chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Vomiting
Clinical narrative: 15 yo male presents with mother to receive 1st vaccination. After being observed for 15 minutes, the patient and his mother left to walk to the car. Upon walking to the car, patient vomited 3x and was escorted back inside by EMS. Patient stated he had a headache immediately following vaccine. Upon re-entry into the building, patient was given juice and water and started to feel better. Upon interviewing the mother, she stated the patient came from a 3 hour long football practice this AM and barely slept last night. Mother states she thinks the vomiting "was more from heat exhaustion" than the vaccine. Patient remained monitored by EMS until he felt better, patient left with mother after symptoms resolved.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Pruritus, Rash
Clinical narrative: Patient started to develop full body rash and itching the day after the shot. She took Benadryl over the counter until it was not keeping her symptoms under control. On 07/21/2021, she went to her doctor and was given steroids to control her allergic reaction. Dr. told her to not receive the second dose.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: Headache, soreness in arm, tired, nausea
Age: 23.0
Sex: F
Vaccine: MNQ
Symptoms: Extra dose administered
Clinical narrative: Patient received extra dose of immunization, only 2 dose series, patient received 3 doses without any symptoms.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Headache, Nausea, Vomiting, Low Grade Fever, Soreness in the arm, tired
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache, Nausea, Vomiting, Low Grade Fever, Soreness in the arm, tired
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Around the 3rd or 4th day after taking shot she was having a loud buzzing in her head
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a third dose of Moderna vaccine.  The administrator of the vaccine realized the patient had already received 2 doses after she had already administered the vaccine. The patient was monitored for 30 minutes, said she felt fine, and was advised to seek medical attention if she started having any adverse reaction.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Heart rate increased, Nausea
Clinical narrative: Fatigue 1:20pm Chills 1:45pm Nausea 2:00pm Accelerated heart beat 3:00pm
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: About 20minutes after receiving the vaccine, the patient's mom stated that the patient was complaining about itching on her legs (around her ankles-(under her socks) and her upper thighs). I gave the mom one 25mg diphenhydramine capsule to have her daughter take
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after being refrigerated more than 30 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Eye pain, Giant cell arteritis, Headache, Paralysis
Clinical narrative: On Feb. 17th, 9 days after the vaccine began to experience what I thought was TMJ ( which i've never had before) on the left side of my face, over next 2 days pain went from left jaw to right jaw to back of neck, then under left jaw, then sinus pain/headache.  I mananged it from FEb. 18th - to Feb. 19th with Excedrin then went to see my primary care doctor on March 1st  because I was due for the 2nd vaccine on March 2nd and wondered if I should take the 2nd dose.   She couldnt give me a full yes on that because not enough was known about the vaccine, so I went to Penn Hospital on March 2nd for my 2nd dose and asked them . While I was sitting there the nurse made a call to someone to ask and they said to go ahead.    I received the2nd dose and the next day on March 3rd I woke up with banging head pain ( felt like sinus) and had it every day/night until Sunday, March 14th when I went to the emergency room of Abington Hospital with double vision, eye and head pain.  Just FYI, From March 3rd to 12th, I saw my primary dr. my ear nose and throat dr. and a neurologist to try and find out what was going on.  In the hospital, I was diagnosed with Temporatl Artereitis, and 3rd nerve palsy.   I was in the hospital for 3 days - given 60 mgs. of prednisone, and pain killers.  Still on prednisone now, tapering off.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus pain, Temporomandibular joint syndrome
Clinical narrative: On Feb. 17th, 9 days after the vaccine began to experience what I thought was TMJ ( which i've never had before) on the left side of my face, over next 2 days pain went from left jaw to right jaw to back of neck, then under left jaw, then sinus pain/headache.  I mananged it from FEb. 18th - to Feb. 19th with Excedrin then went to see my primary care doctor on March 1st  because I was due for the 2nd vaccine on March 2nd and wondered if I should take the 2nd dose.   She couldnt give me a full yes on that because not enough was known about the vaccine, so I went to Penn Hospital on March 2nd for my 2nd dose and asked them . While I was sitting there the nurse made a call to someone to ask and they said to go ahead.    I received the2nd dose and the next day on March 3rd I woke up with banging head pain ( felt like sinus) and had it every day/night until Sunday, March 14th when I went to the emergency room of Abington Hospital with double vision, eye and head pain.  Just FYI, From March 3rd to 12th, I saw my primary dr. my ear nose and throat dr. and a neurologist to try and find out what was going on.  In the hospital, I was diagnosed with Temporatl Artereitis, and 3rd nerve palsy.   I was in the hospital for 3 days - given 60 mgs. of prednisone, and pain killers.  Still on prednisone now, tapering off.
