chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Swelling throughout the body  Swelling and eyes Diminished vision 10 minutes after injection, swollen throat, Contacted primary doctor. Was given a prescription for an EpiPen 4/17/21. Due to diminished vision visited I doctor Needed another new prescription for glasses (my current prescription was already a recent one) paid $300 out-of-pocket for I already received a prescription less than a year ago through my optical insurance sharp pains in muscles throughout the body which continued for the first five weeks Chest tight hard to breathe  For five weeks Weakness throughout the body needed assisting walking Day two to day 12 after injection One month of ovarian pain which I have never experienced  past menopause and was bleeding for an entire week! Missed 10 days of work  Lower abdomen very swollen the first two weeks unable to urinate ureters swollen resulting in urinary retention fevers and an ER visit at Hospital on 4/24/21 Required antibiotics. Another 100 dollar co-pay for that.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe
Age: 15.0
Sex: M
Vaccine: FLU4
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: numbness and tingling of arms and legs beginning 2 days after vaccine
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Pain in extremity
Clinical narrative: Patient received dose 1 of Pfizer COVID vaccine 5-11 and experienced chest pain and left arm pain and was taken to the ED.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: Patient felt dizzy, and appeared pale post dose 1 of Pfizer COVID vaccine 5-11. He was given enhanced observation, hydrated and symptoms improved.
Age: 74.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Arthralgia, Back pain, Gait disturbance
Clinical narrative: Patient contacted pharmacy and reported severe back pain of the waist and hip area. He said it started about 8 hours after vaccination. He said got worse through out the night and it was hard to walk the next morning. Patient received 2 shots. He received a fluad in the right arm and a moderna booster in the left arm. Patient has used heating pads and pain meds which has helped. Symptoms are still on going.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Fever 101.4, headaches and body aches.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity, Pruritus
Clinical narrative: sore arm  onset 12 hrs lasting about 12 hours  headache onset 12 hours lasting about 36 hours 12 cm x 8 cm red itchy dermatitis onset 48 hours still lasting 4 days later slight improvement
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear infection, Ear pain, Ear swelling, Headache
Clinical narrative: Within one week of receiving second dose I developed a double ear infection. Pain and severe swelling of ears and clear fluid leaking from both ears. Went to urgent care facility they prescribed antibiotics and ibuprofen. It then cleared up but with a few weeks I got it again with the same symptoms. I reported to Dr. that I had the vaccine and they said it could be from that because it was very unusual to get another double ear infection. Especially in an adult. They then prescribed a Z pac and Flonase. It is not in November and I still have some pain in my right ear. Planning to go back to the Dr. to see if they can help further. However this time I have vertigo, headache and dizziness slightly.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Otorrhoea, Vertigo
Clinical narrative: Within one week of receiving second dose I developed a double ear infection. Pain and severe swelling of ears and clear fluid leaking from both ears. Went to urgent care facility they prescribed antibiotics and ibuprofen. It then cleared up but with a few weeks I got it again with the same symptoms. I reported to Dr. that I had the vaccine and they said it could be from that because it was very unusual to get another double ear infection. Especially in an adult. They then prescribed a Z pac and Flonase. It is not in November and I still have some pain in my right ear. Planning to go back to the Dr. to see if they can help further. However this time I have vertigo, headache and dizziness slightly.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash on legs noticed in the morning of 11/19, not seen the night before, vaccine was administered at school vaccine clinic
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Chills, fever, headache, body aches, swollen lymph in armpit
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Ear infection, Erythema, Tinnitus
Clinical narrative: Major Tinnitus in right ear. Minor Tinnitus in left ear  Doctor prescribed antibiotic and gave a asteroid shot. 24 hours later the symptoms still exist.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: None stated.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Muscular weakness, Myalgia
Clinical narrative: Extreme muscle pain; fatigue; headaches; loss of appetite; muscle weakness; body aches.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Extreme muscle pain; fatigue; headaches; loss of appetite; muscle weakness; body aches.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Adrenal mass, Alveolar lung disease, Arteriosclerosis
