chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Tremor, Visual impairment, Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Vomiting-Medium
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Oropharyngeal pain, Pain
Clinical narrative: Headache, nausea, sore throat, body aches
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received the Pfizer COVID Vaccine despite being outside of the authorized age range per the current EUA. Patient did not exhibit any adverse events.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: reports redness, itching, and swelling one week after 2nd injection.   (Dose #1 Lot#: EN6206)
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, Pruritus
Clinical narrative: After my first shot on Day 8, my left arm began to itch then swelled again and was hard/red.  I used benedryl and it went away the next day. Today, 2 days after my second shot, my arm is VERY sore and hard/red is getting bigger rather than smaller. I will use ice.  It's not itchy as of now.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Started feeling very tired, and arm became extremely sore, 3 hours after my vaccination. Took Tylenol around 3pm, found I had a 100.1° fever that night (approx 8-9pm). Fever went up to 102.3° at 3am (next day).  Fever stayed around 99° the rest of the day, finally broke by 9pm when I was able to check because Tylenol was out of my system. Both days felt extreme fatigue. Day of vaccination was only able to do tasks for about 10 mins before needing to sit down.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dyspnoea, Fatigue, Loss of consciousness, Muscular weakness
Clinical narrative: Muscle weakness that lead to passing out multiple times, fever, disoriented, and ended up in the hospital for two days
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Muscle weakness that lead to passing out multiple times, fever, disoriented, and ended up in the hospital for two days
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: After administration of the Janssen vaccine information was discovered that the Veteran had received 1st dose pfizer vaccine on 1/3/2021. Veteran did not have any adverse reaction.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash on chest. Itchy not raised. Started a few  hours after 1st dose.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Dyspnoea, Echocardiogram normal
Clinical narrative: Patient is a 30-year-old previously healthy Mediterranean woman complaining substernal squeezing chest pain for 2 days in the setting of 2nd Pfizer COVID vaccine 2 days ago.  The chest pain is pleuritic but otherwise has no exacerbating or relieving factors.  It does not radiate.  She has never had this pain before.  The patient is worried about myocarditis or blood clot as she has heard the can be reactions from the vaccine.  The pain is associated with shortness of breath.  She denies vomiting, diarrhea.  She has had some fever, chills and myalgias over the past few days.  She denies cough.  She denies history of VTE, hemoptysis, history of immobilization or trauma, estrogen birth control.  She denies family history of early cardiac death or MI.   38y/o woman with no significant past medical history who had her second Pfizer vaccine on Monday and later that day developed low grade fever/ diffuse myalgias/ pleuritic and positional central dull 5/10 chest pain. On Tuesday and Wednesday she remained bedridden with same sx. Thursday morning felt improved except had persistent chest pain for which she presented to the ED for evaluation. She had tachycardia, +troponins, and +DDimer. EKG was negative for acute changes. She was admitted to the cardiology service for suspected myocarditis. She was started on colchicine, standing ibuprofen, and metoprolol.  Echocardiogram complete on 5/21 was normal with an EF of 60%. She was evaluated again after her echo. She continued to feel significantly improved on medical therapy and was discharged home on 05/21/21. She will continue medical therapy as listed. She will follow-up with as arranged on 5/25/21.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fibrin D dimer, Magnetic resonance imaging, Myalgia, Myocarditis
Clinical narrative: Patient is a 30-year-old previously healthy Mediterranean woman complaining substernal squeezing chest pain for 2 days in the setting of 2nd Pfizer COVID vaccine 2 days ago.  The chest pain is pleuritic but otherwise has no exacerbating or relieving factors.  It does not radiate.  She has never had this pain before.  The patient is worried about myocarditis or blood clot as she has heard the can be reactions from the vaccine.  The pain is associated with shortness of breath.  She denies vomiting, diarrhea.  She has had some fever, chills and myalgias over the past few days.  She denies cough.  She denies history of VTE, hemoptysis, history of immobilization or trauma, estrogen birth control.  She denies family history of early cardiac death or MI.   38y/o woman with no significant past medical history who had her second Pfizer vaccine on Monday and later that day developed low grade fever/ diffuse myalgias/ pleuritic and positional central dull 5/10 chest pain. On Tuesday and Wednesday she remained bedridden with same sx. Thursday morning felt improved except had persistent chest pain for which she presented to the ED for evaluation. She had tachycardia, +troponins, and +DDimer. EKG was negative for acute changes. She was admitted to the cardiology service for suspected myocarditis. She was started on colchicine, standing ibuprofen, and metoprolol.  Echocardiogram complete on 5/21 was normal with an EF of 60%. She was evaluated again after her echo. She continued to feel significantly improved on medical therapy and was discharged home on 05/21/21. She will continue medical therapy as listed. She will follow-up with as arranged on 5/25/21.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pleuritic pain, Pyrexia, Tachycardia, Troponin
