chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Renal infarct, Splenic infarction
Clinical narrative: Deep vein thrombosis (and subsequent infarcts)  History of CNS lymphoma, and poor PS, 12 February and 11 March 2021 Pfizer Covid vaccines, February 2021 new diagnosis of CNS lymphoma, Treated with immunotherapy with nivolumab complicated by colitis, 7 April 2021 bilateral calf near occlusive DVT, 17 May 2021 new tiny recent cerebral infarcts, 19 July 2021 more cerebral infarcts, 15 September 2021 renal infarcts, splenic infarct, 16 September 2021 opacification of superficial femoral artery, with coiling of left deep femoral artery, in setting of hematoma
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cough, Nasal congestion, Pyrexia
Clinical narrative: Congested and nasally -it started up with my nose flooding and then it stopped up and stayed like that. I had chills then and then a low grade fever - 101 was as high as it got. And then I got a cough. Face was swelled in my sinus part. I saw the doctor. It was a sinus infection - no testing. I got an antibiotic for 5 days. I still have the cough and the congestion. I do feel better. I am weak - I can't get my bearings yet though, feeling weak.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, Sinusitis, Swelling face
Clinical narrative: Congested and nasally -it started up with my nose flooding and then it stopped up and stayed like that. I had chills then and then a low grade fever - 101 was as high as it got. And then I got a cough. Face was swelled in my sinus part. I saw the doctor. It was a sinus infection - no testing. I got an antibiotic for 5 days. I still have the cough and the congestion. I do feel better. I am weak - I can't get my bearings yet though, feeling weak.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia
Clinical narrative: Severe nerve pain in both legs and feet
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Unknown vaccinated date, cannot locate. Patient reported J/J dose x1 received "couple months ago".  Now to ED and admitted for observation, positive for COVID 9/19/2021, diagnosed with COVID pneumonia.   O 2sat 92-94% on RA, did not require oxygen and was discharged home next day.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 9/16/2021 with shortness of breath. Reports symptoms started 9/6/21 and was tested for COVID-19 at an urgent two days prior to presentation. Covid-19 infection was confirmed and patient was admitted for further management. She was treated with remdesivir, dexamethasone, and supplemental oxygen. Patient improved and was discharged home on 9/20/2021.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received first dose of Moderna Covid vaccine on 09/01/2021.  Patient did not put a date on the information and consent form of her first covid shot.  She stated she was here today for her second covid vaccine shot.  She stated it had been a month since her first dose.  The nurse did not look up the date in GRITS and the patient did not have her Covid record vaccination card with her to verify the date of the first covid shot.  The nurse administered the second Moderna Covid vaccine as requested.  The time frame between the first and second Moderna Covid shot was too soon (20 days).
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Inflammation, Injected limb mobility decreased, Injection site pain, Injection site warmth
Clinical narrative: Pain at injection site, through the second day so far (I've never felt a vaccine this much and have had many to be able go to location a few years ago).  A short amount of time after the vaccine the veins in my left arm through my fingers were extremely swollen feeling and visibly larger than my right arm.  It was enough to make me not be able to work at all afterwards.  In the pharmacy I mainly felt the injection location, then walked home for a short distance, shortly afterwards the pain and pressure grew, including the beginnings of joint swelling as well.  Massaging the muscles around it seemed to make it worse, so I stopped after a short while (muscles also inflamed feeling) I took a nap, and woke up with some circulation issues but some of the vein symptoms had receded.  Today (second day) there is still a feeling of inflammation in my hands and left forearm, and the area around the injection site (about 5" in diameter) is warm, painful and makes full range of motion not possible.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Peripheral swelling
Clinical narrative: Pain at injection site, through the second day so far (I've never felt a vaccine this much and have had many to be able go to location a few years ago).  A short amount of time after the vaccine the veins in my left arm through my fingers were extremely swollen feeling and visibly larger than my right arm.  It was enough to make me not be able to work at all afterwards.  In the pharmacy I mainly felt the injection location, then walked home for a short distance, shortly afterwards the pain and pressure grew, including the beginnings of joint swelling as well.  Massaging the muscles around it seemed to make it worse, so I stopped after a short while (muscles also inflamed feeling) I took a nap, and woke up with some circulation issues but some of the vein symptoms had receded.  Today (second day) there is still a feeling of inflammation in my hands and left forearm, and the area around the injection site (about 5" in diameter) is warm, painful and makes full range of motion not possible.
