chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Computerised tomogram head normal, Dizziness, Headache, Hypoacusis
Clinical narrative: Daily headaches that began about 2 months after 2nd Pfizer vaccination.  Several incidents of vertigo and vomiting over a course of 3 months starting in late April 2021.  Headaches that worsen and throb whenever I bend over such that my head is lower than my midsection.  Hearing anolmalies - intermittent ringing, decreased hearing, garbled hearing, amplification of low frequency sounds, Went to Urgent Care 4/26 after feeling dizzy.  Inner ears were noted to be full of fluids, bubbly.  Advised to take decongestant. 5/2 - Phone visit with nurse in my physician's office.  Rx of Z-pak.  Had been very dizzy and vomited. 5/6 - Doctor.  Tested for neurological symptoms - none.  Recommended use sudafed to clear ears, which were still very full of fluid (never had nasal or sinus congestion all this time). 6/3 - Saw P.A. at my physician's office.  Had been dizzy and vomited.  Recommended antihistamines to clear ears. 7/6 - Was dizzy again, so doctors office ordered a CT scan of my sinuses. 7/8 - CT Scan of sinuses was negative 7/8 - saw ENT, but my ears were clear that day.  ENT suspected Minere's disease, but hearing test negated that diagnosis.  The ENT suspects migraines are the cause of my symptoms. 7/8 - That evening I had another major dizzy spell.  Took Maclazine for nausea and did not vomit this time. 7/14 - Got so dizzy at work that I had to be driven home. 7/25 - Saw Dr, who listened to the course of all my symptoms and treatments and diagnoses.  He ordered a MRI of blood flow in the Circle of Willis/Brain.  Result came back negative.  Was given referral to a neurologist and a Rx for Topomax.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Meniere's disease, Middle ear effusion, Migraine, Sinus congestion
Clinical narrative: Daily headaches that began about 2 months after 2nd Pfizer vaccination.  Several incidents of vertigo and vomiting over a course of 3 months starting in late April 2021.  Headaches that worsen and throb whenever I bend over such that my head is lower than my midsection.  Hearing anolmalies - intermittent ringing, decreased hearing, garbled hearing, amplification of low frequency sounds, Went to Urgent Care 4/26 after feeling dizzy.  Inner ears were noted to be full of fluids, bubbly.  Advised to take decongestant. 5/2 - Phone visit with nurse in my physician's office.  Rx of Z-pak.  Had been very dizzy and vomited. 5/6 - Doctor.  Tested for neurological symptoms - none.  Recommended use sudafed to clear ears, which were still very full of fluid (never had nasal or sinus congestion all this time). 6/3 - Saw P.A. at my physician's office.  Had been dizzy and vomited.  Recommended antihistamines to clear ears. 7/6 - Was dizzy again, so doctors office ordered a CT scan of my sinuses. 7/8 - CT Scan of sinuses was negative 7/8 - saw ENT, but my ears were clear that day.  ENT suspected Minere's disease, but hearing test negated that diagnosis.  The ENT suspects migraines are the cause of my symptoms. 7/8 - That evening I had another major dizzy spell.  Took Maclazine for nausea and did not vomit this time. 7/14 - Got so dizzy at work that I had to be driven home. 7/25 - Saw Dr, who listened to the course of all my symptoms and treatments and diagnoses.  He ordered a MRI of blood flow in the Circle of Willis/Brain.  Result came back negative.  Was given referral to a neurologist and a Rx for Topomax.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus, Vertigo, Vomiting
Clinical narrative: Daily headaches that began about 2 months after 2nd Pfizer vaccination.  Several incidents of vertigo and vomiting over a course of 3 months starting in late April 2021.  Headaches that worsen and throb whenever I bend over such that my head is lower than my midsection.  Hearing anolmalies - intermittent ringing, decreased hearing, garbled hearing, amplification of low frequency sounds, Went to Urgent Care 4/26 after feeling dizzy.  Inner ears were noted to be full of fluids, bubbly.  Advised to take decongestant. 5/2 - Phone visit with nurse in my physician's office.  Rx of Z-pak.  Had been very dizzy and vomited. 5/6 - Doctor.  Tested for neurological symptoms - none.  Recommended use sudafed to clear ears, which were still very full of fluid (never had nasal or sinus congestion all this time). 6/3 - Saw P.A. at my physician's office.  Had been dizzy and vomited.  Recommended antihistamines to clear ears. 7/6 - Was dizzy again, so doctors office ordered a CT scan of my sinuses. 7/8 - CT Scan of sinuses was negative 7/8 - saw ENT, but my ears were clear that day.  ENT suspected Minere's disease, but hearing test negated that diagnosis.  The ENT suspects migraines are the cause of my symptoms. 7/8 - That evening I had another major dizzy spell.  Took Maclazine for nausea and did not vomit this time. 7/14 - Got so dizzy at work that I had to be driven home. 7/25 - Saw Dr, who listened to the course of all my symptoms and treatments and diagnoses.  He ordered a MRI of blood flow in the Circle of Willis/Brain.  Result came back negative.  Was given referral to a neurologist and a Rx for Topomax.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Haematoma, Injection site pain, Pain, Pain in extremity, Tearfulness
