she felt like something was being pulled inside her arm, burning sensation as if she was getting a flu shot.  She started rubbing her arm and scratched it and was trying to feel to see if there was something, it just always pulls and burns now.  She doesn't know if it's a cramp but just a burning sensation.  She cannot carry her purse on her arm now, and swing her arm back as it triggers the pain to the point that she screams in pain.  She took some anti-inflammatories three times (Ibuprofen 800 mg), and this has not relieved her symptoms.  If she needs to use the arm she can't and she works in the hospital and picks up patient's and it's affecting her job performance.
Age: 63.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Crying, Injection site pain, Pain in extremity, Rheumatoid arthritis, Trigger finger
Clinical narrative: At time of injection, my left arm hurt so bad I cried. I am one that gets the flu shot every year. Never have I had such pain with an injection. That evening my hands started hurting and my fingers were locking up (trigger finger).  This never went away.  On October 30 I went to my PCP because it still hurt so bad. He referred me to a rheumatologist.  It took me 5 months to get into her and my pain was the same She diagnosed me as having Rheumatoid Arthritis caused by the Single injection.  She said it was rare but she had other patients that had the same issue. She put me on medication that helped my hands but my arm still hurts one year later.
Age: 86.0
Sex: F
Vaccine: FLUA4
Symptoms: Arthralgia, Musculoskeletal stiffness, Product administered at inappropriate site, X-ray limb abnormal
Clinical narrative: Extreme pain and stiffness in left shoulder, per appointment with Dr. it was found the injection was too high in the shoulder. Pain started the evening of shot and has now resolved thanks to steroid treatment.  Patient had confirmed with xray that this was the cause of her pain. Has follow-up with Dr. on Friday and will update me with status.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Positive airway pressure therapy, Posture abnormal, SARS-CoV-2 test positive
Clinical narrative: Covid + on 10/08/2021. Hospitalized Per ED Note: 77-year-old female with a past medical history of COPD and hypertension presents to the emergency department for shortness of breath.  Patient was brought in by EMS from home.  Per EMS, they found patient sitting in a chair and slouched over.  She was 66% on 4 L nasal cannula.  Patient does wear 2 L at home at baseline.  Patient was started on CPAP in route and was given a DuoNeb treatment.  On arrival, patient is awake and alert and states that she has felt short of breath for the past 2 or 3 days and worsened today.  She denies fever, chills, cough, nausea, vomiting, chest pain, abdominal pain and urinary symptoms.  Patient states she has never been intubated or required BiPAP for her COPD.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Confusional state, Gait inability
Clinical narrative: Hospitalization - acute respiratory failure with hypoxia; COVID-19; Unable to ambulate; generalized weakness; confusion
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 10/11/21 after being fully vaccinated.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated for COVID-19 on 1/20/21, 2/11/21 and 10/4/21, so was fully vaccinated when testing positive for COVID-19 on 10/11/21.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Appendicitis
Clinical narrative: Appendicitis on 10/01. Was treated with antibiotics.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Appendicitis perforated, Bladder catheterisation, Diarrhoea, Vomiting
Clinical narrative: Appendicitis on 10/01. Was treated with antibiotics.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Appendicitis
Clinical narrative: Abdominal pain, vomiting & diarrhea--- appendicitis perforated Currently hospitalized on iv abx symptoms draining pees through ab tube
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Appendicitis perforated, Bladder catheterisation, Diarrhoea, Vomiting
Clinical narrative: Abdominal pain, vomiting & diarrhea--- appendicitis perforated Currently hospitalized on iv abx symptoms draining pees through ab tube
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Flushing, Hyperhidrosis, Pallor
Clinical narrative: 10:25am Attendee received injection. 10:35am Had reaction dizziness, flushing, sweaty, cool clammy, and pale. Put on cot with legs bent. EMS contacted. 10:50 Given water. Stable V/S. Refused EMS transport. Mother came and stated patient had prior reaction before. 11:11 Patient and mother left.
