chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: U
Vaccine: HEPA
Symptoms: Erythema, Gait disturbance, Incorrect dose administered, Irritability, Pain
Clinical narrative: Pt. received the adult dose of Hep A vaccine. Mom was immediately informed that it had happened and that he may have a stronger than expected response to vaccine. He did with increased fussiness, increased pain, swelling, redness, and not walking as usual. He was given warm baths, Motrin & Tylenol and after 1 week he recovered to normal activity.
Age: 2.0
Sex: U
Vaccine: HEPA
Symptoms: Swelling
Clinical narrative: Pt. received the adult dose of Hep A vaccine. Mom was immediately informed that it had happened and that he may have a stronger than expected response to vaccine. He did with increased fussiness, increased pain, swelling, redness, and not walking as usual. He was given warm baths, Motrin & Tylenol and after 1 week he recovered to normal activity.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back disorder, Condition aggravated, Mobility decreased, Muscular weakness
Clinical narrative: My first shot was on 1-13-2021 at 7pm. By the morning of 1/14/2021, my arm was extremely sore. I was experiencing severe pain in all my muscles and severe joint pain. By the third day, the pain in my knee kept me form bending it. I could only sit in a lounge chair and not function. Pain every where, from shoulders, arms, legs down to my feet. Horrible. By the end of a week, the severe pain had been reduced to aches. My aches and pains continued on. A call to my doctor encouraged me to get the second shot, in spite of the side effects that the first shot produced My second shot was on 2-11-2021 The results of this shot again brought on severe pain to my upper body arms, muscles and shoulders. It is now 4-16-2021 and I am still trying to cope with the pain in my arms, muscle, and shoulders. My arms are very weak, It is necessary to take 2 Tylenol pills every four hours in order to function. through the day and night. I have a slight problem with my back. This vaccine intensived the problem.  I also have a knee problem in one knee. Two weeks prior to my vaccine, I had received a cortisone shot and the knee was doing fine. until I received the vaccine. It is painful to function now, and I am unable to receive another cortisone shot. until June  This vaccine has brought me more grief. I will never go for a third booster shot nor once a year.  I am 85 years old, and did not need this nightmare. I also have the total care of my 91 year old husband who has cancer, along with 3 other medical problems.    It would be nice if someone can tell me how long my symptoms will last. It was easier dealing with being confined to my home for 13 months, than dealing with all these problems from the vaccine.  I wrote this letter to inform you that there ARE problems with the Moderna vaccine, as I am a prime example of one.  I guess I can be grateful that it didn't kill me.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pain in extremity
Clinical narrative: My first shot was on 1-13-2021 at 7pm. By the morning of 1/14/2021, my arm was extremely sore. I was experiencing severe pain in all my muscles and severe joint pain. By the third day, the pain in my knee kept me form bending it. I could only sit in a lounge chair and not function. Pain every where, from shoulders, arms, legs down to my feet. Horrible. By the end of a week, the severe pain had been reduced to aches. My aches and pains continued on. A call to my doctor encouraged me to get the second shot, in spite of the side effects that the first shot produced My second shot was on 2-11-2021 The results of this shot again brought on severe pain to my upper body arms, muscles and shoulders. It is now 4-16-2021 and I am still trying to cope with the pain in my arms, muscle, and shoulders. My arms are very weak, It is necessary to take 2 Tylenol pills every four hours in order to function. through the day and night. I have a slight problem with my back. This vaccine intensived the problem.  I also have a knee problem in one knee. Two weeks prior to my vaccine, I had received a cortisone shot and the knee was doing fine. until I received the vaccine. It is painful to function now, and I am unable to receive another cortisone shot. until June  This vaccine has brought me more grief. I will never go for a third booster shot nor once a year.  I am 85 years old, and did not need this nightmare. I also have the total care of my 91 year old husband who has cancer, along with 3 other medical problems.    It would be nice if someone can tell me how long my symptoms will last. It was easier dealing with being confined to my home for 13 months, than dealing with all these problems from the vaccine.  I wrote this letter to inform you that there ARE problems with the Moderna vaccine, as I am a prime example of one.  I guess I can be grateful that it didn't kill me.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Possible Pfizer vaccine to recipient.  2nd dose. This consent form filled out by recipient  was marked as Moderna for first vaccine.
