chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Ammonia normal, Blood bilirubin decreased, Blood creatinine decreased, Eosinophil count increased, Fatigue
Clinical narrative: Similar to the reaction to his first dose, patient experienced extreme fatigue and increased seizure frequency, and more generalized seizures that worsened, and then resolved by day 26. Rescue medication (ativan) was used at home on 5 occasions. On April 7, 2021, (day 14) Pt had an in-person with neurologist to follow up on the seizures that occurred after the first dose. Later that day, Pt went into status epilepticus and had to go to the emergency room, which resulted in his being admitted to the neuroscience ICU for observation. He was discharged to home on April 8. Symptoms improved gradually and resolved by April 19 (day 26). Video foolow-up visit with neuro on 4/22.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count increased, Mean platelet volume decreased, Monocyte count increased, Seizure, Status epilepticus
Clinical narrative: Similar to the reaction to his first dose, patient experienced extreme fatigue and increased seizure frequency, and more generalized seizures that worsened, and then resolved by day 26. Rescue medication (ativan) was used at home on 5 occasions. On April 7, 2021, (day 14) Pt had an in-person with neurologist to follow up on the seizures that occurred after the first dose. Later that day, Pt went into status epilepticus and had to go to the emergency room, which resulted in his being admitted to the neuroscience ICU for observation. He was discharged to home on April 8. Symptoms improved gradually and resolved by April 19 (day 26). Video foolow-up visit with neuro on 4/22.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Similar to the reaction to his first dose, patient experienced extreme fatigue and increased seizure frequency, and more generalized seizures that worsened, and then resolved by day 26. Rescue medication (ativan) was used at home on 5 occasions. On April 7, 2021, (day 14) Pt had an in-person with neurologist to follow up on the seizures that occurred after the first dose. Later that day, Pt went into status epilepticus and had to go to the emergency room, which resulted in his being admitted to the neuroscience ICU for observation. He was discharged to home on April 8. Symptoms improved gradually and resolved by April 19 (day 26). Video foolow-up visit with neuro on 4/22.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Cognitive disorder, Deafness, Fatigue, Fluid retention
Clinical narrative: Dose 1 mild possible anaphylaxis lasting only minutes - 6 days severe normal side effects Dose 2 - Pretreated per Allergist recommedations - Extreme fatigue, cognitive impairment, lymphedema, peripheral edema, fluid retention, weight gain, loss of hearing in left ear
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Oedema peripheral, Weight increased
Clinical narrative: Dose 1 mild possible anaphylaxis lasting only minutes - 6 days severe normal side effects Dose 2 - Pretreated per Allergist recommedations - Extreme fatigue, cognitive impairment, lymphedema, peripheral edema, fluid retention, weight gain, loss of hearing in left ear
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Vision blurred
Clinical narrative: Blurry vision, near syncope after receiving vaccine. Onset of symptoms was 3-4mins after vaccine administration. Did not eat breakfast this morning Given juice and crackers Exam was normal Discharged to home
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral venous thrombosis
Clinical narrative: Cerebral venous thrombosis
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Rash pruritic, Rash pustular
Clinical narrative: Patient reports a "chicken-pox like" rash that is itchy and red-spotted with small pustules. It starts above the knees and runs down to her feet on both legs. States it started 2-3 days post vaccination and has worsened some since. She has been treating it mainly with benadryl at night which has helped some, but is now using a leftover medrol dose pack as of today (5/20/21). She has a appointment to get the rash looked at next week.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness/tingling in my ring and pinky finger in the left hand.  It started just a few hours after my first vaccine and has remained persistent since that time.  Some days it can be more prominent than others but has generally remained consistent since the time of the vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Dyspnoea, Injection site pain, Nausea
Clinical narrative: Extreme abdominal pain, especially on right side. Shortness of breath. No energy.  Intense joint pain. Nausea.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt asked for covid vaccine and said she had never had it, but after administered I found that she had had Moderna one dose only in February 2021.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Feeling hot, Injection site pain, Nausea, Pain
Clinical narrative: Soreness in injection site beginning around 3 PM on the 18th, with fever-like symptoms (hot and cold, soreness and sluggishness) starting around 3 PM and becoming worse throughout the night. Woke up on the 19th at 7:30 AM with continued injection site pain and fever like symptoms but no notable fever. Also began to feel nauseous on the morning of the 19th, which continued all day. Woke up on the 27th at 10:00 AM feeling mostly back to normal with a small amount of injection site pain left over.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Sluggishness
