chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, COVID-19 pneumonia, Death, Endotracheal intubation
Clinical narrative: PMH:  HTN, BPH, CAD, ASPVD, COPD, OSA with CPAP, DM; diagnosed positive for COVID at hospital; COVID pneumonitis and progressive hypoxic respiratory failure; required intubation; placed on corticosteroids, remdesivir, baricitinib, colchicine, and antibiotics; DNR; went into A Fib, but was controlled with diltiazem; renal function worsened; eventually decided upon comfort measures; pt extubated and passed away shortly afterwards in the hosp
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Extubation, Renal impairment, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: PMH:  HTN, BPH, CAD, ASPVD, COPD, OSA with CPAP, DM; diagnosed positive for COVID at hospital; COVID pneumonitis and progressive hypoxic respiratory failure; required intubation; placed on corticosteroids, remdesivir, baricitinib, colchicine, and antibiotics; DNR; went into A Fib, but was controlled with diltiazem; renal function worsened; eventually decided upon comfort measures; pt extubated and passed away shortly afterwards in the hosp
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care
Clinical narrative: Hospitalization including ICU
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt requested COVID Booster dose and influenza vaccine but 2 doses of COVID vaccine administered.  Pt transferred to Urgent Care for further evaluation but left without intervention.  Pt advised of return precautions.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pfizer Booster given to a 15 year old. Currently not approved for this age.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Diarrhoea, Gastrointestinal disorder, Injection site erythema
Clinical narrative: Day 2-4 after receiving booster shot I got covid arm. (Sweeling,red and itchy at injection site).  Day 12 after receiving booster shot I broke out in hives. I began taking benadryl. Day 14 after receiving booster shot I developed gastrointestinal issues (nausea, diarrhea, stomach cramps, tight esophagus).  Day 16, I went to medical facility and was prescribed zyrtec and pepcid.  Day 17, I went to my primary care physician. She advised to continue taking zrytec and pepcid.  Day 20 (today 12/23/2021) all issues remain. Hives come and go. Zrytec helps temporarily. Gastrointestinal issues still remain and are discomforting. I'm considering to go to ER.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Nausea, Oesophageal stenosis, Urticaria
Clinical narrative: Day 2-4 after receiving booster shot I got covid arm. (Sweeling,red and itchy at injection site).  Day 12 after receiving booster shot I broke out in hives. I began taking benadryl. Day 14 after receiving booster shot I developed gastrointestinal issues (nausea, diarrhea, stomach cramps, tight esophagus).  Day 16, I went to medical facility and was prescribed zyrtec and pepcid.  Day 17, I went to my primary care physician. She advised to continue taking zrytec and pepcid.  Day 20 (today 12/23/2021) all issues remain. Hives come and go. Zrytec helps temporarily. Gastrointestinal issues still remain and are discomforting. I'm considering to go to ER.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Cystitis, Feeling cold, Muscular weakness
Clinical narrative: After receiving my Moderna Booster the first couple days I had what I would call normal side effects with sore arm.  After a few days woke with severe muscle weakness and shaking, severe bladder inflammation/infection, chills, neuropathy of hands and feet. Spiked blood pressure of 190/98. No fever.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Pain in extremity, Tremor
Clinical narrative: After receiving my Moderna Booster the first couple days I had what I would call normal side effects with sore arm.  After a few days woke with severe muscle weakness and shaking, severe bladder inflammation/infection, chills, neuropathy of hands and feet. Spiked blood pressure of 190/98. No fever.
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Arthritis, Blood test normal, Chest pain, Joint noise
Clinical narrative: Event #1: Left arm and chest pain following second injection for two weeks. Admitted to emergency care for left arm and chest pain. Arm and chest pain continued for over two weeks and did not get better. Left arm pain would shoot down towards hand. Did not go away within a week.  Event #2: Continuing, non-stop arthritis in hands, knees, feet, and arm joints. This includes aching and creaking joints. No arthritis symptoms before Covid injections. Two nurses recommended I visit urgent care after I described the above symptoms. I entered urgent care on Oct. 19. The chest and arm pain has gone away but the arthritis has not.
