chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Back pain, Blood pressure increased, Blood pressure measurement, Cardiac disorder
Clinical narrative: 24 hours after receiving the first does of Pfizer I experienced a sharp stabbing pain in my heart. I felt about 7 to 8 more stabbing pains in my heart over the next 24 hours. Over the next few days there was a slight pressure on my heart that felt like someone was cupping my heart but was not painful. On the 6th day the pressure built up and it felt like my heart was being squeezed. I had chest tightness, chest pain, heart pain, upper back tightness, upper back pain, a few shooting pains in my jaw and left arm and slight neck tightness. It hurt more when lying down or leaning forward. I went to the Urgent Care on the 7th day. My blood pressure was slightly elevated at 146/81 and my pulse was 94. I was advised to take a over the counter painkiller such as Tylenol for possible inflammation. I have taken Tylenol that somewhat helps the pain and tightness. If I stop taking the Tylenol for 12 hours the heart pain and chest pain come back. Most of the pain and unusual feeling is in my upper left chest but sometimes I have an indescribable pain in the center of my chest. I have felt like I am about to have some sort of heart failure. I have fatigue and light headedness. It is day 15 and I still have chest and heart pain which greatly increases without Tylenol. I was referred to and have scheduled an appointment with a cardiologist on October 15th which I was told was the earliest I could be seen.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Fatigue, Heart rate, Muscle tightness
Clinical narrative: 24 hours after receiving the first does of Pfizer I experienced a sharp stabbing pain in my heart. I felt about 7 to 8 more stabbing pains in my heart over the next 24 hours. Over the next few days there was a slight pressure on my heart that felt like someone was cupping my heart but was not painful. On the 6th day the pressure built up and it felt like my heart was being squeezed. I had chest tightness, chest pain, heart pain, upper back tightness, upper back pain, a few shooting pains in my jaw and left arm and slight neck tightness. It hurt more when lying down or leaning forward. I went to the Urgent Care on the 7th day. My blood pressure was slightly elevated at 146/81 and my pulse was 94. I was advised to take a over the counter painkiller such as Tylenol for possible inflammation. I have taken Tylenol that somewhat helps the pain and tightness. If I stop taking the Tylenol for 12 hours the heart pain and chest pain come back. Most of the pain and unusual feeling is in my upper left chest but sometimes I have an indescribable pain in the center of my chest. I have felt like I am about to have some sort of heart failure. I have fatigue and light headedness. It is day 15 and I still have chest and heart pain which greatly increases without Tylenol. I was referred to and have scheduled an appointment with a cardiologist on October 15th which I was told was the earliest I could be seen.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pain in jaw, Pulse abnormal, Throat tightness
Clinical narrative: 24 hours after receiving the first does of Pfizer I experienced a sharp stabbing pain in my heart. I felt about 7 to 8 more stabbing pains in my heart over the next 24 hours. Over the next few days there was a slight pressure on my heart that felt like someone was cupping my heart but was not painful. On the 6th day the pressure built up and it felt like my heart was being squeezed. I had chest tightness, chest pain, heart pain, upper back tightness, upper back pain, a few shooting pains in my jaw and left arm and slight neck tightness. It hurt more when lying down or leaning forward. I went to the Urgent Care on the 7th day. My blood pressure was slightly elevated at 146/81 and my pulse was 94. I was advised to take a over the counter painkiller such as Tylenol for possible inflammation. I have taken Tylenol that somewhat helps the pain and tightness. If I stop taking the Tylenol for 12 hours the heart pain and chest pain come back. Most of the pain and unusual feeling is in my upper left chest but sometimes I have an indescribable pain in the center of my chest. I have felt like I am about to have some sort of heart failure. I have fatigue and light headedness. It is day 15 and I still have chest and heart pain which greatly increases without Tylenol. I was referred to and have scheduled an appointment with a cardiologist on October 15th which I was told was the earliest I could be seen.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Head crushing headache, body aches, low grade fever, nausea,  exhaustion. Still have headaches and exhaustion
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal X-ray, Blood test, Borrelia test, Colonoscopy, Computerised tomogram abdomen
Clinical narrative: Nausea the next day, exhaustion, constipation, weight loss of 15 lbs.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram pelvis, Computerised tomogram thorax, Constipation, Endoscopy, Fatigue
Clinical narrative: Nausea the next day, exhaustion, constipation, weight loss of 15 lbs.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Heavy metal test, Laboratory test, Nausea, Weight decreased
Clinical narrative: Nausea the next day, exhaustion, constipation, weight loss of 15 lbs.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received second vaccine outside the recommended window of 28-42 days from the first vaccine. 1st: 8/7/21 2nd: 10/7/21
Age: 62.0
Sex: F
Vaccine: FLUR4
Symptoms: Peripheral swelling
Clinical narrative: Patient stated she got a swollen bump below (but not at) the injection site.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received second vaccine outside the recommended window of 21-42 days from the first vaccine. 1st: 4/11/21 2nd: 10/7/21
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Laboratory test
Clinical narrative: Persistent Chills since the day of vaccination
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Syncope
Clinical narrative: 22 yr old petite, slender built female with history of fainting after needles (told to staff AFTER the event), did just that. However her boyfriend caught her and placed on the floor without continued ALOC or hypotonia. Resolved with rest and leg elevation, ice on her face. Departed after education and without incident.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The vaccine was not diluted and the patient received 6 times the dose.  The patient was contacted and notified of the error. No adverse events were reported.
