chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Admit 7/5, vaccine 3/6, 3/27. H/O type II DM, HTN, CAD. Admit for weakness, cough, fever. COVID+, COVID PNA. Treated with abx, steroid, O2. Not a candidate for remdesivir d/t acute renal fx. Pt gradually improved, DC'd home on 2L home O2.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Admit 7/5, vaccine 3/6, 3/27. H/O type II DM, HTN, CAD. Admit for weakness, cough, fever. COVID+, COVID PNA. Treated with abx, steroid, O2. Not a candidate for remdesivir d/t acute renal fx. Pt gradually improved, DC'd home on 2L home O2.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore Arm
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cough, SARS-CoV-2 test positive
Clinical narrative: Admit 6/30, vaccine 1/19, 2/9. Admit for weakness, cough, syncopal episodes. H/O Type II DM, atrial tachycardia, HTN. COVID +, COVID PNA. Tx w/ short course steroid, abx, did not require O2. DC'd home.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Admit 6/30, vaccine 1/19, 2/9. Admit for weakness, cough, syncopal episodes. H/O Type II DM, atrial tachycardia, HTN. COVID +, COVID PNA. Tx w/ short course steroid, abx, did not require O2. DC'd home.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Vision blurred
Clinical narrative: Patient reported blurred vision roughly 15 minutes after vaccination. Patient was asked to continue being seated (in an electric scooter provided by the store) and I took her blood pressure using wrist monitor as her arm circumference did not allow for testing blood pressure using the arm  cuffs available. Blood pressure was elevated at around 150/90 but not alarming. I noted to patient elevated blood pressure can be due to exercise (patient getting out of scooter to get on blood pressure in store machine), anxiety, etc.  Patient has not been diagnosed with hypertension. I asked patient if any other side effects but patient notes no others and the blurred vision was dissipating. Patient advised to seek emergency help if blurred vision or any visual changes comes back as this is not a common side effect to the vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Heavy period on and off since I got the vaccine. Have had three periods since the end of month July. This is unusual for me since I have had a normal period my whole life. I know my body and this is not normal and the only change is the fact that I got vaccinated.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Foetal heart rate abnormal, Menstruation irregular, Pregnancy, Ultrasound foetal abnormal
Clinical narrative: After receiving each COVID vaccine, had a couple of irregular periods. Became pregnant about 1 month after receiving 2nd dose of vaccine. At 8.5 week ultrasound, was told baby was only 6.5 weeks judging by size and heart rate. At 10.5 weeks, went in for another ultrasound and there was no heartbeat - baby measured about 6 weeks. Miscarriage.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chest pain, Chills, Dyspnoea
Clinical narrative: Admit 6/23, vaccine 3/11, 4/13. Admit for acute chest pain, dyspnea, chills. Multiple comorbidities CAD, COPD, HTN, OSA.  CXR shows opacities, COVID PNA or aspirate PNA. Treated with abx, steroids. Remained on RA, no remdesivir given. DC'd home.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Pneumonia aspiration
Clinical narrative: Admit 6/23, vaccine 3/11, 4/13. Admit for acute chest pain, dyspnea, chills. Multiple comorbidities CAD, COPD, HTN, OSA.  CXR shows opacities, COVID PNA or aspirate PNA. Treated with abx, steroids. Remained on RA, no remdesivir given. DC'd home.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19
Clinical narrative: Pre-op COVID-19 positive test ; asymptomatic
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19 pneumonia, Deep vein thrombosis
Clinical narrative: Admit for COVID pneumonia. Treated w/ remdesivir, tocilizumab, steroids, vit-c, zinc, high-flow O2, plasma, rocephin/doxy. Developed RLE DVT, started Eliquis. DC on 5L home O2.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19 pneumonia, Dyspnoea, Sepsis
Clinical narrative: Admit 6/20, vaccine 4/7, 4/29. Admit for SOB - COVID PNA, severe sepsis, acute renal failure. H/O heart transplant and on dual immunosuppression. Remained on room air. Steroids not needed per MD. Tfer for further transplant care 6/22.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: admitted approx. 4 months after completion of current vaccine series.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram normal, Dyskinesia, Dysphemia, Dyspnoea, Electroencephalogram abnormal
Clinical narrative: Initially after second vaccine awful migraine that resulted in trip to the ER for treatment with steroids, IV painkillers and prescription for toreador for 10 days. Beginning April 9th I had a seizure while sleeping. I mentioned this to my neurologist and she ordered and MRI (came back unremarkable) and an EEG. During the EEG which took place on May 21, 2021 when strobe lights were used I began seizing . I was transported to the ER and treated with Ativan to stop seizure. I continued seizing on and off while in the ER and was admitted to the Epilepsy monitoring unit for 4 days for observation under video monitoring and continuous EEG. I continued having seizures throughout but the EEGs did not pick up any signs of epileptic seizures. I was discharged, over the coming weeks I continued to have seizures and was started on 500mg of Keppra twice a day which was later increased to 750mg twice a day. I was also started on 25mg of lamictal the dose of which was titrated upwards to 100mg per day. Seizures typically begin with tremor in left or right leg, head pain, then facial tics, followed by full body rigidity and spasms, inability to properly breathe, clenched fists, thrashing of head, some times I would be conscious other times I would loose consciousness. Some seizures last for a minute or two while others last upawards of 20 minutes. Post seizure like activity, I am very tired, speech is unintelligible, eventually comes back with a stutter which eventually goes away after a couple of hours. The non-epileptic seizures have continued since. Hospital stays occurred on 5/21-5/25, 6/24-6/26, 7/22-7/24
