chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Precancerous condition, SARS-CoV-2 test positive, Sinus disorder, Thyroid mass
Clinical narrative: Starting 11/22/2021, I was having sinus/cold symptoms. So, a week later it was still present but coming and going. I went to Urgent Care 11/30/2021 for a PCR test and 2 days later on 12/02/2021 I got the results back that I was positive. Then, 12/5/2021 I was having chest pains and pressure over a day and I got nervous. I went to the ER and got an EKG, CT scan, X-Ray and bloodwork. Chest X-ray was fine but did find that the left side of my thyroid was slightly larger than the right. So, I was informed to get that looked at as soon as I was better. A few weeks later, I went to an ENT for the thyroid issue. They ordered and ultrasound and bloodwork to be done. Then the ultrasound came back suspicious for a nodule and they ordered a biopsy to be done of it. So, a couple of weeks later I had the biopsy done and the results showed it was pre-cancerous and that, based on a genetic mutation, it was around a 70% chance it was cancerous. So they recommended the left side of the thyroid to be removed. So, I was referred for surgery and it was done last week (04/14/2022).
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroidectomy, Ultrasound scan abnormal
Clinical narrative: Starting 11/22/2021, I was having sinus/cold symptoms. So, a week later it was still present but coming and going. I went to Urgent Care 11/30/2021 for a PCR test and 2 days later on 12/02/2021 I got the results back that I was positive. Then, 12/5/2021 I was having chest pains and pressure over a day and I got nervous. I went to the ER and got an EKG, CT scan, X-Ray and bloodwork. Chest X-ray was fine but did find that the left side of my thyroid was slightly larger than the right. So, I was informed to get that looked at as soon as I was better. A few weeks later, I went to an ENT for the thyroid issue. They ordered and ultrasound and bloodwork to be done. Then the ultrasound came back suspicious for a nodule and they ordered a biopsy to be done of it. So, a couple of weeks later I had the biopsy done and the results showed it was pre-cancerous and that, based on a genetic mutation, it was around a 70% chance it was cancerous. So they recommended the left side of the thyroid to be removed. So, I was referred for surgery and it was done last week (04/14/2022).
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Smear cervix abnormal
Clinical narrative: I had an abnormal pap result. They sent me to see an OB/GYN, an acid treatment was done for a scrap of cells. No cancer was detected but unidentified cells were detected. I will be going back in 6 months to have my pap test repeated. THIS is the first abnormal pap test I have ever had in my life.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram thorax, Dyspnoea, Hepatomegaly, Interstitial lung disease
Clinical narrative: I had some respiratory issues, shortness of breath, one severe issue in December/January.  Dr. did chest x-ray which showed interstitial markings in my lungs.  He did a subsequent CT scan.  He does not believe the vaccine caused the issue.  We are not sure as I don't smoke, etc.  Thought maybe I had COVID and didn't know it due to being vaccinated (mild symptoms) or some other event caused it.  Repeating CT scan in about 3 more months to see if things are the same/worse.  Have 70% of lung capacity.  Also found enlarged liver, spleen, etc.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory disorder, Splenomegaly, Total lung capacity decreased
Clinical narrative: I had some respiratory issues, shortness of breath, one severe issue in December/January.  Dr. did chest x-ray which showed interstitial markings in my lungs.  He did a subsequent CT scan.  He does not believe the vaccine caused the issue.  We are not sure as I don't smoke, etc.  Thought maybe I had COVID and didn't know it due to being vaccinated (mild symptoms) or some other event caused it.  Repeating CT scan in about 3 more months to see if things are the same/worse.  Have 70% of lung capacity.  Also found enlarged liver, spleen, etc.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Injection site bruising, Mass
Clinical narrative: Patient reported to pharmacy on 4/21/22 she experienced bruising around the injection site and into the back side of her arm.  She has developed a "lump" on the interior side of her arm.  Instructed patient to contact PCP for evaluation.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Bone pain, COVID-19, Dysphonia
Clinical narrative: After all three vaccines I had a sore arm that got worse for like 3 days, then a migraine for almost a week. I had to get a new prescription for the migraine because my current one was not working. With the first two I had fever of about 102 degrees or something like that, but not with the third. I also slept a lot like 14-16 hours. 04/17/2022 I was diagnosed with COVID-19, my shoulder hurt really bad that day, I had a fever and my shoulder had the feeling of achy muscles into my bones, I also had a migraine and a little bit of a horsed throat and that was about it. Outbreak of COVID-19 also on 12/14/2021, and August or September of 2021. My first vaccine was January 2021. I would also like to mention that with all three I had really bad night sweats. I was not able to get my booster on time because I went into anaphylactic shock over my allergy injections so I had to wait to get the booster.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersomnia, Migraine, Myalgia, Night sweats, Pain in extremity
Clinical narrative: After all three vaccines I had a sore arm that got worse for like 3 days, then a migraine for almost a week. I had to get a new prescription for the migraine because my current one was not working. With the first two I had fever of about 102 degrees or something like that, but not with the third. I also slept a lot like 14-16 hours. 04/17/2022 I was diagnosed with COVID-19, my shoulder hurt really bad that day, I had a fever and my shoulder had the feeling of achy muscles into my bones, I also had a migraine and a little bit of a horsed throat and that was about it. Outbreak of COVID-19 also on 12/14/2021, and August or September of 2021. My first vaccine was January 2021. I would also like to mention that with all three I had really bad night sweats. I was not able to get my booster on time because I went into anaphylactic shock over my allergy injections so I had to wait to get the booster.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: After all three vaccines I had a sore arm that got worse for like 3 days, then a migraine for almost a week. I had to get a new prescription for the migraine because my current one was not working. With the first two I had fever of about 102 degrees or something like that, but not with the third. I also slept a lot like 14-16 hours. 04/17/2022 I was diagnosed with COVID-19, my shoulder hurt really bad that day, I had a fever and my shoulder had the feeling of achy muscles into my bones, I also had a migraine and a little bit of a horsed throat and that was about it. Outbreak of COVID-19 also on 12/14/2021, and August or September of 2021. My first vaccine was January 2021. I would also like to mention that with all three I had really bad night sweats. I was not able to get my booster on time because I went into anaphylactic shock over my allergy injections so I had to wait to get the booster.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Haemorrhage, Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Started as hives, erythema on right upper arm, itchy as it quickly spread armpit to chest abdomen, neck, back, other arm, groin, thighs. Avoided face?
