chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: I am an extremely regular person when it comes to my period. It is 28 days, down to the hour. The period after my first dose was three days late. It was heavier than normal, and I had some severe body aches. When I got my second dose, I experienced fatigue and body aches for a few days after. For about 10 days before my period I experienced incredibly achey breasts (this usually happens just  1-2 days before, and medium ache). Just got my period this morning, 2 days early. My whole body is achy, and the flow is really heavy.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound Doppler abnormal
Clinical narrative: Patient developed severe leg pain and presented to the emergency room. She was diagnosed with a deep vein thrombosis
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oral pain, Oropharyngeal pain, Pain in jaw, Pyrexia
Clinical narrative: Extreme throat, mouth, soft pallate, jaw, and tooth pain (all teeth), headache, fever
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache, White blood cell count increased
Clinical narrative: Extreme throat, mouth, soft pallate, jaw, and tooth pain (all teeth), headache, fever
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: approximately one week later patient is experiencing strong soreness along with hot, red erythema along the entire upper arm area from deltoid to elbow
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Palpitations
Clinical narrative: Within 2 minutes after COVID vaccine first shot I felt a flushing sensation and began developing heart palpitations. It lasted about 5-8 minutes. I sat down for 15 minutes as required by the clinic for all those getting shots.  After about 8 minutes heart stopped racing and slowly got back to normal.  It did not appear to be caused by anxiety. I did not report it to the clinic staff.  In researching this allergic reaction is likely related to Polyethylene Glycol allergy.  When I got a colonoscopy a few years ago I used colo prep.  Back then my heart was pounding hard the night before and the day of the examination.  I did not know it was a side-effect from the solution.  Doctors could not explain why my heart rate was high but went ahead with the exam. With the current event it appears is the common link between then and the COVID vaccine.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Chest X-ray, Chest discomfort, Computerised tomogram head, Dizziness
Clinical narrative: Seizure... 1/2 hour prior to incident patient was with friends in a classroom leisurely using PowerPoint. She reports she had pain in her teeth and her chest felt tight. She just didn't feel well. Closer to incident student felt dizzy, like she was "going to pass out".  States she turned to someone to tell that person she was not feeling well "but I couldn't talk; the words would not come out". She felt herself sway and then knew she fell to the floor. She felt like she was lying still for a bit but she could hear people around her and she heard someone say "somebody start timing this" (as if they knew it was a seizure).
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Malaise, Seizure, Toothache
Clinical narrative: Seizure... 1/2 hour prior to incident patient was with friends in a classroom leisurely using PowerPoint. She reports she had pain in her teeth and her chest felt tight. She just didn't feel well. Closer to incident student felt dizzy, like she was "going to pass out".  States she turned to someone to tell that person she was not feeling well "but I couldn't talk; the words would not come out". She felt herself sway and then knew she fell to the floor. She felt like she was lying still for a bit but she could hear people around her and she heard someone say "somebody start timing this" (as if they knew it was a seizure).
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Wrong product administered
Clinical narrative: Patient received Moderna vaccine 4/8/21, and then she received the Pfizer vaccine 4/21/21.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Rash and itching at injection site given Diphenhyramine 50 mg monitor for 30 minutes symptom improved.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Lethargy, Pain, Pyrexia
Clinical narrative: Fever chills headache lethargy body aches
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Dose was not drawn up in syringe and nothing was administered though patient received the IM injection
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Cardiomegaly, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: Difficulty catching breathe since Friday after second vaccine. Worse when laying down. Also complained dry cough, shortness of breathe and fever.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, White blood cell count normal
Clinical narrative: Difficulty catching breathe since Friday after second vaccine. Worse when laying down. Also complained dry cough, shortness of breathe and fever.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pruritus
Clinical narrative: Itchy Palate
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Malaise, Nausea, Pyrexia, Vomiting
Clinical narrative: First day my arm was sore but much less than the first shot. That night at 5am I woke up very nauseous and had to throw up. I also had fever and chills and today I still have those symptoms. Drank water and Tylenol but still not feeling well.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Condition aggravated, Head discomfort, Migraine, Neurological examination
Clinical narrative: Migraine onset 3.5 weeks post shot. Continuing 10 days and counting. I have a history of migraine but usually a day or two it dissipates. I visited a pain specialist MD on  4/26/21 and was given an injection of anti inflammatory medication which didn?t relieve migraine. On 4/27/21 I visited the ER and was given two liters of fluid along with more anti inflammatory and steroids. Headache only slightly better than  prior to treatment. Feeling of head fullness and pain continues.
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Diarrhoea, Fatigue, Feeling of body temperature change, Injection site pain, Nausea
Clinical narrative: It was Pfizer SARSCOV2 VAC, EWO172 8-31-21 per the vaccination card.  This was my 2nd vaccine.  My 1st vaccine only had a sore arm at shot for 24 hours.  2nd vaccine started with a really sore spot at the shot area (lasted 48 hours).  Then I felt very fatigued and went to bed at 6 pm.  I woke up every time that I rolled onto the arm that had the shot (left side).  I switched between cold and hot all day (4/28/21) like a fever, felt very fatigued all day and went to bed at 6 pm. Then woke up around 2 am (4/29/21) with diarreah  and nausea.  Did not vomit.  Had Diarreah again for that morning but good now (4/29/21) at 4 pm.