Age: 73.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Had extreme pain in the arm, no redness, unable or difficult to even raise arm,  No "heat" at site in right arm where injection was.  Pain began that night and in morning, could not move arm down to the wrist without extreme pain.  Tender to touch at site.  Extreme pain subsided by Friday morning and was able to move arm, but site still tender.  Extreme reaction.  Had previously received Prevnar 13.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Hives/rash
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Migraine
Clinical narrative: Chronic headaches that turn into migraines
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Feeling abnormal, Mobility decreased, Paraesthesia, Paralysis
Clinical narrative: IN THE MORNING ON THE DAY FOLLOWING THE 2ND INJECTION, AS I ROSE FROM MY BED, MY BODY FELT VERY STRANGE AS IF TINGLING FROM MY HEAD TO MY TOES, LEGS BECAME TOTALLY IMOBILIZED, COMPLETELY PARALYZED AS I TRIED TO TAKE A STEP. I VISUALIZED TAKING A STEP WITH MY  R FOOT AND LOOKED DOWN AND SAW THAT MY FOOT HAD NOT MOVED. I REPEATED THIS WITH MY L FOOT AND IT, TOO, DID NOT MOVE.  I WAITED &TRIED AGAIN.  NO LUCK. AFTER 10 MINUTES, I WAS ABLE TO SLIDE MY FOOT ABOUT 1 INCH BUT COULD NOT LIFT IT OFF THE FLOOR. OVER THE COURSE OF TIME, I FOUND I COULD MOVE MY LIMBS MORE.  I HAD TO WORK HARD FOR EACH STEP OF IMPROVEMENT & BY THE END OF THE DAY, I FELT ALMOST NORMAL.  2 WEEKS LATER, I LOST MOST OF THE HAIR ON TOP OF MY HEAD.
Age: 46.0
Sex: F
Vaccine: FLUC4, TDAP
Symptoms: Mobility decreased, Peripheral swelling, Rash
Clinical narrative: Patient received two vaccines on Saturday 9/18 in the same arm due to complications in the left arm. Patient called today, 9/22, to report that her right arm had broken out in a rash and her right hand was swollen and she was having trouble closing her hand.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cerebral infarction, Cerebral venous sinus thrombosis, Cognitive disorder, Computerised tomogram head abnormal
Clinical narrative: 31 Aug 2021 pfizer covid #1, 9/16/21 new dural sinus thrombosis with associated cognitive deficits, dysphagia, weakness, and impairing mobility and self-care, no h/o covid, poss IBD?  CT head: Unchanged hyperdense thrombus involving the internal cerebral veins, vein of Galen, straight sinus, left transverse sinus and left sigmoid sinus, as well as cortical/tentorial veins along the left tentorium. Additional hyperdense, nonocclusive thrombus within the right transverse sinus is unchanged. Retrospectively stable hyperdense thrombus within the upper left jugular vein (series 303, image 8). Increasing conspicuity of symmetric hypodensity within the bilateral thalami, which corresponds to diffusion restriction seen on comparison MRI.  1.  Findings consistent with extensive deep cerebral vein and dural sinus thrombosis 2. Symmetric hypodensity of the bilateral thalami, corresponding to diffusion restriction seen on comparison MRI, consistent with evolving cerebral venous infarcts.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Impaired self-care, Jugular vein thrombosis, Magnetic resonance imaging head abnormal, Mobility decreased
Clinical narrative: 31 Aug 2021 pfizer covid #1, 9/16/21 new dural sinus thrombosis with associated cognitive deficits, dysphagia, weakness, and impairing mobility and self-care, no h/o covid, poss IBD?  CT head: Unchanged hyperdense thrombus involving the internal cerebral veins, vein of Galen, straight sinus, left transverse sinus and left sigmoid sinus, as well as cortical/tentorial veins along the left tentorium. Additional hyperdense, nonocclusive thrombus within the right transverse sinus is unchanged. Retrospectively stable hyperdense thrombus within the upper left jugular vein (series 303, image 8). Increasing conspicuity of symmetric hypodensity within the bilateral thalami, which corresponds to diffusion restriction seen on comparison MRI.  1.  Findings consistent with extensive deep cerebral vein and dural sinus thrombosis 2. Symmetric hypodensity of the bilateral thalami, corresponding to diffusion restriction seen on comparison MRI, consistent with evolving cerebral venous infarcts.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Transverse sinus thrombosis
Clinical narrative: 31 Aug 2021 pfizer covid #1, 9/16/21 new dural sinus thrombosis with associated cognitive deficits, dysphagia, weakness, and impairing mobility and self-care, no h/o covid, poss IBD?  CT head: Unchanged hyperdense thrombus involving the internal cerebral veins, vein of Galen, straight sinus, left transverse sinus and left sigmoid sinus, as well as cortical/tentorial veins along the left tentorium. Additional hyperdense, nonocclusive thrombus within the right transverse sinus is unchanged. Retrospectively stable hyperdense thrombus within the upper left jugular vein (series 303, image 8). Increasing conspicuity of symmetric hypodensity within the bilateral thalami, which corresponds to diffusion restriction seen on comparison MRI.  1.  Findings consistent with extensive deep cerebral vein and dural sinus thrombosis 2. Symmetric hypodensity of the bilateral thalami, corresponding to diffusion restriction seen on comparison MRI, consistent with evolving cerebral venous infarcts.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no symptoms
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary, Asthenia, Chest discomfort, Computerised tomogram, Disturbance in attention