Clinical narrative: Possible SIRVA?  Patient left message on nurse line: got her covid vaccine on 7/19/2021- continues to have a stabbing pain in her arm where she received the vaccine - patient seeking advice on treating pain.   Nurse spoke with pt, states she received her covid vaccine on 7/19 in her right arm. Since then she has been having intermittent stabbing sensation to her arm in the area that she received the shot. States it comes and goes, will sometimes bring her to tears, visually nothing is different about arm, and no weakness, tingling, numbness ect.  Patient is a 56 y.o. female presenting with 2 weeks of right deltoid pain which developed after getting her 1st COVID vaccine.  She describes a sharp stabbing sensation in her right shoulder, with pain that sometimes does radiate down her right arm.  Symptoms have not improved over the past 2 weeks.  Denies any significant weakness in her upper extremity.  She has tried ibuprofen, Tylenol, Norco, which has not helped at all with the pain.  She does take gabapentin 300 mg which she does feel has helped somewhat.  No discoloration of the skin.  No fevers, no chills.  Assessment / Plan: 1. Pain of right upper extremity - US EXTREMITY SOFT TISSUE UPPER RIGHT; Future - predniSONE (DELTASONE) 20 MG tablet; Take 1 tablet by mouth 2 times daily for 5 days.  Dispense: 10 tablet; Refill: 0 - methylPREDNISolone acetate (DEPO-Medrol) 40 MG/ML injection 40 mg  1. Depo shot given in office, also recommending 5 day course of prednisone.  Will get ultrasound to evaluate right upper extremity.  Suspicion for hematoma which may be causing her symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Possible SIRVA?  Patient left message on nurse line: got her covid vaccine on 7/19/2021- continues to have a stabbing pain in her arm where she received the vaccine - patient seeking advice on treating pain.   Nurse spoke with pt, states she received her covid vaccine on 7/19 in her right arm. Since then she has been having intermittent stabbing sensation to her arm in the area that she received the shot. States it comes and goes, will sometimes bring her to tears, visually nothing is different about arm, and no weakness, tingling, numbness ect.  Patient is a 56 y.o. female presenting with 2 weeks of right deltoid pain which developed after getting her 1st COVID vaccine.  She describes a sharp stabbing sensation in her right shoulder, with pain that sometimes does radiate down her right arm.  Symptoms have not improved over the past 2 weeks.  Denies any significant weakness in her upper extremity.  She has tried ibuprofen, Tylenol, Norco, which has not helped at all with the pain.  She does take gabapentin 300 mg which she does feel has helped somewhat.  No discoloration of the skin.  No fevers, no chills.  Assessment / Plan: 1. Pain of right upper extremity - US EXTREMITY SOFT TISSUE UPPER RIGHT; Future - predniSONE (DELTASONE) 20 MG tablet; Take 1 tablet by mouth 2 times daily for 5 days.  Dispense: 10 tablet; Refill: 0 - methylPREDNISolone acetate (DEPO-Medrol) 40 MG/ML injection 40 mg  1. Depo shot given in office, also recommending 5 day course of prednisone.  Will get ultrasound to evaluate right upper extremity.  Suspicion for hematoma which may be causing her symptoms.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Injection site pain, Myalgia
Clinical narrative: Joint pain, significant arm pain at injection site, muscle pain (back)
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Dizziness, General physical condition abnormal, Loss of personal independence in daily activities, Tremor
Clinical narrative: Tremor in legs, dizziness, unable to perform daily activities as he was able to prior to the second dose of the vaccine. He is now dependent on others to do things for him and has an extreme Tremor in his leg when he walks
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Computerised tomogram, Condition aggravated, Laboratory test
Clinical narrative: I developed thoracic neuritis.  I have intercostal pain and thoracic back pain. The back pain started with COVID in Dec 2020.  The intercostal pain started the first of March 2021. By April 16, 3021, I?m in debilitating pain. I?ve had MRI, CT scan, MRI with contrast, lab work. Etc.  I?ve seen Medical Dr, Spine Orthopedist, Neurologist, Cardiothoracic surgeon, and Rheumatologist. All agree that  vaccine added insult to my body after having COVID and I?m having an inflammatory response.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Musculoskeletal chest pain, Neuritis, Pain, Red blood cell sedimentation rate
Clinical narrative: I developed thoracic neuritis.  I have intercostal pain and thoracic back pain. The back pain started with COVID in Dec 2020.  The intercostal pain started the first of March 2021. By April 16, 3021, I?m in debilitating pain. I?ve had MRI, CT scan, MRI with contrast, lab work. Etc.  I?ve seen Medical Dr, Spine Orthopedist, Neurologist, Cardiothoracic surgeon, and Rheumatologist. All agree that  vaccine added insult to my body after having COVID and I?m having an inflammatory response.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast, Systemic inflammatory response syndrome
Clinical narrative: I developed thoracic neuritis.  I have intercostal pain and thoracic back pain. The back pain started with COVID in Dec 2020.  The intercostal pain started the first of March 2021. By April 16, 3021, I?m in debilitating pain. I?ve had MRI, CT scan, MRI with contrast, lab work. Etc.  I?ve seen Medical Dr, Spine Orthopedist, Neurologist, Cardiothoracic surgeon, and Rheumatologist. All agree that  vaccine added insult to my body after having COVID and I?m having an inflammatory response.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Previous dose of Covid19 vaccine was Pfizer on 1-14-21. Vaccine administered today was Moderna as that's what was available at today's clinic.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: PT DID NOT DISCLOSE HE HAD ALREADY RECEIVED 2 MODERNA COVID 19 VACCINES.  HE WAS GIVEN A PFIZER VACCINE ON THE DAY BE ABLE COMMUNITY WAS GIVING OUT $50 CASH TO THOSE WHO WERE VACCINATED THAT DAY.  KDHE IMMUNIZATION PROGRAM NOTIFIED.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Biopsy colon, Colitis microscopic, Colonoscopy, Culture stool