Age: 19.0
Sex: F
Vaccine: FLUC4
Symptoms: Seizure
Clinical narrative: patient had vaccine and was a bit nervous at time of vaccination . patient has epilepsy and has not had seizure in 7 months , about 15 minutes after vaccination patient went into a seizure and 911 was called and supportive measures given. patient refused medical treatment and about 45 minutes later was ok
Age: 66.0
Sex: F
Vaccine: FLUA4, VARZOS
Symptoms: Asthenia, Headache, Inflammation, Pain, Pain in extremity
Clinical narrative: On the day of her shots:  Flu shot was administered into the Right Arm.  Shingrix shot was administered into the left arm.  Patient left and went home and did experience, both arms hurt significantly, increasing headache and body aches occurred, patient iced head, neck and shoulders and went and laid down.  The following morning when patient awoke both arms were non touchable, still ached and lack of energy, trouble sleeping, iced arms again and took ibuprofen for the pain and inflammation.  Over the course of the following days, left arm has remained painful, headache has held on and slightened only a small amount.  Patient has continued dosing with ibuprofen and reported starting an antihistamine today 10/7/21.  RPH advised to apply cool compresses, continue ibuprofen and antihistamine (loratadine) and also communicate with her Primary Care Physician about 2nd dose in upcoming months.
Age: 66.0
Sex: F
Vaccine: FLUA4, VARZOS
Symptoms: Sleep disorder, Tenderness
Clinical narrative: On the day of her shots:  Flu shot was administered into the Right Arm.  Shingrix shot was administered into the left arm.  Patient left and went home and did experience, both arms hurt significantly, increasing headache and body aches occurred, patient iced head, neck and shoulders and went and laid down.  The following morning when patient awoke both arms were non touchable, still ached and lack of energy, trouble sleeping, iced arms again and took ibuprofen for the pain and inflammation.  Over the course of the following days, left arm has remained painful, headache has held on and slightened only a small amount.  Patient has continued dosing with ibuprofen and reported starting an antihistamine today 10/7/21.  RPH advised to apply cool compresses, continue ibuprofen and antihistamine (loratadine) and also communicate with her Primary Care Physician about 2nd dose in upcoming months.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Cardiac disorder, Cardiac monitoring, Chest X-ray, Echocardiogram
Clinical narrative: Heart issues
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram
Clinical narrative: Heart issues
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: The vaccine was not diluted and the patient received 6 times the dose.  The patient was contacted and notified of the error. No adverse events were reported.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Hypoaesthesia, Pain, Ultrasound Doppler
Clinical narrative: The day after the vaccine I had body aches all over and then from my waist down my legs were very numb to the point where I could not walk.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No reported adverse outcome by patient or guardian. No adverse outcome was observed by the provider.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia
Clinical narrative: started smelling cigarette smoke constantly. No one in my home smokes
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Neurodermatitis, Skin mass
Clinical narrative: PT REPORTS WITHIN 48 HOURS OF RECEIVING FLUZONE QUAD (PT SPECIFICALLY REQUESTED THIS ONE AS OPPOSED TO THE FLUBLOK) TO LEFT DELTOID SHE DEVELOPED 5-7 ERYTHEMATOUS NODULES THAT ARE PRURITIC. STATES SHE SAW HER PCP WHO PRESCRIBED MUPIROCIN IN EVENT OF BACTERIAL INFECTION. DENIES FEVER, SWELLING AT INJECTION STIE, OR OTHER SYSTEMIC SYMPTOMS.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Lymphadenopathy, Nausea
Clinical narrative: Massive headache, fatigue, body ache, fever, chills, nausea, swollen under arm on 10/08/2021
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Massive headache, fatigue, body ache, fever, chills, nausea, swollen under arm on 10/08/2021
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: pt's arm is a little swollen and hot to the touch. she said the redness is growing about 3 inches
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Vasovagal Syncope
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Cutaneous vasculitis, Petechiae, Purpura
Clinical narrative: Leukocytoclastic vasculitis began occurring in 8/21 and has continued to present. Presents as petechaie and purpura on the feet, legs, inner arms and stomach.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Heart rate increased, Pruritus, Rash, Throat irritation
Clinical narrative: Metallic taste in mouth approximately 2 minutes after injection. Itching in the inner ear approximately 3 minutes after injection. Rash / hives / small bumps in the back of throat after about 5 minutes. Itching in inner ear dissipated after about 4 minutes. Metallic taste disappeared after about 30 minutes, but has come back intermittently over the next 24 hours. Rash / hives / small bumps in the back of the throat dissipated after about an hour, took 25 mg of Benadryl. No changes in breathing. Minor elevation and heart rate.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Metallic taste in mouth approximately 2 minutes after injection. Itching in the inner ear approximately 3 minutes after injection. Rash / hives / small bumps in the back of throat after about 5 minutes. Itching in inner ear dissipated after about 4 minutes. Metallic taste disappeared after about 30 minutes, but has come back intermittently over the next 24 hours. Rash / hives / small bumps in the back of the throat dissipated after about an hour, took 25 mg of Benadryl. No changes in breathing. Minor elevation and heart rate.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Aphasia, Cognitive disorder, Condition aggravated, Electrocardiogram ambulatory
