chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, White blood cell count increased
Clinical narrative: 33 year old healthy man presented with seizure to Hospital ER on 5/7/2021. He required intubation. CT scan and MRI of brain showed dural venous sinus thrombosis along the anterior to mid aspects of the sagittal sinus.  CBC was normal at presentation with WBC 13.9, HGB 16.1 and PLT 367k. He was admitted on unfractionated heparin. Repeat platelet count on 5/8/2021 was 153k.  HIPA was negative. Patient was extubated and continued to improve. He was put on warfarin and sent home. He has some mild personality change in the immediate weeks of discharge.  Hypercoagulable workup had normal Prot S & C activity, normal ATIII activity. The Factor V Leiden and Prothrombin Gene were negative. The homocysteine level was elevated at 16.3.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Discomfort, Dizziness, Fatigue
Clinical narrative: Twelve hours after injection, symptoms of chills/hot flashes started throughout the body. Muscles began to feel tight and sore throughout the body. Tingling was felt down the arms (most significantly in the left arm) and into the hands. Lightheadedness, fatigue, and general discomfort followed. Sleep was interrupted with severe pain in the left arm at injection site, increasing temperature (recorded starting at 100 deg F at 2:30 a.m. up to 101.3 24 hours after injection time). Fever and chills, headache, light nausea, and severe muscle cramping continued throughout the day. Symptoms did not cease until 48 hours after injection. 48 hours after injection, left arm at injection site is swollen, hard at the center with pain and heat to the touch, and a 3" diameter red ring/circle surrounding injection site.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Twelve hours after injection, symptoms of chills/hot flashes started throughout the body. Muscles began to feel tight and sore throughout the body. Tingling was felt down the arms (most significantly in the left arm) and into the hands. Lightheadedness, fatigue, and general discomfort followed. Sleep was interrupted with severe pain in the left arm at injection site, increasing temperature (recorded starting at 100 deg F at 2:30 a.m. up to 101.3 24 hours after injection time). Fever and chills, headache, light nausea, and severe muscle cramping continued throughout the day. Symptoms did not cease until 48 hours after injection. 48 hours after injection, left arm at injection site is swollen, hard at the center with pain and heat to the touch, and a 3" diameter red ring/circle surrounding injection site.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Muscle spasms, Muscle tightness, Nausea
Clinical narrative: Twelve hours after injection, symptoms of chills/hot flashes started throughout the body. Muscles began to feel tight and sore throughout the body. Tingling was felt down the arms (most significantly in the left arm) and into the hands. Lightheadedness, fatigue, and general discomfort followed. Sleep was interrupted with severe pain in the left arm at injection site, increasing temperature (recorded starting at 100 deg F at 2:30 a.m. up to 101.3 24 hours after injection time). Fever and chills, headache, light nausea, and severe muscle cramping continued throughout the day. Symptoms did not cease until 48 hours after injection. 48 hours after injection, left arm at injection site is swollen, hard at the center with pain and heat to the touch, and a 3" diameter red ring/circle surrounding injection site.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Twelve hours after injection, symptoms of chills/hot flashes started throughout the body. Muscles began to feel tight and sore throughout the body. Tingling was felt down the arms (most significantly in the left arm) and into the hands. Lightheadedness, fatigue, and general discomfort followed. Sleep was interrupted with severe pain in the left arm at injection site, increasing temperature (recorded starting at 100 deg F at 2:30 a.m. up to 101.3 24 hours after injection time). Fever and chills, headache, light nausea, and severe muscle cramping continued throughout the day. Symptoms did not cease until 48 hours after injection. 48 hours after injection, left arm at injection site is swollen, hard at the center with pain and heat to the touch, and a 3" diameter red ring/circle surrounding injection site.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Hyperhidrosis, Lip swelling, Malaise
Clinical narrative: Pt received the Janssen covid vaccine. During the 15 minutes post-vaccination observation period, pt started not feeling well. He experienced dizziness, sweating, swelling of the lips and tongue, and shortness of breath. Pt was non-responsive. Rph administered an Epipen and staff called the ambulance. At this time, pt was becoming more responsive in response to the Epipen. EMS came and checked the pt's vitals. Vitals were within normal range. Pt was not sent to the hospital. EMS advised the family to monitor the pt and call EMS if  symptoms worsen. Pt is doing okay.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Swollen tongue, Unresponsive to stimuli
Clinical narrative: Pt received the Janssen covid vaccine. During the 15 minutes post-vaccination observation period, pt started not feeling well. He experienced dizziness, sweating, swelling of the lips and tongue, and shortness of breath. Pt was non-responsive. Rph administered an Epipen and staff called the ambulance. At this time, pt was becoming more responsive in response to the Epipen. EMS came and checked the pt's vitals. Vitals were within normal range. Pt was not sent to the hospital. EMS advised the family to monitor the pt and call EMS if  symptoms worsen. Pt is doing okay.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Chills, Condition aggravated, Erythema, Fatigue
