chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient came to the pharmacy wanting to get the Pfizer COVID vaccine on 8/12/21 at 1:20pm. Patient had made an appointment with another location, but appeared at this location. We told the patient it was no problem, we could administer the vaccine at our location. FT Pharmacy Techinican confirmed with patient this was their FIRST dose (as written on vaccine consent form). Patient said "Yes." Technician asked patient if they had insurance. Patient responded "No." Technician proceeded to ask if left arm was okay, processed the vaccine, and made a vaccine record card. Pharmacist reviewed consent form prior to administering vaccine. Patient had selected "Pfizer Dose 1" and answered "No" to Question 14 ("Have you had the vaccine(s) you are receiving today before?") Following vaccine administration, Pharmacy Intern went to enter vaccine into the management system and discovered patient had already received 2 doses at a Health Center. No adverse events were reported by patient, but pharmacy wanted to report the error.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Urticaria, Vomiting
Clinical narrative: She had a whelp on her arm about 2 inches in diameter.  she said she had been throwing up since she got the shot.  She stated her arm hurt very much.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Administration error - given on day 20; four days prior to administration window
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Headache, Loss of consciousness, Muscular weakness
Clinical narrative: 5 days later she started having weakness in her legs.  Then passed out, complained of a headache that was sharp on the left side of her head that lasted a few minutes, then started ticing all over her body and still hasn't stopped.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: 5 days later she started having weakness in her legs.  Then passed out, complained of a headache that was sharp on the left side of her head that lasted a few minutes, then started ticing all over her body and still hasn't stopped.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Left arm pain on started on day 2 after vaccine and worsened with pain and limited range of motion that is still the case on 8/12/21.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Nurse administered too much vaccine.  Attempted to reach patient unsuccessful.  Will contact again tomorrow.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Emotional distress, Fall, Hyperhidrosis, Loss of consciousness
Clinical narrative: 11:05/Vaccine administered, 1120 patient became pale, diaphoretic, fell back in her chair. According to Patient's mum, Pt lost consciousness 15 minutes after receiving vaccine. One unit lead notified and witnessed Pt sitting in her chair alert and in distress. Medical lead and an EMT on the bus arrived to the scene. Upon assessment, Pt. AOX4, cyanotic and pale looking. Pt placed on the floor, supine position, 911 called. V/S checked, BP 101/51, HR 44, O2 80%, RR 16. Pt able to followed commands and answer questions. Pt remained calm, reassessed after 5-minute, V/S: BP 104/60 HR 66, O2 90%, RR. 16, still cyanotic. EMS Personnel onsite arrived. Care transferred. Pt transported to the ER via ambulance.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: 11:05/Vaccine administered, 1120 patient became pale, diaphoretic, fell back in her chair. According to Patient's mum, Pt lost consciousness 15 minutes after receiving vaccine. One unit lead notified and witnessed Pt sitting in her chair alert and in distress. Medical lead and an EMT on the bus arrived to the scene. Upon assessment, Pt. AOX4, cyanotic and pale looking. Pt placed on the floor, supine position, 911 called. V/S checked, BP 101/51, HR 44, O2 80%, RR 16. Pt able to followed commands and answer questions. Pt remained calm, reassessed after 5-minute, V/S: BP 104/60 HR 66, O2 90%, RR. 16, still cyanotic. EMS Personnel onsite arrived. Care transferred. Pt transported to the ER via ambulance.
