chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia, Upper respiratory tract infection, Wheezing
Clinical narrative: Side effects 2 to 3 hours after receiving shot.  Headache, body aches, fever, tiredness/fatique.  Most passed the next day about 24 hours expect tiredness and fatique and body aches.  July 6th started coughing with shortness of breath with bloating of stomach.  Went to Dr. on July 12th diagnosed with upper respiratory infection and wheezing.  Prescribed antiboitic and inhaler.  July 19th went to Urgent Care Dr. could not see me.  Face drooping numbness left side of face ear hurting eyes watering diagnosed with Bells Palsy.  Given steriod and anti viral.  Still had shortness of breath and coughing went back to Dr. July 26th.  Said lung sounded better. to continue treatment with inhaler.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: PFizer vaccine was administered after being discovered that the vaccines were kept in the freezer for 11 days longer than the two week standard time.  Patient was notified and given option for additional dose.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac failure, Chest X-ray, Echocardiogram, Electrocardiogram
Clinical narrative: Heart palpitations that continued and increased resulting in heart failure and muscle damage
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle injury, Palpitations
Clinical narrative: Heart palpitations that continued and increased resulting in heart failure and muscle damage
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Dose #1 Moderna 01/21/2021 Lot # 041L20A  Pt died while hospitalized
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Mobility decreased, Pain in extremity, Sleep disorder
Clinical narrative: After 2nd vax began having pains in upper arm, shoulder area. If pt sleeps on left side he has severe pain in area. This limits pt's mobility.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Gaze palsy, Injection site swelling
Clinical narrative: about 17 hours after shot, 102° - 103° fever, chills, headache and severe joint pain ( 8 on 1-10 scale) that lasted three days. It was painful to walk or lift my arms. Most severe pain in my hips. By day three,  headache turned to migraine that lasted the rest of the week with nausea and vomiting from dizziness. Also, new this time was 4 inch by 4 inch sized hematoma at injection site with swelling.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: about 17 hours after shot, 102° - 103° fever, chills, headache and severe joint pain ( 8 on 1-10 scale) that lasted three days. It was painful to walk or lift my arms. Most severe pain in my hips. By day three,  headache turned to migraine that lasted the rest of the week with nausea and vomiting from dizziness. Also, new this time was 4 inch by 4 inch sized hematoma at injection site with swelling.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Urticaria
Clinical narrative: Very heavy Chest, broke out in hives all over body. Especially on fingers, chest and thighs. Hives lasted 6 weeks
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Headache, Hypoaesthesia, Nausea
Clinical narrative: Headaches and nausea 30 minutes after injection. Next day  numbness sensation on hands and anxiety. Patient evaluated in the ER department. Ondansetron given for nausea. Patient recovered without complication afterwards.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Headaches and nausea 30 minutes after injection. Next day  numbness sensation on hands and anxiety. Patient evaluated in the ER department. Ondansetron given for nausea. Patient recovered without complication afterwards.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pain, Pain in extremity
Clinical narrative: Sore arm only after 1st injection, 2nd inject, sore arm, next day aches all over, fatigue, no fever or other associated symptoms
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Initial injection was incredibly painful. I had the normal arm pain that I expected for a few days after but then the pain never went away. I have no history of shoulder pain/injury and had done nothing to cause a chronic injury. I went to to my primary care first and she thought that it was most likely from the the injection. I then went to a shoulder specialist who agreed and prescribed physical therapy. I have been in physical therapy for about 4 weeks with almost no noticeable improvement.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Bilevel positive airway pressure, COVID-19, COVID-19 pneumonia, Diarrhoea
Clinical narrative: 1 week of nausea, vomiting, and diarrhea and worsening dyspnea.  His respiratory status decompensated since admission.  He was initially on 2-3 L nasal cannula and then worsened to needing BiPAP at 100% FiO2.  Even with that, his SpO2 was between 88-90%.  He was transferred to another hospital for further management.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hyperlipidaemia, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 1 week of nausea, vomiting, and diarrhea and worsening dyspnea.  His respiratory status decompensated since admission.  He was initially on 2-3 L nasal cannula and then worsened to needing BiPAP at 100% FiO2.  Even with that, his SpO2 was between 88-90%.  He was transferred to another hospital for further management.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: became symptomatic and rapid antigen positive.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Muscle spasms, Nausea, Panic attack
