chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative, Throat irritation, Wheezing
Clinical narrative: 5/17/21 Pt presented to an urgent care with a one week history of URI symptoms including scratchy sore throat, cough, and congestion. Over that week she develops some chest tightness and wheezing. Because she was fully vaccinated and denied any ill exposures she was not tested for SARS-CoV-2. She was given a Zpack and a Medrol dosepak.  On 5/28 she returned to the urgent care because she was not feeling better. She was transferred to the ED and was admitted overnight. Patient is a 53 y.o. female patient of MD with history of asthma, factor V Leiden, and hypertension, now presented with COVID-19 pneumonia. Patient is a 53 y.o. female patient of MD with history of asthma, factor V Leiden, and hypertension, now presented with COVID-19 pneumonia. Patient is a 53 y.o. female patient of MD with history of asthma, factor V Leiden, and hypertension, now presented with COVID-19 pneumonia.   Pneumonia secondary to COVID-19 Of note, patient was fully vaccinated against COVID-19 in January with the Moderna vaccine.   Question is whether her current viral infection represents a true COVID-19 infection, or if she is an incidental carrier of COVID-19 with a separate viral infection. Maintained O2 saturations on room air therefore remdesivir was held.  Steroids were initiated as part of asthma exacerbation treatment States she is able to quarantine at home. Has a camper she can stay in.  Request to be re-tested - "I think its a false positive"  ADD: second COVID-19 test is negative. Call by infection control nursing staff that her isolation may be discontinued.  Patient did ask for a 3rd COVID test. Infection control states they have been in contact with ID and that any further testing should be completed by infectious disease. Called by nursing staff that patient does not want any further testing at this time and request discharge home.  Rx given course of steroids. She is to follow up with her PCP.    Asthma with acute exacerbation  Cough/deep breathing exercises.  Incentive spirometry.  Nebulized breathing treatments, scheduled.  Steroids.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Headache, Chills, & Fatigue
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia, Tinnitus
Clinical narrative: Day after 2nd Moderna shot,  I experienced low fever, massive headache, fatigue, and feverish buzzing in my ears. Felt better the next day, but continued to have severe migraine for the rest of the week. Buzzing in the ears was annoying, but I thought it would pass. This is known as tinnitus, and sounds like cicadas. I am able to work during the day, but the high frequency buzzing in my ears has not stopped or decreased in intensity in the 5 weeks since the vaccine. It is especially bothersome at night, when it's quiet and I'm trying to fall asleep. I have notified my doctor's office about this. Currently, there is no medical treatment for tinnitus.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Headache, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19:  5/29/2021  Admitted for scrotal cellulitis, fever, chills, headache  Was positive for COVID-19 on 2/7/2021
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Scrotal cellulitis
Clinical narrative: Positive COVID-19:  5/29/2021  Admitted for scrotal cellulitis, fever, chills, headache  Was positive for COVID-19 on 2/7/2021
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Peripheral swelling, X-ray limb abnormal
Clinical narrative: My fingers and joints kept swelling and swelling (fingers, knees, hips and elbows) and I contacted my doctor to find out if I needed to do anything. She placed me on oral steroids. I was referred to an Orthopedic Specialists who did injections to get the swelling down in my knees.  My elbows and fingers continue to swell during the day and I have to ice/elevate the to relieve the soreness/swelling.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Gait disturbance, Headache, Heart rate increased
Clinical narrative: After vaccine that evening my head felt real dizzy and started having a bad bad headache like tightness in my head and felt like I was going to faint. I could hardly walk, my left arm got really tight feeling like a squeezing and it started getting really really red, then my heart started beating really fast and this never happens. Later that Friday night I felt like I had a fever I was up because my body started aching and was up all night, it felt like flu symptoms along with everything. My arm started getting very very sore and this went on Friday, Saturday, Sunday, Monday and Tuesday. My arm was still real tight and red and it moved down my arm these last couple days, down to my elbow, red very sore and tight. I took pictures because I was really scared on my cell phone but did not go to the doctor. Also, my vision started being blurry right now.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Limb discomfort, Pain, Pain in extremity, Pyrexia
Clinical narrative: After vaccine that evening my head felt real dizzy and started having a bad bad headache like tightness in my head and felt like I was going to faint. I could hardly walk, my left arm got really tight feeling like a squeezing and it started getting really really red, then my heart started beating really fast and this never happens. Later that Friday night I felt like I had a fever I was up because my body started aching and was up all night, it felt like flu symptoms along with everything. My arm started getting very very sore and this went on Friday, Saturday, Sunday, Monday and Tuesday. My arm was still real tight and red and it moved down my arm these last couple days, down to my elbow, red very sore and tight. I took pictures because I was really scared on my cell phone but did not go to the doctor. Also, my vision started being blurry right now.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Tension headache, Vision blurred