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: It was Pfizer SARSCOV2 VAC, EWO172 8-31-21 per the vaccination card.  This was my 2nd vaccine.  My 1st vaccine only had a sore arm at shot for 24 hours.  2nd vaccine started with a really sore spot at the shot area (lasted 48 hours).  Then I felt very fatigued and went to bed at 6 pm.  I woke up every time that I rolled onto the arm that had the shot (left side).  I switched between cold and hot all day (4/28/21) like a fever, felt very fatigued all day and went to bed at 6 pm. Then woke up around 2 am (4/29/21) with diarreah  and nausea.  Did not vomit.  Had Diarreah again for that morning but good now (4/29/21) at 4 pm.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness, Unresponsive to stimuli
Clinical narrative: Patient was vaccinated - 1st dose with Moderna at approximately 1330 on APR. At 1337 pt noted to be fanning herself during her 15 observation period. Nurse approached the pt and noted she was diaphoretic and was losing consciousness. Pt became unresponsive to voice or stimulation for approx. 30 seconds. Code Blue was called.  Vitals at 1341: BP 122/76, HR 82, SpO2 90%, increased to 98% without supplemental O2 RR 14.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site swelling, Skin warm
Clinical narrative: swollen area around injection site. red and warm to the touch.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Bell's palsy. Left sided facial drooping. Evaluated at ER.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Lethargy, Mobility decreased, Palpitations
Clinical narrative: Dizziness, lethargic, heart racing, could not walk straight for about 30 mins. Symptoms improved, but remained in a lesser state for the following 4 hours.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Fatigue, Lymphadenopathy, Migraine
Clinical narrative: Migraine (lasted 24 hours). Severe pain in the hips and legs (lasted 12 hours). Full body skin sensitivity (a few hours). Left armpit lymph nodes swelling and painful 36 hours after injection. Nausea (lasted length of migraine). Severe fatigue and muscle weakness (24 hours).  1500mg of OTC acetaminophen taken. No doctor consultation sought.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Nausea, Pain in extremity, Sensitive skin
Clinical narrative: Migraine (lasted 24 hours). Severe pain in the hips and legs (lasted 12 hours). Full body skin sensitivity (a few hours). Left armpit lymph nodes swelling and painful 36 hours after injection. Nausea (lasted length of migraine). Severe fatigue and muscle weakness (24 hours).  1500mg of OTC acetaminophen taken. No doctor consultation sought.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: patient in allergy clinic reporting persistent urticaria for six weeks since receiving second dose of vaccination. Symptoms started 36 hours after vaccination predominantly on arms and trunk. Patient went to urgent care and received dexamethasone with symptom resolution within a few hours. The next day symptoms returned and patient was prescribed oral methylprednisolone.  Symptoms returned and patient was prescribed prednisone. Patient has also been taking cetirizine and famotidine. Patient advise to continue antihistamines, initiated another course of prednisone, and will follow-up with allergy clinic.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Brain natriuretic peptide normal, Chest pain, Dyspnoea, Echocardiogram normal
Clinical narrative: BRIEF OVERVIEW:  Bilateral PE  Discharge Provider: MD Primary Care Provider at Discharge: NP Admission Date: 4/26/2021 Discharge Date: 4/26/2021    Active Hospital Problems (Diagnosis Date Noted) ? Pulmonary embolism without acute cor pulmonale, unspecified chronicity, unspecified pulmonary embolism type (HCC) 04/26/2021   Resolved Hospital Problems No resolved problems to display.   CONSULTS: None    INPATIENT PROCEDURES: None    DETAILS OF HOSPITAL STAY: Patient is a 51 y.o. male with a past medical history of psoriasis, environmental allergies who presents today with sudden shortness of breath, left side pleuritic chest pain 7/10, worsened with deep inspiration.  No recent travel, no family history, no history of malignancies, no immobilization or surgeries. He had his 2nd dose of Pfizer COVID vaccine on April 1.  He does not have a history of COVID-19 infection, and COVID-19 PCR test was negative in ER. His blood pressure is a little high at 170 6/83 mm, pulse 76 per minute saturating 96% on room air, troponin less than 6, BNP 16, WBC 12.3,, EKG without any significant ST T-wave changes. CT angiogram of the chest shows nonocclusive thrombi in almost all the lobes, there is no saddle embolus noted.  There is no evidence of right heart strain.  Echo: The technical quality of the exam was limited due to suboptimal acoustic windows. The left ventricle is normal in size. There is normal left ventricular wall thickness. The left ventricular ejection fraction is 60%. Regional wall motion abnormalities cannot be excluded due to limited visualization. The right ventricular size, thickness, and function are normal. No significant valvular pathology identified with Doppler examination. There was insufficient tricuspid regurgitation envelope detected to calculate right ventricular systolic pressure.  Injection of contrast documented no interatrial shunt. There is no comparison study available.  He was started on Heparin gtt. And admitted for observation. He required no supplemental oxygen. He was discharged later pm on Eliquis 10 mg bid for 7 days, than 5 mg bid for 3 months. I am questioning did he had COVID-19 vaccine related bilateral PE. His hypercoagulable profile is pending. He has no sign of malignancy, no new symptoms, no weight loss. He had normal colonoscopy 2 yrs ago.  He should follow up with his PCP.  He was given work excuse from 4/26-5/3/21. She shouldn't take non steroidal anti-inflammatory (Ibuprofen (Motrin), Naproxen, Naprosyn, Voltaren, Relafen ... meds because of blood thinner Eliquis. He can take Tylenol 500 mg 1-2 tabs 3-4x a day as needed. He was also prescribed Lidoderm patch.    For HTN he was started on DASH diet and Norvasc 5 mg daily. He should follow up with PCP next week.  Also he was instructed to quit smoking.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Hypertension, Medical diet, Painful respiration, Pleuritic pain
