chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate decreased, Hypertriglyceridaemia, Mental status changes, Occult blood positive, Oxygen saturation decreased
Clinical narrative: The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia staphylococcal, Pulmonary oedema, Pulse absent, Respiratory failure, Resuscitation
Clinical narrative: The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sickle cell anaemia with crisis, Sputum culture positive, Transfusion, Unresponsive to stimuli
Clinical narrative: The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaginal haemorrhage, White blood cell count normal
Clinical narrative: The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Flushing, Hyperhidrosis, Throat tightness
Clinical narrative: Anaphylaxis approximately 20 minutes after dose.  Patient reported throat closing, flushing, and diaphoresis.  Epi 0.3 mg IM given x 1 with resolution of skin symptoms, but no improvement in throat.  Benadryl 50 mg IM x 1 given enroute to ER.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest X-ray, Eructation, Exercise tolerance decreased, Flatulence
Clinical narrative: Within the second day after receiving the vaccine : Intermittent drastic rise in blood pressure in conjunction with heart palpatations. Nausea. Drastic Increase in thirst. Intermittent bouts of restlessness. Inability to perform physical exercises without cardiac complications.  Burping and excessive gas. Symptoms persist.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Nausea, Neutrophil count increased, Palpitations, Restlessness
Clinical narrative: Within the second day after receiving the vaccine : Intermittent drastic rise in blood pressure in conjunction with heart palpatations. Nausea. Drastic Increase in thirst. Intermittent bouts of restlessness. Inability to perform physical exercises without cardiac complications.  Burping and excessive gas. Symptoms persist.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Thirst
Clinical narrative: Within the second day after receiving the vaccine : Intermittent drastic rise in blood pressure in conjunction with heart palpatations. Nausea. Drastic Increase in thirst. Intermittent bouts of restlessness. Inability to perform physical exercises without cardiac complications.  Burping and excessive gas. Symptoms persist.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Change in menstrual cycle and no ovulation after shot. Had been tracking my cycles and everything was like clockwork. Periods were 5 days and heavy, I ovulated the same time every month. After shot periods were light, short and no ovulation.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Pallor, Spinal fusion surgery, Throat tightness
Clinical narrative: Approximately 10 minutes after vaccination the patient and her mother came to the pharmacy window stating the patient felt flushed, her throat felt tight and she was pale. I had the patient sit down and gave her juice which she drank immediately. I stayed with her for a few minutes asking if she was feeling better and she confirmed she was. The patient (and mother) were very anxious abut the patient getting the vaccine even prior to vaccination. I observed her from my working station for about 15 more minutes. While the patient was seated the mother inquired about the patient taking a medication if she does have an allergic reaction and we advised she take diphenhydramine if needed. The patient had no history of severe allergy in her lifetime.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram head, Epilepsy, Generalised tonic-clonic seizure, Headache
Clinical narrative: About 6 hours after I received the vaccine, I got a massive headache.  I went to the emergency room several times and they treated me for a migraine.  The headache lasted a couple months.  I also started having Grand Mal seizures, one of which left me unresponsive in the ICU for a few days.  I also dislocated, and eventually fractured my left shoulder after a seizure.  I have continued to have seizures, even on medication, since I received the vaccine.  My seizures are being treated with Keppra and Lamictal.  I have now been diagnosed with Epilepsy.  I have never had a seizure before having this vaccine.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Joint dislocation, Lumbar puncture, Magnetic resonance imaging head, Migraine
Clinical narrative: About 6 hours after I received the vaccine, I got a massive headache.  I went to the emergency room several times and they treated me for a migraine.  The headache lasted a couple months.  I also started having Grand Mal seizures, one of which left me unresponsive in the ICU for a few days.  I also dislocated, and eventually fractured my left shoulder after a seizure.  I have continued to have seizures, even on medication, since I received the vaccine.  My seizures are being treated with Keppra and Lamictal.  I have now been diagnosed with Epilepsy.  I have never had a seizure before having this vaccine.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Unresponsive to stimuli, Upper limb fracture, X-ray