Clinical narrative: Mid morning of Friday, March 5, while working in my office, on my computer, I began to see bright white spots interferring with my ability to clearly see my computer screen. I printed off the document I was trying to read,  and then found I couldn't understand some of the words on the document. I was alone in the office and was trying to say the word outloud to make it clear to me what the word was and I couldn't say it clearly.  I saw an email come through on my computer at this time. As i glanced at it and saw the question and the person sending, I remember wondering who is this person wanting this sensitive information. I was beginning to feel anxious, I walked across the hall to ask a coworker who this person was (the person I was asking, was the person that had sent the email), I realized I couldn't express what was happening to me. I don't really remember what I was saying. My coworkers called the ambulance, my blood pressure was extremely high (200/190 - something like that). I was taken to Medical Center. By the time we  arrive, my blood pressure had dropped significantly, and my thoughts and ability to express them was clearer. I spent Friday night and all day Saturday at the hospital. There were many tests run, I was never given any indication of any abnormality. I did get a heart monitor that I wore for 30 days. I still have no results from
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Laboratory test, Memory impairment, Photopsia
Clinical narrative: Mid morning of Friday, March 5, while working in my office, on my computer, I began to see bright white spots interferring with my ability to clearly see my computer screen. I printed off the document I was trying to read,  and then found I couldn't understand some of the words on the document. I was alone in the office and was trying to say the word outloud to make it clear to me what the word was and I couldn't say it clearly.  I saw an email come through on my computer at this time. As i glanced at it and saw the question and the person sending, I remember wondering who is this person wanting this sensitive information. I was beginning to feel anxious, I walked across the hall to ask a coworker who this person was (the person I was asking, was the person that had sent the email), I realized I couldn't express what was happening to me. I don't really remember what I was saying. My coworkers called the ambulance, my blood pressure was extremely high (200/190 - something like that). I was taken to Medical Center. By the time we  arrive, my blood pressure had dropped significantly, and my thoughts and ability to express them was clearer. I spent Friday night and all day Saturday at the hospital. There were many tests run, I was never given any indication of any abnormality. I did get a heart monitor that I wore for 30 days. I still have no results from
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Extra dose administered, Gait disturbance, Injection site erythema
Clinical narrative: The place of injection became red, itching and painful I had fever I felt dizzy and unsteady I felt extremely weak and sleepy
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Somnolence
Clinical narrative: The place of injection became red, itching and painful I had fever I felt dizzy and unsteady I felt extremely weak and sleepy
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Chest pain, Headache
Clinical narrative: Headache + Chest/Heart Pain. Continued since my dose.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Feeling abnormal
Clinical narrative: About 10 minutes after getting her immunization the patient returned to pharmacy saying she didn't feel good. Chief complaint was trouble breathing.  Patient looked like she was going to pass out so we help her to the floor. Patients legs were elevated and she was given and ice pack. Over the course of 10 minutes her breathing seemed to normalize. Patient also complained of  feeling spacey and light headed. EMSA did transport because of elevated blood pressure. When I checked on patient later that day she was at home and doing well.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Lip swelling, Malaise, Oropharyngeal discomfort, Paraesthesia oral
Clinical narrative: Patient began to complain of "itching all over" about 20 minutes after receiving her vaccination. Shortly after that, she complained of feeling unwell. BP was 152/100.  Patient began to complain of tingling around her mouth. Rph observed mild swelling on bottom edge of lower lip. Pt began to cough and kept trying to clear her throat. EPI 0.3 was administered. Paramedics arrived 4 minutes and 30 seconds afterward. Patient had developed a pink rash on arms that was noted by EMS and Rph.. Patient taken to ER.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Patient began to complain of "itching all over" about 20 minutes after receiving her vaccination. Shortly after that, she complained of feeling unwell. BP was 152/100.  Patient began to complain of tingling around her mouth. Rph observed mild swelling on bottom edge of lower lip. Pt began to cough and kept trying to clear her throat. EPI 0.3 was administered. Paramedics arrived 4 minutes and 30 seconds afterward. Patient had developed a pink rash on arms that was noted by EMS and Rph.. Patient taken to ER.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Diarrhoea, Hyperhidrosis, Lethargy, Nausea