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epilepsy, Fatigue, Headache, Joint contracture, Loss of consciousness
Clinical narrative: Initially after second vaccine awful migraine that resulted in trip to the ER for treatment with steroids, IV painkillers and prescription for toreador for 10 days. Beginning April 9th I had a seizure while sleeping. I mentioned this to my neurologist and she ordered and MRI (came back unremarkable) and an EEG. During the EEG which took place on May 21, 2021 when strobe lights were used I began seizing . I was transported to the ER and treated with Ativan to stop seizure. I continued seizing on and off while in the ER and was admitted to the Epilepsy monitoring unit for 4 days for observation under video monitoring and continuous EEG. I continued having seizures throughout but the EEGs did not pick up any signs of epileptic seizures. I was discharged, over the coming weeks I continued to have seizures and was started on 500mg of Keppra twice a day which was later increased to 750mg twice a day. I was also started on 25mg of lamictal the dose of which was titrated upwards to 100mg per day. Seizures typically begin with tremor in left or right leg, head pain, then facial tics, followed by full body rigidity and spasms, inability to properly breathe, clenched fists, thrashing of head, some times I would be conscious other times I would loose consciousness. Some seizures last for a minute or two while others last upawards of 20 minutes. Post seizure like activity, I am very tired, speech is unintelligible, eventually comes back with a stutter which eventually goes away after a couple of hours. The non-epileptic seizures have continued since. Hospital stays occurred on 5/21-5/25, 6/24-6/26, 7/22-7/24
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging normal, Migraine, Muscle rigidity, Muscle spasms, Seizure
Clinical narrative: Initially after second vaccine awful migraine that resulted in trip to the ER for treatment with steroids, IV painkillers and prescription for toreador for 10 days. Beginning April 9th I had a seizure while sleeping. I mentioned this to my neurologist and she ordered and MRI (came back unremarkable) and an EEG. During the EEG which took place on May 21, 2021 when strobe lights were used I began seizing . I was transported to the ER and treated with Ativan to stop seizure. I continued seizing on and off while in the ER and was admitted to the Epilepsy monitoring unit for 4 days for observation under video monitoring and continuous EEG. I continued having seizures throughout but the EEGs did not pick up any signs of epileptic seizures. I was discharged, over the coming weeks I continued to have seizures and was started on 500mg of Keppra twice a day which was later increased to 750mg twice a day. I was also started on 25mg of lamictal the dose of which was titrated upwards to 100mg per day. Seizures typically begin with tremor in left or right leg, head pain, then facial tics, followed by full body rigidity and spasms, inability to properly breathe, clenched fists, thrashing of head, some times I would be conscious other times I would loose consciousness. Some seizures last for a minute or two while others last upawards of 20 minutes. Post seizure like activity, I am very tired, speech is unintelligible, eventually comes back with a stutter which eventually goes away after a couple of hours. The non-epileptic seizures have continued since. Hospital stays occurred on 5/21-5/25, 6/24-6/26, 7/22-7/24
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Speech disorder, Tic, Tremor
Clinical narrative: Initially after second vaccine awful migraine that resulted in trip to the ER for treatment with steroids, IV painkillers and prescription for toreador for 10 days. Beginning April 9th I had a seizure while sleeping. I mentioned this to my neurologist and she ordered and MRI (came back unremarkable) and an EEG. During the EEG which took place on May 21, 2021 when strobe lights were used I began seizing . I was transported to the ER and treated with Ativan to stop seizure. I continued seizing on and off while in the ER and was admitted to the Epilepsy monitoring unit for 4 days for observation under video monitoring and continuous EEG. I continued having seizures throughout but the EEGs did not pick up any signs of epileptic seizures. I was discharged, over the coming weeks I continued to have seizures and was started on 500mg of Keppra twice a day which was later increased to 750mg twice a day. I was also started on 25mg of lamictal the dose of which was titrated upwards to 100mg per day. Seizures typically begin with tremor in left or right leg, head pain, then facial tics, followed by full body rigidity and spasms, inability to properly breathe, clenched fists, thrashing of head, some times I would be conscious other times I would loose consciousness. Some seizures last for a minute or two while others last upawards of 20 minutes. Post seizure like activity, I am very tired, speech is unintelligible, eventually comes back with a stutter which eventually goes away after a couple of hours. The non-epileptic seizures have continued since. Hospital stays occurred on 5/21-5/25, 6/24-6/26, 7/22-7/24