Clinical narrative: Patient expired 11/15/2021.  HOSPITAL COURSE: PRESENTING PROBLEM: Shock [R57.9] Colon cancer metastasized to multiple sites [C18.9] Septic shock [A41.9, R65.21] Small bowel cancer [C17.9]  Patient is a 62 y.o. male with history of metastatic stage 4 colon cancer who presented to the emergency department with new bowel perforation of a known right colonic mass. He was hypotensive and unstable at the time of presentation. He was taken for an emergent exploratory laparotomy with a right colectomy and small bowel resection. During the case, he had increasing pressor requirements and worsening hypotension. Decision was made to transfer to the SICU and leave the patient in discontinuity with an abthera for temporary closure.    Patient was therefore transferred to the SICU. He was started on multiple pressors including norepinephrine, vasopressin, and epinephrine to maintain his blood pressure. Despite these interventions, he continued to be unstable. Family made the decision to make him DNR/DNI, however with continued aggressive care and interventions on 11/14. He continued to be on the ventilator with progressively increasing pressor requirements. On the morning of 11/15, family made the decision to transition to comfort care measures. Propofol was stopped, and pressors were stopped shortly after. Family desired extubation and patient was extubated at 0625. Time of death was 0647 on 11/15/2021  Preliminary Cause of Death: Colon cancer metastasized to multiple sites
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Ascites, Atelectasis, Blood culture negative, COVID-19, Central venous catheterisation
Clinical narrative: Patient expired 11/15/2021.  HOSPITAL COURSE: PRESENTING PROBLEM: Shock [R57.9] Colon cancer metastasized to multiple sites [C18.9] Septic shock [A41.9, R65.21] Small bowel cancer [C17.9]  Patient is a 62 y.o. male with history of metastatic stage 4 colon cancer who presented to the emergency department with new bowel perforation of a known right colonic mass. He was hypotensive and unstable at the time of presentation. He was taken for an emergent exploratory laparotomy with a right colectomy and small bowel resection. During the case, he had increasing pressor requirements and worsening hypotension. Decision was made to transfer to the SICU and leave the patient in discontinuity with an abthera for temporary closure.    Patient was therefore transferred to the SICU. He was started on multiple pressors including norepinephrine, vasopressin, and epinephrine to maintain his blood pressure. Despite these interventions, he continued to be unstable. Family made the decision to make him DNR/DNI, however with continued aggressive care and interventions on 11/14. He continued to be on the ventilator with progressively increasing pressor requirements. On the morning of 11/15, family made the decision to transition to comfort care measures. Propofol was stopped, and pressors were stopped shortly after. Family desired extubation and patient was extubated at 0625. Time of death was 0647 on 11/15/2021  Preliminary Cause of Death: Colon cancer metastasized to multiple sites
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Colectomy, Colon cancer metastatic, Computerised tomogram abdomen abnormal, Condition aggravated
Clinical narrative: Patient expired 11/15/2021.  HOSPITAL COURSE: PRESENTING PROBLEM: Shock [R57.9] Colon cancer metastasized to multiple sites [C18.9] Septic shock [A41.9, R65.21] Small bowel cancer [C17.9]  Patient is a 62 y.o. male with history of metastatic stage 4 colon cancer who presented to the emergency department with new bowel perforation of a known right colonic mass. He was hypotensive and unstable at the time of presentation. He was taken for an emergent exploratory laparotomy with a right colectomy and small bowel resection. During the case, he had increasing pressor requirements and worsening hypotension. Decision was made to transfer to the SICU and leave the patient in discontinuity with an abthera for temporary closure.    Patient was therefore transferred to the SICU. He was started on multiple pressors including norepinephrine, vasopressin, and epinephrine to maintain his blood pressure. Despite these interventions, he continued to be unstable. Family made the decision to make him DNR/DNI, however with continued aggressive care and interventions on 11/14. He continued to be on the ventilator with progressively increasing pressor requirements. On the morning of 11/15, family made the decision to transition to comfort care measures. Propofol was stopped, and pressors were stopped shortly after. Family desired extubation and patient was extubated at 0625. Time of death was 0647 on 11/15/2021  Preliminary Cause of Death: Colon cancer metastasized to multiple sites
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Deep vein thrombosis, Dyspnoea, Echocardiogram, Echocardiogram normal
Clinical narrative: Patient expired 11/15/2021.  HOSPITAL COURSE: PRESENTING PROBLEM: Shock [R57.9] Colon cancer metastasized to multiple sites [C18.9] Septic shock [A41.9, R65.21] Small bowel cancer [C17.9]  Patient is a 62 y.o. male with history of metastatic stage 4 colon cancer who presented to the emergency department with new bowel perforation of a known right colonic mass. He was hypotensive and unstable at the time of presentation. He was taken for an emergent exploratory laparotomy with a right colectomy and small bowel resection. During the case, he had increasing pressor requirements and worsening hypotension. Decision was made to transfer to the SICU and leave the patient in discontinuity with an abthera for temporary closure.    Patient was therefore transferred to the SICU. He was started on multiple pressors including norepinephrine, vasopressin, and epinephrine to maintain his blood pressure. Despite these interventions, he continued to be unstable. Family made the decision to make him DNR/DNI, however with continued aggressive care and interventions on 11/14. He continued to be on the ventilator with progressively increasing pressor requirements. On the morning of 11/15, family made the decision to transition to comfort care measures. Propofol was stopped, and pressors were stopped shortly after. Family desired extubation and patient was extubated at 0625. Time of death was 0647 on 11/15/2021  Preliminary Cause of Death: Colon cancer metastasized to multiple sites