Age: 35.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Feeling cold, Pulse absent
Clinical narrative: May 6th patient went to urgent care because arm was ice cold and there was no pulse. Sent patient to Er. Patient was hospitalized for 3 days from May 6th to May 9th on blood thinners.
Age: 60.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after being refrigerated more than 30 days.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: hair loss 4 months later, all of hair gone
Age: 56.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Photophobia
Clinical narrative: 104 fever, hands shaking, extreme chills, headache, dizziness, exhaustion, sensitive to light. This came on quickly, less than three hours after receiving the vaccine. Drinking lots of water. I dod not get sick when I got covid. Was not comfortable getting vaccine but had to get it to participate in collegiate sports.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: 104 fever, hands shaking, extreme chills, headache, dizziness, exhaustion, sensitive to light. This came on quickly, less than three hours after receiving the vaccine. Drinking lots of water. I dod not get sick when I got covid. Was not comfortable getting vaccine but had to get it to participate in collegiate sports.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough covid case
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Patient began to develop an itchy, diffused, red rash two days after the first dose of vaccine was administered. This condition affected upper and lower extremities, torso, face, and back.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Syncope, Tremor
Clinical narrative: Patient was vaccinated with first dose of Pfizer vaccine within the pharmacy lobby of clinic then fainted seconds later. He was caught by staff member and transferred to a chair with the assistance of father and staff member; the patient was noted to have involuntary shaking of extremities. Rapid response was alerted.  Patient regained consciousness within a minute and informed staff that he started feeling lightheaded immediately after receiving shot.  Episode was witnessed by father and two pharmacy staff members.  Patient was transfered to clinic, then discharged with an appointment set up with a cardiovascular doctor at the hospital to follow up on previously known heart murmur.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Myalgia, Nausea
Clinical narrative: Pain in left arm for several days beginning7/17 Tiredness and muscle ache since 7/18 Fever and chills on 7/21 & 7/22 Nausea on and off since 7/18 Congestion and severe cough since 7/22 Severe neusea and vomiting 7/25 at night
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Respiratory tract congestion, Vomiting
Clinical narrative: Pain in left arm for several days beginning7/17 Tiredness and muscle ache since 7/18 Fever and chills on 7/21 & 7/22 Nausea on and off since 7/18 Congestion and severe cough since 7/22 Severe neusea and vomiting 7/25 at night
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test abnormal, Condition aggravated, Dizziness, Palpitations
Clinical narrative: I started to get palpitations and arrhythmias. My blood pressure spiked and I felt like I was going to faint. I ended up in the emergency room. I got blood work, urine analysis and they gave me a treatment to feel better. I went to the lab where I got my labwork done and they told me that I had my thyroid level out of control. This was done on March 27 and got my results back on March 29.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test abnormal, Urine analysis
Clinical narrative: I started to get palpitations and arrhythmias. My blood pressure spiked and I felt like I was going to faint. I ended up in the emergency room. I got blood work, urine analysis and they gave me a treatment to feel better. I went to the lab where I got my labwork done and they told me that I had my thyroid level out of control. This was done on March 27 and got my results back on March 29.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: DIZZINESS 10-15 MINUTES AFTER VACCINE ADMINISTRATION
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: Patient was complaining of feeling light headed immediately after taking the shot.  The patient requested medical assistance after seating in the observation area for30 minute.  Fire Department was on location and checked the patient vitals. The patient was given an all clear by EMT?s and was also advised to go the hospital if things worsened. No further actions were taken.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac stress test, Cardiomegaly, Chest X-ray, Condition aggravated
Clinical narrative: Afib 16 hour the day after shot two. Additional testing showed pericarditis and heart enlargement not previously noted
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Pericarditis
Clinical narrative: Afib 16 hour the day after shot two. Additional testing showed pericarditis and heart enlargement not previously noted
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dermatitis acneiform, Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular, Oligomenorrhoea