Clinical narrative: Patient is a 30-year-old previously healthy Mediterranean woman complaining substernal squeezing chest pain for 2 days in the setting of 2nd Pfizer COVID vaccine 2 days ago.  The chest pain is pleuritic but otherwise has no exacerbating or relieving factors.  It does not radiate.  She has never had this pain before.  The patient is worried about myocarditis or blood clot as she has heard the can be reactions from the vaccine.  The pain is associated with shortness of breath.  She denies vomiting, diarrhea.  She has had some fever, chills and myalgias over the past few days.  She denies cough.  She denies history of VTE, hemoptysis, history of immobilization or trauma, estrogen birth control.  She denies family history of early cardiac death or MI.   38y/o woman with no significant past medical history who had her second Pfizer vaccine on Monday and later that day developed low grade fever/ diffuse myalgias/ pleuritic and positional central dull 5/10 chest pain. On Tuesday and Wednesday she remained bedridden with same sx. Thursday morning felt improved except had persistent chest pain for which she presented to the ED for evaluation. She had tachycardia, +troponins, and +DDimer. EKG was negative for acute changes. She was admitted to the cardiology service for suspected myocarditis. She was started on colchicine, standing ibuprofen, and metoprolol.  Echocardiogram complete on 5/21 was normal with an EF of 60%. She was evaluated again after her echo. She continued to feel significantly improved on medical therapy and was discharged home on 05/21/21. She will continue medical therapy as listed. She will follow-up with as arranged on 5/25/21.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dysstasia, Fall, Incontinence, Loss of personal independence in daily activities
Clinical narrative: Patient became rigid and fell down and could not get up, she can no longer stand unassisted. She has become incontinent and now has to where a diaper, and leans to her right side while sitting and standing. She cannot focus for very long. And she becomes rigid and stiff for periods of time. She is no longer able to bath herself or care fir her basic needs. Even with intense therapy hasn?t reached her baseline.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscle rigidity, Musculoskeletal stiffness, Posture abnormal
Clinical narrative: Patient became rigid and fell down and could not get up, she can no longer stand unassisted. She has become incontinent and now has to where a diaper, and leans to her right side while sitting and standing. She cannot focus for very long. And she becomes rigid and stiff for periods of time. She is no longer able to bath herself or care fir her basic needs. Even with intense therapy hasn?t reached her baseline.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Magnetic resonance imaging, Mobility decreased, Pain in extremity, Rotator cuff syndrome
Clinical narrative: Starting 2 days from the vaccine, I woke up and I had decreased range of motion and extreme pain in my left upper extremity. I had decreased strength exclusively in my left upper extremity. On 01/27/2021 I went to walk in clinic. They gave me some pain medication and sent me home. On 02/04/2021, I saw an orthopedic surgeon. He gave me some exercises to do at home. He also sent me to physical therapy. I received a steroid shot from the dr. I am still in physical therapy. I have a follow up with an orthopedic surgeon today . I was diagnosed with impingement syndrome.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Starting 2 days from the vaccine, I woke up and I had decreased range of motion and extreme pain in my left upper extremity. I had decreased strength exclusively in my left upper extremity. On 01/27/2021 I went to walk in clinic. They gave me some pain medication and sent me home. On 02/04/2021, I saw an orthopedic surgeon. He gave me some exercises to do at home. He also sent me to physical therapy. I received a steroid shot from the dr. I am still in physical therapy. I have a follow up with an orthopedic surgeon today . I was diagnosed with impingement syndrome.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Hot flush, Injection site pain, Myalgia
Clinical narrative: Sore throat, hot/cold flashes, muscle aches, fatigue, sore at injection site
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: Sore throat, hot/cold flashes, muscle aches, fatigue, sore at injection site
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pruritus, Pyrexia, Urticaria
Clinical narrative: My right arm broke out in hives slightly less than 24 hours after receiving the vaccination. It started as slightly itchy spots, then progressed into hives over all of my forearm.  I also have an intermittent fever of up to 103 F over the 28 hour period following my shot and was incredibly fatigued.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Super sore arm, could hardly lift it up.  I also just recently got over having COVID
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: BP 103/65 Pulse 62-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Additional Details: EMS was called but she went home with her mother and slept the rest of the day, she had a sore arm on Tuesday but was otherwise fine per mom.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Tremor
