chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Epstein-Barr virus antibody positive, Fatigue, Headache, Immunoglobulin therapy, Inflammation
Clinical narrative: The adverse event was clinically consistent with MIS-C.  The patient developed low-grade fever to 100 F several hours after vaccination.    These fevers persisted for 3 days.  On 12/11/21, fever increased to 102-103 accompanied by rash (palms, soles, eventually trunk), non-purulent conjunctivitis with limbic sparing, and mild strawberry tongue.  He had chest pain with inspiration, myalgias (especially neck), sore throat, headache, and dizziness.    Labs showed marked inflammation and echo showed cardiac dysfunction (see item 19).  He was treated with IVIG with only mild improvement in symptoms.  Infectious work-up was negative for active infection but did reveal an anti-SARS-CoV-2 antibody (spike) positive before IVIG.  He received a second infusion of IVIG and methylprednisolone 1 G IV with marked improvement in symptoms.  He had one additional fever spike, resulting in additional steroids and a steroid taper.  Echo abnormalities resolved, all labs improved, and symptoms improved except for fatigue.  He was discharged to home on 12/20/21.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Left ventricular dysfunction, Myalgia, N-terminal prohormone brain natriuretic peptide increased, Oropharyngeal pain, Painful respiration
Clinical narrative: The adverse event was clinically consistent with MIS-C.  The patient developed low-grade fever to 100 F several hours after vaccination.    These fevers persisted for 3 days.  On 12/11/21, fever increased to 102-103 accompanied by rash (palms, soles, eventually trunk), non-purulent conjunctivitis with limbic sparing, and mild strawberry tongue.  He had chest pain with inspiration, myalgias (especially neck), sore throat, headache, and dizziness.    Labs showed marked inflammation and echo showed cardiac dysfunction (see item 19).  He was treated with IVIG with only mild improvement in symptoms.  Infectious work-up was negative for active infection but did reveal an anti-SARS-CoV-2 antibody (spike) positive before IVIG.  He received a second infusion of IVIG and methylprednisolone 1 G IV with marked improvement in symptoms.  He had one additional fever spike, resulting in additional steroids and a steroid taper.  Echo abnormalities resolved, all labs improved, and symptoms improved except for fatigue.  He was discharged to home on 12/20/21.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Procalcitonin, Pyrexia, Rash, Red blood cell sedimentation rate increased
Clinical narrative: The adverse event was clinically consistent with MIS-C.  The patient developed low-grade fever to 100 F several hours after vaccination.    These fevers persisted for 3 days.  On 12/11/21, fever increased to 102-103 accompanied by rash (palms, soles, eventually trunk), non-purulent conjunctivitis with limbic sparing, and mild strawberry tongue.  He had chest pain with inspiration, myalgias (especially neck), sore throat, headache, and dizziness.    Labs showed marked inflammation and echo showed cardiac dysfunction (see item 19).  He was treated with IVIG with only mild improvement in symptoms.  Infectious work-up was negative for active infection but did reveal an anti-SARS-CoV-2 antibody (spike) positive before IVIG.  He received a second infusion of IVIG and methylprednisolone 1 G IV with marked improvement in symptoms.  He had one additional fever spike, resulting in additional steroids and a steroid taper.  Echo abnormalities resolved, all labs improved, and symptoms improved except for fatigue.  He was discharged to home on 12/20/21.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, Serum ferritin increased, Sterile pyuria, Strawberry tongue
Clinical narrative: The adverse event was clinically consistent with MIS-C.  The patient developed low-grade fever to 100 F several hours after vaccination.    These fevers persisted for 3 days.  On 12/11/21, fever increased to 102-103 accompanied by rash (palms, soles, eventually trunk), non-purulent conjunctivitis with limbic sparing, and mild strawberry tongue.  He had chest pain with inspiration, myalgias (especially neck), sore throat, headache, and dizziness.    Labs showed marked inflammation and echo showed cardiac dysfunction (see item 19).  He was treated with IVIG with only mild improvement in symptoms.  Infectious work-up was negative for active infection but did reveal an anti-SARS-CoV-2 antibody (spike) positive before IVIG.  He received a second infusion of IVIG and methylprednisolone 1 G IV with marked improvement in symptoms.  He had one additional fever spike, resulting in additional steroids and a steroid taper.  Echo abnormalities resolved, all labs improved, and symptoms improved except for fatigue.  He was discharged to home on 12/20/21.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin, Typhus rickettsia test, Viral test negative
Clinical narrative: The adverse event was clinically consistent with MIS-C.  The patient developed low-grade fever to 100 F several hours after vaccination.    These fevers persisted for 3 days.  On 12/11/21, fever increased to 102-103 accompanied by rash (palms, soles, eventually trunk), non-purulent conjunctivitis with limbic sparing, and mild strawberry tongue.  He had chest pain with inspiration, myalgias (especially neck), sore throat, headache, and dizziness.    Labs showed marked inflammation and echo showed cardiac dysfunction (see item 19).  He was treated with IVIG with only mild improvement in symptoms.  Infectious work-up was negative for active infection but did reveal an anti-SARS-CoV-2 antibody (spike) positive before IVIG.  He received a second infusion of IVIG and methylprednisolone 1 G IV with marked improvement in symptoms.  He had one additional fever spike, resulting in additional steroids and a steroid taper.  Echo abnormalities resolved, all labs improved, and symptoms improved except for fatigue.  He was discharged to home on 12/20/21.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Gastrooesophageal reflux disease, Hypertension, Palpitations