Clinical narrative: Mild flu like symptoms first 24 hours, soreness and swelling at injection site.  On third day started experiencing moderate to severe heart palpitations.  Heart rate monitor showed 111 bpm while resting, fluctuating, but staying above 89.  Baseline is around 60 - 65 bpm resting.  the increased heart rate and palpitations continued night and day, restlessness and sleeplessness occurred as a result.   Dizziness and mental fog, loss of ability to concentrate and focus.   I have a heavy feeling in my chest that has not subsided.  breathlessness and chronic fatigue.    It has been almost 7 weeks and palpitations are still occurring though less frequent, occasionally moderate to severe.    My energy level has not returned to normal, I still have a heavy weight on my chest.  My focus and ability to concentrate have not returned.    I have had to undergo a dye contrast CT scan to rule out pulmonary embolism and EKG.  Both presented within normal limits; however with the continuing symptoms I have grave concerns for my health.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram normal, Fatigue, Feeling abnormal
Clinical narrative: Mild flu like symptoms first 24 hours, soreness and swelling at injection site.  On third day started experiencing moderate to severe heart palpitations.  Heart rate monitor showed 111 bpm while resting, fluctuating, but staying above 89.  Baseline is around 60 - 65 bpm resting.  the increased heart rate and palpitations continued night and day, restlessness and sleeplessness occurred as a result.   Dizziness and mental fog, loss of ability to concentrate and focus.   I have a heavy feeling in my chest that has not subsided.  breathlessness and chronic fatigue.    It has been almost 7 weeks and palpitations are still occurring though less frequent, occasionally moderate to severe.    My energy level has not returned to normal, I still have a heavy weight on my chest.  My focus and ability to concentrate have not returned.    I have had to undergo a dye contrast CT scan to rule out pulmonary embolism and EKG.  Both presented within normal limits; however with the continuing symptoms I have grave concerns for my health.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Influenza, Injection site pain, Injection site swelling, Insomnia
Clinical narrative: Mild flu like symptoms first 24 hours, soreness and swelling at injection site.  On third day started experiencing moderate to severe heart palpitations.  Heart rate monitor showed 111 bpm while resting, fluctuating, but staying above 89.  Baseline is around 60 - 65 bpm resting.  the increased heart rate and palpitations continued night and day, restlessness and sleeplessness occurred as a result.   Dizziness and mental fog, loss of ability to concentrate and focus.   I have a heavy feeling in my chest that has not subsided.  breathlessness and chronic fatigue.    It has been almost 7 weeks and palpitations are still occurring though less frequent, occasionally moderate to severe.    My energy level has not returned to normal, I still have a heavy weight on my chest.  My focus and ability to concentrate have not returned.    I have had to undergo a dye contrast CT scan to rule out pulmonary embolism and EKG.  Both presented within normal limits; however with the continuing symptoms I have grave concerns for my health.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Restlessness, Scan with contrast normal
Clinical narrative: Mild flu like symptoms first 24 hours, soreness and swelling at injection site.  On third day started experiencing moderate to severe heart palpitations.  Heart rate monitor showed 111 bpm while resting, fluctuating, but staying above 89.  Baseline is around 60 - 65 bpm resting.  the increased heart rate and palpitations continued night and day, restlessness and sleeplessness occurred as a result.   Dizziness and mental fog, loss of ability to concentrate and focus.   I have a heavy feeling in my chest that has not subsided.  breathlessness and chronic fatigue.    It has been almost 7 weeks and palpitations are still occurring though less frequent, occasionally moderate to severe.    My energy level has not returned to normal, I still have a heavy weight on my chest.  My focus and ability to concentrate have not returned.    I have had to undergo a dye contrast CT scan to rule out pulmonary embolism and EKG.  Both presented within normal limits; however with the continuing symptoms I have grave concerns for my health.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lethargy, Nausea, Pain
Clinical narrative: Body aches, mild nausea, soreness at injection site, lethargy
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Had a breakthrough of the COVID 19 virus after being fully vaccinated.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, COVID-19 treatment, Cough, Dizziness
Clinical narrative: It was a documented Covid infection on 08/22/2021. It began with symptoms similar to a sinus infection. I had a runny nose, cough, and a headache. Eventually after I was confirmed it was Covid I had a severe headache, fever, dizziness, SOB, loss of smell, fatigue, and I did not have loss of taste. I did receive monoclonal antibody infusion as treatment on 08/27/2021. Symptoms lasted until 08/28/2021.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Pyrexia, Rhinorrhoea