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: BP 103/65 Pulse 62-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Additional Details: EMS was called but she went home with her mother and slept the rest of the day, she had a sore arm on Tuesday but was otherwise fine per mom.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Headache, Hypoaesthesia, Joint stiffness, Pain in jaw
Clinical narrative: It started with a headache the next day and pain in my jaw  Then overtime this progressed to numbness in the right side of my face and tinnitus, Which then progressed to Jaw locking, pain and pressure in my face, and feeling like the nerves in my face are on fire Over a month later I still have the symptoms and the jaw walking has only gotten worse
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: It started with a headache the next day and pain in my jaw  Then overtime this progressed to numbness in the right side of my face and tinnitus, Which then progressed to Jaw locking, pain and pressure in my face, and feeling like the nerves in my face are on fire Over a month later I still have the symptoms and the jaw walking has only gotten worse
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Syncope
Clinical narrative: DIAPHOERTIC, DIZZY, SYNCOPE, ALTERED after 7-8 minutes of vaccine administration  legs raised on chair across, fan air, v/s monitored, apple juice, crackers, icepacks to neck. EMS called but by the time they arrived patient was smiling and talking, refused to go to hospital. was discharged in stable condition after monitoring for additional 30 minutes 1322-60,16.110/84. 99% RA 1330- 69, 18, 110/78.97%
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain, Injection site mass, Swelling
Clinical narrative: Severe swollen underarm with under arm pain lasted a week. Swelling on the side of the neck started a few days later and is still there. Swelling in arm pit is down but can still feel lumps in my arm pit and new lumps on my bicep all on the injection side of the body.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pain in extremity
Clinical narrative: Patient had second Pfizer vaccine on 5/22/21. She complains of sore arm and raised area like a bump. RN reviewed supportive measures, and to notify provider since area swollen with bump.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Condition aggravated, Depression, Emotional distress, Headache
Clinical narrative: Severe migraine overnight, difficulty sleeping.  Slight headache for several days after.  Slightly elevated temperature overnight.  Inconsolable crying and sadness overnight.  Depression symptoms worsening and continuing to be worse than before vaccination.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Migraine
Clinical narrative: Severe migraine overnight, difficulty sleeping.  Slight headache for several days after.  Slightly elevated temperature overnight.  Inconsolable crying and sadness overnight.  Depression symptoms worsening and continuing to be worse than before vaccination.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: NO ADVERSE EVENTS REPORTED
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: severe pain and swelling at injection site-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Symptoms mostly local to injection site but more severe and longer in duration than most, site of injection was inspected and appears to have been given in a proper location
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: severe pain and swelling at injection site-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Symptoms mostly local to injection site but more severe and longer in duration than most, site of injection was inspected and appears to have been given in a proper location
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, C-reactive protein increased, Cardiac imaging procedure abnormal, Chest pain, Chills
Clinical narrative: Synopsis: 29 y.o. male w hx myocarditis of unknown etiology in September of this year presenting w six days of palpitations - a sx he associates w prior myocarditis. No CP or SOB. No dizziness. No weight gain. Had second COVID vaccine 5/12/21 and sxs began within a day or two following. Seen in rapid care and found to have tropinemia. Spoke w cardiology who requested an echo, motrin  (confirmed w pharmacy), colchicine, and planned an echo. Reeval to follow - if trop downtrending, may be able to go. He would prefer discharge.  29yo patient with history of depression, OCD, who was admitted 8/2020 with chest pain for 2 weeks found to have episode of myopericarditis with troponin T peak 0.95 and Troponin I of 6.35. CRP was 14. At the time TTE showed LVEF 50%. He was treated with lisinopril and ibuprofen and had improvement of pain. He later followed with a cardiac MRI 9/2020 which showed LVEF 55% and patchy epicardial/midmyocardial enhancement consistent with myocarditis. Trace pleural effusion.   Patient was called by his cardiolgist today. He reported he has been feeling unwell for past 5 days (similar symptoms to his first moderna shot) after his moderna shot #2. He had fatigue, body aches, chest pain, back pain and feelings of palpitations. He had some mild fevers and chills initially as well. These symptoms also occurred when he had moderna #1 (exact same). He was asked by cardiologist to come to the ED concerning for myocarditis given reports of myocarditis post vaccination.   Upon arrival to the ED, patients vitals were stable. He does not have any chest pain at this time. He reports that he had some palpitations starting after his shot. He denies any SOB, nausea, vomiting at this time.   His HR was 60s in the ED with sBP 120s/67 on room air.  His CRP was normal 2.8 Troponin I POC 1.66 EKG without any significant changes from prior but slightly more accentuates TWI in leads II, AVR.  29 y.o. male w hx myocarditis of unknown etiology in September of this year presenting w six days of palpitations - a sx he associates w prior myocarditis. No CP or SOB. No dizziness. No weight gain. Had second COVID vaccine 5/12/21 and sxs began within a day or two following. Seen in rapid care and found to have tropinemia. Spoke w cardiology who requested an echo, motrin  (confirmed w pharmacy), colchicine, and planned an echo. Reeval to follow - if trop downtrending, may be able to go. He would prefer discharge.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram T wave inversion, Fatigue
