chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Palpitations, Pyrexia, Red blood cell sedimentation rate increased, Troponin increased
Clinical narrative: He reports that he had his second Moderna COVID vaccine was 4/20 Tuesday.  The next day, on Wednesday he began having headache, body aches, chills, fevers and mild shortness of breath.  Patient reports that the body aches somewhat resolved on Thursday but he continued to have some intermittent palpitations.  He woke up Friday with self described chest discomfort with persistent palpitations.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site pain
Clinical narrative: Site soreness,headache, light headed
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: patient was administered an expired vaccine
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Pain
Clinical narrative: Body soreness, excessive body heat without sweating and headaches
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: @ 14 hours after my second vaccine,  I experienced chills, achiness and headache.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Loss of consciousness
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: AFTER GETTING PFIZER COVID VACCINES,PATIENT  GIVEN INSTRUCTIONS TO SIT DOWN FOR 15 MIN TO MONITOR,AFTER 2 MIN,PHARMACITS (MYSELF) OBSERVED THAT HE IS FALLING DOWN,HE FELT DIZZINESS,I WAS ABLE TO REVIVE HIM IN 3O SEC,HE WAS RESPONSE AND TALKING,I LET HIM SIT DOWN ON A CHAIR,HE ASKED FOR WATER,GAVE WATER,HE FELT VERY GOOD,HE LEFT THE PHARMACY AFTER 40 MINUTES,THEY DIDNT HAVE A PRIMARY CARE DR YET,BUT SPOKE WITH DAD,AFTER 6 HRS,PATIENT DOING VERY WELL,DIDNT HAVE TO GO TO HOPSPITAL!
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Itching rash on tops of hands, bottom of wrists and slightly up forearms. Itching rash on tops of feet and ankles.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: He developed a pruritic rash on bilateral upper extremities and trunk with no improvement with benadryl.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Fatigue, Palpitations
Clinical narrative: PT STATES SHE HAD 'CARDIAC SYMPTOMS WITHIN 24HR OF DOSE #1 AND DOES NOT WANT DOSE #2.  HAD PALPITATIONS, SOB, FELT EXHAUSTED LASTING 10-30MIN OFF AND ON X 2 DAYS AND 02 SAT WAS 96% AT ONE TIME.'
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Confusional state, Dizziness
Clinical narrative: CONFUSION, SHORT TERM MEMORY LOSS, DIZZINESS, LONG TERM MEMORY LOSS
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Hyperventilation, Lethargy
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Hyperventilation-Mild, Systemic: Weakness-Mild
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient was administered an expired vaccine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: Day 5 and day 6 following vaccination I had continuous muscle twitches in my upper left arm. The spasms could be felt externally and we're in various muscles of the upper arm, mostly around my deltoid and also my scapula. I had some twitches in the first few days following vaccination but day 5 and 6 they were almost continuous (maybe 10-20 second intervals at longest).
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Syncope, Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Severe
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Dizziness reported ~5 minutes after injection. Water and juice provided, LE elevated. Shortness of breath reported ~45 minutes after injection. After 1 hour of observation at Vaccine Clinic, patient transferred to Urgent Care per family request.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Pain, Pain in extremity
Clinical narrative: Painful arm from Shoulder to Wrist. Body ache from head to toe. Heavy Chills with spikes of high Temperature.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Somnolence
Clinical narrative: Fever of 99.8 that rose to 100.6 the next morning at about 5am, headache, drowsiness.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Patient reports numbness in her arm that began after the first dose of the COVID-19 vaccine. She states that it is not continuous but feels it on and off. She is still able to carry out her daily activities.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Shingles  - rash on left side of trunk along a pattern with pain and sensitivity.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: chest pain, shortness of breath.  Occurred within 48 hours of injection. Lasted 7 days.
Age: 43.0
Sex: M
Vaccine: FLUC4
Symptoms: Arthralgia, Bursitis, Magnetic resonance imaging, Rotator cuff syndrome
Clinical narrative: severe left shoulder pain after vaccine, vaccine placed high up on deltoid, now with bursitis and rotator cuff tear
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Giant cell arteritis, Headache, Trigeminal neuralgia
Clinical narrative: Since my first vaccine , I have had sudden sharp left temple pain lasting 5-10 seconds. I have never in my life had this type pain .  No rhyme or reason to when it happens . It became progressively more frequent slowly over next 4 months .     I went to see my PCP on May 11 because I could not ignore this any longer because was happening now multiple times per day .    Pcp believes it is either temporal arteries or trigeminal nerve irritation.  Since it is sudden sharp pain ...they are treating me with gabapentin  for 1 month to see if it is resolved .     It is helping .     Only have pain now 2-3 times per week which is so much better .   My concern is I have never had this before and started after vaccine for covid .   I have had both vaccines now because I am an RN .