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Urine analysis normal
Clinical narrative: Event #1: Left arm and chest pain following second injection for two weeks. Admitted to emergency care for left arm and chest pain. Arm and chest pain continued for over two weeks and did not get better. Left arm pain would shoot down towards hand. Did not go away within a week.  Event #2: Continuing, non-stop arthritis in hands, knees, feet, and arm joints. This includes aching and creaking joints. No arthritis symptoms before Covid injections. Two nurses recommended I visit urgent care after I described the above symptoms. I entered urgent care on Oct. 19. The chest and arm pain has gone away but the arthritis has not.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac failure, Cardioversion, Dyspnoea
Clinical narrative: 2 weeks after first shot I had heart failure and atrial fibrillation. I could not breathe. 6 days in hospital. On 5/20/21 hospitalized for cardioversion.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: localized redness, swelling, warmth and tenderness at injection site 5 cm x 4 cm
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Cardiac arrest, Death
Clinical narrative: 3 dose (2 plus booster) COVID vaccinated patient admitted through ED and died with COVID diagnosis.  Provider discharge note below:  Reason for Admission:  SOB    "80 YO male w/ history of Hypertension, hyperlipidemia presented with worsening dyspnea of 1-2 weeks duration. He notes dyspnea at rest but worse with exertion. Associated symptoms include decreased appetite, and weakness   Hospital Course: No notes on file  Acute hypoxic respiratory failure due to COVID 19 infection Unvaccinated host History of Emphysema; Former tobacco user  -supplement O2 with goal SpO2 92-96%. Wean support as tolerated. -prone positioning as tolerated - Albuterol MDI, Decadron therapy , tessalon perle, Mucinex - not candidate for Remdesivir due to duration of symptoms - strict isolation and hand hygiene precautions  Oxygen requirement has progressive increase since admission, from 3 L to 5 L   Patient developed cardiac arrest, had PE a, cardiac resuscitation was done, However it was unsuccessful, patient passed away at around 10:30 a.m."
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Decreased appetite, Dyspnoea, Dyspnoea exertional, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: 3 dose (2 plus booster) COVID vaccinated patient admitted through ED and died with COVID diagnosis.  Provider discharge note below:  Reason for Admission:  SOB    "80 YO male w/ history of Hypertension, hyperlipidemia presented with worsening dyspnea of 1-2 weeks duration. He notes dyspnea at rest but worse with exertion. Associated symptoms include decreased appetite, and weakness   Hospital Course: No notes on file  Acute hypoxic respiratory failure due to COVID 19 infection Unvaccinated host History of Emphysema; Former tobacco user  -supplement O2 with goal SpO2 92-96%. Wean support as tolerated. -prone positioning as tolerated - Albuterol MDI, Decadron therapy , tessalon perle, Mucinex - not candidate for Remdesivir due to duration of symptoms - strict isolation and hand hygiene precautions  Oxygen requirement has progressive increase since admission, from 3 L to 5 L   Patient developed cardiac arrest, had PE a, cardiac resuscitation was done, However it was unsuccessful, patient passed away at around 10:30 a.m."
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, SARS-CoV-2 test positive
Clinical narrative: 12/20/2021 symptoms started with coughing, fatigue, tiredness, and a headache. No fever. We did a home test and it was positive. Today is the 3rd day and she is feeling better. The cough was mostly the first day but she is better today apart from a little fatigue.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalized
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: patient passed out for few seconds about 4 seconds. then patient came back .
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Mouth swelling, Pyrexia, Swelling face
Clinical narrative: Eye swelling, face swelling, inside right mouth swelling, high fever about 16 hours following injection
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: A 15 year old was given a booster vaccine that is indicated only for those who are 16 years of age or older at this time.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain
Clinical narrative: 2 weeks after Vaccine had a annoying pain behind the ear and took Excedrin for it. Contacted doctor's office and a week later was scheduled a telehealth appt. After the doctor talked with me, advised to wait and see if it got worse. Also, was advised to take OTC pain relief (Tylenol) A week after that it subsided and to this day did not return.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Diffuse itchy rash all over head/face/body. Symptoms started in left axilla night of injection. The next day itchy rash spread to face, scalp, neck. The next day rash then moved to chest, trunk, back, arms, legs, feet. OTC Benadryl and Claritin with some relief.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Vertigo
Clinical narrative: Insomnia for 4 weeks. Vertigo started soon after. Needed 6 months of Physical Therapy to reduce vertigo symptoms.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erectile dysfunction
Clinical narrative: After first dose had Erectile Dysfunction lasting 3 months after the second dose.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None,  Too young to receive vaccine. She requested Moderna and I did not recheck her age. I was giving LTCF staff vaccines at the facility.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Pneumonia, Sepsis
Clinical narrative: Hospitalized with acute respiratory failure with Hypoxia, pneumonia, sepsis. Discharged improved, stable to home health