Age: 33.0
Sex: M
Vaccine: UNK
Symptoms: Dizziness, Loss of consciousness, Syncope, Visual impairment
Clinical narrative: Syncope status post IM administration patient stated he felt dizzy, his vision blacked out and  he lost consciousness.   Individual denies prior syncope or seizure.      No hx of DM, normal diet prior to vaccine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Myalgia, Pyrexia
Clinical narrative: AFTER 12 HRS AFTER VACCINATION I STARTED TO HAVE  A FEVER OF 104 OR HIGHER, VIOLENT COLD CHILLS, MUCLES ACHES, FATIGUE, LASTING FOR AROUND 24 HOURS
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Back pain, Chills, Computerised tomogram normal, Flank pain
Clinical narrative: back/flank pain, chills, weakness Narrative: Patient previously tested COVID-positive on 11/17/20 and with PMH of obesity, HTN, GERD, gout, history of TIA, Hollenhort plaque, pre-diabetes, hypothyroidism, hypogonadism, hyperprolactinemia, osteopenia, plantar fasciitis, sleep apnea on CPAP, BPH, overactive bladder, bladder neck contracture, history of malignant melanoma, stable liver hemangioma, and multiple renal cysts discovered incidentally on nuclear medicine scan around 1995. Patient received first COVID vaccine dose on 3/6/21 and started having back/flank pain ~2 weeks after the first dose. He called the nurse triage line on 3/24/21 complaining of 5 day history of back/flank pain similar to pain experienced with UTI in past and was directed to the local ED where he had a CT scan that was normal and was sent home. He reports taking ibuprofen and tylenol for the back pain. He received his second vaccine dose 4/3/21 and reports that on 4/4/21 around 4am the back pain returned along with chills and weakness. He did not go to the ED after second dose but reports that pain was severe enough that he was unable to get out of bed and it was after the second dose that he attributed the back pain as being related to the COVID vaccine.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased
Clinical narrative: back/flank pain, chills, weakness Narrative: Patient previously tested COVID-positive on 11/17/20 and with PMH of obesity, HTN, GERD, gout, history of TIA, Hollenhort plaque, pre-diabetes, hypothyroidism, hypogonadism, hyperprolactinemia, osteopenia, plantar fasciitis, sleep apnea on CPAP, BPH, overactive bladder, bladder neck contracture, history of malignant melanoma, stable liver hemangioma, and multiple renal cysts discovered incidentally on nuclear medicine scan around 1995. Patient received first COVID vaccine dose on 3/6/21 and started having back/flank pain ~2 weeks after the first dose. He called the nurse triage line on 3/24/21 complaining of 5 day history of back/flank pain similar to pain experienced with UTI in past and was directed to the local ED where he had a CT scan that was normal and was sent home. He reports taking ibuprofen and tylenol for the back pain. He received his second vaccine dose 4/3/21 and reports that on 4/4/21 around 4am the back pain returned along with chills and weakness. He did not go to the ED after second dose but reports that pain was severe enough that he was unable to get out of bed and it was after the second dose that he attributed the back pain as being related to the COVID vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Oral mucosal blistering, Swollen tongue, Urticaria
Clinical narrative: ulcers of mouth Narrative: Received first dose COVID-19 vaccine (Pfizer) on 4/19/21 at 08:30. Around 23:00 began to notice swelling of tongue. Patient wen to ED. Denied pain, rash, SOB, lightheadedness, or other concerns. Given IV famotidine, IV diphenhydramine, IV dexamethasone, and oral ibuprofen. Tryptase drawn during this visit, resulted at 4.2 mcg/L. Patient discharged home. Three days later on 04/24/21, patient re-presented to ED with new complaints of oral blisters and hives on legs. RN notes no tongue swelling. Treated with IV diphenhydramine, IV prednisone, IV famotidine and given scripts for oral diphenhydramine and oral prednisone. CRP drawn during this ED visit, resulted at 15.0 mg/L (high).
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Hypersensitivity, Nasal congestion, Pruritus
Clinical narrative: 12/21/20 Patient presents in ED with ? Allergic Reaction  Triage Note: Pt to ED for allergic reaction. Pt had Covid-19 vaccine around 1530. Pt then developed rash, itchiness, and facial swelling. Pt took Po Benadryl. At this time, pt is Aox4. Denies SOB. Pt reports her symptoms have resolved. 12/28/2020 - Headache Congestion or running nose
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rhinorrhoea, SARS-CoV-2 test, SARS-CoV-2 test positive, Swelling face
Clinical narrative: 12/21/20 Patient presents in ED with ? Allergic Reaction  Triage Note: Pt to ED for allergic reaction. Pt had Covid-19 vaccine around 1530. Pt then developed rash, itchiness, and facial swelling. Pt took Po Benadryl. At this time, pt is Aox4. Denies SOB. Pt reports her symptoms have resolved. 12/28/2020 - Headache Congestion or running nose
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dyspnoea, Headache
Clinical narrative: Shortness of breath, headache increased BP
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, Throat irritation, Throat tightness
Clinical narrative: S: RRT called to patient to Vaccination recovery room s/p EpiPen administration. B: Unknown A/R: Upon arrival, pt AOx4 laying in gurney. Per patient and Vaccination RN, patient received 1st dose of Moderna vaccine at 12:47 and then began complaining of itchiness in the back of throat and feeling like her airway was closing. 1 EpiPen was administered at 13:00. HR140, all other VSS. Patient transferred to ED via wheelchair for further workup."