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Started as hives, erythema on right upper arm, itchy as it quickly spread armpit to chest abdomen, neck, back, other arm, groin, thighs. Avoided face?
Age: 1.5
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: "The office had a power outage that required us to move the vaccines to another location. Unfortunately it was determined by the Department of Health and the vaccine manufacturer that the vaccine was believed to be non-viable after this move. No adverse event has been reported."
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram abnormal, Deafness unilateral, Ear infection, Hearing aid user, Magnetic resonance imaging head normal
Clinical narrative: June 11, 2021 ? Visited urgent care for ear infection in right ear. Doxycycline prescribed to treat ear infection as well as Fluticasone Propionate nasal spray.  June 20, 2021 ? Woke up with right ear filled with fluid and significant -complete loss of hearing in same ear. June 23, 2021 ? Visited PCP for fluid in ear. Prescribed prednisone steroid pack. Fluid dissipated and hearing improved slightly, tinnitus began. July 7, 2021 ? Followed up with PCP due to no further improvement in hearing. Referred to visit ENT / Otolaryngologist. July 28, 2021 ? Seen by Otolaryngologist. Concurred fluid had dissipated. He scheduled an MRI of brain (with and without contrast) and an Audiogram. Diagnosed with sudden hearing loss / sensorineural hearing loss and tinnitus. July 31, 2021 ? MRI evaluated and determined Noncontributory, no tumors present, no observable nerve damage. August 2, 2021 ? Otolaryngologist recommended intra-tympanic steroid injections (3). August 6, 13, & 20, 2021 ? Received one intratympanic injection of decadron (dexamethasone) on each of these days. September 8, 2021 ? Followed up with ENT / audiologist. Audiogram performed with no further improvement in hearing noticed and tinnitus continued. September 14, 2021 ? Fitted for hearing aide. November 20, 2021 ? Over the course of a few hours during a long drive, all remaining hearing was lost, tinnitus continued.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Middle ear effusion, Scan with contrast normal, Tinnitus
Clinical narrative: June 11, 2021 ? Visited urgent care for ear infection in right ear. Doxycycline prescribed to treat ear infection as well as Fluticasone Propionate nasal spray.  June 20, 2021 ? Woke up with right ear filled with fluid and significant -complete loss of hearing in same ear. June 23, 2021 ? Visited PCP for fluid in ear. Prescribed prednisone steroid pack. Fluid dissipated and hearing improved slightly, tinnitus began. July 7, 2021 ? Followed up with PCP due to no further improvement in hearing. Referred to visit ENT / Otolaryngologist. July 28, 2021 ? Seen by Otolaryngologist. Concurred fluid had dissipated. He scheduled an MRI of brain (with and without contrast) and an Audiogram. Diagnosed with sudden hearing loss / sensorineural hearing loss and tinnitus. July 31, 2021 ? MRI evaluated and determined Noncontributory, no tumors present, no observable nerve damage. August 2, 2021 ? Otolaryngologist recommended intra-tympanic steroid injections (3). August 6, 13, & 20, 2021 ? Received one intratympanic injection of decadron (dexamethasone) on each of these days. September 8, 2021 ? Followed up with ENT / audiologist. Audiogram performed with no further improvement in hearing noticed and tinnitus continued. September 14, 2021 ? Fitted for hearing aide. November 20, 2021 ? Over the course of a few hours during a long drive, all remaining hearing was lost, tinnitus continued.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Currently have Tinnitus since 1992, upon taking the shot and booster Tinnitus severely elevated each time.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Chest discomfort, Cough, Diarrhoea, Food intolerance
Clinical narrative: 1/13/22-1/15/22 Tingling of the tongue and lips after eating cold cereal and milk containing almonds and/or foods with crunchy texture. Lasted less than 1 hr. 1/18/22 Tingling of lips, tongue and numbness on right side of face after eating peanuts. Mild diarrhea later in the day. 1/21/22 Tingling of lips and tongue after eating cereal with almonds. I took a generic Claratin-D 10mg to ease the symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity, Palpitations, Paraesthesia oral, Peripheral swelling
Clinical narrative: 1/13/22-1/15/22 Tingling of the tongue and lips after eating cold cereal and milk containing almonds and/or foods with crunchy texture. Lasted less than 1 hr. 1/18/22 Tingling of lips, tongue and numbness on right side of face after eating peanuts. Mild diarrhea later in the day. 1/21/22 Tingling of lips and tongue after eating cereal with almonds. I took a generic Claratin-D 10mg to ease the symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Skin tightness
Clinical narrative: 1/13/22-1/15/22 Tingling of the tongue and lips after eating cold cereal and milk containing almonds and/or foods with crunchy texture. Lasted less than 1 hr. 1/18/22 Tingling of lips, tongue and numbness on right side of face after eating peanuts. Mild diarrhea later in the day. 1/21/22 Tingling of lips and tongue after eating cereal with almonds. I took a generic Claratin-D 10mg to ease the symptoms.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was administered pediatric dose instead of booster dose. No issues post vaccine.  Parent was notified at clinic.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, COVID-19, Chills, Fatigue, Feeding disorder