Age: 50.0
Sex: F
Vaccine: FLUA4
Symptoms: Ear discomfort, Ear pain, Vertigo, Vertigo positional
Clinical narrative: Pain and pressure in the ears about a day after the shot, followed by severe vertigo that set in about a week after the shot.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Covid + on 10/09/2021. Hospitalized. Per ED Note: History of Present Illness     64-year-old male with a past medical history of COPD on 4 L nasal cannula, hypertension, diabetes and obesity presents to the emergency department for feeling tired.  Patient states symptoms began this morning.  Patient did get a vaccine for COVID-19.  Patient states he is just feeling very weak.  He denies fever, chills, cough, nausea, vomiting, shortness breath, chest pain, abdominal pain and urinary symptoms.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cough, Dizziness
Clinical narrative: Pt is fully vaccinated against COVID 19 with the Pfizer 2 dose series (given 8/3/2021 and 8/24/2021 respectively). Pt tested positive against covid on 10/5, received Regeneron on 10/8, presented to ED 10/10 with dyspnea, weakness, cough, decreased urinary output, and dizziness.  He was admitted to the hospital at this time (10/10) and diagnosed with COVID-19 pneumonia.  Covid treatment course thus far: " COVID-19 pneumonia o SARS-CoV-2 + 10/5/21, symptom onset about 9/26 o Fully vaccinated, immunosuppressed o S/p monoclonal antibody therapy 10/8 (casirivimab/indevimab) o Oxygen supplementation as needed o Continue dexamethasone 6mg daily o Monitor inflammatory markers o Empiric antibiotics are appropriate given onset of symptoms and significant immunosuppression-will give ceftriaxone and azithromycin initially but will have a low threshold to discontinue if respiratory status improves quickly o Lymphopenia noted but can be med effect (tacrolimus, mycophenolate) o Note that recent case study in Ann Rheum Disease indicated that holding mycophenolate perivaccination can increase humoral response to COVID vaccination-unfortunately, this was released >1 month after he received his vaccine series and his indication for immunosuppression is transplant status so may not have been appropriate regardless "
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Immunosuppression, Inflammatory marker test, Lymphopenia, SARS-CoV-2 test positive
Clinical narrative: Pt is fully vaccinated against COVID 19 with the Pfizer 2 dose series (given 8/3/2021 and 8/24/2021 respectively). Pt tested positive against covid on 10/5, received Regeneron on 10/8, presented to ED 10/10 with dyspnea, weakness, cough, decreased urinary output, and dizziness.  He was admitted to the hospital at this time (10/10) and diagnosed with COVID-19 pneumonia.  Covid treatment course thus far: " COVID-19 pneumonia o SARS-CoV-2 + 10/5/21, symptom onset about 9/26 o Fully vaccinated, immunosuppressed o S/p monoclonal antibody therapy 10/8 (casirivimab/indevimab) o Oxygen supplementation as needed o Continue dexamethasone 6mg daily o Monitor inflammatory markers o Empiric antibiotics are appropriate given onset of symptoms and significant immunosuppression-will give ceftriaxone and azithromycin initially but will have a low threshold to discontinue if respiratory status improves quickly o Lymphopenia noted but can be med effect (tacrolimus, mycophenolate) o Note that recent case study in Ann Rheum Disease indicated that holding mycophenolate perivaccination can increase humoral response to COVID vaccination-unfortunately, this was released >1 month after he received his vaccine series and his indication for immunosuppression is transplant status so may not have been appropriate regardless "
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine output decreased
Clinical narrative: Pt is fully vaccinated against COVID 19 with the Pfizer 2 dose series (given 8/3/2021 and 8/24/2021 respectively). Pt tested positive against covid on 10/5, received Regeneron on 10/8, presented to ED 10/10 with dyspnea, weakness, cough, decreased urinary output, and dizziness.  He was admitted to the hospital at this time (10/10) and diagnosed with COVID-19 pneumonia.  Covid treatment course thus far: " COVID-19 pneumonia o SARS-CoV-2 + 10/5/21, symptom onset about 9/26 o Fully vaccinated, immunosuppressed o S/p monoclonal antibody therapy 10/8 (casirivimab/indevimab) o Oxygen supplementation as needed o Continue dexamethasone 6mg daily o Monitor inflammatory markers o Empiric antibiotics are appropriate given onset of symptoms and significant immunosuppression-will give ceftriaxone and azithromycin initially but will have a low threshold to discontinue if respiratory status improves quickly o Lymphopenia noted but can be med effect (tacrolimus, mycophenolate) o Note that recent case study in Ann Rheum Disease indicated that holding mycophenolate perivaccination can increase humoral response to COVID vaccination-unfortunately, this was released >1 month after he received his vaccine series and his indication for immunosuppression is transplant status so may not have been appropriate regardless "