Clinical narrative: A month after my second does I developed Lyphocytic Colitis. Never had this disease or anything related to it.  No one in my family has ever had Colitis either.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain in extremity, Pyrexia, Skin warm, Unresponsive to stimuli
Clinical narrative: Patient mom reported less than 24 hours after receiving 2nd dose of Moderna patient was found unresponsive with a fever and fingertips hot to touch. Patient also experienced a stiff neck and achy fingertips
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Aphasia, Arthralgia, Back pain, Diarrhoea
Clinical narrative: Immediate burning in the injection area, dizziness, and nausea 15 min after injection. Consecutive vomiting 2 to 20 minutes after the injection and strong stomach pain. About an hour later confusion to come up with words and lethargic when I went to bed. The next day I had severe diarrhea, Since that day I have felt fatigued, tachycardic, muscle aches and joints, and extreme fatigue. On the night of August 3rd, during the night I felt short of breath and did not sleep due to strong muscle pain that persisted, neck are and back pain.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Immediate post-injection reaction, Injection site pain
Clinical narrative: Immediate burning in the injection area, dizziness, and nausea 15 min after injection. Consecutive vomiting 2 to 20 minutes after the injection and strong stomach pain. About an hour later confusion to come up with words and lethargic when I went to bed. The next day I had severe diarrhea, Since that day I have felt fatigued, tachycardic, muscle aches and joints, and extreme fatigue. On the night of August 3rd, during the night I felt short of breath and did not sleep due to strong muscle pain that persisted, neck are and back pain.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Myalgia, Nausea, Neck pain, Sleep disorder
Clinical narrative: Immediate burning in the injection area, dizziness, and nausea 15 min after injection. Consecutive vomiting 2 to 20 minutes after the injection and strong stomach pain. About an hour later confusion to come up with words and lethargic when I went to bed. The next day I had severe diarrhea, Since that day I have felt fatigued, tachycardic, muscle aches and joints, and extreme fatigue. On the night of August 3rd, during the night I felt short of breath and did not sleep due to strong muscle pain that persisted, neck are and back pain.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Vomiting
Clinical narrative: Immediate burning in the injection area, dizziness, and nausea 15 min after injection. Consecutive vomiting 2 to 20 minutes after the injection and strong stomach pain. About an hour later confusion to come up with words and lethargic when I went to bed. The next day I had severe diarrhea, Since that day I have felt fatigued, tachycardic, muscle aches and joints, and extreme fatigue. On the night of August 3rd, during the night I felt short of breath and did not sleep due to strong muscle pain that persisted, neck are and back pain.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chest pain, Electrocardiogram ST segment elevation, Fatigue, Myalgia, Myocarditis
Clinical narrative: Myocarditis  Patient is a 14 y.o. male with no past medical history who presented to the ED today due to acute chest pain. He received his second mRNA COVID vaccine on 7/28, that night he developed a fever and over the next two days had some muscle aches, fatigue and continued fevers. This morning he woke up with left sided chest pain, not reproducible and unaffected by his breathing. He denies any palpitations, shortness of breath or syncope. He was seen in urgent care which found ST elevation on EKG and sent him to HDVCH  ED. EKG here confirmed ST elevation, troponin found to be elevated at 147. His chest pain improved with ibuprofen. He was admitted to cardiology service for continued monitoring.  HOSPITAL COURSE: Patient is a 14 y.o. male with no past medical history who presented after 2nd mRNA COVID vaccine with chest pain, ST changes on EKG and elevated troponin. He was admitted to the cardiology service for ongoing evaluation of myocarditis. He was started on ibuprofen every 6 hours for inflammation with resolution of his pain. His ECHO demonstrated normal cardiac structure and function. EKG at time of discharge showed improvement in ST elevation. Serial troponin levels continue to be elevated, but not rapidly increasing (147, 229, 243, 267), he will get a repeat troponin tomorrow as outpatient. ID was consulted this admission and myocarditis labs are still pending. He will continue 600mg Motrin TID until troponin level improves. He will have scheduled follow up with Dr  in 3 weeks.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pyrexia, Troponin increased
Clinical narrative: Myocarditis  Patient is a 14 y.o. male with no past medical history who presented to the ED today due to acute chest pain. He received his second mRNA COVID vaccine on 7/28, that night he developed a fever and over the next two days had some muscle aches, fatigue and continued fevers. This morning he woke up with left sided chest pain, not reproducible and unaffected by his breathing. He denies any palpitations, shortness of breath or syncope. He was seen in urgent care which found ST elevation on EKG and sent him to HDVCH  ED. EKG here confirmed ST elevation, troponin found to be elevated at 147. His chest pain improved with ibuprofen. He was admitted to cardiology service for continued monitoring.  HOSPITAL COURSE: Patient is a 14 y.o. male with no past medical history who presented after 2nd mRNA COVID vaccine with chest pain, ST changes on EKG and elevated troponin. He was admitted to the cardiology service for ongoing evaluation of myocarditis. He was started on ibuprofen every 6 hours for inflammation with resolution of his pain. His ECHO demonstrated normal cardiac structure and function. EKG at time of discharge showed improvement in ST elevation. Serial troponin levels continue to be elevated, but not rapidly increasing (147, 229, 243, 267), he will get a repeat troponin tomorrow as outpatient. ID was consulted this admission and myocarditis labs are still pending. He will continue 600mg Motrin TID until troponin level improves. He will have scheduled follow up with Dr  in 3 weeks.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Body temperature increased, Chest pain, Coxsackie virus test, Cytomegalovirus test, Echocardiogram