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Fall
Clinical narrative: past medical history of Parkinson's disease, hypertension, BPH, who presents from home after having down 3 times over the past 72 hours. The following problems were addressed: Acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Patient has been vaccinated previously.  On dexamethasoneto complete 10 days,has completed 5 days of Remdesivir.Currently satting well on room air. Frequent falls, suspect related to above. Continue PT/OTAdmit for COVID pneumonia. Vaccinated completely "3 months ago". Steroids, remdesivir, O2, zinc. discharged today to skilled nursing unit.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Admit for COVID. Vaccine completed Jan 2021. Treated with O2, LMWH, steroids, lasix, zinc. Discharged home.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Illness
Clinical narrative: Admit for COVID pneumonia. Treated w/ zinc, vit-c, vit-D, steroids, remdesivir. Mild illness not requiring O2. o COVID-19 pneumonia:  Persistent symptoms but improving respiratory symptoms.  The patient was eventually weaned off of oxygen completely.  The patient received full course of remdesivir (last day of the course was on 07/28/2021), IV then p.o. dexamethasone, zinc, vitamin-C, montelukast.  DC Home with HHC
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Injection site induration, Injection site swelling, Pruritus, Skin irritation
Clinical narrative: Hives/urticaria- upper legs, back of arms, chest, neck and back. swollen eyes, welts under eyes, itchy/irritated skin, injection site swollen and firm/hard. Symptoms lasted 12-24 hrs
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives/urticaria- upper legs, back of arms, chest, neck and back. swollen eyes, welts under eyes, itchy/irritated skin, injection site swollen and firm/hard. Symptoms lasted 12-24 hrs
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: PATIEN FAINTED AFTER ABOUT   RECEIVING FIRST DOSE MODERNA COVID-19 VACCINATION. PATIENT REGAINED CONCIOUSNESS FEW MINUTES LATER.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admit from NH for +COVID. Zinc, Vit-C. Documented as asymptomatic COVID, had to be admitted due to positive status as resident at facility. On RA not requiring supplemental O2. Awaiting placement at memory care unit who can take COVID patients.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia
Clinical narrative: Day after vaccine patient had chills and muscle aches.  They started to go away and then in the past couple of days they have come back and gotten worse
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19 pneumonia, Fibrin D dimer increased
Clinical narrative: Admit for COVID pneumonia. Treated w/ steroids, lovenox, plavix, Rocephin. Awaiting SNF placement at time of review 7/29.Patient continued to improve during the hospital stay, he is currently on room air but his D-dimer is elevated, so he started on Lovenox b.i.d. and transitioned to Eliquis at the time of discharge. Overall patient is stable from the respiratory point of view, he denies any major shortness of breath or chest pain. Patient will be discharged on supportive care medications including Decadron, Eliquis, antibiotics and continued on the rest of the medications.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever of 104 for 2 days (normal temperature is 96 degrees F) Severe fatigue, muscle aches, chills Nausea
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Pain, Pruritus
Clinical narrative: Body aches / fatigue x 1.5 days  Itching over arms/legs started about 9 days after injection (8/16/21)
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram head normal, Cystitis, Headache, Nodule
Clinical narrative: Admitted for COVID and sepsis 2/2 ? acute cystits. Vaccine completed in Apr 2021. No focal covid symptoms. Rocephin, doxy, lovenox, vanc. Not requiring O2. The case was discussed with infectious disease on the day of discharge.  She is discharged today in improved condition.  Notably she did have headache during the admission which was evaluated with CT scan that showed no acute pathology and which was characteristic of the patient's historic migraines.  On the day of discharge he also noted a knot under like a bruise on her left abdomen.  She noted a history of abscesses in the past.  Lesion was palpated while tender was not exquisitely so.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Skin lesion
Clinical narrative: Admitted for COVID and sepsis 2/2 ? acute cystits. Vaccine completed in Apr 2021. No focal covid symptoms. Rocephin, doxy, lovenox, vanc. Not requiring O2. The case was discussed with infectious disease on the day of discharge.  She is discharged today in improved condition.  Notably she did have headache during the admission which was evaluated with CT scan that showed no acute pathology and which was characteristic of the patient's historic migraines.  On the day of discharge he also noted a knot under like a bruise on her left abdomen.  She noted a history of abscesses in the past.  Lesion was palpated while tender was not exquisitely so.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Headache, Heart rate increased, Hyperhidrosis