Clinical narrative: About 6 hours after I received the vaccine, I got a massive headache.  I went to the emergency room several times and they treated me for a migraine.  The headache lasted a couple months.  I also started having Grand Mal seizures, one of which left me unresponsive in the ICU for a few days.  I also dislocated, and eventually fractured my left shoulder after a seizure.  I have continued to have seizures, even on medication, since I received the vaccine.  My seizures are being treated with Keppra and Lamictal.  I have now been diagnosed with Epilepsy.  I have never had a seizure before having this vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Headache, Myalgia
Clinical narrative: Intensive headache  muscle pain  joint pain  chills  nausea and vomiting  fever  loss of appetite
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Intensive headache  muscle pain  joint pain  chills  nausea and vomiting  fever  loss of appetite
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nephrolithiasis, Urinary tract infection
Clinical narrative: Kidney stone 3rd day following  that turned into a UTI Spoke w/ a Physician, who then prescribed antibiotics
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Cough, Decreased appetite, Dysgeusia, Fatigue
Clinical narrative: Severe headache that lasted two days, swelling on the right side of face, heart palpitating, couldn't walk without assistance, nausea, metal taste in mouth, loss of appetite,  arm swollen at injection sight, fever, entire body in pain, slight cough and congestion, tiredness, fluttering in chest
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Headache, Injection site swelling, Nausea, Pain
Clinical narrative: Severe headache that lasted two days, swelling on the right side of face, heart palpitating, couldn't walk without assistance, nausea, metal taste in mouth, loss of appetite,  arm swollen at injection sight, fever, entire body in pain, slight cough and congestion, tiredness, fluttering in chest
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia, Respiratory tract congestion, Swelling face
Clinical narrative: Severe headache that lasted two days, swelling on the right side of face, heart palpitating, couldn't walk without assistance, nausea, metal taste in mouth, loss of appetite,  arm swollen at injection sight, fever, entire body in pain, slight cough and congestion, tiredness, fluttering in chest
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersensitivity, Paraesthesia, Rash, Rash papular
Clinical narrative: DEVELOPED A FINE RAISED RASH LEFT NECK, BEHIND LEFT EAR AND LEFT SIDE OF FACE DAY 1;  DAY 2 AWOKE WITH ACUTE HEADACHE AT BASE OF SKULL AND PARESTHESIA TO LEFT SIDE OF FACE.   HEADACHE RESOLVED AFTER APPROX 1 HOUR, RASH RESOLVED WITHIN 1 WEEK, AND PARESTHESIA RESOLVED IN APPROX 3 WEEKS.  TREATED WITH BENADRYL, VALCYCLOVIR AND TYLENOL
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2
Clinical narrative: exposure to +covid person
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Tooth abscess, Tooth infection, Toothache
Clinical narrative: Tooth abscess appeared approximately 2 days after getting vaccination shot for COVID-19.  The tooth affected had a root canal completed late June 2020.  I have had low-level pain since the root canal.  It's possible I had a mild infection around the tooth after the operation and, after receiving my COVID-19 shot on Monday,  the infection flared up because my immune system was activated by the vaccination shot.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dyspnoea, Headache, Metabolic function test, Obstructive airways disorder
Clinical narrative: 12 hours after vaccination. Severe body aches, fever and headache. 16 hours after vaccination, throat started closing and experienced difficulty breathing and vomiting. Blood pressure dropped 98/40. Went to the ER due to almost complete loss of airway.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test, Throat tightness, Vomiting
Clinical narrative: 12 hours after vaccination. Severe body aches, fever and headache. 16 hours after vaccination, throat started closing and experienced difficulty breathing and vomiting. Blood pressure dropped 98/40. Went to the ER due to almost complete loss of airway.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Condition aggravated, Injection site erythema, Injection site pain, Migraine