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Extra dose administered, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated for COVID-19 on 1/11/21, 2/1/21, and 10/6/21, so was fully vaccinated when testing positive for COVID-19 on 10/11/21.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arrhythmia, Blood magnesium decreased, Blood potassium decreased, Cardioversion
Clinical narrative: Patient received 1st dose on 9/24/21 and reported a sore arm afterward but then awoke 9/27 to AICD firing and fired multiple times enroute to ED and in the hospital. Found to have multiple electrolyte abnormalities (K 3.1, Mag < 0.5); placed on amiodarone and lidocaine drips, started mexilitine 200mg q12. Single chamber AICD upgraded to dual chamber AICD on 10/4/21. Recurrent VTach on 10/8/21 - multiple AICD defibs - paced out and started again on amiodarone and lidocaine. Continued issue - required intubation and sedation on 10/8 due to on-going runs of Vtach and AICD defibrillations. At the time of this report, remains on Amiodarone at 1mg/min, Lidocaine at 1mg/min, Mexiletine 200mg PO q12h and is still intubated and sedated.   Note - hospital course has now been further complicated by new LLE DVT and B-PEs on 10/9. Unclear if also associated with vaccine or a complication of hospitalization / arrhythmia. This has been treated with 50mg IV alteplase and he is currently on a heparin drip.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Deep vein thrombosis, Electrolyte imbalance, Endotracheal intubation, Implantable defibrillator insertion
Clinical narrative: Patient received 1st dose on 9/24/21 and reported a sore arm afterward but then awoke 9/27 to AICD firing and fired multiple times enroute to ED and in the hospital. Found to have multiple electrolyte abnormalities (K 3.1, Mag < 0.5); placed on amiodarone and lidocaine drips, started mexilitine 200mg q12. Single chamber AICD upgraded to dual chamber AICD on 10/4/21. Recurrent VTach on 10/8/21 - multiple AICD defibs - paced out and started again on amiodarone and lidocaine. Continued issue - required intubation and sedation on 10/8 due to on-going runs of Vtach and AICD defibrillations. At the time of this report, remains on Amiodarone at 1mg/min, Lidocaine at 1mg/min, Mexiletine 200mg PO q12h and is still intubated and sedated.   Note - hospital course has now been further complicated by new LLE DVT and B-PEs on 10/9. Unclear if also associated with vaccine or a complication of hospitalization / arrhythmia. This has been treated with 50mg IV alteplase and he is currently on a heparin drip.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Ventricular tachycardia
Clinical narrative: Patient received 1st dose on 9/24/21 and reported a sore arm afterward but then awoke 9/27 to AICD firing and fired multiple times enroute to ED and in the hospital. Found to have multiple electrolyte abnormalities (K 3.1, Mag < 0.5); placed on amiodarone and lidocaine drips, started mexilitine 200mg q12. Single chamber AICD upgraded to dual chamber AICD on 10/4/21. Recurrent VTach on 10/8/21 - multiple AICD defibs - paced out and started again on amiodarone and lidocaine. Continued issue - required intubation and sedation on 10/8 due to on-going runs of Vtach and AICD defibrillations. At the time of this report, remains on Amiodarone at 1mg/min, Lidocaine at 1mg/min, Mexiletine 200mg PO q12h and is still intubated and sedated.   Note - hospital course has now been further complicated by new LLE DVT and B-PEs on 10/9. Unclear if also associated with vaccine or a complication of hospitalization / arrhythmia. This has been treated with 50mg IV alteplase and he is currently on a heparin drip.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrioventricular block complete, Biopsy lymph gland normal, Cardiac pacemaker insertion, Dyspnoea, Echocardiogram
Clinical narrative: My wife, who is in perfect health, has had inflammatory lymph nodes under both arms since the first vaccine in January resulting in a biopsy, benign for malignancy. Starting in mid July she started to develop symptoms of shortness of breath when normally able to run 6 miles a day. She saw cardiology on September 23 and found to have 3rd degree heart block and now is s/p a permanent pacemaker on 9/28/21.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Laboratory test, Lymphadenitis, Magnetic resonance imaging heart