Clinical narrative: 9 days after second shot body covered with pimple bumps, skin rash reaction, appeared again after 6 weeks of 1st skin reaction. Same thing red pimple bumps all over body looked like chicken pox. Emailed doctor who cofirmed a reaction from Covid shot.  7 weeks after Covid shot got a bad UTI. Called doctor got meds.  Did not go away after taking meds. Went in on May 25, 2021 to take a urine test at doctor.  Confirmed UTI still. Given different meds. Did go away after 7 days of new meds.  Did not have a menstrual cycle for 2 months after the 2nd Covid shot.  Menstrual cycle resumed after 2 months.  Extreme pain, huge blood clots, super heavy, lasted 10 days.  It has been a month and a half and I am still not having a menstrual cycle. Menstrual cycle not the same since taking the Covid shot. Ongoing issues.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous, Skin reaction, Thrombosis, Urinary tract infection
Clinical narrative: 9 days after second shot body covered with pimple bumps, skin rash reaction, appeared again after 6 weeks of 1st skin reaction. Same thing red pimple bumps all over body looked like chicken pox. Emailed doctor who cofirmed a reaction from Covid shot.  7 weeks after Covid shot got a bad UTI. Called doctor got meds.  Did not go away after taking meds. Went in on May 25, 2021 to take a urine test at doctor.  Confirmed UTI still. Given different meds. Did go away after 7 days of new meds.  Did not have a menstrual cycle for 2 months after the 2nd Covid shot.  Menstrual cycle resumed after 2 months.  Extreme pain, huge blood clots, super heavy, lasted 10 days.  It has been a month and a half and I am still not having a menstrual cycle. Menstrual cycle not the same since taking the Covid shot. Ongoing issues.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine analysis
Clinical narrative: 9 days after second shot body covered with pimple bumps, skin rash reaction, appeared again after 6 weeks of 1st skin reaction. Same thing red pimple bumps all over body looked like chicken pox. Emailed doctor who cofirmed a reaction from Covid shot.  7 weeks after Covid shot got a bad UTI. Called doctor got meds.  Did not go away after taking meds. Went in on May 25, 2021 to take a urine test at doctor.  Confirmed UTI still. Given different meds. Did go away after 7 days of new meds.  Did not have a menstrual cycle for 2 months after the 2nd Covid shot.  Menstrual cycle resumed after 2 months.  Extreme pain, huge blood clots, super heavy, lasted 10 days.  It has been a month and a half and I am still not having a menstrual cycle. Menstrual cycle not the same since taking the Covid shot. Ongoing issues.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after being refrigerated more than 30 days.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess, Abscess drainage, Cyst
Clinical narrative: (07/15/2021) A cyst infection appeared while on vacation and was getting worse for 4 days and at Clinic the abscess was lanced and drained. Antibiotics prescribed. Follow up with Dr. for care and further treatment.
Age: 33.0
Sex: F
Vaccine: MNQ
Symptoms: Mental disorder
Clinical narrative: More mental illness
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Autoscopy, Nausea, Tremor
Clinical narrative: Adverse Event: Guest had complaints of shakiness, Nausea, "Out of body experience".  Treatment: Guest assisted to the floor, then transferred to medical area, provided two apple juices - reported he had not eaten and he experienced the above adverse event after he saw blood from his injection site. Outcomes: Guests reports feeling better after after 15 minutes and above interventions. Left facility with his mother via POV.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: This is to report an inadvertent 3rd dose of Pfizer covid-19 vaccine.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given after being refrigerated more than 30 days
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Head ache, muscle ache, fever, chills, nausea.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted while waiting 15 minutes after the vaccination.  BP was ok at 130/82 and pulse 61 ambulance was called to make sure she was ok.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Computerised tomogram abdomen abnormal, Diverticulitis, Lower gastrointestinal perforation
Clinical narrative: Extreme Pain in lower abdomen. CT Scan was performed. Results were diagnosed as Diverticulitis with Micro Perforations of the lower bowel. Strong antibiotics for 10 days. Follow up CT Scan showed the condition had healed.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: NO ADVERSE EVENT. NURSE GAVE A 3RD SHOT OF MODERNA WITHOUT KNOWING PT HAD ALEADY RECEIVED BOTH DOSES IN SERIES.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: Patient noticed that she had bruising on both of her lower legs. From knee down to her ankles.  Made Dr appointment with cadiologist.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Hallucination
Clinical narrative: Experienced hallucinations
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Endotracheal intubation, Headache