Clinical narrative: BRIEF OVERVIEW:  Bilateral PE  Discharge Provider: MD Primary Care Provider at Discharge: NP Admission Date: 4/26/2021 Discharge Date: 4/26/2021    Active Hospital Problems (Diagnosis Date Noted) ? Pulmonary embolism without acute cor pulmonale, unspecified chronicity, unspecified pulmonary embolism type (HCC) 04/26/2021   Resolved Hospital Problems No resolved problems to display.   CONSULTS: None    INPATIENT PROCEDURES: None    DETAILS OF HOSPITAL STAY: Patient is a 51 y.o. male with a past medical history of psoriasis, environmental allergies who presents today with sudden shortness of breath, left side pleuritic chest pain 7/10, worsened with deep inspiration.  No recent travel, no family history, no history of malignancies, no immobilization or surgeries. He had his 2nd dose of Pfizer COVID vaccine on April 1.  He does not have a history of COVID-19 infection, and COVID-19 PCR test was negative in ER. His blood pressure is a little high at 170 6/83 mm, pulse 76 per minute saturating 96% on room air, troponin less than 6, BNP 16, WBC 12.3,, EKG without any significant ST T-wave changes. CT angiogram of the chest shows nonocclusive thrombi in almost all the lobes, there is no saddle embolus noted.  There is no evidence of right heart strain.  Echo: The technical quality of the exam was limited due to suboptimal acoustic windows. The left ventricle is normal in size. There is normal left ventricular wall thickness. The left ventricular ejection fraction is 60%. Regional wall motion abnormalities cannot be excluded due to limited visualization. The right ventricular size, thickness, and function are normal. No significant valvular pathology identified with Doppler examination. There was insufficient tricuspid regurgitation envelope detected to calculate right ventricular systolic pressure.  Injection of contrast documented no interatrial shunt. There is no comparison study available.  He was started on Heparin gtt. And admitted for observation. He required no supplemental oxygen. He was discharged later pm on Eliquis 10 mg bid for 7 days, than 5 mg bid for 3 months. I am questioning did he had COVID-19 vaccine related bilateral PE. His hypercoagulable profile is pending. He has no sign of malignancy, no new symptoms, no weight loss. He had normal colonoscopy 2 yrs ago.  He should follow up with his PCP.  He was given work excuse from 4/26-5/3/21. She shouldn't take non steroidal anti-inflammatory (Ibuprofen (Motrin), Naproxen, Naprosyn, Voltaren, Relafen ... meds because of blood thinner Eliquis. He can take Tylenol 500 mg 1-2 tabs 3-4x a day as needed. He was also prescribed Lidoderm patch.    For HTN he was started on DASH diet and Norvasc 5 mg daily. He should follow up with PCP next week.  Also he was instructed to quit smoking.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Right ventricular systolic pressure, SARS-CoV-2 test negative, Scan with contrast, Tricuspid valve incompetence
Clinical narrative: BRIEF OVERVIEW:  Bilateral PE  Discharge Provider: MD Primary Care Provider at Discharge: NP Admission Date: 4/26/2021 Discharge Date: 4/26/2021    Active Hospital Problems (Diagnosis Date Noted) ? Pulmonary embolism without acute cor pulmonale, unspecified chronicity, unspecified pulmonary embolism type (HCC) 04/26/2021   Resolved Hospital Problems No resolved problems to display.   CONSULTS: None    INPATIENT PROCEDURES: None    DETAILS OF HOSPITAL STAY: Patient is a 51 y.o. male with a past medical history of psoriasis, environmental allergies who presents today with sudden shortness of breath, left side pleuritic chest pain 7/10, worsened with deep inspiration.  No recent travel, no family history, no history of malignancies, no immobilization or surgeries. He had his 2nd dose of Pfizer COVID vaccine on April 1.  He does not have a history of COVID-19 infection, and COVID-19 PCR test was negative in ER. His blood pressure is a little high at 170 6/83 mm, pulse 76 per minute saturating 96% on room air, troponin less than 6, BNP 16, WBC 12.3,, EKG without any significant ST T-wave changes. CT angiogram of the chest shows nonocclusive thrombi in almost all the lobes, there is no saddle embolus noted.  There is no evidence of right heart strain.  Echo: The technical quality of the exam was limited due to suboptimal acoustic windows. The left ventricle is normal in size. There is normal left ventricular wall thickness. The left ventricular ejection fraction is 60%. Regional wall motion abnormalities cannot be excluded due to limited visualization. The right ventricular size, thickness, and function are normal. No significant valvular pathology identified with Doppler examination. There was insufficient tricuspid regurgitation envelope detected to calculate right ventricular systolic pressure.  Injection of contrast documented no interatrial shunt. There is no comparison study available.  He was started on Heparin gtt. And admitted for observation. He required no supplemental oxygen. He was discharged later pm on Eliquis 10 mg bid for 7 days, than 5 mg bid for 3 months. I am questioning did he had COVID-19 vaccine related bilateral PE. His hypercoagulable profile is pending. He has no sign of malignancy, no new symptoms, no weight loss. He had normal colonoscopy 2 yrs ago.  He should follow up with his PCP.  He was given work excuse from 4/26-5/3/21. She shouldn't take non steroidal anti-inflammatory (Ibuprofen (Motrin), Naproxen, Naprosyn, Voltaren, Relafen ... meds because of blood thinner Eliquis. He can take Tylenol 500 mg 1-2 tabs 3-4x a day as needed. He was also prescribed Lidoderm patch.    For HTN he was started on DASH diet and Norvasc 5 mg daily. He should follow up with PCP next week.  Also he was instructed to quit smoking.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, White blood cell count increased