Clinical narrative: My wife, who is in perfect health, has had inflammatory lymph nodes under both arms since the first vaccine in January resulting in a biopsy, benign for malignancy. Starting in mid July she started to develop symptoms of shortness of breath when normally able to run 6 miles a day. She saw cardiology on September 23 and found to have 3rd degree heart block and now is s/p a permanent pacemaker on 9/28/21.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid + from Assisted Living. Hospitalized Per ED Note:  History of Present Illness   This is an 87-year-old gentleman   This is an 85-year-old gentleman with a history of hypertension dyslipidemia atrial fibrillation and intracerebral bleed that was transferred to this facility for inpatient medical management after being found to be Covid positive in assisted living.  Patient has been vaccinated.  Patient currently denies any chest pain shortness of breath lightheadedness dizziness patient denies any fever chills diarrhea loss of taste or smell
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, COVID-19 pneumonia, Fatigue, Pulmonary embolism
Clinical narrative: Saw PCP for annual physical on 9/3/2021. Felt generally well at that appointment other than some mild ongoing fatigue, nothing specific. Administered first dose of Pfizer Covid-19 vaccine that day and tolerated it well. Patient reported significant increase in fatigue on 9/6/2021. Came in to be tested for Covid-19 on 9/10/2021 and tested positive. Insidious onset of respiratory symptoms which progressively got worse around this time. Came in to Emergency Department on 9/16/2021 and was found to have Covid-19 pneumonia, acute respiratory distress and pulmonary embolism but main factor for admission to hospital was the pulmonary embolism.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: Saw PCP for annual physical on 9/3/2021. Felt generally well at that appointment other than some mild ongoing fatigue, nothing specific. Administered first dose of Pfizer Covid-19 vaccine that day and tolerated it well. Patient reported significant increase in fatigue on 9/6/2021. Came in to be tested for Covid-19 on 9/10/2021 and tested positive. Insidious onset of respiratory symptoms which progressively got worse around this time. Came in to Emergency Department on 9/16/2021 and was found to have Covid-19 pneumonia, acute respiratory distress and pulmonary embolism but main factor for admission to hospital was the pulmonary embolism.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 10/11/21 after being fully vaccinated.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Contusion, Headache, Injection site erythema
Clinical narrative: Red welts appeared on her arm at the injection site. Started breaking out in hives in different places also in her face. Welts on her forearm turn into a black  and blue bruise. Left side of face became swollen and hives became worse all over her body. She stated her face had been changing constantly everyday it was different. One side of her face is bigger than the other. (left side). Heart palpitations, weakness and headaches. Elevated blood pressure
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Laboratory test, Palpitations, Swelling face, Urticaria
Clinical narrative: Red welts appeared on her arm at the injection site. Started breaking out in hives in different places also in her face. Welts on her forearm turn into a black  and blue bruise. Left side of face became swollen and hives became worse all over her body. She stated her face had been changing constantly everyday it was different. One side of her face is bigger than the other. (left side). Heart palpitations, weakness and headaches. Elevated blood pressure
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated for COVID-19 on 4/8/2021 and 4/29/2021. Patient was fully vaccinated when tested positive for COVID-19 on 10/11/2021.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR : Pt. received the 1st dose of Moderna 09/10/2021 then received the 2nd dose of Phizer 10/07/2021. No noted symptoms nor Primary visit.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Covid + on 10/11/2021 Per ED Note: 77-year-old female with a past medical history of COPD and hypertension presents to the emergency department for shortness of breath.  Patient was brought in by EMS from home.  Per EMS, they found patient sitting in a chair and slouched over.  She was 66% on 4 L nasal cannula.  Patient does wear 2 L at home at baseline.  Patient was started on CPAP in route and was given a DuoNeb treatment.  On arrival, patient is awake and alert and states that she has felt short of breath for the past 2 or 3 days and worsened today.  She denies fever, chills, cough, nausea, vomiting, chest pain, abdominal pain and urinary symptoms.  Patient states she has never been intubated or required BiPAP for her COPD.