Clinical narrative: Within 15 minutes of received the vaccine, pt. became lethargic. Blood pressure dropped to below 70/50. Pt began sweating and was nauseated. Pt. began vomiting and experiencing diarrhea.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Within 15 minutes of received the vaccine, pt. became lethargic. Blood pressure dropped to below 70/50. Pt began sweating and was nauseated. Pt. began vomiting and experiencing diarrhea.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal distension, Abdominal pain upper, Asthenia, Lethargy, Myalgia
Clinical narrative: Fever (up to 101°F) Muscle and general body aches Stomach pains and bloating Lethargy/weakness over entire body
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Fever (up to 101°F) Muscle and general body aches Stomach pains and bloating Lethargy/weakness over entire body
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Condition aggravated, Death
Clinical narrative: Deceased (10.4.21);  Hospitalized (9.30.21);  COVID-19 positive (9.30.21);  fully vaccinated  Discharge Provider: MD Primary Care Physician at Discharge: None Physician, MD None Admission Date: 9/30/2021 Date of Death: 10/4/21 Time of Death: 12:50 PM Preliminary Cause of Death: Acute respiratory failure due to COVID-19 PRESENTING PROBLEM: Hyponatremia [E87.1] Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin [E11.65] COVID-19 [U07.1] Acute respiratory failure due to COVID-19 [U07.1, J96.00] Acute hypoxemic respiratory failure [J96.01]   HOSPITAL COURSE: Patient admitted for acute hypoxic respiratory failure due to COVID-19 pneumonia. Patient was fully vaccinated, however she did not respond well to maximum medical therapy including iV decadron, IV remdesivir, and broad spectrum antibiotics to cover superimposed bacterial pneumonia. She was transferred to the ICU on maximum HFNC. She continued to have low oxygen levels. Patient decompensated and after long discussion with the family, resulted in transition to comfort care. She expired comfortably surrounded by family at 1250 on 10/4/21.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperglycaemia, Hyponatraemia, Hypoxia, Intensive care, Oxygen saturation decreased
Clinical narrative: Deceased (10.4.21);  Hospitalized (9.30.21);  COVID-19 positive (9.30.21);  fully vaccinated  Discharge Provider: MD Primary Care Physician at Discharge: None Physician, MD None Admission Date: 9/30/2021 Date of Death: 10/4/21 Time of Death: 12:50 PM Preliminary Cause of Death: Acute respiratory failure due to COVID-19 PRESENTING PROBLEM: Hyponatremia [E87.1] Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin [E11.65] COVID-19 [U07.1] Acute respiratory failure due to COVID-19 [U07.1, J96.00] Acute hypoxemic respiratory failure [J96.01]   HOSPITAL COURSE: Patient admitted for acute hypoxic respiratory failure due to COVID-19 pneumonia. Patient was fully vaccinated, however she did not respond well to maximum medical therapy including iV decadron, IV remdesivir, and broad spectrum antibiotics to cover superimposed bacterial pneumonia. She was transferred to the ICU on maximum HFNC. She continued to have low oxygen levels. Patient decompensated and after long discussion with the family, resulted in transition to comfort care. She expired comfortably surrounded by family at 1250 on 10/4/21.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia bacterial, Superinfection, Type 2 diabetes mellitus
Clinical narrative: Deceased (10.4.21);  Hospitalized (9.30.21);  COVID-19 positive (9.30.21);  fully vaccinated  Discharge Provider: MD Primary Care Physician at Discharge: None Physician, MD None Admission Date: 9/30/2021 Date of Death: 10/4/21 Time of Death: 12:50 PM Preliminary Cause of Death: Acute respiratory failure due to COVID-19 PRESENTING PROBLEM: Hyponatremia [E87.1] Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin [E11.65] COVID-19 [U07.1] Acute respiratory failure due to COVID-19 [U07.1, J96.00] Acute hypoxemic respiratory failure [J96.01]   HOSPITAL COURSE: Patient admitted for acute hypoxic respiratory failure due to COVID-19 pneumonia. Patient was fully vaccinated, however she did not respond well to maximum medical therapy including iV decadron, IV remdesivir, and broad spectrum antibiotics to cover superimposed bacterial pneumonia. She was transferred to the ICU on maximum HFNC. She continued to have low oxygen levels. Patient decompensated and after long discussion with the family, resulted in transition to comfort care. She expired comfortably surrounded by family at 1250 on 10/4/21.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Woke up 10/5 with body aches, fever, sore arm and headache
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood folate, Carpal tunnel syndrome, Electrocardiogram, Full blood count
Clinical narrative: Increased crepitus in right wrist, which became symptoms of bilateral carpal tunnel within one week or so (09/11-09/20), paresthesia in right arm, right forearm, and left elbow. was seen by urgent care provider on 09/20. Between 09/20 and 09/22, symptoms progressed more in left hand and left forearm; was seen by PCP Dr. on 09/22 in the am. Within 24 hours, symptoms were worse bilaterally, with paresthesia in all extremities and neck pain. Was seen by PCP again on 09/24 afternoon, who made an emergency neurology referral and said to present to ER over weekend if any worsening symptoms. Seen by neurologist Dr. @ Clinic same day for an after hours, emergent appointment. Dr. noted "multiple neurologic symptoms, with paresthesia in upper extremities and lower extremities, myalgias after possible viral infection (negative COVID test 1 week prior)," wrist pain mostly in 3, 4, 5 digit, medial aspect of forearm, moserate left paraspinal tenderness, right trapezius and phomboid tenderness, increased vibration sensation in feet compared to hands bilateral, sensations were decreased in bilateral LE, decreased light touch, vibration, temperature sense, and prorioception. gait and station wide based when examined in small exam room. Romberg;s test positive.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Hyporeflexia, Immunoelectrophoresis, Magnetic resonance imaging head, Magnetic resonance imaging spinal abnormal, Metabolic function test