Clinical narrative: approx 5 minutes after the vaccination she began to feel nauseaous, weak and then her hands began to cramp. I called EMS. In the meantime she was returned to the vaccination room and she wanted to lie on the floor. She stated she had a panic attack years ago with similar symptoms. We did not administer epinephrine or diphenhydramine . EMS brought her to the hospital.   Her husband returned later in the day and said that they thought it was a panic attack.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Cardiac disorder, Chest pain, Condition aggravated, Gastrointestinal disorder
Clinical narrative: Patient reported that within 7-10 days he could barely move arms and legs, severe pains, extreme chest pain and stomach pain
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder, Mobility decreased, Pain
Clinical narrative: Patient reported that within 7-10 days he could barely move arms and legs, severe pains, extreme chest pain and stomach pain
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia, Vomiting
Clinical narrative: Monday morning at 3:30 I began throwing up and did so off and on until around 10am. I ran a fever of 100.4 for about 24 hours. My body ached, my head ached and all I could do was sleep. I alternated Tylenol and Advil Monday and Tuesday.  Today I am still tired but all other symptoms have ceased.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Headache, Malaise
Clinical narrative: Patient reports being ill since 7/13/21 with fever, cough, n/v, chills, headache.  Better now, only left with lingering body aches.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient reports being ill since 7/13/21 with fever, cough, n/v, chills, headache.  Better now, only left with lingering body aches.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Pain
Clinical narrative: I started having arthralgic knee pains starting about 5-7 days after vaccination. Knee pains limited my mobility, I was in a lot of pain, exacerbated by walking or physical activity. I needed antiinflammatory drugs for almost 3 wks. Pains are improved now after 4 wks of vaccination, more off and on, rather than constant at this time.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 45.0
Sex: M
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: COVID-19
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Ocular discomfort, Pain, Photophobia
Clinical narrative: Severe body aches, chills, light sensitivity, eyes feel swollen (but don't look swollen)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Discomfort, Headache, Pruritus
Clinical narrative: weakness, chills, headache, blurred vision, uncontrollable itching from a rash covering my entire torso. Rash was bright red, small dots and extremely uncomfortable, it did not start subsiding until after 24 hours
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash macular, Vision blurred
Clinical narrative: weakness, chills, headache, blurred vision, uncontrollable itching from a rash covering my entire torso. Rash was bright red, small dots and extremely uncomfortable, it did not start subsiding until after 24 hours
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: Right leg swelling, right arm ached and I had a headache on my right side, nausea and chills, and felt very tired. I went to the hospital and got an IV, I had 186 blood pressure. I was there for 9 hours. My blood pressure went down to 176/100 and left to go  home. I did not receive any medication for leg and arm pain but did get a shot for the pain. I was referred to a primary doctor.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Right leg swelling, right arm ached and I had a headache on my right side, nausea and chills, and felt very tired. I went to the hospital and got an IV, I had 186 blood pressure. I was there for 9 hours. My blood pressure went down to 176/100 and left to go  home. I did not receive any medication for leg and arm pain but did get a shot for the pain. I was referred to a primary doctor.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Exposure during pregnancy, Stillbirth
Clinical narrative: My pregnancy ended in stillbirth on June 30, 2021. I was 34 weeks pregnant. My doctor confirmed no heartbeat on June 28, 2021. The estimated date of delivery was August 11, 2021. This was considered a low-risk pregnancy. There is no cause found for the still birth after multiple blood tests and during delivery.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None only completing due to vaccine given to under age child
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza
Clinical narrative: Patient stated that she has gotten flu 4 times since her vaccination. She says it comes and goes every 4 weeks. Patient has not visited a doctor about Adverse Reaction.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Brain scan normal, Dyspnoea, Fatigue, Generalised tonic-clonic seizure, Impaired driving ability
Clinical narrative: I had vaccination prior to noon on Feb 9, that afternoon I exhibited signs such as labored breathing, exhaustion. The next day I was not alert, that night Feb 10, just before midnight I had a grand mal seizure . The ambulance and police were at my  home a little after midnight.  They took me to Essentia hospital emergency room.  I was there for observation for several hours.  I notified my VA doctor about what happened, he scheduled a brain scan. nothing showed that would indicate a medical brain issue. Subsequently; I lost my driving privileges completely for several months and currently am driving on a limited license, which is normal in the case of a seizure in our state. See continuation page:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Extreme diarrheic
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Skin warm
Clinical narrative: pain in right arm and warm to the touch.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Antinuclear antibody, Antinuclear antibody positive, Aspartate aminotransferase increased, Beta-2 glycoprotein antibody positive
Clinical narrative: pt is a 36 y.o. woman with no significant medical history admitted for progressive fevers, rash, oral ulcers, and diarrhea over the past 3-4 weeks -- symptoms started 2-3 days after first dose of covid vaccine. Rheumatology was consulted to evaluate for SLE. She had initially been placed on broad spectrum antibiotics which have been since discontinued as no infectious etiology has been demonstrated. Her labwork on presentation were notable for AST/ALT elevation and hyponatremia. The latter has improved and the former has been variable but trending towards improvement. She also had marked pancytopenia with lymphopenia (ANC>500). Her liver US was normal. She has not had intraluminal evaluation of her colon. Her rheumatologic workup is notable for pending ANA and dsDNA, elevated cardiolipin and B2-glycoprotein, Ro60 1374.60, RNP 172.6, Sm 621.8, ESR 28, CRP negative, C3 24.8, C4 6.48, positive Coombs, negative Jo1, and pending histone. Urine had low spec grav but othwerise bland but UPC 0.63.    Ms.  most definitely meets criteria for systemic lupus erythematosus. It is possible that interferon upregulation after Covid vaccination may have been antecedent cause for this presentation. Given fevers and diarrhea in the setting of lymphopenia, we would be concerned for her presentation being confounded by a gastrointestinal infection acquired after her acute lupus flare. Lupus enteritis is an overall not common sign of acute lupus (only case reports). We recommend gastrointestinal evaluation before high dose immunosuppression to rule out any other causes such as autoimmune hepatitis given elevated LFTs and diarrhea.  Since she is not having diarrhea currently on her abdominal exam is completely benign, a CT of the abdomen can likely be avoid for now. It is even possible that her diarrhea was due to antibiotics. Given the assurances of the  evaluation and negative serologic workup thus far, we would consider initiating prednisone 40 mg daily to be titrated outpatient.  We would also obtain TPMT for possible initiation of long-term immunosuppression in the outpatient setting.  She does have oral thrush and should be treated with that for now with nystatin. An EGD should be considered if she develops odynophagia. Her proteinuria is concerning for renal involvement.  Lupus nephritis Class V confirmed by biopsy
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy kidney abnormal, C-reactive protein normal, Cardiolipin antibody positive, Complement factor C3, Complement factor C4
Clinical narrative: pt is a 36 y.o. woman with no significant medical history admitted for progressive fevers, rash, oral ulcers, and diarrhea over the past 3-4 weeks -- symptoms started 2-3 days after first dose of covid vaccine. Rheumatology was consulted to evaluate for SLE. She had initially been placed on broad spectrum antibiotics which have been since discontinued as no infectious etiology has been demonstrated. Her labwork on presentation were notable for AST/ALT elevation and hyponatremia. The latter has improved and the former has been variable but trending towards improvement. She also had marked pancytopenia with lymphopenia (ANC>500). Her liver US was normal. She has not had intraluminal evaluation of her colon. Her rheumatologic workup is notable for pending ANA and dsDNA, elevated cardiolipin and B2-glycoprotein, Ro60 1374.60, RNP 172.6, Sm 621.8, ESR 28, CRP negative, C3 24.8, C4 6.48, positive Coombs, negative Jo1, and pending histone. Urine had low spec grav but othwerise bland but UPC 0.63.    