Clinical narrative: After vaccine that evening my head felt real dizzy and started having a bad bad headache like tightness in my head and felt like I was going to faint. I could hardly walk, my left arm got really tight feeling like a squeezing and it started getting really really red, then my heart started beating really fast and this never happens. Later that Friday night I felt like I had a fever I was up because my body started aching and was up all night, it felt like flu symptoms along with everything. My arm started getting very very sore and this went on Friday, Saturday, Sunday, Monday and Tuesday. My arm was still real tight and red and it moved down my arm these last couple days, down to my elbow, red very sore and tight. I took pictures because I was really scared on my cell phone but did not go to the doctor. Also, my vision started being blurry right now.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Fracture, Hip fracture, Pain, Peripheral arterial occlusive disease
Clinical narrative: Patient hospitalized on 4/12/2021 for Atherosclerosis of artery of extremity with rest pain. Patient presented to the ED and was subsequently hospitalized on 5/3/2021 for  Closed fracture of right hip. These visits are within 6 weeks of receiving COVID vaccination.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: Diaphoretic History related to shots PR: 77 SPO2:96 B/P 124/82 Brought via wheelchair to med. screening room for evaluation by medic. Recorded by RN
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fear, Headache, Nausea, Vomiting
Clinical narrative: 8 hours after injection feeling headache and achy 12 hours after injection feeling fatigue, nausea, fever, and vomited  28 hours after injection feeling fatigue and headache
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Hives, body rash , still comes and goes after Prednisone treatment . Pt has an allergist appointment on 6/17/2021.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis, Gingival swelling, Paraesthesia, Rash
Clinical narrative: Pt presented with rash on trunk of body that was tingly and painful, upon inquest he also revealed he had been having nose bleeds and swollen gums. The pt had been out of zoloft ~5d prior to event. Recommended f/u with PCP and pt went to urgent care where he was given amoxicillin and a topical ointment for his irritation. He also refilled zoloft prescription after initial presentation. 5/24 phone f/u revealed pain was gone and rash had subsided.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient started feeling dizzy and fainted. Paramedics came and took her.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Caesarean section, Exposure during pregnancy, Ocular hyperaemia, Pain in extremity, Premature delivery
Clinical narrative: I ended up giving birth early after my second vaccine dose (first dose of Pfizer was on 3/13/21, second dose was on 4/3/21). My expected due date was 9/1/2021. My baby was 23 weeks 6 days when he was born.  He weighed 720 grams. My OB diagnosed that I have placental abruption. I ended up having C section. For the first dose of Pfizer vaccine,  I have red eye (blood in one of my eyes) and my arm hurt. I only feel my arm hurts after the second dose but then ended up giving birth early.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Premature separation of placenta
Clinical narrative: I ended up giving birth early after my second vaccine dose (first dose of Pfizer was on 3/13/21, second dose was on 4/3/21). My expected due date was 9/1/2021. My baby was 23 weeks 6 days when he was born.  He weighed 720 grams. My OB diagnosed that I have placental abruption. I ended up having C section. For the first dose of Pfizer vaccine,  I have red eye (blood in one of my eyes) and my arm hurt. I only feel my arm hurts after the second dose but then ended up giving birth early.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Limb discomfort, Pain of skin, Skin warm
Clinical narrative: Patient complained of discomfort of left arm, nurse noted area was reddened, tender, and warm to the touch. No loss of sensation reported per the patient. No additional formation of hives surrounding the area.  Primary Care Physician prescribed Benadryl 25 mg  every six hours as needed as well as a Medrol dose pack. No further adverse events.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Feeling abnormal, Hyperhidrosis, Injection site paraesthesia, Lymphadenopathy
Clinical narrative: patient noticed arm tingling after injection, then "loopiness" a few hours afterwards, mental confusion, vertigo, nauseousness. A week later she noticed underarm swelling, then 2 weeks layer had a fever and sweating.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vertigo
Clinical narrative: patient noticed arm tingling after injection, then "loopiness" a few hours afterwards, mental confusion, vertigo, nauseousness. A week later she noticed underarm swelling, then 2 weeks layer had a fever and sweating.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ataxia, Balance disorder, CSF glucose increased, CSF protein increased, Dizziness
Clinical narrative: Dizziness, lightheadedness, imbalance, ataxia Nausea, vomiting Hospitalized for extensive work-up, Possible diagnoses Guillain-Barre variant (Miller Fisher)
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Lumbar puncture abnormal, Magnetic resonance imaging spinal normal, Nausea, Vomiting
Clinical narrative: Dizziness, lightheadedness, imbalance, ataxia Nausea, vomiting Hospitalized for extensive work-up, Possible diagnoses Guillain-Barre variant (Miller Fisher)
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: pericarditis lead to 5 days in the hospital and possibly months to recover from...