Clinical narrative: 12/18/2021 I felt fatigue and couldn't eat with chills. I went to a public health clinic to get a test. Took a Antigen COVID Test (positive). I woke with a really bad headache and I had migraines before but after taking Excedrin for 3 days without any improvement. My test returned on 12/28/2021 and was still hurting from my headaches. 03/10 I finally got to see my doctor I was given a blood test (normal) and was advised on HBP and was prescribed amlodipine besylate, ibuprofen for it and was told to come back if it does not improve. I will be going back on April 27th to follow up and get help with my headaches. No improvement since started.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine, SARS-CoV-2 test positive
Clinical narrative: 12/18/2021 I felt fatigue and couldn't eat with chills. I went to a public health clinic to get a test. Took a Antigen COVID Test (positive). I woke with a really bad headache and I had migraines before but after taking Excedrin for 3 days without any improvement. My test returned on 12/28/2021 and was still hurting from my headaches. 03/10 I finally got to see my doctor I was given a blood test (normal) and was advised on HBP and was prescribed amlodipine besylate, ibuprofen for it and was told to come back if it does not improve. I will be going back on April 27th to follow up and get help with my headaches. No improvement since started.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness
Clinical narrative: This event occurred in the patient's home. At 15 minutes post vaccination, the patient reported dizziness. At this point, we had the patient drink some juice, water, and eat a banana, then lay down with legs elevated above heart. Patient had not eaten anything prior to receiving the vaccine. After about 5 minutes, the patient reported no improvement in dizziness and starting have chills. Vital signs (blood pressure and pulse) were stable throughout. No thermometer was present to check temperature. After another 15 minutes with no improvement, patient had more juice. Around 45 minutes post vaccination, the patient began to experience improvement in his dizziness and after 60 minutes, the dizziness resolved with only mild chills remaining.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: excessive redness and soreness at imz site unexpected by patient based on prior experiences with pfizer vaccine. pt knows to contact md if worsening symptoms, addition of fever, or streaks from the area
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: After vaccine administration, the patient lost consciousness/fainted for about 10 seconds. Pharmacy staff elevated patient's legs and applied cold compress to patient's neck and face and he regained consciousness. He was in a chair with armrests and didn't fall from chair or injure himself. Pharmacy team provided water and monitored patient  for a further 15 minutes and allowed him to go home with caregiver at that time.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Axillary pain, Erythema, Feeling abnormal, Pain
Clinical narrative: Day 1 - later in teh evening pateint experiences redness, swelling, warm to the touch, and sore.  48h after vaccine patient saw it spreading, under armpit which was very sore. 4-21-22 patient came in and patient said she is not feeling herself, and feeling weak, area is still warm and red (deltoid to half way down arm)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling
Clinical narrative: Day 1 - later in teh evening pateint experiences redness, swelling, warm to the touch, and sore.  48h after vaccine patient saw it spreading, under armpit which was very sore. 4-21-22 patient came in and patient said she is not feeling herself, and feeling weak, area is still warm and red (deltoid to half way down arm)
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Cerebral endovascular aneurysm repair, Drainage, Intensive care, Magnetic resonance imaging
Clinical narrative: Oct. 16,2021 had ruptured brain aneurysm; transfered via ambulance to Healthcare. and then via helicopter to Hospital for treatment: surgery included coiling of aneurysm, placement of shunt, drainage of intra-cranial blood, therapies, medications;  after release from Hospital had two (2) weeks of inpatient therapies at Rehabilitation Hospital.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Ruptured cerebral aneurysm, Stent placement, Surgery, Vascular shunt
Clinical narrative: Oct. 16,2021 had ruptured brain aneurysm; transfered via ambulance to Healthcare. and then via helicopter to Hospital for treatment: surgery included coiling of aneurysm, placement of shunt, drainage of intra-cranial blood, therapies, medications;  after release from Hospital had two (2) weeks of inpatient therapies at Rehabilitation Hospital.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Paraesthesia
Clinical narrative: It started the following day. It was a tingling sensation on my scalp and my face. I have had it before so I knew it was shingles. I still have it today. I am currently on Valtrex to treat it.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Colonoscopy normal, Endoscopy normal, Erythema, Pruritus
Clinical narrative: I had patches that are itchy and red on my head. It fared up and did not go away. I went to the doctor about this. They did an allergy test down. I was referred to GI specialist because he thought it was food allergy. I went to the GI and it turns out that it is not a food allergy. They did an endoscopy and coloscopy, normal results. These symptom is still ongoing as of today.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Hyperhidrosis, Hypopnoea, Hyporesponsive to stimuli