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction normal, Endotracheal intubation, Explorative laparotomy, Gastrointestinal carcinoma, Hypotension
Clinical narrative: Patient expired 11/15/2021.  HOSPITAL COURSE: PRESENTING PROBLEM: Shock [R57.9] Colon cancer metastasized to multiple sites [C18.9] Septic shock [A41.9, R65.21] Small bowel cancer [C17.9]  Patient is a 62 y.o. male with history of metastatic stage 4 colon cancer who presented to the emergency department with new bowel perforation of a known right colonic mass. He was hypotensive and unstable at the time of presentation. He was taken for an emergent exploratory laparotomy with a right colectomy and small bowel resection. During the case, he had increasing pressor requirements and worsening hypotension. Decision was made to transfer to the SICU and leave the patient in discontinuity with an abthera for temporary closure.    Patient was therefore transferred to the SICU. He was started on multiple pressors including norepinephrine, vasopressin, and epinephrine to maintain his blood pressure. Despite these interventions, he continued to be unstable. Family made the decision to make him DNR/DNI, however with continued aggressive care and interventions on 11/14. He continued to be on the ventilator with progressively increasing pressor requirements. On the morning of 11/15, family made the decision to transition to comfort care measures. Propofol was stopped, and pressors were stopped shortly after. Family desired extubation and patient was extubated at 0625. Time of death was 0647 on 11/15/2021  Preliminary Cause of Death: Colon cancer metastasized to multiple sites
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inferior vena caval occlusion, Intensive care, Intestinal perforation, Large intestinal obstruction, Lung disorder
Clinical narrative: Patient expired 11/15/2021.  HOSPITAL COURSE: PRESENTING PROBLEM: Shock [R57.9] Colon cancer metastasized to multiple sites [C18.9] Septic shock [A41.9, R65.21] Small bowel cancer [C17.9]  Patient is a 62 y.o. male with history of metastatic stage 4 colon cancer who presented to the emergency department with new bowel perforation of a known right colonic mass. He was hypotensive and unstable at the time of presentation. He was taken for an emergent exploratory laparotomy with a right colectomy and small bowel resection. During the case, he had increasing pressor requirements and worsening hypotension. Decision was made to transfer to the SICU and leave the patient in discontinuity with an abthera for temporary closure.    Patient was therefore transferred to the SICU. He was started on multiple pressors including norepinephrine, vasopressin, and epinephrine to maintain his blood pressure. Despite these interventions, he continued to be unstable. Family made the decision to make him DNR/DNI, however with continued aggressive care and interventions on 11/14. He continued to be on the ventilator with progressively increasing pressor requirements. On the morning of 11/15, family made the decision to transition to comfort care measures. Propofol was stopped, and pressors were stopped shortly after. Family desired extubation and patient was extubated at 0625. Time of death was 0647 on 11/15/2021  Preliminary Cause of Death: Colon cancer metastasized to multiple sites
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Lymphadenopathy mediastinal, Mechanical ventilation, Metastases to liver, Metastases to lung
Clinical narrative: Patient expired 11/15/2021.  HOSPITAL COURSE: PRESENTING PROBLEM: Shock [R57.9] Colon cancer metastasized to multiple sites [C18.9] Septic shock [A41.9, R65.21] Small bowel cancer [C17.9]  Patient is a 62 y.o. male with history of metastatic stage 4 colon cancer who presented to the emergency department with new bowel perforation of a known right colonic mass. He was hypotensive and unstable at the time of presentation. He was taken for an emergent exploratory laparotomy with a right colectomy and small bowel resection. During the case, he had increasing pressor requirements and worsening hypotension. Decision was made to transfer to the SICU and leave the patient in discontinuity with an abthera for temporary closure.    Patient was therefore transferred to the SICU. He was started on multiple pressors including norepinephrine, vasopressin, and epinephrine to maintain his blood pressure. Despite these interventions, he continued to be unstable. Family made the decision to make him DNR/DNI, however with continued aggressive care and interventions on 11/14. He continued to be on the ventilator with progressively increasing pressor requirements. On the morning of 11/15, family made the decision to transition to comfort care measures. Propofol was stopped, and pressors were stopped shortly after. Family desired extubation and patient was extubated at 0625. Time of death was 0647 on 11/15/2021  Preliminary Cause of Death: Colon cancer metastasized to multiple sites
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Metastases to pelvis, Metastases to peritoneum, Necrotic lymphadenopathy, Oedema, Osteolysis
