chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Rash macular, Swelling, Urticaria
Clinical narrative: On 8/6/2021 at about 7:00 PM, I noticed I had hives and itching. The hives were on my legs and bikini line, but the itching was all over my body. I also began having esophageal swelling and acid reflux that night. The hives and itching lasted about 4-5 days. After the hives finally went away, I then had itchy, red blotches all over my body; the esophageal swelling and acid reflux continued at this time. At around the time the blotches appeared, I began experiencing severe achiness in my wrists, knees, ankles, and feet. The joints aches lasted about 3 days, but after they went away, the blotches, itchiness, esophageal swelling, and acid reflux still persisted. About a week and a half after their onset, the blotches finally went away. However, I would still get itchy areas, and when I scratched them, they became red and inflamed. This still takes place once or twice a day, but it's now localized to just my back. On 8/10/2021, I went to see a PA, at a HCF. She had me do an autoimmune panel, and no autoimmune disorders were detected. She held off on prescribing steroids, as I was still nursing my son. Instead, she recommended that I continue taking OTC Zyrtec for relief. On 8/16/2021, I saw another dr. That dr. gave me a solu medrol injection, which really helped. She also gave me a GI cocktail, and I noticed a marked improvement in my acid reflux the following day. She also prescribed me sucralfate for acid reflux and recommended that I consult with an allergist before getting a second dose of Moderna. 8/24/2021 was the first day I had real relief from acid reflux and didn't have to take sucralfate. At this time, my symptoms have improved markedly, though I still have some itchiness on my back and some acid reflux.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Tingling all over the body.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Back pain, Pain, Sleep disorder
Clinical narrative: Extreme pain for a period of 30 days, could not sleep for more than 5 to 7 minutes for the first ten days due to sharp pain in my back every 5-7 minutes
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Blood uric acid increased, Condition aggravated, Gout
Clinical narrative: No reaction or pain after vaccine, but he is a 72 yo old gentleman with history of gout for about 12 years, but had resolved after eating foods like cherry's, gradefruit juice and would go away after about a week without medication.  He got the vaccine and about a month later the gout came back and was eating the foods that he ate before and it did not go away.  He went to the doctor and she prescribed medicine for him, and he took it and it went from the left leg and then it went into her right leg and it has not resolved completely and continues to have flares about every 2 weeks without drinking and eating a lot of foods that help with gout flares.  It seems to have affected his immune system and will not resolve the gout issues.   He is just concerned about why the symptoms will not go away using the remedies he has had used in the past.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Heart rate increased, Hot flush
Clinical narrative: Within first 5 minutes of receiving the injection I had a hot flash which continued for approx.  1.5- 2 hours.  Also within 20-25 minutes of the injection I started having a rapid heart rate and extreme heart burn for an hour and forty-five minutes if not longer,  until it subsided.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: ? 08/10/2021 o The patient received first Covid Moderna Vaccine and was scheduled for 2nd vaccine 2 weeks later on 8/24/2021.  ? 08/24/2021 o The patient came for second dose Moderna.  She did not bring her immunization card with her.    o Vaccine was administered after verifying correct patient name and dob.  Prior vaccine date not verified by medical assistant prior to injection. o Medical Assistant gave patient a new covid vaccine card with vaccine administration dates, and at that time noticed that the first dose was administered 2 weeks prior.  This was administered before the 24 day minimum interval between doses 1 and 2. o Patient was notified of vaccine administration error and was told that CDC does not recommend she get an additional dose at this time even though vaccine was administered early.  Pt notified of VAERS reporting. Patient not reporting any adverse symptoms at time of phone call several hours after vaccine administration.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine that was administered was expired. I, , RN, failed to waste/discard of the unused vaccines from Monday 08/23/21.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Aphasia, Asthenia, Clumsiness, Coordination abnormal
Clinical narrative: 8/24/2021 I got vaccinated with MODERNA in Pharmacy at 9:30am. Side effects for the next hour. I could not feel my left arm (vaccine), body weakness, lack of strength mostly in my extremities. Sickness, feeling faint, cheek cramps, hot feeling running down my body, hot feeling in my head. Interference in the brain: I could not keep my thought straight, clumsiness speaking, words would get stuck, I was difficult to talk. Bad coordination, I was bumping in to everything in the house (wall corners, table, fridge etc.) I'm not hungry. I had a Enema and brain interference got a little better. I had some breakfast and my nausea  got better. Around 4pm pain started in the area of the injection. The other symptoms are getting better. 25/some/21=24 hours later. Sharp pain at injection site. Hot head and on the sides cold sensation. Some cramps on cheeks. Mild brain interference came back. Body cramps mainly in hands and abdomen.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Feeling abnormal, Feeling cold, Feeling hot