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: 3rd dose booster; vial diluted with 1.4 mL instead of 1.8 mL, received 27% more vaccine (0.3 mL).
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue
Clinical narrative: Continuous dry cough approximately one to two hours after injection.fatigue.next morning congested sounding cough headache fever. Next day or two productive cough no smell or taste.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Productive cough, Pulmonary congestion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Continuous dry cough approximately one to two hours after injection.fatigue.next morning congested sounding cough headache fever. Next day or two productive cough no smell or taste.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Condition aggravated, Dizziness, Dry skin, Loss of consciousness
Clinical narrative: Client reported feeling lightheaded following vaccination, then fainted. Client had LOC approx. 15-20 seconds and regained consciousness spontaneously with verbal prompts. Feet elevated. Client semi-reclined. VSS. HR 72, BP 120/64. Skin initially warm, moist. Skin dry, warm to touch within 2 minutes. Client offered and accepted sips of H2O. Cool cloth applied to back of neck. No change in VS on re-check. Client observed for 15 minutes without further incidence. Client stated, "I always faint with blood draws and other shots."
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Skin warm, Syncope
Clinical narrative: Client reported feeling lightheaded following vaccination, then fainted. Client had LOC approx. 15-20 seconds and regained consciousness spontaneously with verbal prompts. Feet elevated. Client semi-reclined. VSS. HR 72, BP 120/64. Skin initially warm, moist. Skin dry, warm to touch within 2 minutes. Client offered and accepted sips of H2O. Cool cloth applied to back of neck. No change in VS on re-check. Client observed for 15 minutes without further incidence. Client stated, "I always faint with blood draws and other shots."
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Admission to hospital with COVID-19 diagnosis on admission
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Broke out in hives on foot, neck, arm, and back
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Oedema, Pain in extremity, Peripheral swelling, Skin discolouration
Clinical narrative: LLE discoloration and pain developing approximately 12 hours after administration of vaccine at local neighborhood church in the afternoon around 4pm by individuals who did not identify as medical professionals giving the J&J COVID vaccine, cellulitis developed in left with discoloration initially started in lower section of leg and ascending with engorgement of blood vessels and surrounding tissue becoming edematous and darkly discolored up to the knee ending at the area of the tibial tuberosity. Patient then had extension of discoloration without palpable vessels in the right lower extremity the following day and had swelling worsening in the left leg and required medical attention of amoxicillin and bactrim to treat the cellulitis. Patient refused to have blood draw nor be sent to the ED. Patient followed up in the clinic a week later and had some resolution of affected limbs with persistent discoloration that was not present prior to the vaccine administration.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Vasodilatation
Clinical narrative: LLE discoloration and pain developing approximately 12 hours after administration of vaccine at local neighborhood church in the afternoon around 4pm by individuals who did not identify as medical professionals giving the J&J COVID vaccine, cellulitis developed in left with discoloration initially started in lower section of leg and ascending with engorgement of blood vessels and surrounding tissue becoming edematous and darkly discolored up to the knee ending at the area of the tibial tuberosity. Patient then had extension of discoloration without palpable vessels in the right lower extremity the following day and had swelling worsening in the left leg and required medical attention of amoxicillin and bactrim to treat the cellulitis. Patient refused to have blood draw nor be sent to the ED. Patient followed up in the clinic a week later and had some resolution of affected limbs with persistent discoloration that was not present prior to the vaccine administration.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Death, Disorientation, Dyspnoea, Feeling abnormal
Clinical narrative: The decedent was feeling poorly prior to receiving his first Moderna vaccine on August 31, 2021. Approximately 2 hours after the vaccine, he developed a low-grade fever and body aches.  He left for a trip the same day and  his flu-like symptoms worsened.  He later developed difficulty breathing.  On September 7 or date of death, he developed cold sweats, low grade fever and labored breathing.  He also became disoriented and had trouble walking.  His date of death:  09/07/2021.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Influenza like illness, Pain, Pyrexia