Clinical narrative: BRIEF OVERVIEW:  Bilateral PE  Discharge Provider: MD Primary Care Provider at Discharge: NP Admission Date: 4/26/2021 Discharge Date: 4/26/2021    Active Hospital Problems (Diagnosis Date Noted) ? Pulmonary embolism without acute cor pulmonale, unspecified chronicity, unspecified pulmonary embolism type (HCC) 04/26/2021   Resolved Hospital Problems No resolved problems to display.   CONSULTS: None    INPATIENT PROCEDURES: None    DETAILS OF HOSPITAL STAY: Patient is a 51 y.o. male with a past medical history of psoriasis, environmental allergies who presents today with sudden shortness of breath, left side pleuritic chest pain 7/10, worsened with deep inspiration.  No recent travel, no family history, no history of malignancies, no immobilization or surgeries. He had his 2nd dose of Pfizer COVID vaccine on April 1.  He does not have a history of COVID-19 infection, and COVID-19 PCR test was negative in ER. His blood pressure is a little high at 170 6/83 mm, pulse 76 per minute saturating 96% on room air, troponin less than 6, BNP 16, WBC 12.3,, EKG without any significant ST T-wave changes. CT angiogram of the chest shows nonocclusive thrombi in almost all the lobes, there is no saddle embolus noted.  There is no evidence of right heart strain.  Echo: The technical quality of the exam was limited due to suboptimal acoustic windows. The left ventricle is normal in size. There is normal left ventricular wall thickness. The left ventricular ejection fraction is 60%. Regional wall motion abnormalities cannot be excluded due to limited visualization. The right ventricular size, thickness, and function are normal. No significant valvular pathology identified with Doppler examination. There was insufficient tricuspid regurgitation envelope detected to calculate right ventricular systolic pressure.  Injection of contrast documented no interatrial shunt. There is no comparison study available.  He was started on Heparin gtt. And admitted for observation. He required no supplemental oxygen. He was discharged later pm on Eliquis 10 mg bid for 7 days, than 5 mg bid for 3 months. I am questioning did he had COVID-19 vaccine related bilateral PE. His hypercoagulable profile is pending. He has no sign of malignancy, no new symptoms, no weight loss. He had normal colonoscopy 2 yrs ago.  He should follow up with his PCP.  He was given work excuse from 4/26-5/3/21. She shouldn't take non steroidal anti-inflammatory (Ibuprofen (Motrin), Naproxen, Naprosyn, Voltaren, Relafen ... meds because of blood thinner Eliquis. He can take Tylenol 500 mg 1-2 tabs 3-4x a day as needed. He was also prescribed Lidoderm patch.    For HTN he was started on DASH diet and Norvasc 5 mg daily. He should follow up with PCP next week.  Also he was instructed to quit smoking.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dizziness, Nausea, Vaccine positive rechallenge
Clinical narrative: Nausea and diarrhea continuing long past the second vaccine
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient came to pharmacy for 1st Moderna Covid-19 vaccination on 4/21/21. Spouse reported she died on 4/25/21.  Our pharmacy does not have information about her medications or health conditions as she wasn't a regular customer of ours.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Neuropathy peripheral, Paraesthesia
Clinical narrative: I experienced - and am still experiencing - neuropathy in my feet and hands. It is worse on left side, which is where my Pfizer vaccines were administered.  I felt a light pins and needles/tingling after 1st dose of the vaccine. One week after the second dose of the vaccine, it  became severe and persistent.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Dose was not drawn up in syringe and nothing was administered though patient received the IM injection.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Nausea
Clinical narrative: Dizziness, Nausea, metal-like taste in mouth
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt called today b/c she was scheduled for her 2nd shot tom. The reason she called was to inform us that she is covid + and needs to reschedule her second shot.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles, mild case on forehead
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Ultrasound pelvis, Ultrasound scan vagina
Clinical narrative: Irregular menstrual bleeding
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test
Clinical narrative: FEVER
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-aquaporin-4 antibody, Antinuclear antibody, Antinuclear antibody negative, Blood immunoglobulin G, Blood immunoglobulin M