Clinical narrative: Myocarditis  Patient is a 14 y.o. male with no past medical history who presented to the ED today due to acute chest pain. He received his second mRNA COVID vaccine on 7/28, that night he developed a fever and over the next two days had some muscle aches, fatigue and continued fevers. This morning he woke up with left sided chest pain, not reproducible and unaffected by his breathing. He denies any palpitations, shortness of breath or syncope. He was seen in urgent care which found ST elevation on EKG and sent him to HDVCH  ED. EKG here confirmed ST elevation, troponin found to be elevated at 147. His chest pain improved with ibuprofen. He was admitted to cardiology service for continued monitoring.  HOSPITAL COURSE: Patient is a 14 y.o. male with no past medical history who presented after 2nd mRNA COVID vaccine with chest pain, ST changes on EKG and elevated troponin. He was admitted to the cardiology service for ongoing evaluation of myocarditis. He was started on ibuprofen every 6 hours for inflammation with resolution of his pain. His ECHO demonstrated normal cardiac structure and function. EKG at time of discharge showed improvement in ST elevation. Serial troponin levels continue to be elevated, but not rapidly increasing (147, 229, 243, 267), he will get a repeat troponin tomorrow as outpatient. ID was consulted this admission and myocarditis labs are still pending. He will continue 600mg Motrin TID until troponin level improves. He will have scheduled follow up with Dr  in 3 weeks.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Electrocardiogram ST-T change, Epstein-Barr virus antibody negative, HIV antibody negative, HIV antigen negative, Hepatitis C antibody negative
Clinical narrative: Myocarditis  Patient is a 14 y.o. male with no past medical history who presented to the ED today due to acute chest pain. He received his second mRNA COVID vaccine on 7/28, that night he developed a fever and over the next two days had some muscle aches, fatigue and continued fevers. This morning he woke up with left sided chest pain, not reproducible and unaffected by his breathing. He denies any palpitations, shortness of breath or syncope. He was seen in urgent care which found ST elevation on EKG and sent him to HDVCH  ED. EKG here confirmed ST elevation, troponin found to be elevated at 147. His chest pain improved with ibuprofen. He was admitted to cardiology service for continued monitoring.  HOSPITAL COURSE: Patient is a 14 y.o. male with no past medical history who presented after 2nd mRNA COVID vaccine with chest pain, ST changes on EKG and elevated troponin. He was admitted to the cardiology service for ongoing evaluation of myocarditis. He was started on ibuprofen every 6 hours for inflammation with resolution of his pain. His ECHO demonstrated normal cardiac structure and function. EKG at time of discharge showed improvement in ST elevation. Serial troponin levels continue to be elevated, but not rapidly increasing (147, 229, 243, 267), he will get a repeat troponin tomorrow as outpatient. ID was consulted this admission and myocarditis labs are still pending. He will continue 600mg Motrin TID until troponin level improves. He will have scheduled follow up with Dr  in 3 weeks.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Mycobacterium tuberculosis complex test negative, Myocarditis, Pyrexia, Streptococcus test, Streptococcus test negative
Clinical narrative: Myocarditis  Patient is a 14 y.o. male with no past medical history who presented to the ED today due to acute chest pain. He received his second mRNA COVID vaccine on 7/28, that night he developed a fever and over the next two days had some muscle aches, fatigue and continued fevers. This morning he woke up with left sided chest pain, not reproducible and unaffected by his breathing. He denies any palpitations, shortness of breath or syncope. He was seen in urgent care which found ST elevation on EKG and sent him to HDVCH  ED. EKG here confirmed ST elevation, troponin found to be elevated at 147. His chest pain improved with ibuprofen. He was admitted to cardiology service for continued monitoring.  HOSPITAL COURSE: Patient is a 14 y.o. male with no past medical history who presented after 2nd mRNA COVID vaccine with chest pain, ST changes on EKG and elevated troponin. He was admitted to the cardiology service for ongoing evaluation of myocarditis. He was started on ibuprofen every 6 hours for inflammation with resolution of his pain. His ECHO demonstrated normal cardiac structure and function. EKG at time of discharge showed improvement in ST elevation. Serial troponin levels continue to be elevated, but not rapidly increasing (147, 229, 243, 267), he will get a repeat troponin tomorrow as outpatient. ID was consulted this admission and myocarditis labs are still pending. He will continue 600mg Motrin TID until troponin level improves. He will have scheduled follow up with Dr  in 3 weeks.