Clinical narrative: The decedent was feeling poorly prior to receiving his first Moderna vaccine on August 31, 2021. Approximately 2 hours after the vaccine, he developed a low-grade fever and body aches.  He left for a trip the same day and  his flu-like symptoms worsened.  He later developed difficulty breathing.  On September 7 or date of death, he developed cold sweats, low grade fever and labored breathing.  He also became disoriented and had trouble walking.  His date of death:  09/07/2021.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Neck mass
Clinical narrative: noted lump on left side of neck
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Gait disturbance, Heart rate increased
Clinical narrative: Symptoms after 6 hrs., Severe Body Shaking (difficult walking unassisted), High Fever (102°F), Severe pain in lower back and joints, elevated heart rate (100 bbm, normal is 50 bbm) Symptoms after 10 hrs., High Fever (103.6°F), Severe pain in lower back and joints, elevated heart rate (100 bbm, normal is 50 bbm) Symptoms after 12 hrs., High Fever (101-102°F), Severe pain in lower back and joints, elevated heart rate (100 bbm, normal is 50 bbm) Symptoms after 30 hrs., Minor to no fever, General muscle soreness and fatigue. Symptoms after 48 hrs., No fever, General muscle soreness and fatigue.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Tremor
Clinical narrative: Symptoms after 6 hrs., Severe Body Shaking (difficult walking unassisted), High Fever (102°F), Severe pain in lower back and joints, elevated heart rate (100 bbm, normal is 50 bbm) Symptoms after 10 hrs., High Fever (103.6°F), Severe pain in lower back and joints, elevated heart rate (100 bbm, normal is 50 bbm) Symptoms after 12 hrs., High Fever (101-102°F), Severe pain in lower back and joints, elevated heart rate (100 bbm, normal is 50 bbm) Symptoms after 30 hrs., Minor to no fever, General muscle soreness and fatigue. Symptoms after 48 hrs., No fever, General muscle soreness and fatigue.
Age: 50.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Dizziness, Hallucination, Photopsia
Clinical narrative: After immunizations, he started to feel dizzy and lightheaded and reported seeing flashes of lights and hallucinations.  He was treated with a steroid shot.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 10/11/21 after being fully vaccinated.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Approximately 1 week after receiving the J&J COVID vaccine, the patient experienced a delayed rash that was red and itchy. The rash presented on their lower legs, underarms, back, hands, thighs and appeared to spread from place to place as time went on. The patient took Benadryl and could not tell if there was any symptomatic improvement. He did note that it wasn't getting worse, it was just moving to different sites on his body. Patient didn't report any systemic symptoms. At the time patient reported the reaction, he had experienced the rash for 1 day already.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrioventricular block, Biopsy lymph gland normal, Cardiac function test abnormal, Conduction disorder, Dyspnoea
Clinical narrative: My wife, who is in perfect health, has had inflammatory lymph nodes under both arms since the first vaccine in January resulting in a biopsy, benign for malignancy. Starting in mid July she started to develop symptoms of shortness of breath when normally able to run 6 miles a day. She saw cardiology on September 23 and found to have 3rd degree heart block and now is s/p a permanent pacemaker on 9/28/21. So since January and the vaccines this perfectly healthy woman still has inflammatory nodes under both axillas and now has a permanent pacemaker of no known etiology. All tests and labs were normal except for new conduction abnormality
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test normal, Lymphadenitis, Mammogram, Ultrasound scan
Clinical narrative: My wife, who is in perfect health, has had inflammatory lymph nodes under both arms since the first vaccine in January resulting in a biopsy, benign for malignancy. Starting in mid July she started to develop symptoms of shortness of breath when normally able to run 6 miles a day. She saw cardiology on September 23 and found to have 3rd degree heart block and now is s/p a permanent pacemaker on 9/28/21. So since January and the vaccines this perfectly healthy woman still has inflammatory nodes under both axillas and now has a permanent pacemaker of no known etiology. All tests and labs were normal except for new conduction abnormality