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Patient was sitting for 15 min observation, patient was feeling dizzy, was diaphoretic and pale. Blood pressure and vitals taken  Initial: BP: 60/32, HR: 63, SpO2: 98% on room air. Patient transferred to gurney. Next set of vitals:  BP: 79/36, HR: 52, SpO2: 96% on Room Air, Temp: 96.4 F tympanic, RR 16. MD stat called. Patient was assessed by MD. PEr mD, Vitals taken, BP: 103/62 (75), HR: 76, SpO2: 99% on Room Air, RR: 16. observe patient and vitals, no need for hospitalization or clinic visit at this time.  Patient completed observation of 30 minutes total, Patient alert and orientedx4, Vital signs stable, accompanied by mother. BP: 109/65, HR: 80, SpO2: 99% on Room air
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, COVID-19 pneumonia, Chest pain, Cough
Clinical narrative: pt to ED with c/o SOB, chest pain, cough, palpitations; positive for COVID; dx with ARF and COVID pneumonia; started on dexamethasone and antibiotics; outside the window for remdesivir; metabolic encephalopathy never improved; transitioned to comfort care; pt passed away in the hospital
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Metabolic encephalopathy, Palpitations, SARS-CoV-2 test positive
Clinical narrative: pt to ED with c/o SOB, chest pain, cough, palpitations; positive for COVID; dx with ARF and COVID pneumonia; started on dexamethasone and antibiotics; outside the window for remdesivir; metabolic encephalopathy never improved; transitioned to comfort care; pt passed away in the hospital
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dysphagia, Dyspnoea, Muscular weakness, Rash
Clinical narrative: skin hives on hands, arms, scalp, lips, torso, feet arm pit, neck, ears.  itchy hot red rashes upon scratching these areas. muscle tiredness on vaccinated arm.  minor itchy tongue. sought medical help when started having problems to breathe on 12/16/21, airway was closing, hard to swallow food.  Got prescribed methylprednisolone on 12/17/21 and started the same day due to breathing difficulties and hot skin rashes. Felt better with this medication, however, rashes are coming back.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Scratch, Skin warm, Tongue pruritus
Clinical narrative: skin hives on hands, arms, scalp, lips, torso, feet arm pit, neck, ears.  itchy hot red rashes upon scratching these areas. muscle tiredness on vaccinated arm.  minor itchy tongue. sought medical help when started having problems to breathe on 12/16/21, airway was closing, hard to swallow food.  Got prescribed methylprednisolone on 12/17/21 and started the same day due to breathing difficulties and hot skin rashes. Felt better with this medication, however, rashes are coming back.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: skin hives on hands, arms, scalp, lips, torso, feet arm pit, neck, ears.  itchy hot red rashes upon scratching these areas. muscle tiredness on vaccinated arm.  minor itchy tongue. sought medical help when started having problems to breathe on 12/16/21, airway was closing, hard to swallow food.  Got prescribed methylprednisolone on 12/17/21 and started the same day due to breathing difficulties and hot skin rashes. Felt better with this medication, however, rashes are coming back.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Agitation, COVID-19, COVID-19 pneumonia, Confusional state
Clinical narrative: Case received primary Covid Pfizer series and booster, and was hospitalized for Covid and died of Covid.  Hospitalized at Hospital, Dr. Hospitalization: w* Pneumonia due to COVID-19 virus Assessment & Plan Tested pos 10/2. Treating with dexamethasone, and baricitinib initiated October 9 after review of emergency use authorization with family, her surrogate decision makers in her confused state. She has had decreasing tolerance of wearing high flow nasal cannula increased agitation, and signs of distress, and interruptions of high flow nasal cannula resulted in worsening hypoxia. Discussed more than one occasion the average experience of patients her age to have high likelihood of death if mechanical ventilation and intubation were used for respiratory failure Given her progressive difficulty, difficulty tolerance of intervention, family including her son, has elected for proceeding with a comfort care approach and allowing visitors. Versed has been helpful for agitation after morphine seem to be aggravated hallucinations and agitation.   Acute respiratory failure Assessment & Plan Due to covid. Not on oxygen at baseline. On 4L at admit.  Progressive hypoxia requiring high flow nasal cannula to maintain oxygen saturation greater than 90%. CAUSE OF DEATH: 1.        COVID-19 pneumonia.  Patient transition to comfort care plan on the evening of October 10 with development of progressive hypoxia, intolerance of high flow nasal cannula as discussed below family surrogate decision makers agreed not to pursue mechanical ventilation and intubation.  Patient was restless, moaning and attempting to remove the high flow nasal cannula.  We maintain this until family could visit, and discontinuation of oxygen support, patient became increasingly obtunded, and received Ativan and Dilaudid boluses for periods of agitation, restlessness or moaning with good effect. Patient died at 1058.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Depressed level of consciousness, Hypoxia, Moaning, Restlessness