Clinical narrative: Woke up at 2:00 am with severe chills, fever, nausea and vomiting.  The vomiting stopped within a few hours, but suffered with fever, headache, extreme body aches, fatigue for 2-3 days.  After that body aches, fatigue, and headache continues at various times throughout the next month.   I also have Fibromyalgia and an Auto-immune disease, so it is hard to discern which symptoms were from the vaccine.  I felt like the vaccine kicked me into a flare of the auto-immune symptoms.  As for my arm, it was swollen, red and painful starting a few hours after the shot and continued for about 2 weeks.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Woke up at 2:00 am with severe chills, fever, nausea and vomiting.  The vomiting stopped within a few hours, but suffered with fever, headache, extreme body aches, fatigue for 2-3 days.  After that body aches, fatigue, and headache continues at various times throughout the next month.   I also have Fibromyalgia and an Auto-immune disease, so it is hard to discern which symptoms were from the vaccine.  I felt like the vaccine kicked me into a flare of the auto-immune symptoms.  As for my arm, it was swollen, red and painful starting a few hours after the shot and continued for about 2 weeks.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Woke up at 2:00 am with severe chills, fever, nausea and vomiting.  The vomiting stopped within a few hours, but suffered with fever, headache, extreme body aches, fatigue for 2-3 days.  After that body aches, fatigue, and headache continues at various times throughout the next month.   I also have Fibromyalgia and an Auto-immune disease, so it is hard to discern which symptoms were from the vaccine.  I felt like the vaccine kicked me into a flare of the auto-immune symptoms.  As for my arm, it was swollen, red and painful starting a few hours after the shot and continued for about 2 weeks.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Echocardiogram abnormal, Electrocardiogram abnormal, Heart rate irregular, Pulmonary hypertension
Clinical narrative: presented for a well exam and was noted to have an irregular heart rate.  She was in atrial fibrillation with rapid ventricular response.  now on beta blocker, digoxin and eliquis.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Loss of personal independence in daily activities, Muscle tightness
Clinical narrative: I had some pretty bad back problems and the reason I went to the doctor was because it was lasting for more than 3 days. Hip flexors were really tight and causing my back pain. I have had something similar happen before but it's always resolved itself within a week. And now I'm three weeks out and still having this back pain and hip flexor tightness. For the first two weeks - the PT said I should be laying down or standing and only sitting for 5 minutes to help those hip flexors. I'm limited now on activities that I can do. I am not suppose to lift over 20 pounds or bend over. I can't sit cross legged on the floor. PT gave me exercises to do to help.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Tenderness
Clinical narrative: Not sure it's related to the shot.  Three weeks after the second shot I started experiencing progressively increasing pain in the left shoulder joint. After each dose the same joint ached but the pain resided after approximately 24 hours. The area is painful to the touch but not hot or red. For 5 days to date I have treated the area with hot compresses with minimal results. For 3 days to date I receive some relief treating the area with voltaren cream (not prescribed for this). Today I began castor oil packs but have not seen any change in pain at this point.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was 14 days shy of being 18 years old.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Pt  at 1000 am, reported to staff that he had a history of passing out after getting shots.  Pt was put on the Gurney prior to receiving the vaccine.  After receiving the vaccine Pt became light headed and diaphoretic with n/v. After an hour of symptoms not improving an ambulance was called and Pt was sent to the ED.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Asthenia, Blood test, Dizziness, Dysphemia
Clinical narrative: Immediately after receiving the second dose of Pfizer on Tues May 18, I felt prickly sensations throughout my body. After sitting for the recommended 30 minutes (due to known allergies to previous medications), I began to feel dizzy. They monitored me in the tent for several minutes and checked my vitals, which were fine. The nurse thought I may have hyperventilated. I thought I must have just had a mild panic attack.   But the attacks did not stop. Rather, the first three days post vaccine, I had several panic attacks a day, even being woken from sleep because of them. It's not fear or a racing mind but a constant racing heart, weakness, feeling faint. I feel prickly sensations and sensation of heat, which are common in panic attacks. But even after three days, they were not letting up. In addition to the attacks, I felt lightheaded, weak and extremely fatigued, even at rest. There is also constant pain and tightness in my neck and jaws.   Thursday evening (May 20), I had an episode where I nearly passed out. Once I got seated, my body froze. I was unable to get my words out clearly. Instead of saying the full sentence in my head, I could only get a word or two out. Instead of being able to lift my arm to eat, I couldn't move. The episode lasted about 15-20 minutes. I had several of these episodes on Saturday, two on Sunday and one on Monday.   Thinking it was purely anxiety, I reached out to my psychiatrist who prescribed Klonopin to ease the symptoms. I took 0.5mg on Friday afternoon (5/21) and 0.5mg on Saturday morning (5/22).   Realizing the Klonopin was likely making my symptoms worse, I have not taken any since Saturday morning (05/22).   Most of the day I am breathless, weak, feel faint doing nearly nothing. I have an hour or so a couple of times of day where I'm more functional but still have to move very slowly. Otherwise, I'm either like a zombie or unable to speak clearly, stuttering when I speak, and unable to operate without feeling faint.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram, Fatigue, Feeling hot, Movement disorder