Clinical narrative: Administered 2nd booster of Pfizer in afternoon on 4/20/22.  Patient was alert and stated he felt good and no previous issues with the vaccine.  He completed the 15-20 minute observation period without any adverse reactions.  When the observation period concluded, the patient exited the clinic with his wife and returned to his vehicle.  Shortly afterwards, the patient's wife approached some staff members in the parking lot and reported that her husband was having difficulty breathing and was not responding appropriately to her questions while sitting in the driver's seat of their car.  The staff members immediately activated our clinic's emergency response procedure including a 911 notification.  When the vaccine team arrived at the vehicle, they found the patient unresponsive in the driver's seat.  He had a pulse, shallow breath and was diaphoretic.  The team removed the patient from the vehicle, lowering him onto blankets on the ground.  Patient's color was grey.  Vital signs were monitored every few minutes: BP: 165/79, HR 52, O2 sat 97% on RA BP: 165/89, HR 50, O2 sat 96% on RA BP: 152/79, HR 51, O2 sat 97% on RA BP: 163/82, HR 49, O2 sat 98% on RA BP: 171/80, HR 56, O2 sat 95% on RA EMS arrived and took over management of the patient along  with transport to an outside hospital.   On 4/21/22 our staff was in contact with the patient's family who informed us that the patient passed away earlier this morning.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Skin discolouration, Unresponsive to stimuli
Clinical narrative: Administered 2nd booster of Pfizer in afternoon on 4/20/22.  Patient was alert and stated he felt good and no previous issues with the vaccine.  He completed the 15-20 minute observation period without any adverse reactions.  When the observation period concluded, the patient exited the clinic with his wife and returned to his vehicle.  Shortly afterwards, the patient's wife approached some staff members in the parking lot and reported that her husband was having difficulty breathing and was not responding appropriately to her questions while sitting in the driver's seat of their car.  The staff members immediately activated our clinic's emergency response procedure including a 911 notification.  When the vaccine team arrived at the vehicle, they found the patient unresponsive in the driver's seat.  He had a pulse, shallow breath and was diaphoretic.  The team removed the patient from the vehicle, lowering him onto blankets on the ground.  Patient's color was grey.  Vital signs were monitored every few minutes: BP: 165/79, HR 52, O2 sat 97% on RA BP: 165/89, HR 50, O2 sat 96% on RA BP: 152/79, HR 51, O2 sat 97% on RA BP: 163/82, HR 49, O2 sat 98% on RA BP: 171/80, HR 56, O2 sat 95% on RA EMS arrived and took over management of the patient along  with transport to an outside hospital.   On 4/21/22 our staff was in contact with the patient's family who informed us that the patient passed away earlier this morning.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acidosis, Ammonia increased, Angiogram pulmonary abnormal, Anticoagulant therapy, Anuria
Clinical narrative: Administered 2nd booster of Pfizer in afternoon on 4/20/22.  Patient was alert and stated he felt good and no previous issues with the vaccine.  He completed the 15-20 minute observation period without any adverse reactions.  When the observation period concluded, the patient exited the clinic with his wife and returned to his vehicle.  Shortly afterwards, the patient's wife approached some staff members in the parking lot and reported that her husband was having difficulty breathing and was not responding appropriately to her questions while sitting in the driver's seat of their car.  The staff members immediately activated our clinic's emergency response procedure including a 911 notification.  When the vaccine team arrived at the vehicle, they found the patient unresponsive in the driver's seat.  He had a pulse, shallow breath and was diaphoretic.  The team removed the patient from the vehicle, lowering him onto blankets on the ground.  Patient's color was grey.  Vital signs were monitored every few minutes: BP: 165/79, HR 52, O2 sat 97% on RA BP: 165/89, HR 50, O2 sat 96% on RA BP: 152/79, HR 51, O2 sat 97% on RA BP: 163/82, HR 49, O2 sat 98% on RA BP: 171/80, HR 56, O2 sat 95% on RA EMS arrived and took over management of the patient along  with transport to an outside hospital.   On 4/21/22 our staff was in contact with the patient's family who informed us that the patient passed away earlier this morning.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aortic dissection, Blood gases, Blood lactic acid increased, Brain natriuretic peptide increased, Bundle branch block right
Clinical narrative: Administered 2nd booster of Pfizer in afternoon on 4/20/22.  Patient was alert and stated he felt good and no previous issues with the vaccine.  He completed the 15-20 minute observation period without any adverse reactions.  When the observation period concluded, the patient exited the clinic with his wife and returned to his vehicle.  Shortly afterwards, the patient's wife approached some staff members in the parking lot and reported that her husband was having difficulty breathing and was not responding appropriately to her questions while sitting in the driver's seat of their car.  The staff members immediately activated our clinic's emergency response procedure including a 911 notification.  When the vaccine team arrived at the vehicle, they found the patient unresponsive in the driver's seat.  He had a pulse, shallow breath and was diaphoretic.  The team removed the patient from the vehicle, lowering him onto blankets on the ground.  Patient's color was grey.  Vital signs were monitored every few minutes: BP: 165/79, HR 52, O2 sat 97% on RA BP: 165/89, HR 50, O2 sat 96% on RA BP: 152/79, HR 51, O2 sat 97% on RA BP: 163/82, HR 49, O2 sat 98% on RA BP: 171/80, HR 56, O2 sat 95% on RA EMS arrived and took over management of the patient along  with transport to an outside hospital.   On 4/21/22 our staff was in contact with the patient's family who informed us that the patient passed away earlier this morning.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head normal, Coronary artery thrombosis, Cough, Decorticate posture, Dyskinesia