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: 2 hours after vaccination patient developed rash and hives on both arms and legs
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Computerised tomogram, Costochondritis, Electrocardiogram abnormal
Clinical narrative: On 05-22-2021, participant's mother states her daughter pain started at about 1:00AM. I took her to Urgent care because she was having chest pain, nausea and headaches. She also had 99.2F of fever but no congestion or cough.  At the ER an EKG was done and it was a bit off, lab work was also performed, x-ray of the chest was also done and they gave her an Albuterol treatment. She was given IV fluids and steroids and a CT scan of the chest was also performed. After 9 hours, she was discharged home and could not find anything wrong. On 05-25-2021 I took her to her pediatrician who pushed on her chest and it hurt her when he did this, her pain level was between 5 and 8 out of 10 on VAS scale. EKG's were performed as well as lab work, x-ray of the chest at the pediatrician office. Her daughter also said her chest hurt her to exhale and inhale.  The pediatrician said that her rib cage and breast bone where inflamed upon pressing on her daughter's chest and that she has s costochondritis. As of today my daughter still has nausea that comes and goes and also continues with the headaches and takes Ibuprofen as pain medication.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Laboratory test, Nausea, Osteitis, Pain
Clinical narrative: On 05-22-2021, participant's mother states her daughter pain started at about 1:00AM. I took her to Urgent care because she was having chest pain, nausea and headaches. She also had 99.2F of fever but no congestion or cough.  At the ER an EKG was done and it was a bit off, lab work was also performed, x-ray of the chest was also done and they gave her an Albuterol treatment. She was given IV fluids and steroids and a CT scan of the chest was also performed. After 9 hours, she was discharged home and could not find anything wrong. On 05-25-2021 I took her to her pediatrician who pushed on her chest and it hurt her when he did this, her pain level was between 5 and 8 out of 10 on VAS scale. EKG's were performed as well as lab work, x-ray of the chest at the pediatrician office. Her daughter also said her chest hurt her to exhale and inhale.  The pediatrician said that her rib cage and breast bone where inflamed upon pressing on her daughter's chest and that she has s costochondritis. As of today my daughter still has nausea that comes and goes and also continues with the headaches and takes Ibuprofen as pain medication.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Painful respiration, Pyrexia
Clinical narrative: On 05-22-2021, participant's mother states her daughter pain started at about 1:00AM. I took her to Urgent care because she was having chest pain, nausea and headaches. She also had 99.2F of fever but no congestion or cough.  At the ER an EKG was done and it was a bit off, lab work was also performed, x-ray of the chest was also done and they gave her an Albuterol treatment. She was given IV fluids and steroids and a CT scan of the chest was also performed. After 9 hours, she was discharged home and could not find anything wrong. On 05-25-2021 I took her to her pediatrician who pushed on her chest and it hurt her when he did this, her pain level was between 5 and 8 out of 10 on VAS scale. EKG's were performed as well as lab work, x-ray of the chest at the pediatrician office. Her daughter also said her chest hurt her to exhale and inhale.  The pediatrician said that her rib cage and breast bone where inflamed upon pressing on her daughter's chest and that she has s costochondritis. As of today my daughter still has nausea that comes and goes and also continues with the headaches and takes Ibuprofen as pain medication.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis
Clinical narrative: PATIENT STATES THAT HER SHOULDER BLADE BEGAN TO HURT ABOUT 3 DAYS AFTER RECIEVING THE VACCINE. SHE REPORTS GOING TO A CHIROPRATOR AND TAKING OTC MEDICATION FOR PAIN. HER CHIROPRACTOR ADVISED HER TO SEE ORTHO. SHE STATES THAT ORTHO DIAGNOSED HER WITH BURSITIS WHICH HE FELT WAS REALATED TO GETTING THE COVID VACCINE.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chemotherapy, Pancytopenia
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for Pancytopenia due to antineoplastic chemotherapy within 6 weeks of receiving COVID vaccination.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Gait disturbance, Hypoaesthesia, Laboratory test, Mobility decreased
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA States exactly 2 weeks after received 2nd dose of Pfizer vaccine, lost feeling in his right leg. Went to the hospital. Continued to have neurological symptoms. States was diagnosed with Bell's Palsy and blood clot in right leg. States cannot ambulate without walker now. States doctors are unsure of cause of neurological issues.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Neurological symptom, Thrombosis, Walking aid user
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA States exactly 2 weeks after received 2nd dose of Pfizer vaccine, lost feeling in his right leg. Went to the hospital. Continued to have neurological symptoms. States was diagnosed with Bell's Palsy and blood clot in right leg. States cannot ambulate without walker now. States doctors are unsure of cause of neurological issues.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Dizziness, Laboratory test, Ultrasound foetal
Clinical narrative: 03/04/2021 I had my last period. Then I had the second dose and a month later I knew I was pregnant and then I had a missed miscarriage. They gave me misoprostol and misoprostol. After the missed miscarriage I was dizzy because I lost blood.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Chest X-ray normal, Chest discomfort, Chills