Clinical narrative: Immediately after receiving the second dose of Pfizer on Tues May 18, I felt prickly sensations throughout my body. After sitting for the recommended 30 minutes (due to known allergies to previous medications), I began to feel dizzy. They monitored me in the tent for several minutes and checked my vitals, which were fine. The nurse thought I may have hyperventilated. I thought I must have just had a mild panic attack.   But the attacks did not stop. Rather, the first three days post vaccine, I had several panic attacks a day, even being woken from sleep because of them. It's not fear or a racing mind but a constant racing heart, weakness, feeling faint. I feel prickly sensations and sensation of heat, which are common in panic attacks. But even after three days, they were not letting up. In addition to the attacks, I felt lightheaded, weak and extremely fatigued, even at rest. There is also constant pain and tightness in my neck and jaws.   Thursday evening (May 20), I had an episode where I nearly passed out. Once I got seated, my body froze. I was unable to get my words out clearly. Instead of saying the full sentence in my head, I could only get a word or two out. Instead of being able to lift my arm to eat, I couldn't move. The episode lasted about 15-20 minutes. I had several of these episodes on Saturday, two on Sunday and one on Monday.   Thinking it was purely anxiety, I reached out to my psychiatrist who prescribed Klonopin to ease the symptoms. I took 0.5mg on Friday afternoon (5/21) and 0.5mg on Saturday morning (5/22).   Realizing the Klonopin was likely making my symptoms worse, I have not taken any since Saturday morning (05/22).   Most of the day I am breathless, weak, feel faint doing nearly nothing. I have an hour or so a couple of times of day where I'm more functional but still have to move very slowly. Otherwise, I'm either like a zombie or unable to speak clearly, stuttering when I speak, and unable to operate without feeling faint.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle tightness, Neck pain, Pain in jaw, Palpitations, Panic attack
Clinical narrative: Immediately after receiving the second dose of Pfizer on Tues May 18, I felt prickly sensations throughout my body. After sitting for the recommended 30 minutes (due to known allergies to previous medications), I began to feel dizzy. They monitored me in the tent for several minutes and checked my vitals, which were fine. The nurse thought I may have hyperventilated. I thought I must have just had a mild panic attack.   But the attacks did not stop. Rather, the first three days post vaccine, I had several panic attacks a day, even being woken from sleep because of them. It's not fear or a racing mind but a constant racing heart, weakness, feeling faint. I feel prickly sensations and sensation of heat, which are common in panic attacks. But even after three days, they were not letting up. In addition to the attacks, I felt lightheaded, weak and extremely fatigued, even at rest. There is also constant pain and tightness in my neck and jaws.   Thursday evening (May 20), I had an episode where I nearly passed out. Once I got seated, my body froze. I was unable to get my words out clearly. Instead of saying the full sentence in my head, I could only get a word or two out. Instead of being able to lift my arm to eat, I couldn't move. The episode lasted about 15-20 minutes. I had several of these episodes on Saturday, two on Sunday and one on Monday.   Thinking it was purely anxiety, I reached out to my psychiatrist who prescribed Klonopin to ease the symptoms. I took 0.5mg on Friday afternoon (5/21) and 0.5mg on Saturday morning (5/22).   Realizing the Klonopin was likely making my symptoms worse, I have not taken any since Saturday morning (05/22).   Most of the day I am breathless, weak, feel faint doing nearly nothing. I have an hour or so a couple of times of day where I'm more functional but still have to move very slowly. Otherwise, I'm either like a zombie or unable to speak clearly, stuttering when I speak, and unable to operate without feeling faint.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Presyncope, Sleep disorder, Speech disorder, Urine analysis
Clinical narrative: Immediately after receiving the second dose of Pfizer on Tues May 18, I felt prickly sensations throughout my body. After sitting for the recommended 30 minutes (due to known allergies to previous medications), I began to feel dizzy. They monitored me in the tent for several minutes and checked my vitals, which were fine. The nurse thought I may have hyperventilated. I thought I must have just had a mild panic attack.   But the attacks did not stop. Rather, the first three days post vaccine, I had several panic attacks a day, even being woken from sleep because of them. It's not fear or a racing mind but a constant racing heart, weakness, feeling faint. I feel prickly sensations and sensation of heat, which are common in panic attacks. But even after three days, they were not letting up. In addition to the attacks, I felt lightheaded, weak and extremely fatigued, even at rest. There is also constant pain and tightness in my neck and jaws.   