Clinical narrative: 8/24/2021 I got vaccinated with MODERNA in Pharmacy at 9:30am. Side effects for the next hour. I could not feel my left arm (vaccine), body weakness, lack of strength mostly in my extremities. Sickness, feeling faint, cheek cramps, hot feeling running down my body, hot feeling in my head. Interference in the brain: I could not keep my thought straight, clumsiness speaking, words would get stuck, I was difficult to talk. Bad coordination, I was bumping in to everything in the house (wall corners, table, fridge etc.) I'm not hungry. I had a Enema and brain interference got a little better. I had some breakfast and my nausea  got better. Around 4pm pain started in the area of the injection. The other symptoms are getting better. 25/some/21=24 hours later. Sharp pain at injection site. Hot head and on the sides cold sensation. Some cramps on cheeks. Mild brain interference came back. Body cramps mainly in hands and abdomen.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Illness, Injection site pain, Mental impairment, Muscle spasms
Clinical narrative: 8/24/2021 I got vaccinated with MODERNA in Pharmacy at 9:30am. Side effects for the next hour. I could not feel my left arm (vaccine), body weakness, lack of strength mostly in my extremities. Sickness, feeling faint, cheek cramps, hot feeling running down my body, hot feeling in my head. Interference in the brain: I could not keep my thought straight, clumsiness speaking, words would get stuck, I was difficult to talk. Bad coordination, I was bumping in to everything in the house (wall corners, table, fridge etc.) I'm not hungry. I had a Enema and brain interference got a little better. I had some breakfast and my nausea  got better. Around 4pm pain started in the area of the injection. The other symptoms are getting better. 25/some/21=24 hours later. Sharp pain at injection site. Hot head and on the sides cold sensation. Some cramps on cheeks. Mild brain interference came back. Body cramps mainly in hands and abdomen.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: 8/24/2021 I got vaccinated with MODERNA in Pharmacy at 9:30am. Side effects for the next hour. I could not feel my left arm (vaccine), body weakness, lack of strength mostly in my extremities. Sickness, feeling faint, cheek cramps, hot feeling running down my body, hot feeling in my head. Interference in the brain: I could not keep my thought straight, clumsiness speaking, words would get stuck, I was difficult to talk. Bad coordination, I was bumping in to everything in the house (wall corners, table, fridge etc.) I'm not hungry. I had a Enema and brain interference got a little better. I had some breakfast and my nausea  got better. Around 4pm pain started in the area of the injection. The other symptoms are getting better. 25/some/21=24 hours later. Sharp pain at injection site. Hot head and on the sides cold sensation. Some cramps on cheeks. Mild brain interference came back. Body cramps mainly in hands and abdomen.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Chest pain, Dyspnoea, Pericardial drainage, Pericardial drainage test
Clinical narrative: Patient came to the ER on 8/18/2021 with chest pain and shortness of breath, ultimately diagnosed with pericarditis. Patient reports these symptoms started 3 weeks after his second dose of Pfizer COVID vaccine (Lot number unknown, not given at this facility).
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pericardial excision, Pericarditis
Clinical narrative: Patient came to the ER on 8/18/2021 with chest pain and shortness of breath, ultimately diagnosed with pericarditis. Patient reports these symptoms started 3 weeks after his second dose of Pfizer COVID vaccine (Lot number unknown, not given at this facility).
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dehydration, Echocardiogram, Electrocardiogram, Heart rate increased
Clinical narrative: It was pretty subtle at first and then it became more noticeable. On Saturday, it was unbelievably painful. My heart rate was in the 140s or 150s. I thought maybe I was dehydrated. It just became more and more persistent. Even at rest, it was hanging out between 90-110. If I just got up and did anything minimal it would shoot to the 120s-130s. I almost went to the ER Sunday night. I went to see my doctor on Monday afternoon. By Tuesday, it was very minimal. Sometimes when I get a pericarditis flare up, I get an exacerbated heart rate. She did an echo. She did an EKG. Everything looked fine. We don't know what triggered my pericarditis. I have not experienced anything like this again since about 3 days after my 2nd dose.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pain, Pericarditis
Clinical narrative: It was pretty subtle at first and then it became more noticeable. On Saturday, it was unbelievably painful. My heart rate was in the 140s or 150s. I thought maybe I was dehydrated. It just became more and more persistent. Even at rest, it was hanging out between 90-110. If I just got up and did anything minimal it would shoot to the 120s-130s. I almost went to the ER Sunday night. I went to see my doctor on Monday afternoon. By Tuesday, it was very minimal. Sometimes when I get a pericarditis flare up, I get an exacerbated heart rate. She did an echo. She did an EKG. Everything looked fine. We don't know what triggered my pericarditis. I have not experienced anything like this again since about 3 days after my 2nd dose.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Undiluted Pfizer vaccine,0.3 cc's , administered in error
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Depersonalisation/derealisation disorder, Feeling abnormal, Flushing, Injection site swelling