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atelectasis, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Lung disorder
Clinical narrative: 10/6 COVID Diagnosis 10/9 CT: Small left pleural effusion with adjacent airspace disease/atelectasis. Perihilar airspace opacities. 10/11 COVID-19 pneumonia: on Remdesivir and steroids, O2 therapy
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Pleural effusion
Clinical narrative: 10/6 COVID Diagnosis 10/9 CT: Small left pleural effusion with adjacent airspace disease/atelectasis. Perihilar airspace opacities. 10/11 COVID-19 pneumonia: on Remdesivir and steroids, O2 therapy
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted to an outside facility 10/06/2021.  Has multiple comorbidities including morbid obesity, obesity hypoventilation syndrome, chronic hypoxic and hypercapnic respiratory failure requiring home oxygen, COPD, right-sided heart failure with pulmonary hypertension, OSA on PAP therapy.  Tested positive for COVID-19 10/05/2021 at a local nursing home.  Had increasing dyspnea and was seen at a local nursing home due to hypoxia despite BiPAP therapy.  There was initially placed on BiPAP.  Noted to be very restless and did not tolerate well.  Was given morphine IV.  Also started on ceftriaxone and azithromycin.  Given Solu-Medrol 125 mg x1 on the 6th.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Axillary pain, Dizziness, Nausea, Neck pain, Pain in jaw
Clinical narrative: Patient reports feeling light headed about 10 minutes after receiving the flu shot. She the reported pain in the left side of her neck followed by right sided-jaw pain, left arm pit pain, and some "tightness" in throat. Some nausea reported as well that has subsided. Currently light-headed. Patient states the sensation in her throat improved after talking.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Throat tightness
Clinical narrative: Patient reports feeling light headed about 10 minutes after receiving the flu shot. She the reported pain in the left side of her neck followed by right sided-jaw pain, left arm pit pain, and some "tightness" in throat. Some nausea reported as well that has subsided. Currently light-headed. Patient states the sensation in her throat improved after talking.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19. CDC follow up call "strongly encouraged" me to report it.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Impaired work ability, Pain
Clinical narrative: Patient stated that she had some body aches and dizziness, alos stated that she was unable to work after getting shot at work.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Heart rate increased
Clinical narrative: Tightness and pain in the chest, increased heart rate, difficulty breathing. Patient called 911.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram abnormal, Ischaemia, Left ventricular failure
Clinical narrative: Receive the shot on 10/7/2021 at 1 pm and on 10/8/2020 around 9 pm, I began experiencing chest pain.  I went to urgent care where they did my vitals and an EKG. My blood pressure was 170/96 and the EKG was abnormal with Left Ventircal Overload vs. Ischemia.  My heart rate is usually 110/65.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Exposure to SARS-CoV-2, Headache
Clinical narrative: I received the vaccine on April the 9th had no problems.  I was exposed to COVID in August.  I started a small cough on, and they tested positive test.  The VA offered the antibody infusion.  About an hour after the infusion, I started to have a headache, runny nose, short of breath, high temperature and muscle aches.  My wife called the ambulance, and I was taking to the ER.  I spend the 3 days in the hospital and on the 21st of August my symptoms started to subside.  They released me on the 22nd of August.  I spend the next 5 days at home recovering and I took another test on the 27th and I tested negative for COVID.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I received the vaccine on April the 9th had no problems.  I was exposed to COVID in August.  I started a small cough on, and they tested positive test.  The VA offered the antibody infusion.  About an hour after the infusion, I started to have a headache, runny nose, short of breath, high temperature and muscle aches.  My wife called the ambulance, and I was taking to the ER.  I spend the 3 days in the hospital and on the 21st of August my symptoms started to subside.  They released me on the 22nd of August.  I spend the next 5 days at home recovering and I took another test on the 27th and I tested negative for COVID.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Pain in entire arm; numbness/tingling in lower left arm into hand. Unable to grip anything without pain going through arm.