Clinical narrative: Patient contracted COVID-19 after receiving two COVID-19 vaccine doses (Pfizer series completed on 3/24/21). Patient was doing well until his return. Which he developed subjective fevers, sneezing, headache and cough on 7/7 and tested positive for SARS-COV-2 on 7/12. On 7/13 he presented to ED for SOB and was D/C'd home on levofloxacin. On 7/15 he returned to ED for worsening SOB and was started on remdesivir on 7/17, tocilizumab, dexamethasone, enoxaparin and antibiotics. On 7/18 respiratory requirements increased requiring NRB and transfer to Hospital with admission to ICU.  In hospital, patient completed two more days of remdesivir for a total of 5 day course (ending 7/21) and was continued on dexamethasone until 7/25 to complete a 10 day course. Today patient remains intubated with improving oxygenation with proning.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Prone position, Pyrexia, SARS-CoV-2 antibody test positive, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID-19 after receiving two COVID-19 vaccine doses (Pfizer series completed on 3/24/21). Patient was doing well until his return. Which he developed subjective fevers, sneezing, headache and cough on 7/7 and tested positive for SARS-COV-2 on 7/12. On 7/13 he presented to ED for SOB and was D/C'd home on levofloxacin. On 7/15 he returned to ED for worsening SOB and was started on remdesivir on 7/17, tocilizumab, dexamethasone, enoxaparin and antibiotics. On 7/18 respiratory requirements increased requiring NRB and transfer to Hospital with admission to ICU.  In hospital, patient completed two more days of remdesivir for a total of 5 day course (ending 7/21) and was continued on dexamethasone until 7/25 to complete a 10 day course. Today patient remains intubated with improving oxygenation with proning.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sneezing
Clinical narrative: Patient contracted COVID-19 after receiving two COVID-19 vaccine doses (Pfizer series completed on 3/24/21). Patient was doing well until his return. Which he developed subjective fevers, sneezing, headache and cough on 7/7 and tested positive for SARS-COV-2 on 7/12. On 7/13 he presented to ED for SOB and was D/C'd home on levofloxacin. On 7/15 he returned to ED for worsening SOB and was started on remdesivir on 7/17, tocilizumab, dexamethasone, enoxaparin and antibiotics. On 7/18 respiratory requirements increased requiring NRB and transfer to Hospital with admission to ICU.  In hospital, patient completed two more days of remdesivir for a total of 5 day course (ending 7/21) and was continued on dexamethasone until 7/25 to complete a 10 day course. Today patient remains intubated with improving oxygenation with proning.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: CSF test abnormal, Chest pain, Complement factor C3, Complement factor C4, Computerised tomogram head
Clinical narrative: Patient is a 15 year old M with hypofibrinogenemia, platelet aggregation disorder and history of COVID admitted to Inpatient Ward from 26 June - 01 July for work-up and management of new onset and severe headache, photophobia, and pain with extraocular movement. Extensive work-up complete but still unclear etiology, though near complete resolution of symptoms with IV steroids.   Neuro: CSF positive for HHV-6, still unclear if this fully explains presentation. CT and brain MRI negative, though limited exam due to braces artifact. Headache complicated by clear post-LP postural headache, though this improved throughout hospitalization, with nausea moderately controlled on Benadryl. Neurology and Ophthalmology consulted, who both thought peri-neuritis was plausible, which is consistent given such rapid improvement with steroids. Pain moderately controlled with Tylenol. Oligoclonal bands and MBP CSF studies pending at time of discharge. Plan for 7-day steroid taper as an outpatient (outlined below in patient instructions), and Neurology follow-up in about 1 month.  ID: Initially empirically covered with Ceftriaxone and Acyclovir, but once negative CSF, both were discontinued. He remained afebrile throughout remainder of hospitalization, so no further antibiotics started. Had remote history of immunodeficiency (confirmed here to be IgA deficiency), underwent more extensive immune work-up with lymphocyte subset 6 pending at time of discharge.   Fen/GI: Nausea and poor PO intake secondary to headache and neurologic symptoms. Unremarkable KUB with no focal findings on exam. Tolerated good liquid PO intake prior to discharge, improving food intake with help of Benadryl and Reglan (Zofran did not help his nausea). Given risk of Reglan side effects, trial of Benadryl alone was given and relieved his nausea.  Will discharge with Benadryl PRN for nausea, though expect this to improve.    Heme: No blood transfusions required, no history of recent bleeding/trauma, no signs of active bleeding. Received TXA for three days following his LP performed on 6/28.  Rheumatology: Patient has preexisting appointment with Rheumatology scheduled on 7/9 due to a history of intermittent joint pain/swelling with skin color changes since April 2020. Ordered requested Rheumatology labs by Doctor while patient is admitted. CRP and ESR resulted normal at 0.31 and 8 (respectively), C3 and C4 within normal limits, dsDNA and ANA negative. Repeat ESR on 6/30 also normal at 10. Pending labs include fecal procalcitonin. Follow up appointment with Rheumatology on 7/9.   CV: Some concern for myocarditis at time of presentation given pleuritic chest pain, history of COVID-19 infection, and recent COVID-19 vaccination. EKG at that time revealed nonspecific T wave changes. However, troponin and BNP resulted negative and patient's chest pain has resolved at this time. Discussed with Cardiology who did not think further work-up was necessary. Chest pain completely resolved at time of discharge.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Double stranded DNA antibody, Electrocardiogram T wave abnormal, Headache, Hypophagia, Immunology test