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Throat irritation, Throat tightness
Clinical narrative: S: RRT called to patient to Vaccination recovery room s/p EpiPen administration. B: Unknown A/R: Upon arrival, pt AOx4 laying in gurney. Per patient and Vaccination RN, patient received 1st dose of Moderna vaccine at 12:47 and then began complaining of itchiness in the back of throat and feeling like her airway was closing. 1 EpiPen was administered at 13:00. HR140, all other VSS. Patient transferred to ED via wheelchair for further workup."
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Blood test, Condition aggravated, Diplopia, Fall
Clinical narrative: Patient developed tremor of the left foot the next morning after the vaccine  (Moderna #1) that was associated with numbness/tingling and weakness, then her symptoms progressed to the entire left foot and now her left hand. Symptoms have been progressive. She has had extensive work up that has resulted negative. Has been followed by neurologist.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Magnetic resonance imaging, Magnetic resonance imaging head, Magnetic resonance imaging neck, Muscle spasms
Clinical narrative: Patient developed tremor of the left foot the next morning after the vaccine  (Moderna #1) that was associated with numbness/tingling and weakness, then her symptoms progressed to the entire left foot and now her left hand. Symptoms have been progressive. She has had extensive work up that has resulted negative. Has been followed by neurologist.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Musculoskeletal stiffness, Nerve conduction studies, Tremor
Clinical narrative: Patient developed tremor of the left foot the next morning after the vaccine  (Moderna #1) that was associated with numbness/tingling and weakness, then her symptoms progressed to the entire left foot and now her left hand. Symptoms have been progressive. She has had extensive work up that has resulted negative. Has been followed by neurologist.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Diagnostic procedure, Hypoaesthesia, Laboratory test normal, Magnetic resonance imaging head normal
Clinical narrative: Patient developed tremor of the left foot the next morning after the vaccine  (Moderna #1) that was associated with numbness/tingling and weakness, then her symptoms progressed to the entire left foot and now her left hand. Symptoms have been progressive. She has had extensive work up that has resulted negative. Has been followed by neurologist.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Tremor
Clinical narrative: Patient developed tremor of the left foot the next morning after the vaccine  (Moderna #1) that was associated with numbness/tingling and weakness, then her symptoms progressed to the entire left foot and now her left hand. Symptoms have been progressive. She has had extensive work up that has resulted negative. Has been followed by neurologist.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Mobility decreased, Tremor
Clinical narrative: Since the second dose of the Pfizer vaccine, up to and including today, I have had daily periods of fogginess.  I feel as though I am wrapped in cotton and am seeing things from a distance.  These events generally go away in anywhere from 15 minutes to half an hour.  Sometimes the recur in the same day, sometimes not.  When I am in the fogged state, when I take a step, I find I have no control of, or contact with my lower limbs and I stumble.  This has been going on for over a month.  And the feeling of exhaustion felt after dose #1 and dose #2 has continued intermittently.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Gait disturbance, Loss of control of legs
Clinical narrative: Since the second dose of the Pfizer vaccine, up to and including today, I have had daily periods of fogginess.  I feel as though I am wrapped in cotton and am seeing things from a distance.  These events generally go away in anywhere from 15 minutes to half an hour.  Sometimes the recur in the same day, sometimes not.  When I am in the fogged state, when I take a step, I find I have no control of, or contact with my lower limbs and I stumble.  This has been going on for over a month.  And the feeling of exhaustion felt after dose #1 and dose #2 has continued intermittently.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Syncope
Clinical narrative: fainting following injection
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Syncope
Clinical narrative: fainting following injection
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Throat irritation
Clinical narrative: I waited about 15 minutes after the injection before leaving shortly after leaving I felt a swelling in my throat I could still breathe fine arm and I turned around went back to they gave me Benadryl in tablet form and I waited there for another 20 minutes or so it never got any worse I am in eventually got better than the other the reaction was a sore arm
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pharyngeal swelling
Clinical narrative: I waited about 15 minutes after the injection before leaving shortly after leaving I felt a swelling in my throat I could still breathe fine arm and I turned around went back to they gave me Benadryl in tablet form and I waited there for another 20 minutes or so it never got any worse I am in eventually got better than the other the reaction was a sore arm
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Neuralgia
Clinical narrative: Persistent fingertip and toe swelling and erythema for over a month which is significant and persistent
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Persistent fingertip and toe swelling and erythema for over a month which is significant and persistent
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebral infarction, Computerised tomogram head, Hemiplegia, Magnetic resonance imaging head