Clinical narrative: Case received primary Covid Pfizer series and booster, and was hospitalized for Covid and died of Covid.  Hospitalized at Hospital, Dr. Hospitalization: w* Pneumonia due to COVID-19 virus Assessment & Plan Tested pos 10/2. Treating with dexamethasone, and baricitinib initiated October 9 after review of emergency use authorization with family, her surrogate decision makers in her confused state. She has had decreasing tolerance of wearing high flow nasal cannula increased agitation, and signs of distress, and interruptions of high flow nasal cannula resulted in worsening hypoxia. Discussed more than one occasion the average experience of patients her age to have high likelihood of death if mechanical ventilation and intubation were used for respiratory failure Given her progressive difficulty, difficulty tolerance of intervention, family including her son, has elected for proceeding with a comfort care approach and allowing visitors. Versed has been helpful for agitation after morphine seem to be aggravated hallucinations and agitation.   Acute respiratory failure Assessment & Plan Due to covid. Not on oxygen at baseline. On 4L at admit.  Progressive hypoxia requiring high flow nasal cannula to maintain oxygen saturation greater than 90%. CAUSE OF DEATH: 1.        COVID-19 pneumonia.  Patient transition to comfort care plan on the evening of October 10 with development of progressive hypoxia, intolerance of high flow nasal cannula as discussed below family surrogate decision makers agreed not to pursue mechanical ventilation and intubation.  Patient was restless, moaning and attempting to remove the high flow nasal cannula.  We maintain this until family could visit, and discontinuation of oxygen support, patient became increasingly obtunded, and received Ativan and Dilaudid boluses for periods of agitation, restlessness or moaning with good effect. Patient died at 1058.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Case received primary Covid Pfizer series and booster, and was hospitalized for Covid and died of Covid.  Hospitalized at Hospital, Dr. Hospitalization: w* Pneumonia due to COVID-19 virus Assessment & Plan Tested pos 10/2. Treating with dexamethasone, and baricitinib initiated October 9 after review of emergency use authorization with family, her surrogate decision makers in her confused state. She has had decreasing tolerance of wearing high flow nasal cannula increased agitation, and signs of distress, and interruptions of high flow nasal cannula resulted in worsening hypoxia. Discussed more than one occasion the average experience of patients her age to have high likelihood of death if mechanical ventilation and intubation were used for respiratory failure Given her progressive difficulty, difficulty tolerance of intervention, family including her son, has elected for proceeding with a comfort care approach and allowing visitors. Versed has been helpful for agitation after morphine seem to be aggravated hallucinations and agitation.   Acute respiratory failure Assessment & Plan Due to covid. Not on oxygen at baseline. On 4L at admit.  Progressive hypoxia requiring high flow nasal cannula to maintain oxygen saturation greater than 90%. CAUSE OF DEATH: 1.        COVID-19 pneumonia.  Patient transition to comfort care plan on the evening of October 10 with development of progressive hypoxia, intolerance of high flow nasal cannula as discussed below family surrogate decision makers agreed not to pursue mechanical ventilation and intubation.  Patient was restless, moaning and attempting to remove the high flow nasal cannula.  We maintain this until family could visit, and discontinuation of oxygen support, patient became increasingly obtunded, and received Ativan and Dilaudid boluses for periods of agitation, restlessness or moaning with good effect. Patient died at 1058.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, fever,  chills, shivering shortly after vaccination. Took some motrin to relieve the pain.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Aphthous ulcer, Injection site erythema, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: Injection site swelling, redness, warm, lymph nodes in arm swelled up, canker sore on lip.  2nd shot, same issues - lymph nodes in armpit swelled up, injection site swollen, canker sore on lip bigger more painful than first dose.  3rd/booster shot, worse, injection site swollen for a week, lymph nodes in armpit and neck swollen, sinuses swollen, canker sores under tongue and in throat.  Valacyclovir prescribed after first shot, it seemed reduced the affects
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Injection site swelling, redness, warm, lymph nodes in arm swelled up, canker sore on lip.  2nd shot, same issues - lymph nodes in armpit swelled up, injection site swollen, canker sore on lip bigger more painful than first dose.  3rd/booster shot, worse, injection site swollen for a week, lymph nodes in armpit and neck swollen, sinuses swollen, canker sores under tongue and in throat.  Valacyclovir prescribed after first shot, it seemed reduced the affects
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Mononucleosis heterophile test negative, Pruritus, SARS-CoV-2 test negative, Skin disorder
Clinical narrative: Redness on skin, with some itchiness.  The areas of skin are not stationary, in that they became or lost their redness depending on the time of day.  Beginning on Sunday 12/19, the condition was ongoing as of the report.  The itchiness seems to improve temporarily with antihistamines (e.g. Zyrtec, Claritin, Benadryl).  As of today, I was prescribed Prednisone.  This is an unusual  reaction for me.  Although the doctors were not able to identify the cause, I thought I'd report it just in case.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea exertional, Lung opacity
Clinical narrative: Patient presented to the ED on 12/13/21 with 2 weeks of dyspnea on exertion and productive cough with positive covid test. Patient is fully vaccinated. Patient was started on dexamethasone and remdesivir given underlying COPD and was discharged on 12/15/21.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ED on 12/13/21 with 2 weeks of dyspnea on exertion and productive cough with positive covid test. Patient is fully vaccinated. Patient was started on dexamethasone and remdesivir given underlying COPD and was discharged on 12/15/21.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury
Clinical narrative: Patient was shopping in the store with her mother post vaccination. Pharmacist was called to the store floor after seeing the patient fall to the floor, hitting her head.  Pharmacist monitored patient and patient's blood pressure while awaiting EMS.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient was given a dose from a vial that was past it's dilution period expired time. patient was brought back and re vaccinated.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Condition aggravated, Headache, Pain in extremity, Pruritus
Clinical narrative: First dose - no allergic reaction beyond the side effects of a mild fever, headache, fatigue and soreness in my arms.  Second dose - I experienced all the above and had a mild to moderate allergic reaction. I had rashes on my chest, back and arms, itchiness and mild case of hives. This started the second day after taking the vaccine. I put some over the counter anti-itch cream and it felt better in three days.  Third dose - I experienced all the general symptoms from the first dose, though milder than before. 9 days after the shot I began experiencing severe itchiness from my scalp to my toes, I had hives all over my body, the more sever itching and burning sensation was around my neck chest and arms and armpit. I began using Benadryl but it didn?t help. The next day, I spoke with a pharmacist who recommended a combination of Allegra 24hrs once a day and Benadryl every six hours as needed. I also bought Calamine lotion to relieve itchiness. It?s been three days and there?s still no improvement. I still have hives and still itching like crazy.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urticaria
Clinical narrative: First dose - no allergic reaction beyond the side effects of a mild fever, headache, fatigue and soreness in my arms.  Second dose - I experienced all the above and had a mild to moderate allergic reaction. I had rashes on my chest, back and arms, itchiness and mild case of hives. This started the second day after taking the vaccine. I put some over the counter anti-itch cream and it felt better in three days.  Third dose - I experienced all the general symptoms from the first dose, though milder than before. 9 days after the shot I began experiencing severe itchiness from my scalp to my toes, I had hives all over my body, the more sever itching and burning sensation was around my neck chest and arms and armpit. I began using Benadryl but it didn?t help. The next day, I spoke with a pharmacist who recommended a combination of Allegra 24hrs once a day and Benadryl every six hours as needed. I also bought Calamine lotion to relieve itchiness. It?s been three days and there?s still no improvement. I still have hives and still itching like crazy.
Age: 30.0
Sex: U
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: sore arm
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Diarrhoea, Erythema, Skin warm
Clinical narrative: pt reported diarrhea all day tuesday 12/21.  had raised blister area on arm 12/22 that is going down now.  day 3 warm to the touch but seems to be improving.  redness will worsen in shower.  rph shared redness in shower w hot water not surprising.  might try cold pack.  diarrhea since resolved, no  treatment needed. watch and wait.  if red area/warmness persists or gets worse would need to be seen by dr.
Age: 7.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Vaccine positive rechallenge, Vomiting
Clinical narrative: Vomiting & nausea - 2 days (48 hours after first dose) Vomiting & nausea - 3 hours after 2nd dose
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Nasal septal operation, Nasal septum deviation, Pyrexia, Sinus disorder
Clinical narrative: Nasal septum deviation corrective surgery and sinus surgery; Recovery resulted in fever, sinus infection, likely viral sinusitis; currently taking steroids and antibiotics prescribed by ENT doctor
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus operation, Sinusitis
Clinical narrative: Nasal septum deviation corrective surgery and sinus surgery; Recovery resulted in fever, sinus infection, likely viral sinusitis; currently taking steroids and antibiotics prescribed by ENT doctor
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: Painful inflamed left armpit lymph node, swelling of the armpit, left pectoral and left lateral muscle. Heart palpitations, tightness in chest, feeling of anxiety, headache, body aches.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Palpitations
Clinical narrative: Painful inflamed left armpit lymph node, swelling of the armpit, left pectoral and left lateral muscle. Heart palpitations, tightness in chest, feeling of anxiety, headache, body aches.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Gait inability, Head titubation, Headache
Clinical narrative: fever 103.8 , chest pain !, chills, muscle aches, unable to walk legs felt weak , horrific headaches, unable to hold my head up
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Myalgia, Pyrexia
Clinical narrative: fever 103.8 , chest pain !, chills, muscle aches, unable to walk legs felt weak , horrific headaches, unable to hold my head up
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: The client notified RN that he developed a rash on his "whole upper body" about 12 hours after receiving the 2nd COVID vaccine Pfizer. The client stated the rash was itchy, red, and had raised bumps. The client stated the rash resolved without medication after about 6 hours. The client denied any dizziness, shortness of breath, or other signs or symptoms of anaphylaxis.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Lymphadenopathy, Peripheral swelling
Clinical narrative: I experienced a swollen lymph node under my left arm pit, my hands became swollen, pain in my wrist and tiredness.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: patient was given a dose of pfizer from a vial that was beyond it's expired dilution time.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood test, Diabetic ketoacidosis, Dizziness, Nausea