Clinical narrative: Patient is a 15 year old M with hypofibrinogenemia, platelet aggregation disorder and history of COVID admitted to Inpatient Ward from 26 June - 01 July for work-up and management of new onset and severe headache, photophobia, and pain with extraocular movement. Extensive work-up complete but still unclear etiology, though near complete resolution of symptoms with IV steroids.   Neuro: CSF positive for HHV-6, still unclear if this fully explains presentation. CT and brain MRI negative, though limited exam due to braces artifact. Headache complicated by clear post-LP postural headache, though this improved throughout hospitalization, with nausea moderately controlled on Benadryl. Neurology and Ophthalmology consulted, who both thought peri-neuritis was plausible, which is consistent given such rapid improvement with steroids. Pain moderately controlled with Tylenol. Oligoclonal bands and MBP CSF studies pending at time of discharge. Plan for 7-day steroid taper as an outpatient (outlined below in patient instructions), and Neurology follow-up in about 1 month.  ID: Initially empirically covered with Ceftriaxone and Acyclovir, but once negative CSF, both were discontinued. He remained afebrile throughout remainder of hospitalization, so no further antibiotics started. Had remote history of immunodeficiency (confirmed here to be IgA deficiency), underwent more extensive immune work-up with lymphocyte subset 6 pending at time of discharge.   Fen/GI: Nausea and poor PO intake secondary to headache and neurologic symptoms. Unremarkable KUB with no focal findings on exam. Tolerated good liquid PO intake prior to discharge, improving food intake with help of Benadryl and Reglan (Zofran did not help his nausea). Given risk of Reglan side effects, trial of Benadryl alone was given and relieved his nausea.  Will discharge with Benadryl PRN for nausea, though expect this to improve.    Heme: No blood transfusions required, no history of recent bleeding/trauma, no signs of active bleeding. Received TXA for three days following his LP performed on 6/28.  Rheumatology: Patient has preexisting appointment with Rheumatology scheduled on 7/9 due to a history of intermittent joint pain/swelling with skin color changes since April 2020. Ordered requested Rheumatology labs by Doctor while patient is admitted. CRP and ESR resulted normal at 0.31 and 8 (respectively), C3 and C4 within normal limits, dsDNA and ANA negative. Repeat ESR on 6/30 also normal at 10. Pending labs include fecal procalcitonin. Follow up appointment with Rheumatology on 7/9.   CV: Some concern for myocarditis at time of presentation given pleuritic chest pain, history of COVID-19 infection, and recent COVID-19 vaccination. EKG at that time revealed nonspecific T wave changes. However, troponin and BNP resulted negative and patient's chest pain has resolved at this time. Discussed with Cardiology who did not think further work-up was necessary. Chest pain completely resolved at time of discharge.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Lumbar puncture, Lymphocyte count, Magnetic resonance imaging head normal, Nausea, Neurological symptom
Clinical narrative: Patient is a 15 year old M with hypofibrinogenemia, platelet aggregation disorder and history of COVID admitted to Inpatient Ward from 26 June - 01 July for work-up and management of new onset and severe headache, photophobia, and pain with extraocular movement. Extensive work-up complete but still unclear etiology, though near complete resolution of symptoms with IV steroids.   Neuro: CSF positive for HHV-6, still unclear if this fully explains presentation. CT and brain MRI negative, though limited exam due to braces artifact. Headache complicated by clear post-LP postural headache, though this improved throughout hospitalization, with nausea moderately controlled on Benadryl. Neurology and Ophthalmology consulted, who both thought peri-neuritis was plausible, which is consistent given such rapid improvement with steroids. Pain moderately controlled with Tylenol. Oligoclonal bands and MBP CSF studies pending at time of discharge. Plan for 7-day steroid taper as an outpatient (outlined below in patient instructions), and Neurology follow-up in about 1 month.  ID: Initially empirically covered with Ceftriaxone and Acyclovir, but once negative CSF, both were discontinued. He remained afebrile throughout remainder of hospitalization, so no further antibiotics started. Had remote history of immunodeficiency (confirmed here to be IgA deficiency), underwent more extensive immune work-up with lymphocyte subset 6 pending at time of discharge.   