Clinical narrative: Ischemic Stroke
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ischaemic stroke
Clinical narrative: Ischemic Stroke
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Ischemic Stroke
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head abnormal, Magnetic resonance imaging head abnormal, Ruptured cerebral aneurysm
Clinical narrative: "Moderna COVID-19 Vaccine EUA" -- received 1st dose 3/27/2021 Received 1st Moderna vaccine in R arm on 3/27/21. Within first hour, she had a headache, R eye pain, and felt tired; symptoms subsided after she laid down.  On 3/31 in early AM, felt sudden and more severe headache and same eye pain, and "electrical contractions down neck, back, and spine."  Went to medical facility, then transferred to hospital, and transferred to another hospital via helicopter. 61-year-old female, generally very healthy, on no medications, here complaining of sudden onset right sided stabbing/electrical headache which began 30 minutes prior to arrival. She states she was standing at work when had sudden onset severe headache radiating into her right eye. Stating that it feels like my right eyeball is going to explode. She ranks the pain a 9 out of 10. She does have a history of migraine headaches which have never been evaluated with imaging or by neurology. They were normally frontal, and she has not had one in more than 2 years. She states that this headache is dramatically different than her prior migraines. Patient states associated with this sudden onset headache, she had bilateral neck pain, and substernal chest pain. Upon arrival to clinic, she points to her substernal region as the site of her chest pain. She denies associated shortness of breath, irregular heart rate/rhythm, presyncope. She does feel slightly weak. Of note, patient states she had a MODERNA COVID-19 vaccine on Saturday and subsequently had some right-sided shoulder pain. Her symptoms are on the same side.   - 7:50 AM: BP 165/109 (R arm); pulse 86; no antihypertensives given, given a total of 100 mcg fentanyl over 1 hr - 9:04 AM: BP 150/92 (R arm); pulse 60; transferred to hospital and then to transfered to another hospital via helicopter for SAH 3/31/2021 ED - given nicardipine IV, dexamethasone IV, levetiracetam, and antiemetics.  Nero noted that no associated trauma, LOC, or seizure with the HA, Neuro assessment - day 4 (plus possible re-rupture within last 24 hours) of good clinical grade HH2 low volume aSAH due to ruptured R ICA ANR 4/1/2021 - completed successful and uncomplicated RICA oblong aneurysm coiling (successful coil elimination & preservation adjacent PcommA infundibulum).  Patient was admitted to critical care for post procedure care, monitoring, and management of sodium, blood pressure, and headache.   Levetiracetam discontinued since patient did not have any seizures.   4/7/2021 - discharged
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral abnormal, Arteriogram carotid abnormal, Asthenia, Carotid artery aneurysm, Chest pain
Clinical narrative: "Moderna COVID-19 Vaccine EUA" -- received 1st dose 3/27/2021 Received 1st Moderna vaccine in R arm on 3/27/21. Within first hour, she had a headache, R eye pain, and felt tired; symptoms subsided after she laid down.  On 3/31 in early AM, felt sudden and more severe headache and same eye pain, and "electrical contractions down neck, back, and spine."  Went to medical facility, then transferred to hospital, and transferred to another hospital via helicopter. 61-year-old female, generally very healthy, on no medications, here complaining of sudden onset right sided stabbing/electrical headache which began 30 minutes prior to arrival. She states she was standing at work when had sudden onset severe headache radiating into her right eye. Stating that it feels like my right eyeball is going to explode. She ranks the pain a 9 out of 10. She does have a history of migraine headaches which have never been evaluated with imaging or by neurology. They were normally frontal, and she has not had one in more than 2 years. She states that this headache is dramatically different than her prior migraines. Patient states associated with this sudden onset headache, she had bilateral neck pain, and substernal chest pain. Upon arrival to clinic, she points to her substernal region as the site of her chest pain. She denies associated shortness of breath, irregular heart rate/rhythm, presyncope. She does feel slightly weak. Of note, patient states she had a MODERNA COVID-19 vaccine on Saturday and subsequently had some right-sided shoulder pain. Her symptoms are on the same side.   - 7:50 AM: BP 165/109 (R arm); pulse 86; no antihypertensives given, given a total of 100 mcg fentanyl over 1 hr - 9:04 AM: BP 150/92 (R arm); pulse 60; transferred to hospital and then to transfered to another hospital via helicopter for SAH 3/31/2021 ED - given nicardipine IV, dexamethasone IV, levetiracetam, and antiemetics.  Nero noted that no associated trauma, LOC, or seizure with the HA, Neuro assessment - day 4 (plus possible re-rupture within last 24 hours) of good clinical grade HH2 low volume aSAH due to ruptured R ICA ANR 4/1/2021 - completed successful and uncomplicated RICA oblong aneurysm coiling (successful coil elimination & preservation adjacent PcommA infundibulum).  Patient was admitted to critical care for post procedure care, monitoring, and management of sodium, blood pressure, and headache.   Levetiracetam discontinued since patient did not have any seizures.   4/7/2021 - discharged
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head abnormal, Electric shock sensation, Eye pain, Fatigue, Headache