Clinical narrative: Reported feeling flushed, some swelling at the injection site, stated "I just don't feel right" Patient was stable, was being monitored. BP checked 147 systolic. Pt reported feeling worse "I just don't feel myself" Paramedics were called and transported patent from the hospital
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Dyspnoea exertional, Headache, Nausea
Clinical narrative: Friday 08/20 Nausea dizziness 30 minutes after vaccine given . Later that evening right arm pain. 08/21 Next day sore arm, bodyaches and headache. 08/22 bodyache, mild shortness of breath when walking. 08/23 again mild shortness of breath off and on. 08/24 sob subsided. 08/25 sob is mild to moderate with HR 110 with mild movement. I've been using my albuterol inhaler as needed to help.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: Friday 08/20 Nausea dizziness 30 minutes after vaccine given . Later that evening right arm pain. 08/21 Next day sore arm, bodyaches and headache. 08/22 bodyache, mild shortness of breath when walking. 08/23 again mild shortness of breath off and on. 08/24 sob subsided. 08/25 sob is mild to moderate with HR 110 with mild movement. I've been using my albuterol inhaler as needed to help.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: At the beginning first 2 weeks I exp. pain in my muscles, fever, headaches, vomiting, fatigue and nausea. At the injection site of my right arm was red and pain. After a week the nausea disappeared I started to exp difficulty breathing. I felt as if when I'm breathing it wasn't going inside of my body still having breathing issues to this today.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: At the beginning first 2 weeks I exp. pain in my muscles, fever, headaches, vomiting, fatigue and nausea. At the injection site of my right arm was red and pain. After a week the nausea disappeared I started to exp difficulty breathing. I felt as if when I'm breathing it wasn't going inside of my body still having breathing issues to this today.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Condition aggravated
Clinical narrative: "Pt received his second dose of Pfizer COVID-19 on 2/18/21. Pt was admitted to reporting hospital on 8/23/21 with an admitting diagnosis of COVID-19 Pneumonia and acute on chronic hypoxic respiratory failure. Pt was reported in ER to have worsening shortness of breath, wheezing and cough on 6L of oxygen. Patient's wife is also positive for COVID. Admission test for COVID was positive per PCR NP swab on 8/23/21. Pt is currently admitted.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Respiratory failure, SARS-CoV-2 test positive, Wheezing
Clinical narrative: "Pt received his second dose of Pfizer COVID-19 on 2/18/21. Pt was admitted to reporting hospital on 8/23/21 with an admitting diagnosis of COVID-19 Pneumonia and acute on chronic hypoxic respiratory failure. Pt was reported in ER to have worsening shortness of breath, wheezing and cough on 6L of oxygen. Patient's wife is also positive for COVID. Admission test for COVID was positive per PCR NP swab on 8/23/21. Pt is currently admitted.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chills, Cold sweat, Dyspnoea, Electrocardiogram
Clinical narrative: Evening and two days following vaccination had rapid heartbeat, difficulty breathing , sweating, clammy, headache, nausea, body aches and chills,  and weeks later still experiencing some symptoms like difficulty breathing
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Heart rate increased, Hyperhidrosis, Nausea, Pain
Clinical narrative: Evening and two days following vaccination had rapid heartbeat, difficulty breathing , sweating, clammy, headache, nausea, body aches and chills,  and weeks later still experiencing some symptoms like difficulty breathing
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: Evening and two days following vaccination had rapid heartbeat, difficulty breathing , sweating, clammy, headache, nausea, body aches and chills,  and weeks later still experiencing some symptoms like difficulty breathing
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody, Gait inability, Headache, Hypoaesthesia, Immune system disorder
Clinical narrative: On May 11th Patient started receiving nausea and Headaches. Patient went to ER they  thought she was having Vertigo. Primary care stated that she was fine before the vaccination. Patient can not walk. Patient now has a immune disorder. Patient also has ANA. The blood in her body is having inflammation.  On her left side part of her body is numb and the other half is in pain.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Magnetic resonance imaging head, Nausea, Pain, Vertical infection transmission
Clinical narrative: On May 11th Patient started receiving nausea and Headaches. Patient went to ER they  thought she was having Vertigo. Primary care stated that she was fine before the vaccination. Patient can not walk. Patient now has a immune disorder. Patient also has ANA. The blood in her body is having inflammation.  On her left side part of her body is numb and the other half is in pain.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: 12 hours after receiving the vaccine intense leg pain. Also 12 hour after receiving the second vaccine 12 hours later the same leg pain came back and has not gone away.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram ambulatory
Clinical narrative: I had Afib, a fairly long duration that happened several times over a period of a couple weeks.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Vaccine administered around 11:30, and patient reported severe itching within 20 minutes.  She was taken to the ED and given solumedrol, Benadryl and Pepcid.  Symptoms resolved and patient discharged home.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Fatigue, Headache