Clinical narrative: I got my Covid vaccine on Wednesday, 5/5/21. That night I experienced the typical side effects (Chills, Aches, Pains, Soreness in the injection site on my right arm). By Thursday afternoon I was feeling significantly better. However, on Friday evening I started to feel a tightness and pressure in my chest and left arm and neck. The chest pain felt like I was having a heart attack but my heart rate was mostly normal. I felt shortness of breath  where I couldn't get a good deep breath in and I was also nauseous and had no appetite. At times I felt lightheaded and weak. These symptoms continued over the next couple days. On Monday 5/10/21 I decided to got to the ER to get checkout since I was still having chest pains and tightness. They ran a series of tests and concluded that I was just experiencing typical aches and pains from the vaccine.  My symptoms continued for another full week and at times the shortness of breath and chest pains felt really severe. By the following week I was starting to feel a little better on and off. I got my appetite back and and I was able to start exercising again. After about 2 full weeks after receiving the vaccine most of chest pain and pressure + shortness of breath has disappeared and I feel better.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Discomfort, Dizziness, Dyspnoea, Electrocardiogram normal
Clinical narrative: I got my Covid vaccine on Wednesday, 5/5/21. That night I experienced the typical side effects (Chills, Aches, Pains, Soreness in the injection site on my right arm). By Thursday afternoon I was feeling significantly better. However, on Friday evening I started to feel a tightness and pressure in my chest and left arm and neck. The chest pain felt like I was having a heart attack but my heart rate was mostly normal. I felt shortness of breath  where I couldn't get a good deep breath in and I was also nauseous and had no appetite. At times I felt lightheaded and weak. These symptoms continued over the next couple days. On Monday 5/10/21 I decided to got to the ER to get checkout since I was still having chest pains and tightness. They ran a series of tests and concluded that I was just experiencing typical aches and pains from the vaccine.  My symptoms continued for another full week and at times the shortness of breath and chest pains felt really severe. By the following week I was starting to feel a little better on and off. I got my appetite back and and I was able to start exercising again. After about 2 full weeks after receiving the vaccine most of chest pain and pressure + shortness of breath has disappeared and I feel better.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Injection site pain, Limb discomfort, Nausea, Pain
Clinical narrative: I got my Covid vaccine on Wednesday, 5/5/21. That night I experienced the typical side effects (Chills, Aches, Pains, Soreness in the injection site on my right arm). By Thursday afternoon I was feeling significantly better. However, on Friday evening I started to feel a tightness and pressure in my chest and left arm and neck. The chest pain felt like I was having a heart attack but my heart rate was mostly normal. I felt shortness of breath  where I couldn't get a good deep breath in and I was also nauseous and had no appetite. At times I felt lightheaded and weak. These symptoms continued over the next couple days. On Monday 5/10/21 I decided to got to the ER to get checkout since I was still having chest pains and tightness. They ran a series of tests and concluded that I was just experiencing typical aches and pains from the vaccine.  My symptoms continued for another full week and at times the shortness of breath and chest pains felt really severe. By the following week I was starting to feel a little better on and off. I got my appetite back and and I was able to start exercising again. After about 2 full weeks after receiving the vaccine most of chest pain and pressure + shortness of breath has disappeared and I feel better.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Delirium, Electroencephalogram normal, Imaging procedure, Laboratory test normal
Clinical narrative: Patient was hospitalized with Delirium on 5/16/21 - 5/18/21. Lab, imaging and EEG did not reveal any definitive etiology for delirium
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, C-reactive protein increased, Cardiac imaging procedure abnormal, Chest discomfort, Chest pain
Clinical narrative: Patient received second Materna vaccine 5/28/2021 around 630 pm.  Around 10 PM felt fatigue and headache.  Felt very fatigued and unwell and slept most of 5/29 - 5/30. On 5/31, began experiencing chest discomfort radiating to left arm and palpitations.  Presented to hospital which was notable for abnormal EKG with diffuse ST elevations and PR depressions, troponin peak of 25.  TTE revealed low normal systolic function with EF 50%, no valvular disease or wall motion abnormalities.  Cardiac MRI revealed subepicardial delayed myocardial enhancement in the mid, apex lateral wall of the left ventricle and adjacent pericardium consistent with myopericarditis.  Patient was treated with colchicine and improved.  Infectious work-up for cardiotropic viruses were sent, viral swab was notable for positive rhinovirus/enterovirus.  Patient's presentation and timing of vaccine should be looked into as it is unclear wheter this presentation can be entirely due to presence of virus as above.  This is notably at least the second presentation of teenager with myopericarditis on this cardiology service in the past 2 weeks in setting of recent Covid vaccination.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Ejection fraction normal, Electrocardiogram PR segment depression, Electrocardiogram ST segment elevation, Electrocardiogram abnormal