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Mobility decreased, Musculoskeletal stiffness, Pain, Pain in extremity
Clinical narrative: Pt reports that approx 2-3 days after receiving the 2nd Covid vaccine, her left upper arm became sore and she had difficulty lifting her shoulder due to decrease ROM, pain, and stiffness.  The vaccine was given on 4/13/21.  She did not take any OTC medications. Did not try any ice or heat to alleviate the pain.  Presented to PCP on 5/27/21 due to continued soreness. Ibuprofen prescribed. Heat or ice. X-rays ordered.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Diarrhoea, Eye inflammation, Gait inability
Clinical narrative: Injection at 10:18 am.  Got home -- explosive diarrhea by 11:30 am.  Joint pain started this evening.  Became severe (unable to open doors, walk) the following day (Tuesday, 5/25/21) followed by muscular pain, especially legs and buttocks.  Tinnitus has peaked (exacerbation) since Tuesday as well (pulsatile).  On Tuesday evening, right eye became red and inflamed . Continued into Wednesday with swollen eyelid and area sorrounding eye (including right temple and right upper cheek). Had to call in sick on Thursday and today as swelling has not resolved.  Using hot compresses.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Myalgia, Ocular hyperaemia, Periorbital swelling, Swelling of eyelid
Clinical narrative: Injection at 10:18 am.  Got home -- explosive diarrhea by 11:30 am.  Joint pain started this evening.  Became severe (unable to open doors, walk) the following day (Tuesday, 5/25/21) followed by muscular pain, especially legs and buttocks.  Tinnitus has peaked (exacerbation) since Tuesday as well (pulsatile).  On Tuesday evening, right eye became red and inflamed . Continued into Wednesday with swollen eyelid and area sorrounding eye (including right temple and right upper cheek). Had to call in sick on Thursday and today as swelling has not resolved.  Using hot compresses.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Injection at 10:18 am.  Got home -- explosive diarrhea by 11:30 am.  Joint pain started this evening.  Became severe (unable to open doors, walk) the following day (Tuesday, 5/25/21) followed by muscular pain, especially legs and buttocks.  Tinnitus has peaked (exacerbation) since Tuesday as well (pulsatile).  On Tuesday evening, right eye became red and inflamed . Continued into Wednesday with swollen eyelid and area sorrounding eye (including right temple and right upper cheek). Had to call in sick on Thursday and today as swelling has not resolved.  Using hot compresses.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Nasal congestion, Secretion discharge
Clinical narrative: Systemic: nasal congestion, cough, mucus-Medium
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Headache, Heart rate increased, Irritability
Clinical narrative: High heart rate, persistent headaches, brain fog, irritability
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Flushing, Throat irritation
Clinical narrative: Had covid infection Dec 2020  He received Moderna shot#1 on 2 Apr 2021: received shot, waited 15 min, went home (30 min drive), went bike riding outdoors, stopped riding after 15 min due to cold weather, went inside, while undressing for shower he noted redness of skin from waist up involving trunk and face, called nurse hotline, while talking to her he felt scratchy throat, was advicse to call 911, 911 responded in 5 min, transport to Hospital, arrived ER in 5 min, given IV Benadryl but not epi. VS were nl on admission to the ER. He denies dizziness, sob, cough, wheeze, chest tightness, diarrhea, abd cramping. Flushing improved over a period of five hours, discharged while still residually flushed. Redness fully resolved over two days.   The redness of his skin was similar to what he experienced after an allergic reaction to a food spice in 2003.    He has covid infection in Nov2020, had high fever, lost taste and smell. Self-treated w/ Tylenol at home, had + positive at Clinic (results verified on Database)   Flushing and respiratory sx within an hour of receiving Moderna covid vaccine #1, in setting of a previous clinical infection/positive covid PCR testing in Dec2020, suggests anaphylaxis to Moderna vaccine. He may have developed ab during actual infection that caused IgE reaction to vaccine.  I advised him to avoid further covid vaccines until further developments  He is most likely immune given previous clinical infection and positive PCR testing and receiving one vaccine.  It is unknown how long immunity will last, what current covid ab titers mean, and whether he might be able to take an alternate vaccine in the future. He might merit skin testing with Miralax in anticipation for further PEG2000 containing vaccines in the future.  Fol allergy at Location Note written 25 May 2021 during appointment w/ patient
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Rash
Clinical narrative: Soreness at injection site for two days,  severe muscle aches on day 2,  rash on chest, abdomen and upper part of legs on day 4.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin warm
Clinical narrative: Rash and itching arm and warm to touch
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Injection site pain, Myalgia
Clinical narrative: Only injection side pain after first dose.  Second dose: injection side pain in 9 hours, chills, muscle pain, weakness, nausea 12:14 am 5/28-5/29:fever between 37.7-38.5 for 24 hours, severe headache. Took Tylenol at 8am on 5/28 and then again at 9pm. Went to bed and woke up with 35.8 in the morning.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Only injection side pain after first dose.  Second dose: injection side pain in 9 hours, chills, muscle pain, weakness, nausea 12:14 am 5/28-5/29:fever between 37.7-38.5 for 24 hours, severe headache. Took Tylenol at 8am on 5/28 and then again at 9pm. Went to bed and woke up with 35.8 in the morning.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Concussion, Delirium, Head injury, Laboratory test normal