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: Myocarditis  Patient is a 14 y.o. male with no past medical history who presented to the ED today due to acute chest pain. He received his second mRNA COVID vaccine on 7/28, that night he developed a fever and over the next two days had some muscle aches, fatigue and continued fevers. This morning he woke up with left sided chest pain, not reproducible and unaffected by his breathing. He denies any palpitations, shortness of breath or syncope. He was seen in urgent care which found ST elevation on EKG and sent him to HDVCH  ED. EKG here confirmed ST elevation, troponin found to be elevated at 147. His chest pain improved with ibuprofen. He was admitted to cardiology service for continued monitoring.  HOSPITAL COURSE: Patient is a 14 y.o. male with no past medical history who presented after 2nd mRNA COVID vaccine with chest pain, ST changes on EKG and elevated troponin. He was admitted to the cardiology service for ongoing evaluation of myocarditis. He was started on ibuprofen every 6 hours for inflammation with resolution of his pain. His ECHO demonstrated normal cardiac structure and function. EKG at time of discharge showed improvement in ST elevation. Serial troponin levels continue to be elevated, but not rapidly increasing (147, 229, 243, 267), he will get a repeat troponin tomorrow as outpatient. ID was consulted this admission and myocarditis labs are still pending. He will continue 600mg Motrin TID until troponin level improves. He will have scheduled follow up with Dr  in 3 weeks.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cardiac stress test, Chest pain, Echocardiogram, Electrocardiogram, Laboratory test
Clinical narrative: Myocarditis  Patient is a 14 y.o. male with no past medical history who presented to the ED today due to acute chest pain. He received his second mRNA COVID vaccine on 7/28, that night he developed a fever and over the next two days had some muscle aches, fatigue and continued fevers. This morning he woke up with left sided chest pain, not reproducible and unaffected by his breathing. He denies any palpitations, shortness of breath or syncope. He was seen in urgent care which found ST elevation on EKG and sent him to HDVCH  ED. EKG here confirmed ST elevation, troponin found to be elevated at 147. His chest pain improved with ibuprofen. He was admitted to cardiology service for continued monitoring.  HOSPITAL COURSE: Patient is a 14 y.o. male with no past medical history who presented after 2nd mRNA COVID vaccine with chest pain, ST changes on EKG and elevated troponin. He was admitted to the cardiology service for ongoing evaluation of myocarditis. He was started on ibuprofen every 6 hours for inflammation with resolution of his pain. His ECHO demonstrated normal cardiac structure and function. EKG at time of discharge showed improvement in ST elevation. Serial troponin levels continue to be elevated, but not rapidly increasing (147, 229, 243, 267), he will get a repeat troponin tomorrow as outpatient. ID was consulted this admission and myocarditis labs are still pending. He will continue 600mg Motrin TID until troponin level improves. He will have scheduled follow up with Dr  in 3 weeks.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Movement disorder, Myocarditis, Pyrexia, Troponin increased
Clinical narrative: Myocarditis  Patient is a 14 y.o. male with no past medical history who presented to the ED today due to acute chest pain. He received his second mRNA COVID vaccine on 7/28, that night he developed a fever and over the next two days had some muscle aches, fatigue and continued fevers. This morning he woke up with left sided chest pain, not reproducible and unaffected by his breathing. He denies any palpitations, shortness of breath or syncope. He was seen in urgent care which found ST elevation on EKG and sent him to HDVCH  ED. EKG here confirmed ST elevation, troponin found to be elevated at 147. His chest pain improved with ibuprofen. He was admitted to cardiology service for continued monitoring.  HOSPITAL COURSE: Patient is a 14 y.o. male with no past medical history who presented after 2nd mRNA COVID vaccine with chest pain, ST changes on EKG and elevated troponin. He was admitted to the cardiology service for ongoing evaluation of myocarditis. He was started on ibuprofen every 6 hours for inflammation with resolution of his pain. His ECHO demonstrated normal cardiac structure and function. EKG at time of discharge showed improvement in ST elevation. Serial troponin levels continue to be elevated, but not rapidly increasing (147, 229, 243, 267), he will get a repeat troponin tomorrow as outpatient. ID was consulted this admission and myocarditis labs are still pending. He will continue 600mg Motrin TID until troponin level improves. He will have scheduled follow up with Dr  in 3 weeks.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Unresponsive to stimuli
Clinical narrative: patient stated having a strong phobia to needles. Immediately after the shot he became unresponsive; seemed to pass out. Then came around, said he was fine, and passed out again. came around, bit into snickers bar, then passed out a third time. EMT was enroute since the first episode and arrived in 5 minutes. RPH on duty turned over care to EMT. EMT evaluated patient for 15 minutes, and he signed out against them taking him to the hospital. patient sat for 25 minutes then appeared ok and left.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest pain, Dizziness, Electrocardiogram normal, Facial pain
Clinical narrative: Brain tingle, brain fog, extremely fatigued, less active, always dissy, headaces,nauseous, feeling of passing out, chest pain, face pain, sensitivity to light.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Loss of personal independence in daily activities, Magnetic resonance imaging normal
Clinical narrative: Brain tingle, brain fog, extremely fatigued, less active, always dissy, headaces,nauseous, feeling of passing out, chest pain, face pain, sensitivity to light.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia, Photophobia