Clinical narrative: It was a documented Covid infection on 08/22/2021. It began with symptoms similar to a sinus infection. I had a runny nose, cough, and a headache. Eventually after I was confirmed it was Covid I had a severe headache, fever, dizziness, SOB, loss of smell, fatigue, and I did not have loss of taste. I did receive monoclonal antibody infusion as treatment on 08/27/2021. Symptoms lasted until 08/28/2021.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: It was a documented Covid infection on 08/22/2021. It began with symptoms similar to a sinus infection. I had a runny nose, cough, and a headache. Eventually after I was confirmed it was Covid I had a severe headache, fever, dizziness, SOB, loss of smell, fatigue, and I did not have loss of taste. I did receive monoclonal antibody infusion as treatment on 08/27/2021. Symptoms lasted until 08/28/2021.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aldolase normal, Aspartate aminotransferase normal, Blood creatine phosphokinase normal, Blood lactate dehydrogenase normal, Muscle spasms
Clinical narrative: Muscle cramping, AST nl as well as ldh, CK, aldolase, Happened post 2nd covid vax in Jan, getting worse as of Aug 2021, Pfizer, 2nd dose given 1/8/2021
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased
Clinical narrative: CAN BARELY MOVE ARM.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Bursitis
Clinical narrative: Patient developed olecranon bursitis a day after Moderna injection in left arm.  Non infectious bursitis.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Contusion, Fatigue, Immediate post-injection reaction, Injection site erythema
Clinical narrative: Instant bruising. Very tired followed by elevated temperature. Very sore arm where shot was given and then later on  6/16/21 my arm swelled became very hot to touch, red and itchy. This lasted for over a week. As of today I feel usually irritable  constantly and very tired. Patient still has general malaise.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Irritability
Clinical narrative: Instant bruising. Very tired followed by elevated temperature. Very sore arm where shot was given and then later on  6/16/21 my arm swelled became very hot to touch, red and itchy. This lasted for over a week. As of today I feel usually irritable  constantly and very tired. Patient still has general malaise.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Instant bruising. Very tired followed by elevated temperature. Very sore arm where shot was given and then later on  6/16/21 my arm swelled became very hot to touch, red and itchy. This lasted for over a week. As of today I feel usually irritable  constantly and very tired. Patient still has general malaise.
Age: 66.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: patients arm is very swollen and warm to the touch.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia
Clinical narrative: hair loss for 4 mos post covid vax, Pfizer completed 4/2021
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient got 1st dose Moderna at Medical center 3-23-21.On 8-6-21 pt got 1st dose pfizer at Pharmacy.Pt stated on consent form:never received any covid vaccine.Pt wanted 2nd dose pfizer 9-21-21.Check CAIR and found out pt got moderna (Medical center) and pfizer (pharmacy)
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Malaise, Paraesthesia, Pulmonary pain
Clinical narrative: Patient described numbness and tingling in left arm starting approximately 2 days after vaccination.  Also described pain in left lung when coughing or sneezing.  Also reported malaise symptoms.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Heavy menstrual bleeding, Human chorionic gonadotropin, Human papilloma virus test, Laboratory test
Clinical narrative: Adverse event: mennhoragia exceeding 50 days Treatment: none  Outcomes: continuing mennhoragia
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Smear cervix
Clinical narrative: Adverse event: mennhoragia exceeding 50 days Treatment: none  Outcomes: continuing mennhoragia
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cough, Death, Dyspnoea
Clinical narrative: Patient was in the Hospital from 8-23-21 to 9-8-21. Patient expired on 9-8-21. symptoms: shortness of breath, muscle aches, hypoxia, runny nose, cough, and acute hypoxemic respiratory failure.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Myalgia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Patient was in the Hospital from 8-23-21 to 9-8-21. Patient expired on 9-8-21. symptoms: shortness of breath, muscle aches, hypoxia, runny nose, cough, and acute hypoxemic respiratory failure.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death, Dyspnoea
Clinical narrative: hx of peripheral artery disease, multiple sclerosis, CHF; presented with SOB, decrease O2 saturation, positive for COVID; pt requested do not intubate, pt's condition worsened where he died in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Refusal of treatment by patient, SARS-CoV-2 test positive
Clinical narrative: hx of peripheral artery disease, multiple sclerosis, CHF; presented with SOB, decrease O2 saturation, positive for COVID; pt requested do not intubate, pt's condition worsened where he died in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, COVID-19 pneumonia, Decreased appetite
Clinical narrative: 67 yo F with pmhx rheumatoid arthritis presented to the ED with worsening SOB for 1 week. Patient tested positive for COVID 09/15 and has been managing symptoms at home with mucinex, nyquil, dayquil and advil. Patient is admitted to medicine for shortness of breath likely secondary to COVID viral pneumonia.  Of note patient received Moderna #2 03/29/21.  Endorses: attending a wedding 09/10 with travel to CT. 10 guests have tested positive for COVID. Fevers to 101 nightly, cough with yellow sputum x 1 day, SOB, lost taste, lost sense of smell, decreased appetite, 1 loose stool today  denies: HA, nausea, vomit