Clinical narrative: It started at 10:30 that night with a fever, about 02:30am I woke up in the most horrific pain, I have never experienced anything like it, I was shaking so hard that my teeth were chattering, I fainted toward the end of that week hit my head and wound up with a mild concussion and went to the ER. I had not been feeling well at all. I was almost delirious, when I woke up I was vomiting . I wound up with a huge knot on my head.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nodule, Pain, Pyrexia, Syncope
Clinical narrative: It started at 10:30 that night with a fever, about 02:30am I woke up in the most horrific pain, I have never experienced anything like it, I was shaking so hard that my teeth were chattering, I fainted toward the end of that week hit my head and wound up with a mild concussion and went to the ER. I had not been feeling well at all. I was almost delirious, when I woke up I was vomiting . I wound up with a huge knot on my head.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: It started at 10:30 that night with a fever, about 02:30am I woke up in the most horrific pain, I have never experienced anything like it, I was shaking so hard that my teeth were chattering, I fainted toward the end of that week hit my head and wound up with a mild concussion and went to the ER. I had not been feeling well at all. I was almost delirious, when I woke up I was vomiting . I wound up with a huge knot on my head.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: patient states she had a seizure
Age: 20.0
Sex: F
Vaccine: MENB, TDAP
Symptoms: Arthralgia
Clinical narrative: left shoulder pain,  examined in office and sent to emergency department for evaluation/treatment
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Myalgia, Neuralgia, Pain
Clinical narrative: Got the vaccine, within 24 hours she started running fever that was 100-101.5 which she took Ibuprofen for and it disappeared.  Every part of her body that is normally painful became worse from aching.  Both of the vaccine injection sites felt like somebody was stabbing her in the arm.   The injection site itself was swollen the majority of the time, sore muscle.  After she got over the physical pain of the vaccine, she ended up with sciatic nerve issues and still trying to get over that.  She did take Ibuprofen for the pain and aspirin.   Everything has calmed down except for the sciatic nerve pain.  She is back to her baseline from before the vaccine.  She would say that the pain from the vaccine was bad as her mother's shingles.   She did notify her doctor but had power outages and problems, but did take her pain medicine which helped.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Got the vaccine, within 24 hours she started running fever that was 100-101.5 which she took Ibuprofen for and it disappeared.  Every part of her body that is normally painful became worse from aching.  Both of the vaccine injection sites felt like somebody was stabbing her in the arm.   The injection site itself was swollen the majority of the time, sore muscle.  After she got over the physical pain of the vaccine, she ended up with sciatic nerve issues and still trying to get over that.  She did take Ibuprofen for the pain and aspirin.   Everything has calmed down except for the sciatic nerve pain.  She is back to her baseline from before the vaccine.  She would say that the pain from the vaccine was bad as her mother's shingles.   She did notify her doctor but had power outages and problems, but did take her pain medicine which helped.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Rash, Rash erythematous
Clinical narrative: About a week later of having my vaccine I had a rash, very inflamed and very red, from my shoulder to my elbow. I did not do anything I believe. I put Hydrocortisone cream on it. By the time I went to the doctor it was already subsiding.  The doctor said it was a delayed allergic reaction that he has only seen in healthcare professionals. He did not prescribed me anything.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Product administration error, Syringe issue
Clinical narrative: A dose was wasted due to a dull needle. Different needle/vaccine was administered to the patient.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Bloody nose, daily, multiple times a day. No other injury present
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Ear discomfort, Hypoaesthesia, Tinnitus
Clinical narrative: Systemic: claims "loss of hearing, ringing, popping in right ear along with numbness in face-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: pt did not directly contact pharmacy-she filled out survey from a receipt-tried to follow up twice with pt but pt did not call back
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient was administered an expired vaccine
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain
Clinical narrative: About 2 hours after the shot I started getting really bad lower back pain and I had zero back pain before getting the shot. It was a throbbing pounding pain right in the center of my lower back.  It lasted for almost 2 weeks and I had to use the heating pad at night and then those disposable heat wraps.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart palpitations--approximately 2-3 times per day for a week or two. The symptoms are not as frequent now, just once in a while. I have not seen a doctor, just trying to rest/avoid strenuous exercise, eat healthy foods, and avoid caffeine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Cough, Ear pain, Facial pain, Headache