Clinical narrative: "Moderna COVID-19 Vaccine EUA" -- received 1st dose 3/27/2021 Received 1st Moderna vaccine in R arm on 3/27/21. Within first hour, she had a headache, R eye pain, and felt tired; symptoms subsided after she laid down.  On 3/31 in early AM, felt sudden and more severe headache and same eye pain, and "electrical contractions down neck, back, and spine."  Went to medical facility, then transferred to hospital, and transferred to another hospital via helicopter. 61-year-old female, generally very healthy, on no medications, here complaining of sudden onset right sided stabbing/electrical headache which began 30 minutes prior to arrival. She states she was standing at work when had sudden onset severe headache radiating into her right eye. Stating that it feels like my right eyeball is going to explode. She ranks the pain a 9 out of 10. She does have a history of migraine headaches which have never been evaluated with imaging or by neurology. They were normally frontal, and she has not had one in more than 2 years. She states that this headache is dramatically different than her prior migraines. Patient states associated with this sudden onset headache, she had bilateral neck pain, and substernal chest pain. Upon arrival to clinic, she points to her substernal region as the site of her chest pain. She denies associated shortness of breath, irregular heart rate/rhythm, presyncope. She does feel slightly weak. Of note, patient states she had a MODERNA COVID-19 vaccine on Saturday and subsequently had some right-sided shoulder pain. Her symptoms are on the same side.   - 7:50 AM: BP 165/109 (R arm); pulse 86; no antihypertensives given, given a total of 100 mcg fentanyl over 1 hr - 9:04 AM: BP 150/92 (R arm); pulse 60; transferred to hospital and then to transfered to another hospital via helicopter for SAH 3/31/2021 ED - given nicardipine IV, dexamethasone IV, levetiracetam, and antiemetics.  Nero noted that no associated trauma, LOC, or seizure with the HA, Neuro assessment - day 4 (plus possible re-rupture within last 24 hours) of good clinical grade HH2 low volume aSAH due to ruptured R ICA ANR 4/1/2021 - completed successful and uncomplicated RICA oblong aneurysm coiling (successful coil elimination & preservation adjacent PcommA infundibulum).  Patient was admitted to critical care for post procedure care, monitoring, and management of sodium, blood pressure, and headache.   Levetiracetam discontinued since patient did not have any seizures.   4/7/2021 - discharged
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Injection site pain, Migraine, Musculoskeletal discomfort
Clinical narrative: "Moderna COVID-19 Vaccine EUA" -- received 1st dose 3/27/2021 Received 1st Moderna vaccine in R arm on 3/27/21. Within first hour, she had a headache, R eye pain, and felt tired; symptoms subsided after she laid down.  On 3/31 in early AM, felt sudden and more severe headache and same eye pain, and "electrical contractions down neck, back, and spine."  Went to medical facility, then transferred to hospital, and transferred to another hospital via helicopter. 61-year-old female, generally very healthy, on no medications, here complaining of sudden onset right sided stabbing/electrical headache which began 30 minutes prior to arrival. She states she was standing at work when had sudden onset severe headache radiating into her right eye. Stating that it feels like my right eyeball is going to explode. She ranks the pain a 9 out of 10. She does have a history of migraine headaches which have never been evaluated with imaging or by neurology. They were normally frontal, and she has not had one in more than 2 years. She states that this headache is dramatically different than her prior migraines. Patient states associated with this sudden onset headache, she had bilateral neck pain, and substernal chest pain. Upon arrival to clinic, she points to her substernal region as the site of her chest pain. She denies associated shortness of breath, irregular heart rate/rhythm, presyncope. She does feel slightly weak. Of note, patient states she had a MODERNA COVID-19 vaccine on Saturday and subsequently had some right-sided shoulder pain. Her symptoms are on the same side.   - 7:50 AM: BP 165/109 (R arm); pulse 86; no antihypertensives given, given a total of 100 mcg fentanyl over 1 hr - 9:04 AM: BP 150/92 (R arm); pulse 60; transferred to hospital and then to transfered to another hospital via helicopter for SAH 3/31/2021 ED - given nicardipine IV, dexamethasone IV, levetiracetam, and antiemetics.  Nero noted that no associated trauma, LOC, or seizure with the HA, Neuro assessment - day 4 (plus possible re-rupture within last 24 hours) of good clinical grade HH2 low volume aSAH due to ruptured R ICA ANR 4/1/2021 - completed successful and uncomplicated RICA oblong aneurysm coiling (successful coil elimination & preservation adjacent PcommA infundibulum).  Patient was admitted to critical care for post procedure care, monitoring, and management of sodium, blood pressure, and headache.   Levetiracetam discontinued since patient did not have any seizures.   4/7/2021 - discharged
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Subarachnoid haemorrhage
Clinical narrative: "Moderna COVID-19 Vaccine EUA" -- received 1st dose 3/27/2021 Received 1st Moderna vaccine in R arm on 3/27/21. Within first hour, she had a headache, R eye pain, and felt tired; symptoms subsided after she laid down.  On 3/31 in early AM, felt sudden and more severe headache and same eye pain, and "electrical contractions down neck, back, and spine."  Went to medical facility, then transferred to hospital, and transferred to another hospital via helicopter. 61-year-old female, generally very healthy, on no medications, here complaining of sudden onset right sided stabbing/electrical headache which began 30 minutes prior to arrival. She states she was standing at work when had sudden onset severe headache radiating into her right eye. Stating that it feels like my right eyeball is going to explode. She ranks the pain a 9 out of 10. She does have a history of migraine headaches which have never been evaluated with imaging or by neurology. They were normally frontal, and she has not had one in more than 2 years. She states that this headache is dramatically different than her prior migraines. Patient states associated with this sudden onset headache, she had bilateral neck pain, and substernal chest pain. Upon arrival to clinic, she points to her substernal region as the site of her chest pain. She denies associated shortness of breath, irregular heart rate/rhythm, presyncope. She does feel slightly weak. Of note, patient states she had a MODERNA COVID-19 vaccine on Saturday and subsequently had some right-sided shoulder pain. Her symptoms are on the same side.   - 7:50 AM: BP 165/109 (R arm); pulse 86; no antihypertensives given, given a total of 100 mcg fentanyl over 1 hr - 9:04 AM: BP 150/92 (R arm); pulse 60; transferred to hospital and then to transfered to another hospital via helicopter for SAH 3/31/2021 ED - given nicardipine IV, dexamethasone IV, levetiracetam, and antiemetics.  Nero noted that no associated trauma, LOC, or seizure with the HA, Neuro assessment - day 4 (plus possible re-rupture within last 24 hours) of good clinical grade HH2 low volume aSAH due to ruptured R ICA ANR 4/1/2021 - completed successful and uncomplicated RICA oblong aneurysm coiling (successful coil elimination & preservation adjacent PcommA infundibulum).  Patient was admitted to critical care for post procedure care, monitoring, and management of sodium, blood pressure, and headache.   Levetiracetam discontinued since patient did not have any seizures.   4/7/2021 - discharged
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Arthralgia, Blood iron decreased, Chest pain, Chills
Clinical narrative: Patient received COVID -19 vaccine Johnson & Johnson on 4/11/21. On unspecified date, patient presented with fever, muscle aches, join pain, and feeling unwell. Per ED notes, provider documented this was a reaction related to COVID vaccine. File this incident for record keeping.  Patient came back on unspecified date to ED for evaluation of elevated D-Dimer. Patient was at PCP and had labs drawn, her D-dimer was elevated, and her HA was still persistent. She denied any chest pain, shortness of breath, hemoptysis, tachycardia, and pleuritic chest pain. CT brain showed normal in size, no mass lesion, hemorrhage, or acute infarct. Report ADR for record keeping.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram normal, Diarrhoea, Fibrin D dimer increased, Flushing, Full blood count abnormal
Clinical narrative: Patient received COVID -19 vaccine Johnson & Johnson on 4/11/21. On unspecified date, patient presented with fever, muscle aches, join pain, and feeling unwell. Per ED notes, provider documented this was a reaction related to COVID vaccine. File this incident for record keeping.  Patient came back on unspecified date to ED for evaluation of elevated D-Dimer. Patient was at PCP and had labs drawn, her D-dimer was elevated, and her HA was still persistent. She denied any chest pain, shortness of breath, hemoptysis, tachycardia, and pleuritic chest pain. CT brain showed normal in size, no mass lesion, hemorrhage, or acute infarct. Report ADR for record keeping.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Immediate post-injection reaction, Myalgia, Nausea, Pain in extremity
Clinical narrative: Patient received COVID -19 vaccine Johnson & Johnson on 4/11/21. On unspecified date, patient presented with fever, muscle aches, join pain, and feeling unwell. Per ED notes, provider documented this was a reaction related to COVID vaccine. File this incident for record keeping.  Patient came back on unspecified date to ED for evaluation of elevated D-Dimer. Patient was at PCP and had labs drawn, her D-dimer was elevated, and her HA was still persistent. She denied any chest pain, shortness of breath, hemoptysis, tachycardia, and pleuritic chest pain. CT brain showed normal in size, no mass lesion, hemorrhage, or acute infarct. Report ADR for record keeping.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Patient received COVID -19 vaccine Johnson & Johnson on 4/11/21. On unspecified date, patient presented with fever, muscle aches, join pain, and feeling unwell. Per ED notes, provider documented this was a reaction related to COVID vaccine. File this incident for record keeping.  Patient came back on unspecified date to ED for evaluation of elevated D-Dimer. Patient was at PCP and had labs drawn, her D-dimer was elevated, and her HA was still persistent. She denied any chest pain, shortness of breath, hemoptysis, tachycardia, and pleuritic chest pain. CT brain showed normal in size, no mass lesion, hemorrhage, or acute infarct. Report ADR for record keeping.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood test, Computerised tomogram head, Fibrin D dimer, Headache
Clinical narrative: Patient received COVID -19 vaccine Johnson & Johnson on 4/11/21. On unspecified date, patient presented with fever, muscle aches, join pain, and feeling unwell. Per ED notes, provider documented this was a reaction related to COVID vaccine. File this incident for record keeping.  Patient came back on unspecified date to ED for evaluation of elevated D-Dimer. Patient was at PCP and had labs drawn, her D-dimer was elevated, and her HA was still persistent. She denied any chest pain, shortness of breath, hemoptysis, tachycardia, and pleuritic chest pain. CT brain showed normal in size, no mass lesion, hemorrhage, or acute infarct. Report ADR for record keeping.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Myalgia, Pyrexia
Clinical narrative: Patient received COVID -19 vaccine Johnson & Johnson on 4/11/21. On unspecified date, patient presented with fever, muscle aches, join pain, and feeling unwell. Per ED notes, provider documented this was a reaction related to COVID vaccine. File this incident for record keeping.  Patient came back on unspecified date to ED for evaluation of elevated D-Dimer. Patient was at PCP and had labs drawn, her D-dimer was elevated, and her HA was still persistent. She denied any chest pain, shortness of breath, hemoptysis, tachycardia, and pleuritic chest pain. CT brain showed normal in size, no mass lesion, hemorrhage, or acute infarct. Report ADR for record keeping.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Deep vein thrombosis, Muscle spasms, Pain in extremity, Peripheral swelling