Thursday evening (May 20), I had an episode where I nearly passed out. Once I got seated, my body froze. I was unable to get my words out clearly. Instead of saying the full sentence in my head, I could only get a word or two out. Instead of being able to lift my arm to eat, I couldn't move. The episode lasted about 15-20 minutes. I had several of these episodes on Saturday, two on Sunday and one on Monday.   Thinking it was purely anxiety, I reached out to my psychiatrist who prescribed Klonopin to ease the symptoms. I took 0.5mg on Friday afternoon (5/21) and 0.5mg on Saturday morning (5/22).   Realizing the Klonopin was likely making my symptoms worse, I have not taken any since Saturday morning (05/22).   Most of the day I am breathless, weak, feel faint doing nearly nothing. I have an hour or so a couple of times of day where I'm more functional but still have to move very slowly. Otherwise, I'm either like a zombie or unable to speak clearly, stuttering when I speak, and unable to operate without feeling faint.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Headache, Muscle spasms, Pain in extremity, Urine analysis
Clinical narrative: I have had heavy vaginal bleeding for 8 days ,now spot bleeding... Also bad cramps in feet?s and pains in legs on and off,besides headaches.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: I have had heavy vaginal bleeding for 8 days ,now spot bleeding... Also bad cramps in feet?s and pains in legs on and off,besides headaches.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash
Clinical narrative: Man little red dots on ankles, top of foot, arm, etc. I advised patient to see md for bloodwork. She has appt next week.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Vomiting
Clinical narrative: First shot migraine, tired Second shot dizzy, lightheaded, vomiting, chills, headache, exhausted
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Mastication disorder, Swollen tongue
Clinical narrative: 2 hrs after injection, bruised feeling on arm and left side of face, 4-5 hours later when chewing food  was difficult on left side of mouth; Overnight into morning tongue swelled
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac imaging procedure abnormal, Electrocardiogram P wave abnormal, Electrocardiogram ST segment abnormal, Magnetic resonance imaging heart, Myocarditis
Clinical narrative: myocarditis with elevated troponins, findings on cardiac MRI. No treatment required, self-resolved. Admitted for close monitoring
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: myocarditis with elevated troponins, findings on cardiac MRI. No treatment required, self-resolved. Admitted for close monitoring
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Eye haemorrhage
Clinical narrative: Nose bleed on left side, busted blood vessel in left eye the next day. Eye has still not cleared up fully but it is looking better.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Laboratory test normal, Muscular weakness
Clinical narrative: I experienced around 12 hours after the vaccine, low grade fever, chills pretty extreme body and severe joint pain. The joint pain really would not go away.  It was difficult to hold a cup of coffee, had to use two hands. My hips, knees, and toes hurt real bad, had a lot of soreness sensation all over my body.  I also had muscle weakness and fatigue.  On two occasions I had done minor exercises, I had extreme muscles pain afterwards.  The doctor dis lab work which was normal, she did not prescribed any medication.  I am a doctor and I called Prednisone 20mg mediation and by the next day my symptoms were gone.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: I experienced around 12 hours after the vaccine, low grade fever, chills pretty extreme body and severe joint pain. The joint pain really would not go away.  It was difficult to hold a cup of coffee, had to use two hands. My hips, knees, and toes hurt real bad, had a lot of soreness sensation all over my body.  I also had muscle weakness and fatigue.  On two occasions I had done minor exercises, I had extreme muscles pain afterwards.  The doctor dis lab work which was normal, she did not prescribed any medication.  I am a doctor and I called Prednisone 20mg mediation and by the next day my symptoms were gone.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Arteriogram coronary normal, Atrial fibrillation, Chest X-ray normal
Clinical narrative: H&P: Patient is a 63 y.o. female who presents for chest pain found to have NSTEMI.    No prior cardiac history who presents with acute onset left sided arm, and jaw pain. Associated with diaphoresis. Looked up "heart attack signs in women" and came to the ER after reading this. In the days/weeks leading up denies any chest pain or pressure, LH, dizziness or syncope. No exertional dyspnea, orthopnea, PND or LE edema.    BP at home are usually 130-150s. BP in the hospital is always higher because of white coat hypertension.    ER course BP 170-190s systolic, HR in the 90s, AF. EKG Q waves in the inferior lead with no significant ischemia or ST elevations. Labs notable for a troponin ~ 2000. CXR within normal limits. Given aspirin, statin, nitro and heparin.    Currently feels pain free. No other acute issues or complaints/    Smoked 3 mos after a divorce, otherwise no smoking history.  No significant family history of CAD. "  D/C summary: "Principal Diagnosis: o Myocarditis   Secondary Diagnoses:  o Type II MI o Hypertension o Hypercholesterolemia o Prediabetes mellitus o Obesity    Procedures/Diagnostics:   5/13/2021.  Coronary angiogram.  o Normal left ventricular function o Normal coronary anatomy o Right radial loop Note: A right radial loop was encountered requiring a femoral access.   5/13/2021.  Echocardiogram.   ?  