Clinical narrative: Headache 1 st day. Around midnight the 1st day joints bones. Ached horribly.  Exhausted. No temp.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Fatigue, Grip strength decreased, Joint stiffness
Clinical narrative: I had trouble gripping things with my hand. I couldn't get out of a chair or out of bed without help. I had aches all over my body. I had a very low energy level. My joints were very stiff. I had some swelling in my hands, fingers and wrist area. I had a low grade fever. In 2020 I average walking 9 miles everyday. After the shot I could barely walk from the kitchen to the bedroom without being tired. I lost about 15 pounds. I had a cough off and on. I slept all the time. My appetite was limited. I have concerns about receiving the booster vaccine after experiencing the reactions to the 2nd dose. I also have a concern on whether or not my booster should be Pfizer or switch to Johnson and Johnson.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Mobility decreased, Peripheral swelling, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I had trouble gripping things with my hand. I couldn't get out of a chair or out of bed without help. I had aches all over my body. I had a very low energy level. My joints were very stiff. I had some swelling in my hands, fingers and wrist area. I had a low grade fever. In 2020 I average walking 9 miles everyday. After the shot I could barely walk from the kitchen to the bedroom without being tired. I lost about 15 pounds. I had a cough off and on. I slept all the time. My appetite was limited. I have concerns about receiving the booster vaccine after experiencing the reactions to the 2nd dose. I also have a concern on whether or not my booster should be Pfizer or switch to Johnson and Johnson.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence, Weight decreased
Clinical narrative: I had trouble gripping things with my hand. I couldn't get out of a chair or out of bed without help. I had aches all over my body. I had a very low energy level. My joints were very stiff. I had some swelling in my hands, fingers and wrist area. I had a low grade fever. In 2020 I average walking 9 miles everyday. After the shot I could barely walk from the kitchen to the bedroom without being tired. I lost about 15 pounds. I had a cough off and on. I slept all the time. My appetite was limited. I have concerns about receiving the booster vaccine after experiencing the reactions to the 2nd dose. I also have a concern on whether or not my booster should be Pfizer or switch to Johnson and Johnson.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fall, Fatigue, Nausea, Nervousness
Clinical narrative: Patient was nervous prior to vaccination.  Immediately after vaccination patient became nauseated and pale.  Was given a cold bottle of water to sip and was observed.  About 5 minutes post vaccination she fainted and collapsed off the vaccine chair into the observing pharmacists arms.  She regained consciousness gasping for air and her first communication was she was not able to breath.  The pharmacy immediately activated 911 for an ambulance, administered an Epinephrine 0.3mg Injection and contacted Care Clinic Adjacent for immediate evaluation and care for the patient.  Upon arrival moments later, (PA), from the pharmacist in getting the patient situated in a wheelchair and the proceeded to administer O2 for her.  Once transported in a room the patient awaited EMT/Ambulance arrival while receiving inhaled O2.  She refused ambulance transport but was evaluated by EMS and was confirmed stable.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Syncope
Clinical narrative: Patient was nervous prior to vaccination.  Immediately after vaccination patient became nauseated and pale.  Was given a cold bottle of water to sip and was observed.  About 5 minutes post vaccination she fainted and collapsed off the vaccine chair into the observing pharmacists arms.  She regained consciousness gasping for air and her first communication was she was not able to breath.  The pharmacy immediately activated 911 for an ambulance, administered an Epinephrine 0.3mg Injection and contacted Care Clinic Adjacent for immediate evaluation and care for the patient.  Upon arrival moments later, (PA), from the pharmacist in getting the patient situated in a wheelchair and the proceeded to administer O2 for her.  Once transported in a room the patient awaited EMT/Ambulance arrival while receiving inhaled O2.  She refused ambulance transport but was evaluated by EMS and was confirmed stable.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Fever around midnight that lasted until about 5 AM on 8/25/21. Muscle pain in legs first noticed around 3:00 a.m. Soreness at injection site. Severe headache first noticed around midnight on 8/25/21. Difficulty regulating body temperature has lasted from 5 am until present time. Very tired and feel weak.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever around midnight that lasted until about 5 AM on 8/25/21. Muscle pain in legs first noticed around 3:00 a.m. Soreness at injection site. Severe headache first noticed around midnight on 8/25/21. Difficulty regulating body temperature has lasted from 5 am until present time. Very tired and feel weak.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site extravasation