Clinical narrative: Increased crepitus in right wrist, which became symptoms of bilateral carpal tunnel within one week or so (09/11-09/20), paresthesia in right arm, right forearm, and left elbow. was seen by urgent care provider on 09/20. Between 09/20 and 09/22, symptoms progressed more in left hand and left forearm; was seen by PCP Dr. on 09/22 in the am. Within 24 hours, symptoms were worse bilaterally, with paresthesia in all extremities and neck pain. Was seen by PCP again on 09/24 afternoon, who made an emergency neurology referral and said to present to ER over weekend if any worsening symptoms. Seen by neurologist Dr. @ Clinic same day for an after hours, emergent appointment. Dr. noted "multiple neurologic symptoms, with paresthesia in upper extremities and lower extremities, myalgias after possible viral infection (negative COVID test 1 week prior)," wrist pain mostly in 3, 4, 5 digit, medial aspect of forearm, moserate left paraspinal tenderness, right trapezius and phomboid tenderness, increased vibration sensation in feet compared to hands bilateral, sensations were decreased in bilateral LE, decreased light touch, vibration, temperature sense, and prorioception. gait and station wide based when examined in small exam room. Romberg;s test positive.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neck pain, Neurological symptom, Paraesthesia, Red blood cell sedimentation rate
Clinical narrative: Increased crepitus in right wrist, which became symptoms of bilateral carpal tunnel within one week or so (09/11-09/20), paresthesia in right arm, right forearm, and left elbow. was seen by urgent care provider on 09/20. Between 09/20 and 09/22, symptoms progressed more in left hand and left forearm; was seen by PCP Dr. on 09/22 in the am. Within 24 hours, symptoms were worse bilaterally, with paresthesia in all extremities and neck pain. Was seen by PCP again on 09/24 afternoon, who made an emergency neurology referral and said to present to ER over weekend if any worsening symptoms. Seen by neurologist Dr. @ Clinic same day for an after hours, emergent appointment. Dr. noted "multiple neurologic symptoms, with paresthesia in upper extremities and lower extremities, myalgias after possible viral infection (negative COVID test 1 week prior)," wrist pain mostly in 3, 4, 5 digit, medial aspect of forearm, moserate left paraspinal tenderness, right trapezius and phomboid tenderness, increased vibration sensation in feet compared to hands bilateral, sensations were decreased in bilateral LE, decreased light touch, vibration, temperature sense, and prorioception. gait and station wide based when examined in small exam room. Romberg;s test positive.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Romberg test positive, Spinal pain, Tenderness, Vibration test abnormal, Viral infection
Clinical narrative: Increased crepitus in right wrist, which became symptoms of bilateral carpal tunnel within one week or so (09/11-09/20), paresthesia in right arm, right forearm, and left elbow. was seen by urgent care provider on 09/20. Between 09/20 and 09/22, symptoms progressed more in left hand and left forearm; was seen by PCP Dr. on 09/22 in the am. Within 24 hours, symptoms were worse bilaterally, with paresthesia in all extremities and neck pain. Was seen by PCP again on 09/24 afternoon, who made an emergency neurology referral and said to present to ER over weekend if any worsening symptoms. Seen by neurologist Dr. @ Clinic same day for an after hours, emergent appointment. Dr. noted "multiple neurologic symptoms, with paresthesia in upper extremities and lower extremities, myalgias after possible viral infection (negative COVID test 1 week prior)," wrist pain mostly in 3, 4, 5 digit, medial aspect of forearm, moserate left paraspinal tenderness, right trapezius and phomboid tenderness, increased vibration sensation in feet compared to hands bilateral, sensations were decreased in bilateral LE, decreased light touch, vibration, temperature sense, and prorioception. gait and station wide based when examined in small exam room. Romberg;s test positive.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin B1, Vitamin B6, Vitamin D
Clinical narrative: Increased crepitus in right wrist, which became symptoms of bilateral carpal tunnel within one week or so (09/11-09/20), paresthesia in right arm, right forearm, and left elbow. was seen by urgent care provider on 09/20. Between 09/20 and 09/22, symptoms progressed more in left hand and left forearm; was seen by PCP Dr. on 09/22 in the am. Within 24 hours, symptoms were worse bilaterally, with paresthesia in all extremities and neck pain. Was seen by PCP again on 09/24 afternoon, who made an emergency neurology referral and said to present to ER over weekend if any worsening symptoms. Seen by neurologist Dr. @ Clinic same day for an after hours, emergent appointment. Dr. noted "multiple neurologic symptoms, with paresthesia in upper extremities and lower extremities, myalgias after possible viral infection (negative COVID test 1 week prior)," wrist pain mostly in 3, 4, 5 digit, medial aspect of forearm, moserate left paraspinal tenderness, right trapezius and phomboid tenderness, increased vibration sensation in feet compared to hands bilateral, sensations were decreased in bilateral LE, decreased light touch, vibration, temperature sense, and prorioception. gait and station wide based when examined in small exam room. Romberg;s test positive.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cough, Fluid retention, Myalgia