Clinical narrative: Patient expired 11/15/2021.  HOSPITAL COURSE: PRESENTING PROBLEM: Shock [R57.9] Colon cancer metastasized to multiple sites [C18.9] Septic shock [A41.9, R65.21] Small bowel cancer [C17.9]  Patient is a 62 y.o. male with history of metastatic stage 4 colon cancer who presented to the emergency department with new bowel perforation of a known right colonic mass. He was hypotensive and unstable at the time of presentation. He was taken for an emergent exploratory laparotomy with a right colectomy and small bowel resection. During the case, he had increasing pressor requirements and worsening hypotension. Decision was made to transfer to the SICU and leave the patient in discontinuity with an abthera for temporary closure.    Patient was therefore transferred to the SICU. He was started on multiple pressors including norepinephrine, vasopressin, and epinephrine to maintain his blood pressure. Despite these interventions, he continued to be unstable. Family made the decision to make him DNR/DNI, however with continued aggressive care and interventions on 11/14. He continued to be on the ventilator with progressively increasing pressor requirements. On the morning of 11/15, family made the decision to transition to comfort care measures. Propofol was stopped, and pressors were stopped shortly after. Family desired extubation and patient was extubated at 0625. Time of death was 0647 on 11/15/2021  Preliminary Cause of Death: Colon cancer metastasized to multiple sites
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Pneumonia, Pneumoperitoneum, Portal vein occlusion, Renal atrophy
Clinical narrative: Patient expired 11/15/2021.  HOSPITAL COURSE: PRESENTING PROBLEM: Shock [R57.9] Colon cancer metastasized to multiple sites [C18.9] Septic shock [A41.9, R65.21] Small bowel cancer [C17.9]  Patient is a 62 y.o. male with history of metastatic stage 4 colon cancer who presented to the emergency department with new bowel perforation of a known right colonic mass. He was hypotensive and unstable at the time of presentation. He was taken for an emergent exploratory laparotomy with a right colectomy and small bowel resection. During the case, he had increasing pressor requirements and worsening hypotension. Decision was made to transfer to the SICU and leave the patient in discontinuity with an abthera for temporary closure.    Patient was therefore transferred to the SICU. He was started on multiple pressors including norepinephrine, vasopressin, and epinephrine to maintain his blood pressure. Despite these interventions, he continued to be unstable. Family made the decision to make him DNR/DNI, however with continued aggressive care and interventions on 11/14. He continued to be on the ventilator with progressively increasing pressor requirements. On the morning of 11/15, family made the decision to transition to comfort care measures. Propofol was stopped, and pressors were stopped shortly after. Family desired extubation and patient was extubated at 0625. Time of death was 0647 on 11/15/2021  Preliminary Cause of Death: Colon cancer metastasized to multiple sites
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Retroperitoneal neoplasm metastatic, SARS-CoV-2 test positive, Scan with contrast abnormal, Sepsis, Septic shock
Clinical narrative: Patient expired 11/15/2021.  HOSPITAL COURSE: PRESENTING PROBLEM: Shock [R57.9] Colon cancer metastasized to multiple sites [C18.9] Septic shock [A41.9, R65.21] Small bowel cancer [C17.9]  Patient is a 62 y.o. male with history of metastatic stage 4 colon cancer who presented to the emergency department with new bowel perforation of a known right colonic mass. He was hypotensive and unstable at the time of presentation. He was taken for an emergent exploratory laparotomy with a right colectomy and small bowel resection. During the case, he had increasing pressor requirements and worsening hypotension. Decision was made to transfer to the SICU and leave the patient in discontinuity with an abthera for temporary closure.    Patient was therefore transferred to the SICU. He was started on multiple pressors including norepinephrine, vasopressin, and epinephrine to maintain his blood pressure. Despite these interventions, he continued to be unstable. Family made the decision to make him DNR/DNI, however with continued aggressive care and interventions on 11/14. He continued to be on the ventilator with progressively increasing pressor requirements. On the morning of 11/15, family made the decision to transition to comfort care measures. Propofol was stopped, and pressors were stopped shortly after. Family desired extubation and patient was extubated at 0625. Time of death was 0647 on 11/15/2021  Preliminary Cause of Death: Colon cancer metastasized to multiple sites
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Shock, Small intestinal resection, Spinal compression fracture, Splenic infarction, Tenderness
Clinical narrative: Patient expired 11/15/2021.  HOSPITAL COURSE: PRESENTING PROBLEM: Shock [R57.9] Colon cancer metastasized to multiple sites [C18.9] Septic shock [A41.9, R65.21] Small bowel cancer [C17.9]  Patient is a 62 y.o. male with history of metastatic stage 4 colon cancer who presented to the emergency department with new bowel perforation of a known right colonic mass. He was hypotensive and unstable at the time of presentation. He was taken for an emergent exploratory laparotomy with a right colectomy and small bowel resection. During the case, he had increasing pressor requirements and worsening hypotension. Decision was made to transfer to the SICU and leave the patient in discontinuity with an abthera for temporary closure.    Patient was therefore transferred to the SICU. He was started on multiple pressors including norepinephrine, vasopressin, and epinephrine to maintain his blood pressure. Despite these interventions, he continued to be unstable. Family made the decision to make him DNR/DNI, however with continued aggressive care and interventions on 11/14. He continued to be on the ventilator with progressively increasing pressor requirements. On the morning of 11/15, family made the decision to transition to comfort care measures. Propofol was stopped, and pressors were stopped shortly after. Family desired extubation and patient was extubated at 0625. Time of death was 0647 on 11/15/2021  Preliminary Cause of Death: Colon cancer metastasized to multiple sites