Clinical narrative: Vaccine may have sprayed out onto forearm during administration as liquid was felt on my forearm as needle was removed from arm. Unclear if person administering the shot removed the needle while depressing plunger or if needle was too small for my arm size (over 320 lbs)  which led to liquid being sprayed out on forearm.  Also, site was not cleaned with alcohol prior to shot being given.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Ten minutes after receiving the vaccination the patient stood up and experienced syncope.   She lie flat on the ground until EMT arrived and was assessed.  She was monitored for approximately 30 minutes.  She was not transported to the hospital.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Groin pain, Inflammation, Inflammatory marker test, Neck pain
Clinical narrative: Beginning sometime in March I started having pain, I thought it was inflammation. I had an injection for that pain, it did not help. I contacted my PA, it was taking a long time to get in, it began to become worse in May. I went on a vacation, the pain was so bad it went to my neck, shoulder, leg and groin. They diagnosed it as Polymyalgia Rheumatica on 07/31/2021.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Polymyalgia rheumatica
Clinical narrative: Beginning sometime in March I started having pain, I thought it was inflammation. I had an injection for that pain, it did not help. I contacted my PA, it was taking a long time to get in, it began to become worse in May. I went on a vacation, the pain was so bad it went to my neck, shoulder, leg and groin. They diagnosed it as Polymyalgia Rheumatica on 07/31/2021.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Death
Clinical narrative: Received 1st Pfizer covid shot on January 13, 2021 and had a massive stroke on the morning of Feb 11, 2021. Was hospitalized and passed away the following day, Feb 12, 2021.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Injection site pain, Injection site reaction, Injection site swelling, Rash
Clinical narrative: Patient states has a sore bump at injection site with red rash that is localized, no swelling down the arm, redness does not extend down arm.  Description of reaction is consistent with 'covid arm'. patient was advised of what covid arm looks like and how to treat (taking antihistamine benadryl by mouth, use cold compress to help with discomfort/swelling, can treat with topical hydrocortisone or benadryl cream to help with redness and if itching starts), patient was advised can last for 7-10 days, and advised to speak with dr if reaction gets worse, swelling goes down arm, does not resolve
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Skin reaction
Clinical narrative: Patient states has a sore bump at injection site with red rash that is localized, no swelling down the arm, redness does not extend down arm.  Description of reaction is consistent with 'covid arm'. patient was advised of what covid arm looks like and how to treat (taking antihistamine benadryl by mouth, use cold compress to help with discomfort/swelling, can treat with topical hydrocortisone or benadryl cream to help with redness and if itching starts), patient was advised can last for 7-10 days, and advised to speak with dr if reaction gets worse, swelling goes down arm, does not resolve
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Chest pain, Dyspnoea, Echocardiogram normal, Electrocardiogram ST segment elevation
Clinical narrative: Patient received his second COIVD vaccine on 8/21 and the following morning had an occipital headache that worsened as he stood up and radiated to the front.  He had some chest pain and mild dyspnea on 8/23.  On Tuesday his dyspnea worsened throughout the day as he was at school, and his mom took him to the ER at a different facility.  He received Toradol that took care of the headache prior to his transfer to HCF and has received ibuprofen and acetaminophen since admission.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Pain, Troponin increased
Clinical narrative: Patient received his second COIVD vaccine on 8/21 and the following morning had an occipital headache that worsened as he stood up and radiated to the front.  He had some chest pain and mild dyspnea on 8/23.  On Tuesday his dyspnea worsened throughout the day as he was at school, and his mom took him to the ER at a different facility.  He received Toradol that took care of the headache prior to his transfer to HCF and has received ibuprofen and acetaminophen since admission.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Pt admitted on 8/19/2021 with multiple medical problems. Started having flu-like myalgias, fever, and chills on August 12. Thru the week, continued to have fever, chills, and some shortness of breath. Cough with some sputum. Day of admission woke up with some nausea and vomiting.  Loose stools also noted. COVID-19 positive with O2 Sat at 89% Possibly transferred to him from granddaughter who lives with him. She has not been vaccinated, patient is.  Pt discharged on 8/20/2021 back to home.  Monoclonal antibody dose was given day of discharge and started dexamethasone.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Influenza like illness, Myalgia, Nausea, Productive cough, Pyrexia