Clinical narrative: Soreness in injection site beginning around 3 PM on the 18th, with fever-like symptoms (hot and cold, soreness and sluggishness) starting around 3 PM and becoming worse throughout the night. Woke up on the 19th at 7:30 AM with continued injection site pain and fever like symptoms but no notable fever. Also began to feel nauseous on the morning of the 19th, which continued all day. Woke up on the 27th at 10:00 AM feeling mostly back to normal with a small amount of injection site pain left over.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: Pericarditis
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in left ear
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Developed s/s of COVID 5/18, tested positive 5/19
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adenovirus test, Atypical pneumonia, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: COUGH ED to Hosp-Admission Discharged  5/9/2021 - 5/13/2021 (4 days) Hospital  MD Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem  Hospital Course:   Please refer to the admission H&P for details of presentation. In summary, patient is a 56 y.o. female with known history of moderate obesity, obstructive sleep apnea requiring CPAP at home, dyslipidemia, hypothyroidism and bronchial asthma was admitted to the hospital service for evaluation of shortness of breath and cough.  Upon admission patient was found to be having Acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Chest x-ray upon admission showed Patchy bilateral opacities consistent with atypical pneumonia.    Patient completed 5 days course of remdesivir during hospitalization.  Patient was discharged on dexamethasone.Patient received 1 unit of conversant plasma during hospitalization. Patient qualified for 2L of oxygen by nasal cannula at  discharge.  Patient currently feels well and is wanting to go home today.  Patient is advised to follow-up with primary care physician within a span of one to 2 weeks.  Currently patient is being discharged in a medically stable condition after being evaluated by our team.  All the questions and concerns of the patient and family were addressed in detail at the time of discharge.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chlamydia test negative, Coronavirus test negative, Cough, Dyspnoea, Enterovirus test negative
Clinical narrative: COUGH ED to Hosp-Admission Discharged  5/9/2021 - 5/13/2021 (4 days) Hospital  MD Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem  Hospital Course:   Please refer to the admission H&P for details of presentation. In summary, patient is a 56 y.o. female with known history of moderate obesity, obstructive sleep apnea requiring CPAP at home, dyslipidemia, hypothyroidism and bronchial asthma was admitted to the hospital service for evaluation of shortness of breath and cough.  Upon admission patient was found to be having Acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Chest x-ray upon admission showed Patchy bilateral opacities consistent with atypical pneumonia.    Patient completed 5 days course of remdesivir during hospitalization.  Patient was discharged on dexamethasone.Patient received 1 unit of conversant plasma during hospitalization. Patient qualified for 2L of oxygen by nasal cannula at  discharge.  Patient currently feels well and is wanting to go home today.  Patient is advised to follow-up with primary care physician within a span of one to 2 weeks.  Currently patient is being discharged in a medically stable condition after being evaluated by our team.  All the questions and concerns of the patient and family were addressed in detail at the time of discharge.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Influenza A virus test negative, Influenza B virus test, Lung opacity, Mycoplasma test negative
Clinical narrative: COUGH ED to Hosp-Admission Discharged  5/9/2021 - 5/13/2021 (4 days) Hospital  MD Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem  Hospital Course:   Please refer to the admission H&P for details of presentation. In summary, patient is a 56 y.o. female with known history of moderate obesity, obstructive sleep apnea requiring CPAP at home, dyslipidemia, hypothyroidism and bronchial asthma was admitted to the hospital service for evaluation of shortness of breath and cough.  Upon admission patient was found to be having Acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Chest x-ray upon admission showed Patchy bilateral opacities consistent with atypical pneumonia.    Patient completed 5 days course of remdesivir during hospitalization.  Patient was discharged on dexamethasone.Patient received 1 unit of conversant plasma during hospitalization. Patient qualified for 2L of oxygen by nasal cannula at  discharge.  Patient currently feels well and is wanting to go home today.  Patient is advised to follow-up with primary care physician within a span of one to 2 weeks.  Currently patient is being discharged in a medically stable condition after being evaluated by our team.  All the questions and concerns of the patient and family were addressed in detail at the time of discharge.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Viral test negative