Clinical narrative: Administered 2nd booster of Pfizer in afternoon on 4/20/22.  Patient was alert and stated he felt good and no previous issues with the vaccine.  He completed the 15-20 minute observation period without any adverse reactions.  When the observation period concluded, the patient exited the clinic with his wife and returned to his vehicle.  Shortly afterwards, the patient's wife approached some staff members in the parking lot and reported that her husband was having difficulty breathing and was not responding appropriately to her questions while sitting in the driver's seat of their car.  The staff members immediately activated our clinic's emergency response procedure including a 911 notification.  When the vaccine team arrived at the vehicle, they found the patient unresponsive in the driver's seat.  He had a pulse, shallow breath and was diaphoretic.  The team removed the patient from the vehicle, lowering him onto blankets on the ground.  Patient's color was grey.  Vital signs were monitored every few minutes: BP: 165/79, HR 52, O2 sat 97% on RA BP: 165/89, HR 50, O2 sat 96% on RA BP: 152/79, HR 51, O2 sat 97% on RA BP: 163/82, HR 49, O2 sat 98% on RA BP: 171/80, HR 56, O2 sat 95% on RA EMS arrived and took over management of the patient along  with transport to an outside hospital.   On 4/21/22 our staff was in contact with the patient's family who informed us that the patient passed away earlier this morning.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram ST segment depression, Endotracheal intubation, Fasciotomy, Gastrointestinal sounds abnormal
Clinical narrative: Administered 2nd booster of Pfizer in afternoon on 4/20/22.  Patient was alert and stated he felt good and no previous issues with the vaccine.  He completed the 15-20 minute observation period without any adverse reactions.  When the observation period concluded, the patient exited the clinic with his wife and returned to his vehicle.  Shortly afterwards, the patient's wife approached some staff members in the parking lot and reported that her husband was having difficulty breathing and was not responding appropriately to her questions while sitting in the driver's seat of their car.  The staff members immediately activated our clinic's emergency response procedure including a 911 notification.  When the vaccine team arrived at the vehicle, they found the patient unresponsive in the driver's seat.  He had a pulse, shallow breath and was diaphoretic.  The team removed the patient from the vehicle, lowering him onto blankets on the ground.  Patient's color was grey.  Vital signs were monitored every few minutes: BP: 165/79, HR 52, O2 sat 97% on RA BP: 165/89, HR 50, O2 sat 96% on RA BP: 152/79, HR 51, O2 sat 97% on RA BP: 163/82, HR 49, O2 sat 98% on RA BP: 171/80, HR 56, O2 sat 95% on RA EMS arrived and took over management of the patient along  with transport to an outside hospital.   On 4/21/22 our staff was in contact with the patient's family who informed us that the patient passed away earlier this morning.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperammonaemia, Hyperhidrosis, Iliac artery occlusion, Intensive care, Laboratory test abnormal
Clinical narrative: Administered 2nd booster of Pfizer in afternoon on 4/20/22.  Patient was alert and stated he felt good and no previous issues with the vaccine.  He completed the 15-20 minute observation period without any adverse reactions.  When the observation period concluded, the patient exited the clinic with his wife and returned to his vehicle.  Shortly afterwards, the patient's wife approached some staff members in the parking lot and reported that her husband was having difficulty breathing and was not responding appropriately to her questions while sitting in the driver's seat of their car.  The staff members immediately activated our clinic's emergency response procedure including a 911 notification.  When the vaccine team arrived at the vehicle, they found the patient unresponsive in the driver's seat.  He had a pulse, shallow breath and was diaphoretic.  The team removed the patient from the vehicle, lowering him onto blankets on the ground.  Patient's color was grey.  Vital signs were monitored every few minutes: BP: 165/79, HR 52, O2 sat 97% on RA BP: 165/89, HR 50, O2 sat 96% on RA BP: 152/79, HR 51, O2 sat 97% on RA BP: 163/82, HR 49, O2 sat 98% on RA BP: 171/80, HR 56, O2 sat 95% on RA EMS arrived and took over management of the patient along  with transport to an outside hospital.   On 4/21/22 our staff was in contact with the patient's family who informed us that the patient passed away earlier this morning.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lactic acidosis, Left ventricular dysfunction, Lung opacity, Pericardial effusion, Peripheral artery occlusion