Left ventricle size is normal. Mildly increased wall thickness. Normal wall motion. Normal systolic function. LV EF is 75 % , ?  Nrrmal valve function.   5/13/2021.  Cardiac MRI.  Evidence of myocarditis, with subepicardial late enhancement at the mid chamber  and apical lateral wall with associated regional edema and mild native T1 signal  elevation.   Normal right and left ventricular size. Hyperdynamic LV. No significant valvular  abnormality.    Hospital Course:  In brief, this is a 63 y.o. year old female admitted on 5/13/2021 with chest pain, troponin elevation and found to have normal coronary arteries.  Preserved LV systolic function by echocardiogram. She underwent an cMRI demonstrating myocarditis. She was started on colchicine and remained pain free for the rest of the admission.    Myocarditis: Presented with acute onset chest pain and troponin of ~2000. Diagnosed via MRI after normal coronary angiogram. Normal biventricular function. Etiology is likely idiopathic as she had no other obvious inciting events. Pain free prior to discharge.  o Colchicine 0.6 mg twice daily.  o Follow-up with Dr. on 6/8 arrival time 12:40 PM   Hyertension: well controlled today. Management per PCP o Metoprolol succinate 25 mg daily o Hyzaar 100-12.5 mg daily o Amlodipine 10 mg daily   Hyperlipidemia: tolerating atorvastatin 20 mg daily. "
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Echocardiogram, Ejection fraction, Glucose tolerance impaired, Hypercholesterolaemia
Clinical narrative: H&P: Patient is a 63 y.o. female who presents for chest pain found to have NSTEMI.    No prior cardiac history who presents with acute onset left sided arm, and jaw pain. Associated with diaphoresis. Looked up "heart attack signs in women" and came to the ER after reading this. In the days/weeks leading up denies any chest pain or pressure, LH, dizziness or syncope. No exertional dyspnea, orthopnea, PND or LE edema.    BP at home are usually 130-150s. BP in the hospital is always higher because of white coat hypertension.    ER course BP 170-190s systolic, HR in the 90s, AF. EKG Q waves in the inferior lead with no significant ischemia or ST elevations. Labs notable for a troponin ~ 2000. CXR within normal limits. Given aspirin, statin, nitro and heparin.    Currently feels pain free. No other acute issues or complaints/    Smoked 3 mos after a divorce, otherwise no smoking history.  No significant family history of CAD. "  D/C summary: "Principal Diagnosis: o Myocarditis   Secondary Diagnoses:  o Type II MI o Hypertension o Hypercholesterolemia o Prediabetes mellitus o Obesity    Procedures/Diagnostics:   5/13/2021.  Coronary angiogram.  o Normal left ventricular function o Normal coronary anatomy o Right radial loop Note: A right radial loop was encountered requiring a femoral access.   5/13/2021.  Echocardiogram.   ?  Left ventricle size is normal. Mildly increased wall thickness. Normal wall motion. Normal systolic function. LV EF is 75 % , ?  Nrrmal valve function.   5/13/2021.  Cardiac MRI.  Evidence of myocarditis, with subepicardial late enhancement at the mid chamber  and apical lateral wall with associated regional edema and mild native T1 signal  elevation.   Normal right and left ventricular size. Hyperdynamic LV. No significant valvular  abnormality.    Hospital Course:  In brief, this is a 63 y.o. year old female admitted on 5/13/2021 with chest pain, troponin elevation and found to have normal coronary arteries.  Preserved LV systolic function by echocardiogram. She underwent an cMRI demonstrating myocarditis. She was started on colchicine and remained pain free for the rest of the admission.    Myocarditis: Presented with acute onset chest pain and troponin of ~2000. Diagnosed via MRI after normal coronary angiogram. Normal biventricular function. Etiology is likely idiopathic as she had no other obvious inciting events. Pain free prior to discharge.  o Colchicine 0.6 mg twice daily.  o Follow-up with Dr. on 6/8 arrival time 12:40 PM   Hyertension: well controlled today. Management per PCP o Metoprolol succinate 25 mg daily o Hyzaar 100-12.5 mg daily o Amlodipine 10 mg daily   Hyperlipidemia: tolerating atorvastatin 20 mg daily. "
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Magnetic resonance imaging abnormal, Magnetic resonance imaging heart, Myocardial infarction, Myocarditis
Clinical narrative: H&P: Patient is a 63 y.o. female who presents for chest pain found to have NSTEMI.    No prior cardiac history who presents with acute onset left sided arm, and jaw pain. Associated with diaphoresis. Looked up "heart attack signs in women" and came to the ER after reading this. In the days/weeks leading up denies any chest pain or pressure, LH, dizziness or syncope. No exertional dyspnea, orthopnea, PND or LE edema.    BP at home are usually 130-150s. BP in the hospital is always higher because of white coat hypertension.    ER course BP 170-190s systolic, HR in the 90s, AF. EKG Q waves in the inferior lead with no significant ischemia or ST elevations. Labs notable for a troponin ~ 2000. CXR within normal limits. Given aspirin, statin, nitro and heparin.    Currently feels pain free. No other acute issues or complaints/    Smoked 3 mos after a divorce, otherwise no smoking history.  No significant family history of CAD. "  D/C summary: "Principal Diagnosis: o Myocarditis   Secondary Diagnoses:  o Type II MI o Hypertension o Hypercholesterolemia o Prediabetes mellitus o Obesity    Procedures/Diagnostics:   5/13/2021.  Coronary angiogram.  o Normal left ventricular function o Normal coronary anatomy o Right radial loop Note: A right radial loop was encountered requiring a femoral access.   5/13/2021.  Echocardiogram.   ?  Left ventricle size is normal. Mildly increased wall thickness. Normal wall motion. Normal systolic function. LV EF is 75 % , ?  Nrrmal valve function.   