Clinical narrative: Patient received second Materna vaccine 5/28/2021 around 630 pm.  Around 10 PM felt fatigue and headache.  Felt very fatigued and unwell and slept most of 5/29 - 5/30. On 5/31, began experiencing chest discomfort radiating to left arm and palpitations.  Presented to hospital which was notable for abnormal EKG with diffuse ST elevations and PR depressions, troponin peak of 25.  TTE revealed low normal systolic function with EF 50%, no valvular disease or wall motion abnormalities.  Cardiac MRI revealed subepicardial delayed myocardial enhancement in the mid, apex lateral wall of the left ventricle and adjacent pericardium consistent with myopericarditis.  Patient was treated with colchicine and improved.  Infectious work-up for cardiotropic viruses were sent, viral swab was notable for positive rhinovirus/enterovirus.  Patient's presentation and timing of vaccine should be looked into as it is unclear wheter this presentation can be entirely due to presence of virus as above.  This is notably at least the second presentation of teenager with myopericarditis on this cardiology service in the past 2 weeks in setting of recent Covid vaccination.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Enterovirus infection, Enterovirus test positive, Fatigue, Headache, Human rhinovirus test positive
Clinical narrative: Patient received second Materna vaccine 5/28/2021 around 630 pm.  Around 10 PM felt fatigue and headache.  Felt very fatigued and unwell and slept most of 5/29 - 5/30. On 5/31, began experiencing chest discomfort radiating to left arm and palpitations.  Presented to hospital which was notable for abnormal EKG with diffuse ST elevations and PR depressions, troponin peak of 25.  TTE revealed low normal systolic function with EF 50%, no valvular disease or wall motion abnormalities.  Cardiac MRI revealed subepicardial delayed myocardial enhancement in the mid, apex lateral wall of the left ventricle and adjacent pericardium consistent with myopericarditis.  Patient was treated with colchicine and improved.  Infectious work-up for cardiotropic viruses were sent, viral swab was notable for positive rhinovirus/enterovirus.  Patient's presentation and timing of vaccine should be looked into as it is unclear wheter this presentation can be entirely due to presence of virus as above.  This is notably at least the second presentation of teenager with myopericarditis on this cardiology service in the past 2 weeks in setting of recent Covid vaccination.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging heart, Malaise, Myocarditis, Palpitations, Rhinovirus infection
Clinical narrative: Patient received second Materna vaccine 5/28/2021 around 630 pm.  Around 10 PM felt fatigue and headache.  Felt very fatigued and unwell and slept most of 5/29 - 5/30. On 5/31, began experiencing chest discomfort radiating to left arm and palpitations.  Presented to hospital which was notable for abnormal EKG with diffuse ST elevations and PR depressions, troponin peak of 25.  TTE revealed low normal systolic function with EF 50%, no valvular disease or wall motion abnormalities.  Cardiac MRI revealed subepicardial delayed myocardial enhancement in the mid, apex lateral wall of the left ventricle and adjacent pericardium consistent with myopericarditis.  Patient was treated with colchicine and improved.  Infectious work-up for cardiotropic viruses were sent, viral swab was notable for positive rhinovirus/enterovirus.  Patient's presentation and timing of vaccine should be looked into as it is unclear wheter this presentation can be entirely due to presence of virus as above.  This is notably at least the second presentation of teenager with myopericarditis on this cardiology service in the past 2 weeks in setting of recent Covid vaccination.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: Patient received second Materna vaccine 5/28/2021 around 630 pm.  Around 10 PM felt fatigue and headache.  Felt very fatigued and unwell and slept most of 5/29 - 5/30. On 5/31, began experiencing chest discomfort radiating to left arm and palpitations.  Presented to hospital which was notable for abnormal EKG with diffuse ST elevations and PR depressions, troponin peak of 25.  TTE revealed low normal systolic function with EF 50%, no valvular disease or wall motion abnormalities.  Cardiac MRI revealed subepicardial delayed myocardial enhancement in the mid, apex lateral wall of the left ventricle and adjacent pericardium consistent with myopericarditis.  Patient was treated with colchicine and improved.  Infectious work-up for cardiotropic viruses were sent, viral swab was notable for positive rhinovirus/enterovirus.  Patient's presentation and timing of vaccine should be looked into as it is unclear wheter this presentation can be entirely due to presence of virus as above.  This is notably at least the second presentation of teenager with myopericarditis on this cardiology service in the past 2 weeks in setting of recent Covid vaccination.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Cough, Pain, Wheezing
Clinical narrative: On 4/19, at about 9:30PM, I felt very achy all over, from my hair to my heels. The pain continued on 4/20. I woke up on 4/21 and felt fine. On the evening of 4/24, I started having a persistent dry cough. On the morning of 4/25, I started to wheeze a bit. At my daughter's recommendation, I went to the urgent care clinic. They diagnosed me with bronchitis and they gave me antibiotics, prednisone, breathing treatment, albuterol nebulizer, and albuterol inhaler.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vision blurred, Visual acuity reduced, Visual impairment
Clinical narrative: Decline in vision, clarity, or focus.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out, after vaccine. Patient complained about sever back pain before vaccine, but insisted on recieving the vaccine on 6/2/21. Patient was transferred to clinic, and placed under care and then transported by ambulance from pharmacy.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Bradycardia, Dizziness, Electrocardiogram normal, Hyperhidrosis