Clinical narrative: Swollen lymph nodes, chest pains, dizziness, faint feeling, heart rate elevated, itchy skin, headache, nausea, sweating.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nausea, Pruritus
Clinical narrative: Swollen lymph nodes, chest pains, dizziness, faint feeling, heart rate elevated, itchy skin, headache, nausea, sweating.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea
Clinical narrative: Admit 6/14. Vaccine 1/26, 2/20. H/O COPD, Type II DM, CAD, HTN. Admit for SOB. CXR showed COVID PNA. Treated with abx, steroid, remdesivir, Vit C and supplemental O2. Requested to be DC'd. DC'd to SNF on 2L O2.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a 3rd dose too but did not meet criteria of being immunocompromised. Second Pfizer vaccine was given 3/25/2021. He stated was given second doses at 5 months and he wanted to get his now as well did not disclose this to the vaccinator until after the fact.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Admit for Pna. COVID not diagnosed until 2 days after admit. After dx, treated with O2, steroids, remdesivir, tociluzimab, rocephin and azithro. Declined intubation, palliative onboard early. Deteriorated over hospital course and discharged to inpatient hospice service.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Dyspnoea, Lethargy
Clinical narrative: About 5 minutes after administration, patient felt dizzy and lethargic. He stated no difficulty breathing but another 5 minutes elapsed before patient stated maybe some slight difficulty breathing. Paramedics were called and he opted to be taken in.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admitted for COVID pneumonia. Vaccine completed in Apr 2021. Treated w/ O2, rocephin, zithromax, steroids, plavix. He had been given his COVID vaccine given a few months earlier so was not given convalescent plasma. His symptoms improved and once he was stable arrangements made for him to be discharged to rehab
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Erythema, Swelling face, Throat tightness
Clinical narrative: Hives, bright red color all over body face and extremities, facial swelling, Chest and throat tightness, difficulty taking deep breath,  Treated with Epi pen, Benadryl 50 mgs x3,  Pepcid.  Required Benadryl for wo additional days
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives, bright red color all over body face and extremities, facial swelling, Chest and throat tightness, difficulty taking deep breath,  Treated with Epi pen, Benadryl 50 mgs x3,  Pepcid.  Required Benadryl for wo additional days
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admit for COVID pneumonia w/ poss bacterial superimposed infection. Treated w/ O2, Vit-c, Vit-D, zinc, steroids, rocephin, doxy, warfarin, plasma. Discharged home.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cystitis, Endotracheal intubation, Mechanical ventilation
Clinical narrative: Admit for COVID Pneumonia. Fully vaccinated "four months ago". Treated w/ IV abx, remdesivir, steroids, O2, lovenox, lasix, tocilizumab and plasma. Intubated 7/28. Also w/ acute cystitis. Patient remains on full mechanical ventilated support in prone positioning. Still admitted at time of review 7/29.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admit for COVID pneumonia. Vaccine completed June 24th. Treated w/ O2, steroids, zinc, vit-c, home dose of eliquis. Discharged with home O2.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Chest discomfort, Throat tightness, Urticaria
Clinical narrative: All over body hives a few hours after injection. Hives haven?t gone away and I have been on OTC antihistamines with little to no improvement. I have hair loss and tightness in chest/throat.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Death, Malaise, SARS-CoV-2 test
Clinical narrative: admission to hospital with COVID symptoms that resulted in death
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products, No adverse event
Clinical narrative: Patient received COVID vaccine #1 on 4/9/2021. She received Moderna.  We administered COVID vaccine #2 on 8/16/2021- Pfizer.  Patient did not have any adverse reactions to the vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was not in approved age range at time of vaccine (under 18 years old). Patient reported no adverse effects from the vaccination.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, General physical health deterioration, Septic shock
Clinical narrative: Admit for COVID and AKI. Vaccine completed Feb 2021. Treated w/ steroids, O2, vit-c, vit-D, zinc, Rocephin, cefepime, Vanc, no remdesivir d/t AKI. Still admitted at time of review 7/29; condition deteriorating to septic shock.
Age: 1.33
Sex: M
Vaccine: PNC13
Symptoms: Aphasia, Diarrhoea, Dizziness, Ear infection, Feeling abnormal
Clinical narrative: 8/17/2011: Prevnar #3  Called the doctor shortly after because of dizziness, fever, fussiness, loose stools, blood in stools, difficulty sleeping and sweating. 9/19/2011: Dr. had us come in a month later because symptoms were persisting. Noted symptoms since last vaccine. No vax at this appt. 10/18/2011: Dr. followed up for a Well Child appt, some symptoms remained, she advised that we stop vaccinating for the time being, as patient still had gut issues and was pulling at his ear (ear infection). Shortly after this, he went from having about ten words to being nonverbal for roughly a year and a half and could only sign and babble.