Clinical narrative: Administered 2nd booster of Pfizer in afternoon on 4/20/22.  Patient was alert and stated he felt good and no previous issues with the vaccine.  He completed the 15-20 minute observation period without any adverse reactions.  When the observation period concluded, the patient exited the clinic with his wife and returned to his vehicle.  Shortly afterwards, the patient's wife approached some staff members in the parking lot and reported that her husband was having difficulty breathing and was not responding appropriately to her questions while sitting in the driver's seat of their car.  The staff members immediately activated our clinic's emergency response procedure including a 911 notification.  When the vaccine team arrived at the vehicle, they found the patient unresponsive in the driver's seat.  He had a pulse, shallow breath and was diaphoretic.  The team removed the patient from the vehicle, lowering him onto blankets on the ground.  Patient's color was grey.  Vital signs were monitored every few minutes: BP: 165/79, HR 52, O2 sat 97% on RA BP: 165/89, HR 50, O2 sat 96% on RA BP: 152/79, HR 51, O2 sat 97% on RA BP: 163/82, HR 49, O2 sat 98% on RA BP: 171/80, HR 56, O2 sat 95% on RA EMS arrived and took over management of the patient along  with transport to an outside hospital.   On 4/21/22 our staff was in contact with the patient's family who informed us that the patient passed away earlier this morning.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Peripheral coldness, Procalcitonin, Pulse absent, Pupil fixed, Renal infarct
Clinical narrative: Administered 2nd booster of Pfizer in afternoon on 4/20/22.  Patient was alert and stated he felt good and no previous issues with the vaccine.  He completed the 15-20 minute observation period without any adverse reactions.  When the observation period concluded, the patient exited the clinic with his wife and returned to his vehicle.  Shortly afterwards, the patient's wife approached some staff members in the parking lot and reported that her husband was having difficulty breathing and was not responding appropriately to her questions while sitting in the driver's seat of their car.  The staff members immediately activated our clinic's emergency response procedure including a 911 notification.  When the vaccine team arrived at the vehicle, they found the patient unresponsive in the driver's seat.  He had a pulse, shallow breath and was diaphoretic.  The team removed the patient from the vehicle, lowering him onto blankets on the ground.  Patient's color was grey.  Vital signs were monitored every few minutes: BP: 165/79, HR 52, O2 sat 97% on RA BP: 165/89, HR 50, O2 sat 96% on RA BP: 152/79, HR 51, O2 sat 97% on RA BP: 163/82, HR 49, O2 sat 98% on RA BP: 171/80, HR 56, O2 sat 95% on RA EMS arrived and took over management of the patient along  with transport to an outside hospital.   On 4/21/22 our staff was in contact with the patient's family who informed us that the patient passed away earlier this morning.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory rate decreased, SARS-CoV-2 test negative, Shock, Skin discolouration, Thromboembolectomy
Clinical narrative: Administered 2nd booster of Pfizer in afternoon on 4/20/22.  Patient was alert and stated he felt good and no previous issues with the vaccine.  He completed the 15-20 minute observation period without any adverse reactions.  When the observation period concluded, the patient exited the clinic with his wife and returned to his vehicle.  Shortly afterwards, the patient's wife approached some staff members in the parking lot and reported that her husband was having difficulty breathing and was not responding appropriately to her questions while sitting in the driver's seat of their car.  The staff members immediately activated our clinic's emergency response procedure including a 911 notification.  When the vaccine team arrived at the vehicle, they found the patient unresponsive in the driver's seat.  He had a pulse, shallow breath and was diaphoretic.  The team removed the patient from the vehicle, lowering him onto blankets on the ground.  Patient's color was grey.  Vital signs were monitored every few minutes: BP: 165/79, HR 52, O2 sat 97% on RA BP: 165/89, HR 50, O2 sat 96% on RA BP: 152/79, HR 51, O2 sat 97% on RA BP: 163/82, HR 49, O2 sat 98% on RA BP: 171/80, HR 56, O2 sat 95% on RA EMS arrived and took over management of the patient along  with transport to an outside hospital.   On 4/21/22 our staff was in contact with the patient's family who informed us that the patient passed away earlier this morning.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Toxicologic test normal, Troponin increased, Ultrasound Doppler abnormal, Unresponsive to stimuli, Urine analysis normal
Clinical narrative: Administered 2nd booster of Pfizer in afternoon on 4/20/22.  Patient was alert and stated he felt good and no previous issues with the vaccine.  He completed the 15-20 minute observation period without any adverse reactions.  When the observation period concluded, the patient exited the clinic with his wife and returned to his vehicle.  Shortly afterwards, the patient's wife approached some staff members in the parking lot and reported that her husband was having difficulty breathing and was not responding appropriately to her questions while sitting in the driver's seat of their car.  The staff members immediately activated our clinic's emergency response procedure including a 911 notification.  When the vaccine team arrived at the vehicle, they found the patient unresponsive in the driver's seat.  He had a pulse, shallow breath and was diaphoretic.  The team removed the patient from the vehicle, lowering him onto blankets on the ground.  Patient's color was grey.  Vital signs were monitored every few minutes: BP: 165/79, HR 52, O2 sat 97% on RA BP: 165/89, HR 50, O2 sat 96% on RA BP: 152/79, HR 51, O2 sat 97% on RA BP: 163/82, HR 49, O2 sat 98% on RA BP: 171/80, HR 56, O2 sat 95% on RA EMS arrived and took over management of the patient along  with transport to an outside hospital.   On 4/21/22 our staff was in contact with the patient's family who informed us that the patient passed away earlier this morning.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Myocarditis, Troponin abnormal