Clinical narrative: Extreme GERD, chest pain, palpitations, tinnitus, new onset high blood pressure, fatigue.   Prescribed Nexium and Metoprolol
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Extreme GERD, chest pain, palpitations, tinnitus, new onset high blood pressure, fatigue.   Prescribed Nexium and Metoprolol
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chest discomfort, Cough, Dizziness, Dry throat
Clinical narrative: Left sore arm and headache day 1 and difficulty clearing  throat to breathe; Day 2 breathing issues continue coughing and clearing of a very dry throat, dizziness and ringing in ears, hard time sleeping because of shallow breathing and wheezing. Every joint hurts especially back neck chest; Day 3 arm not as sore but breathing and dry coughing and clearing of nose and throat continues with heavy chest.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Hypopnoea, Pain in extremity, Sleep disorder, Throat clearing
Clinical narrative: Left sore arm and headache day 1 and difficulty clearing  throat to breathe; Day 2 breathing issues continue coughing and clearing of a very dry throat, dizziness and ringing in ears, hard time sleeping because of shallow breathing and wheezing. Every joint hurts especially back neck chest; Day 3 arm not as sore but breathing and dry coughing and clearing of nose and throat continues with heavy chest.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Tinnitus, Wheezing
Clinical narrative: Left sore arm and headache day 1 and difficulty clearing  throat to breathe; Day 2 breathing issues continue coughing and clearing of a very dry throat, dizziness and ringing in ears, hard time sleeping because of shallow breathing and wheezing. Every joint hurts especially back neck chest; Day 3 arm not as sore but breathing and dry coughing and clearing of nose and throat continues with heavy chest.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Dyspnoea exertional, Fatigue, Malaise
Clinical narrative: 71 year old male with PMH CAD, AFib s/p PPM, HF, HTN, seizure disorder presents following a syncopal episode which occurred while driving. He states he passed out and got into a minor car accident. States he has been feeling generally unwell and fatigued for the past week. Reports progressive shortness of breath over the past several months, worse with exertion. He was found to be COVID-19 positive in the ED. No known exposures.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Road traffic accident, SARS-CoV-2 antibody test, SARS-CoV-2 test positive, Syncope
Clinical narrative: 71 year old male with PMH CAD, AFib s/p PPM, HF, HTN, seizure disorder presents following a syncopal episode which occurred while driving. He states he passed out and got into a minor car accident. States he has been feeling generally unwell and fatigued for the past week. Reports progressive shortness of breath over the past several months, worse with exertion. He was found to be COVID-19 positive in the ED. No known exposures.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure acute, Death
Clinical narrative: Dose 1 given 02/02/2021 Pfizer Lot # EL9264  Patient died of acute heart failure at hospital, on 12/22/2021. This is not a Covid 19 death
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient scheduled for Moderna Booster.  He is 17 years old and Moderna has not been approved for patient's under 18 so he should have received the Pfizer booster
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Constipation, Dehydration, Dizziness
Clinical narrative: Patient is a 21 year old female who is 12 weeks pregnant with PMH of ADD, migraine, UTI and Covid 19 infection in August 2021. Patient was admitted 12/19-12/20/21 for c/o nausea and constipation. During that admission patient had a negative rapid covid test but a positive PCR, was seen by a HCF and cleared. Patient is vaccinated. AS per Dr (NAME) patient has no fever or systemic symptoms of covid 19, the IgG ALONE is positive and the IgM is negative, suggesting remote, recovered infection and pregnancy releated vomiting and dehydration. Patient was also found to have a UTI and discharged on Keflex. As per patient she has had c/o nausea and vomiting for approximately 1 1/2 months and has lost 15lbs. Patient was discharged yesterday but she has had persistent vomiting and felt like she was going to pass out. Patient was due to follow up with her obgyn tomorrow however patient called her doctor and was referred to the ED. Patient denies chest pain and shortness of breath.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Maternal exposure before pregnancy, Nausea, SARS-CoV-2 antibody test, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Patient is a 21 year old female who is 12 weeks pregnant with PMH of ADD, migraine, UTI and Covid 19 infection in August 2021. Patient was admitted 12/19-12/20/21 for c/o nausea and constipation. During that admission patient had a negative rapid covid test but a positive PCR, was seen by a HCF and cleared. Patient is vaccinated. AS per Dr (NAME) patient has no fever or systemic symptoms of covid 19, the IgG ALONE is positive and the IgM is negative, suggesting remote, recovered infection and pregnancy releated vomiting and dehydration. Patient was also found to have a UTI and discharged on Keflex. As per patient she has had c/o nausea and vomiting for approximately 1 1/2 months and has lost 15lbs. Patient was discharged yesterday but she has had persistent vomiting and felt like she was going to pass out. Patient was due to follow up with her obgyn tomorrow however patient called her doctor and was referred to the ED. Patient denies chest pain and shortness of breath.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Vomiting, Weight decreased