Clinical narrative: Pt admitted on 8/19/2021 with multiple medical problems. Started having flu-like myalgias, fever, and chills on August 12. Thru the week, continued to have fever, chills, and some shortness of breath. Cough with some sputum. Day of admission woke up with some nausea and vomiting.  Loose stools also noted. COVID-19 positive with O2 Sat at 89% Possibly transferred to him from granddaughter who lives with him. She has not been vaccinated, patient is.  Pt discharged on 8/20/2021 back to home.  Monoclonal antibody dose was given day of discharge and started dexamethasone.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Pt admitted on 8/19/2021 with multiple medical problems. Started having flu-like myalgias, fever, and chills on August 12. Thru the week, continued to have fever, chills, and some shortness of breath. Cough with some sputum. Day of admission woke up with some nausea and vomiting.  Loose stools also noted. COVID-19 positive with O2 Sat at 89% Possibly transferred to him from granddaughter who lives with him. She has not been vaccinated, patient is.  Pt discharged on 8/20/2021 back to home.  Monoclonal antibody dose was given day of discharge and started dexamethasone.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Joint swelling, Pain in extremity, Peripheral swelling
Clinical narrative: Lower joint pains in legs and feet. Swelling on ankles and top of feet that comes and goes. Leg pains and bottom of feet have continued to hurt since 7/25/2021. Takes ibuprofen to help with pain/discomfort.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes simplex test positive, Herpes virus infection
Clinical narrative: I was diagnosed with herpes days after the vaccine
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine that was administered was expired. I, RN, failed to waste/discard of the unused vaccines from Monday 08/23/21.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Maternal exposure before pregnancy
Clinical narrative: miscarriage - 6 weeks
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Developed Covid 8/13/21
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized with Covid-19 4 months after vaccine
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Death, Endotracheal intubation, General physical health deterioration, Intensive care
Clinical narrative: Patient was initially admitted to the medical COVID floor.  He was initiated on remdesivir and dexamethasone.  He was transferred to the ICU on 8/17/2021 due to worsening respiratory status and need for noninvasive ventilatory support.  Due to his worsening renal function, remdesivir was discontinued as it is known to potentially contribute to worsening renal function.  He was initiated on CRRT on 8/18/2021.  Patient's respiratory status continued to worsen and he was intubated on 8/21/2021.  Unfortunately, over the next several days, patient's condition worsened overall.  He was unable to be weaned from high ventilatory support needs.  CRRT was optimized to insure diuresis to try to optimize ventilator conditions.  Unfortunately, on the morning of 8/25/2021, the patient did suffer a sudden cardiac arrest.  CPR and ACLS interventions were initiated without success.  Nursing staff was in contact with the patient's family via telephone during the cardiac arrest and resuscitation.  They did advise that they did not want to continue ongoing resuscitative efforts and further efforts were terminated.  Unfortunately, patient did pass on the morning of 8/25/2021 at 0150 hr
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mechanical ventilation, Renal impairment, Respiration abnormal, Resuscitation
Clinical narrative: Patient was initially admitted to the medical COVID floor.  He was initiated on remdesivir and dexamethasone.  He was transferred to the ICU on 8/17/2021 due to worsening respiratory status and need for noninvasive ventilatory support.  Due to his worsening renal function, remdesivir was discontinued as it is known to potentially contribute to worsening renal function.  He was initiated on CRRT on 8/18/2021.  Patient's respiratory status continued to worsen and he was intubated on 8/21/2021.  Unfortunately, over the next several days, patient's condition worsened overall.  He was unable to be weaned from high ventilatory support needs.  CRRT was optimized to insure diuresis to try to optimize ventilator conditions.  Unfortunately, on the morning of 8/25/2021, the patient did suffer a sudden cardiac arrest.  CPR and ACLS interventions were initiated without success.  Nursing staff was in contact with the patient's family via telephone during the cardiac arrest and resuscitation.  They did advise that they did not want to continue ongoing resuscitative efforts and further efforts were terminated.  Unfortunately, patient did pass on the morning of 8/25/2021 at 0150 hr
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dose administered to patient. Patient was administered entire contents from a 5 dose multi-use vial.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Bladder pain, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: After each shot, I had a headache, flu like symptoms, chills, I was tired. No desire to eat. I was having urinary bladder bleeding and pain. Like a urine infection, however it was negative. Headaches. My entire spine was in pain. Achiness all over. Sinus respiratory issues. I contacted my doctor and he tried to give an antibiotic for what he thought was a urine infection. There was no urine infection, just an infection. Now I am seeing a urology, but we do not know what it is yet.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Infection, Influenza like illness, Pain, Respiratory disorder, Spinal pain
Clinical narrative: After each shot, I had a headache, flu like symptoms, chills, I was tired. No desire to eat. I was having urinary bladder bleeding and pain. Like a urine infection, however it was negative. Headaches. My entire spine was in pain. Achiness all over. Sinus respiratory issues. I contacted my doctor and he tried to give an antibiotic for what he thought was a urine infection. There was no urine infection, just an infection. Now I am seeing a urology, but we do not know what it is yet.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary bladder haemorrhage, Urine analysis abnormal