Age: 1.33
Sex: M
Vaccine: PNC13
Symptoms: Gastric disorder, Haematochezia, Hyperhidrosis, Insomnia, Pyrexia
Clinical narrative: 8/17/2011: Prevnar #3  Called the doctor shortly after because of dizziness, fever, fussiness, loose stools, blood in stools, difficulty sleeping and sweating. 9/19/2011: Dr. had us come in a month later because symptoms were persisting. Noted symptoms since last vaccine. No vax at this appt. 10/18/2011: Dr. followed up for a Well Child appt, some symptoms remained, she advised that we stop vaccinating for the time being, as patient still had gut issues and was pulling at his ear (ear infection). Shortly after this, he went from having about ten words to being nonverbal for roughly a year and a half and could only sign and babble.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Immediate post-injection reaction, Throat tightness
Clinical narrative: Received shot and as soon as I was given the shot, my throat started closing. They shot me with an epipen twice and told me to take my inhaler. I also took Benadryl. They also gave me 50mg steroid for a week. I am also on oxygen; Loss of memory.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: Was taking Macrobid at time of Moderna injection in Feb. 4 months later, I needed to take Macrobid again and started getting dermatographia and general hives 4 days after I finished the course. No idea if Moderna or Macrobid are related but no other medication or life style change has occurred. Dermatographia/hives are very itchy and require 3 doses of Zyrtec to not itch. They started on June 17th and have yet to go away, so about 2.5 months of hives.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Nausea, Neck pain, Paraesthesia oral
Clinical narrative: Nausea, lightheaded, dizziness, brain fog, neck pain, mild tongue tingling
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Lip pruritus, Paraesthesia, Paraesthesia oral
Clinical narrative: 12/31/2020- chest pain 1/1/2021- Tingling in face. Benadryl then eased.  1/2/2021- Tingling on lips. Chills. Benadryl then ceased 1/3/2021- Chills 1/4/2021- Tingling on lips. Puritis to lips and face. Benadryl then ceased  1/6/2021- Feeling that something was in the back of the throat. 1/9/2021- Feeling of something in throat. Throat tingling. Benadryl then ceased.  1/10/2021- Sensation of the tongue being burnt. Benadryl then ceased.  Feelings of burnt tongue/sensation in the back of the throat lasted until approx 1/18/2021 with periods of this occurring presently.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia, Pruritus, Throat irritation, Tongue discomfort
Clinical narrative: 12/31/2020- chest pain 1/1/2021- Tingling in face. Benadryl then eased.  1/2/2021- Tingling on lips. Chills. Benadryl then ceased 1/3/2021- Chills 1/4/2021- Tingling on lips. Puritis to lips and face. Benadryl then ceased  1/6/2021- Feeling that something was in the back of the throat. 1/9/2021- Feeling of something in throat. Throat tingling. Benadryl then ceased.  1/10/2021- Sensation of the tongue being burnt. Benadryl then ceased.  Feelings of burnt tongue/sensation in the back of the throat lasted until approx 1/18/2021 with periods of this occurring presently.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Periarthritis
Clinical narrative: adhesive capsulitis, both arms, worsening over time, in physical therapy as of 08/01/2021 (reporting date).  Injection site approximately 4 inches below the shoulder joint. (Injection was not given in bursa.)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Lymphadenopathy, Pain in extremity
Clinical narrative: Numbness in center of left hand minutes after injection, pain in elbow of left arm 24 hours after injection. Swollen underarm lymph node on left arm about 6 to 8 inches of swelling about 36 hours after injection. Sore arm and shoulder after injection for 36 hours after injection was given on left side.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Limb discomfort, Skin warm
Clinical narrative: Pt showed his arm which was red and warm to the touch in a 2inch by 2inch area. Pt stated it started earlier today. He will watch for progression of state
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Herpes zoster, Pain
Clinical narrative: Sometime late May around the 31st, I was having severe upper left abdominal pain that radiated to my back.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: 5 minutes after giving JJ vaccine. Patient came to counter and said he needed to lie down bc he was feeling faint. I instructed him to lie down and by the time I got to him he had fainted. He was out for a few seconds. He remained lying down and felt dizzy. But was uninjured.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Haematochezia
Clinical narrative: Bloody stools and diarrhea
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Electrocardiogram, Headache, Heart rate increased, Laboratory test
Clinical narrative: Vomiting 08/10, headaches started 08/11, landed in the ER 08/13 at around 12:30am, treated and released for headaches and nausea. By Sat 08/14 around 9pm we are back at the ER for the headaches, vomiting and now rapid heart beat (in the 150's). During these days ibuprofen and acetaminophen weren't working. She did take Zofran for the nausea on 08/11 and 08/13. Hospital gave her fluids and meds through the IV that helped everything except rapid heart beat.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Thyroid function test abnormal, Vomiting