Clinical narrative: 5/19-injection site pain, muscle aches, sore throat, (Tylenol taken every four hours) 5/20-injection site pain, muscle aches (Tylenol administered every 4 hours) 5/21- sore throat, muscle aches, low grade fever, (Tylenol taken every 4 hours) 5/22- extreme sore throat (burning sensation), ear ache, cough, headache, low grade fever, lost voice,(Tylenol taken, hot tea, throat lozenges, gargle with warm salt water) 5/23-sore throat, headache, cough,(Tylenol taken, hot tea, throat lozenges, gargle with warm salt water)5/24- sore throat, runny nose, cough, facial pain, ear ache, voice returned,(Tylenol taken, hot tea, throat lozenges, gargle with warm salt water) 5/25- persistent cough, runny nose, 5/26-dry cough, 5/27- dry cough, 5/28-dry cough, I am currently having coughing uncontrolled dry coughing fits which last a few minutes in duration.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: 5/19-injection site pain, muscle aches, sore throat, (Tylenol taken every four hours) 5/20-injection site pain, muscle aches (Tylenol administered every 4 hours) 5/21- sore throat, muscle aches, low grade fever, (Tylenol taken every 4 hours) 5/22- extreme sore throat (burning sensation), ear ache, cough, headache, low grade fever, lost voice,(Tylenol taken, hot tea, throat lozenges, gargle with warm salt water) 5/23-sore throat, headache, cough,(Tylenol taken, hot tea, throat lozenges, gargle with warm salt water)5/24- sore throat, runny nose, cough, facial pain, ear ache, voice returned,(Tylenol taken, hot tea, throat lozenges, gargle with warm salt water) 5/25- persistent cough, runny nose, 5/26-dry cough, 5/27- dry cough, 5/28-dry cough, I am currently having coughing uncontrolled dry coughing fits which last a few minutes in duration.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: This patient received a dose of Janssen on 3/11/21 and then received a dose of Moderna on 5/13/21.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Discomfort, Disorientation, Dizziness, Fatigue
Clinical narrative: pt says after he took the vaccine he felt like his bones and muscles got heavy like he was walking in water and had fever.  He is very tired and wants to sleep all of the time.  He gets dizzy and disoriented and has diarhea.  He has body aches and pains, feels like his muscles are swollen and feels like he is wearing weights when he moves and completely fatigued.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Movement disorder, Muscle swelling, Pain, Pyrexia
Clinical narrative: pt says after he took the vaccine he felt like his bones and muscles got heavy like he was walking in water and had fever.  He is very tired and wants to sleep all of the time.  He gets dizzy and disoriented and has diarhea.  He has body aches and pains, feels like his muscles are swollen and feels like he is wearing weights when he moves and completely fatigued.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Blood fibrinogen, Brain natriuretic peptide normal, Chest pain, Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: Received 2nd Pfizer COVID vaccine 5/9.  On the evening of 5/10 he awoke with severe 7/10 CP located centrally and radiating down both arms.  Not a distinct pain such as sharp, stabbing, burning, throbbing but located in center of chest and was really uncomfortable.  No other associated CV symptoms (palpitations, SOB, syncope).  Pain slightly worse supine.  Pain self-resolved but recurred on 5/12.  he had no symptoms of COVID disease.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Magnetic resonance imaging abnormal, Myocardial oedema, Myocarditis, Pain
Clinical narrative: Received 2nd Pfizer COVID vaccine 5/9.  On the evening of 5/10 he awoke with severe 7/10 CP located centrally and radiating down both arms.  Not a distinct pain such as sharp, stabbing, burning, throbbing but located in center of chest and was really uncomfortable.  No other associated CV symptoms (palpitations, SOB, syncope).  Pain slightly worse supine.  Pain self-resolved but recurred on 5/12.  he had no symptoms of COVID disease.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Troponin normal
Clinical narrative: Received 2nd Pfizer COVID vaccine 5/9.  On the evening of 5/10 he awoke with severe 7/10 CP located centrally and radiating down both arms.  Not a distinct pain such as sharp, stabbing, burning, throbbing but located in center of chest and was really uncomfortable.  No other associated CV symptoms (palpitations, SOB, syncope).  Pain slightly worse supine.  Pain self-resolved but recurred on 5/12.  he had no symptoms of COVID disease.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Computerised tomogram head, Dizziness, Dyspnoea, Full blood count
Clinical narrative: Released from ER after receiving 2nd Pfizer vaccine. 1 mile down the road, I could no longer drive.  I had to pull over on the highway.  I had a tingling in my face, immediately followed by a combination of severe headache, hard to breath, rapid heartbeat and feeling like I was going to pass out.  I wasn't able to even dial my phone.  A construction worker on the side of the highway called for the ambulance and I was transported back to the ER.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Impaired driving ability, Paraesthesia
Clinical narrative: Released from ER after receiving 2nd Pfizer vaccine. 1 mile down the road, I could no longer drive.  I had to pull over on the highway.  I had a tingling in my face, immediately followed by a combination of severe headache, hard to breath, rapid heartbeat and feeling like I was going to pass out.  I wasn't able to even dial my phone.  A construction worker on the side of the highway called for the ambulance and I was transported back to the ER.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Feeling abnormal, Flushing