Clinical narrative: Patient is a 21 year old female who is 12 weeks pregnant with PMH of ADD, migraine, UTI and Covid 19 infection in August 2021. Patient was admitted 12/19-12/20/21 for c/o nausea and constipation. During that admission patient had a negative rapid covid test but a positive PCR, was seen by a HCF and cleared. Patient is vaccinated. AS per Dr (NAME) patient has no fever or systemic symptoms of covid 19, the IgG ALONE is positive and the IgM is negative, suggesting remote, recovered infection and pregnancy releated vomiting and dehydration. Patient was also found to have a UTI and discharged on Keflex. As per patient she has had c/o nausea and vomiting for approximately 1 1/2 months and has lost 15lbs. Patient was discharged yesterday but she has had persistent vomiting and felt like she was going to pass out. Patient was due to follow up with her obgyn tomorrow however patient called her doctor and was referred to the ED. Patient denies chest pain and shortness of breath.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Bone swelling, Breast swelling, Fatigue, Fluid retention
Clinical narrative: December 1st in the evening, extreme body aches, fatigue and headache. December 2nd extreme body aches, fatigue and headache. I was in bed all day, whole body hurt and hurt to move. Every joint and muscle hurt. December 3rd body continued with body aches, fatigue and headache yet manageable. Left knee continues to hurt more then other joints. December 6th continued with left knee pain, December 7th Left knee swollen and painful. December 8th went to my doctor, Ultra sound performed, questioned blood clot. December 9th continued with knee pain, swelling and now warm to touch. December 10th ER for left knee pain and swelling. Ultra sound, x-ray and blood work. Left knee with swelling and fluid. ESR and WBC elev. elevated. referred to Rheumatologist. December 18th visit with Dr. for referral from family doctor for a referral Rheumatologist. December 20th Left knee continues painful and swollen. Left elbow, left wrist left breast and left scapula swollen with fluid retention. Awaiting insurance approval for Rheumatologist referral to be seen.  Extreme hot and cold sensitivity to water on skin. Menstrual cycle extremely heavy, bloody and clots, cycle began 12-19 thru 12/23. Extreme fatigue continues. Theses symptoms started and presented after my second dose of the COVID 19 vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Heavy menstrual bleeding, Joint effusion, Joint swelling, Mobility decreased
Clinical narrative: December 1st in the evening, extreme body aches, fatigue and headache. December 2nd extreme body aches, fatigue and headache. I was in bed all day, whole body hurt and hurt to move. Every joint and muscle hurt. December 3rd body continued with body aches, fatigue and headache yet manageable. Left knee continues to hurt more then other joints. December 6th continued with left knee pain, December 7th Left knee swollen and painful. December 8th went to my doctor, Ultra sound performed, questioned blood clot. December 9th continued with knee pain, swelling and now warm to touch. December 10th ER for left knee pain and swelling. Ultra sound, x-ray and blood work. Left knee with swelling and fluid. ESR and WBC elev. elevated. referred to Rheumatologist. December 18th visit with Dr. for referral from family doctor for a referral Rheumatologist. December 20th Left knee continues painful and swollen. Left elbow, left wrist left breast and left scapula swollen with fluid retention. Awaiting insurance approval for Rheumatologist referral to be seen.  Extreme hot and cold sensitivity to water on skin. Menstrual cycle extremely heavy, bloody and clots, cycle began 12-19 thru 12/23. Extreme fatigue continues. Theses symptoms started and presented after my second dose of the COVID 19 vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pain, Red blood cell sedimentation rate increased, Sensitive skin, Skin warm
Clinical narrative: December 1st in the evening, extreme body aches, fatigue and headache. December 2nd extreme body aches, fatigue and headache. I was in bed all day, whole body hurt and hurt to move. Every joint and muscle hurt. December 3rd body continued with body aches, fatigue and headache yet manageable. Left knee continues to hurt more then other joints. December 6th continued with left knee pain, December 7th Left knee swollen and painful. December 8th went to my doctor, Ultra sound performed, questioned blood clot. December 9th continued with knee pain, swelling and now warm to touch. December 10th ER for left knee pain and swelling. Ultra sound, x-ray and blood work. Left knee with swelling and fluid. ESR and WBC elev. elevated. referred to Rheumatologist. December 18th visit with Dr. for referral from family doctor for a referral Rheumatologist. December 20th Left knee continues painful and swollen. Left elbow, left wrist left breast and left scapula swollen with fluid retention. Awaiting insurance approval for Rheumatologist referral to be seen.  Extreme hot and cold sensitivity to water on skin. Menstrual cycle extremely heavy, bloody and clots, cycle began 12-19 thru 12/23. Extreme fatigue continues. Theses symptoms started and presented after my second dose of the COVID 19 vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan abnormal, White blood cell count increased, X-ray abnormal