5/13/2021.  Cardiac MRI.  Evidence of myocarditis, with subepicardial late enhancement at the mid chamber  and apical lateral wall with associated regional edema and mild native T1 signal  elevation.   Normal right and left ventricular size. Hyperdynamic LV. No significant valvular  abnormality.    Hospital Course:  In brief, this is a 63 y.o. year old female admitted on 5/13/2021 with chest pain, troponin elevation and found to have normal coronary arteries.  Preserved LV systolic function by echocardiogram. She underwent an cMRI demonstrating myocarditis. She was started on colchicine and remained pain free for the rest of the admission.    Myocarditis: Presented with acute onset chest pain and troponin of ~2000. Diagnosed via MRI after normal coronary angiogram. Normal biventricular function. Etiology is likely idiopathic as she had no other obvious inciting events. Pain free prior to discharge.  o Colchicine 0.6 mg twice daily.  o Follow-up with Dr. on 6/8 arrival time 12:40 PM   Hyertension: well controlled today. Management per PCP o Metoprolol succinate 25 mg daily o Hyzaar 100-12.5 mg daily o Amlodipine 10 mg daily   Hyperlipidemia: tolerating atorvastatin 20 mg daily. "
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Obesity, Pain in extremity, Pain in jaw, Troponin increased, White coat hypertension
Clinical narrative: H&P: Patient is a 63 y.o. female who presents for chest pain found to have NSTEMI.    No prior cardiac history who presents with acute onset left sided arm, and jaw pain. Associated with diaphoresis. Looked up "heart attack signs in women" and came to the ER after reading this. In the days/weeks leading up denies any chest pain or pressure, LH, dizziness or syncope. No exertional dyspnea, orthopnea, PND or LE edema.    BP at home are usually 130-150s. BP in the hospital is always higher because of white coat hypertension.    ER course BP 170-190s systolic, HR in the 90s, AF. EKG Q waves in the inferior lead with no significant ischemia or ST elevations. Labs notable for a troponin ~ 2000. CXR within normal limits. Given aspirin, statin, nitro and heparin.    Currently feels pain free. No other acute issues or complaints/    Smoked 3 mos after a divorce, otherwise no smoking history.  No significant family history of CAD. "  D/C summary: "Principal Diagnosis: o Myocarditis   Secondary Diagnoses:  o Type II MI o Hypertension o Hypercholesterolemia o Prediabetes mellitus o Obesity    Procedures/Diagnostics:   5/13/2021.  Coronary angiogram.  o Normal left ventricular function o Normal coronary anatomy o Right radial loop Note: A right radial loop was encountered requiring a femoral access.   5/13/2021.  Echocardiogram.   ?  Left ventricle size is normal. Mildly increased wall thickness. Normal wall motion. Normal systolic function. LV EF is 75 % , ?  Nrrmal valve function.   5/13/2021.  Cardiac MRI.  Evidence of myocarditis, with subepicardial late enhancement at the mid chamber  and apical lateral wall with associated regional edema and mild native T1 signal  elevation.   Normal right and left ventricular size. Hyperdynamic LV. No significant valvular  abnormality.    Hospital Course:  In brief, this is a 63 y.o. year old female admitted on 5/13/2021 with chest pain, troponin elevation and found to have normal coronary arteries.  Preserved LV systolic function by echocardiogram. She underwent an cMRI demonstrating myocarditis. She was started on colchicine and remained pain free for the rest of the admission.    Myocarditis: Presented with acute onset chest pain and troponin of ~2000. Diagnosed via MRI after normal coronary angiogram. Normal biventricular function. Etiology is likely idiopathic as she had no other obvious inciting events. Pain free prior to discharge.  o Colchicine 0.6 mg twice daily.  o Follow-up with Dr. on 6/8 arrival time 12:40 PM   Hyertension: well controlled today. Management per PCP o Metoprolol succinate 25 mg daily o Hyzaar 100-12.5 mg daily o Amlodipine 10 mg daily   Hyperlipidemia: tolerating atorvastatin 20 mg daily. "
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Chills, Headache, SARS-CoV-2 antibody test positive
Clinical narrative: I received my 2nd dose on May 5th.  On May 25th, three weeks later, I  experienced the exact same symptoms I had the day after my second shot.  Chills, headache, mild temperature of 100.3.  Both instances, May 5th and May 25th, lasted about 24 hours.  Today, May 27th, i feel back to my normal self.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I received my 2nd dose on May 5th.  On May 25th, three weeks later, I  experienced the exact same symptoms I had the day after my second shot.  Chills, headache, mild temperature of 100.3.  Both instances, May 5th and May 25th, lasted about 24 hours.  Today, May 27th, i feel back to my normal self.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Syncope
Clinical narrative: Pt fainted during the 15 minute waiting period. Hit head. Recovered quickly. Was evaluated by rescue squad.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein normal, Chest X-ray normal, Chest pain, Electrocardiogram normal, Full blood count normal
Clinical narrative: Patient presented to ER with severe unrelenting chest pain beginning abruptly 4 days after receiving first dose of Pfizer COVID19 vaccine. He was diagnosed at the ER with pericarditis and discharged with ibuprofen. Chest pain has gradually improved over past 6 days though is still intermittently present.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Troponin normal
Clinical narrative: Patient presented to ER with severe unrelenting chest pain beginning abruptly 4 days after receiving first dose of Pfizer COVID19 vaccine. He was diagnosed at the ER with pericarditis and discharged with ibuprofen. Chest pain has gradually improved over past 6 days though is still intermittently present.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Nausea, Paraesthesia, Vertigo