Clinical narrative: Brain tingle, brain fog, extremely fatigued, less active, always dissy, headaces,nauseous, feeling of passing out, chest pain, face pain, sensitivity to light.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Hypophagia, Syncope
Clinical narrative: Patient received her immunization, was communicative and asked questions. She asked for a copy of her VAR. While me (the pharmacist) went to make a copy, she fainted in the immunization room.  She believes she hit her head on a table on the way down. She states she doesn't get vaccines so she did not know how she'd react to them. She also had not eaten food that day. She states she had fainted before on days she had not eaten. It took her approximately 30 minutes, a cold pack, a banana, and some water, but she was able to stand up and walk out. Her friend accompanied her.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Eczema, Rash
Clinical narrative: I have a enzema  skin rash all over the body for almost 3 weeks starting the next day after vacination
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial nerve disorder, Guillain-Barre syndrome
Clinical narrative: Developed left facial numbness for 2 hour duration. I checked into the ED as the symptoms I had  resembled a stroke. I am a Hospital pharmacist by background. I did not have facial drooping, slurring of speech, or muscle weakness.. Only Left facial numbness lasting two hours. This phenomena repeated itself once weekly for 2 more occasions and began 3 weeks post vaccine #2. I now recognize what transpired was Bells Palsy or a mild version of Guillen Barre
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram thorax abnormal, Hypothyroidism, Immediate post-injection reaction, Left ventricular hypertrophy
Clinical narrative: I had heart palpitations immediately after receiving the vaccination. The paramedics took my blood pressure and it was within normal range. That evening I have heart palpitations while sleeping. I would awake suddenly. This has happened every night since I receive the vaccine. I also have palpitations during the day.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Sleep disorder
Clinical narrative: I had heart palpitations immediately after receiving the vaccination. The paramedics took my blood pressure and it was within normal range. That evening I have heart palpitations while sleeping. I would awake suddenly. This has happened every night since I receive the vaccine. I also have palpitations during the day.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Blindness, Lumbar puncture, Magnetic resonance imaging head abnormal, Optic neuritis
Clinical narrative: optic neuritis of left eye.  diagnosed by MRI, optho eval. Antibodies pending. Severe vision loss <20/200 over 2 days. Given IV steroids and improved to 20/40 - 20/63
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus or ringing in the ears.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Hormone level abnormal, Memory impairment, Skin disorder
Clinical narrative: Loss of hair, scalp issues, worsening hormonal issues, worsening memory
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Maternal exposure during breast feeding, Nausea
Clinical narrative: My son, who was nearly 2 years old at the time of my vaccination and  who was breastfed, started vomiting 2 days after my vaccine. This lasted for about 2 days and went hand in hand with nausea and headache I experienced. About 10 days after the second dose of the vaccine, my son vomited again for about 3 days. I experienced headache and nausea at the same time.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersomnia, Migraine, Vomiting
Clinical narrative: Terrible migraine, 20 hours of sleep/trying to sleep along with throwing up a number of times.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Mild Dizziness
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Head to toe hives allergic reaction.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Myalgia
Clinical narrative: joint/muscle pain
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vibratory sense increased
Clinical narrative: Patient felt left arm was vibrating , she felt shaky for a few minutes
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Skin discolouration
Clinical narrative: Sore throat 4 plus days Body aches White cirle on left arm with shiny look
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram thorax abnormal, Dyspnoea, Pulmonary artery thrombosis, Pulmonary embolism
Clinical narrative: Increasing SOB for two weeks. Saw pulmonologist and was told to come to the ED for PE bilateral lungs. Came to the ED and got therapeutic Lovenox. Currently in observation at the hospital.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vascular calcification
Clinical narrative: Increasing SOB for two weeks. Saw pulmonologist and was told to come to the ED for PE bilateral lungs. Came to the ED and got therapeutic Lovenox. Currently in observation at the hospital.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid pos after vaccination
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Erythema, Peripheral swelling, Tenderness
Clinical narrative: Patient developed redness of the left arm with onset of swelling 1 day after vaccination.  Area became tender 3 days after vaccination
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated and tested positive for COVID-19
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope
Clinical narrative: THE PATIENT SUDDENLY FAINTED, FELL TO THE FLOOR FROM A SITTING POSITION
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Fatigue, Headache, Respiratory tract congestion