Clinical narrative: pt saw her neurologist for the headaches/migraines took extra doses of emgality and keppra per MD. Stated her migraines went away. puncture site is just a little red and sore to the touch- MD aware. Stated it is looking better now than it did on 08/10/21
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram, Fatigue, Tremor, Urine electrolytes decreased
Clinical narrative: I was very tired. My electrolytes were very low and I started to vomit and shake. I went to the ER and they told me my electrolytes were low and I went into a-fib.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I was very tired. My electrolytes were very low and I started to vomit and shake. I went to the ER and they told me my electrolytes were low and I went into a-fib.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Somnolence
Clinical narrative: The patient has had only watery stools since the day after the vaccination (over 3 weeks by reporting date). Patient is also experiencing drowsiness.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2
Clinical narrative: exposure to covid+ person
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Peripheral swelling
Clinical narrative: Patient reports swelling in lower extremity noticed over the weekend on 08/07/21. He went to Family Practice and was diagnosed with Deep Vein Thrombosis per Dr. on 08/11/21.  Moderna COVID-19 Vaccine
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, C-reactive protein increased
Clinical narrative: Woke up day after shot with moderate pain in joints, especially hips and shoulders, which got progressively much worse for 2 months.   Talked to doctor (GP) who ran many blood tests and CRP was elevated to 16, blood test 1 month later showed CRP of 30.  She said my symptoms suggested PRM (Polymyalgia  Rheumatica) and prescribed 10 mg Prednisone, once a day.  Within 72 hours pain was much better. I saw a rheumatologist a month later who diagnosed it as PRM and continued the drug therapy with 1 mg reduction every month following.  He ran CRP blood test and it after a month of the 10mg, it was at 4.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Respiratory tract congestion
Clinical narrative: cough, headache, congestion
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site urticaria, Injection site warmth
Clinical narrative: Large, sore, red, warm to touch welt at site of injection noted roughly 18 hours after 2nd shot of Pfizer.  The next day, welt grew larger, still warm to touch and sore.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Developed COVID symptoms 7/28/2021 and tested positive for COVID 08/11/2021
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Urticaria
Clinical narrative: Started with single outbreak of hives lasting several days, after second dose started happening with greater frequency and greater outbreaks.  Now, lasting 3 weeks, some go away and new ones appear, feet, arms, legs, face.  No history of hives prior.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Urticaria
Clinical narrative: heart raced 4 minutes after injection, felt like i could feel the vaccine really hit my bloodstream fully, could?ve been a panic attack. the hives showed up at 6:45, dime sized, and stayed for three weeks with varying intensity and location. mostly on my stomach, hips, and occasionally lower back
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: on April 13th I contacted my doctor I had a rash on my left arm on the injection site it looked like hives and it was red and itchy and it spread through out my whole arm it was a red patch and the itch had gone away. Doctor gave me Aleve and it cleared up in a couple  of days. I also had fatigue headache following up my appointment from the doctor.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Rash
Clinical narrative: on April 13th I contacted my doctor I had a rash on my left arm on the injection site it looked like hives and it was red and itchy and it spread through out my whole arm it was a red patch and the itch had gone away. Doctor gave me Aleve and it cleared up in a couple  of days. I also had fatigue headache following up my appointment from the doctor.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: mild fever (100 degrees), fatigue, body aches, injection site soreness
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: None note just received Dose #3 of vaccine. 1st dose Moderna the 2 subsequent Pfizer doses at appropriate time spacing levels
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Biopsy lymph gland, Lymphadenopathy, Mammogram abnormal
Clinical narrative: I got sore in the left arm pit and felt my lyphmnodes were abnormal. I got a mammogram and it showed that my lyphmnodes are reactive.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Palpitations