Age: 19.0
Sex: M
Vaccine: MENB
Symptoms: Chest discomfort, Dyspnoea, Fatigue, Hyperhidrosis, Pyrexia
Clinical narrative: pt received Men B # 2 in clinic 14:53, went home  to nap , woke sweating, tired, chest discomfort ,SOB and fever pt requested inhaler , which mom states not used for a long time  he spoke to Healthline and directed to ED
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: rph administered 1.0ml instead of 0.5ml
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Autoscopy, Back pain, Bile output
Clinical narrative: One hour after vaccine received I developed severe abdominal pain and back pain . The next day around 10 I started to projectile vomit . Today , aug 12 I developed severe shakiness , hear racing , headache nausea and severe Lethargy . Difficult to ambulate due to weakness and almost an out of body experience . Got seen in clinic and my heart rate and blood pressure were elevated . I got sent home from work and almost fell asleep at wheel . When I got home I slept for hours and I was very nauseous . Now I keep throwing up bile  and developed hives on my chest which the hives subsided . I have still a lot of lethargy and don?t feel right . Severe headache and back pain . When I went to clinic the nursing assistant said the nurse practitioner wants to see me because she thinks it is reaction to vaccine but unfortunately they were 2 hours behind . I called employee health , I work in hospital , and they immediately sent me home . I was never able to get evaluated by nurse or doctor . I?ve been trying to get hold of my pcp but there has been no call back at this time
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Feeling abnormal, Headache, Heart rate increased, Impaired work ability
Clinical narrative: One hour after vaccine received I developed severe abdominal pain and back pain . The next day around 10 I started to projectile vomit . Today , aug 12 I developed severe shakiness , hear racing , headache nausea and severe Lethargy . Difficult to ambulate due to weakness and almost an out of body experience . Got seen in clinic and my heart rate and blood pressure were elevated . I got sent home from work and almost fell asleep at wheel . When I got home I slept for hours and I was very nauseous . Now I keep throwing up bile  and developed hives on my chest which the hives subsided . I have still a lot of lethargy and don?t feel right . Severe headache and back pain . When I went to clinic the nursing assistant said the nurse practitioner wants to see me because she thinks it is reaction to vaccine but unfortunately they were 2 hours behind . I called employee health , I work in hospital , and they immediately sent me home . I was never able to get evaluated by nurse or doctor . I?ve been trying to get hold of my pcp but there has been no call back at this time
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Mobility decreased, Nausea, Palpitations, Rash
Clinical narrative: One hour after vaccine received I developed severe abdominal pain and back pain . The next day around 10 I started to projectile vomit . Today , aug 12 I developed severe shakiness , hear racing , headache nausea and severe Lethargy . Difficult to ambulate due to weakness and almost an out of body experience . Got seen in clinic and my heart rate and blood pressure were elevated . I got sent home from work and almost fell asleep at wheel . When I got home I slept for hours and I was very nauseous . Now I keep throwing up bile  and developed hives on my chest which the hives subsided . I have still a lot of lethargy and don?t feel right . Severe headache and back pain . When I went to clinic the nursing assistant said the nurse practitioner wants to see me because she thinks it is reaction to vaccine but unfortunately they were 2 hours behind . I called employee health , I work in hospital , and they immediately sent me home . I was never able to get evaluated by nurse or doctor . I?ve been trying to get hold of my pcp but there has been no call back at this time
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Tremor, Urticaria, Vomiting projectile
Clinical narrative: One hour after vaccine received I developed severe abdominal pain and back pain . The next day around 10 I started to projectile vomit . Today , aug 12 I developed severe shakiness , hear racing , headache nausea and severe Lethargy . Difficult to ambulate due to weakness and almost an out of body experience . Got seen in clinic and my heart rate and blood pressure were elevated . I got sent home from work and almost fell asleep at wheel . When I got home I slept for hours and I was very nauseous . Now I keep throwing up bile  and developed hives on my chest which the hives subsided . I have still a lot of lethargy and don?t feel right . Severe headache and back pain . When I went to clinic the nursing assistant said the nurse practitioner wants to see me because she thinks it is reaction to vaccine but unfortunately they were 2 hours behind . I called employee health , I work in hospital , and they immediately sent me home . I was never able to get evaluated by nurse or doctor . I?ve been trying to get hold of my pcp but there has been no call back at this time
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase, Albumin globulin ratio, Anion gap decreased, Aspartate aminotransferase, Atrial fibrillation