Age: 85.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Pt. received a flu vaccine on 08/05/21, forgot she had received a flu vaccine then came back on 09/29/21 for a flu vaccine and received a second flu vaccine in error
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope event
Age: 72.0
Sex: M
Vaccine: FLUC4
Symptoms: Guillain-Barre syndrome, Immunoglobulin therapy, Laboratory test
Clinical narrative: This patient presented to the Medical Center ED on 10/8/21, ultimately with concern for Guillain-Barré syndrome. The patient reported his symptoms started on 10/5/21. He is currently being treated in the medical center for Guillain-Barré syndrome.  At this time, neurology is consulted and following the patient who is receiving IVIG x 5 days. Neurology has ordered several labs to rule-out other causes for this patient's acute presentation.
Age: 19.0
Sex: M
Vaccine: HPV9
Symptoms: Chills, Delirium, Dizziness, Pain, Pyrexia
Clinical narrative: Aches chills and slight fever similar to a flu response. Slight dizziness and delirium at times
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Headache, Magnetic resonance imaging normal
Clinical narrative: Piercing headaches along forehead when bending over ,lying down and turning head ,&  coughing . CAT scans and MRI with contrast show nothing. Experience every day since April.  Have had a handful of headaches in my lifetime.. It's not a typical headache or migraine. Doesn't effect eyes, temples.  Just along hairline in  forehead.  Visited ENT twice, all clear, Neurologists  said all clear. Did two rounds of steroids...didn't help at all.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chest discomfort, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Around 7:00 pm same day of shot I experienced headache, body aches, fever, heavy feeling in my chest.  The heavy feeling in my chest subsided after a couple hours, while the fever, body aches and headache continued for approximately 24 hours.  When those symptoms subsided, I continued to experience light-headedness and fatigue.  The temperature ranged from 100.5 to 101.5 for 2 nights.  On Day 3 I experienced diarrhea.  Today is Day 5 after the shot and I still have bouts of light-headedness,  but overall, much better.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Around 7:00 pm same day of shot I experienced headache, body aches, fever, heavy feeling in my chest.  The heavy feeling in my chest subsided after a couple hours, while the fever, body aches and headache continued for approximately 24 hours.  When those symptoms subsided, I continued to experience light-headedness and fatigue.  The temperature ranged from 100.5 to 101.5 for 2 nights.  On Day 3 I experienced diarrhea.  Today is Day 5 after the shot and I still have bouts of light-headedness,  but overall, much better.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, C-reactive protein, Full blood count, Headache
Clinical narrative: Developed headache, abdominal pain, and low grade fever on 10/6/21. He has had no nausea/ vomiting/ diarrhea. Of note, he also received the Gardasil vaccine (dose #1) concurrently with his Pfizer COVID-19 vaccine. HPV vaccine was received in right arm, lot # T026324.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Pyrexia, Red blood cell sedimentation rate, SARS-CoV-2 test, Streptococcus test negative
Clinical narrative: Developed headache, abdominal pain, and low grade fever on 10/6/21. He has had no nausea/ vomiting/ diarrhea. Of note, he also received the Gardasil vaccine (dose #1) concurrently with his Pfizer COVID-19 vaccine. HPV vaccine was received in right arm, lot # T026324.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Genital ulceration, Herpes virus test
Clinical narrative: I developed genital ulcerations after the vaccine. I developed this this once in my life before in January 2020. I was ten tested for flu and got extremely sick. I did not have any other issues until receiving the vaccine in April. I got the vaccine on Friday and woke up the next day with typical side effects. This lasted most of the day and in the evening I felt better. By Monday morning I had developed pretty severe genital ulcerations. It was worse than January. I asked how many were visible and they told me 6. I had only back when it happened in January. I did a swab and were tested for herpes which came back negative. They thought it might be Bechets syndrome. I do not meet the other criteria for Bechet's though. Back in January some tests were done to test for Bechet's but all came back normal.  This leads me to believe the vaccine could've triggered this. I was not prescribed anything, but I was referred to a rheumatologist. They were not super helpful though. I believe I had COVID in Jan 2020 and the genital ulcerations accompanied it along with the vaccine.