Clinical narrative: COUGH ED to Hosp-Admission Discharged  5/9/2021 - 5/13/2021 (4 days) Hospital  MD Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem  Hospital Course:   Please refer to the admission H&P for details of presentation. In summary, patient is a 56 y.o. female with known history of moderate obesity, obstructive sleep apnea requiring CPAP at home, dyslipidemia, hypothyroidism and bronchial asthma was admitted to the hospital service for evaluation of shortness of breath and cough.  Upon admission patient was found to be having Acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Chest x-ray upon admission showed Patchy bilateral opacities consistent with atypical pneumonia.    Patient completed 5 days course of remdesivir during hospitalization.  Patient was discharged on dexamethasone.Patient received 1 unit of conversant plasma during hospitalization. Patient qualified for 2L of oxygen by nasal cannula at  discharge.  Patient currently feels well and is wanting to go home today.  Patient is advised to follow-up with primary care physician within a span of one to 2 weeks.  Currently patient is being discharged in a medically stable condition after being evaluated by our team.  All the questions and concerns of the patient and family were addressed in detail at the time of discharge.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Blood glucose decreased, Blood uric acid, Laboratory test
Clinical narrative: Patient experienced ongoing and severe/disabling low blood sugar for several hours. We could not get her blood sugar to stabilize at home and had to take her to the emergency room for assistance.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of personal independence in daily activities, Pain, Pyrexia
Clinical narrative: Approx. 11 hours after injection I developed a low grade fever accompanied by extreme headaches and full body aches. Pain impacts daily life activity.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy
Clinical narrative: Vaccines administered 12/19/2020 and 01/06/2021.  Second vaccine determined to be done in 3rd week of pregnancy (prior to positive pregnancy test). Miscarriage occurred 01/25/2021 at 6 weeks. Otherwise healthy, prenatally-optimized 34 yo woman without personal or family history of miscarriage or pregnancy complications.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: None. Dose administered too early
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was in office for her annual exam, states she received first Pfizer dose on 4/10/2021 at another location, I gave her the option to get her second dose as we have them on hand, she agreed, after giving her the Pfizer vaccine 10-15 minutes later she found her card and it was Moderna vaccine that she had received first on 4/10/2021 not Pfizer. No adverse reaction after 15 minute observation time occurred.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash started left clavicle and shoulder 2 days post vaccine. Other areas of rash started on right arm, left arm , down back and legs a week later. Tried to use hydrocortisone cream and benadryl with no help.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted within 11min during the 15min observation window. patient woke up within seconds after I approached her to see if it was an allergic reaction. EMS was called immediately.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site warmth, Pain in extremity
Clinical narrative: Area of erythema  on right arm at vaccine administration site, 3 inches long and 1.5 inches wide.  Still present as of this reporting.  Site is slightly warm to the touch and slightly tender on palpation.  Minimal pain when using right arm.  No blisters, bumps, or rashes noted elsewhere on body.  Temperature got as high as 100.4  during the 24-48 hour period following the injection.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Nausea, Paraesthesia, Presyncope
Clinical narrative: Client felt clammy, almost faint. Tingle in legs and felt nauseous. Evaluated by EMS. BP 100/60 P 72 Felt better and went home with mom.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adenovirus test, Atypical pneumonia, COVID-19, Chest X-ray abnormal
Clinical narrative: Clinical Support, 5/4/2021, Family Medicine -  LPN, Close exposure to COVID-19 virus, Dx, Covid-19 Screening Reason for Visit. ED to Hosp-Admission Discharged  5/6/2021 - 5/8/2021 (2 days), Hospital, DO, Last attending, Treatment team COVID-19 virus infection, Principal problem, Medical Problems , Hospital Problems, POA, (Principal) COVID-19 virus infection- Yes, Hypokalemia- Yes, Diarrhea- Yes. Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 virus infection [U07.1] Severe sepsis Hospital Course, Pleasant 55-year-old female admitted to the hospital with signs of severe sepsis with associated acute hypoxic respiratory failure.  Was found to be febrile, tachycardia, tachypneic, hypoxic on admission. Chest imaging did reveal patchy infiltrates consistent with viral pneumonia.  Was diagnosed with COVID-19. Started on antiviral, corticosteroid, and received antibiotic therapies while in hospital.  Improved significantly over the course of 2 days and was able to titrate back to room air.  I recommended discharge home, she will continue to isolate until 14 days from initial diagnosis.  Recommended the use of albuterol as needed, and she will continue a taper of prednisone. She will follow-up with PCP in 7 to 10 days
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Coronavirus test negative, Cough, Diarrhoea, Human metapneumovirus test, Hypokalaemia