Clinical narrative: Patient is a 60 y.o male with a history of arthritis who presents to the ED with numbness for the last two months. He was seen at the neurology clinic earlier today from where he was referred to the ED because of concern myelitis. He states that the numbness started in her toes and has been gradually radiating upward into his upper thoracic area. He denies cough, fever, chills, CP, or SOB. Patient states his sx started after receiving an injection in his neck for arthritis by orthopedics on 2/16/21. Additionally, he states that he received his first covid-19 vaccine (Moderna) on 2/17/21. He was evaluated in the ED for paresthesias on 4/11/21, where he was worked up with an MRI of the Lumbar spine that showed no acute processes, so he discharged with return precautions and instructions to follow-up with spine outpatient.  Patient is currently admitted to the hospital and latest Assessment and plan are below: Possible Vaccination induced Transverse myelitis versus cord neoplasm Multifocal CNS white matter inflammatory process -possibility of post vaccine autoimmune myelitis.  Received Moderna vaccine 2/17, 3/20 -Repeat MRI of C and T-spine with and without contrast post plasma exchange (per neurology 2 to 3 months after completion of treatment)  and if no improvement in the lesion, would need spinal cord biopsy
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein normal, CSF culture negative, CSF glucose normal, CSF lymphocyte count increased, CSF myelin basic protein normal
Clinical narrative: Patient is a 60 y.o male with a history of arthritis who presents to the ED with numbness for the last two months. He was seen at the neurology clinic earlier today from where he was referred to the ED because of concern myelitis. He states that the numbness started in her toes and has been gradually radiating upward into his upper thoracic area. He denies cough, fever, chills, CP, or SOB. Patient states his sx started after receiving an injection in his neck for arthritis by orthopedics on 2/16/21. Additionally, he states that he received his first covid-19 vaccine (Moderna) on 2/17/21. He was evaluated in the ED for paresthesias on 4/11/21, where he was worked up with an MRI of the Lumbar spine that showed no acute processes, so he discharged with return precautions and instructions to follow-up with spine outpatient.  Patient is currently admitted to the hospital and latest Assessment and plan are below: Possible Vaccination induced Transverse myelitis versus cord neoplasm Multifocal CNS white matter inflammatory process -possibility of post vaccine autoimmune myelitis.  Received Moderna vaccine 2/17, 3/20 -Repeat MRI of C and T-spine with and without contrast post plasma exchange (per neurology 2 to 3 months after completion of treatment)  and if no improvement in the lesion, would need spinal cord biopsy
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: CSF oligoclonal band absent, CSF protein increased, CSF virus no organisms observed, CSF white blood cell count increased, Cryptococcus test
Clinical narrative: Patient is a 60 y.o male with a history of arthritis who presents to the ED with numbness for the last two months. He was seen at the neurology clinic earlier today from where he was referred to the ED because of concern myelitis. He states that the numbness started in her toes and has been gradually radiating upward into his upper thoracic area. He denies cough, fever, chills, CP, or SOB. Patient states his sx started after receiving an injection in his neck for arthritis by orthopedics on 2/16/21. Additionally, he states that he received his first covid-19 vaccine (Moderna) on 2/17/21. He was evaluated in the ED for paresthesias on 4/11/21, where he was worked up with an MRI of the Lumbar spine that showed no acute processes, so he discharged with return precautions and instructions to follow-up with spine outpatient.  Patient is currently admitted to the hospital and latest Assessment and plan are below: Possible Vaccination induced Transverse myelitis versus cord neoplasm Multifocal CNS white matter inflammatory process -possibility of post vaccine autoimmune myelitis.  Received Moderna vaccine 2/17, 3/20 -Repeat MRI of C and T-spine with and without contrast post plasma exchange (per neurology 2 to 3 months after completion of treatment)  and if no improvement in the lesion, would need spinal cord biopsy
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Enterovirus test negative, HIV test negative, Herpes simplex test negative, Hypoaesthesia, Immunoglobulins normal
Clinical narrative: Patient is a 60 y.o male with a history of arthritis who presents to the ED with numbness for the last two months. He was seen at the neurology clinic earlier today from where he was referred to the ED because of concern myelitis. He states that the numbness started in her toes and has been gradually radiating upward into his upper thoracic area. He denies cough, fever, chills, CP, or SOB. Patient states his sx started after receiving an injection in his neck for arthritis by orthopedics on 2/16/21. Additionally, he states that he received his first covid-19 vaccine (Moderna) on 2/17/21. He was evaluated in the ED for paresthesias on 4/11/21, where he was worked up with an MRI of the Lumbar spine that showed no acute processes, so he discharged with return precautions and instructions to follow-up with spine outpatient.  Patient is currently admitted to the hospital and latest Assessment and plan are below: Possible Vaccination induced Transverse myelitis versus cord neoplasm Multifocal CNS white matter inflammatory process -possibility of post vaccine autoimmune myelitis.  Received Moderna vaccine 2/17, 3/20 -Repeat MRI of C and T-spine with and without contrast post plasma exchange (per neurology 2 to 3 months after completion of treatment)  and if no improvement in the lesion, would need spinal cord biopsy
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Light chain analysis normal, Magnetic resonance imaging spinal normal, Paraesthesia, Scan with contrast normal, Transfusion