Clinical narrative: December 1st in the evening, extreme body aches, fatigue and headache. December 2nd extreme body aches, fatigue and headache. I was in bed all day, whole body hurt and hurt to move. Every joint and muscle hurt. December 3rd body continued with body aches, fatigue and headache yet manageable. Left knee continues to hurt more then other joints. December 6th continued with left knee pain, December 7th Left knee swollen and painful. December 8th went to my doctor, Ultra sound performed, questioned blood clot. December 9th continued with knee pain, swelling and now warm to touch. December 10th ER for left knee pain and swelling. Ultra sound, x-ray and blood work. Left knee with swelling and fluid. ESR and WBC elev. elevated. referred to Rheumatologist. December 18th visit with Dr. for referral from family doctor for a referral Rheumatologist. December 20th Left knee continues painful and swollen. Left elbow, left wrist left breast and left scapula swollen with fluid retention. Awaiting insurance approval for Rheumatologist referral to be seen.  Extreme hot and cold sensitivity to water on skin. Menstrual cycle extremely heavy, bloody and clots, cycle began 12-19 thru 12/23. Extreme fatigue continues. Theses symptoms started and presented after my second dose of the COVID 19 vaccine.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Dizziness, Fatigue, Headache
Clinical narrative: The night after the shot I felt dizzy, tired, and in two days nauseous, diarrhea, headaches,  I was unable to function any daily routine.  I had no appetite and still don?t have much of one 9 days later,
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Nausea
Clinical narrative: The night after the shot I felt dizzy, tired, and in two days nauseous, diarrhea, headaches,  I was unable to function any daily routine.  I had no appetite and still don?t have much of one 9 days later,
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Lymph node pain, Lymphadenopathy, Pruritus, Rash
Clinical narrative: 9 days after the vaccine, itchiness in right armpit. The following morning (12/13/21), itchiness intensified and hives appeared across scalp, neck, shoulders.  Benadryl helped somewhat.  Telehealth visit that day On 12/14/21 rash appeared down abdomen, groin, back of neck, eye lids, with some swelling in lips. Began 180 mg fexofenadine in the morning and 20 mg Zyrtec at night. That night, severe swelling behind and at base of head led to call to ED and visit: "symmetrically swollen and minimally tender areas below occiput, likely consistent w/ lymph nodes" On 12/16 added 1 Zyrtec nightly. That day swelling and pain diminished On 12/17 saw primary care provider On 12/18 added another (4th) Zyrtec nightly
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 9 days after the vaccine, itchiness in right armpit. The following morning (12/13/21), itchiness intensified and hives appeared across scalp, neck, shoulders.  Benadryl helped somewhat.  Telehealth visit that day On 12/14/21 rash appeared down abdomen, groin, back of neck, eye lids, with some swelling in lips. Began 180 mg fexofenadine in the morning and 20 mg Zyrtec at night. That night, severe swelling behind and at base of head led to call to ED and visit: "symmetrically swollen and minimally tender areas below occiput, likely consistent w/ lymph nodes" On 12/16 added 1 Zyrtec nightly. That day swelling and pain diminished On 12/17 saw primary care provider On 12/18 added another (4th) Zyrtec nightly
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Central nervous system lesion, Condition aggravated, Fatigue, Inflammation, Intervertebral disc disorder
Clinical narrative: I got my first vaccine on 2/3/2021, my second dose on 2/24/1986. I was being monitored for MS following a bad case of viral meningitis where I had optic neuritis and MRI showed one other lesion. This was attributed to the viral infection. I was monitored for the development of MS, but had been told this was pretty unlikely. (80/20 chance was the number I was told). I went through a pregnancy and everything was completely stable in terms of MS. After my first dose I was fine but felt a little funny feeling on my face that went away after a week or so. I attributed this to a reactivation of a feeling I had during viral meningitis.  After the second dose I felt alright. My main side effect was nausea and fatigue. I was due for my final monitoring MRI for MS on 03/22/2021. They found two new lesions. One an active lesion on my c2 location on my spine. I was given a week of prednisone to calm inflammation. I believe that the vaccine?s inflammatory aspect caused my predisposition to MS to be activated giving me the new lesion and pushing me over into full RRMS. I was not on any medication for MS prior to this new discovery in March. The timing is so close that it is hard not to connect the two. My neurologist told me that he thinks the vaccine likely trigger the c2 lesion. Although he can?t figure out the other lesion I developed on my frontal lobe (which has now shrunk my half). I have not gotten a booster yet.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Nausea, Relapsing-remitting multiple sclerosis
Clinical narrative: I got my first vaccine on 2/3/2021, my second dose on 2/24/1986. I was being monitored for MS following a bad case of viral meningitis where I had optic neuritis and MRI showed one other lesion. This was attributed to the viral infection. I was monitored for the development of MS, but had been told this was pretty unlikely. (80/20 chance was the number I was told). I went through a pregnancy and everything was completely stable in terms of MS. After my first dose I was fine but felt a little funny feeling on my face that went away after a week or so. I attributed this to a reactivation of a feeling I had during viral meningitis.  After the second dose I felt alright. My main side effect was nausea and fatigue. I was due for my final monitoring MRI for MS on 03/22/2021. They found two new lesions. One an active lesion on my c2 location on my spine. I was given a week of prednisone to calm inflammation. I believe that the vaccine?s inflammatory aspect caused my predisposition to MS to be activated giving me the new lesion and pushing me over into full RRMS. I was not on any medication for MS prior to this new discovery in March. The timing is so close that it is hard not to connect the two. My neurologist told me that he thinks the vaccine likely trigger the c2 lesion. Although he can?t figure out the other lesion I developed on my frontal lobe (which has now shrunk my half). I have not gotten a booster yet.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site vesicles, Somnolence