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Basophil count increased, Bilirubin conjugated, Blood albumin, Blood alkaline phosphatase, Blood bilirubin
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood bilirubin unconjugated, Blood calcium normal, Blood chloride normal, Blood cholesterol, Blood creatine phosphokinase
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine decreased, Blood glucose normal, Blood magnesium increased, Blood phosphorus normal, Blood potassium normal
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood sodium normal, Blood thyroid stimulating hormone decreased, Blood triglycerides, Blood urea, Blood urea normal
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carbon dioxide normal, Chest discomfort, Chest pain, Dyspnoea, Echocardiogram abnormal
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ejection fraction normal, Eosinophil count decreased, Fibrin D dimer increased, Globulin, Glomerular filtration rate decreased
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Glycosylated haemoglobin, Haematocrit normal, Haemoglobin normal, Heart rate increased, High density lipoprotein
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lipoprotein (a), Low density lipoprotein, Lymphocyte count normal, Mean cell haemoglobin concentration, Mean cell haemoglobin normal
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume, Mitral valve calcification, Monocyte count increased, N-terminal prohormone brain natriuretic peptide increased, Neutrophil count normal
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Non-high-density lipoprotein cholesterol, Platelet count normal, Protein total, Pulmonary arterial pressure normal, Red blood cell count normal
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red cell distribution width normal, SARS-CoV-2 test, Seizure, Tachycardia, Thyroxine free normal
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tri-iodothyronine free normal, Tricuspid valve incompetence, Troponin T normal, Ventricular hypertrophy, White blood cell count decreased
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Bundle branch block right, Chest X-ray, Chest discomfort
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Echocardiogram, Electrocardiogram abnormal, Feeling abnormal, Heart rate increased
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Supraventricular extrasystoles, Tremor
Clinical narrative: 70 year old female with a past medical history that includes Hypertension, Hyperlipidemia, Adrenal insufficiency 2/2 pituitary tumor s/p resection, Hypothyroidism, previous TIA/CVA with known atrial ectopia that presented to the ED for evaluation of tachycardia with associated chest pain after receiving COVID vaccine #2.     In discussion with the patient, she reported that she was in her usual state of health. She proceeded to get her 2nd COVID vaccine. About 10-15 minutes after receiving the vaccine, she developed fast heart rates (80s at that time from a baseline closer to 50 as per the patient).  She noted that her heart rates continued to climb as high as the 150s on her pulse oximeter.  She developed associated chest pain/tightness with mild shortness of breath approximately 3 hours after her vaccine was given.  She presented to the ED at HUP for evaluation given the persistence of the symptoms.  Notably, she reports similar fast heart rates after her first vaccine which improved on their own and were NOT at that time associated with chest pains.   In the ED she was noted to be in Afib with a rapid ventricular rate in the 140-150s.  She was afebrile and without leukocytosis or electrolyte abnormalities.  Her TSH was low at 0.02 with free T3/T4 labs pending.  She had one negative troponin and an age-adjusted normal D-Dimer.  Her BNP was elevated to 636.  She received one dose of IV diltiazem 10 mg with improvement in her heart rate and recovery to sinus rhythm with PACs.  She was placed in the observation overnight for telemetry monitoring and echocardiogram.   While in the ED observation unit she was resumed on her home medications. She was monitored on telemetry and remained in normal sinus rhythm with occasional PACs. She had no recurrence of chest pain.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test normal, Computerised tomogram head normal, Fall, Head injury, Loss of consciousness
Clinical narrative: 77 yo Female, living alonge; no health issues or major health hx; was given shingles vaccine on 8/9/2021 at 2:45pm.  She felt fine afterwards, went to bed as normal. Woke up around 8:30 am on 8/10/21 with no issues.  After about 30 minutes, she felt nauseous. She went to the kitchen to get some soda and then passed out for approx 20 minutes; when she regained consciousness, paramedics were called and she was taken to the hospital; she suffered a 3.5 inch cut to the back of her head and a subdural hematoma.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Skin laceration, Subdural haematoma
Clinical narrative: 77 yo Female, living alonge; no health issues or major health hx; was given shingles vaccine on 8/9/2021 at 2:45pm.  She felt fine afterwards, went to bed as normal. Woke up around 8:30 am on 8/10/21 with no issues.  After about 30 minutes, she felt nauseous. She went to the kitchen to get some soda and then passed out for approx 20 minutes; when she regained consciousness, paramedics were called and she was taken to the hospital; she suffered a 3.5 inch cut to the back of her head and a subdural hematoma.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrioventricular block, Blood test, Cardiac murmur, Cardiac stress test, Condition aggravated