Clinical narrative: Patient passed out, after vaccine. Patient complained about sever back pain before vaccine, but insisted on recieving the vaccine on 6/2/21. Patient was transferred to clinic, and placed under care and then transported by ambulance from pharmacy.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Lethargy, Pallor, Polydipsia
Clinical narrative: Patient passed out, after vaccine. Patient complained about sever back pain before vaccine, but insisted on recieving the vaccine on 6/2/21. Patient was transferred to clinic, and placed under care and then transported by ambulance from pharmacy.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient received 1st COVID-19 Vaccine (Pfizer). Pt received vaccine in Right deltoid. Approximately 3-5 minutes after vaccination administration, patient became very lethargic. Pharmacy staff requested Clinic staff NP and LPN arrived to pharmacy at 1136 to evaluate and assess patient.  Subjective: Pt states feeling dizzy. Pt experiencing polydipsia. Pt also c/o back pain.  Objection: Patient's Vital signs at time of arrival of Clinic Staff: BP 90/60, Pulse: 56 (as low at 39BPM to 84 BPM), O2: 84% (low as 84% to high as 97%).  Assesment: Pt presenting with pallor and unusual lightness for ethnicity. Pt lung sounds all clear upon auscultation on both inspiration and expiration x5 lobes per NP. Bilateral radial pulses 2+. Patient presented diaphoretic. Pt placed in semi-fowlers position with pillow in place underneath head over in Clinic. Pt was bradycardic and hypotensive. Pt vital signs stabilized, Pulse: 78, O2: 97%. BP stabilized by EMS however this writer is unsure of exact BP upon EMS departure. Pt yawning 5+ times during assessment. Pt admitted to not consuming any food or beverage prior to receiving vaccination. Cap refill 2-3 sec. Patient able to ambulate with assistance (x2). Pt stabilized to ambulating independently.  Plan: EMS arrived on scene 1155. EMS provided 5 lead ECG, normal ECG findings, negative orthostatic hypotension. Pt educated on hydration; pt consumed food and beverage. Recommended patient call close friend/family member to assist patient in transporting home to rest. pt stated his sister would transport him. Approximately 1240, despite transportation escort recommendations, pt departed Pharmacy independently by personal vehicle.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Bradycardia, Dizziness, Electrocardiogram normal, Hyperhidrosis
Clinical narrative: Patient received 1st COVID-19 Vaccine (Pfizer). Pt received vaccine in Right deltoid. Approximately 3-5 minutes after vaccination administration, patient became very lethargic. Pharmacy staff requested Clinic staff NP and LPN arrived to pharmacy at 1136 to evaluate and assess patient.  Subjective: Pt states feeling dizzy. Pt experiencing polydipsia. Pt also c/o back pain.  Objection: Patient's Vital signs at time of arrival of Clinic Staff: BP 90/60, Pulse: 56 (as low at 39BPM to 84 BPM), O2: 84% (low as 84% to high as 97%).  Assesment: Pt presenting with pallor and unusual lightness for ethnicity. Pt lung sounds all clear upon auscultation on both inspiration and expiration x5 lobes per NP. Bilateral radial pulses 2+. Patient presented diaphoretic. Pt placed in semi-fowlers position with pillow in place underneath head over in Clinic. Pt was bradycardic and hypotensive. Pt vital signs stabilized, Pulse: 78, O2: 97%. BP stabilized by EMS however this writer is unsure of exact BP upon EMS departure. Pt yawning 5+ times during assessment. Pt admitted to not consuming any food or beverage prior to receiving vaccination. Cap refill 2-3 sec. Patient able to ambulate with assistance (x2). Pt stabilized to ambulating independently.  Plan: EMS arrived on scene 1155. EMS provided 5 lead ECG, normal ECG findings, negative orthostatic hypotension. Pt educated on hydration; pt consumed food and beverage. Recommended patient call close friend/family member to assist patient in transporting home to rest. pt stated his sister would transport him. Approximately 1240, despite transportation escort recommendations, pt departed Pharmacy independently by personal vehicle.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Lethargy, Pallor, Polydipsia
Clinical narrative: Patient received 1st COVID-19 Vaccine (Pfizer). Pt received vaccine in Right deltoid. Approximately 3-5 minutes after vaccination administration, patient became very lethargic. Pharmacy staff requested Clinic staff NP and LPN arrived to pharmacy at 1136 to evaluate and assess patient.  Subjective: Pt states feeling dizzy. Pt experiencing polydipsia. Pt also c/o back pain.  Objection: Patient's Vital signs at time of arrival of Clinic Staff: BP 90/60, Pulse: 56 (as low at 39BPM to 84 BPM), O2: 84% (low as 84% to high as 97%).  Assesment: Pt presenting with pallor and unusual lightness for ethnicity. Pt lung sounds all clear upon auscultation on both inspiration and expiration x5 lobes per NP. Bilateral radial pulses 2+. Patient presented diaphoretic. Pt placed in semi-fowlers position with pillow in place underneath head over in Clinic. Pt was bradycardic and hypotensive. Pt vital signs stabilized, Pulse: 78, O2: 97%. BP stabilized by EMS however this writer is unsure of exact BP upon EMS departure. Pt yawning 5+ times during assessment. Pt admitted to not consuming any food or beverage prior to receiving vaccination. Cap refill 2-3 sec. Patient able to ambulate with assistance (x2). Pt stabilized to ambulating independently.  Plan: EMS arrived on scene 1155. EMS provided 5 lead ECG, normal ECG findings, negative orthostatic hypotension. Pt educated on hydration; pt consumed food and beverage. Recommended patient call close friend/family member to assist patient in transporting home to rest. pt stated his sister would transport him. Approximately 1240, despite transportation escort recommendations, pt departed Pharmacy independently by personal vehicle.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, SARS-CoV-2 test positive, Unresponsive to stimuli, Ventricular fibrillation