Clinical narrative: I had high blood sugar that I couldn't control, I kept taking more insulin to try stabilize it and it wasn't working. I got dizzy, began vomiting, and was really nauseous and then I went to Diabetic Ketoacidosis. I called 911 on 04/12/2021 and I went to the ER. They gave me fluids and took blood and sent home. They were going to admit me but then saw I could handle myself on my own with a personal glucose monitor and discharged me.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I had high blood sugar that I couldn't control, I kept taking more insulin to try stabilize it and it wasn't working. I got dizzy, began vomiting, and was really nauseous and then I went to Diabetic Ketoacidosis. I called 911 on 04/12/2021 and I went to the ER. They gave me fluids and took blood and sent home. They were going to admit me but then saw I could handle myself on my own with a personal glucose monitor and discharged me.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Evening of 12/13, approximately 2 weeks following COVID booster, patient began to experience hives that started centrally and progressed to extremities. Hives lasted on average 30-60 minutes, but were reproducibly provocable with almost any physical contact with self or objects. Wheals formed centrally where any tight or heavy clothes touched, as well as on palms and soles, in axilla, inguinal region, and gluteal cleft.   No immediately recognizable changes to patient's environment was discernable. No change in clothing, detergents, hygiene products, or exposure to new environments. Perhaps of note, patient's house has been under construction for the last 2 years--patient is slowly completing remodeling himself. It is possible that there has been infrequent and mild exposure to paints, dust, mold etc, however, none that are temporally correlated with the symptom onset.  Patient has taken diphenhydramine 25-50 mg every 6-8 hours around the clock for 2 weeks to date.  Other mildly alleviating treatments included epsom salt baths, calamine lotion, and OTC 1% hydrocortisone ointment. Patient has been effectively on bed rest since symptom onset.   Both the sensitivity of urticarial provocation with physical contact as well as the extent and longevity of wheals has been diminishing over the 2 weeks since the start of the adverse event on 12/13. Patient stated no adverse effects for the first 2 doses of the moderna vaccine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dry eye, Dry skin, Eye irritation, Eye pruritus, Periorbital swelling
Clinical narrative: I received my 3rd dose of the moderna Covid-19 vaccine in my left arm on 12/18/21 around 11am. I received my first two doses of the moderna vaccine in February and March 2021.   The day after I got the vaccine I started having dryness around my eyes, which I thought may be due to a retinol skin product I had been using for the past 2 months, so I stopped using the skin product. Previously I had no issues with this retinol skin product.  The dryness around my eyes continued to get worse each day and I kept using a lot of lotion to help calm down the skin around my eyes. On 12/22/21 my left eye started looking puffy and the dryness got more extreme. I had to continually put lotion on around that eye throughout the day. On 12/23/21, the puffiness in my left eye got worse along with the dryness around my eye. Also, my vision in my left eye started getting a little blurry and my eye kept drying out to the point where I would have to keep my eye closed for like 15-30 seconds to re-moisten the eye. It was getting itchy and looked quite bad. I took 400 mg ibuprofen which helped temporarily reduce the irritation, but it was still very dry around the eye and on the eyeball itself.  My right eye seems to be improving while my left eye seems to be getting worse.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: I received my 3rd dose of the moderna Covid-19 vaccine in my left arm on 12/18/21 around 11am. I received my first two doses of the moderna vaccine in February and March 2021.   The day after I got the vaccine I started having dryness around my eyes, which I thought may be due to a retinol skin product I had been using for the past 2 months, so I stopped using the skin product. Previously I had no issues with this retinol skin product.  The dryness around my eyes continued to get worse each day and I kept using a lot of lotion to help calm down the skin around my eyes. On 12/22/21 my left eye started looking puffy and the dryness got more extreme. I had to continually put lotion on around that eye throughout the day. On 12/23/21, the puffiness in my left eye got worse along with the dryness around my eye. Also, my vision in my left eye started getting a little blurry and my eye kept drying out to the point where I would have to keep my eye closed for like 15-30 seconds to re-moisten the eye. It was getting itchy and looked quite bad. I took 400 mg ibuprofen which helped temporarily reduce the irritation, but it was still very dry around the eye and on the eyeball itself.  My right eye seems to be improving while my left eye seems to be getting worse.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Lymphadenopathy
Clinical narrative: My lymph nodes were swollen extremely large. The right side which I received the shot in was much worse than the left but that side swelled as well.  I went to the doctor and she told me to follow up in 2 weeks to see if they go down. I went back to the doctor 2 weeks later and she checked them again. They felt normal at that point but we did a CT scan of the head and neck and some blood work to make sure everything is now functioning properly. When I received my second dose on 04/22/21 Lot # ER8734 the same thing happened.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Nausea, Pyrexia, Vomiting
Clinical narrative: Patient receiving Moderna booster after having received 2 shot series of Pfizer COVID vaccines.  She felt feverish and fatigued the next day and then about 36 hours after administration, developed episodic non-positional dizziness associated with nausea, vomiting and fever.  She was unable to keep food down for about 2 days.  Her dizziness gradually abated and resolved by the 6th day after vaccination.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: shingles