Clinical narrative: Vomiting 08/10, headaches started 08/11, landed in the ER 08/13 at around 12:30am, treated and released for headaches and nausea. By Sat 08/14 around 9pm we are back at the ER for the headaches, vomiting and now rapid heart beat (in the 150's). During these days ibuprofen and acetaminophen weren't working. She did take Zofran for the nausea on 08/11 and 08/13. Hospital gave her fluids and meds through the IV that helped everything except rapid heart beat.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient received dose 1 of Pfizer at 1300, at 1315 she reported she was starting to itch on her right arm and leg.  She was brought back and vital signs were obtained.  BP: 125/82, P 76, O2 97%, Resp: 18.  At 1330 she was administered 50mg Oral Benadryl per protocol.  She was monitored for 30 minutes past medication administration.  She was feeling better and left at 1405.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Migraine, Pain, Pyrexia
Clinical narrative: extreme body aches, fever, chills and migraine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: High fever.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, Bedridden, Blood creatinine increased, Blood sodium decreased
Clinical narrative: patient is a 58 y old female with h/o HTN , dyslipidemia , hypothyroidism , Dm2, CKD 3 , chronic liver disease secondary to NASH among others who currently is established with hospice and is a DNR refers that for the last couple of days has been bedbound and weak . Refers that is unable to get out of bed . Also describes subjective fevers and worsening sob . Refers that husband has similiar symptoms suggestive of covid 19 . Refers having 2 doses of covid 19 vaccine - Pfizer back in April 2021 . Due to worsening weakness came to er . seems that initially was requiring 02 non rebreather with pulse ox 89 % . At time of exam patient is not febrile , not having cough and is currently on 6 liters 02 per nc . Patient is a poor historian and doesnt know what meds she takes though says that took water pills this am . Refers that regarding code status wants to have some things done if able to be kept alive but doesnt want to prolong her life either. On admission her cbc reveals no leukocytosis . Has lymphopenia . Patient has evidence of hyponatremia and AKI with creatinine 1.7 probably reflective of use of bumex and spironolactone at home . CXR reveals b/l infiltrates consistent with possible pneumonia  . ER has requested admission for eval and treatment of covid 19 .  Patient at this time is not tachypneic and is not coughing actively . Is requiring 02 and is at risk for progression and worsening disease.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Dyspnoea, Full blood count abnormal, Hyponatraemia
Clinical narrative: patient is a 58 y old female with h/o HTN , dyslipidemia , hypothyroidism , Dm2, CKD 3 , chronic liver disease secondary to NASH among others who currently is established with hospice and is a DNR refers that for the last couple of days has been bedbound and weak . Refers that is unable to get out of bed . Also describes subjective fevers and worsening sob . Refers that husband has similiar symptoms suggestive of covid 19 . Refers having 2 doses of covid 19 vaccine - Pfizer back in April 2021 . Due to worsening weakness came to er . seems that initially was requiring 02 non rebreather with pulse ox 89 % . At time of exam patient is not febrile , not having cough and is currently on 6 liters 02 per nc . Patient is a poor historian and doesnt know what meds she takes though says that took water pills this am . Refers that regarding code status wants to have some things done if able to be kept alive but doesnt want to prolong her life either. On admission her cbc reveals no leukocytosis . Has lymphopenia . Patient has evidence of hyponatremia and AKI with creatinine 1.7 probably reflective of use of bumex and spironolactone at home . CXR reveals b/l infiltrates consistent with possible pneumonia  . ER has requested admission for eval and treatment of covid 19 .  Patient at this time is not tachypneic and is not coughing actively . Is requiring 02 and is at risk for progression and worsening disease.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Lymphopenia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: patient is a 58 y old female with h/o HTN , dyslipidemia , hypothyroidism , Dm2, CKD 3 , chronic liver disease secondary to NASH among others who currently is established with hospice and is a DNR refers that for the last couple of days has been bedbound and weak . Refers that is unable to get out of bed . Also describes subjective fevers and worsening sob . Refers that husband has similiar symptoms suggestive of covid 19 . Refers having 2 doses of covid 19 vaccine - Pfizer back in April 2021 . Due to worsening weakness came to er . seems that initially was requiring 02 non rebreather with pulse ox 89 % . At time of exam patient is not febrile , not having cough and is currently on 6 liters 02 per nc . Patient is a poor historian and doesnt know what meds she takes though says that took water pills this am . Refers that regarding code status wants to have some things done if able to be kept alive but doesnt want to prolong her life either. On admission her cbc reveals no leukocytosis . Has lymphopenia . Patient has evidence of hyponatremia and AKI with creatinine 1.7 probably reflective of use of bumex and spironolactone at home . CXR reveals b/l infiltrates consistent with possible pneumonia  . ER has requested admission for eval and treatment of covid 19 .  Patient at this time is not tachypneic and is not coughing actively . Is requiring 02 and is at risk for progression and worsening disease.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Pain in extremity, Paraesthesia, Peripheral swelling
Clinical narrative: 10 minutes after receiving vaccine in left upper arm she developed right arm pain, right leg tingling, lightheadedness, and bilateral hand swelling. Patient to ED, when arrived symptoms improved, reporting very mild lightheadedness and feeling very anxious. Pt observed of over 1 hour with vital signs stable and discharged to home.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache
Clinical narrative: I had fatigue and tiredness and headache and i got covid in may.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Condition aggravated, Dizziness, Electrocardiogram, Feeling hot
Clinical narrative: 7:15PM patient was accompanied by her aunt/guardian. Client?s aunt/guardian completed and signed the COVID-19 consent form.  Client was given a Pfizer COVID-19 vaccine (lot #EW0168 expiration date 8/31/2021) in the right deltoid by RN.  7:25PM Client c/o feeling ?dizzy? and ?hot?. Client was noted leaning forward in the chair. Client denied any chest pain or difficulty swallowing or difficult respirations.  7:27PM client B/P was 80/50; pulse 76 strong and regular; client c/o increased dizziness and feeling ?shaky? with an increase in diaphoresis was noted.  Client was placed in a supine position with feet elevated. 7:30PM 911 call was made by another RN and observation of client continued with no change in condition. 7:37PM Paramedics arrived: Paramedics ran an EKG strip and did a PO2 which was unremarkable. B/P by Paramedics 96/60. Paramedics continued to observe client and did a repeat B/P. 7:41PM Client reports feeling better. Paramedics helped client to a sitting position.  Client sitting B/P 104/64 and blood sugar of 50 (done by Paramedics). Paramedics administered and oral glucose liquid to client. 7:46PM Repeat blood sugar 67 and standing B/P 134/85. Paramedics recommend client?s aunt follow-up with client?s doctor on client?s hypoglycemia. Client told Paramedics she is a dancer and she (client) had an episode of feeling ?dizzy? and ?shaky? last week. Client also reports she ate ?2 hotdogs? prior to coming for COVID 19 vaccine and additionally denies missing meals. RN
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoglycaemia, Nervousness, PO2 normal
Clinical narrative: 7:15PM patient was accompanied by her aunt/guardian. Client?s aunt/guardian completed and signed the COVID-19 consent form.  Client was given a Pfizer COVID-19 vaccine (lot #EW0168 expiration date 8/31/2021) in the right deltoid by RN.  7:25PM Client c/o feeling ?dizzy? and ?hot?. Client was noted leaning forward in the chair. Client denied any chest pain or difficulty swallowing or difficult respirations.  7:27PM client B/P was 80/50; pulse 76 strong and regular; client c/o increased dizziness and feeling ?shaky? with an increase in diaphoresis was noted.  Client was placed in a supine position with feet elevated. 7:30PM 911 call was made by another RN and observation of client continued with no change in condition. 7:37PM Paramedics arrived: Paramedics ran an EKG strip and did a PO2 which was unremarkable. B/P by Paramedics 96/60. Paramedics continued to observe client and did a repeat B/P. 7:41PM Client reports feeling better. Paramedics helped client to a sitting position.  Client sitting B/P 104/64 and blood sugar of 50 (done by Paramedics). Paramedics administered and oral glucose liquid to client. 7:46PM Repeat blood sugar 67 and standing B/P 134/85. Paramedics recommend client?s aunt follow-up with client?s doctor on client?s hypoglycemia. Client told Paramedics she is a dancer and she (client) had an episode of feeling ?dizzy? and ?shaky? last week. Client also reports she ate ?2 hotdogs? prior to coming for COVID 19 vaccine and additionally denies missing meals. RN
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Intensive care
Clinical narrative: Patient hospitalized due to COVID-19. Patient is fully vaccinated. Patient in ICU.
Age: 33.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: No symptom
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Illness
Clinical narrative: Suspected Coronavirus (Covid-19)     Pt has been sick for a few days.  He states that he was going to get tested for COVID today but had a near syncopal episode while getting ready this morning.  Pt states that he has not been eating due to not feeling well.  ? Weakness ? Fever 9 Weeks To 74 Years ? Cough     HPI   71-year-old male presents for evaluation of fever and nonproductive cough.  Patient reports that symptoms started 2 days ago.  He states that he has been feeling progressively weak over the past 48 hours and was going to follow-up with his doctor today but had a near syncopal episode while getting ready.  He states that he did not have any associated chest pain or shortness of breath.  He denies any abdominal pain.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Presyncope, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Suspected Coronavirus (Covid-19)     Pt has been sick for a few days.  He states that he was going to get tested for COVID today but had a near syncopal episode while getting ready this morning.  Pt states that he has not been eating due to not feeling well.  ? Weakness ? Fever 9 Weeks To 74 Years ? Cough     HPI   71-year-old male presents for evaluation of fever and nonproductive cough.  Patient reports that symptoms started 2 days ago.  He states that he has been feeling progressively weak over the past 48 hours and was going to follow-up with his doctor today but had a near syncopal episode while getting ready.  He states that he did not have any associated chest pain or shortness of breath.  He denies any abdominal pain.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Eye movement disorder, Hyperhidrosis, Loss of consciousness, Muscle rigidity
Clinical narrative: He received his 6th Tdap vaccine in one arm (unsure which name/brand). He also received his 1st meningococcal conjugate vaccine in the opposite arm (unsure which name/brand).  Moments after injections he became rigid, body shook, eyes rolled around and he lost consciousness.  He regained consciousness quickly but was weak and sweaty for about 20 minutes afterward.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Tremor