Clinical narrative: He was admitted to Hospital unresponsive as Ventricular Fibrillation cardiac arrest. Found to be COVID-19 positive upon testing on 5/31/2021. No prior positive tests on record.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Septic shock
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for Severe sepsis with septic shock within 6 weeks of receiving COVID vaccination.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Bronchoalveolar lavage, Computerised tomogram, Dyspnoea, Fatigue
Clinical narrative: TOOK MY 1ST SHOT 3/25/21, 3/26 STARTED FEELING LAZY AND VERY TIRED AT THE END OF THE DAY, WENT HOME WENT TO BED. 3/27 WORK UP BREATHING HEAVY WENT TO WORK LEFT WORK AFTER 4 HOURS WENT HOME WENT TO BED. WOKE UP AROUND 2:00PM TRIED TO START MY WEED EATER AND COULDN'T CATCH MY BREATH. CHECKED MY OXYGEN LEVEL IT WAS 78  WENT TO THE HOSPITAL MY OXYGEN LEVEL WAS 84 ADMITTED TO HOSPITAL STAYED THERE TILL 4/2 WENT HOME WITH OXYGEN WENT TO UK HOSPITAL  ON 4/4 ADMITTED THAT DAY AND RELEASED 4/15.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Laziness, X-ray
Clinical narrative: TOOK MY 1ST SHOT 3/25/21, 3/26 STARTED FEELING LAZY AND VERY TIRED AT THE END OF THE DAY, WENT HOME WENT TO BED. 3/27 WORK UP BREATHING HEAVY WENT TO WORK LEFT WORK AFTER 4 HOURS WENT HOME WENT TO BED. WOKE UP AROUND 2:00PM TRIED TO START MY WEED EATER AND COULDN'T CATCH MY BREATH. CHECKED MY OXYGEN LEVEL IT WAS 78  WENT TO THE HOSPITAL MY OXYGEN LEVEL WAS 84 ADMITTED TO HOSPITAL STAYED THERE TILL 4/2 WENT HOME WITH OXYGEN WENT TO UK HOSPITAL  ON 4/4 ADMITTED THAT DAY AND RELEASED 4/15.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Anxiety, Back pain, Chills, Headache
Clinical narrative: The night following injection, the patient experience increased anxiety, chills, possible fever, headache, backache, generalized muscle aches, and abnormally vivid dreams throughout the night. Monitoring of symptoms is continually being addressed by the patient's mother.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: The night following injection, the patient experience increased anxiety, chills, possible fever, headache, backache, generalized muscle aches, and abnormally vivid dreams throughout the night. Monitoring of symptoms is continually being addressed by the patient's mother.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Tinnitus
Clinical narrative: Severe tinnitus. Right side only. 30% hearing loss high range 30 to 45 k
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus; no treatment. Still experiencing tinnitus at the time of reporting (06.02.2021)
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Electrocardiogram, Full blood count, Lipids, Metabolic function test
Clinical narrative: Developed palpitations and PACs (premature atrial contraction)
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Supraventricular extrasystoles
Clinical narrative: Developed palpitations and PACs (premature atrial contraction)
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Sore Arm and Body aches
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count increased, Purpura, Thrombocytopenia
Clinical narrative: Thrombocytopenia and Purpura consistent with Immune Thrombocytopenic Purpura. Awaits specialist evaluation and treatment plan.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Hypoacusis
Clinical narrative: Hearing issues in right ear. Pressure around ear (feels like it needs to pop). No congestion or sickness.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Agonal respiration, Bilevel positive airway pressure, COVID-19 pneumonia, Cardio-respiratory arrest, Cough
Clinical narrative: 5/16- symptoms started- cough, fever body aches. admitted 5/19 with SOB in addition. COVID pnuemonitis, 5/23-sudden decrease in saturation - placed on BiPAP and transferred to the ICU. further decline and arrested on 5/27. PEA and agonal breathing.  intubated and ACLS meds given. Coded a second time and family elected to halt heroic measures.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Fibrin D dimer increased, General physical health deterioration, Intensive care
Clinical narrative: 5/16- symptoms started- cough, fever body aches. admitted 5/19 with SOB in addition. COVID pnuemonitis, 5/23-sudden decrease in saturation - placed on BiPAP and transferred to the ICU. further decline and arrested on 5/27. PEA and agonal breathing.  intubated and ACLS meds given. Coded a second time and family elected to halt heroic measures.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Life support, Oxygen saturation decreased, Pain, Procalcitonin increased, Pulseless electrical activity
Clinical narrative: 5/16- symptoms started- cough, fever body aches. admitted 5/19 with SOB in addition. COVID pnuemonitis, 5/23-sudden decrease in saturation - placed on BiPAP and transferred to the ICU. further decline and arrested on 5/27. PEA and agonal breathing.  intubated and ACLS meds given. Coded a second time and family elected to halt heroic measures.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Serum ferritin increased
Clinical narrative: 5/16- symptoms started- cough, fever body aches. admitted 5/19 with SOB in addition. COVID pnuemonitis, 5/23-sudden decrease in saturation - placed on BiPAP and transferred to the ICU. further decline and arrested on 5/27. PEA and agonal breathing.  intubated and ACLS meds given. Coded a second time and family elected to halt heroic measures.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Syncope
Clinical narrative: Patient had syncopal episode, Hit head on counter upon collapse
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody, Arthralgia, C-reactive protein, Complement factor C3, Complement factor C4