Ms.  most definitely meets criteria for systemic lupus erythematosus. It is possible that interferon upregulation after Covid vaccination may have been antecedent cause for this presentation. Given fevers and diarrhea in the setting of lymphopenia, we would be concerned for her presentation being confounded by a gastrointestinal infection acquired after her acute lupus flare. Lupus enteritis is an overall not common sign of acute lupus (only case reports). We recommend gastrointestinal evaluation before high dose immunosuppression to rule out any other causes such as autoimmune hepatitis given elevated LFTs and diarrhea.  Since she is not having diarrhea currently on her abdominal exam is completely benign, a CT of the abdomen can likely be avoid for now. It is even possible that her diarrhea was due to antibiotics. Given the assurances of the  evaluation and negative serologic workup thus far, we would consider initiating prednisone 40 mg daily to be titrated outpatient.  We would also obtain TPMT for possible initiation of long-term immunosuppression in the outpatient setting.  She does have oral thrush and should be treated with that for now with nystatin. An EGD should be considered if she develops odynophagia. Her proteinuria is concerning for renal involvement.  Lupus nephritis Class V confirmed by biopsy
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Complement factor normal, Coombs direct test positive, Diarrhoea, Double stranded DNA antibody, Gastrointestinal infection
Clinical narrative: pt is a 36 y.o. woman with no significant medical history admitted for progressive fevers, rash, oral ulcers, and diarrhea over the past 3-4 weeks -- symptoms started 2-3 days after first dose of covid vaccine. Rheumatology was consulted to evaluate for SLE. She had initially been placed on broad spectrum antibiotics which have been since discontinued as no infectious etiology has been demonstrated. Her labwork on presentation were notable for AST/ALT elevation and hyponatremia. The latter has improved and the former has been variable but trending towards improvement. She also had marked pancytopenia with lymphopenia (ANC>500). Her liver US was normal. She has not had intraluminal evaluation of her colon. Her rheumatologic workup is notable for pending ANA and dsDNA, elevated cardiolipin and B2-glycoprotein, Ro60 1374.60, RNP 172.6, Sm 621.8, ESR 28, CRP negative, C3 24.8, C4 6.48, positive Coombs, negative Jo1, and pending histone. Urine had low spec grav but othwerise bland but UPC 0.63.    Ms.  most definitely meets criteria for systemic lupus erythematosus. It is possible that interferon upregulation after Covid vaccination may have been antecedent cause for this presentation. Given fevers and diarrhea in the setting of lymphopenia, we would be concerned for her presentation being confounded by a gastrointestinal infection acquired after her acute lupus flare. Lupus enteritis is an overall not common sign of acute lupus (only case reports). We recommend gastrointestinal evaluation before high dose immunosuppression to rule out any other causes such as autoimmune hepatitis given elevated LFTs and diarrhea.  Since she is not having diarrhea currently on her abdominal exam is completely benign, a CT of the abdomen can likely be avoid for now. It is even possible that her diarrhea was due to antibiotics. Given the assurances of the  evaluation and negative serologic workup thus far, we would consider initiating prednisone 40 mg daily to be titrated outpatient.  We would also obtain TPMT for possible initiation of long-term immunosuppression in the outpatient setting.  She does have oral thrush and should be treated with that for now with nystatin. An EGD should be considered if she develops odynophagia. Her proteinuria is concerning for renal involvement.  Lupus nephritis Class V confirmed by biopsy
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Laboratory test abnormal, Lupus nephritis, Lymphopenia, Mouth ulceration
Clinical narrative: pt is a 36 y.o. woman with no significant medical history admitted for progressive fevers, rash, oral ulcers, and diarrhea over the past 3-4 weeks -- symptoms started 2-3 days after first dose of covid vaccine. Rheumatology was consulted to evaluate for SLE. She had initially been placed on broad spectrum antibiotics which have been since discontinued as no infectious etiology has been demonstrated. Her labwork on presentation were notable for AST/ALT elevation and hyponatremia. The latter has improved and the former has been variable but trending towards improvement. She also had marked pancytopenia with lymphopenia (ANC>500). Her liver US was normal. She has not had intraluminal evaluation of her colon. Her rheumatologic workup is notable for pending ANA and dsDNA, elevated cardiolipin and B2-glycoprotein, Ro60 1374.60, RNP 172.6, Sm 621.8, ESR 28, CRP negative, C3 24.8, C4 6.48, positive Coombs, negative Jo1, and pending histone. Urine had low spec grav but othwerise bland but UPC 0.63.    