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Exposure to SARS-CoV-2, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 67 yo F with pmhx rheumatoid arthritis presented to the ED with worsening SOB for 1 week. Patient tested positive for COVID 09/15 and has been managing symptoms at home with mucinex, nyquil, dayquil and advil. Patient is admitted to medicine for shortness of breath likely secondary to COVID viral pneumonia.  Of note patient received Moderna #2 03/29/21.  Endorses: attending a wedding 09/10 with travel to CT. 10 guests have tested positive for COVID. Fevers to 101 nightly, cough with yellow sputum x 1 day, SOB, lost taste, lost sense of smell, decreased appetite, 1 loose stool today  denies: HA, nausea, vomit
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Sputum purulent
Clinical narrative: 67 yo F with pmhx rheumatoid arthritis presented to the ED with worsening SOB for 1 week. Patient tested positive for COVID 09/15 and has been managing symptoms at home with mucinex, nyquil, dayquil and advil. Patient is admitted to medicine for shortness of breath likely secondary to COVID viral pneumonia.  Of note patient received Moderna #2 03/29/21.  Endorses: attending a wedding 09/10 with travel to CT. 10 guests have tested positive for COVID. Fevers to 101 nightly, cough with yellow sputum x 1 day, SOB, lost taste, lost sense of smell, decreased appetite, 1 loose stool today  denies: HA, nausea, vomit
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Immobile
Clinical narrative: Intense lower back pain and immobility
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Cough, Nausea, Oropharyngeal pain
Clinical narrative: cough, loss of taste and smell, congestion, sore throat, nausea, fever
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Respiratory tract congestion
Clinical narrative: cough, loss of taste and smell, congestion, sore throat, nausea, fever
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Injection site rash, Injection site swelling, Irritability
Clinical narrative: Dizzy shortly after, passed out. Slept for 12 hours straight, fever and red swollen rash appeared on upper arm where shot was given. Extremely painful and hot to touch and lasted for over a week. I still feel very exhausted and irritable.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash erythematous, Skin warm, Somnolence
Clinical narrative: Dizzy shortly after, passed out. Slept for 12 hours straight, fever and red swollen rash appeared on upper arm where shot was given. Extremely painful and hot to touch and lasted for over a week. I still feel very exhausted and irritable.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Contusion, Myalgia, Pain, X-ray limb
Clinical narrative: Two weeks after second shot, large bruise appeared.  Pain increased in muscle upon movement or pressure.  Began to recede slowly after five (5) months, still some pain at six (6) months.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Mobility decreased, Neck pain, Pain
Clinical narrative: My body aches continuously. I used to be able to sleep on my sides and I can no longer do so because of pain. My neck and back hurts all the time. My hips hurt and back hurts continuously. My fingers ache and the joints. It's hard for me to bend my fingers now. My wrists hurt, forearms and actual shoulders.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: My body aches continuously. I used to be able to sleep on my sides and I can no longer do so because of pain. My neck and back hurts all the time. My hips hurt and back hurts continuously. My fingers ache and the joints. It's hard for me to bend my fingers now. My wrists hurt, forearms and actual shoulders.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Osteoarthritis, X-ray limb normal
Clinical narrative: Left Shoulder Joint Pain, Worse with overhead reaching.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Axillary pain, Breast pain, Chills, Dizziness
Clinical narrative: Per patients description; - Friday; Received vaccine @ 12:30ish - Soar arm as the day continued. - Saturday; Woke up with chills, nausea, fatigue, slight dizziness, battled fevers throughout the day, shortness of breath if I walked too much. The arm was super sore and it was starting to really hurt. - Sunday; Slight fever, sweats, fatigue, upset stomach, my arm was really hurting both at the injection site and underneath in my armpit area and side boob. It was constant pain mixed with surges of throbbing. Felt like it had been stung by bees. Did not sleep much, Advil was just not cutting it. - Monday; The injection site was super red, hot to the touch, and swollen. My armpit and side boob still hurt very much. I could not touch the arm and it was hard to move it because of the pain. Still had nausea, dizziness, and fatigue.  The doctor said I had an allergic reaction, the pain in my armpit was due to very inflamed and irritated lymph nodes. Recommended Benadryl, Advil, and lots of ice both on the injection site and in my armpit. She also said I should expect the same reaction with a second dose.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Hyperhidrosis, Hypersensitivity, Injection site pain
Clinical narrative: Per patients description; - Friday; Received vaccine @ 12:30ish - Soar arm as the day continued. - Saturday; Woke up with chills, nausea, fatigue, slight dizziness, battled fevers throughout the day, shortness of breath if I walked too much. The arm was super sore and it was starting to really hurt. - Sunday; Slight fever, sweats, fatigue, upset stomach, my arm was really hurting both at the injection site and underneath in my armpit area and side boob. It was constant pain mixed with surges of throbbing. Felt like it had been stung by bees. Did not sleep much, Advil was just not cutting it. - Monday; The injection site was super red, hot to the touch, and swollen. My armpit and side boob still hurt very much. I could not touch the arm and it was hard to move it because of the pain. Still had nausea, dizziness, and fatigue.  The doctor said I had an allergic reaction, the pain in my armpit was due to very inflamed and irritated lymph nodes. Recommended Benadryl, Advil, and lots of ice both on the injection site and in my armpit. She also said I should expect the same reaction with a second dose.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Lymphadenitis, Nausea, Pyrexia