Clinical narrative: 1. Racing heart day of June 11. (2 days after the 2nd Pfizer shot) Following day was feeling great.  2. Crushing pain through the body on two dates June 19 & July 3. ibuprofen had no effect
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Myalgia, Nasal congestion, Respiratory tract congestion
Clinical narrative: Headache, muscle pain, lower back pain, congestion, and stuffy nose
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure during pregnancy, Vaginal haemorrhage
Clinical narrative: pregnant at time of vaccination Vaginal bleeding
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Developed hives underneath left and right armpit, down to my stomach as well about 3 hours after vaccination. Thought it was a mosquito bite until the itching got worse and felt like there were welts on my skin, when I checked I realized it was  hives that had developed late at night. I proceeded to go to the ER where I was treated immediately.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Condition aggravated, Electroencephalogram, Fall, Full blood count normal
Clinical narrative: Second lifetime tonic-clonic seizure occurred around 2300 June 24,2021 while sleeping. Fell out of bed with approximately five minutes of tonic clonic activity that were observed by patient's mother (in the same bed as patient).  Blood sugar was in the 90s-100s at time of event (no hypoglycemia-induced seizure). EMS called, patient transferred to Hospital emergency room. Patient's neurologist notified of second seizure, EEG completed. Patient started on 500mg Keppra 2x a day with a follow up with neurology on August 23, 2021.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure, Metabolic function test
Clinical narrative: Second lifetime tonic-clonic seizure occurred around 2300 June 24,2021 while sleeping. Fell out of bed with approximately five minutes of tonic clonic activity that were observed by patient's mother (in the same bed as patient).  Blood sugar was in the 90s-100s at time of event (no hypoglycemia-induced seizure). EMS called, patient transferred to Hospital emergency room. Patient's neurologist notified of second seizure, EEG completed. Patient started on 500mg Keppra 2x a day with a follow up with neurology on August 23, 2021.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Severe arm pain the day after for 5 consecutive days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysmenorrhoea, Fatigue, Hypersomnia, Rash
Clinical narrative: After the second dose I felt tired and slept majority of the day I took Aleve I started to get a rash on my right arm  but it didn't fully developed on May 17 I went to the Dr. I had a cough and he think the immune response to the 1st dose trigger my cough he prescribed Albuterol and it cleared up in 2 weeks something I also noticed after the vaccines I felt my menstrual cramps have been stronger .
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicitis, Surgery
Clinical narrative: I ended up with a appenditics I had surgery 2 days ago
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chills, Feeling cold, Headache
Clinical narrative: 20 mins after the shot my chest was tight.  My arm was sore. A few hours later my whole body trembled. I was freezing cold and couldn't feel my feet. I sat in a bath as my body was so sore. The headache started coming on and progresses throughout the night. I was sweating all night. Joints are in pain. Sinuses in my face are sore with drainage. The next day my arm is sore, my bad is in pain. I have a strong headache.  I have the chills.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoaesthesia, Pain, Pain in extremity, Paranasal sinus discomfort
Clinical narrative: 20 mins after the shot my chest was tight.  My arm was sore. A few hours later my whole body trembled. I was freezing cold and couldn't feel my feet. I sat in a bath as my body was so sore. The headache started coming on and progresses throughout the night. I was sweating all night. Joints are in pain. Sinuses in my face are sore with drainage. The next day my arm is sore, my bad is in pain. I have a strong headache.  I have the chills.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus operation, Tremor
Clinical narrative: 20 mins after the shot my chest was tight.  My arm was sore. A few hours later my whole body trembled. I was freezing cold and couldn't feel my feet. I sat in a bath as my body was so sore. The headache started coming on and progresses throughout the night. I was sweating all night. Joints are in pain. Sinuses in my face are sore with drainage. The next day my arm is sore, my bad is in pain. I have a strong headache.  I have the chills.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Pruritus, Urticaria