Clinical narrative: Patient experienced progressive worsening of side effects from pfizer vaccine per husband. Patient experienced headache, congestion, back pain, dizziness and extreme fatigue. Recommended that patient get a PCR test for covid-19 because some of the symptoms described by patients husband seemed abnormal. Recommended to follow up with PCP in a week or so if symptoms continue to worsen.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood glucose, Fall, Head injury, Malaise
Clinical narrative: Pt received the vaccine and headed to the waiting area. After approximately 5 minutes he approached the drop-off window and told the technician that he was not feeling well. As he spoke he began to rock backwards and then corrected forward. As he fell forward he grabbed the counter and hit his head then proceeded to fall to the floor. Two technicians attended to the patient by placing a pillow under his head and propping his feet up on a chair. I had been giving a COVID test at the drive-thru window but once I was alerted to the situation I addressed the situation and called 911 for a medic to assess the patient since he had hit his head when he fainted. The 911 dispatcher told me to sit with the patient and to make sure he continued to lay and to not consume any beverages or food until the paramedics arrived. The paramedics assessed the patient's blood pressure and blood sugar and was found to be alert and in good health. He denied any head or neck pain and declined transport to the hospital. He called his sister for a ride home.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt received the vaccine and headed to the waiting area. After approximately 5 minutes he approached the drop-off window and told the technician that he was not feeling well. As he spoke he began to rock backwards and then corrected forward. As he fell forward he grabbed the counter and hit his head then proceeded to fall to the floor. Two technicians attended to the patient by placing a pillow under his head and propping his feet up on a chair. I had been giving a COVID test at the drive-thru window but once I was alerted to the situation I addressed the situation and called 911 for a medic to assess the patient since he had hit his head when he fainted. The 911 dispatcher told me to sit with the patient and to make sure he continued to lay and to not consume any beverages or food until the paramedics arrived. The paramedics assessed the patient's blood pressure and blood sugar and was found to be alert and in good health. He denied any head or neck pain and declined transport to the hospital. He called his sister for a ride home.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Blood urine present, Computerised tomogram abdomen normal, Cystoscopy normal, Haematuria
Clinical narrative: Gross hematuria 13 days after 2nd vaccine dose. . Dark blood in urine for 6 hours.   GP ran blood tests and CT scan with normal results. Referred to urologist. Urologist performed CT scan and cystoscopy with normal results.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt came into the pharmacy and requested a Covid vaccine. Pt filled out the form and discussed the screening questions and EUA with the RPh. Pt said this was her 1st covid dose. She was administered the vaccine and reminded to come back in a minimum of 3 weeks for a 2nd dose to complete the series.Pt's family member called later upset. They said she already completed the series and has memory issues. Apparently she was sent here to request a Covid test but requested and went through with a 3rd Pfizer vaccine instead. She was not scheduled to get a Covid test either at our store. Pt's family member was urged to come in and fill out a  form if pt is not able to manage her prescriptions/healthcare, but no form has been received yet. An internal pharmacy report was also made on the 3rd dose.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Fatigue, Gait disturbance, Hypoaesthesia, Injection site pain
Clinical narrative: Severe bone and muscle pain. Numbness and tingling in right arm and right leg. Extreme fatigue/all started within 24 hrs of vaccine administration with pain and fatigue worsening 4 months post vaccine. Numbness and tingling in right arm and right leg started April 8, 2021. Saw Dr Saturday 4/10/21 with complaints of these symptoms. Instructed to take motrin. The following week news reporting issues with Jannsen vaccine including blood clots. My doctor felt it was best to order brain scan, and arterial and venal dopplers to check for blood clots. Test results negative. Pain intensifying as of today. Difficulty walking
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Paraesthesia, Scan brain, Ultrasound Doppler
Clinical narrative: Severe bone and muscle pain. Numbness and tingling in right arm and right leg. Extreme fatigue/all started within 24 hrs of vaccine administration with pain and fatigue worsening 4 months post vaccine. Numbness and tingling in right arm and right leg started April 8, 2021. Saw Dr Saturday 4/10/21 with complaints of these symptoms. Instructed to take motrin. The following week news reporting issues with Jannsen vaccine including blood clots. My doctor felt it was best to order brain scan, and arterial and venal dopplers to check for blood clots. Test results negative. Pain intensifying as of today. Difficulty walking
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electric shock sensation
Clinical narrative: Chest pain like a lighting shoots on my chest
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Burning sensation, Feeling hot, Heart rate increased, Paraesthesia