Clinical narrative: Per patients description; - Friday; Received vaccine @ 12:30ish - Soar arm as the day continued. - Saturday; Woke up with chills, nausea, fatigue, slight dizziness, battled fevers throughout the day, shortness of breath if I walked too much. The arm was super sore and it was starting to really hurt. - Sunday; Slight fever, sweats, fatigue, upset stomach, my arm was really hurting both at the injection site and underneath in my armpit area and side boob. It was constant pain mixed with surges of throbbing. Felt like it had been stung by bees. Did not sleep much, Advil was just not cutting it. - Monday; The injection site was super red, hot to the touch, and swollen. My armpit and side boob still hurt very much. I could not touch the arm and it was hard to move it because of the pain. Still had nausea, dizziness, and fatigue.  The doctor said I had an allergic reaction, the pain in my armpit was due to very inflamed and irritated lymph nodes. Recommended Benadryl, Advil, and lots of ice both on the injection site and in my armpit. She also said I should expect the same reaction with a second dose.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Ear pruritus, Erythema, Feeling hot, Hyperhidrosis
Clinical narrative: Full head itch, ears red and itchy. Hot, sweating and coughing
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Full head itch, ears red and itchy. Hot, sweating and coughing
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalized
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Condition aggravated, Dizziness, Epstein-Barr virus infection reactivation
Clinical narrative: Flare up of recurrent Epstein Barr and Fibromyalgia, dizziness loss of balance weakness muscle pain, joint pain, burning pain, vision changes, nausea/vomiting low grade temp
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fibromyalgia, Myalgia, Nausea, Pain, Pyrexia
Clinical narrative: Flare up of recurrent Epstein Barr and Fibromyalgia, dizziness loss of balance weakness muscle pain, joint pain, burning pain, vision changes, nausea/vomiting low grade temp
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment, Vomiting
Clinical narrative: Flare up of recurrent Epstein Barr and Fibromyalgia, dizziness loss of balance weakness muscle pain, joint pain, burning pain, vision changes, nausea/vomiting low grade temp
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Blood pressure measurement, Chest discomfort, Dizziness, Heart rate, Immediate post-injection reaction
Clinical narrative: immediate sense of malaise, chest discomfort which subsided on own after 3-5 minutes, lightheadedness.  Vitals were stable at the time and pt was closely observed for 15-20 minutes till she recovered.  no signs of rash, lip or tongue swelling, hives, wheezing, or diaphoresis
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Malaise, Oxygen saturation
Clinical narrative: immediate sense of malaise, chest discomfort which subsided on own after 3-5 minutes, lightheadedness.  Vitals were stable at the time and pt was closely observed for 15-20 minutes till she recovered.  no signs of rash, lip or tongue swelling, hives, wheezing, or diaphoresis
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea
Clinical narrative: breakthrough COVID - cough, fever, SOB, loss of taste/smell
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vaccine breakthrough infection
Clinical narrative: breakthrough COVID - cough, fever, SOB, loss of taste/smell
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, fatigue - Promethazine 25mg  Q8h x 3 days
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Three days after, I started to break out in hives all over for 17 days. I went to see my doctor about this.  They said it was an allergic reaction to the vaccine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Sleep disorder
Clinical narrative: Severe shoulder pain first 48 hours, topical ice applied (3/29/21)  6 MONTHS later, shoulder pain,  throbbing 24-7, disrupting sleep  Person giving the shot remarked "you're so relaxed" after stabbing me deeply in what seems to be in the  wrong place, missing the deltoid muscle proper.  This was the second dose and the code EP7533 appears after it.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Headache, Influenza like illness, Paraesthesia, Photophobia
Clinical narrative: I received my first of two doses of the mandatory Pfizer vaccination on 16 September at 8:00 am.  Approximately one hour after receiving the shot I felt a squeezing tightness sensation in my chest for almost the entire day.  Upon awakening the next morning (17 September) I felt what I could only compare to as flu-like symptoms and I produced a headache that lasted non-stop until 22 September.   On 18 September I experienced sensitivity to sunlight all day, which I've never experienced before.  I had to hide in my bedroom all day with the curtains drawn as the slightest glimpse of sunlight would intensify my headache immensely.  On 20 September my right leg began to "fall asleep" randomly and continues to.  All of these things minus the flu-like symptoms, I've never experienced prior to receiving the mandatory Pfizer shot.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Dizziness, Palpitations