Clinical narrative: After each shot, I had a headache, flu like symptoms, chills, I was tired. No desire to eat. I was having urinary bladder bleeding and pain. Like a urine infection, however it was negative. Headaches. My entire spine was in pain. Achiness all over. Sinus respiratory issues. I contacted my doctor and he tried to give an antibiotic for what he thought was a urine infection. There was no urine infection, just an infection. Now I am seeing a urology, but we do not know what it is yet.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death, General physical health deterioration, Organ failure, Respiratory arrest
Clinical narrative: throwing up, high white blood cell count, raspatory arrest, cardiac arrest, un able to destabilize,  death do to organ failure
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: throwing up, high white blood cell count, raspatory arrest, cardiac arrest, un able to destabilize,  death do to organ failure
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bacterial sepsis, Encephalopathy
Clinical narrative: Pt admitted for encephalopathy, bacterial sepsis with concerns for pneumonia and diabetic hypoglycemia.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 1st dose with moderna and never received 2nd dose but months later.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash, Rash erythematous, Rash macular, Rash pruritic
Clinical narrative: My first event was one month later...a severe reaction to a tick bite.  Swelling, rash, went to urgent care.  I have had over 10 tick bites over the years & never had this happen.  Then on 8/21/21 I raked the front yard of my home of 30 years, which I have done often, then 2 hours later I began to break out in a severe rash on my arms & legs, with large red splotches of raised welts, then my arms & legs began to swell.  I used Benedryl, which did not help.  This got worse & worse, until I went to urgent care & got prednisone.  I am swollen, bumpy, itchy, then I am going to my primary on 8/31/21 for follow-up after I finish the prednisone.  My immune system is going crazy.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urticaria
Clinical narrative: My first event was one month later...a severe reaction to a tick bite.  Swelling, rash, went to urgent care.  I have had over 10 tick bites over the years & never had this happen.  Then on 8/21/21 I raked the front yard of my home of 30 years, which I have done often, then 2 hours later I began to break out in a severe rash on my arms & legs, with large red splotches of raised welts, then my arms & legs began to swell.  I used Benedryl, which did not help.  This got worse & worse, until I went to urgent care & got prednisone.  I am swollen, bumpy, itchy, then I am going to my primary on 8/31/21 for follow-up after I finish the prednisone.  My immune system is going crazy.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Pt did not indicate on her consent form of any high risk conditions or receiving any vaccines prior. However, per the COVID registration system. Pt received a dose of Janssen on 4/9/21 and another independent pharmacy.  Pt never disclosed this information to us. Based on the current CDC guidelines, those who received Janssen should not get another vaccine at this time.  Pt never reported any adverse events to pharmacy.
Age: 59.0
Sex: F
Vaccine: FLUC4
Symptoms: Rash
Clinical narrative: developed rash the evening of vaccination
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Hypoxia
Clinical narrative: 54-year-old female presents the emergency room for evaluation of hypoxia.  She has a known positive COVID test.  Patient reports  08/11/2021 in which she developed sinus congestion sore throat and cough.  She was seen by her primary care physician on 08/12/2021 and had a positive COVID test.  She reports that she ran fever to 102 for 4 days.  She has not had any fever for the past 3 days.  She has not had any nausea vomiting or diarrhea.  Patient reports having the Johnson & Johnson immunization in April.  She states that she had a video conference with her primary care physician earlier today who advised her to get a home pulse ox which she did.  She then sent him a picture of the reading which she states was 89%.  This was on room air.  He has advised her to come to the emergency room.  According to the emergency room physician Dr. the patient did have pulse ox readings of 90% on room air on presentation.  She has been placed on 2 liters/minute oxygen.  I have been asked to admit the patient due to her hypoxia.  Patient has a history of asthma and is on albuterol as needed. Pt was discharged on 08/21/2021 -  Admitted with COVID-19 viral pneumonia Vaccinated with J and J in April The patient has been having 7-8 days of symptoms at admission, she was hypoxic per home pulse ox reading and by verbal report her initial pulse ox reading on room air at our facility was 90%,  started dexamethasone 6 mg IV daily. Patient has mild elevation of liver function test but they are within the parameters of starting remdesivir Inflammatory marker labs per COVID order set On 3 L, repeat CXR in am stable and same O2 requirements  Has stabilized here and unlikely to worsen, will dc home on oxygen and oral steroid course
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammatory marker test, Liver function test increased, Oropharyngeal pain, Oxygen saturation decreased, Pyrexia