Clinical narrative: For 14 days from vaccination in the following order varying from day to day Day 1 and2-sore arm and fatigue Day 3-Fever, chills, joint pain  Day 4,5,6-bad headache  Day 7-felt better thought clearing out Day 8-terrible sore throat and heavy sweating at night gone by next day Day 9-ok just fatigue Day 10-fatigue and Brain Fog Day 11- Woke up with flush leg rash that was alarming took a picture, it was gone by lunch time Day 12-Brain Fog and Fatigue  Day 13-Brain  Fog and Fatigue Day 24-Brain  Fog and Fatigue
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Oropharyngeal pain, Pain in extremity, Pyrexia
Clinical narrative: For 14 days from vaccination in the following order varying from day to day Day 1 and2-sore arm and fatigue Day 3-Fever, chills, joint pain  Day 4,5,6-bad headache  Day 7-felt better thought clearing out Day 8-terrible sore throat and heavy sweating at night gone by next day Day 9-ok just fatigue Day 10-fatigue and Brain Fog Day 11- Woke up with flush leg rash that was alarming took a picture, it was gone by lunch time Day 12-Brain Fog and Fatigue  Day 13-Brain  Fog and Fatigue Day 24-Brain  Fog and Fatigue
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: For 14 days from vaccination in the following order varying from day to day Day 1 and2-sore arm and fatigue Day 3-Fever, chills, joint pain  Day 4,5,6-bad headache  Day 7-felt better thought clearing out Day 8-terrible sore throat and heavy sweating at night gone by next day Day 9-ok just fatigue Day 10-fatigue and Brain Fog Day 11- Woke up with flush leg rash that was alarming took a picture, it was gone by lunch time Day 12-Brain Fog and Fatigue  Day 13-Brain  Fog and Fatigue Day 24-Brain  Fog and Fatigue
Age: 21.0
Sex: M
Vaccine: HEPA
Symptoms: Accidental exposure to product, Incorrect dose administered, Myxoid cyst, Pain in extremity, Peripheral swelling
Clinical narrative: Client had a hepatitis A exposure.  Came in for post exposure Hepatitis A vaccine.  Received Havrix IM in Left Deltoid on 5/27/21.   Phone call from patient this am.  Complained of some minor swelling and pain in the "middle part" of his arm.  Pain goes away when he rubs it.  Also stated he had a "bump" come up on one finger.  Stated he had a cyst in one knuckle that he thinks moved down to the finger.  Denies any hives or rash.  Denies any trouble breathing or other signs of anaphylaxis.  No other symptoms.  Instructed patient to seek medical attention or call his MD if he has any concerns.
Age: 21.0
Sex: M
Vaccine: HEPA
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Client had a hepatitis A exposure.  Came in for post exposure Hepatitis A vaccine.  Received Havrix IM in Left Deltoid on 5/27/21.   Phone call from patient this am.  Complained of some minor swelling and pain in the "middle part" of his arm.  Pain goes away when he rubs it.  Also stated he had a "bump" come up on one finger.  Stated he had a cyst in one knuckle that he thinks moved down to the finger.  Denies any hives or rash.  Denies any trouble breathing or other signs of anaphylaxis.  No other symptoms.  Instructed patient to seek medical attention or call his MD if he has any concerns.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: broke out in hives and small bumps on arms, legs, & stomach
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Persistent and strong heart palpitations
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 09:00am Pt started complaining of dizziness in biosafety waiting area after recieving 2nd dose Moderna. Vitals 130/76, pulse 88, O2 99%. Pt moved to cot to lie down, which improved symptoms. 09:00 vitals were 125/71, pulse 68, O2 97%. Patient stated having dizziness about an hour after her first dose as well, which lasted about an hour. 09:25 Pt went with nurse up to use restroom and denied any dizziness. 09:35 Patients husabdn arrived to drive her home. Pt denies any symptoms at time of exit.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: This patient received a 3rd dose of Moderna. 1st dose on 2/18/21, 2nd dose on 3/5/21, 3rd dose on 4/8/21.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Magnetic resonance imaging normal, Ultrasound scan normal
Clinical narrative: Chest pain for over 24 hrs. I went to the hospital because I thought I was having a heart attack, all test came back negative. I have no family history of heart conditions, and I'm relatively healthy and active.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Deep vein thrombosis, Dyspnoea, Pulmonary embolism, Ultrasound Doppler abnormal
Clinical narrative: Shortness of breath
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Angioedema, Dyspnoea
Clinical narrative: Severe anaphylaxis with SOB, angioedema requiring 3 doses of Epipen, 1 dose of Benadryl 25 mg, Solumedrol. Transported to ER and was on Epinephrine drip for 10 hours.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Mobility decreased, Pain in extremity
Clinical narrative: very sore arm. could not lift arm higher than 90 degrees from side of body. fatigued in the afternoon. no appetite for a few hours after the shot.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: 24 hours after receiving vaccine reported vaginal bleeding like she was getting a period. patient on Nexplanon and usually does not get a period.  Received first vaccine on 4/26/21 and second one on 5/24/21
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness
Clinical narrative: During the two days following receiving the second dose of Modera, I had a massive drop in blood pressure which caused extreme dizziness and some faintness when standing up.   My normal blood pressure sits around 123/86 on average and was 130/88 the day of the shot (5/21/21).  The day after the shot (5/22/21) my blood pressure dropped to 102/68 where it stayed for two days before slowly climbing back to normal.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, Pyrexia
Clinical narrative: Hospitalization due to fever, shortness of breath and COVID pneumonia.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Facial pain, Magnetic resonance imaging, Trigeminal neuralgia
Clinical narrative: Trigeminal neuralgia, carbamazepine and hydro morphine. I experienced facial pain that went around my head so Barolo I couldn?t touch it. It was a sharp, stabbing pain. So far I haven?t had much relief.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Paraesthesia, Peripheral coldness, Peripheral swelling
Clinical narrative: Hands and feet felt like the were on fire, swollen, and cold all at the same time. No fever present. Symptoms lasted 8 hours and since that date of onset, tingling in hands has been reoccurring at nighttime.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Small, colorless bumps (look like goose bumps) on the inside of both forearms and both sides of torso. No redness, itching, pain, or any other symptoms...just bumps.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Severe headache on left side of head for 6 days since the second day after vaccine, full head for the first 3 days. Pain is like lightning split my head every 8 seconds.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Musculoskeletal pain, Myalgia, Myocarditis, Nausea, Oropharyngeal pain
Clinical narrative: Chest Pain, Myopericarditis; From EPIC: From cardiologist healthy man who comes to the ER with left anterior chest discomfort for the last 36 hours or so.  Symptoms are made worse by deep inspiration.  Were improved following self administration of 600 mg of ibuprofen earlier today.  2 days ago he received his second COVID-19 vaccine (Pfizer).  Following day he experienced arm pain muscular aches and pains severe discomfort of the right arm (injection site) later in the day there was nausea and vomiting on one occasion (nonheme).  By last night he was able to eat dinner but subsequently felt short of breath with worsening chest discomfort morning the left arm continued to ache with musculoskeletal pains.  Developed more discomfort in the left anterior chest radiating to the throat made worse by deep inspiration. Does not describe typical sharp catching pain of pericarditis.  No cough sputum bruising bleeding abdominal pain change in color or character of bowels.  Sign in the emergency room he was hemodynamically stable, in sinus rhythm with a normal EKG.Torrey work-up notable for an initial troponin of 1.28 and a follow-up troponin of 2.14. Chest x-ray perfectly normal. Elevated d-dimer. CT angiography negative for pulmonary embolism vascular injury, cardiomegaly, pericardial effusion but the radiologist did note thickening of several right posterior and lateral axillary lymph nodes raising a question of recent right-sided vaccination or injury/infection to the right arm. Presently he is perfectly comfortable able to take a deep inspiration with mild chest discomfort, breathing easily.  I met him in July 2018He came to the emergency room with a 3-day viral syndrome manifested as headache nausea vomiting diarrhea and abdominal discomfort and then developed chest discomfort.  He was found with diffuse mild J-point elevation on EKG consistent with a viral type pericarditis with troponins which rose to a maximum of 10.4.  Work-up for myocarditis was negative.  Echocardiogram perfectly normal.  Symptoms responded to a course of nonsteroidal anti-inflammatory agents and colchicine.  Seen in follow-up of repeat echocardiogram was perfectly healthy.  Our diagnosis was myopericarditis. There is no history of shortness of breath dyspnea on exertion decrement of exercise capacity peripheral edema orthopnea PND palpitations lightheadedness syncope or collapse.  No ill contacts.  He works in a high security position and therefore qualified for early administration of the Pfizer COVID-19 vaccine.  Graph past medical history notable only for the episode of myopericarditis and a remote tonsillectomy. There is no significant family history of sudden cardiac death or unusual heart disease. He takes no medications. Patient was recommended to take 4 weeks of ibuprofen and colchicine if needed for worsening chest pain.  Patient was recommended to follow-up closely with his primary care doctor and check ESR, C-reactive protein as well as renal function.  Needs close follow-up with cardiology as an outpatient.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pain in extremity, Troponin, Vomiting
Clinical narrative: Chest Pain, Myopericarditis; From EPIC: From cardiologist healthy man who comes to the ER with left anterior chest discomfort for the last 36 hours or so.  Symptoms are made worse by deep inspiration.  Were improved following self administration of 600 mg of ibuprofen earlier today.  2 days ago he received his second COVID-19 vaccine (Pfizer).  Following day he experienced arm pain muscular aches and pains severe discomfort of the right arm (injection site) later in the day there was nausea and vomiting on one occasion (nonheme).  By last night he was able to eat dinner but subsequently felt short of breath with worsening chest discomfort morning the left arm continued to ache with musculoskeletal pains.  Developed more discomfort in the left anterior chest radiating to the throat made worse by deep inspiration. Does not describe typical sharp catching pain of pericarditis.  