Clinical narrative: Hives, starting on back and torso, causing great discomfort - itching
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling hot, Injection site pain, Pain, Pyrexia
Clinical narrative: 1/27/2021-9:00pm- got chills and body ache 1/27/2021-11:00pm- got really hot, had fever of 100.3, body aches 1/28/2021-6:00am- no more fever,  more chills or hot feeling, but body was sore and achy  1/28/2021-3:30pm- all symptoms gone. No body pain, no fever, no discomfort besides mild arm pain at injection site.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood test normal, Fatigue, Injection site pain, Joint stiffness
Clinical narrative: 1st shot - light soreness in injection shot area for several days,  fatigued for 4 days, nausea for 3 days 2nd shot - extreme soreness in injection shot area for 5 days,  next day joints in my hands ached and hands where stiff.  I took some Advil and it went a way. Since beginning of May, I noticed my hands where stiff and joints in my knuckles ached.  I thought it was from gardening, packing my classroom to move into another school building, and playing golf (maybe holding the club too tight).  My hands have continued to ache and are stiff, night time is the worst.  The pain and stiffness is waking me up at night.  I have trouble grabbing my covers to pull over me.  When I went to see my personal physician, Dr. both hands ached equally but now my left hand is worse.  I had mentioned to Dr. what my symptoms were after my second shot and she said I needed to contact you.. All blood tests and X-rays have come back normal and I am seeking to see a rumheumatologist.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Nausea, Pain in extremity, Sleep disorder, X-ray normal
Clinical narrative: 1st shot - light soreness in injection shot area for several days,  fatigued for 4 days, nausea for 3 days 2nd shot - extreme soreness in injection shot area for 5 days,  next day joints in my hands ached and hands where stiff.  I took some Advil and it went a way. Since beginning of May, I noticed my hands where stiff and joints in my knuckles ached.  I thought it was from gardening, packing my classroom to move into another school building, and playing golf (maybe holding the club too tight).  My hands have continued to ache and are stiff, night time is the worst.  The pain and stiffness is waking me up at night.  I have trouble grabbing my covers to pull over me.  When I went to see my personal physician, Dr. both hands ached equally but now my left hand is worse.  I had mentioned to Dr. what my symptoms were after my second shot and she said I needed to contact you.. All blood tests and X-rays have come back normal and I am seeking to see a rumheumatologist.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea
Clinical narrative: Problems getting a full breath in my lungs and extremely deep coughing. Extremely severe diarrhea, I can not leave the house until my bowels are completely drained.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal uterine bleeding
Clinical narrative: Hospital admission following months of abnormal uterine bleeding post vaccination Abnormal uterine bleeding (AUB) [N93.9]
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Breast swelling, Mammogram normal
Clinical narrative: On  June 3rd, 2021, I noticed my right side of my chest/breast swollen. I contacted my doctor and schedule an appointment for June 8th, 2021, looked at it and scheduled me for a mammogram was on June 21st . The mammogram came back normal and I was schedule a follow-up appointment with Dr. on June 28th, 2021 for blood work. Blood work results came back negative. I still have swollen in my right chest/breast and my doctor told me to come back if the swollen hasn't gone down in six months.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Covid19
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Chills, Cough, Pain
Clinical narrative: received the Johnson and Johnson vaccine against covid-19 in march 2021.  Person began having symptoms of covid on 08/07/2021 and tested positive on 08/10/2021.  She had fever, chills, loss of smell, cough and body aches.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: received the Johnson and Johnson vaccine against covid-19 in march 2021.  Person began having symptoms of covid on 08/07/2021 and tested positive on 08/10/2021.  She had fever, chills, loss of smell, cough and body aches.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse outcomes at this time. Patient was vaccinated with a 3rd dose of Moderna per Show me Vax. Patient stated that this was her first dose.  