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt erroneously received expired Pfizer dose on 12/1/21. Staff contacted Pfizer to inquire if this batch of Pfizer Adult purple top vaccines were still viable at the time of vaccination provided that the vaccines were thawed on 11/23/21 at 1:43pm .  Determine pt did not need to be revaccinated as Pfizer Mfr had stability data to support this excursion for 1 day post expiry from manufacturing data.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 10/4/2021 2:51 pm called patient, the number is to a care facility. Left a message. She will ask his caregiver to call return call.  10/18/2021 11 am Left message for his caregiver to return call.  10/18/2021 2:Text message sent via portal.  10/23/21 Called care facility and left message for caregiver to return call. Viewed portal client received a booster dose on 12/8/2021.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Oral pruritus, Pruritus, Throat irritation, Tongue pruritus
Clinical narrative: Within 5 minutes of injection developed extremely itchy mouth, tongue and throat. I had taken 2 Benadryl 2 hrs prior to vaccine, bc had similar symptoms with my 2 vaccines earlier in the year.  (per my Doctor's order) I stayed 40 minutes at the site to be monitored. Also broke out in hot flashes about 25 minutes after the vaccine, but that subsided quickly.  Also, itchy hands (palms and wrist left and right) but that disappeared quickly.  Oral symptoms lasted about 2 hrs.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Atrial fibrillation, Cardiac stress test abnormal, Chest X-ray normal, Computerised tomogram normal
Clinical narrative: After my vaccination, on 9/30, I went traveling to visit my sister. I noticed my breathing was labored after taking a walk with her. My asthma was not backing up I did not need to use an inhaler. This continued while I was there. I came home and it still continued. I came home from a walk, and I really could not catch my breath and my smart watch indicated that I was in A-FIB on 10/26. I went to the ER and the Cardiologist thought it was just an Arrhythmia. They did not treat me for the shortness of breath and sent me home. One afternoon my breathing was so bad after a walk, so I contacted my PCP. I went in and she checked my lungs, and they were clear, but it felt like when I had Pneumonia. She said if it persisted to go back to the hospital. On the Tuesday before thanksgiving, 11/23, they had me in the ER and immediately admitted me to the hospital. During that time, they did every heart test imaginable. The doctor said during the stress test, my heart looked overall healthy but there was signs of A-FIB and Arrhythmia. They thought this started because of the shortness of breath and was pointing at pulmonary. They did all the tests at pulmonary and pointed their fingers at Cardiologists. They wanted to have a spirometry test done but I couldn't do that for a few more days. Cardiologist suggested to PCP that I should go to pulmonology doctor for second opinion. My lungs checked out totally clear at the hospital. That appointment is on January 5, 2022. I have noticed that my breathing has gotten better, it's not to the point where it was right before the vaccine, but it's better than what it was when I was in the hospital, and now I'm currently on two heart medications.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Spirometry
Clinical narrative: After my vaccination, on 9/30, I went traveling to visit my sister. I noticed my breathing was labored after taking a walk with her. My asthma was not backing up I did not need to use an inhaler. This continued while I was there. I came home and it still continued. I came home from a walk, and I really could not catch my breath and my smart watch indicated that I was in A-FIB on 10/26. I went to the ER and the Cardiologist thought it was just an Arrhythmia. They did not treat me for the shortness of breath and sent me home. One afternoon my breathing was so bad after a walk, so I contacted my PCP. I went in and she checked my lungs, and they were clear, but it felt like when I had Pneumonia. She said if it persisted to go back to the hospital. On the Tuesday before thanksgiving, 11/23, they had me in the ER and immediately admitted me to the hospital. During that time, they did every heart test imaginable. The doctor said during the stress test, my heart looked overall healthy but there was signs of A-FIB and Arrhythmia. They thought this started because of the shortness of breath and was pointing at pulmonary. They did all the tests at pulmonary and pointed their fingers at Cardiologists. They wanted to have a spirometry test done but I couldn't do that for a few more days. Cardiologist suggested to PCP that I should go to pulmonology doctor for second opinion. My lungs checked out totally clear at the hospital. That appointment is on January 5, 2022. I have noticed that my breathing has gotten better, it's not to the point where it was right before the vaccine, but it's better than what it was when I was in the hospital, and now I'm currently on two heart medications.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Rash macular, Sensation of foreign body, Urticaria
Clinical narrative: Hives.  Some as big dots scattered around chest; others in clusters on both sides of torso; started around 5pm after shot.  Also felt throat enlarged (ie when yawned felt blocked/not as clear).   As days went on, more appeared.  Hives are still there a week later (went to Medical center Monday Dec 20)--and have become more--especially small spots all over stomach and back.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: I was notified by a representative, that the patient received her second moderna vaccine too early.