Clinical narrative: so far I got the shot for covid a few days ago. All I have noticed so far is that a blister had formed at the injection site and im tired but I don't know/cant tell  if the drowsiness is any different then any other day I would be tired.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Cerebrovascular accident, Computerised tomogram, Echocardiogram, Gene mutation identification test
Clinical narrative: After the 2nd vaccine I developed headaches, after 2 weeks of being  fully vaccinated, I had such severe head pain, I went to the ER, I had had a stroke, was sent home and a week later, 4 more strokes occured.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Implantable cardiac monitor insertion, Magnetic resonance imaging, Vertebral artery occlusion
Clinical narrative: After the 2nd vaccine I developed headaches, after 2 weeks of being  fully vaccinated, I had such severe head pain, I went to the ER, I had had a stroke, was sent home and a week later, 4 more strokes occured.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal distension, Abdominal pain upper, Asthenia, Blood test
Clinical narrative: The day after my vaccination I had a fever, aches, chills, which I had with the second dose. Then started the stomach problems, which I also had with my second dose but much milder and shorter duration.  This time I've had bloating, my stomach just so full of air/gas, and pain so bad I wanted to double over. The fever and aches subsided after a few days, but my stomach problems did not, they got progressively worse. I lost appetite, I've lost 11 pounds, I am dizzy all the time, my breathing is labored, my heart flutters, I have no strength. But the chest pain is getting worse, constant.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest X-ray, Chest pain, Chills, Decreased appetite
Clinical narrative: The day after my vaccination I had a fever, aches, chills, which I had with the second dose. Then started the stomach problems, which I also had with my second dose but much milder and shorter duration.  This time I've had bloating, my stomach just so full of air/gas, and pain so bad I wanted to double over. The fever and aches subsided after a few days, but my stomach problems did not, they got progressively worse. I lost appetite, I've lost 11 pounds, I am dizzy all the time, my breathing is labored, my heart flutters, I have no strength. But the chest pain is getting worse, constant.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Electroencephalogram, Flatulence, Pain
Clinical narrative: The day after my vaccination I had a fever, aches, chills, which I had with the second dose. Then started the stomach problems, which I also had with my second dose but much milder and shorter duration.  This time I've had bloating, my stomach just so full of air/gas, and pain so bad I wanted to double over. The fever and aches subsided after a few days, but my stomach problems did not, they got progressively worse. I lost appetite, I've lost 11 pounds, I am dizzy all the time, my breathing is labored, my heart flutters, I have no strength. But the chest pain is getting worse, constant.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Weight decreased
Clinical narrative: The day after my vaccination I had a fever, aches, chills, which I had with the second dose. Then started the stomach problems, which I also had with my second dose but much milder and shorter duration.  This time I've had bloating, my stomach just so full of air/gas, and pain so bad I wanted to double over. The fever and aches subsided after a few days, but my stomach problems did not, they got progressively worse. I lost appetite, I've lost 11 pounds, I am dizzy all the time, my breathing is labored, my heart flutters, I have no strength. But the chest pain is getting worse, constant.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Inappropriate schedule of product administration, Myalgia
Clinical narrative: Patient was fully vaccinated + booster with Pfizer (7/1/21, 7/21/21, and 10/21/21). Patient has had a cough, SOB, and myalgias since 12/12/21. Patient was admitted with COVID 12/22/21 and is currently hospitalized.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient was fully vaccinated + booster with Pfizer (7/1/21, 7/21/21, and 10/21/21). Patient has had a cough, SOB, and myalgias since 12/12/21. Patient was admitted with COVID 12/22/21 and is currently hospitalized.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Vaccine positive rechallenge
Clinical narrative: SMALL ROUND RASH IN ABDOMEN/GROIN AREA. SHOWED UP AFTER RECEIVING VACCINE FOR FIRST DOSE AND PATIENT DIDN'T THINK ANYTHING OF IT, BUT THEN WHEN SHE RECEIVED SECOND VACCINE THE RASH SHOWED UP AGAIN AND SHE REALIZED IT WAS FROM VACCINE. SHE SAID THAT IT DOESN'T HURT OR ITCH AND IS ALREADY FADING, FASTER THAN IT DID THE FIRST TIME.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Chest discomfort, Chills, Condition aggravated, Dyspnoea