Fen/GI: Nausea and poor PO intake secondary to headache and neurologic symptoms. Unremarkable KUB with no focal findings on exam. Tolerated good liquid PO intake prior to discharge, improving food intake with help of Benadryl and Reglan (Zofran did not help his nausea). Given risk of Reglan side effects, trial of Benadryl alone was given and relieved his nausea.  Will discharge with Benadryl PRN for nausea, though expect this to improve.    Heme: No blood transfusions required, no history of recent bleeding/trauma, no signs of active bleeding. Received TXA for three days following his LP performed on 6/28.  Rheumatology: Patient has preexisting appointment with Rheumatology scheduled on 7/9 due to a history of intermittent joint pain/swelling with skin color changes since April 2020. Ordered requested Rheumatology labs by Doctor while patient is admitted. CRP and ESR resulted normal at 0.31 and 8 (respectively), C3 and C4 within normal limits, dsDNA and ANA negative. Repeat ESR on 6/30 also normal at 10. Pending labs include fecal procalcitonin. Follow up appointment with Rheumatology on 7/9.   CV: Some concern for myocarditis at time of presentation given pleuritic chest pain, history of COVID-19 infection, and recent COVID-19 vaccination. EKG at that time revealed nonspecific T wave changes. However, troponin and BNP resulted negative and patient's chest pain has resolved at this time. Discussed with Cardiology who did not think further work-up was necessary. Chest pain completely resolved at time of discharge.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Photophobia, Pleuritic pain, Procalcitonin, Red blood cell sedimentation rate normal
Clinical narrative: Patient is a 15 year old M with hypofibrinogenemia, platelet aggregation disorder and history of COVID admitted to Inpatient Ward from 26 June - 01 July for work-up and management of new onset and severe headache, photophobia, and pain with extraocular movement. Extensive work-up complete but still unclear etiology, though near complete resolution of symptoms with IV steroids.   Neuro: CSF positive for HHV-6, still unclear if this fully explains presentation. CT and brain MRI negative, though limited exam due to braces artifact. Headache complicated by clear post-LP postural headache, though this improved throughout hospitalization, with nausea moderately controlled on Benadryl. Neurology and Ophthalmology consulted, who both thought peri-neuritis was plausible, which is consistent given such rapid improvement with steroids. Pain moderately controlled with Tylenol. Oligoclonal bands and MBP CSF studies pending at time of discharge. Plan for 7-day steroid taper as an outpatient (outlined below in patient instructions), and Neurology follow-up in about 1 month.  ID: Initially empirically covered with Ceftriaxone and Acyclovir, but once negative CSF, both were discontinued. He remained afebrile throughout remainder of hospitalization, so no further antibiotics started. Had remote history of immunodeficiency (confirmed here to be IgA deficiency), underwent more extensive immune work-up with lymphocyte subset 6 pending at time of discharge.   Fen/GI: Nausea and poor PO intake secondary to headache and neurologic symptoms. Unremarkable KUB with no focal findings on exam. Tolerated good liquid PO intake prior to discharge, improving food intake with help of Benadryl and Reglan (Zofran did not help his nausea). Given risk of Reglan side effects, trial of Benadryl alone was given and relieved his nausea.  Will discharge with Benadryl PRN for nausea, though expect this to improve.    Heme: No blood transfusions required, no history of recent bleeding/trauma, no signs of active bleeding. Received TXA for three days following his LP performed on 6/28.  Rheumatology: Patient has preexisting appointment with Rheumatology scheduled on 7/9 due to a history of intermittent joint pain/swelling with skin color changes since April 2020. Ordered requested Rheumatology labs by Doctor while patient is admitted. CRP and ESR resulted normal at 0.31 and 8 (respectively), C3 and C4 within normal limits, dsDNA and ANA negative. Repeat ESR on 6/30 also normal at 10. Pending labs include fecal procalcitonin. Follow up appointment with Rheumatology on 7/9.   CV: Some concern for myocarditis at time of presentation given pleuritic chest pain, history of COVID-19 infection, and recent COVID-19 vaccination. EKG at that time revealed nonspecific T wave changes. However, troponin and BNP resulted negative and patient's chest pain has resolved at this time. Discussed with Cardiology who did not think further work-up was necessary. Chest pain completely resolved at time of discharge.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Roseolovirus test positive, Troponin normal, Urinary system X-ray