Clinical narrative: Synopsis: 29 y.o. male w hx myocarditis of unknown etiology in September of this year presenting w six days of palpitations - a sx he associates w prior myocarditis. No CP or SOB. No dizziness. No weight gain. Had second COVID vaccine 5/12/21 and sxs began within a day or two following. Seen in rapid care and found to have tropinemia. Spoke w cardiology who requested an echo, motrin  (confirmed w pharmacy), colchicine, and planned an echo. Reeval to follow - if trop downtrending, may be able to go. He would prefer discharge.  29yo patient with history of depression, OCD, who was admitted 8/2020 with chest pain for 2 weeks found to have episode of myopericarditis with troponin T peak 0.95 and Troponin I of 6.35. CRP was 14. At the time TTE showed LVEF 50%. He was treated with lisinopril and ibuprofen and had improvement of pain. He later followed with a cardiac MRI 9/2020 which showed LVEF 55% and patchy epicardial/midmyocardial enhancement consistent with myocarditis. Trace pleural effusion.   Patient was called by his cardiolgist today. He reported he has been feeling unwell for past 5 days (similar symptoms to his first moderna shot) after his moderna shot #2. He had fatigue, body aches, chest pain, back pain and feelings of palpitations. He had some mild fevers and chills initially as well. These symptoms also occurred when he had moderna #1 (exact same). He was asked by cardiologist to come to the ED concerning for myocarditis given reports of myocarditis post vaccination.   Upon arrival to the ED, patients vitals were stable. He does not have any chest pain at this time. He reports that he had some palpitations starting after his shot. He denies any SOB, nausea, vomiting at this time.   His HR was 60s in the ED with sBP 120s/67 on room air.  His CRP was normal 2.8 Troponin I POC 1.66 EKG without any significant changes from prior but slightly more accentuates TWI in leads II, AVR.  29 y.o. male w hx myocarditis of unknown etiology in September of this year presenting w six days of palpitations - a sx he associates w prior myocarditis. No CP or SOB. No dizziness. No weight gain. Had second COVID vaccine 5/12/21 and sxs began within a day or two following. Seen in rapid care and found to have tropinemia. Spoke w cardiology who requested an echo, motrin  (confirmed w pharmacy), colchicine, and planned an echo. Reeval to follow - if trop downtrending, may be able to go. He would prefer discharge.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myocarditis, Pain, Palpitations, Pleural effusion
Clinical narrative: Synopsis: 29 y.o. male w hx myocarditis of unknown etiology in September of this year presenting w six days of palpitations - a sx he associates w prior myocarditis. No CP or SOB. No dizziness. No weight gain. Had second COVID vaccine 5/12/21 and sxs began within a day or two following. Seen in rapid care and found to have tropinemia. Spoke w cardiology who requested an echo, motrin  (confirmed w pharmacy), colchicine, and planned an echo. Reeval to follow - if trop downtrending, may be able to go. He would prefer discharge.  29yo patient with history of depression, OCD, who was admitted 8/2020 with chest pain for 2 weeks found to have episode of myopericarditis with troponin T peak 0.95 and Troponin I of 6.35. CRP was 14. At the time TTE showed LVEF 50%. He was treated with lisinopril and ibuprofen and had improvement of pain. He later followed with a cardiac MRI 9/2020 which showed LVEF 55% and patchy epicardial/midmyocardial enhancement consistent with myocarditis. Trace pleural effusion.   Patient was called by his cardiolgist today. He reported he has been feeling unwell for past 5 days (similar symptoms to his first moderna shot) after his moderna shot #2. He had fatigue, body aches, chest pain, back pain and feelings of palpitations. He had some mild fevers and chills initially as well. These symptoms also occurred when he had moderna #1 (exact same). He was asked by cardiologist to come to the ED concerning for myocarditis given reports of myocarditis post vaccination.   Upon arrival to the ED, patients vitals were stable. He does not have any chest pain at this time. He reports that he had some palpitations starting after his shot. He denies any SOB, nausea, vomiting at this time.   His HR was 60s in the ED with sBP 120s/67 on room air.  His CRP was normal 2.8 Troponin I POC 1.66 EKG without any significant changes from prior but slightly more accentuates TWI in leads II, AVR.  29 y.o. male w hx myocarditis of unknown etiology in September of this year presenting w six days of palpitations - a sx he associates w prior myocarditis. No CP or SOB. No dizziness. No weight gain. Had second COVID vaccine 5/12/21 and sxs began within a day or two following. Seen in rapid care and found to have tropinemia. Spoke w cardiology who requested an echo, motrin  (confirmed w pharmacy), colchicine, and planned an echo. Reeval to follow - if trop downtrending, may be able to go. He would prefer discharge.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Troponin I increased, Troponin T increased