Clinical narrative: He received his 6th Tdap vaccine in one arm (unsure which name/brand). He also received his 1st meningococcal conjugate vaccine in the opposite arm (unsure which name/brand).  Moments after injections he became rigid, body shook, eyes rolled around and he lost consciousness.  He regained consciousness quickly but was weak and sweaty for about 20 minutes afterward.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Arthralgia, Blood test normal, Burning sensation, Condition aggravated
Clinical narrative: My first Moderna COVID vaccine was on 4/12/2021.  Around 4/19/2021, I developed mild stiffness behind my knees and calves that resolved in a few days.  My 2nd Moderna COVID vaccine was on 5/10/2021.  Around 5/17/2021, I again developed mild stiffness in the back of my knees and calves, which resolved in a few days.  Around 5/24/2021, I began to feel a burning sensation in my knees and in my elbows, initially mostly at night, usually after lying in bed for about an hour, and the burning sensation would persist throughout the night, making it difficult to sleep.  It initially went away during the day, but after a few days, the burning sensation spread to other joints and began persisting at all times of the day and night.  By 6/2/2021, the burning sensation was affecting the following areas of my body, often moving around and affecting different areas at different times:  elbows, knees, hips, shoulders, shoulder blades, fingers, toes, ribs, and internal organs.  The burning sensation in my joints and body continued throughout the month of June.  I do not have health insurance, so I did not seek medical treatment until 6/26/2021 when I went to a medical facility. There they did blood tests and a urine test.  The tests came back normal, showing negative Rheumatoid factor and negative ANA, as well as ruled out any infection.  They gave me a shot of Toradol and a shot of Solumedrol, and prescribed 40 mg of Prednisone a day for 3 days, Naproxen, and Methocarbamol each twice daily for 7 days.  The steroids helped the most, and over time the burning sensations have decreased, though still occur in a milder form sporadically,  but other symptoms began shortly after I went to urgent care.  These include muscle weakness, fatigue, brain fog, slight changes to my vision, painful spasms behind my ears, tingling and burning sensations on my skull, mild burning sensation in the skin near the various joints that I experienced burning in, stiffness in my jaw, elbow, and knee joints, pelvis, and needing to wear a brace on my right elbow sometimes due to pain (my right arm is the arm I received the vaccine in because I am left handed). Even today, three months after my 2nd vaccine, I am still dealing with mild symptoms, mostly pain and stiffness in my elbow and knee joints, jaw, and occasional muscle weakness throughout my body.  I do not feel as well as I did before receiving the vaccine. It has greatly affected my ability to function in my life, especially from late May through the end of July, and I am still recovering.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Fatigue, Feeling abnormal, Insomnia, Joint stiffness
Clinical narrative: My first Moderna COVID vaccine was on 4/12/2021.  Around 4/19/2021, I developed mild stiffness behind my knees and calves that resolved in a few days.  My 2nd Moderna COVID vaccine was on 5/10/2021.  Around 5/17/2021, I again developed mild stiffness in the back of my knees and calves, which resolved in a few days.  Around 5/24/2021, I began to feel a burning sensation in my knees and in my elbows, initially mostly at night, usually after lying in bed for about an hour, and the burning sensation would persist throughout the night, making it difficult to sleep.  It initially went away during the day, but after a few days, the burning sensation spread to other joints and began persisting at all times of the day and night.  By 6/2/2021, the burning sensation was affecting the following areas of my body, often moving around and affecting different areas at different times:  elbows, knees, hips, shoulders, shoulder blades, fingers, toes, ribs, and internal organs.  The burning sensation in my joints and body continued throughout the month of June.  I do not have health insurance, so I did not seek medical treatment until 6/26/2021 when I went to a medical facility. There they did blood tests and a urine test.  The tests came back normal, showing negative Rheumatoid factor and negative ANA, as well as ruled out any infection.  They gave me a shot of Toradol and a shot of Solumedrol, and prescribed 40 mg of Prednisone a day for 3 days, Naproxen, and Methocarbamol each twice daily for 7 days.  The steroids helped the most, and over time the burning sensations have decreased, though still occur in a milder form sporadically,  but other symptoms began shortly after I went to urgent care.  These include muscle weakness, fatigue, brain fog, slight changes to my vision, painful spasms behind my ears, tingling and burning sensations on my skull, mild burning sensation in the skin near the various joints that I experienced burning in, stiffness in my jaw, elbow, and knee joints, pelvis, and needing to wear a brace on my right elbow sometimes due to pain (my right arm is the arm I received the vaccine in because I am left handed). Even today, three months after my 2nd vaccine, I am still dealing with mild symptoms, mostly pain and stiffness in my elbow and knee joints, jaw, and occasional muscle weakness throughout my body.  I do not feel as well as I did before receiving the vaccine. It has greatly affected my ability to function in my life, especially from late May through the end of July, and I am still recovering.