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Vena cava filter insertion
Clinical narrative: Patient expired 11/15/2021.  HOSPITAL COURSE: PRESENTING PROBLEM: Shock [R57.9] Colon cancer metastasized to multiple sites [C18.9] Septic shock [A41.9, R65.21] Small bowel cancer [C17.9]  Patient is a 62 y.o. male with history of metastatic stage 4 colon cancer who presented to the emergency department with new bowel perforation of a known right colonic mass. He was hypotensive and unstable at the time of presentation. He was taken for an emergent exploratory laparotomy with a right colectomy and small bowel resection. During the case, he had increasing pressor requirements and worsening hypotension. Decision was made to transfer to the SICU and leave the patient in discontinuity with an abthera for temporary closure.    Patient was therefore transferred to the SICU. He was started on multiple pressors including norepinephrine, vasopressin, and epinephrine to maintain his blood pressure. Despite these interventions, he continued to be unstable. Family made the decision to make him DNR/DNI, however with continued aggressive care and interventions on 11/14. He continued to be on the ventilator with progressively increasing pressor requirements. On the morning of 11/15, family made the decision to transition to comfort care measures. Propofol was stopped, and pressors were stopped shortly after. Family desired extubation and patient was extubated at 0625. Time of death was 0647 on 11/15/2021  Preliminary Cause of Death: Colon cancer metastasized to multiple sites
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebellar stroke, Magnetic resonance imaging head
Clinical narrative: MRI Brain done on 11/16/21 that showed subacute cerebellar stroke. Patient asymptomatic.  Done for hx of migraine with aura, incidental finding.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Pyrexia
Clinical narrative: CHIEF COMPLAINT:   SOB prior dx of covid with treatment, loose stools   HISTORY OF PRESENT ILLNESS:    PT is a 69 Years old Male with PMH of HTN, HLD, DM II, CAD s/p AICD, AFib on Eliquis s/p PPM, CHF, CKD, COPD not on home oxygen, nicotine dependence, and obesity who presents to the ED with progressive dyspnea and continued diarrhea in the setting of known COVID-19. Patient tested positive for COVID-19 on 11/12/2021. Patient is approximately on day 9 of symptoms.  Initially, he had upper respiratory symptoms with rhinorrhea, cough, congestion, and fevers, but these have resolved.  He states that he had has continued dyspnea.  No chest pain.  He has profuse diarrhea.  No abdominal pain, nausea, or vomiting.  Patient is vaccinated for COVID-19.  He received monoclonal antibodies 2 days ago.  He is not on oxygen at baseline.  He has a pulse oximetry device at home.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory symptom, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT:   SOB prior dx of covid with treatment, loose stools   HISTORY OF PRESENT ILLNESS:    PT is a 69 Years old Male with PMH of HTN, HLD, DM II, CAD s/p AICD, AFib on Eliquis s/p PPM, CHF, CKD, COPD not on home oxygen, nicotine dependence, and obesity who presents to the ED with progressive dyspnea and continued diarrhea in the setting of known COVID-19. Patient tested positive for COVID-19 on 11/12/2021. Patient is approximately on day 9 of symptoms.  Initially, he had upper respiratory symptoms with rhinorrhea, cough, congestion, and fevers, but these have resolved.  He states that he had has continued dyspnea.  No chest pain.  He has profuse diarrhea.  No abdominal pain, nausea, or vomiting.  Patient is vaccinated for COVID-19.  He received monoclonal antibodies 2 days ago.  He is not on oxygen at baseline.  He has a pulse oximetry device at home.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Headache, Hypertension, Palpitations
Clinical narrative: Patient stated that he had Headaches, Fever, Lower back pain, chest pain, heart palpitations, and  high blood pressure.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient stated that he had Headaches, Fever, Lower back pain, chest pain, heart palpitations, and  high blood pressure.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Pain in extremity, Peripheral swelling
Clinical narrative: Left arm was very soar on 11/18/2021  The same day I noticed under my left armpit swelling and it is very soar. I am waiting to see if these symptoms go away. If the symptoms do not go away I will follow up with my primary care doctor.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: DEATH
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Erythema, Induration, Pain, Peripheral swelling
Clinical narrative: large red, hard, and swollen area- encompassing almost the entire upper arm. bruising also present. very painful and hot to the touch. borders were marked and area continued to grow in size over the next two days. benadryl, tylenol, and motrin given continuously over 3 days for pain & swelling. ice also applied for the last 3 days called the doctor's office and told to continue doing meds as we have been doing. UNSURE OF BRAND OR LOT # OF FLU VACCINE