Clinical narrative: Myocarditis
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Anxiety, Autonomic nervous system imbalance, Back pain
Clinical narrative: COVID Breakthrough case, I had a moderate case, and the first symptoms were back pain, severe headache, extreme fatigue, dizziness and racing heart on exertion. I had lost of taste and smell snore throat, upper respiratory symptoms, nasal congestion, extreme pressure in my face almost like sinus pressure; I excised in collage exacerbate of dysautonomia, tachycardia, hypertension, dizziness, nausea, anxiety, blurred vision, dehydration, became one with the couch. Saw a cardiologist and doctor. I was given Midodrine, Inderal and Xanax.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron, Blood thyroid stimulating hormone, COVID-19, Condition aggravated, Dehydration
Clinical narrative: COVID Breakthrough case, I had a moderate case, and the first symptoms were back pain, severe headache, extreme fatigue, dizziness and racing heart on exertion. I had lost of taste and smell snore throat, upper respiratory symptoms, nasal congestion, extreme pressure in my face almost like sinus pressure; I excised in collage exacerbate of dysautonomia, tachycardia, hypertension, dizziness, nausea, anxiety, blurred vision, dehydration, became one with the couch. Saw a cardiologist and doctor. I was given Midodrine, Inderal and Xanax.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Discomfort, Dizziness, Echocardiogram, Electrocardiogram
Clinical narrative: COVID Breakthrough case, I had a moderate case, and the first symptoms were back pain, severe headache, extreme fatigue, dizziness and racing heart on exertion. I had lost of taste and smell snore throat, upper respiratory symptoms, nasal congestion, extreme pressure in my face almost like sinus pressure; I excised in collage exacerbate of dysautonomia, tachycardia, hypertension, dizziness, nausea, anxiety, blurred vision, dehydration, became one with the couch. Saw a cardiologist and doctor. I was given Midodrine, Inderal and Xanax.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Full blood count, Headache, Hypertension, Nasal congestion
Clinical narrative: COVID Breakthrough case, I had a moderate case, and the first symptoms were back pain, severe headache, extreme fatigue, dizziness and racing heart on exertion. I had lost of taste and smell snore throat, upper respiratory symptoms, nasal congestion, extreme pressure in my face almost like sinus pressure; I excised in collage exacerbate of dysautonomia, tachycardia, hypertension, dizziness, nausea, anxiety, blurred vision, dehydration, became one with the couch. Saw a cardiologist and doctor. I was given Midodrine, Inderal and Xanax.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Palpitations, Paranasal sinus discomfort, Respiratory symptom
Clinical narrative: COVID Breakthrough case, I had a moderate case, and the first symptoms were back pain, severe headache, extreme fatigue, dizziness and racing heart on exertion. I had lost of taste and smell snore throat, upper respiratory symptoms, nasal congestion, extreme pressure in my face almost like sinus pressure; I excised in collage exacerbate of dysautonomia, tachycardia, hypertension, dizziness, nausea, anxiety, blurred vision, dehydration, became one with the couch. Saw a cardiologist and doctor. I was given Midodrine, Inderal and Xanax.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Vaccine breakthrough infection, Vision blurred
Clinical narrative: COVID Breakthrough case, I had a moderate case, and the first symptoms were back pain, severe headache, extreme fatigue, dizziness and racing heart on exertion. I had lost of taste and smell snore throat, upper respiratory symptoms, nasal congestion, extreme pressure in my face almost like sinus pressure; I excised in collage exacerbate of dysautonomia, tachycardia, hypertension, dizziness, nausea, anxiety, blurred vision, dehydration, became one with the couch. Saw a cardiologist and doctor. I was given Midodrine, Inderal and Xanax.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Consistently strong pain in both shoulders, both hips and both legs from hips to above knees.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Feeling abnormal, Influenza like illness, Lip swelling
Clinical narrative: I had a rash on face, arm, lips swollen, tired, body aches and back aches with fever, flu-like symptoms, brain fog and loss of weight.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash, Weight decreased
Clinical narrative: I had a rash on face, arm, lips swollen, tired, body aches and back aches with fever, flu-like symptoms, brain fog and loss of weight.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Aphasia, Blood test, Cardiac disorder