Clinical narrative: Patient is a 60 y.o male with a history of arthritis who presents to the ED with numbness for the last two months. He was seen at the neurology clinic earlier today from where he was referred to the ED because of concern myelitis. He states that the numbness started in her toes and has been gradually radiating upward into his upper thoracic area. He denies cough, fever, chills, CP, or SOB. Patient states his sx started after receiving an injection in his neck for arthritis by orthopedics on 2/16/21. Additionally, he states that he received his first covid-19 vaccine (Moderna) on 2/17/21. He was evaluated in the ED for paresthesias on 4/11/21, where he was worked up with an MRI of the Lumbar spine that showed no acute processes, so he discharged with return precautions and instructions to follow-up with spine outpatient.  Patient is currently admitted to the hospital and latest Assessment and plan are below: Possible Vaccination induced Transverse myelitis versus cord neoplasm Multifocal CNS white matter inflammatory process -possibility of post vaccine autoimmune myelitis.  Received Moderna vaccine 2/17, 3/20 -Repeat MRI of C and T-spine with and without contrast post plasma exchange (per neurology 2 to 3 months after completion of treatment)  and if no improvement in the lesion, would need spinal cord biopsy
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Treponema test negative, West Nile virus test negative
Clinical narrative: Patient is a 60 y.o male with a history of arthritis who presents to the ED with numbness for the last two months. He was seen at the neurology clinic earlier today from where he was referred to the ED because of concern myelitis. He states that the numbness started in her toes and has been gradually radiating upward into his upper thoracic area. He denies cough, fever, chills, CP, or SOB. Patient states his sx started after receiving an injection in his neck for arthritis by orthopedics on 2/16/21. Additionally, he states that he received his first covid-19 vaccine (Moderna) on 2/17/21. He was evaluated in the ED for paresthesias on 4/11/21, where he was worked up with an MRI of the Lumbar spine that showed no acute processes, so he discharged with return precautions and instructions to follow-up with spine outpatient.  Patient is currently admitted to the hospital and latest Assessment and plan are below: Possible Vaccination induced Transverse myelitis versus cord neoplasm Multifocal CNS white matter inflammatory process -possibility of post vaccine autoimmune myelitis.  Received Moderna vaccine 2/17, 3/20 -Repeat MRI of C and T-spine with and without contrast post plasma exchange (per neurology 2 to 3 months after completion of treatment)  and if no improvement in the lesion, would need spinal cord biopsy
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was 17 at time of initial vaccination. Dr was contacted and verbal order was given to give second dose per off label use. Patient denies any adverse reactions or side effects.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Hospital called at 4:00 PM on 4/29 to let us know that the patient was being admitted due to several small PEs.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: 61 year old female client received her 1st done of Covid-19 Vaccine by Pfizer on her right arm via IM at 11:20 AM. At 11:25 AM client complained of tingling sensation on her lips.  Paramedics and MD on site arrive at the client at 11:28 AM, vitals are BP 168/90, HR 100, O2 98%, RR 17, Pain 0/10. MD gave patient water and educated patient proper breathing technique. At 11:35 AM client reported she feels so much better and she does not feel the tingling sensation on her lips anymore. Client was assisted to her car and was adviced to leave when she feels comfortable already.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Ear discomfort, Electrocardiogram normal, Feeling abnormal
Clinical narrative: At about 3:50 PM client was given vaccine. 10 min or so later reported lips feeling fuzzy. No trouble with breathing.  At 1610 B/P 130/94 P 80. At 4:16 PM 911 was called. About 4:20 PM client reported something is happening to me.  Client brought up both hands to head & stated feeling pressure behind both ears & in both ears. Pulse not racing. 2nd nurse speaking with client to support, calm, said she was having trouble finding words. EMS assessed & had client walk with them to the ambulance. RN
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Melanocytic naevus, Skin discolouration
Clinical narrative: PT HAD A MOLE LOCATED ON THE ARM THAT WAS RED, MOLE TURNED BROWN AFTER INJECTION NEAR THE AREA
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Large red area over entire upper arm that was near the injection site, extremely swollen and painful
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Constant severe ringing in ears. Have not been treated yet, have an appt May 6
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Lymphadenopathy
Clinical narrative: Moderate pain at injection site, 2 days. Swollen and painful lymph nodes in armpit on side of injection, 4 days. Fatigue, 2 days. Headache (not migraine), 2 days. Chills, 1 day.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Blood iron decreased, Headache, Heavy menstrual bleeding
Clinical narrative: The day after receiving the first dose of the Pfizer COVID-19 vaccine, the patient began to experience heavier than normal menstrual blood loss and blood clots. The patient returned in 21 days and received her 2nd dose of the vaccine and began to experience heavy clots and blood loss again along with headaches, paleness, and weakness. The patient saw a physician and was given medroxyprogesterone to decrease the bleeding on 4/15/2021. On 4/28/2021 the patient reported to an ER and was given a transfusion due to low iron levels.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Thrombosis