Clinical narrative: Ever since I received the first dose of vaccine, I have had elevated blood pressures and palpitations. I am slightly overweight but my weight has not changed in years. Prior to my vaccine, BP was consistently 1 teens / 70s. It is now consistently 130-140s/ high 80s to low 90s. I?ve also been experiencing palpitations and occasional lightheadedness.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Chest pain, Disorientation, Fatigue
Clinical narrative: Less than 24 hours after injection, I experienced e - Extreme headache, chest pains, high fever and frigid coldness; fainting and disorientation.  My son carried me to bed and massaged Vicks on my chest. He covered me with a warm blanket and prayed for the intervention into my plight.  Now I have ongoing headaches, great pressure on my chest, weakness, spasm and extreme fatigue. Pain, numbness and stiffness throughout whole body.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Hypoaesthesia, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: Less than 24 hours after injection, I experienced e - Extreme headache, chest pains, high fever and frigid coldness; fainting and disorientation.  My son carried me to bed and massaged Vicks on my chest. He covered me with a warm blanket and prayed for the intervention into my plight.  Now I have ongoing headaches, great pressure on my chest, weakness, spasm and extreme fatigue. Pain, numbness and stiffness throughout whole body.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Syncope
Clinical narrative: Less than 24 hours after injection, I experienced e - Extreme headache, chest pains, high fever and frigid coldness; fainting and disorientation.  My son carried me to bed and massaged Vicks on my chest. He covered me with a warm blanket and prayed for the intervention into my plight.  Now I have ongoing headaches, great pressure on my chest, weakness, spasm and extreme fatigue. Pain, numbness and stiffness throughout whole body.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Hypoxia, Productive cough
Clinical narrative: hx of thyroid disease, HTN, arthritis; presented to ED with productive cough, SOB, fever; diagnosed COVID positive 6 days before at a clinic, condition worsening; admitted to hospital where hypoxia worsened with increased work of breathing, patient died in the hospital
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: hx of thyroid disease, HTN, arthritis; presented to ED with productive cough, SOB, fever; diagnosed COVID positive 6 days before at a clinic, condition worsening; admitted to hospital where hypoxia worsened with increased work of breathing, patient died in the hospital
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: administered to 16 year old  -sore arm reported
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Hyperhidrosis, Pharyngeal swelling, Pneumonia
Clinical narrative: hours after taking the vaccine tongue started to swell throat started to swell, started sweating and felt real weak. Went to the clinic and was dx with pneumonia
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: hours after taking the vaccine tongue started to swell throat started to swell, started sweating and felt real weak. Went to the clinic and was dx with pneumonia
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with COVID
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Cardiac flutter, Fatigue, Heart rate increased, Palpitations
Clinical narrative: Heart palpitations, fluttering, extreme fatigue, elevated BP, heart rate jumping to 200bpm
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose of Pfizer vaccine administered to patient 10 days early.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Feeling hot, Hyperhidrosis, Injection site erythema, Nausea
Clinical narrative: The evening of my second dose, I felt feverish but when I took my temperature it was 98.3. At 4:30am (approximately 13 hours post vaccination), I had gotten out of bed for a glass of water and an ice pack. Other than a little arm soreness, I felt fine. While in route for said items, I started to have "fuzzy black spots" in my vision and decided to sit down immediately. I suddenly felt very nauseous and remember being confused trying to figure out if I was going to faint or throw up. I put my head down between my knees but the next thing I remember is being on the floor. I sat up, re-oriented myself with my surroundings (it was still dark), and stood up (in retrospect, possibly too quickly). Trying to walk back to my bed, I fainted again. I laid on the floor longer the second time, not in a rush to get back up. I asked my fiance to get me a glass of water and took small sips. I felt very hot (although did not take my temperature in the moment) and was in a full-body sweat. I eventually made my way back to bed. Approximately three hours later, I got up for the day. I walked from my bedroom to the kitchen and started to have the "fuzzy" vision again. That time, I was able to lay down on the couch and put my feet up before I actually fainted. After recovering and sitting up slowly, I took my temperature. It was 97.6. Around mid-day I felt feverish again and took my temperature. That time is was 99.9 and I took some Tylenol. I have had no more fever or fainting (or near-fainting) episodes since. Two days (approximately 45 hours) after the vaccine, I did have a red patch on my arm over the injection site; however, it was nowhere near as burning or itchy as the rash I developed 8 days after the first dose in the opposite arm (previously reported).