Clinical narrative: Patient is a 15 year old M with hypofibrinogenemia, platelet aggregation disorder and history of COVID admitted to Inpatient Ward from 26 June - 01 July for work-up and management of new onset and severe headache, photophobia, and pain with extraocular movement. Extensive work-up complete but still unclear etiology, though near complete resolution of symptoms with IV steroids.   Neuro: CSF positive for HHV-6, still unclear if this fully explains presentation. CT and brain MRI negative, though limited exam due to braces artifact. Headache complicated by clear post-LP postural headache, though this improved throughout hospitalization, with nausea moderately controlled on Benadryl. Neurology and Ophthalmology consulted, who both thought peri-neuritis was plausible, which is consistent given such rapid improvement with steroids. Pain moderately controlled with Tylenol. Oligoclonal bands and MBP CSF studies pending at time of discharge. Plan for 7-day steroid taper as an outpatient (outlined below in patient instructions), and Neurology follow-up in about 1 month.  ID: Initially empirically covered with Ceftriaxone and Acyclovir, but once negative CSF, both were discontinued. He remained afebrile throughout remainder of hospitalization, so no further antibiotics started. Had remote history of immunodeficiency (confirmed here to be IgA deficiency), underwent more extensive immune work-up with lymphocyte subset 6 pending at time of discharge.   Fen/GI: Nausea and poor PO intake secondary to headache and neurologic symptoms. Unremarkable KUB with no focal findings on exam. Tolerated good liquid PO intake prior to discharge, improving food intake with help of Benadryl and Reglan (Zofran did not help his nausea). Given risk of Reglan side effects, trial of Benadryl alone was given and relieved his nausea.  Will discharge with Benadryl PRN for nausea, though expect this to improve.    Heme: No blood transfusions required, no history of recent bleeding/trauma, no signs of active bleeding. Received TXA for three days following his LP performed on 6/28.  Rheumatology: Patient has preexisting appointment with Rheumatology scheduled on 7/9 due to a history of intermittent joint pain/swelling with skin color changes since April 2020. Ordered requested Rheumatology labs by Doctor while patient is admitted. CRP and ESR resulted normal at 0.31 and 8 (respectively), C3 and C4 within normal limits, dsDNA and ANA negative. Repeat ESR on 6/30 also normal at 10. Pending labs include fecal procalcitonin. Follow up appointment with Rheumatology on 7/9.   CV: Some concern for myocarditis at time of presentation given pleuritic chest pain, history of COVID-19 infection, and recent COVID-19 vaccination. EKG at that time revealed nonspecific T wave changes. However, troponin and BNP resulted negative and patient's chest pain has resolved at this time. Discussed with Cardiology who did not think further work-up was necessary. Chest pain completely resolved at time of discharge.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Mania
Clinical narrative: Mania.  All antidepressants can induce mania, although fluoxetine Rx taken 10 years earlier without this adverse effect.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Bladder disorder, Blood test, Chills, Colitis
Clinical narrative: I had Covid-19 in March 0f 2020. In July 2020 I had Pneumonia. The night that I got the second dose of the vaccine I woke up with a temperature and I had fever, chills and body aches. It lasted for 18 hours and then I was fine. Five months after the second dose of the vaccine I started to have abdominal pain. It was like menstrual cramping. I had a fever, and the pain was severe. I was nauseous and I drove myself to the ER. I was diagnosed with diverticulitis and a urinary tract infection. My colon was so swollen that it displaced my bladder. I was admitted and given IV antibiotics and now I am on oral antibiotics.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Diverticulitis, Nausea, Pain, Pyrexia
Clinical narrative: I had Covid-19 in March 0f 2020. In July 2020 I had Pneumonia. The night that I got the second dose of the vaccine I woke up with a temperature and I had fever, chills and body aches. It lasted for 18 hours and then I was fine. Five months after the second dose of the vaccine I started to have abdominal pain. It was like menstrual cramping. I had a fever, and the pain was severe. I was nauseous and I drove myself to the ER. I was diagnosed with diverticulitis and a urinary tract infection. My colon was so swollen that it displaced my bladder. I was admitted and given IV antibiotics and now I am on oral antibiotics.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine analysis
Clinical narrative: I had Covid-19 in March 0f 2020. In July 2020 I had Pneumonia. The night that I got the second dose of the vaccine I woke up with a temperature and I had fever, chills and body aches. It lasted for 18 hours and then I was fine. Five months after the second dose of the vaccine I started to have abdominal pain. It was like menstrual cramping. I had a fever, and the pain was severe. I was nauseous and I drove myself to the ER. I was diagnosed with diverticulitis and a urinary tract infection. My colon was so swollen that it displaced my bladder. I was admitted and given IV antibiotics and now I am on oral antibiotics.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Computerised tomogram, Fatigue, Magnetic resonance imaging, Pain in extremity