Clinical narrative: She got her vaccine, started to have chills and a slight headache but not bad.  A few hours later throughout the evening had a low grade fever.  Around 8:00 AM had trouble breathing, wheezing, low grade fever and asthma.  When she gets sick with her asthma the first thing that happens that her lungs hurt, and hurts when she breaths and tightness.  This lasted for the entire day with shortness of breath.  She called her doctor and he said to use the inhaler every 3-4 hours, and she did some nebulizer treatments at home.  She took them every 4 hours the entire day and started to feel better around 4:00 PM.  Her lungs did not hurt anymore and had some relief, but still had some wheezing, and is much improved from yesterday.   She called her pulmonologist several times, and her PCP, Dr. trying to get a telehealth apt with her.  Her pulmonologist wanted her to go to the ER but with her symptoms and her autoimmune disease she decided to go to the UR but was a 3 hour wait and had to wait in her car so she went home and continued to take her breathing treatments.  The treatments started to improve her symptoms and by 10:00 PM she was feeling like herself again and was able to sleep last night.  She did have some trouble at 5:00 AM and had to give herself another breathing treatment.    Did call her doctor to see if she should take the steroids that she had, but continued with the breathing treatments and is improving.    She has some swollen lymph nodes underneath her left arm where she got the vaccine, which she feels is an autoimmune response, but it is something new and painful.  She does have an appointment to see her doctor on Monday to make sure that everything is OK.  She is a teacher and she has missed 2 days of work due to this response to the vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Lymphadenopathy, Pain, Pulmonary pain
Clinical narrative: She got her vaccine, started to have chills and a slight headache but not bad.  A few hours later throughout the evening had a low grade fever.  Around 8:00 AM had trouble breathing, wheezing, low grade fever and asthma.  When she gets sick with her asthma the first thing that happens that her lungs hurt, and hurts when she breaths and tightness.  This lasted for the entire day with shortness of breath.  She called her doctor and he said to use the inhaler every 3-4 hours, and she did some nebulizer treatments at home.  She took them every 4 hours the entire day and started to feel better around 4:00 PM.  Her lungs did not hurt anymore and had some relief, but still had some wheezing, and is much improved from yesterday.   She called her pulmonologist several times, and her PCP, Dr. trying to get a telehealth apt with her.  Her pulmonologist wanted her to go to the ER but with her symptoms and her autoimmune disease she decided to go to the UR but was a 3 hour wait and had to wait in her car so she went home and continued to take her breathing treatments.  The treatments started to improve her symptoms and by 10:00 PM she was feeling like herself again and was able to sleep last night.  She did have some trouble at 5:00 AM and had to give herself another breathing treatment.    Did call her doctor to see if she should take the steroids that she had, but continued with the breathing treatments and is improving.    She has some swollen lymph nodes underneath her left arm where she got the vaccine, which she feels is an autoimmune response, but it is something new and painful.  She does have an appointment to see her doctor on Monday to make sure that everything is OK.  She is a teacher and she has missed 2 days of work due to this response to the vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Wheezing
Clinical narrative: She got her vaccine, started to have chills and a slight headache but not bad.  A few hours later throughout the evening had a low grade fever.  Around 8:00 AM had trouble breathing, wheezing, low grade fever and asthma.  When she gets sick with her asthma the first thing that happens that her lungs hurt, and hurts when she breaths and tightness.  This lasted for the entire day with shortness of breath.  She called her doctor and he said to use the inhaler every 3-4 hours, and she did some nebulizer treatments at home.  She took them every 4 hours the entire day and started to feel better around 4:00 PM.  Her lungs did not hurt anymore and had some relief, but still had some wheezing, and is much improved from yesterday.   She called her pulmonologist several times, and her PCP, Dr. trying to get a telehealth apt with her.  Her pulmonologist wanted her to go to the ER but with her symptoms and her autoimmune disease she decided to go to the UR but was a 3 hour wait and had to wait in her car so she went home and continued to take her breathing treatments.  The treatments started to improve her symptoms and by 10:00 PM she was feeling like herself again and was able to sleep last night.  She did have some trouble at 5:00 AM and had to give herself another breathing treatment.    Did call her doctor to see if she should take the steroids that she had, but continued with the breathing treatments and is improving.    She has some swollen lymph nodes underneath her left arm where she got the vaccine, which she feels is an autoimmune response, but it is something new and painful.  She does have an appointment to see her doctor on Monday to make sure that everything is OK.  She is a teacher and she has missed 2 days of work due to this response to the vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Periodically my tattoo gets whelps were the Ink is.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 2/27 and 3/27. Positive on 12/22
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Delayed Urticarial rash (itchy red skin, hives). I would get very itchy someplace on my body (location changed often) for about 30-40 minutes. Then rash would disappear and reappear somewhere else about 2 hours later.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal dreams, Fatigue, Headache, Hypersomnia, Inappropriate schedule of product administration