No cough sputum bruising bleeding abdominal pain change in color or character of bowels.  Sign in the emergency room he was hemodynamically stable, in sinus rhythm with a normal EKG.Torrey work-up notable for an initial troponin of 1.28 and a follow-up troponin of 2.14. Chest x-ray perfectly normal. Elevated d-dimer. CT angiography negative for pulmonary embolism vascular injury, cardiomegaly, pericardial effusion but the radiologist did note thickening of several right posterior and lateral axillary lymph nodes raising a question of recent right-sided vaccination or injury/infection to the right arm. Presently he is perfectly comfortable able to take a deep inspiration with mild chest discomfort, breathing easily.  I met him in July 2018He came to the emergency room with a 3-day viral syndrome manifested as headache nausea vomiting diarrhea and abdominal discomfort and then developed chest discomfort.  He was found with diffuse mild J-point elevation on EKG consistent with a viral type pericarditis with troponins which rose to a maximum of 10.4.  Work-up for myocarditis was negative.  Echocardiogram perfectly normal.  Symptoms responded to a course of nonsteroidal anti-inflammatory agents and colchicine.  Seen in follow-up of repeat echocardiogram was perfectly healthy.  Our diagnosis was myopericarditis. There is no history of shortness of breath dyspnea on exertion decrement of exercise capacity peripheral edema orthopnea PND palpitations lightheadedness syncope or collapse.  No ill contacts.  He works in a high security position and therefore qualified for early administration of the Pfizer COVID-19 vaccine.  Graph past medical history notable only for the episode of myopericarditis and a remote tonsillectomy. There is no significant family history of sudden cardiac death or unusual heart disease. He takes no medications. Patient was recommended to take 4 weeks of ibuprofen and colchicine if needed for worsening chest pain.  Patient was recommended to follow-up closely with his primary care doctor and check ESR, C-reactive protein as well as renal function.  Needs close follow-up with cardiology as an outpatient.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test abnormal, Chest pain, Electrocardiogram, Fatigue, Pain
Clinical narrative: Chest Pain, Myopericarditis; From EPIC: From cardiologist healthy man who comes to the ER with left anterior chest discomfort for the last 36 hours or so.  Symptoms are made worse by deep inspiration.  Were improved following self administration of 600 mg of ibuprofen earlier today.  2 days ago he received his second COVID-19 vaccine (Pfizer).  Following day he experienced arm pain muscular aches and pains severe discomfort of the right arm (injection site) later in the day there was nausea and vomiting on one occasion (nonheme).  By last night he was able to eat dinner but subsequently felt short of breath with worsening chest discomfort morning the left arm continued to ache with musculoskeletal pains.  Developed more discomfort in the left anterior chest radiating to the throat made worse by deep inspiration. Does not describe typical sharp catching pain of pericarditis.  No cough sputum bruising bleeding abdominal pain change in color or character of bowels.  Sign in the emergency room he was hemodynamically stable, in sinus rhythm with a normal EKG.Torrey work-up notable for an initial troponin of 1.28 and a follow-up troponin of 2.14. Chest x-ray perfectly normal. Elevated d-dimer. CT angiography negative for pulmonary embolism vascular injury, cardiomegaly, pericardial effusion but the radiologist did note thickening of several right posterior and lateral axillary lymph nodes raising a question of recent right-sided vaccination or injury/infection to the right arm. Presently he is perfectly comfortable able to take a deep inspiration with mild chest discomfort, breathing easily.  I met him in July 2018He came to the emergency room with a 3-day viral syndrome manifested as headache nausea vomiting diarrhea and abdominal discomfort and then developed chest discomfort.  He was found with diffuse mild J-point elevation on EKG consistent with a viral type pericarditis with troponins which rose to a maximum of 10.4.  Work-up for myocarditis was negative.  Echocardiogram perfectly normal.  Symptoms responded to a course of nonsteroidal anti-inflammatory agents and colchicine.  Seen in follow-up of repeat echocardiogram was perfectly healthy.  Our diagnosis was myopericarditis. There is no history of shortness of breath dyspnea on exertion decrement of exercise capacity peripheral edema orthopnea PND palpitations lightheadedness syncope or collapse.  No ill contacts.  He works in a high security position and therefore qualified for early administration of the Pfizer COVID-19 vaccine.  Graph past medical history notable only for the episode of myopericarditis and a remote tonsillectomy. There is no significant family history of sudden cardiac death or unusual heart disease. He takes no medications. Patient was recommended to take 4 weeks of ibuprofen and colchicine if needed for worsening chest pain.  Patient was recommended to follow-up closely with his primary care doctor and check ESR, C-reactive protein as well as renal function.  Needs close follow-up with cardiology as an outpatient.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sluggishness, Troponin increased