Clinical narrative: A few days after the vaccine my leg became complete cramped which caused me to go to the ER where several testwere performed and a vascular X-ray was also performed where it revealed a DVT was present in my lower left leg. I am currently taking Eliquis and various additional testing has been done to see why this has occurred but are pending the results. I still have edema and the minor cramping in my leg and foot also.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thinking abnormal
Clinical narrative: A few days after the vaccine my leg became complete cramped which caused me to go to the ER where several testwere performed and a vascular X-ray was also performed where it revealed a DVT was present in my lower left leg. I am currently taking Eliquis and various additional testing has been done to see why this has occurred but are pending the results. I still have edema and the minor cramping in my leg and foot also.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase, Blood magnesium, Deep vein thrombosis, Full blood count, Haematocrit decreased
Clinical narrative: A few days after the vaccine my leg became complete cramped which caused me to go to the ER where several testwere performed and a vascular X-ray was also performed where it revealed a DVT was present in my lower left leg. I am currently taking Eliquis and various additional testing has been done to see why this has occurred but are pending the results. I still have edema and the minor cramping in my leg and foot also.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin decreased, Metabolic function test, Muscle spasms, Platelet count, Platelet count normal
Clinical narrative: A few days after the vaccine my leg became complete cramped which caused me to go to the ER where several testwere performed and a vascular X-ray was also performed where it revealed a DVT was present in my lower left leg. I am currently taking Eliquis and various additional testing has been done to see why this has occurred but are pending the results. I still have edema and the minor cramping in my leg and foot also.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red cell distribution width increased, X-ray abnormal
Clinical narrative: A few days after the vaccine my leg became complete cramped which caused me to go to the ER where several testwere performed and a vascular X-ray was also performed where it revealed a DVT was present in my lower left leg. I am currently taking Eliquis and various additional testing has been done to see why this has occurred but are pending the results. I still have edema and the minor cramping in my leg and foot also.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Brain injury, Intensive care, Nerve injury, Road traffic accident, Seizure
Clinical narrative: The family reported he had a seizure 4 hours after immunization while driving motorcycle and while on bipolar medications. Ended up in hospital.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Seizure
Clinical narrative: The family reported he had a seizure 4 hours after immunization while driving motorcycle and while on bipolar medications. Ended up in hospital.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pruritus, Injection site swelling, Pruritus, Rash
Clinical narrative: Diagnosed with pityriasis rosea caused by covid vaccine.  Rash lasted for 7 days. Fatigue, brain fog, sore throat and nasal congestion are still persisting.  Per doctor?s directions I have been taking Benadryl every 6 hours since April 18. Also taking anti-inflammatory regularly and prescribed steroid cream.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Nasal congestion, Oropharyngeal pain, Pityriasis rosea
Clinical narrative: Diagnosed with pityriasis rosea caused by covid vaccine.  Rash lasted for 7 days. Fatigue, brain fog, sore throat and nasal congestion are still persisting.  Per doctor?s directions I have been taking Benadryl every 6 hours since April 18. Also taking anti-inflammatory regularly and prescribed steroid cream.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Erythema, Eyelid oedema, Fatigue, Laboratory test normal
Clinical narrative: The patient began to notice that her face/eye was swollen/finger tingling.  She then proceeded to have an itchy and scratchy and burning sensation.  Her fever increased to 101.6.  During her telehealth evaluation on April 14, 2021 8 macular papular rash that was not deemed to be proper was noted on the lower extremities.  They were nonblanchable and no pain was elicited with palpation by the patient under my direction.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Pain, Rash, Rhinorrhoea, Skin exfoliation
Clinical narrative: The patient began to notice that her face/eye was swollen/finger tingling.  She then proceeded to have an itchy and scratchy and burning sensation.  Her fever increased to 101.6.  During her telehealth evaluation on April 14, 2021 8 macular papular rash that was not deemed to be proper was noted on the lower extremities.  They were nonblanchable and no pain was elicited with palpation by the patient under my direction.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat irritation
Clinical narrative: The patient began to notice that her face/eye was swollen/finger tingling.  She then proceeded to have an itchy and scratchy and burning sensation.  Her fever increased to 101.6.  During her telehealth evaluation on April 14, 2021 8 macular papular rash that was not deemed to be proper was noted on the lower extremities.  They were nonblanchable and no pain was elicited with palpation by the patient under my direction.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angioedema, Burning sensation, C-reactive protein normal, Drug eruption, Eye swelling