Clinical narrative: Symptoms beginning ~10 hours after injection: Fever (101F) Widespread muscle & body aches Chills Weakness Swelling/fluid in left armpit Cough / phlegm  Symptoms subsided after 24 hrs with the exception of swollen armpit which persists 48 hours after injection
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Productive cough, Pyrexia, SARS-CoV-2 test negative, Swelling
Clinical narrative: Symptoms beginning ~10 hours after injection: Fever (101F) Widespread muscle & body aches Chills Weakness Swelling/fluid in left armpit Cough / phlegm  Symptoms subsided after 24 hrs with the exception of swollen armpit which persists 48 hours after injection
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Arthralgia, COVID-19, Condition aggravated, Cough
Clinical narrative: Hospitalized (10.1.21);  COVID-19 positive (9.30.21);  fully vaccinated   Admission Date: 10/1/2021 Discharge Date:  10/03/2021 PRESENTING PROBLEM: Acute respiratory failure with hypoxia  Acute hypoxemic respiratory failure due to COVID-19 COVID   HOSPITAL COURSE: 77-year-old male presented to Hospital with increased shortness of breath.  He was recently on a trip when the person ahead of him in the above was noted to be ill.  He began developing symptoms after returning home from the bus trip with cough fever shortness of breath.  On the day prior to admission he had been started on oral Decadron.  Upon admission he was found to be COVID positive and admitted for treatment of hypoxemia.  He was continued on IV dexamethasone and remdesivir.  He generally felt well but did have continued oxygen requirements.  He was set up for home oxygen therapy prior to discharge.  He is to complete 10 days of dexamethasone post discharge.  At the time of discharge he should utilize 1-2 L of oxygen at rest and increased to 5 L with activity.  It is hoped that over the next week he can wean off to no subsequent oxygen.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hypoxia, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (10.1.21);  COVID-19 positive (9.30.21);  fully vaccinated   Admission Date: 10/1/2021 Discharge Date:  10/03/2021 PRESENTING PROBLEM: Acute respiratory failure with hypoxia  Acute hypoxemic respiratory failure due to COVID-19 COVID   HOSPITAL COURSE: 77-year-old male presented to Hospital with increased shortness of breath.  He was recently on a trip when the person ahead of him in the above was noted to be ill.  He began developing symptoms after returning home from the bus trip with cough fever shortness of breath.  On the day prior to admission he had been started on oral Decadron.  Upon admission he was found to be COVID positive and admitted for treatment of hypoxemia.  He was continued on IV dexamethasone and remdesivir.  He generally felt well but did have continued oxygen requirements.  He was set up for home oxygen therapy prior to discharge.  He is to complete 10 days of dexamethasone post discharge.  At the time of discharge he should utilize 1-2 L of oxygen at rest and increased to 5 L with activity.  It is hoped that over the next week he can wean off to no subsequent oxygen.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Anovulatory cycle
Clinical narrative: I have always been regular (24-26 days) with my menstrual cycle & after the second round of the shot (on Feb  21 @ 4 PM) my menstrual cycle completely stopped & has not returned since.  It's been almost 8 full months without any evidence of a menstrual cycle or ovulation cycle.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: approximately 3-5 minutes after receiving 2nd pfizer covid vaccine, patient lost consciousness. He quickly regained consciousness after putting patient on his back, elevating his feet, and placing an ice pack on his forehead. EMS was called and patient was evaluated and released.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dry mouth, Headache, Hypoaesthesia oral, Oropharyngeal discomfort
Clinical narrative: At 1910 client reported to EMT "feeling a headache." EMT contacted RN  for assistance while he set up the anti-gravity chair. RN  arrived and client stated she felt fine to transfer to anti-gravity chair. Vitals at 1912: blood pressure 176/96. Client reported feeling tingling and numbness to her tongue, chest pressure and headache. PHN  arrived as RN  was discussing Benadryl medication with client. PHN  asked client to remove mask to assess for swelling and rash. No swelling, flushing or rash noted on face, tongue or neck. Client denied shortness of breath at this time, client describes as "just a tingling sensation." Client accepted Benadryl and PHN administered Benadryl 50 mg IM at 1914. Within a minute of administration client reported feeling her mouth dry and "feeling sensation was going down towards throat." Vitals at 1916: blood pressure 159/108, pulse 96, oxygen sat 99%. Client reported medical history of bipolar disorder, current medication of Abilify, and allergy to avocados. At 1916 client reported chest pressure was improving, headache improving, sensation to tongue returning, and stated, "I feel like it's opening", when PHN asked regarding her throat. Client alert and oriented x4. Client denied itching, nausea, or blurry vision. Client asked staff for water as her mouth felt dry. EMT  gave water and PHN  instructed client to take a small sip. Per