Clinical narrative: 03/06/2021 received vaccine. Started experiencing adverse event within 48 hours left arm was hot to touch. I had slight redness around the area. Very bad flu like symptoms with body aches and chills. Then within few days on the 03/10/2021 I started having cough and shortness of breath. It gradually increased while going to bed. I could not walk for long period of time because of shortness of breath. During this first part I thought it was allergies. At that time, I didn't care much. April- August my shortness of breath got worst I also experienced migraines and headache. Shortness of breath was getting worst by the end of the summer. I also had to stop doing walks because I was feeling pins and needles in my foot. Beginning of August, I went to a concert that is when I noticed I got COVID after vaccine. So, within 4-5 days after coming back from the concert I started to feel like I was getting a sinus head, I lost taste and smell. My shortness of breath got worst. My lungs were crackling I just rested and stayed home. I isolated myself for over a week. this happed beginning of August. September- December my shortness of breath got worse. I tried to contact with the doctor, but they won't schedule me because I was showing signs of COVID. I felt like I was fighting of a cold. I got tested for COVID starting on 17th of December. They were negative. My whole family got COVID in December. In Jan, I had my first episode I was admitted on Jan 18, 2022. I was having hard time breathing it felt like asthma. My heart was cracking. My blood pressure was 277/188. Almost had a stroke. In the hospital, they said I had fluid in my lungs. My heart was enlarged. I stayed over the night. They gave me blood pressure medications and Lasik for my lungs. They said I was dealing with long term COVID. A month after my first episode, I still had the flu like symptoms. Feb 24, 2022, I was working and in the morning, I felt the same symptoms. I had pain in the right side of my chest. I couldn't catch my breath. I was taken to the hospital from the school I was working at. By the time, I was taking to the hospital I couldn't walk, and I couldn't talk. It happened all of a sudden. I had an extremely bad headache. Within 15-half hour I couldn't talk or walk. That's when I was treated for a stroke with test it didn't show I had stroke. I stayed in the hospital for 6 days and I was getting physical therapy, and speech therapy. They gave migraine medication. I felt less pressure on my head. I started to stand up with the help of a walker. I used it for a month. I am still using a walker for now but hopefully soon I will be better. I have a speech therapist that comes to my house 3 times a week. Physical therapist 1 time a week. Still dealing with high blood pressure, aphasia, vertigo, fogginess and migraine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest pain, Chills, Computerised tomogram, Condition aggravated
Clinical narrative: 03/06/2021 received vaccine. Started experiencing adverse event within 48 hours left arm was hot to touch. I had slight redness around the area. Very bad flu like symptoms with body aches and chills. Then within few days on the 03/10/2021 I started having cough and shortness of breath. It gradually increased while going to bed. I could not walk for long period of time because of shortness of breath. During this first part I thought it was allergies. At that time, I didn't care much. April- August my shortness of breath got worst I also experienced migraines and headache. Shortness of breath was getting worst by the end of the summer. I also had to stop doing walks because I was feeling pins and needles in my foot. Beginning of August, I went to a concert that is when I noticed I got COVID after vaccine. So, within 4-5 days after coming back from the concert I started to feel like I was getting a sinus head, I lost taste and smell. My shortness of breath got worst. My lungs were crackling I just rested and stayed home. I isolated myself for over a week. this happed beginning of August. September- December my shortness of breath got worse. I tried to contact with the doctor, but they won't schedule me because I was showing signs of COVID. I felt like I was fighting of a cold. I got tested for COVID starting on 17th of December. They were negative. My whole family got COVID in December. In Jan, I had my first episode I was admitted on Jan 18, 2022. I was having hard time breathing it felt like asthma. My heart was cracking. My blood pressure was 277/188. Almost had a stroke. In the hospital, they said I had fluid in my lungs. My heart was enlarged. I stayed over the night. They gave me blood pressure medications and Lasik for my lungs. They said I was dealing with long term COVID. A month after my first episode, I still had the flu like symptoms. Feb 24, 2022, I was working and in the morning, I felt the same symptoms. I had pain in the right side of my chest. I couldn't catch my breath. I was taken to the hospital from the school I was working at. By the time, I was taking to the hospital I couldn't walk, and I couldn't talk. It happened all of a sudden. I had an extremely bad headache. Within 15-half hour I couldn't talk or walk. That's when I was treated for a stroke with test it didn't show I had stroke. I stayed in the hospital for 6 days and I was getting physical therapy, and speech therapy. They gave migraine medication. I felt less pressure on my head. I started to stand up with the help of a walker. I used it for a month. I am still using a walker for now but hopefully soon I will be better. I have a speech therapist that comes to my house 3 times a week. Physical therapist 1 time a week. Still dealing with high blood pressure, aphasia, vertigo, fogginess and migraine.