Pt arrived to today for a COVID vaccine. Pt states that this will be her first Covid vaccine. In good faith. pt was vaccinated with the Moderna at this time. When this nurse went to enter the vaccine information into SMV it appeared that pt had 2 doses of Moderna from in February and March 2021. When asked about this, the pt denied ever being vaccinated with any COVID vaccine and stated that "It had to be my daughter. She has done this in the past and she does it because she does not have insurance." She stated that her daughters name is which is very similar to her own name and birthday. This nurse called and they stated that they do not have a copy of the pts ID but did have signed consents. Consents were faxed to my office. The signatures were small and grainy, but appear alike. Pt continues to deny being vaccinated in the past. health department and was instructed to enter the dose given and write a note about what occurred in which this nurse did.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Glare, Paraesthesia oral, Throat irritation, Vision blurred
Clinical narrative: About 7 minutes after vaccine began having tingling to tongue and lips; Scratchy throat sensation; Glare/ blurry vision.  No shortness of breath or airway compromise Gave ice pack and cold water
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Lacunar stroke, Magnetic resonance imaging head abnormal
Clinical narrative: Left Lacunar CVA
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Impaired work ability, Migraine, Motion sickness, Vision blurred
Clinical narrative: I had a very bad migraine like headache, severe dizziness, multiple episodes of vomitting for a whole day, Vision got a little bury. I felt sea sick and had to cancel my day at work and laid in bed until the next day and I was fine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I had a very bad migraine like headache, severe dizziness, multiple episodes of vomitting for a whole day, Vision got a little bury. I felt sea sick and had to cancel my day at work and laid in bed until the next day and I was fine.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Malaise, Nasopharyngitis
Clinical narrative: Started feeling ill on 8/6/2021 with cold like symptoms. Congestion; bad cough; runny nose; slight shortness of breath, fatigue
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Started feeling ill on 8/6/2021 with cold like symptoms. Congestion; bad cough; runny nose; slight shortness of breath, fatigue
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Decreased appetite, Dizziness, Fatigue, Nausea
Clinical narrative: After second shot I had high fever, chills, nausea, dizziness,fatigue, and loss of appetite.  Also had swollen knot on arm and tenderness for almost 1 month after the second shot.  Did not have this with the first shot.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nodule, Pyrexia, Swelling, Tenderness
Clinical narrative: After second shot I had high fever, chills, nausea, dizziness,fatigue, and loss of appetite.  Also had swollen knot on arm and tenderness for almost 1 month after the second shot.  Did not have this with the first shot.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 8/10/21 evening, patient began to c/o pain to left arm.  On the morning of 8/11/21, patient c/o severe left arm pain and there was redness and swelling to injection site.  Later on 8/11/21 caretaker noticed tactile warmth at injection site.  Mom was advised to apply cold compress in 10 minute increments and monitor for fever.  By 8/12/21, the redness and tactile warmth had worsened and patient was seen in our office.  Caretaker also noticed on 8/12/21 that the right arm had some tactile warmth but no swelling or redness.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Breast discomfort, Lymphadenopathy, Skin irritation
Clinical narrative: On the evening of 8/12/21 I noticed increasing discomfort in my right axilla/right lateral breast.  This is what I am assuming are some swollen/irritated lymph nodes.  Symptoms still persistent today.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hemiparesis, Transient ischaemic attack
Clinical narrative: TIA (transient ischemic attack) [G45.9] left side weakness receive vaccine at pharmacy on 04/25/2021 and 05/25/2021 Admitted to hospital on 8/12/2021
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Faeces discoloured, Haemoglobin decreased, Hypoalbuminaemia
Clinical narrative: 89-year-old female presented to the emergency department complaints of weakness and dark stool.  Patient unable to provide much history herself.  She was at the facility for the past 2 weeks after treatment for COVID-19.  patient was found to have hemoglobin of 6.1.  She also noted to have SIRS due to non infectious process with acute organ dysfunction, hyponatremia, hypochloremia, hypoalbuminemia, transaminitis, and type 2 MI with elevated troponin.   4/06/2021 tested positive 5/4/2021 tested positive 5/4/2021: patient discharged.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypochloraemia, Hyponatraemia, Multiple organ dysfunction syndrome, SARS-CoV-2 test positive, Systemic inflammatory response syndrome