client, was able to swallow normally. Vitals at 1921: blood pressure 148/100, pulse 91, oxygen at 99%. Client reported improvement of all symptoms. At 1923 client reported all symptoms had resolved. Client asked if she could leave. PHN  advised to complete 30 min observation as she had received medication. PHN  reviewed with client and client's husband ER precautions and advised to follow up with medical provider. Per client, client's husband would drive her home. Client reported "feeling fine." Vitals at 1930: blood pressure 158/103, pulse 97, oxygen sat 96%. PHN  reviewed clients blood pressure readings and suggested she follow up with provider. Client verbalized understanding. At 1937 client reported headache was returning and "felt left side of tongue was beginning to feel numb.". At 1937 911 activated by RN. PHN  assessed again for swelling on face, tongue, neck. No swelling noted. Client denied shortness of breath. PHN continued to speak with client who was alert and oriented x4, speaking clearly and in full sentences. Fire Department and Paramedics assumed care at 1944. Client left facility via gurney at 1947. Upon leaving client had not decided if she wanted to be taken to another medical facility.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: At 1910 client reported to EMT "feeling a headache." EMT contacted RN  for assistance while he set up the anti-gravity chair. RN  arrived and client stated she felt fine to transfer to anti-gravity chair. Vitals at 1912: blood pressure 176/96. Client reported feeling tingling and numbness to her tongue, chest pressure and headache. PHN  arrived as RN  was discussing Benadryl medication with client. PHN  asked client to remove mask to assess for swelling and rash. No swelling, flushing or rash noted on face, tongue or neck. Client denied shortness of breath at this time, client describes as "just a tingling sensation." Client accepted Benadryl and PHN administered Benadryl 50 mg IM at 1914. Within a minute of administration client reported feeling her mouth dry and "feeling sensation was going down towards throat." Vitals at 1916: blood pressure 159/108, pulse 96, oxygen sat 99%. Client reported medical history of bipolar disorder, current medication of Abilify, and allergy to avocados. At 1916 client reported chest pressure was improving, headache improving, sensation to tongue returning, and stated, "I feel like it's opening", when PHN asked regarding her throat. Client alert and oriented x4. Client denied itching, nausea, or blurry vision. Client asked staff for water as her mouth felt dry. EMT  gave water and PHN  instructed client to take a small sip. Per client, was able to swallow normally. Vitals at 1921: blood pressure 148/100, pulse 91, oxygen at 99%. Client reported improvement of all symptoms. At 1923 client reported all symptoms had resolved. Client asked if she could leave. PHN  advised to complete 30 min observation as she had received medication. PHN  reviewed with client and client's husband ER precautions and advised to follow up with medical provider. Per client, client's husband would drive her home. Client reported "feeling fine." Vitals at 1930: blood pressure 158/103, pulse 97, oxygen sat 96%. PHN  reviewed clients blood pressure readings and suggested she follow up with provider. Client verbalized understanding. At 1937 client reported headache was returning and "felt left side of tongue was beginning to feel numb.". At 1937 911 activated by RN. PHN  assessed again for swelling on face, tongue, neck. No swelling noted. Client denied shortness of breath. PHN continued to speak with client who was alert and oriented x4, speaking clearly and in full sentences. Fire Department and Paramedics assumed care at 1944. Client left facility via gurney at 1947. Upon leaving client had not decided if she wanted to be taken to another medical facility.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Dizziness, Headache, Magnetic resonance imaging head
Clinical narrative: Onset of dizziness and headaches of unknown cause/origin. This followed heavy exercise, chiropractic adjustment, and hearing test within the two week period prior. Dizziness and headaches continue to persist.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Epistaxis, Muscle twitching
Clinical narrative: The following day on 9/3/2021, I experienced a bloody nose for almost 3-4 hours. I was sitting at my home office desk when blood started heavily dripping from my right nostril.  I was not exerting myself and was well hydrated.  I have not had a bloody nose in more that 30+ years. The bleeding finally stopped after I put an ice pack on my nose.  The next day, 9/4/2021, in the morning around 8:30am, my nose stated to bleed again while I was sitting at my desk. The bleeding was not as heavy and stopped within the hour.  Secondly, my right thumb and index finger involuntary started to twitch and pulsate when I was at a resting state. It was very visually noticeable when I was watching tv and trying to get to sleep. It started on 6 days after my shot and lasted for 4 additional days.
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Headache, Myalgia
Clinical narrative: severe headache  &joint pain for months and muscle pain
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Condition aggravated, Dizziness, Memory impairment, Syncope
Clinical narrative: patient informed pharmacist that she has a history of fainting after administering the vaccination. Patient was feeling light headed after the vaccination  and asked if the pharmacist can talk to her. After a few minutes of talking, patient fainted for a few seconds. Patient woke up and was coherent but did not know she fainted for a few seconds.