Age: 48.0
Sex: M
Vaccine: UNK
Symptoms: Erythema multiforme
Clinical narrative: Erythema multiforme
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Blood immunoglobulin E increased, Condition aggravated, Eosinophil count, Laboratory test
Clinical narrative: I had a rash that took over my whole body starting with my arms and chest, then my asthma got worse.  I had to take prednisone 3 separate times, use a topical steroid (clobetesol) and take pepcid daily.  After lab work, it was determined that my eosiniphils and IgE levels were very escalated.  I was then put on Dupixent to help decrease the IgE and eosinphil levels.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I had a rash that took over my whole body starting with my arms and chest, then my asthma got worse.  I had to take prednisone 3 separate times, use a topical steroid (clobetesol) and take pepcid daily.  After lab work, it was determined that my eosiniphils and IgE levels were very escalated.  I was then put on Dupixent to help decrease the IgE and eosinphil levels.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pt erroneously received expired Pfizer dose on 12/1/21. Staff contacted Pfizer to inquire if this batch of Pfizer Adult purple top vaccines were still viable at the time of vaccination provided that the vaccines were thawed on 11/23/21 at 1:43pm .  Determine pt did not need to be revaccinated as Pfizer Mfr had stability data to support this excursion for 1 day post expiry from manufacturing data.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: redness, itching, tenderness at injection site
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives all over my body. This is the fourth day I've had them. I'm being treated with Zyrtec and Benadryl. It has not yet resolved.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pt erroneously received  Pfizer dose on 12/1/21 where  vaccine lot was expired. Staff contacted Pfizer to inquire if this batch of Pfizer Adult purple top vaccines were still viable at the time of vaccination provided that the vaccines were thawed on 11/23/21 at 1:43pm .  Determine pt did not need to be revaccinated as Pfizer Mfr had stability data to support this excursion for 1 day post expiry from manufacturing data.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Pruritus
Clinical narrative: I experienced itchiness around my genital area, tiredness, dizziness, and chills.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Urticaria
Clinical narrative: Hives that are still coming/ appearing even after 6 months after the second dose  have been taking allegra  and singuliar tried before
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Wrong dose was given- patient received 0.5ml dose instead of 0.25ml dose.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pt erroneously received expired Pfizer dose on 12/1/21. Staff contacted Pfizer to inquire if lot of vaccines were still viable at time of vaccination. Following discussion with Mfr,  pt did not need to be revaccinated as Pfizer Mfr had stability data to support this excursion for 1 day post expiry from manufacturing data.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient presented to clinic for second Moderna vaccination in series.  Patient was scheduled for clinic and had been in waiting area for approximately 2 hours.  Vaccination clinic was over and patient was discovered in the waiting area. RN spoke with MA who roomed the patient and agreed to administer the vaccine.  RN confirmed patient name, DOB, consent and pre-vaccination questions with patient, confirmed that she was in clinic for second Moderna vaccination and reviewed patient's vaccination card. RN obtained vaccination from refrigerator.  RN administered Moderna 0.25ml booster dose in error as second vaccination in series instead of Moderna 0.5ml dose.  RN did not realize error until over an hour later while completing visit documentation.   RN notified Nurse Manager and Medical Director of practice. RN was instructed by Medical Director that patient needed additional Moderna 0.25ml booster dose.  RN contacted patient to inform her of error, need to receive additional dose and schedule her to come into the office.  Patient stated she did not understand, did not schedule appointment to receive second booster dose to complete full Moderna 0.5ml dosing.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: fevers, chills, sweats, headache, low-grade fever with T-max at 100.4°. continues to have symptoms at clinic visit 13 days post 3rd dose/booster.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Extreme fatigue, soreness in arm and shoulder, headache, extreme chills, sore throat.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Extreme fatigue, soreness in arm and shoulder, headache, extreme chills, sore throat.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt erroneously received expired Pfizer dose on 12/1/21. Staff contacted Pfizer to inquire if lot of vaccines were still viable at time of vaccination. Following discussion with Mfr,  pt did not need to be revaccinated as Pfizer Mfr had stability data to support this excursion for 1 day post expiry from manufacturing data.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt erroneously received expired Pfizer dose on 12/1/21. Staff contacted Pfizer to inquire if lot of vaccines were still viable at time of vaccination. Following discussion with Mfr,  pt did not need to be revaccinated as Pfizer Mfr had stability data to support this excursion for 1 day post expiry from manufacturing data.