Clinical narrative: I got my COVID vaccine booster (Moderna). This was 7 months after completing my first 2 doses of the Pfizer COVID vaccine. After 12 hrs I started feeling extreme fatigue, muscle aches, headache and my left arm (site of injection) was tingling. I basically slept the entire day after the vaccine which wasn't restful because I was experiencing very vivid dreams. The extreme fatigue ended after approximately 24 hrs but the muscle aches continued for 48-72 hrs. Additionally, 36 hours after vaccination there was swelling in my left arm pit, likely lymph nodes, which is still persisting. Also, I experienced a lot of night sweating the second night after my vaccine; I woke up completely drenched in sweat.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site paraesthesia, Lymphadenopathy, Myalgia
Clinical narrative: I got my COVID vaccine booster (Moderna). This was 7 months after completing my first 2 doses of the Pfizer COVID vaccine. After 12 hrs I started feeling extreme fatigue, muscle aches, headache and my left arm (site of injection) was tingling. I basically slept the entire day after the vaccine which wasn't restful because I was experiencing very vivid dreams. The extreme fatigue ended after approximately 24 hrs but the muscle aches continued for 48-72 hrs. Additionally, 36 hours after vaccination there was swelling in my left arm pit, likely lymph nodes, which is still persisting. Also, I experienced a lot of night sweating the second night after my vaccine; I woke up completely drenched in sweat.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Fatigue, Pain
Clinical narrative: Increasing shortness of breath with exertion, chest fullness, dry cough, increased fatigue and aches.  Sx are intermittent since COVID vaccine booster on 12/07/21
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 12/30/20 and 1/20. Positive on 12/22
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/31 and 4/22. Positive on 12/17
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Bartholin's cyst, Herpes zoster, Herpes zoster oticus, Neuralgia
Clinical narrative: One month after receiving my COVID-19 booster, I came down with shingles on my face/ear (for the second time, same location) and had a Bartholin cyst (for the second time, same location) simultaneously as happened 6 months ago. The same issues occurred two months after my second dose (Moderna). I had shingles and a Bartholin cyst. The shingles brought Ramsay Hunt syndrome (Bells Palsy on the same side as the shingles that lasted 1 month) and post-herpetic neuralgia (still feeling symptoms to date).
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Headache, Heart rate increased
Clinical narrative: Fever up to 38.5 degrees Celsius, short of breath, chest tightness, palpitations, fast heart rate, headache, dizziness
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Fever up to 38.5 degrees Celsius, short of breath, chest tightness, palpitations, fast heart rate, headache, dizziness
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriovenous fistula site complication, Bacteraemia, COVID-19, Chest pain, Dyspnoea
Clinical narrative: Came to ER with c/o CP,SOB and fever.H/O COVID +.No headache,LOC,seizures,abdominal pain.C/O pain and swelling AV shunt LUE.was found to have bacteremia in jail.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Came to ER with c/o CP,SOB and fever.H/O COVID +.No headache,LOC,seizures,abdominal pain.C/O pain and swelling AV shunt LUE.was found to have bacteremia in jail.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest pain, Dyspepsia, Herpes zoster, Hypoaesthesia
Clinical narrative: A few days after receiving my second dose of the covid vaccine my left shoulder and trapezius went numb and tingly. I was I between jobs and had no health insurance and had no primary care doctor. My herpes zoster flare ups became way worse but my new primary won't listen to me. Now I've been having heart palpitations, extreme digestive issues and chest pains day after day. A heart attack like event but blood tests were negative for an actual heart attack. X-rays have shown severe degeneration in my neck after I tore my trapezius because I lost all sensation. The trapezius tear came after the numb sensation after I got my second Moderna covid vaccine.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle rupture, Palpitations, Paraesthesia, Sensory loss, Spinal osteoarthritis
Clinical narrative: A few days after receiving my second dose of the covid vaccine my left shoulder and trapezius went numb and tingly. I was I between jobs and had no health insurance and had no primary care doctor. My herpes zoster flare ups became way worse but my new primary won't listen to me. Now I've been having heart palpitations, extreme digestive issues and chest pains day after day. A heart attack like event but blood tests were negative for an actual heart attack. X-rays have shown severe degeneration in my neck after I tore my trapezius because I lost all sensation. The trapezius tear came after the numb sensation after I got my second Moderna covid vaccine.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray abnormal
Clinical narrative: A few days after receiving my second dose of the covid vaccine my left shoulder and trapezius went numb and tingly. I was I between jobs and had no health insurance and had no primary care doctor. My herpes zoster flare ups became way worse but my new primary won't listen to me. Now I've been having heart palpitations, extreme digestive issues and chest pains day after day. A heart attack like event but blood tests were negative for an actual heart attack. X-rays have shown severe degeneration in my neck after I tore my trapezius because I lost all sensation. The trapezius tear came after the numb sensation after I got my second Moderna covid vaccine.