Age: 50.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Fall, Loss of consciousness
Clinical narrative: After receiving the flu vaccine patient passed out and fell off the chair. Patient reported after that he has a history of passing out when giving blood.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Anxiety, Headache, Insomnia
Clinical narrative: I felt anxious and like I needed to stretch most of the night. Didn?t sleep at all. Severe body aches and sour stomach or about 18 hours after they started. Lingering headache
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site haemorrhage, Injury associated with device, Product dose omission in error
Clinical narrative: Pharmacist accidentally punctured patient's right arm with empty syringe. Patient had mild bleeding from injection needle. Upon discovery of event, pharmacist administered new syringe and needle with Pfizer COVID-19 vaccine into patient's right arm.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Feeling abnormal, Feeling cold, Nausea, Tremor
Clinical narrative: The order of symptoms in the order they occurred starting at 7:00pm on 9/30/21:  very cold - entire body; tremors in legs and arms; worse in legs; couldn't stand, very nauseous, brain fog, couldn't see clearly, throwing up everything she ate an drank
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred, Vomiting
Clinical narrative: The order of symptoms in the order they occurred starting at 7:00pm on 9/30/21:  very cold - entire body; tremors in legs and arms; worse in legs; couldn't stand, very nauseous, brain fog, couldn't see clearly, throwing up everything she ate an drank
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Fatigue, Heart rate increased, Nausea
Clinical narrative: 25-year-old female with past medical history of ADHD, anxiety and hypothyroidism presents to the emergency department for evaluation of 1 week of chest pain, intermittent dizziness, fatigue and occasional nausea. Patient describes the chest pain as a burning/bruised feeling diffusely across her anterior chest. Chest pain at one point radiated into left arm but she notes this has since resolved. The pain is pleuritic (worse with inspiration). She also notes feeling excessively fatigued/tired and occasionally has nausea (no vomiting). Today she was working out and noted that her watch read indicated her heart rates was in the 200s which did not recover even with rest. She states she is very physically active and has never had tachycardia in the 200s or tachycardia that did not resolve with rest. Patient denies history of DVT/PE. No recent travel/surgery/immobilization. No hormonal use or history of malignancy. No hemoptysis or unilateral leg swelling. To note, patient received her 1st Pfizer Covid vaccine (left arm) on 9/28 and notes these symptoms developed the following day.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count increased, Painful respiration, Pleuritic pain, Troponin increased, White blood cell count increased
Clinical narrative: 25-year-old female with past medical history of ADHD, anxiety and hypothyroidism presents to the emergency department for evaluation of 1 week of chest pain, intermittent dizziness, fatigue and occasional nausea. Patient describes the chest pain as a burning/bruised feeling diffusely across her anterior chest. Chest pain at one point radiated into left arm but she notes this has since resolved. The pain is pleuritic (worse with inspiration). She also notes feeling excessively fatigued/tired and occasionally has nausea (no vomiting). Today she was working out and noted that her watch read indicated her heart rates was in the 200s which did not recover even with rest. She states she is very physically active and has never had tachycardia in the 200s or tachycardia that did not resolve with rest. Patient denies history of DVT/PE. No recent travel/surgery/immobilization. No hormonal use or history of malignancy. No hemoptysis or unilateral leg swelling. To note, patient received her 1st Pfizer Covid vaccine (left arm) on 9/28 and notes these symptoms developed the following day.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Client received CanSino COVID vaccine, outside of the US, no reaction. CanSino vaccine not approved by World Health Organization, Janssen given as an alternative on 10/07/21.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Lymph node pain, Lymphadenopathy
Clinical narrative: Severely enlarged lymph nodes at clavicle, neck, and axillary. Unable to wear clothing due to tenderness in enlarged lymph nodes, unable to work at hospital x2 days. Lymphatic drainage massage did not resolve. Swollen nodes very painful.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Basilar artery thrombosis, Chest discomfort, Chest pain, Deep vein thrombosis
Clinical narrative: Patient states that he began having intermittent episodes of dyspnea and left sided chest pressure shortly after receiving his COVID-19 vaccine. Received the vaccine April 2021, chest pain developed shortly thereafter and in June patient was diagnosed with incurable rectal cancer with metastatic lesions to left upper lobe.  In October of 2021, patient developed pain/swelling over right neck, right arm. He was diagnosed with DVT in right internal jugular, the subclavian vein,  a thrombus in the upper portion of the right basilic vein and a superficial vein. He was also diagnosed with a pulmonary embolism.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Jugular vein thrombosis, Metastases to lung, Neck pain, Pain in extremity
Clinical narrative: Patient states that he began having intermittent episodes of dyspnea and left sided chest pressure shortly after receiving his COVID-19 vaccine. Received the vaccine April 2021, chest pain developed shortly thereafter and in June patient was diagnosed with incurable rectal cancer with metastatic lesions to left upper lobe.  In October of 2021, patient developed pain/swelling over right neck, right arm. He was diagnosed with DVT in right internal jugular, the subclavian vein,  a thrombus in the upper portion of the right basilic vein and a superficial vein. He was also diagnosed with a pulmonary embolism.