Clinical narrative: Clinical Support, 5/4/2021, Family Medicine -  LPN, Close exposure to COVID-19 virus, Dx, Covid-19 Screening Reason for Visit. ED to Hosp-Admission Discharged  5/6/2021 - 5/8/2021 (2 days), Hospital, DO, Last attending, Treatment team COVID-19 virus infection, Principal problem, Medical Problems , Hospital Problems, POA, (Principal) COVID-19 virus infection- Yes, Hypokalemia- Yes, Diarrhea- Yes. Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 virus infection [U07.1] Severe sepsis Hospital Course, Pleasant 55-year-old female admitted to the hospital with signs of severe sepsis with associated acute hypoxic respiratory failure.  Was found to be febrile, tachycardia, tachypneic, hypoxic on admission. Chest imaging did reveal patchy infiltrates consistent with viral pneumonia.  Was diagnosed with COVID-19. Started on antiviral, corticosteroid, and received antibiotic therapies while in hospital.  Improved significantly over the course of 2 days and was able to titrate back to room air.  I recommended discharge home, she will continue to isolate until 14 days from initial diagnosis.  Recommended the use of albuterol as needed, and she will continue a taper of prednisone. She will follow-up with PCP in 7 to 10 days
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Influenza A virus test negative, Influenza B virus test, Lung infiltration, Lung opacity
Clinical narrative: Clinical Support, 5/4/2021, Family Medicine -  LPN, Close exposure to COVID-19 virus, Dx, Covid-19 Screening Reason for Visit. ED to Hosp-Admission Discharged  5/6/2021 - 5/8/2021 (2 days), Hospital, DO, Last attending, Treatment team COVID-19 virus infection, Principal problem, Medical Problems , Hospital Problems, POA, (Principal) COVID-19 virus infection- Yes, Hypokalemia- Yes, Diarrhea- Yes. Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 virus infection [U07.1] Severe sepsis Hospital Course, Pleasant 55-year-old female admitted to the hospital with signs of severe sepsis with associated acute hypoxic respiratory failure.  Was found to be febrile, tachycardia, tachypneic, hypoxic on admission. Chest imaging did reveal patchy infiltrates consistent with viral pneumonia.  Was diagnosed with COVID-19. Started on antiviral, corticosteroid, and received antibiotic therapies while in hospital.  Improved significantly over the course of 2 days and was able to titrate back to room air.  I recommended discharge home, she will continue to isolate until 14 days from initial diagnosis.  Recommended the use of albuterol as needed, and she will continue a taper of prednisone. She will follow-up with PCP in 7 to 10 days
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia mycoplasmal, Pneumonia viral, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Clinical Support, 5/4/2021, Family Medicine -  LPN, Close exposure to COVID-19 virus, Dx, Covid-19 Screening Reason for Visit. ED to Hosp-Admission Discharged  5/6/2021 - 5/8/2021 (2 days), Hospital, DO, Last attending, Treatment team COVID-19 virus infection, Principal problem, Medical Problems , Hospital Problems, POA, (Principal) COVID-19 virus infection- Yes, Hypokalemia- Yes, Diarrhea- Yes. Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 virus infection [U07.1] Severe sepsis Hospital Course, Pleasant 55-year-old female admitted to the hospital with signs of severe sepsis with associated acute hypoxic respiratory failure.  Was found to be febrile, tachycardia, tachypneic, hypoxic on admission. Chest imaging did reveal patchy infiltrates consistent with viral pneumonia.  Was diagnosed with COVID-19. Started on antiviral, corticosteroid, and received antibiotic therapies while in hospital.  Improved significantly over the course of 2 days and was able to titrate back to room air.  I recommended discharge home, she will continue to isolate until 14 days from initial diagnosis.  Recommended the use of albuterol as needed, and she will continue a taper of prednisone. She will follow-up with PCP in 7 to 10 days
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tachypnoea
Clinical narrative: Clinical Support, 5/4/2021, Family Medicine -  LPN, Close exposure to COVID-19 virus, Dx, Covid-19 Screening Reason for Visit. ED to Hosp-Admission Discharged  5/6/2021 - 5/8/2021 (2 days), Hospital, DO, Last attending, Treatment team COVID-19 virus infection, Principal problem, Medical Problems , Hospital Problems, POA, (Principal) COVID-19 virus infection- Yes, Hypokalemia- Yes, Diarrhea- Yes. Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 virus infection [U07.1] Severe sepsis Hospital Course, Pleasant 55-year-old female admitted to the hospital with signs of severe sepsis with associated acute hypoxic respiratory failure.  Was found to be febrile, tachycardia, tachypneic, hypoxic on admission. Chest imaging did reveal patchy infiltrates consistent with viral pneumonia.  Was diagnosed with COVID-19. Started on antiviral, corticosteroid, and received antibiotic therapies while in hospital.  Improved significantly over the course of 2 days and was able to titrate back to room air.  I recommended discharge home, she will continue to isolate until 14 days from initial diagnosis.  Recommended the use of albuterol as needed, and she will continue a taper of prednisone. She will follow-up with PCP in 7 to 10 days
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Coronary artery disease, Echocardiogram abnormal