Clinical narrative: Synopsis: 29 y.o. male w hx myocarditis of unknown etiology in September of this year presenting w six days of palpitations - a sx he associates w prior myocarditis. No CP or SOB. No dizziness. No weight gain. Had second COVID vaccine 5/12/21 and sxs began within a day or two following. Seen in rapid care and found to have tropinemia. Spoke w cardiology who requested an echo, motrin  (confirmed w pharmacy), colchicine, and planned an echo. Reeval to follow - if trop downtrending, may be able to go. He would prefer discharge.  29yo patient with history of depression, OCD, who was admitted 8/2020 with chest pain for 2 weeks found to have episode of myopericarditis with troponin T peak 0.95 and Troponin I of 6.35. CRP was 14. At the time TTE showed LVEF 50%. He was treated with lisinopril and ibuprofen and had improvement of pain. He later followed with a cardiac MRI 9/2020 which showed LVEF 55% and patchy epicardial/midmyocardial enhancement consistent with myocarditis. Trace pleural effusion.   Patient was called by his cardiolgist today. He reported he has been feeling unwell for past 5 days (similar symptoms to his first moderna shot) after his moderna shot #2. He had fatigue, body aches, chest pain, back pain and feelings of palpitations. He had some mild fevers and chills initially as well. These symptoms also occurred when he had moderna #1 (exact same). He was asked by cardiologist to come to the ED concerning for myocarditis given reports of myocarditis post vaccination.   Upon arrival to the ED, patients vitals were stable. He does not have any chest pain at this time. He reports that he had some palpitations starting after his shot. He denies any SOB, nausea, vomiting at this time.   His HR was 60s in the ED with sBP 120s/67 on room air.  His CRP was normal 2.8 Troponin I POC 1.66 EKG without any significant changes from prior but slightly more accentuates TWI in leads II, AVR.  29 y.o. male w hx myocarditis of unknown etiology in September of this year presenting w six days of palpitations - a sx he associates w prior myocarditis. No CP or SOB. No dizziness. No weight gain. Had second COVID vaccine 5/12/21 and sxs began within a day or two following. Seen in rapid care and found to have tropinemia. Spoke w cardiology who requested an echo, motrin  (confirmed w pharmacy), colchicine, and planned an echo. Reeval to follow - if trop downtrending, may be able to go. He would prefer discharge.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Asthenia, Tension headache
Clinical narrative: Tension headache in the bridge of the nose leading to the head, mild loss of taste, and feelings of weakness in the body about 13 hours after the second shot. No noticeable side effects after the first shot other than soreness at the injection site.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Approximately 15 minutes after the Moderna covid vaccination, patient reported tingling in the left hand. The vaccine was administered in the left deltoid.  Patient denied other symptoms.  BP left arm was 132/80, pulse 68.  No respiratory problems.  Monitored patient again for approx 10 more minutes, no further reactions noted. Patient was permitted to leave. Advised to call the office or report to the ER with any further concerns.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram, Dehydration, Head injury, Loss of consciousness
Clinical narrative: I started having chills and a fever and went to bed. I woke up the next morning brushed my teeth and i passed out and hit my head and was dehydrated. I stayed in the ER for about 5 hours.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I started having chills and a fever and went to bed. I woke up the next morning brushed my teeth and i passed out and hit my head and was dehydrated. I stayed in the ER for about 5 hours.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Mild headaches in the back of my head. I am not probe to headaches and these started after my vaccination. The headaches are mild and manageable without medication and happen 3-4 times per week for a 10-20 mins at a time.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse food reaction, Hypoaesthesia, Pharyngeal swelling, Swelling face
Clinical narrative: Face swelling, swelling in throat  Inside of nose was numb.  These are also reactions to some foods. Uncomfortable but not serious former visit.  Reaction lasted just a little over 12 hours.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity
Clinical narrative: Nausea, arm soreness
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Hypopnoea, Tremor
Clinical narrative: Chest compression, shallow breathing, anxiety, shakiness
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Pain, Sleep disorder
Clinical narrative: After receiving the second shot on April 17, 2021 over a month later he still can not lift his arm up all the  way, he has been to our primary Dr, twice complaining about pain two weeks after shot. PCP stated could take a month. It has now been over a month went to PCP again 05/24/2021 and gave him a script of pain. Why is he still having this issues over a month later.  Please please explain why he can not sleep at night cause when he moves his arm in his sleep i takes him up all night long. There must be a reason for this to still be causing him this much pain.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac flutter, Cardiac monitoring normal, Chest X-ray normal, Cough, Dyspnoea