Clinical narrative: Chest Pain, Myopericarditis; From EPIC: From cardiologist healthy man who comes to the ER with left anterior chest discomfort for the last 36 hours or so.  Symptoms are made worse by deep inspiration.  Were improved following self administration of 600 mg of ibuprofen earlier today.  2 days ago he received his second COVID-19 vaccine (Pfizer).  Following day he experienced arm pain muscular aches and pains severe discomfort of the right arm (injection site) later in the day there was nausea and vomiting on one occasion (nonheme).  By last night he was able to eat dinner but subsequently felt short of breath with worsening chest discomfort morning the left arm continued to ache with musculoskeletal pains.  Developed more discomfort in the left anterior chest radiating to the throat made worse by deep inspiration. Does not describe typical sharp catching pain of pericarditis.  No cough sputum bruising bleeding abdominal pain change in color or character of bowels.  Sign in the emergency room he was hemodynamically stable, in sinus rhythm with a normal EKG.Torrey work-up notable for an initial troponin of 1.28 and a follow-up troponin of 2.14. Chest x-ray perfectly normal. Elevated d-dimer. CT angiography negative for pulmonary embolism vascular injury, cardiomegaly, pericardial effusion but the radiologist did note thickening of several right posterior and lateral axillary lymph nodes raising a question of recent right-sided vaccination or injury/infection to the right arm. Presently he is perfectly comfortable able to take a deep inspiration with mild chest discomfort, breathing easily.  I met him in July 2018He came to the emergency room with a 3-day viral syndrome manifested as headache nausea vomiting diarrhea and abdominal discomfort and then developed chest discomfort.  He was found with diffuse mild J-point elevation on EKG consistent with a viral type pericarditis with troponins which rose to a maximum of 10.4.  Work-up for myocarditis was negative.  Echocardiogram perfectly normal.  Symptoms responded to a course of nonsteroidal anti-inflammatory agents and colchicine.  Seen in follow-up of repeat echocardiogram was perfectly healthy.  Our diagnosis was myopericarditis. There is no history of shortness of breath dyspnea on exertion decrement of exercise capacity peripheral edema orthopnea PND palpitations lightheadedness syncope or collapse.  No ill contacts.  He works in a high security position and therefore qualified for early administration of the Pfizer COVID-19 vaccine.  Graph past medical history notable only for the episode of myopericarditis and a remote tonsillectomy. There is no significant family history of sudden cardiac death or unusual heart disease. He takes no medications. Patient was recommended to take 4 weeks of ibuprofen and colchicine if needed for worsening chest pain.  Patient was recommended to follow-up closely with his primary care doctor and check ESR, C-reactive protein as well as renal function.  Needs close follow-up with cardiology as an outpatient.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Electrocardiogram, Fatigue
Clinical narrative: Chest Pain, Myopericarditis; From EPIC: From cardiologist healthy man who comes to the ER with left anterior chest discomfort for the last 36 hours or so.  Symptoms are made worse by deep inspiration.  Were improved following self administration of 600 mg of ibuprofen earlier today.  2 days ago he received his second COVID-19 vaccine (Pfizer).  Following day he experienced arm pain muscular aches and pains severe discomfort of the right arm (injection site) later in the day there was nausea and vomiting on one occasion (nonheme).  By last night he was able to eat dinner but subsequently felt short of breath with worsening chest discomfort morning the left arm continued to ache with musculoskeletal pains.  Developed more discomfort in the left anterior chest radiating to the throat made worse by deep inspiration. Does not describe typical sharp catching pain of pericarditis.  No cough sputum bruising bleeding abdominal pain change in color or character of bowels.  Sign in the emergency room he was hemodynamically stable, in sinus rhythm with a normal EKG.Torrey work-up notable for an initial troponin of 1.28 and a follow-up troponin of 2.14. Chest x-ray perfectly normal. Elevated d-dimer. CT angiography negative for pulmonary embolism vascular injury, cardiomegaly, pericardial effusion but the radiologist did note thickening of several right posterior and lateral axillary lymph nodes raising a question of recent right-sided vaccination or injury/infection to the right arm. Presently he is perfectly comfortable able to take a deep inspiration with mild chest discomfort, breathing easily.  I met him in July 2018He came to the emergency room with a 3-day viral syndrome manifested as headache nausea vomiting diarrhea and abdominal discomfort and then developed chest discomfort.  He was found with diffuse mild J-point elevation on EKG consistent with a viral type pericarditis with troponins which rose to a maximum of 10.4.  Work-up for myocarditis was negative.  Echocardiogram perfectly normal.  Symptoms responded to a course of nonsteroidal anti-inflammatory agents and colchicine.  Seen in follow-up of repeat echocardiogram was perfectly healthy.  Our diagnosis was myopericarditis. There is no history of shortness of breath dyspnea on exertion decrement of exercise capacity peripheral edema orthopnea PND palpitations lightheadedness syncope or collapse.  No ill contacts.  He works in a high security position and therefore qualified for early administration of the Pfizer COVID-19 vaccine.  Graph past medical history notable only for the episode of myopericarditis and a remote tonsillectomy. There is no significant family history of sudden cardiac death or unusual heart disease. He takes no medications. Patient was recommended to take 4 weeks of ibuprofen and colchicine if needed for worsening chest pain.  Patient was recommended to follow-up closely with his primary care doctor and check ESR, C-reactive protein as well as renal function.  Needs close follow-up with cardiology as an outpatient.