Clinical narrative: 24-year-old male with no prior medical problems presents for evaluation of chest pain.  Patient complains of midsternal chest pain that started approximately an hour ago.  He states that it woke him up from sleep.  Pain is sharp without any radiation or other associated symptoms including diaphoresis presyncopal symptoms or palpitations.  He denies any significant air hunger or shortness of breath.  He otherwise had been feeling better after what he tall was post COVID vaccine symptoms.  Patient received a 2nd dose of pfizer vaccine 3 days ago.  He states that within 24 hours he had symptoms of myalgia fever and feeling unwell.  That has been resolving patient has been feeling better until the chest pain today. Patient otherwise denies any other medical problems in.  He denies any history of drug use including any recent cocaine or other drug abuse.   Elevated cardiac enzymes and chest discomfort are likely secondary to myocarditis and secondary to vaccination/ inflammatory reaction.  Although there is low likelihood of obstructive coronary artery disease as well.  I recommended cardiac catheterization for clarification.  He does not want to have the procedure done, understands the risk of undiagnosed coronary artery disease and risk of MI.  He would like to be discharged home.    I reviewed the images of echocardiogram and it seems that he has a small area of hypokinesis in infero basal segment.   Recommended to take aspirin and be seen in Cardiology office in 2 weeks.  Advised to abstain from exercise and significant physical activity till that time and return to the hospital if any symptoms.       Subjective:   I saw patient in consultation for evaluation of chest pain and elevated cardiac enzymes.   Patient is a 24-year-old healthy male who had COVID-19 vaccination with his second Pfizer shot 4/14/21. He developed fever, chills, nausea and vomiting 1 day after vaccination.  He did not have any reaction to the 1st dose.   He presented to the hospital with substernal chest discomfort which woke him up from sleep, radiated to throat and had a throbbing feeling.  This lasted for 1 to 2 hours and subsided completely in the hospital.   He smokes 5 cigarettes a day, is physically very active and exercises regularly.  He is not on any medication at home.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction, Hyperhidrosis, Hypokinesia, Inflammation, Malaise
Clinical narrative: 24-year-old male with no prior medical problems presents for evaluation of chest pain.  Patient complains of midsternal chest pain that started approximately an hour ago.  He states that it woke him up from sleep.  Pain is sharp without any radiation or other associated symptoms including diaphoresis presyncopal symptoms or palpitations.  He denies any significant air hunger or shortness of breath.  He otherwise had been feeling better after what he tall was post COVID vaccine symptoms.  Patient received a 2nd dose of pfizer vaccine 3 days ago.  He states that within 24 hours he had symptoms of myalgia fever and feeling unwell.  That has been resolving patient has been feeling better until the chest pain today. Patient otherwise denies any other medical problems in.  He denies any history of drug use including any recent cocaine or other drug abuse.   Elevated cardiac enzymes and chest discomfort are likely secondary to myocarditis and secondary to vaccination/ inflammatory reaction.  Although there is low likelihood of obstructive coronary artery disease as well.  I recommended cardiac catheterization for clarification.  He does not want to have the procedure done, understands the risk of undiagnosed coronary artery disease and risk of MI.  He would like to be discharged home.    I reviewed the images of echocardiogram and it seems that he has a small area of hypokinesis in infero basal segment.   Recommended to take aspirin and be seen in Cardiology office in 2 weeks.  Advised to abstain from exercise and significant physical activity till that time and return to the hospital if any symptoms.       Subjective:   I saw patient in consultation for evaluation of chest pain and elevated cardiac enzymes.   Patient is a 24-year-old healthy male who had COVID-19 vaccination with his second Pfizer shot 4/14/21. He developed fever, chills, nausea and vomiting 1 day after vaccination.  He did not have any reaction to the 1st dose.   He presented to the hospital with substernal chest discomfort which woke him up from sleep, radiated to throat and had a throbbing feeling.  This lasted for 1 to 2 hours and subsided completely in the hospital.   He smokes 5 cigarettes a day, is physically very active and exercises regularly.  He is not on any medication at home.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Myocardial necrosis marker increased, Myocarditis, Nausea, Oropharyngeal pain
Clinical narrative: 24-year-old male with no prior medical problems presents for evaluation of chest pain.  Patient complains of midsternal chest pain that started approximately an hour ago.  He states that it woke him up from sleep.  Pain is sharp without any radiation or other associated symptoms including diaphoresis presyncopal symptoms or palpitations.  He denies any significant air hunger or shortness of breath.  He otherwise had been feeling better after what he tall was post COVID vaccine symptoms.  Patient received a 2nd dose of pfizer vaccine 3 days ago.  He states that within 24 hours he had symptoms of myalgia fever and feeling unwell.  That has been resolving patient has been feeling better until the chest pain today. Patient otherwise denies any other medical problems in.  He denies any history of drug use including any recent cocaine or other drug abuse.   Elevated cardiac enzymes and chest discomfort are likely secondary to myocarditis and secondary to vaccination/ inflammatory reaction.  Although there is low likelihood of obstructive coronary artery disease as well.  I recommended cardiac catheterization for clarification.  He does not want to have the procedure done, understands the risk of undiagnosed coronary artery disease and risk of MI.  He would like to be discharged home.    I reviewed the images of echocardiogram and it seems that he has a small area of hypokinesis in infero basal segment.   