Ms.  most definitely meets criteria for systemic lupus erythematosus. It is possible that interferon upregulation after Covid vaccination may have been antecedent cause for this presentation. Given fevers and diarrhea in the setting of lymphopenia, we would be concerned for her presentation being confounded by a gastrointestinal infection acquired after her acute lupus flare. Lupus enteritis is an overall not common sign of acute lupus (only case reports). We recommend gastrointestinal evaluation before high dose immunosuppression to rule out any other causes such as autoimmune hepatitis given elevated LFTs and diarrhea.  Since she is not having diarrhea currently on her abdominal exam is completely benign, a CT of the abdomen can likely be avoid for now. It is even possible that her diarrhea was due to antibiotics. Given the assurances of the  evaluation and negative serologic workup thus far, we would consider initiating prednisone 40 mg daily to be titrated outpatient.  We would also obtain TPMT for possible initiation of long-term immunosuppression in the outpatient setting.  She does have oral thrush and should be treated with that for now with nystatin. An EGD should be considered if she develops odynophagia. Her proteinuria is concerning for renal involvement.  Lupus nephritis Class V confirmed by biopsy
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count, Oral candidiasis, Pancytopenia, Proteinuria, Pyrexia
Clinical narrative: pt is a 36 y.o. woman with no significant medical history admitted for progressive fevers, rash, oral ulcers, and diarrhea over the past 3-4 weeks -- symptoms started 2-3 days after first dose of covid vaccine. Rheumatology was consulted to evaluate for SLE. She had initially been placed on broad spectrum antibiotics which have been since discontinued as no infectious etiology has been demonstrated. Her labwork on presentation were notable for AST/ALT elevation and hyponatremia. The latter has improved and the former has been variable but trending towards improvement. She also had marked pancytopenia with lymphopenia (ANC>500). Her liver US was normal. She has not had intraluminal evaluation of her colon. Her rheumatologic workup is notable for pending ANA and dsDNA, elevated cardiolipin and B2-glycoprotein, Ro60 1374.60, RNP 172.6, Sm 621.8, ESR 28, CRP negative, C3 24.8, C4 6.48, positive Coombs, negative Jo1, and pending histone. Urine had low spec grav but othwerise bland but UPC 0.63.    Ms.  most definitely meets criteria for systemic lupus erythematosus. It is possible that interferon upregulation after Covid vaccination may have been antecedent cause for this presentation. Given fevers and diarrhea in the setting of lymphopenia, we would be concerned for her presentation being confounded by a gastrointestinal infection acquired after her acute lupus flare. Lupus enteritis is an overall not common sign of acute lupus (only case reports). We recommend gastrointestinal evaluation before high dose immunosuppression to rule out any other causes such as autoimmune hepatitis given elevated LFTs and diarrhea.  Since she is not having diarrhea currently on her abdominal exam is completely benign, a CT of the abdomen can likely be avoid for now. It is even possible that her diarrhea was due to antibiotics. Given the assurances of the  evaluation and negative serologic workup thus far, we would consider initiating prednisone 40 mg daily to be titrated outpatient.  We would also obtain TPMT for possible initiation of long-term immunosuppression in the outpatient setting.  She does have oral thrush and should be treated with that for now with nystatin. An EGD should be considered if she develops odynophagia. Her proteinuria is concerning for renal involvement.  Lupus nephritis Class V confirmed by biopsy
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Red blood cell sedimentation rate increased, Rheumatological examination, Specific gravity urine decreased, Ultrasound liver normal
Clinical narrative: pt is a 36 y.o. woman with no significant medical history admitted for progressive fevers, rash, oral ulcers, and diarrhea over the past 3-4 weeks -- symptoms started 2-3 days after first dose of covid vaccine. Rheumatology was consulted to evaluate for SLE. She had initially been placed on broad spectrum antibiotics which have been since discontinued as no infectious etiology has been demonstrated. Her labwork on presentation were notable for AST/ALT elevation and hyponatremia. The latter has improved and the former has been variable but trending towards improvement. She also had marked pancytopenia with lymphopenia (ANC>500). Her liver US was normal. She has not had intraluminal evaluation of her colon. Her rheumatologic workup is notable for pending ANA and dsDNA, elevated cardiolipin and B2-glycoprotein, Ro60 1374.60, RNP 172.6, Sm 621.8, ESR 28, CRP negative, C3 24.8, C4 6.48, positive Coombs, negative Jo1, and pending histone. Urine had low spec grav but othwerise bland but UPC 0.63.    