Clinical narrative: 54-year-old female presents the emergency room for evaluation of hypoxia.  She has a known positive COVID test.  Patient reports  08/11/2021 in which she developed sinus congestion sore throat and cough.  She was seen by her primary care physician on 08/12/2021 and had a positive COVID test.  She reports that she ran fever to 102 for 4 days.  She has not had any fever for the past 3 days.  She has not had any nausea vomiting or diarrhea.  Patient reports having the Johnson & Johnson immunization in April.  She states that she had a video conference with her primary care physician earlier today who advised her to get a home pulse ox which she did.  She then sent him a picture of the reading which she states was 89%.  This was on room air.  He has advised her to come to the emergency room.  According to the emergency room physician Dr. the patient did have pulse ox readings of 90% on room air on presentation.  She has been placed on 2 liters/minute oxygen.  I have been asked to admit the patient due to her hypoxia.  Patient has a history of asthma and is on albuterol as needed. Pt was discharged on 08/21/2021 -  Admitted with COVID-19 viral pneumonia Vaccinated with J and J in April The patient has been having 7-8 days of symptoms at admission, she was hypoxic per home pulse ox reading and by verbal report her initial pulse ox reading on room air at our facility was 90%,  started dexamethasone 6 mg IV daily. Patient has mild elevation of liver function test but they are within the parameters of starting remdesivir Inflammatory marker labs per COVID order set On 3 L, repeat CXR in am stable and same O2 requirements  Has stabilized here and unlikely to worsen, will dc home on oxygen and oral steroid course
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: 54-year-old female presents the emergency room for evaluation of hypoxia.  She has a known positive COVID test.  Patient reports  08/11/2021 in which she developed sinus congestion sore throat and cough.  She was seen by her primary care physician on 08/12/2021 and had a positive COVID test.  She reports that she ran fever to 102 for 4 days.  She has not had any fever for the past 3 days.  She has not had any nausea vomiting or diarrhea.  Patient reports having the Johnson & Johnson immunization in April.  She states that she had a video conference with her primary care physician earlier today who advised her to get a home pulse ox which she did.  She then sent him a picture of the reading which she states was 89%.  This was on room air.  He has advised her to come to the emergency room.  According to the emergency room physician Dr. the patient did have pulse ox readings of 90% on room air on presentation.  She has been placed on 2 liters/minute oxygen.  I have been asked to admit the patient due to her hypoxia.  Patient has a history of asthma and is on albuterol as needed. Pt was discharged on 08/21/2021 -  Admitted with COVID-19 viral pneumonia Vaccinated with J and J in April The patient has been having 7-8 days of symptoms at admission, she was hypoxic per home pulse ox reading and by verbal report her initial pulse ox reading on room air at our facility was 90%,  started dexamethasone 6 mg IV daily. Patient has mild elevation of liver function test but they are within the parameters of starting remdesivir Inflammatory marker labs per COVID order set On 3 L, repeat CXR in am stable and same O2 requirements  Has stabilized here and unlikely to worsen, will dc home on oxygen and oral steroid course
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Swelling
Clinical narrative: The next day I was experiencing severe itching all over my body and then the day after that I experienced rashes on my arms and swelling
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Symptomatic on 8/14/2021, Positive COVID 19 antigen test on 8/15/2021
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Skin ulcer
Clinical narrative: Server Rash and sores in  armpit he has been dropped of at school in Virginia and we are working on getting him into a doctor to get looked at.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring normal, Dizziness, Echocardiogram normal, Gait inability, Headache
Clinical narrative: Other than manageable high blood pressure, I have never had a medical event  in my life.  Never admitted to a hospital.  Until April 2021 and continuing through this date.  The few days following the 2nd Moderna received on 4/1/21  were uneventful.    But, 4/11 I started getting dizzy and the morning of 4/12  I could not walk and was throwing up from dizziness for 3 days.  It then subsided somewhat, but I have continued to be dizzy and have a dull throb in my head through this date. On 4/18 I broke out in shingle for the first time in my life.  On 4/30  I was admitted to Emergency for very low blood pressure and high heart rate. I have had Echocardiograms,  chest MRIs,  Head and Neck MRI's.  A Heart Monitor.   Nothing has shown anything more than an average 59 year old.   I have seen my Primary,   A Cardiologist and a Neurologist.  Nobody knows what the answer/diagnosis is.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Herpes zoster, Hypotension, Magnetic resonance imaging head normal, Magnetic resonance imaging neck
Clinical narrative: Other than manageable high blood pressure, I have never had a medical event  in my life.  Never admitted to a hospital.  Until April 2021 and continuing through this date.  The few days following the 2nd Moderna received on 4/1/21  were uneventful.    But, 4/11 I started getting dizzy and the morning of 4/12  I could not walk and was throwing up from dizziness for 3 days.  It then subsided somewhat, but I have continued to be dizzy and have a dull throb in my head through this date. On 4/18 I broke out in shingle for the first time in my life.  On 4/30  I was admitted to Emergency for very low blood pressure and high heart rate. I have had Echocardiograms,  chest MRIs,  Head and Neck MRI's.  A Heart Monitor.   Nothing has shown anything more than an average 59 year old.   I have seen my Primary,   A Cardiologist and a Neurologist.  Nobody knows what the answer/diagnosis is.