Recommended to take aspirin and be seen in Cardiology office in 2 weeks.  Advised to abstain from exercise and significant physical activity till that time and return to the hospital if any symptoms.       Subjective:   I saw patient in consultation for evaluation of chest pain and elevated cardiac enzymes.   Patient is a 24-year-old healthy male who had COVID-19 vaccination with his second Pfizer shot 4/14/21. He developed fever, chills, nausea and vomiting 1 day after vaccination.  He did not have any reaction to the 1st dose.   He presented to the hospital with substernal chest discomfort which woke him up from sleep, radiated to throat and had a throbbing feeling.  This lasted for 1 to 2 hours and subsided completely in the hospital.   He smokes 5 cigarettes a day, is physically very active and exercises regularly.  He is not on any medication at home.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Palpitations, Presyncope, Pyrexia, Sleep disorder
Clinical narrative: 24-year-old male with no prior medical problems presents for evaluation of chest pain.  Patient complains of midsternal chest pain that started approximately an hour ago.  He states that it woke him up from sleep.  Pain is sharp without any radiation or other associated symptoms including diaphoresis presyncopal symptoms or palpitations.  He denies any significant air hunger or shortness of breath.  He otherwise had been feeling better after what he tall was post COVID vaccine symptoms.  Patient received a 2nd dose of pfizer vaccine 3 days ago.  He states that within 24 hours he had symptoms of myalgia fever and feeling unwell.  That has been resolving patient has been feeling better until the chest pain today. Patient otherwise denies any other medical problems in.  He denies any history of drug use including any recent cocaine or other drug abuse.   Elevated cardiac enzymes and chest discomfort are likely secondary to myocarditis and secondary to vaccination/ inflammatory reaction.  Although there is low likelihood of obstructive coronary artery disease as well.  I recommended cardiac catheterization for clarification.  He does not want to have the procedure done, understands the risk of undiagnosed coronary artery disease and risk of MI.  He would like to be discharged home.    I reviewed the images of echocardiogram and it seems that he has a small area of hypokinesis in infero basal segment.   Recommended to take aspirin and be seen in Cardiology office in 2 weeks.  Advised to abstain from exercise and significant physical activity till that time and return to the hospital if any symptoms.       Subjective:   I saw patient in consultation for evaluation of chest pain and elevated cardiac enzymes.   Patient is a 24-year-old healthy male who had COVID-19 vaccination with his second Pfizer shot 4/14/21. He developed fever, chills, nausea and vomiting 1 day after vaccination.  He did not have any reaction to the 1st dose.   He presented to the hospital with substernal chest discomfort which woke him up from sleep, radiated to throat and had a throbbing feeling.  This lasted for 1 to 2 hours and subsided completely in the hospital.   He smokes 5 cigarettes a day, is physically very active and exercises regularly.  He is not on any medication at home.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Vomiting
Clinical narrative: 24-year-old male with no prior medical problems presents for evaluation of chest pain.  Patient complains of midsternal chest pain that started approximately an hour ago.  He states that it woke him up from sleep.  Pain is sharp without any radiation or other associated symptoms including diaphoresis presyncopal symptoms or palpitations.  He denies any significant air hunger or shortness of breath.  He otherwise had been feeling better after what he tall was post COVID vaccine symptoms.  Patient received a 2nd dose of pfizer vaccine 3 days ago.  He states that within 24 hours he had symptoms of myalgia fever and feeling unwell.  That has been resolving patient has been feeling better until the chest pain today. Patient otherwise denies any other medical problems in.  He denies any history of drug use including any recent cocaine or other drug abuse.   Elevated cardiac enzymes and chest discomfort are likely secondary to myocarditis and secondary to vaccination/ inflammatory reaction.  Although there is low likelihood of obstructive coronary artery disease as well.  I recommended cardiac catheterization for clarification.  He does not want to have the procedure done, understands the risk of undiagnosed coronary artery disease and risk of MI.  He would like to be discharged home.    I reviewed the images of echocardiogram and it seems that he has a small area of hypokinesis in infero basal segment.   Recommended to take aspirin and be seen in Cardiology office in 2 weeks.  Advised to abstain from exercise and significant physical activity till that time and return to the hospital if any symptoms.       Subjective:   I saw patient in consultation for evaluation of chest pain and elevated cardiac enzymes.   Patient is a 24-year-old healthy male who had COVID-19 vaccination with his second Pfizer shot 4/14/21. He developed fever, chills, nausea and vomiting 1 day after vaccination.  He did not have any reaction to the 1st dose.   He presented to the hospital with substernal chest discomfort which woke him up from sleep, radiated to throat and had a throbbing feeling.  This lasted for 1 to 2 hours and subsided completely in the hospital.   He smokes 5 cigarettes a day, is physically very active and exercises regularly.  He is not on any medication at home.