Clinical narrative: Right shoulder and elbow pain with inflammation of tendons.  Left knee pain with inflammation of the adductor tendons around the knee, enthesopathy of the right index extensor tendon
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Enthesopathy, Full blood count, HLA-B*27 positive, Lipids, Metabolic function test
Clinical narrative: Right shoulder and elbow pain with inflammation of tendons.  Left knee pain with inflammation of the adductor tendons around the knee, enthesopathy of the right index extensor tendon
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Red blood cell sedimentation rate normal, Rheumatoid factor, Tendonitis
Clinical narrative: Right shoulder and elbow pain with inflammation of tendons.  Left knee pain with inflammation of the adductor tendons around the knee, enthesopathy of the right index extensor tendon
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Orthostatic hypotension
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for orthostatic hypotension within 6 weeks of receiving COVID vaccination.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pain in extremity
Clinical narrative: Mild chest pains throughout the day after the vaccine shot. Went away the following morning. No other adverse side effects except for a sore arm. No side effects upon second dose on 4/19/2021
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue
Clinical narrative: Pharmacy provides the vaccine and vaccine supplies to me for this weekly clinic.  Today they supplied me with Coviden Magellan 3mL syringe with hypodermic safety needle 25g 1".  I personally drew up the vaccines myself without any issues.  When I injected this patient however, the syringe immediately came off of the needle when I started to push the vaccine.  The needle was in the patient's deltoid, the vaccine liquid ran down her arm, and I was left holding an empty syringe in my hand.  I immediately contacted our hospital's Infectious Disease physician who oversees the vaccination program to see what was recommended regarding re-administering or waiting to re-administer.  Because I was very confident that the patient received little to no vaccine, he advised me to re-administer the vaccine today. assistant vice president of pharmacy services for clinic recommended that I complete the VAERS form in the event that the patient suffers any adverse event from re-administering the vaccine.  As of right now, there are no reported consequences or unexpected outcomes as a result of this.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac normal, Chest pain, Dyspnoea, Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: 3 weeks after receiving the first of the series of two injections, the patient developed SOB and CP. He presented to the ER with a R/O MI.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial infarction, Myocardial necrosis marker increased
Clinical narrative: 3 weeks after receiving the first of the series of two injections, the patient developed SOB and CP. He presented to the ER with a R/O MI.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: I got shingles rash and it was painful.  I see the doctor and I was diagnosed with it. I was put on antivirals. Also happened with the second vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: Fever & Diarrhea
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hypoaesthesia, Nausea
Clinical narrative: Extremely exhausted, fever, chills, nausea, headaches, leg numbness and arm pain.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Extremely exhausted, fever, chills, nausea, headaches, leg numbness and arm pain.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Chest X-ray, Deep vein thrombosis, Electrocardiogram
Clinical narrative: I went to the ER on 05/14/2021 because I had swelling in one ankle. I am pregnant so I was concerned. I was tested and a Deep Vein Thrombosis in my right leg. The swelling was in my left leg. There is no redness or swelling in that leg. I am taking subcutaneous injection of Lovenox 0.8 ml twice daily.  I was 27 weeks pregnant at the time.  I am currently experiencing injection site pain and I am seeing a maternal Fetal Medicine Specialist monthly. A birth plan has to made for when I deliver because of the medication.  The diagnosis states Right Popliteal and Proximal  calf DVT.  Due-Date-08-09-2021 Pregnancy-First Pregnancy
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Injection site pain, Joint swelling, Peripheral swelling, Ultrasound Doppler abnormal
Clinical narrative: I went to the ER on 05/14/2021 because I had swelling in one ankle. I am pregnant so I was concerned. I was tested and a Deep Vein Thrombosis in my right leg. The swelling was in my left leg. There is no redness or swelling in that leg. I am taking subcutaneous injection of Lovenox 0.8 ml twice daily.  I was 27 weeks pregnant at the time.  I am currently experiencing injection site pain and I am seeing a maternal Fetal Medicine Specialist monthly. A birth plan has to made for when I deliver because of the medication.  The diagnosis states Right Popliteal and Proximal  calf DVT.  Due-Date-08-09-2021 Pregnancy-First Pregnancy
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Joint swelling, Muscle spasms, Nausea, Nervousness
Clinical narrative: She got her vaccine, she had no reactions at all.  On 5/12/21, she woke up 2 days with ankle and feet swelling, hand and face swelling, eyelid swelling.  She had  a fever up to 100.5.  Her swelling has not gone down on any of the locations.  She cannot even take her wedding bands off.   Her feet are extremely cramped in her shoes.  Her allergies have gone tremendously.  She has been throwing up and have been nauseous a lot.   She has not been taking anything but Benadryl for the reactions.  She also has gained 7# since the vaccine.  Her hands have also been shaky.  She has not notified her doctor of any of these symptoms.