Clinical narrative: Client indicated she received her vaccine wihout incident at 1330. She sat in observation for 15 mins and denies having experienced any side effects. Client reported as she walked to her car, she began to experience vertigo, nausea and tingling. She sat under the tent near the observation area. MD and EMS paged. MD assessed client and recommended client remain in observation until she felt better. Client requested her adult daughter's presence as she waited. Client was observed to be crying during her assessment with MD. Client remained for continued observation. Client exited observation with her adult daughter by her side in stable condition at 1416, denied any side effects at time of departure.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: mixed Covid Vaccine series: Given Moderna vaccine to patient that had Pfizer as 1st vaccine
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pain in extremity
Clinical narrative: Got injection Monday.   Arm soreness starting about an hour after the shot, and worse arm pain the next day (Tuesday). Arm pain mostly gone by the 4th day after the shot (Thursday). Body aches throughout the second day after the shot (Wednesday). No fever, but felt the body aches that are usually associated with fever. Also contributed to fatigue. The body aches increased throughout the day, leading me to take one acetaminophen pill before bed. Chills were gone by the next morning (Thursday).
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Heavy menstrual bleeding, Palpitations
Clinical narrative: I had slight bleeding for 4 days  from my vagina after my 1st vaccine dose on 12th march 2021 and heavy bleeding and stomach cramps after my 2nx dose. I am also have palpitations which come.and go
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram thorax, Deep vein thrombosis, Dyspnoea, Pain in extremity
Clinical narrative: Covid arm (rash and itching) for 1 week.  Resolved on its own.  Leg swelling and pain as well as shortness of breath.  Had Doppler scan on leg and CTs on chest. Diagnosed?DVT left leg and PE in lungs.  On blood thinner and TED hose x 6 months.  On treatment now.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Post-acute COVID-19 syndrome, Pruritus, Pulmonary embolism, Rash
Clinical narrative: Covid arm (rash and itching) for 1 week.  Resolved on its own.  Leg swelling and pain as well as shortness of breath.  Had Doppler scan on leg and CTs on chest. Diagnosed?DVT left leg and PE in lungs.  On blood thinner and TED hose x 6 months.  On treatment now.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Ultrasound Doppler abnormal
Clinical narrative: Covid arm (rash and itching) for 1 week.  Resolved on its own.  Leg swelling and pain as well as shortness of breath.  Had Doppler scan on leg and CTs on chest. Diagnosed?DVT left leg and PE in lungs.  On blood thinner and TED hose x 6 months.  On treatment now.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Fatigue
Clinical narrative: Patient spouse reports to me the following: patient felt normal most of the day, later in the evening he felt extreme fatigue went to bed around 9pm.  She found him deceased around 2am.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given dose of Janssen on 5/24 after reporting no previous vaccination.  CAIR records reveal patient had also received J&J on 3/11/21.  Post vaccination monitoring of client by medical personnel at facility reveals no symptoms or side effects.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Pain
Clinical narrative: complaint of fatigue, body ache and pain at injection site
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: PATIENT SIGNED UP FOR A SECOND DOSE PFIZER VACCINE CLINIC AND WAS GIVEN THE SHOT EARLY.  HE SHOULD HAVE RECEIVED IT ON 6/8/21 AND INSTEAD RECEIVED IT ON 5/26/21. TO DATE NO ADVERSE EFFECT HAS BEEN REPORTED FROM THE PATIENT.  HAVE LEFT MESSAGES FOR HIM TO RETURN OUR PHONE CALL.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: LIPS WERE TINGLING.  PATIENT GIVEN STEROIDS AND BENADRYL.  RECOVERED.   ATTEMPTED TO CALL X 4 FOR F/U BUT NO ANSWER WHEN CALLED
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Electrocardiogram, Electroencephalogram, Laboratory test, Magnetic resonance imaging head
Clinical narrative: Patient started having seizure like activity and weakness in her arms and legs; the patient was brought by EMS to the ER and admitted for testing.  She had tics that were occurring of her head and neck area.  After she was released with no abnormalities noted to be causing her symptoms, she was referred to a Functional Movement Disorder specialist at a clinic, who diagnosed her with Functional Movement Disorder.  Her symptoms resolved completely about a week after her hospitalization.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Muscular weakness, Seizure like phenomena, Tic
Clinical narrative: Patient started having seizure like activity and weakness in her arms and legs; the patient was brought by EMS to the ER and admitted for testing.  She had tics that were occurring of her head and neck area.  After she was released with no abnormalities noted to be causing her symptoms, she was referred to a Functional Movement Disorder specialist at a clinic, who diagnosed her with Functional Movement Disorder.  Her symptoms resolved completely about a week after her hospitalization.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram, Deafness neurosensory, Discomfort, Ear discomfort, Headache