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Syncope, Visual impairment
Clinical narrative: The evening of my second dose, I felt feverish but when I took my temperature it was 98.3. At 4:30am (approximately 13 hours post vaccination), I had gotten out of bed for a glass of water and an ice pack. Other than a little arm soreness, I felt fine. While in route for said items, I started to have "fuzzy black spots" in my vision and decided to sit down immediately. I suddenly felt very nauseous and remember being confused trying to figure out if I was going to faint or throw up. I put my head down between my knees but the next thing I remember is being on the floor. I sat up, re-oriented myself with my surroundings (it was still dark), and stood up (in retrospect, possibly too quickly). Trying to walk back to my bed, I fainted again. I laid on the floor longer the second time, not in a rush to get back up. I asked my fiance to get me a glass of water and took small sips. I felt very hot (although did not take my temperature in the moment) and was in a full-body sweat. I eventually made my way back to bed. Approximately three hours later, I got up for the day. I walked from my bedroom to the kitchen and started to have the "fuzzy" vision again. That time, I was able to lay down on the couch and put my feet up before I actually fainted. After recovering and sitting up slowly, I took my temperature. It was 97.6. Around mid-day I felt feverish again and took my temperature. That time is was 99.9 and I took some Tylenol. I have had no more fever or fainting (or near-fainting) episodes since. Two days (approximately 45 hours) after the vaccine, I did have a red patch on my arm over the injection site; however, it was nowhere near as burning or itchy as the rash I developed 8 days after the first dose in the opposite arm (previously reported).
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Infection
Clinical narrative: COVID breakthrough
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pneumonia, Rhinorrhoea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: My period was 6 days late. I have never experienced any delays in the 20 years I've had my period. And no, I am not pregnant.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Extra dose administered, Feeling hot, Heart rate increased, Immediate post-injection reaction
Clinical narrative: Right after the shot I felt hot on my left ankle to my thigh and gave me a slight rash. Then my whole body got hot. That night on the left side of my body was severely discomfort. My heart rate increased. Still have discomfort on my left side of my face. Slight nausea.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Rash
Clinical narrative: Right after the shot I felt hot on my left ankle to my thigh and gave me a slight rash. Then my whole body got hot. That night on the left side of my body was severely discomfort. My heart rate increased. Still have discomfort on my left side of my face. Slight nausea.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The patient received his 2nd dose of Pfizer 3 days too early.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NA No adverse events
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase MB increased, Chest pain, Diarrhoea, Myocardial necrosis marker increased, Pyrexia
Clinical narrative: FVER,DIARRHEA, VOMITING,CHEST PAIN,ELEVATED CARDIAC ENZYMES
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin I increased, Vomiting
Clinical narrative: FVER,DIARRHEA, VOMITING,CHEST PAIN,ELEVATED CARDIAC ENZYMES
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Gastrointestinal disorder
Clinical narrative: Gastrointestinal problems.  Watery diarrhea no appetite.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus
Clinical narrative: Severe itching all over body within five minutes of injection. Received an injection of Benadryl to treat itching.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood alkaline phosphatase increased, Blood creatine increased, Blood potassium increased, Blood pressure increased
Clinical narrative: Hospitalized 9/18/2021 COVID-19 positive 9/18/2021; fully vaccinated
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood urea increased, COVID-19, Chest X-ray abnormal, Chest discomfort, Cough
Clinical narrative: Hospitalized 9/18/2021 COVID-19 positive 9/18/2021; fully vaccinated
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Feeling abnormal, Haemoglobin decreased, Hypertension
Clinical narrative: Hospitalized 9/18/2021 COVID-19 positive 9/18/2021; fully vaccinated
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Platelet count normal, Pleural effusion, Positive airway pressure therapy, Prohormone brain natriuretic peptide increased
Clinical narrative: Hospitalized 9/18/2021 COVID-19 positive 9/18/2021; fully vaccinated
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive, Troponin T, White blood cell count increased
Clinical narrative: Hospitalized 9/18/2021 COVID-19 positive 9/18/2021; fully vaccinated
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Rash
Clinical narrative: Swollen lymph nodes and under the skin rash. That lasted 5 months.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Severe pain in right elbow that was not otherwise there.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Hospitalization and death due to COVID-19 . Details unknown