Age: 51.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Heavy menstrual bleeding, Herpes zoster
Clinical narrative: Shingles vaccine also on March 10.  I've been keeping track of my menstrual periods since February 2020 and have been regular until March 2021. My periods were always regular and light to normal flow. The dates of my periods have been: January 6 February 1 March 7 March 30 April 18 May 2 May 17 Also, much heavier flow on the dates beginning March 30. I wanted to report this because I've been reading that changes in menstruation may be a vaccine side effect.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Herpes zoster, Pain in jaw, Pain of skin
Clinical narrative: Shingles. Active for about 1 month.  Acyclovir 3/day x 7 days, prednisone, Augmentin 2/day x 10 days.  Headache, earache, jaw pain, scalp pain, lesions from top of head to chin on left side of face, general fatigue
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Chills, Pyrexia, X-ray
Clinical narrative: I had a fever, chills and abdominal pain that caused me to go to the doctor.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Chest pain, Decreased appetite, Disturbance in attention, Dizziness
Clinical narrative: Following the first vaccine I felt flu like for over a week then I had a 16 day long cycle. I have not had a cycle longer than two days for over 5 years. I continued to feel exhausted and sick but it was tolerable until the second vaccine. After that one I have dizziness, nausea, headaches, no appetite, insomnia, horrible night sweats, stinky sweat, chest pain, hot flashes, can't think straight, high glucose, and swollen glands in my neck.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Headache, Hot flush, Insomnia, Lymphadenopathy
Clinical narrative: Following the first vaccine I felt flu like for over a week then I had a 16 day long cycle. I have not had a cycle longer than two days for over 5 years. I continued to feel exhausted and sick but it was tolerable until the second vaccine. After that one I have dizziness, nausea, headaches, no appetite, insomnia, horrible night sweats, stinky sweat, chest pain, hot flashes, can't think straight, high glucose, and swollen glands in my neck.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Night sweats, Skin odour abnormal
Clinical narrative: Following the first vaccine I felt flu like for over a week then I had a 16 day long cycle. I have not had a cycle longer than two days for over 5 years. I continued to feel exhausted and sick but it was tolerable until the second vaccine. After that one I have dizziness, nausea, headaches, no appetite, insomnia, horrible night sweats, stinky sweat, chest pain, hot flashes, can't think straight, high glucose, and swollen glands in my neck.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Condition aggravated, Dizziness, Headache, Impaired driving ability
Clinical narrative: Started having a surge/relapse of symptoms associated with Meniere's Disease. Vertigo, nystagmus, loss of balance, bobble-headedness, headaches . Lasted over 5 weeks. Had to restrict driving and physical activities.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Meniere's disease, Nystagmus, Vertigo
Clinical narrative: Started having a surge/relapse of symptoms associated with Meniere's Disease. Vertigo, nystagmus, loss of balance, bobble-headedness, headaches . Lasted over 5 weeks. Had to restrict driving and physical activities.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Injection site pain, Pain
Clinical narrative: Body ache, headache, fatigue, pain at injection site, shortness of breath
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Pain, Pain in extremity, Urticaria, Vitamin B12 decreased
Clinical narrative: I arrived home and my arm was throbbing really bad and broke out all over with hives (looks like measles).
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient complained of dizziness. Assessment done, Vital signs taken. After 10 mins patient stated that she's feeling much better. patient sent home in stable condition. Patient educated.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Dysgeusia, Peripheral swelling, Pharyngeal swelling
Clinical narrative: When I got the vaccine I had a metallic taste. I waited the 15 minutes and no problem. I went to work and after some minutes I had swelling in my throat and arm and I went to the ER. My airway was not fully shut but they gave me steroids and other stuff and then I was fine. I waited about 2 hours and I was fine later.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Coordination abnormal, Fatigue, Hypersomnia, Impaired driving ability
Clinical narrative: Confusion/inability to complete tasks: within 20 minutes of getting my vaccine, I was unsafe to drive (drove on the wrong side of the road). Within 2 hours, I could no longer focus enough to work (I'm an engineer). It's been 6 days since my shot and I'm still confused, forgetful, unable to focus, and unsafe to drive. I forget steps during work tasks, and forget what I'm doing while I'm doing it. It's like a short term/prospective memory issue. Lack of coordination: 5 days after shot, could not navigate stairs without assistance. Could not remember ADL (did I get mail, did I eat, did I shower, day of week...) Fatigue: Slept/ rested all day for 2 days after the shot. It's now 6 days after the shot and I'm still unusually tired, needing 2-6 extra hours of rest a day. It's tiring to walk short distances, to focus/converse, to work. Sore arm: my arm was very sore for 2 days after the shot (painful at rest, worse if touched, like a bruise). By 4 days after the shot, it was not sore even if pressed/hugged. I do not have any headache.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site pain, Loss of personal independence in daily activities, Memory impairment, Mobility decreased