Clinical narrative: Heart Palpitations and fluttering - strong pressure and felt like a baby kick.  This is happening quite often - daily and last anywhere from 1-30 minutes.  The episodes come and go at all times of the day.  It takes my breath away and can cause me to cough.  I am exhausted and it's impacting my work and home life.   I did a video doctor appointment on 4/15/21 with, PAC.    We determine at that time to let it "play out" and see how I felt.  After the 2nd vaccine on April 19 the symptoms increased.  It was at that time she had me come into the office.  We ran tests and she put me on a 24-hour heart monitor.  Those results were 'normal' With the continued symptoms, she referred me to, DO at the Heart and Vascular Center.  I saw him on 5/21 and he put me on a different heart monitor.  I had an echocardiogram on 5/27.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram normal, Fatigue, Full blood count normal, Impaired work ability
Clinical narrative: Heart Palpitations and fluttering - strong pressure and felt like a baby kick.  This is happening quite often - daily and last anywhere from 1-30 minutes.  The episodes come and go at all times of the day.  It takes my breath away and can cause me to cough.  I am exhausted and it's impacting my work and home life.   I did a video doctor appointment on 4/15/21 with, PAC.    We determine at that time to let it "play out" and see how I felt.  After the 2nd vaccine on April 19 the symptoms increased.  It was at that time she had me come into the office.  We ran tests and she put me on a 24-hour heart monitor.  Those results were 'normal' With the continued symptoms, she referred me to, DO at the Heart and Vascular Center.  I saw him on 5/21 and he put me on a different heart monitor.  I had an echocardiogram on 5/27.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test normal, Metabolic function test, Mitral valve incompetence, Palpitations, Thyroid function test normal
Clinical narrative: Heart Palpitations and fluttering - strong pressure and felt like a baby kick.  This is happening quite often - daily and last anywhere from 1-30 minutes.  The episodes come and go at all times of the day.  It takes my breath away and can cause me to cough.  I am exhausted and it's impacting my work and home life.   I did a video doctor appointment on 4/15/21 with, PAC.    We determine at that time to let it "play out" and see how I felt.  After the 2nd vaccine on April 19 the symptoms increased.  It was at that time she had me come into the office.  We ran tests and she put me on a 24-hour heart monitor.  Those results were 'normal' With the continued symptoms, she referred me to, DO at the Heart and Vascular Center.  I saw him on 5/21 and he put me on a different heart monitor.  I had an echocardiogram on 5/27.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tricuspid valve incompetence
Clinical narrative: Heart Palpitations and fluttering - strong pressure and felt like a baby kick.  This is happening quite often - daily and last anywhere from 1-30 minutes.  The episodes come and go at all times of the day.  It takes my breath away and can cause me to cough.  I am exhausted and it's impacting my work and home life.   I did a video doctor appointment on 4/15/21 with, PAC.    We determine at that time to let it "play out" and see how I felt.  After the 2nd vaccine on April 19 the symptoms increased.  It was at that time she had me come into the office.  We ran tests and she put me on a 24-hour heart monitor.  Those results were 'normal' With the continued symptoms, she referred me to, DO at the Heart and Vascular Center.  I saw him on 5/21 and he put me on a different heart monitor.  I had an echocardiogram on 5/27.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Fall
Clinical narrative: No adverse symptoms reported.  Death following a fall while at home alone.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Contusion, Urticaria
Clinical narrative: Hives some leave bruises and bone pain
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Red rash around injection site 3-4 inches round
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Basophil count normal, Eosinophil count normal, Granulocyte count, Haematocrit normal, Haemoglobin normal
Clinical narrative: Patient had vaccine and had no reaction in 30m observation period. Three days later he developed rash on thighs. Likely unrelated but timing suspicious with history of anaphylaxis.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count normal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count increased
Clinical narrative: Patient had vaccine and had no reaction in 30m observation period. Three days later he developed rash on thighs. Likely unrelated but timing suspicious with history of anaphylaxis.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count normal, Platelet count decreased, Rash, Red blood cell count normal, Red cell distribution width normal
Clinical narrative: Patient had vaccine and had no reaction in 30m observation period. Three days later he developed rash on thighs. Likely unrelated but timing suspicious with history of anaphylaxis.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Patient had vaccine and had no reaction in 30m observation period. Three days later he developed rash on thighs. Likely unrelated but timing suspicious with history of anaphylaxis.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Myalgia, Tremor
Clinical narrative: Fever, lightheadedness, shaky, muscle pain,  Extreme tiredness, headache
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: Menstrual cycle has been delayed after receiving first dose. It was on clock work before  that. Still monitoring.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Pharyngeal swelling
Clinical narrative: Throat began to close, chest began tightening.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood thyroid stimulating hormone, CSF glucose normal, CSF immunoglobulin, CSF lymphocyte count increased