Clinical narrative: The patient began to notice that her face/eye was swollen/finger tingling.  She then proceeded to have an itchy and scratchy and burning sensation.  Her fever increased to 101.6.  During her telehealth evaluation on April 14, 2021 8 macular papular rash that was not deemed to be proper was noted on the lower extremities.  They were nonblanchable and no pain was elicited with palpation by the patient under my direction.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, Malaise, Metabolic function test, Paraesthesia, Pruritus
Clinical narrative: The patient began to notice that her face/eye was swollen/finger tingling.  She then proceeded to have an itchy and scratchy and burning sensation.  Her fever increased to 101.6.  During her telehealth evaluation on April 14, 2021 8 macular papular rash that was not deemed to be proper was noted on the lower extremities.  They were nonblanchable and no pain was elicited with palpation by the patient under my direction.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rash maculo-papular, Red blood cell sedimentation rate normal, Scratch, Swelling face
Clinical narrative: The patient began to notice that her face/eye was swollen/finger tingling.  She then proceeded to have an itchy and scratchy and burning sensation.  Her fever increased to 101.6.  During her telehealth evaluation on April 14, 2021 8 macular papular rash that was not deemed to be proper was noted on the lower extremities.  They were nonblanchable and no pain was elicited with palpation by the patient under my direction.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hyperventilation
Clinical narrative: Became slightly dizzy within ten minutes of vaccination. Increasing dizziness became severe. Passed out completely while sitting down. Woke up with an IV in my arm. Medic said my blood pressure had dropped dangerously low. Was loaded onto stretcher and transported by ambulance to the hospital ER. Blood pressure and pulse monitored. Received  EKG, blood, and urine tests. No reported abnormalities.  Discharged after three hours. Formal diagnosis was Syncope, a fainting episode.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure decreased, Blood test, Dizziness, Electrocardiogram, Loss of consciousness
Clinical narrative: Became slightly dizzy within ten minutes of vaccination. Increasing dizziness became severe. Passed out completely while sitting down. Woke up with an IV in my arm. Medic said my blood pressure had dropped dangerously low. Was loaded onto stretcher and transported by ambulance to the hospital ER. Blood pressure and pulse monitored. Received  EKG, blood, and urine tests. No reported abnormalities.  Discharged after three hours. Formal diagnosis was Syncope, a fainting episode.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Urine analysis
Clinical narrative: Became slightly dizzy within ten minutes of vaccination. Increasing dizziness became severe. Passed out completely while sitting down. Woke up with an IV in my arm. Medic said my blood pressure had dropped dangerously low. Was loaded onto stretcher and transported by ambulance to the hospital ER. Blood pressure and pulse monitored. Received  EKG, blood, and urine tests. No reported abnormalities.  Discharged after three hours. Formal diagnosis was Syncope, a fainting episode.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cyanosis, Death, Feeling abnormal, Headache, Vomiting
Clinical narrative: Patient's family reported he was feeling unwell the night of vaccination, several hours after receiving the vaccine. He went to sleep, and patient's wife found him unresponsive in the morning. Patient was confirmed to have passed away.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aneurysm, Autopsy, Brain neoplasm, Death, Malaise
Clinical narrative: Patient's family reported he was feeling unwell the night of vaccination, several hours after receiving the vaccine. He went to sleep, and patient's wife found him unresponsive in the morning. Patient was confirmed to have passed away.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient's family reported he was feeling unwell the night of vaccination, several hours after receiving the vaccine. He went to sleep, and patient's wife found him unresponsive in the morning. Patient was confirmed to have passed away.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Chills, Computerised tomogram, Diarrhoea, Feeling abnormal
Clinical narrative: Patient received his dose of COVID-19 Janssen vaccine on 4/5/21. Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine. On 4/16/21 patient began to have swelling in his neck to his hand and presented to the ER. Patient reports having recent tooth surgery complication and thinks the appearance of swelling occurred on same side and occurred around same time. Patient was diagnosed with a DVT of the internal jugular, subclavian vein and given a dose of lovenox. Patient had personal matters to attend to and left AMA before full treatment and disease workup. Patient presented the next day on 4/17/21 to MC to receive further care. The swelling had worsened overnight. Labs showed normal platelet count and no thrombocytopenia. Ultrasound confirmed a near-occlusive right internal jugular and subclavian DVT. An asymptomatic cerebral venous thrombosis, with thrombosis in the right sigmoid sinus and partial thrombosis of the right transverse sinus was also noted on imaging. MC notes state usual cause for upper extremity DVT does not apply to patient - no trauma or evidence of cancer. Patient suffered no significant events during hospitalization. Clot was further treated with Argatroban during stay and patient was d/c on 4/20/21 with Apixaban to treat the DVT with plans to follow up with vascular surgery for surgery after clots are resolved in several weeks