Clinical narrative: Confusion/inability to complete tasks: within 20 minutes of getting my vaccine, I was unsafe to drive (drove on the wrong side of the road). Within 2 hours, I could no longer focus enough to work (I'm an engineer). It's been 6 days since my shot and I'm still confused, forgetful, unable to focus, and unsafe to drive. I forget steps during work tasks, and forget what I'm doing while I'm doing it. It's like a short term/prospective memory issue. Lack of coordination: 5 days after shot, could not navigate stairs without assistance. Could not remember ADL (did I get mail, did I eat, did I shower, day of week...) Fatigue: Slept/ rested all day for 2 days after the shot. It's now 6 days after the shot and I'm still unusually tired, needing 2-6 extra hours of rest a day. It's tiring to walk short distances, to focus/converse, to work. Sore arm: my arm was very sore for 2 days after the shot (painful at rest, worse if touched, like a bruise). By 4 days after the shot, it was not sore even if pressed/hugged. I do not have any headache.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Confusion/inability to complete tasks: within 20 minutes of getting my vaccine, I was unsafe to drive (drove on the wrong side of the road). Within 2 hours, I could no longer focus enough to work (I'm an engineer). It's been 6 days since my shot and I'm still confused, forgetful, unable to focus, and unsafe to drive. I forget steps during work tasks, and forget what I'm doing while I'm doing it. It's like a short term/prospective memory issue. Lack of coordination: 5 days after shot, could not navigate stairs without assistance. Could not remember ADL (did I get mail, did I eat, did I shower, day of week...) Fatigue: Slept/ rested all day for 2 days after the shot. It's now 6 days after the shot and I'm still unusually tired, needing 2-6 extra hours of rest a day. It's tiring to walk short distances, to focus/converse, to work. Sore arm: my arm was very sore for 2 days after the shot (painful at rest, worse if touched, like a bruise). By 4 days after the shot, it was not sore even if pressed/hugged. I do not have any headache.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever, Chills, Body ache, Headache, Nausea
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Patient reported swollen tongue shape of a small egg.  Patient was advised to call or do go to doctor immediately and take benadryl.  Patient was given steroid and benadryl shot at doctors office 5/19/21 and reported feeling much better on 5/20/21.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Cyanosis, Death, Peripheral coldness, Pulse absent, Respiratory arrest
Clinical narrative: The resident was administered his second COVID vaccine (Moderna) on 5/19/21 at 9:30am. Per nursing, the resident tolerated the vaccine well and no problems were documented throughout the day. At 10:00pm the nurse who administered the vaccine recorded the resident's vitals as follows: BP 118/68, HR 72, Respiration 18, Temperature 97.0 F. At 10:20am the resident's CNA discovered him lifeless with vomitus around his mouth and neck. The resident was not breathing, bluish in color, and cool to the touch. Vital signs were checked and no pulse was detected. CPR was attempted with not effect.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, Vomiting
Clinical narrative: The resident was administered his second COVID vaccine (Moderna) on 5/19/21 at 9:30am. Per nursing, the resident tolerated the vaccine well and no problems were documented throughout the day. At 10:00pm the nurse who administered the vaccine recorded the resident's vitals as follows: BP 118/68, HR 72, Respiration 18, Temperature 97.0 F. At 10:20am the resident's CNA discovered him lifeless with vomitus around his mouth and neck. The resident was not breathing, bluish in color, and cool to the touch. Vital signs were checked and no pulse was detected. CPR was attempted with not effect.
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Dry mouth, Eructation
Clinical narrative: 1st vaccine, woke up 5 days later with diarrhea and vomiting non stop, stomach pains,dizziness, dry mouth.could not work for 2 days. 2nd vaccine side effects started 15 min after shot, headache,dizziness,by day 5 again, diarrhea, stomach pains, dry mouth, burp taste like eggs. headache still as of today may 20,2021. Feel nausea every morning since both injections, stomach pains on both sides of stomach. I have felt ill feeling ever since 1st Injection. I am not a sickly feeling person. I have never had a flu shot in 52 yrs. I did have a reaction 2 yrs ago with tetanus shot.
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Headache, Malaise, Nausea, Taste disorder
Clinical narrative: 1st vaccine, woke up 5 days later with diarrhea and vomiting non stop, stomach pains,dizziness, dry mouth.could not work for 2 days. 2nd vaccine side effects started 15 min after shot, headache,dizziness,by day 5 again, diarrhea, stomach pains, dry mouth, burp taste like eggs. headache still as of today may 20,2021. Feel nausea every morning since both injections, stomach pains on both sides of stomach. I have felt ill feeling ever since 1st Injection. I am not a sickly feeling person. I have never had a flu shot in 52 yrs. I did have a reaction 2 yrs ago with tetanus shot.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Skin lesion, Swelling, Varicella zoster virus infection
Clinical narrative: Patient received her first dose of Moderna on May 6th in the late afternoon called our office on May 10th explained that she developed headache and body aches the evening of May 6th and woke up on May 7th with pain/swelling on the left posterior head and then noticed a painful lesion on her scalp.  Dr advised patient to come in for evaluation.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Disruption in period. It arrived a day early, bled a little, then it stopped for a day, then bled a little more than the first time.  Now it has stopped again. I normally have a perfect cycle. I am very fit and healthy and eat a completely non processed diet.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Headache, Herpes simplex, Lip swelling
Clinical narrative: Had the typical symptoms from Moderna 2nd short, 18 hours of aches, headache, fever, chills.  After about 5 days noticed Covid Arm, which I had with first shot but no other symptoms.   About a month after that, mid April, I experienced an outbreak of Herpes Simplex accompanied by swollen lips, upper and lower, and a burning sensation on the inside ridge of my mouth and discomfort on the outside.  This lasted about 10 days during which time I took a round of Acyclovir 200 mg which I have kept current with me over the last 35 years. The sensation subsided, and now returned again with another outbreak of Herpes as of week of May 17. 2021.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Oral discomfort, Pain, Pyrexia
Clinical narrative: Had the typical symptoms from Moderna 2nd short, 18 hours of aches, headache, fever, chills.  After about 5 days noticed Covid Arm, which I had with first shot but no other symptoms.   About a month after that, mid April, I experienced an outbreak of Herpes Simplex accompanied by swollen lips, upper and lower, and a burning sensation on the inside ridge of my mouth and discomfort on the outside.  This lasted about 10 days during which time I took a round of Acyclovir 200 mg which I have kept current with me over the last 35 years. The sensation subsided, and now returned again with another outbreak of Herpes as of week of May 17. 2021.