Clinical narrative: Heart blockage and murmur
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram ambulatory, Ultrasound scan
Clinical narrative: Heart blockage and murmur
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Headache, Incorrect dose administered, Pain in extremity, Pyrexia
Clinical narrative: Nurse administered too much vaccine. Per mother- states that he has fever, headache, soreness in arm, and no appetite. Informed mother that  if symptoms become worse such as chest pain, SOB, high fever; they needed to present to the ER.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: rph administered 1.0 ml instead of 0.5ml
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid like symptoms began 8/6/21
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Was administering vaccine and the screw tip of syringe and needle made a popped sound. After the "pop" the rest of the medication ran down the patients arm. I don't know how much the patient received. Patient stated he felt the liquid go in his arm and knows he got it.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Chills, Cough, Fatigue
Clinical narrative: fever 38+  chills; cough; fatigue; muscle or body aches; headache;   loss of taste smell congestion or runny nose
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: fever 38+  chills; cough; fatigue; muscle or body aches; headache;   loss of taste smell congestion or runny nose
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: fever 38+  chills; cough; fatigue; muscle or body aches; headache;   loss of taste smell congestion or runny nose
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Laboratory test abnormal, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: tested positive , with symptoms  of head ache , sore throat and congestion
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Headache, Incorrect dose administered, Pain in extremity, Pyrexia
Clinical narrative: Nurse administered too much vaccine.  Per mother- states that he has fever, headache, soreness in arm, and no appetite.  Mother advised to return to clinic or emergency room if worsening in symptoms.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: PATIENT'S WIFE CALLED ABOUT 45MINIUTES AFTER ADMINISTRATION.  HUSBAND IS EXPERIENCING NUMBESS IN FACE AND NECK BUT NO OTHER SYMPTOMS.  I ADVISED THAT IF IT GETS WORSE OR START HAVING OTHER SYMPTOMS, TO GO TO URGENT CARE/ER OTHERWISE TALK TO FAMILY DOCTOR WHEN THEY REOPEN TOMORROW MORNING.  I CALLED THE PATIENT AFTER 30 MINUTES.  SAYS IT IS LIGHTENING UP.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Influenza like illness, Pyrexia
Clinical narrative: Nurse administered too much vaccine.  Patient notified.  Experiencing fever and flu like symptoms.  Advised to return to clinic or emergency room for worsening symptoms.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Chills, Decreased appetite, Disturbance in attention
Clinical narrative: No immediate reaction to injection.   8/3 at approx 1AM developed extreme "Brain fog" symptom. Loss of clarity, ability to focus, overall sluggish mental feeling. Reaction time seems slightly delayed, somewhat difficulty driving, feeling of tightness/fullness in head/jaw area. Feels like my cognition became impaired in some way. *This is the most severe/impacting of the symptoms.*  Other symptoms:   Infrequent muscle twitching 8/4-onward, usually only at night while trying to sleep.   8/4- present - complete loss of appetite. No nausea, just no desire to eat, difficulty chewing. Liquids seem fine.   Minor Intermittent chills at night 8/4.   8/4 onward sleep patterns disturbed, wake up every 2-3 hrs.     Minor chest pains 8/8 - 8/10, both sides, mostly subsided now. EKG, xrays, blood work showed no related issues.   Slight sensation change in tip of right thumb 8/5, and right foot noticed 8/10. Not numb, not painful, just feels different to the touch, like some form of neuropathy.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Feeling abnormal, Impaired driving ability, Mastication disorder, Muscle tightness
Clinical narrative: No immediate reaction to injection.   8/3 at approx 1AM developed extreme "Brain fog" symptom. Loss of clarity, ability to focus, overall sluggish mental feeling. Reaction time seems slightly delayed, somewhat difficulty driving, feeling of tightness/fullness in head/jaw area. Feels like my cognition became impaired in some way. *This is the most severe/impacting of the symptoms.*  Other symptoms:   Infrequent muscle twitching 8/4-onward, usually only at night while trying to sleep.   8/4- present - complete loss of appetite. No nausea, just no desire to eat, difficulty chewing. Liquids seem fine.   Minor Intermittent chills at night 8/4.   8/4 onward sleep patterns disturbed, wake up every 2-3 hrs.     Minor chest pains 8/8 - 8/10, both sides, mostly subsided now. EKG, xrays, blood work showed no related issues.   Slight sensation change in tip of right thumb 8/5, and right foot noticed 8/10. Not numb, not painful, just feels different to the touch, like some form of neuropathy.