Clinical narrative: Developed transverse myelitis. She began to develop numbness in her feet starting 4/30 which worsened over several days.  She presented to the emergency department and had a normal CBC, CMP, TSH.  Normal vital signs.  However on her exam she had decreased but not absent sensations in bilateral lower extremities to the mid calf, lack of positional sense of her bilateral toes.  She had a lumbar puncture which showed 160 white blood cells with an 83% lymphocyte predominance but without elevated protein or glucose alteration the numbness found a ascending to just below her breasts at that time she was having no sensory or motor symptoms in her arms, no visual disturbance speech or swallowing difficulty.  She was aware of bowel and bladder sensation but unable to sense her self urinating or defecating.  She was listing to the left while walking. Her B12 was noted to be low at 232 and she was started on a B12 supplement. She is negative for Covid, RSV, influenza A and B. She also had her cerebrospinal fluid evaluated for IgG and oligoclonal bands.  She was after having MRIs of her brain, C-spine, T-spine with and without contrast she was started on Solu-Medrol for 5 days. Imaging had no specific findings suggesting the diagnosis, Dr felt that she likely had some mild myelitis.  She did improve with the Solu-Medrol.   Since returning home patient has been feeling better but still has some limitations.  Still has some limited sensation from her abdomen downward, gait is a little unsteady.  The balls of her feet still feel numb, and she is to be very cautious about her footwear and how she walks.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: CSF oligoclonal band, CSF white blood cell count increased, Full blood count normal, Gait disturbance, Hypoaesthesia
Clinical narrative: Developed transverse myelitis. She began to develop numbness in her feet starting 4/30 which worsened over several days.  She presented to the emergency department and had a normal CBC, CMP, TSH.  Normal vital signs.  However on her exam she had decreased but not absent sensations in bilateral lower extremities to the mid calf, lack of positional sense of her bilateral toes.  She had a lumbar puncture which showed 160 white blood cells with an 83% lymphocyte predominance but without elevated protein or glucose alteration the numbness found a ascending to just below her breasts at that time she was having no sensory or motor symptoms in her arms, no visual disturbance speech or swallowing difficulty.  She was aware of bowel and bladder sensation but unable to sense her self urinating or defecating.  She was listing to the left while walking. Her B12 was noted to be low at 232 and she was started on a B12 supplement. She is negative for Covid, RSV, influenza A and B. She also had her cerebrospinal fluid evaluated for IgG and oligoclonal bands.  She was after having MRIs of her brain, C-spine, T-spine with and without contrast she was started on Solu-Medrol for 5 days. Imaging had no specific findings suggesting the diagnosis, Dr felt that she likely had some mild myelitis.  She did improve with the Solu-Medrol.   Since returning home patient has been feeling better but still has some limitations.  Still has some limited sensation from her abdomen downward, gait is a little unsteady.  The balls of her feet still feel numb, and she is to be very cautious about her footwear and how she walks.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Lumbar puncture abnormal, Magnetic resonance imaging head normal, Metabolic function test
Clinical narrative: Developed transverse myelitis. She began to develop numbness in her feet starting 4/30 which worsened over several days.  She presented to the emergency department and had a normal CBC, CMP, TSH.  Normal vital signs.  However on her exam she had decreased but not absent sensations in bilateral lower extremities to the mid calf, lack of positional sense of her bilateral toes.  She had a lumbar puncture which showed 160 white blood cells with an 83% lymphocyte predominance but without elevated protein or glucose alteration the numbness found a ascending to just below her breasts at that time she was having no sensory or motor symptoms in her arms, no visual disturbance speech or swallowing difficulty.  She was aware of bowel and bladder sensation but unable to sense her self urinating or defecating.  She was listing to the left while walking. Her B12 was noted to be low at 232 and she was started on a B12 supplement. She is negative for Covid, RSV, influenza A and B. She also had her cerebrospinal fluid evaluated for IgG and oligoclonal bands.  She was after having MRIs of her brain, C-spine, T-spine with and without contrast she was started on Solu-Medrol for 5 days. Imaging had no specific findings suggesting the diagnosis, Dr felt that she likely had some mild myelitis.  She did improve with the Solu-Medrol.   Since returning home patient has been feeling better but still has some limitations.  Still has some limited sensation from her abdomen downward, gait is a little unsteady.  The balls of her feet still feel numb, and she is to be very cautious about her footwear and how she walks.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Myelitis transverse, Protein total normal, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Sensory disturbance