Clinical narrative: wife called on 7/26 stating her husband quickly felt arm pain and fatigue on 7/24.  At 9pm pt was unable to speak and taken to the hospital. CT scan was performed and while that was happening patient lost feeling in arms and legs.  Ct scan ruled out acute stroke.  Pt must have been well enough to be discharged b/c  wife then mentioned she was still concerned and brought him to hospital. He was admitted and as of this morning was waiting  for the MRI results.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: wife called on 7/26 stating her husband quickly felt arm pain and fatigue on 7/24.  At 9pm pt was unable to speak and taken to the hospital. CT scan was performed and while that was happening patient lost feeling in arms and legs.  Ct scan ruled out acute stroke.  Pt must have been well enough to be discharged b/c  wife then mentioned she was still concerned and brought him to hospital. He was admitted and as of this morning was waiting  for the MRI results.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough Case. Tested positive 7/24
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: 01/29/2021 Felt lightheaded immediately after vaccine, nauseous, lymph nodes in neck swelled, one under right arm was very big by bedtime. Fatigue. I had shortness of breath a few hours later. I have a difficult time catching my breaths sometimes too. Bad headache with sharp pain. Still experiencing these symptoms. Memory fog continues to this day. I have been accepted into the COVID clinic and will have my first visit on August 31st. Visited ER. I have also had debilitating widespread body cramps. 03/05/2021 Neck lymph nodes swelled, left and right. Headache was very pronounced but dull. All side effects from vaccine one persist into vaccine two. I continue to be extremely fatigued, I missed work the entire month of January. My neck is so stiff and this is a new side effect that just began with the second vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Magnetic resonance imaging, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: 01/29/2021 Felt lightheaded immediately after vaccine, nauseous, lymph nodes in neck swelled, one under right arm was very big by bedtime. Fatigue. I had shortness of breath a few hours later. I have a difficult time catching my breaths sometimes too. Bad headache with sharp pain. Still experiencing these symptoms. Memory fog continues to this day. I have been accepted into the COVID clinic and will have my first visit on August 31st. Visited ER. I have also had debilitating widespread body cramps. 03/05/2021 Neck lymph nodes swelled, left and right. Headache was very pronounced but dull. All side effects from vaccine one persist into vaccine two. I continue to be extremely fatigued, I missed work the entire month of January. My neck is so stiff and this is a new side effect that just began with the second vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain
Clinical narrative: 01/29/2021 Felt lightheaded immediately after vaccine, nauseous, lymph nodes in neck swelled, one under right arm was very big by bedtime. Fatigue. I had shortness of breath a few hours later. I have a difficult time catching my breaths sometimes too. Bad headache with sharp pain. Still experiencing these symptoms. Memory fog continues to this day. I have been accepted into the COVID clinic and will have my first visit on August 31st. Visited ER. I have also had debilitating widespread body cramps. 03/05/2021 Neck lymph nodes swelled, left and right. Headache was very pronounced but dull. All side effects from vaccine one persist into vaccine two. I continue to be extremely fatigued, I missed work the entire month of January. My neck is so stiff and this is a new side effect that just began with the second vaccine.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Pt received Janssen Dose on 3/12/2021- given by pharmacy. pt answered VAR form stating he had received another product already. He was not appropriately counselled on need for additional Covid-19 vaccine.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Blood cholesterol increased, Blood test normal, Computerised tomogram head normal, Dizziness
Clinical narrative: Spoke with patient today. He received the pfizer Covid-19 vaccine from us. The first shot was given on 4/15/21 (ndc: 59267100001, lot: ew0151, exp: 07/31/21; given in left arm/im) and the second shot was on 5/6/21 (ndc: 59267100001, lot er8736, exp: 07/31/21; given in left arm/im). After the second shot, he stated he began to have adverse effects. He says it started with dizziness and feeling underbalanced. The adverse effects continued to worsen to when he would turn his head left or right, he felt like he was in a fog and had to wait for his mind to caught up. And now within the last 2 weeks, he has had swelling on each side of his neck that is worse in the evening. He has checked with his primary care doctor. Patient reports that his doctor has done bloodwork, which was normal other than his cholesterol being elevated and the doctor did a CT scan of his head that has come back normal. Patient is now following up with an ENT. Patient and I called Pfizer today to get information on whether others have reported these same effects with the duration he is experiencing these effects. The reference number given to us by Pfizer was 51k4tadq.