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Skin warm
Clinical narrative: large red, hard, and swollen area- encompassing almost the entire upper arm. bruising also present. very painful and hot to the touch. borders were marked and area continued to grow in size over the next two days. benadryl, tylenol, and motrin given continuously over 3 days for pain & swelling. ice also applied for the last 3 days called the doctor's office and told to continue doing meds as we have been doing. UNSURE OF BRAND OR LOT # OF FLU VACCINE
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Fever around 101. Ibuprofen seemed todo very little. Fever lasted for 25 hours. Body aches, sore throat, mild cough, lasted about 36 hours.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Angiogram, Arthralgia, Cardiac stress test, Chest pain
Clinical narrative: Sept 7, began having increasing head, chest, & extremity pain which strongly increased if lying down.  3 episodes over the next month required ER visits because the chest pain was radiating strongly into arms. Also had periodic pain behind knees, groin, and abdomen.  EKGs, stress test,  CT for head, legs, and cardioangiogram were eventually given and returned normal.  Over time symptoms are declining significantly, although they have not completely resolved as of today, 11/19.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Computerised tomogram normal, Electrocardiogram normal, Groin pain, Headache
Clinical narrative: Sept 7, began having increasing head, chest, & extremity pain which strongly increased if lying down.  3 episodes over the next month required ER visits because the chest pain was radiating strongly into arms. Also had periodic pain behind knees, groin, and abdomen.  EKGs, stress test,  CT for head, legs, and cardioangiogram were eventually given and returned normal.  Over time symptoms are declining significantly, although they have not completely resolved as of today, 11/19.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Sept 7, began having increasing head, chest, & extremity pain which strongly increased if lying down.  3 episodes over the next month required ER visits because the chest pain was radiating strongly into arms. Also had periodic pain behind knees, groin, and abdomen.  EKGs, stress test,  CT for head, legs, and cardioangiogram were eventually given and returned normal.  Over time symptoms are declining significantly, although they have not completely resolved as of today, 11/19.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Fever, congestion, sore throat, runny nose
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: No menstrual cycle since receiving pfizer injection #1.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: High fever Chills Body aches Nausea  Very bad headache
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received an expired dose of Pfizer covid vaccine.  Vaccine expired on 10/21/21.  Nurse in clinic was confused over the expiration date, which had been extended to November 30th, if frozen.  She did not understand the 30 day expiration once refrigerated.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID admission 11/18/21
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Blood magnesium, Dyspnoea, Electrocardiogram, Full blood count
Clinical narrative: 11/18/2021, at 1:17 pm: Received Pfizer (1st dose). 11/18/2021, at 1:25 pm: She had trouble breathing. Assisted to a nearby chair closer to the treatment room, then directly assisted to a treatment room a few feet away. Blood pressure being taken when she became limp. Immediately assisted to the floor. 911 called. B/P 184/71-97- 98 percent O2 SAT. She had 4 seizures before ambulance service arrived. 11/18/2021, at 1:32 pm ambulance arrived. VS taken: B/P 145/78-113-O2 SAT 98 %. She is conscious, brought pocketbook to her. Family notified by phone. Patient on stretcher and transferred to ED.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotonia, Seizure
Clinical narrative: 11/18/2021, at 1:17 pm: Received Pfizer (1st dose). 11/18/2021, at 1:25 pm: She had trouble breathing. Assisted to a nearby chair closer to the treatment room, then directly assisted to a treatment room a few feet away. Blood pressure being taken when she became limp. Immediately assisted to the floor. 911 called. B/P 184/71-97- 98 percent O2 SAT. She had 4 seizures before ambulance service arrived. 11/18/2021, at 1:32 pm ambulance arrived. VS taken: B/P 145/78-113-O2 SAT 98 %. She is conscious, brought pocketbook to her. Family notified by phone. Patient on stretcher and transferred to ED.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Lymph node pain, Lymphadenopathy
Clinical narrative: Arm pain at injection site of left arm.   Swollen lymph nodes and pain under the left armpit.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Exposure during pregnancy, Pain, Pain in extremity, Sleep disorder
Clinical narrative: IUP at 33 w5d. EDD 1/2/22. Tdap vaccine to left deltoid the morning of 11/15/21. Pain onset was afternoon of 11/15/21 from deltoid and extends through left wrist. Causes me to wake multiple times in the night. Increased pain with movement or palpation. Now  on day 5 of pain with no relief.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Tenderness