Clinical narrative: Developed transverse myelitis. She began to develop numbness in her feet starting 4/30 which worsened over several days.  She presented to the emergency department and had a normal CBC, CMP, TSH.  Normal vital signs.  However on her exam she had decreased but not absent sensations in bilateral lower extremities to the mid calf, lack of positional sense of her bilateral toes.  She had a lumbar puncture which showed 160 white blood cells with an 83% lymphocyte predominance but without elevated protein or glucose alteration the numbness found a ascending to just below her breasts at that time she was having no sensory or motor symptoms in her arms, no visual disturbance speech or swallowing difficulty.  She was aware of bowel and bladder sensation but unable to sense her self urinating or defecating.  She was listing to the left while walking. Her B12 was noted to be low at 232 and she was started on a B12 supplement. She is negative for Covid, RSV, influenza A and B. She also had her cerebrospinal fluid evaluated for IgG and oligoclonal bands.  She was after having MRIs of her brain, C-spine, T-spine with and without contrast she was started on Solu-Medrol for 5 days. Imaging had no specific findings suggesting the diagnosis, Dr felt that she likely had some mild myelitis.  She did improve with the Solu-Medrol.   Since returning home patient has been feeling better but still has some limitations.  Still has some limited sensation from her abdomen downward, gait is a little unsteady.  The balls of her feet still feel numb, and she is to be very cautious about her footwear and how she walks.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory loss, Vitamin B12 decreased
Clinical narrative: Developed transverse myelitis. She began to develop numbness in her feet starting 4/30 which worsened over several days.  She presented to the emergency department and had a normal CBC, CMP, TSH.  Normal vital signs.  However on her exam she had decreased but not absent sensations in bilateral lower extremities to the mid calf, lack of positional sense of her bilateral toes.  She had a lumbar puncture which showed 160 white blood cells with an 83% lymphocyte predominance but without elevated protein or glucose alteration the numbness found a ascending to just below her breasts at that time she was having no sensory or motor symptoms in her arms, no visual disturbance speech or swallowing difficulty.  She was aware of bowel and bladder sensation but unable to sense her self urinating or defecating.  She was listing to the left while walking. Her B12 was noted to be low at 232 and she was started on a B12 supplement. She is negative for Covid, RSV, influenza A and B. She also had her cerebrospinal fluid evaluated for IgG and oligoclonal bands.  She was after having MRIs of her brain, C-spine, T-spine with and without contrast she was started on Solu-Medrol for 5 days. Imaging had no specific findings suggesting the diagnosis, Dr felt that she likely had some mild myelitis.  She did improve with the Solu-Medrol.   Since returning home patient has been feeling better but still has some limitations.  Still has some limited sensation from her abdomen downward, gait is a little unsteady.  The balls of her feet still feel numb, and she is to be very cautious about her footwear and how she walks.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Seizure
Clinical narrative: seizure at 3:30 in the morning. Partner discovered seizure activity awoken from sleeping. Last seizure activity was 2 years prior to event. No change in medications prior to immunization.
Age: 73.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site rash, Pharyngeal swelling, Sleep disorder
Clinical narrative: Patient reported developing a red rash/bruise on right arm near injection site as well as throat, face, and neck swelling and partial throat closing. She could only consume liquids and was afraid to sleep after symptoms started. She stated it started the night after and day after receiving the vaccines. She saw the doctor on 5/24 and started a medrol dose pack using pack directions, which she is still taking. Symptoms have resolved somewhat but not fully and only started resolving on 2nd day of medrol therapy.
Age: 73.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Swelling, Swelling face, Throat tightness
Clinical narrative: Patient reported developing a red rash/bruise on right arm near injection site as well as throat, face, and neck swelling and partial throat closing. She could only consume liquids and was afraid to sleep after symptoms started. She stated it started the night after and day after receiving the vaccines. She saw the doctor on 5/24 and started a medrol dose pack using pack directions, which she is still taking. Symptoms have resolved somewhat but not fully and only started resolving on 2nd day of medrol therapy.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram abnormal, Full blood count normal, Headache, Laboratory test normal
Clinical narrative: daily fever for 3+ weeks and chills, headache
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Lumbar puncture normal, Lymphadenopathy, Pyrexia, SARS-CoV-2 test negative, Splenomegaly
Clinical narrative: daily fever for 3+ weeks and chills, headache
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Viral test negative
Clinical narrative: daily fever for 3+ weeks and chills, headache
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Menstruation delayed
Clinical narrative: pt reported her cosentyx is not effective anylonger post vaccine and she gets large injection site rash reactions that she did not get before and she has not gotten a menstrual period since the vaccine
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse reaction, Blood urine present, Differential white blood cell count, Full blood count, Metabolic function test
Clinical narrative: adverse reactions appears 5/21 after first dose received 5/9. Reactions include peripheral vasculitis, the size of a quarter, appearing above interior of right wrist. Site also has some pain similar to that of a bruise. Also had blood in urine, which did not reoccur after initial incident.