Clinical narrative: 89-year-old female presented to the emergency department complaints of weakness and dark stool.  Patient unable to provide much history herself.  She was at the facility for the past 2 weeks after treatment for COVID-19.  patient was found to have hemoglobin of 6.1.  She also noted to have SIRS due to non infectious process with acute organ dysfunction, hyponatremia, hypochloremia, hypoalbuminemia, transaminitis, and type 2 MI with elevated troponin.   4/06/2021 tested positive 5/4/2021 tested positive 5/4/2021: patient discharged.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Hyperhidrosis, Nausea
Clinical narrative: 31 year old female with no know allergies. Approximately 19 minutes after receiving 1st dose of pfizer COVID vaccine exited the observation area and went to restroom, additional staff notice client over toilet with c/o nausea and sweating. Staff alerted Nursing staff, Client taken back to observation area with 3 Nursing staff member, client sweating profusely, vitals assessed, b/p-126/92p-88 spo2-99%t-98.0 . Water and Salty snack given, client monitored for additional 30 mins, vitals stable, no c/o nausea or vomiting, sweating subsided
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Pt. is an 84-year-old female who presents to hospital with an increasing shortness of breath.  The patient has chronic obstructive pulmonary disease, for which she is on DuoNebs, Stiolto.  She reported increasing shortness of breath over the past several days.  She presented to Emergency Room.  She was diagnosed with coronavirus pneumonia and required increase in oxygen.  The patient has had no chest discomfort, palpitations, syncope, or abdominal pain.  7/31/2021 tested positive
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site inflammation, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Approximately a week after my 1st vaccine shot, and having had no adverse effects prior and no previous swelling or reaction at the injection site, I woke up with my arm incredibly sore and inflamed at the injection site of the vaccine.  It was swollen and hot to the touch, and painful to move.  The onset was sudden, but it took several days for the symptoms to resolve.  (It was a holiday weekend, or else I would have gone for medical treatment, as I was concerned about localized infection or abscess, based on the symptoms.) By the time I would have been able to make an appointment at my doctor's office 4 days later, the swelling was finally resolving and the heat emanating from the site was mostly gone.   Since then, there's been no further indication of a problem that I can attribute to the vaccine, and I had my 2nd shot as scheduled with very little issue (some slight general fever and fatigue in the 24 hours after the 2nd shot, but that seems to be an expected side effect, and it resolved quickly).
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Approximately a week after my 1st vaccine shot, and having had no adverse effects prior and no previous swelling or reaction at the injection site, I woke up with my arm incredibly sore and inflamed at the injection site of the vaccine.  It was swollen and hot to the touch, and painful to move.  The onset was sudden, but it took several days for the symptoms to resolve.  (It was a holiday weekend, or else I would have gone for medical treatment, as I was concerned about localized infection or abscess, based on the symptoms.) By the time I would have been able to make an appointment at my doctor's office 4 days later, the swelling was finally resolving and the heat emanating from the site was mostly gone.   Since then, there's been no further indication of a problem that I can attribute to the vaccine, and I had my 2nd shot as scheduled with very little issue (some slight general fever and fatigue in the 24 hours after the 2nd shot, but that seems to be an expected side effect, and it resolved quickly).
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Injection site swelling, Lymphadenopathy, Pyrexia
Clinical narrative: Fever, dizziness, aches in joints, swollen arm at injection site, swollen lymphatic glands, rash on lymphatic surface
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Fever, dizziness, aches in joints, swollen arm at injection site, swollen lymphatic glands, rash on lymphatic surface
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Four days after receiving Shingrix vaccine I came down with shingles even though everyone says that can't happen!!