Clinical narrative: Sudden sensorineural hearing loss on the right ear. Symptoms started 1 week after the 2nd dose of the COVID-19 vaccine on Monday 5/17. The hearing loss was accompanied by continuous buzzing sound, static noise, sensation of ear fullness, local discomfort, headache. It progressed over the first week. On saturday 5/22, I performed an online hearing test that confirmed the hearing loss (see section 19 for results). I went to urgent care to get the ear checked and cleaned, with no noticeable improvement in symptoms. On Sunday 5/23 I was started on 30 mg predinsone po. On Monday 5/24, I went to specialist care, she increased dose to 60 mg of prednisone and order additional tests.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging, Tinnitus
Clinical narrative: Sudden sensorineural hearing loss on the right ear. Symptoms started 1 week after the 2nd dose of the COVID-19 vaccine on Monday 5/17. The hearing loss was accompanied by continuous buzzing sound, static noise, sensation of ear fullness, local discomfort, headache. It progressed over the first week. On saturday 5/22, I performed an online hearing test that confirmed the hearing loss (see section 19 for results). I went to urgent care to get the ear checked and cleaned, with no noticeable improvement in symptoms. On Sunday 5/23 I was started on 30 mg predinsone po. On Monday 5/24, I went to specialist care, she increased dose to 60 mg of prednisone and order additional tests.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Joint range of motion decreased, Pain, Product administered at inappropriate site
Clinical narrative: Injection administered too high. Is directly under the acromion process, approx 1 finger width below. Injection site is also not centered on arm.  Pain within 1 hour. Increased pain throughout the day unlike the first dose. Decreased range of motion  Pregnant- 32.0 weeks
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fibrin D dimer increased, Lymph node pain, Lymphadenopathy, Nausea
Clinical narrative: Low grade fever for 5 days. Extreme nausea for 24 hours. Diarrhea for 72 hours. 24 hours after the injection the lymph node under my left arm swelled up to about the size of a baseball, it was extremely hot and painful. It stayed that size for 4 days, and then finally started getting a little smaller each day. It's officially been 10 days and I would say that lymph node is about golf ball sized now. I did see my doctor and she said it can be a normal side effect and as long as it's going down not to worry. I also was having pain in my back and the doctor suspected a possible pe, my d-dimer test came back positive twice but my platelets remained in the normal range. The second d-dimer was only 513 and considered barely out of range so we assume whatever clot I had dissolved on its own.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count increased, Pyrexia, Skin warm
Clinical narrative: Low grade fever for 5 days. Extreme nausea for 24 hours. Diarrhea for 72 hours. 24 hours after the injection the lymph node under my left arm swelled up to about the size of a baseball, it was extremely hot and painful. It stayed that size for 4 days, and then finally started getting a little smaller each day. It's officially been 10 days and I would say that lymph node is about golf ball sized now. I did see my doctor and she said it can be a normal side effect and as long as it's going down not to worry. I also was having pain in my back and the doctor suspected a possible pe, my d-dimer test came back positive twice but my platelets remained in the normal range. The second d-dimer was only 513 and considered barely out of range so we assume whatever clot I had dissolved on its own.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood creatine phosphokinase increased, Cardiomyopathy, Chest pain, Pain, Troponin increased
Clinical narrative: Patinet presented to the Emergency Department with burning chest pain radiating from the center of his chest 1 day post receiving his second dose of the Pfizer vaccine. Elevated Troponin (16498) and Creatinine Kinase (1187). Patient being treated for vaccine induced cardiomyopathy.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bicuspid aortic valve, Chest X-ray normal, Chest pain, Echocardiogram, Ejection fraction decreased
Clinical narrative: Patinet presented to the Emergency Department with burning chest pain radiating from the center of his chest 1 day post receiving his second dose of the Pfizer vaccine. Elevated Troponin (16498) and Creatinine Kinase (1187). Patient being treated for vaccine induced cardiomyopathy.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram normal, Myocarditis, Nausea, Pyrexia, Troponin increased
Clinical narrative: Patinet presented to the Emergency Department with burning chest pain radiating from the center of his chest 1 day post receiving his second dose of the Pfizer vaccine. Elevated Troponin (16498) and Creatinine Kinase (1187). Patient being treated for vaccine induced cardiomyopathy.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Patinet presented to the Emergency Department with burning chest pain radiating from the center of his chest 1 day post receiving his second dose of the Pfizer vaccine. Elevated Troponin (16498) and Creatinine Kinase (1187). Patient being treated for vaccine induced cardiomyopathy.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Peripheral swelling, Pruritus, Rash, Rash erythematous
Clinical narrative: Moderna Arm Shingles Called pharmacy where received vaccine was told my  swollen  read rash on arm was Moderna Arm, then was a few days latter wasn't better my Allergists informed me to call my primary physician or go to Urgent care for service since I was noticing itching on right shoulder back
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: On May 8, 2021, I woke up with a large red and inflamed rash on my injection site right arm! It was itching, and a raised puffy rash