Clinical narrative: The day after receiving the first dose of the Pfizer COVID-19 vaccine, the patient began to experience heavier than normal menstrual blood loss and blood clots. The patient returned in 21 days and received her 2nd dose of the vaccine and began to experience heavy clots and blood loss again along with headaches, paleness, and weakness. The patient saw a physician and was given medroxyprogesterone to decrease the bleeding on 4/15/2021. On 4/28/2021 the patient reported to an ER and was given a transfusion due to low iron levels.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Dose was not drawn up in syringe and nothing was administered though patient received the IM injection
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dyspnoea, Eye irritation, Feeling abnormal, Headache
Clinical narrative: Severe insomnia, severe brain fog, sinus pain, sore throat, shortness of breath, body aches and tingling, eye irritation, blurred vision, headaches, stomach discomfort.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Oropharyngeal pain, Pain, Paraesthesia, Sinus pain
Clinical narrative: Severe insomnia, severe brain fog, sinus pain, sore throat, shortness of breath, body aches and tingling, eye irritation, blurred vision, headaches, stomach discomfort.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Severe insomnia, severe brain fog, sinus pain, sore throat, shortness of breath, body aches and tingling, eye irritation, blurred vision, headaches, stomach discomfort.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: vaccine given for patient under approved age group
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Severe headache and body aches. Worse than any influenza I?ve ever had in my entire life.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hypoacusis, Immediate post-injection reaction, Nausea, Paraesthesia
Clinical narrative: Approximately 4-5 minutes after receiving the vaccine: patient reported feeling war, decreased hearing, slight nausea, ringing in her ears nd tingling in her upper extremities. Able to stand and transfer to wheel chair ro exam table. Supine with knees bent up; cool cloth to forehead and back of neck. Unable to obtain a BP initially; then @ 11:09 a.m. BP 76/49 95% on RA; HR 57bpm. 11:15 a.m. BP 101/68 98%; HR 76bpm; 11:20 a.m. -feeling better and sipping water. 11:30 a.m. BP 114/75 97% on RA HR 89bpm. Drank a bottle of water. Stable and able to sit with legs dangling. 11:40 a.m. able to stand and then sit in observation area - left with a friend - feeling well.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Approximately 4-5 minutes after receiving the vaccine: patient reported feeling war, decreased hearing, slight nausea, ringing in her ears nd tingling in her upper extremities. Able to stand and transfer to wheel chair ro exam table. Supine with knees bent up; cool cloth to forehead and back of neck. Unable to obtain a BP initially; then @ 11:09 a.m. BP 76/49 95% on RA; HR 57bpm. 11:15 a.m. BP 101/68 98%; HR 76bpm; 11:20 a.m. -feeling better and sipping water. 11:30 a.m. BP 114/75 97% on RA HR 89bpm. Drank a bottle of water. Stable and able to sit with legs dangling. 11:40 a.m. able to stand and then sit in observation area - left with a friend - feeling well.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Oropharyngeal pain, Pain
Clinical narrative: Headaches, Body Aches, Sore Throat Home Self Care (Pt is RN) Tylenol and fluid increase 5 days
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Throat tightness
Clinical narrative: REPORTED FEELING THROAT TIGHTNESS, SKIN FLUSHING AND LIGHTHEADEDNESS POST VACCINE, SIMILAR TO DOSE 1 WHICH RESOLVED SPONTANEOUSLY AFTER ABOUT 2 HOURS.. TODAY, S/S BEGAN/OCCURED WITHOUT CLINICAL FINDINGS. NO THROAT EDEMA/ERYTHEMA NOTED. VSS. ESCORTED TO EXIT WITH NO ISSUES AT 1621. 1605 LYING BP 148/76 HR 78 RR 12 SATS 99% 1615 SITTING BP 133/82 HR 71 RR 12 SATS 98% RA
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess limb, Culture wound, Laboratory test
Clinical narrative: (April 17) An abscess started on my buttocks. (April 21) Urgent Care lanced & cleaned the area, started on antibiotics. (April 22) Urgent Care lanced & cleaned the wound, added a second antibiotic and pain medicine. (April 24) Urgent Care sent me to the Emergency Room where I was admitted.  They gave me IV antibiotics and pain medicines.  (April 26) A surgeon deep cleaned the abscess.  (April 27) I was discharged from the hospital with antibiotics and pain medicines. I have home health aides every other day to clean the abscess.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 4/29/21. Had exposure to a friend who tested positive 4/24. Remains asymptomatic. Completed COVID vaccine series 3/30/21. Also COVID positive 10/28/20 and had positive antibody testing 1/20/21.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure decreased, Chills, Dizziness, Headache
Clinical narrative: Dizzy, faint, blurred vision, headache started 5 minutes after shot. I was wheelchaired to fresh air and moved to a cot for 30 minutes of monitoring. I slowly recovered over the 30 minutes.   The following day I had a 99.6 fever, headache, chills and weakness. The vaccination site is sore.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Syncope, Vaccination site pain, Vision blurred