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose decreased, COVID-19 pneumonia, Chest X-ray abnormal, Chills, Electrocardiogram abnormal
Clinical narrative: 72-year-old female with past medical history of hypertension, atrial fibrillation, end-stage renal disease on hemodialysis, GERD, coronary artery disease, type 2 diabetes mellitus, morbid obesity, hyperlipidemia, peripheral arterial disease, GERD, osteoarthritis, peptic ulcer disease, and heart failure with preserved ejection fraction with last EF 50-55% in echo from 04/2020 presented to the emergency department complaints of changes in mental status.  Supposedly, patient was at hemodialysis and finished the session after which, patient was found to have failure mental status.  Her blood sugar was checked and was noted to be 60.  Patient received 1 amp of D50.   Patient had also been complaining of recent fevers and chills along with poor oral intake therefore, sent to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have sepsis secondary to COVID-19 pneumonia.  Also noted to have hypertensive urgency, hypochloremia, metabolic alkalosis, hyperglycemia, lactic acidosis, and elevated troponin.  Chest x-ray consistent with bilateral perihilar vascular congestion.  EKG independently reviewed and consistent with sinus tachycardia with frequent PVCs.  Poor quality EKG overall.  While in the emergency department, patient's blood sugars dropped multiple times and required 1-2 amps of D50.  Does not take insulin at home.  7/23/2021 tested positive 8/3/2021 patient discharged.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperglycaemia, Hypertensive urgency, Hypochloraemia, Hypophagia, Lactic acidosis
Clinical narrative: 72-year-old female with past medical history of hypertension, atrial fibrillation, end-stage renal disease on hemodialysis, GERD, coronary artery disease, type 2 diabetes mellitus, morbid obesity, hyperlipidemia, peripheral arterial disease, GERD, osteoarthritis, peptic ulcer disease, and heart failure with preserved ejection fraction with last EF 50-55% in echo from 04/2020 presented to the emergency department complaints of changes in mental status.  Supposedly, patient was at hemodialysis and finished the session after which, patient was found to have failure mental status.  Her blood sugar was checked and was noted to be 60.  Patient received 1 amp of D50.   Patient had also been complaining of recent fevers and chills along with poor oral intake therefore, sent to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have sepsis secondary to COVID-19 pneumonia.  Also noted to have hypertensive urgency, hypochloremia, metabolic alkalosis, hyperglycemia, lactic acidosis, and elevated troponin.  Chest x-ray consistent with bilateral perihilar vascular congestion.  EKG independently reviewed and consistent with sinus tachycardia with frequent PVCs.  Poor quality EKG overall.  While in the emergency department, patient's blood sugars dropped multiple times and required 1-2 amps of D50.  Does not take insulin at home.  7/23/2021 tested positive 8/3/2021 patient discharged.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic alkalosis, Pulmonary congestion, Pyrexia, Sepsis
Clinical narrative: 72-year-old female with past medical history of hypertension, atrial fibrillation, end-stage renal disease on hemodialysis, GERD, coronary artery disease, type 2 diabetes mellitus, morbid obesity, hyperlipidemia, peripheral arterial disease, GERD, osteoarthritis, peptic ulcer disease, and heart failure with preserved ejection fraction with last EF 50-55% in echo from 04/2020 presented to the emergency department complaints of changes in mental status.  Supposedly, patient was at hemodialysis and finished the session after which, patient was found to have failure mental status.  Her blood sugar was checked and was noted to be 60.  Patient received 1 amp of D50.   Patient had also been complaining of recent fevers and chills along with poor oral intake therefore, sent to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have sepsis secondary to COVID-19 pneumonia.  Also noted to have hypertensive urgency, hypochloremia, metabolic alkalosis, hyperglycemia, lactic acidosis, and elevated troponin.  Chest x-ray consistent with bilateral perihilar vascular congestion.  EKG independently reviewed and consistent with sinus tachycardia with frequent PVCs.  Poor quality EKG overall.  While in the emergency department, patient's blood sugars dropped multiple times and required 1-2 amps of D50.  Does not take insulin at home.  7/23/2021 tested positive 8/3/2021 patient discharged.