Clinical narrative: IUP at 33 w5d. EDD 1/2/22. Tdap vaccine to left deltoid the morning of 11/15/21. Pain onset was afternoon of 11/15/21 from deltoid and extends through left wrist. Causes me to wake multiple times in the night. Increased pain with movement or palpation. Now  on day 5 of pain with no relief.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Muscular weakness, Renal pain
Clinical narrative: Patient claimed after she received her first shot of Moderna, she developed back/kidney pain and now has weak legs (bilateral). She stated she has not followed-up with her PCP. She has been busy and they won't call her back. She did not have these symptoms prior to vaccine.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Erythema, Hypoaesthesia, Hypoaesthesia oral, Hypoaesthesia teeth
Clinical narrative: Similar to the first two shots, I experienced numbness of various parts of my face, teeth and tongue. No swelling or drooping. No problem with respiration. Onset just a few minutes after receiving the injection. Duration a few hours then  also more numbness lasting shorter periods up to 20 minutes over the next three days. Late on day 3 started to show a rash/hives on my neck then upper chest. Day 5 some redness on face while neck is still rashy. These effects in addition to more common mild fever with muscle and body aches on days two and three in the evening/nighttime. Advil taken for fever/discomfort.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia, Rash, Urticaria
Clinical narrative: Similar to the first two shots, I experienced numbness of various parts of my face, teeth and tongue. No swelling or drooping. No problem with respiration. Onset just a few minutes after receiving the injection. Duration a few hours then  also more numbness lasting shorter periods up to 20 minutes over the next three days. Late on day 3 started to show a rash/hives on my neck then upper chest. Day 5 some redness on face while neck is still rashy. These effects in addition to more common mild fever with muscle and body aches on days two and three in the evening/nighttime. Advil taken for fever/discomfort.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse event. This dose was administered after the expiration date.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product dispensing error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The nurse sated that she reconstituted the 5-11 year old  Pfizer Covid-19 vaccine with 1.8 ml of 0.9% of normal saline instead of 1.3 ml.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Ear discomfort, Magnetic resonance imaging, Sinus congestion, Vertigo
Clinical narrative: Three weeks after my initial shot (late March 2021), I started to experience vertigo and a thrumming, vibrating sensation in my ears. The vertigo is not the room spinning-type but a bobbing up and down and side to side sensation as if one is on a boat. I continued with my 2nd vaccine shot the following week. The symptoms continue to this day, 7.5 months after my first vaccine shot. None of these symptoms existed prior to receiving the vaccine. Initially, I reached out to my GP in late April 2021 My GP ordered a complete blood work-up and suggested I schedule a visit to an ENT. All of the blood work came back normal. I saw an ENT in May 2021. The ENT initially prescribed a 10-day prednisone treatment along with a 30-day treatment of fluticasone.  Neither resolved the issue. The ENT then referred me to an audiologist who conducted a series of vestibular tests, all of which returned normal results. The tests done in July 2021. The ENT then recommended vestibular therapy. After 3 sessions the therapist terminated my therapy as she was unable to reproduce the symptoms based on the tests available to her. The therapy occurred in late August and early September 2021. In late August 2021, I visited my GP again for further guidance. Another round of blood work was ordered. My GP did notice that my left sinuses were clogged and prescribed a 10-day course of antibiotics and a 5-day course of prednisone. None of these resolved the vertigo or the thrumming sensation in my ears. All blood work came back normal. Upon returning to my GP in October 2021, my GP prescribed an MRI, which was completed in November 2021. I have yet to receive the results of the MRI. My GP also prescribed a 30-day alternating treatment of meclizine and clonazepam. This treatment is going with no meaningful impacts to date.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, aches and pains
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Headache, Myalgia, SARS-CoV-2 test negative
Clinical narrative: Headache, muscle aches, blurred vision, skin sensitivity, diarrhea, dizziness, for 11 days post-injection.  Not accompanied by fever.  Negative for strep, negative for COVID via Abbott BinaxNow test, and PCR test administered by urgent care.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Sensitive skin, Streptococcus test negative, Vision blurred
Clinical narrative: Headache, muscle aches, blurred vision, skin sensitivity, diarrhea, dizziness, for 11 days post-injection.  Not accompanied by fever.  Negative for strep, negative for COVID via Abbott BinaxNow test, and PCR test administered by urgent care.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, C-reactive protein increased, Hypoaesthesia, Mobility decreased, Paraesthesia
Clinical narrative: On 9/9/2021 (7 days after 2nd dose) started experiencing "pins and needles" numbness in hands and feet. Told to monitor to ensure wasn't extending up arms and legs. Progressively worsened and started going slightly higher over next few weeks. Saw primary care doctor on November 1, 2021. Neurologist appointment on November 18, 2021 (ordered brain and spine MRIs).