Age: 1.08
Sex: F
Vaccine: HEPA, MMRV, PNC13, VARCEL
Symptoms: No adverse event
Clinical narrative: DR SPOKE WITH PARENT (MOTHER) AND CHILD WAS REPORTED AS FEELING WELL WITH NO ADVERSE REACTIONS.  THE CONVERSATION WAS REPORTED ON THE FOLLOWING DAY WITHIN 24 HOURS OF THE VACCINATIONS.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral, Sudden hearing loss
Clinical narrative: Sudden hearing loss in left ear
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Laboratory test, Specialist consultation, Urticaria
Clinical narrative: Chronic hives began 12-18 hours after first injection. They have not stopped since. She takes 2 doses of Pepcid and Zyrtec daily. She also uses hydrocortisone cream PRN. Ped and allergist both agree it is a direct result to the vaccine. If she misses a single dose, hives are back within an hour. She never had an allergic reaction or hives prior to this.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient was fully vaccinated with Pfizer (3/10/21 and 3/31/21). Patient was hypoxic with a saturation of 77% and has been admitted since 12/6/21
Age: 28.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Erythema, Pain, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Red, swollen, itchy and painful arm with full body aches started around 7 pm; and lasted 30 hours.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Air embolism, Autopsy, Death, Toxicologic test
Clinical narrative: Patient passed away on 12/11/21 at 12:11pm from bilateral pulmonary emboli (air bubbles not DVT).  Final autopsy results pending toxicology results.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort
Clinical narrative: Patient refers to feeling submerged in the ears. At 1:45 pm he is taken to the incident observation area and his vital signs were evaluated 100/70, 99% sat, 73P and 20R The case was consulted by Dr. and she refers to leaving him in the trender position and observing her for 30 min at 2:15 Dr. is called for re-evaluation of the patient 100/70, 99% sat 73p 20R. Patient reports feeling well.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Fever, chills and headache.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Body temperature increased, COVID-19, Cardio-respiratory arrest, Chest X-ray normal
Clinical narrative: DX: COVID infection:  This patient is a 57-year-old gentleman with past medical history of Parkinson, schizophrenia, GERD, diabetes, who is a resident at a skilled nursing home recently was diagnosed with COVID-19.  The patient presented to the hospital with a cough, fatigue and mild shortness of breath. T-max was 102.3,heart rate 92.  EKG, sinus rhythm, no ST elevation or T-wave inversion.  Chest x-ray, no evidence of suspicious pleural or parenchymal abnormalities.  Blood work was done and reviewed. Due to his presentation, the patient was seen and evaluated by Infectious Disease who reported that the patient has a COVID-19 infection, but no respiratory distress on room air.  To continue with a Lovenox and not a candidate for remdesivir.  The patient's culture was negative so far.  Also, the patient regarding mild hyponatremia was seen and evaluated by a nephrologist, which improved.  Followup with the patient showed improvement in his presentation.  Discharged in stable condition to subacute rehab. On 10/11/2021 Pt was unreponsive at the nursing home and brought to the ED.  Patient was brought in from nursing home with hypoxia and low blood pressure. Associated symptoms: fever and shortness of breath , tachycharia and repiratory distress.  Critical care was necessary to treat or prevent imminent or life-threatening deterioration of the following conditions:  Sepsis, respiratory failure and shock.Initially patient responded to the CPR. We got a pulse back. Fluid antibiotic was also started. Accu-Chek's was done.  Patient was coded again because he lost pulse. This time he did not respond. Patient was pronounced in emergency department.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Culture negative, Death, Dyspnoea, Electrocardiogram normal
Clinical narrative: DX: COVID infection:  This patient is a 57-year-old gentleman with past medical history of Parkinson, schizophrenia, GERD, diabetes, who is a resident at a skilled nursing home recently was diagnosed with COVID-19.  The patient presented to the hospital with a cough, fatigue and mild shortness of breath. T-max was 102.3,heart rate 92.  EKG, sinus rhythm, no ST elevation or T-wave inversion.  Chest x-ray, no evidence of suspicious pleural or parenchymal abnormalities.  Blood work was done and reviewed. Due to his presentation, the patient was seen and evaluated by Infectious Disease who reported that the patient has a COVID-19 infection, but no respiratory distress on room air.  To continue with a Lovenox and not a candidate for remdesivir.  The patient's culture was negative so far.  Also, the patient regarding mild hyponatremia was seen and evaluated by a nephrologist, which improved.  Followup with the patient showed improvement in his presentation.  Discharged in stable condition to subacute rehab. On 10/11/2021 Pt was unreponsive at the nursing home and brought to the ED.  Patient was brought in from nursing home with hypoxia and low blood pressure. Associated symptoms: fever and shortness of breath , tachycharia and repiratory distress.  Critical care was necessary to treat or prevent imminent or life-threatening deterioration of the following conditions:  Sepsis, respiratory failure and shock.Initially patient responded to the CPR. We got a pulse back. Fluid antibiotic was also started. Accu-Chek's was done.  Patient was coded again because he lost pulse. This time he did not respond. Patient was pronounced in emergency department.