Clinical narrative: Dizzy, faint, blurred vision, headache started 5 minutes after shot. I was wheelchaired to fresh air and moved to a cot for 30 minutes of monitoring. I slowly recovered over the 30 minutes.   The following day I had a 99.6 fever, headache, chills and weakness. The vaccination site is sore.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Hypoaesthesia, Magnetic resonance imaging, Nausea
Clinical narrative: I experienced after my second dose, pain in my left arm which radiated to my left hand and also pain to my right shoulder and arm. I experienced swelling to my left arm. I had nausea lasted several weeks. Now I have right leg pain with numbness and tingling sensation. I have difficulty ambulating at times. An MRI of the MRI of the lumbar spine was performed at Diagnostics. I also have an ultrasound of the right leg to be scheduled to evaluate for any blood clots, pain.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia, Peripheral swelling
Clinical narrative: I experienced after my second dose, pain in my left arm which radiated to my left hand and also pain to my right shoulder and arm. I experienced swelling to my left arm. I had nausea lasted several weeks. Now I have right leg pain with numbness and tingling sensation. I have difficulty ambulating at times. An MRI of the MRI of the lumbar spine was performed at Diagnostics. I also have an ultrasound of the right leg to be scheduled to evaluate for any blood clots, pain.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: PATIENT WAS ACCIDENTALLY GIVEN A 3RD DOSE OF MODERNA COVID VACCINE RATHER THAN HER 2ND DOSE OF SHINGRIX.  NO ADVERSE EVENT REPORTED YET.  PATIENT WILL WAIT 2 WEEKS TO RECIEVE 2ND SHINGRIX DOSE.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site induration, Injection site reaction, Rash macular
Clinical narrative: COVID arm.  Red, firm, splotch around injection. 2-3 in diameter
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: 4/21/2021 2:05 pm: Injection given, 2:35 pm: rash/hives developed on patients neck on the left side (same side as injection). 2:40 pm: patient given Benadryl 75mg by mouth (3 capsules x 25 mg each), 2:55pm: Rash/hives continues to spread to chest and back. Patient decides to go to Emergency Room. 3:10 pm: Pharmacist called and confirmed patient's successful arrival to Emergency Room.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Breast swelling, Heavy menstrual bleeding, Mammogram abnormal, Menstruation irregular
Clinical narrative: I have started very sharp pains on my breasts and my breasts became very dense and bigger after 2 weeks of the first shot, pain still continues after 19 days of the 2nd shot, also after 2 weeks of the second shot I started my period eventhough it was not due till another 2 weeks so in between bleeding started . It has been 3 days so far medium flow my period hasn?t stopped yet.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Underdose
Clinical narrative: Vaccine vial was not properly reconstituted and patient was ultimately getting only the diluent ( Sodium Chloride 0.9%) administered.. Patient was contacted later same day about incident and was given properly reconstituted vaccine dose. No adverse reactions were reported by patient when they returned to get the satisfactory vaccination dose,
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Myalgia, Oropharyngeal pain
Clinical narrative: Fever or Chills  Cough  Muscle or body aches  Headache  Sore throat  Congestion or running nose
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Fever or Chills  Cough  Muscle or body aches  Headache  Sore throat  Congestion or running nose
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Loss of consciousness
Clinical narrative: I Passed out in store while grocery shopping,  08/10/2021
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: After completing the 15 min monitoring, pt stated he had a sensation of increasing his heart rate.   EMS took his vital signs BP 108/80, HR 78, OxSat:100%.  After evaluation , pt stated he feels better.  Pt was with his partner and he was escorted by her to his car.  Pt was advised to inform his PCP about this.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Limb discomfort
Clinical narrative: Dizziness - gradual improvement. Heavy feet. Vitals wnl.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: redness, rash and itching to upper torso and upper extremities
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Respiratory failure
Clinical narrative: lungs shut down from 95 to 0 in a blink of an eye
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Pulmonary embolism, Rash, Ultrasound Doppler abnormal
Clinical narrative: Patient had pulmonary embolism right around the time of her second vaccine patient also had a rash on her left arm after her second vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dehydration, Dizziness, Heart rate increased, Hypertension
Clinical narrative: Severe body aches within 4 hours lasting for at least 2 days (still aching, but not as severe 2 days later), treated with Ibuprofen 800 mg every 8-12 hours as needed Fever - mild, beginning at 24 hours after shot and breaking about 12 hours later High Heart Rate - ongoing from 24 hours, treated with Metroprolol - heart rate up to 130 bpm when sitting, doing nothing Anxiety - high heart rate and fever contributed to an anxiety attack about 29 hours after immunization, other contributing factors were high blood pressure and dehydration caused from not taking normal meds and not drinking adequate fluids; taking meds and drinking water and lemonade helped relieve the anxiety Dizziness - extreme dizziness occurred at the same time as the fever and lasted until after the anxiety attack; it seemed to ease after eating dinner and drinking lemonade but never completely disappeared until the next morning