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE HELD AT IMPROPER TEMPERATURES
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECIEVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: came for his booster vaccine and the 0.25ml dose was administered.  After his 15 minute waiting period when the staff was drawing up a dose for a subsequent patient it was discovered that the vial had been kept at room temperature for greater than 12 hours
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Polymenorrhoea
Clinical narrative: My menstrual cycle has always been very normal. The last menstrual cycle before the booster shot was on 10/26. My cycle started again exactly one week after I received the vaccine on 11/11 and now again a week later, 11/18.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever maxed at 101.7 Heart rate 110-120  Nausea Chills Body aches Severe headache
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoacusis, Tinnitus
Clinical narrative: I lost some of my hearing after being vaccinated and now I'm constantly having ringing in my left ear.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Blood test, Thyroid function test
Clinical narrative: massive hair loss
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: Severe chills, body aches, ?smooth? sensation in the mouth.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in left ear, no treatment, still have after more than 6 months after 2nd vaccine.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Differential white blood cell count, Electrocardiogram, Full blood count, Loss of consciousness
Clinical narrative: Nausea after breakfast immediately followed by Syncope then Vomiting while unconscious. Brought to ER. Released after tests and observation.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Nausea, Syncope, Troponin, Vomiting
Clinical narrative: Nausea after breakfast immediately followed by Syncope then Vomiting while unconscious. Brought to ER. Released after tests and observation.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given a dose (0.5mL) of Moderna out of a vial that had been opened >12hours.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Bundle branch block left, Electrocardiogram abnormal
Clinical narrative: I have developed partial LBBB on EKG.  No other symptoms - could be coincidental
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received an expired dose of Pfizer covid vaccine.  Vaccine expired on 10/21/21.  Nurse in clinic was confused over the expiration date, which had been extended to November 30th, if frozen.  She did not understand the 30 day expiration once refrigerated.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Urticaria
Clinical narrative: fatigue, body aches, headache for 24 hours after vaccine, 36 hours post vaccine patient broke out in large hives from face (eyelid) through trunk, pelvis, genitals, and legs, Patient advised to take OTC pain reliever, anti-histamines including Zyrtec and Zantac. Patient took benadryl and zyrtec and alleve. Hives continued for 4 days even under maximum doses of anti-histamines.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: Swollen lymph nodes within approx 24 hrs of vaccine on left side between under arm a breast. - still extremely swollen. Fever starting approx 12-16 hours later lasting 24 hours  . Note: I had extreme lymph node swelling in right side of my neck following my first shot ( nothing for second shot)
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The nurse sated that she reconstituted the 5-11 year old  Pfizer Covid-19 vaccine with 1.8 ml of 0.9% of normal saline instead of 1.3 ml.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: patient received .25 ml of booster but thought he received a full dose for a 3rd dose. Dr told him to come get a 3rd dose but had booster. Patient informed that it was .25 not .5 and he was told he could receive the other .25 ml but did not want restuck. He said he may return in the next 2 weeks to receive the other .25 and was told after that he would need to wait for 6 months if a booster was then wanted. No adverse effects to patient just not the full dose given for a 3rd dose for immunocompromised individual.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Cardioversion, Catheterisation cardiac, Chest pain, Implantable defibrillator insertion
Clinical narrative: Cardiac arrest. On Sept. 30th after exercising moderately on an elliptical for 30 min, I felt intense chest pain. I drove home, took two ibuprofen, and sat down. Within 20 minutes I had vomited and the stopped breathing. My wife called 911. The EMTs performed CPR for 20 min and used the defibrillator  4 times. When my heart started I was taken to the local for stabilization and then rushed to Medical Center. No issues were found with my heart or coronaries. I exercise regularly. A doctor at the Medical Center asked when I received the COVID vaccination. I was advised to report the incident.  After 11 days in the hospital with no explanation,  an ICD was implanted.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory arrest, Resuscitation, Vomiting, X-ray
Clinical narrative: Cardiac arrest. On Sept. 30th after exercising moderately on an elliptical for 30 min, I felt intense chest pain. I drove home, took two ibuprofen, and sat down. Within 20 minutes I had vomited and the stopped breathing. My wife called 911. The EMTs performed CPR for 20 min and used the defibrillator  4 times. When my heart started I was taken to the local for stabilization and then rushed to Medical Center. No issues were found with my heart or coronaries. I exercise regularly. A doctor at the Medical Center asked when I received the COVID vaccination. I was advised to report the incident.  After 11 days in the hospital with no explanation,  an ICD was implanted.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity
Clinical narrative: Pfizer Covid-19 adult dose given in error. Peds dose was ordered but not given. Sore arm, no other symptoms
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Inflammation, Injection site pain, Lymph node pain
Clinical narrative: Pain at injection site, neck pain, left jaw pain and inflammation, painful swollen  lymph nodes around left collar bone , joint pain, fatigue - all began the night of/morning after injection and are still present four days later. Unrelieved with ibuprofen.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Neck pain, Pain in jaw
Clinical narrative: Pain at injection site, neck pain, left jaw pain and inflammation, painful swollen  lymph nodes around left collar bone , joint pain, fatigue - all began the night of/morning after injection and are still present four days later. Unrelieved with ibuprofen.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Headache, Rash
Clinical narrative: Rash in upper left arm, headaches and generalized weakness.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: Large red spot (size of baseball) around injection site. Hot, slightly itchy, tender. Ibuprofin minimizes the pain and swelling.