Clinical narrative: Upon receiving the vaccination roughly 15 min post administration I experienced slight tingling to mouth and lips. The symptoms continues through bilateral upper extremities and lower. I was offered water and was told to sit for a few more minutes to see if the symptoms subsided.  Slightly after 2pm the nurse took my vital signs and I was tachycardic in the 130?s and my blood pressure was 157/97. I was asked to go continue to sit and ?wait it out? maybe it was anxiety. Approximately 30 minutes had passed and vitals were taken again..SBP 140?s but heart rate dropped to 120?s. My director advised me to get evaluated in the ER. I was discharged and told to follow up with my PCP but if symptoms got worse to got to the ED. 10pm at night although the ?pins and needles? remain in my mouth and lips..they have  slightly subsiding throughout my upper and lower extremities but transitioned to a ?hot/burning sensation? and I still remain tachycardic.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Tachycardia
Clinical narrative: Upon receiving the vaccination roughly 15 min post administration I experienced slight tingling to mouth and lips. The symptoms continues through bilateral upper extremities and lower. I was offered water and was told to sit for a few more minutes to see if the symptoms subsided.  Slightly after 2pm the nurse took my vital signs and I was tachycardic in the 130?s and my blood pressure was 157/97. I was asked to go continue to sit and ?wait it out? maybe it was anxiety. Approximately 30 minutes had passed and vitals were taken again..SBP 140?s but heart rate dropped to 120?s. My director advised me to get evaluated in the ER. I was discharged and told to follow up with my PCP but if symptoms got worse to got to the ED. 10pm at night although the ?pins and needles? remain in my mouth and lips..they have  slightly subsiding throughout my upper and lower extremities but transitioned to a ?hot/burning sensation? and I still remain tachycardic.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Endometriosis, Menstruation irregular, Uterine pain
Clinical narrative: Stopped period and lasting uterus pain due to endometriosis
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Heart rate decreased, Hypotension, Loss of consciousness
Clinical narrative: Patient slumped forward from chair following receiving his vaccine. Regained consciousness within 5-10 seconds and was awake and oriented. 911 was called and paramedics came and began caring for the patient. They took him to the hospital and reported to me that his blood pressure and heart rate were both low. His family reported that he has a fear of blood and needles and it seems the event was triggered more by anxiety to the shot itself rather than the actual vaccine.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia
Clinical narrative: Patient was having light headed, dizzy and numbness in hands and lags.  We called 911 and paramedics took patient to hospital
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: High grade fever
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Lethargy, Loss of consciousness, Vaccination complication
Clinical narrative: Right after my daughter received her injection she became dizzy, lethargic and then passed out/lost consciousness. When she came too she vomitted. The paramedics were called out of precaution. Vitals suggested an unsafe drop in blood pressure. Shocked her system. Strong adverse reaction.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Right after my daughter received her injection she became dizzy, lethargic and then passed out/lost consciousness. When she came too she vomitted. The paramedics were called out of precaution. Vitals suggested an unsafe drop in blood pressure. Shocked her system. Strong adverse reaction.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye pain, Headache, Injection site swelling, Pain
Clinical narrative: Left arm: swelling, site of injection was elevated and enlarged  -frontal headaches/ eye pain -chills -general body aches
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Severe tinnitus, ongoing since Moderna vaccine.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Severe full body itching, currently on 3 antihistamines. Unable to stop. Symptoms reappear when and med is reduced.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy lymph gland, Computerised tomogram, Lymphadenectomy, Lymphadenopathy, Ultrasound scan
Clinical narrative: Swollen supraclavicular lymph nodes on left side. Biopsied and two removed after a few months. New lymph node appeared after biopsy next to surgical incision.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Hormone level abnormal, Menstruation delayed, Menstruation irregular, Skin disorder
Clinical narrative: Hormonal changes after second vaccine. It felt like a second ovulation, sore breasts, skin breaking out. My period was then six days late. It is never, ever late. Not pregnant. Period continues to be less predictable than before vaccination. It used to be almost down to the day, a 31 day cycle. Now it varies, longer or shorter.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Back pain, C-reactive protein increased, Fatigue
Clinical narrative: Patient developed polymyalgia rheumatica.  Starting 5 days after getting the second dose of Moderna vaccine, patient noticed progressive pain and weakness in her bilateral shoulders which peaked after about 3-5 days of worsening. It had been persistent from that time. She noted difficulty with overhead work or lifting anything above shoulder height. She also feels a generalized fatigue. Sometimes the achiness in her shoulders and stiffness occurs in the morning, but it also can persist throughout the day. She additionally notices aching and stiffness in her neck, torso, and some in her low back and hips.  She had attempted chiropractic, accupuncture and perineural injection therapy for the pain, which was not helpful.  Then, I suspected polymyalgia rheumatica on 6/9/21 during an office visit and confirmed the diagnosis after elevated CRP and ESR, and subsequent improvement within a week of starting prednisone 15mg daily.