Ms.  most definitely meets criteria for systemic lupus erythematosus. It is possible that interferon upregulation after Covid vaccination may have been antecedent cause for this presentation. Given fevers and diarrhea in the setting of lymphopenia, we would be concerned for her presentation being confounded by a gastrointestinal infection acquired after her acute lupus flare. Lupus enteritis is an overall not common sign of acute lupus (only case reports). We recommend gastrointestinal evaluation before high dose immunosuppression to rule out any other causes such as autoimmune hepatitis given elevated LFTs and diarrhea.  Since she is not having diarrhea currently on her abdominal exam is completely benign, a CT of the abdomen can likely be avoid for now. It is even possible that her diarrhea was due to antibiotics. Given the assurances of the  evaluation and negative serologic workup thus far, we would consider initiating prednisone 40 mg daily to be titrated outpatient.  We would also obtain TPMT for possible initiation of long-term immunosuppression in the outpatient setting.  She does have oral thrush and should be treated with that for now with nystatin. An EGD should be considered if she develops odynophagia. Her proteinuria is concerning for renal involvement.  Lupus nephritis Class V confirmed by biopsy
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: had exposure to family member positive for COVID. Tested due to exposure, had no symptoms. Tested positive on 3/30/2021.  Dept. Health verified tested for variant strain
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fatigue, Headache, Pain
Clinical narrative: terrible body aches headache dizzy fatigue diarrhea
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood 25-hydroxycholecalciferol, Computerised tomogram, Dizziness, Fatigue, Headache
Clinical narrative: day of 2nd vaccine and following day I was not able to leave my bed due to feeling so sick. About a month later I had a massive flu for 6 days, was not covid variant. 4 days ago I had a focal seizure and I have zero history of epilepsy. Went to the ER yesterday for testing as I am still having neurologic symptoms since then. Being referred to a neurologist which could take months. Within the last couple months I have regularly had some health issue pop up when before the vaccine I had a clean bill of health. I had COVID in Sept and still had antibodies when I gave blood in January. Likely that I still had antibodies when I received the vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza, Malaise, Neurological symptom, Partial seizures, Urine analysis
Clinical narrative: day of 2nd vaccine and following day I was not able to leave my bed due to feeling so sick. About a month later I had a massive flu for 6 days, was not covid variant. 4 days ago I had a focal seizure and I have zero history of epilepsy. Went to the ER yesterday for testing as I am still having neurologic symptoms since then. Being referred to a neurologist which could take months. Within the last couple months I have regularly had some health issue pop up when before the vaccine I had a clean bill of health. I had COVID in Sept and still had antibodies when I gave blood in January. Likely that I still had antibodies when I received the vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: I got a fever, chills, and was very fatigued. I rested, took Advil after about 2 hours had passed with the fever, and worked from home. After about 2 days I felt better.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood creatinine decreased, Nephrotic syndrome, Renal function test normal, Urine analysis
Clinical narrative: new onset nephrotic syndrome May 17, 2021, kidney biopsy will be done 8/9/2021 kidney function normal, UA otherwise bland no prior history of micoralbuminuria associated with her DM
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Urine protein/creatinine ratio
Clinical narrative: new onset nephrotic syndrome May 17, 2021, kidney biopsy will be done 8/9/2021 kidney function normal, UA otherwise bland no prior history of micoralbuminuria associated with her DM
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular
Clinical narrative: red rash (slightly raised small red spots) on arms and shoulders. Mostly on injection arm, less on opposite arm.  No itching, swelling or discomfort. Noticed on day 4 after injection and lasted about 4 days
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Borrelia test
Clinical narrative: Bell's Palsy
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Exercise tolerance decreased, Sensation of blood flow, Sensory disturbance
Clinical narrative: Tightness in chest, vascular sensations in head that come and go, muscle sensation that comes and goes in right leg above the knee to the outer side of the knee.  Have not sought treatment as these are indicated side effects.  Will decide to seek treatment if continues or worsens.  Have refrained from exercise. Still can perform daily activities, but seem winded at times.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: My lymph nodes swelled up, but I do not remember when it started but it has been like this for a few months since April. I decided to go to the doctor on June and I had to wait to get in. He did a manual examination and prescribed me an antibiotic called Azithromycin for 5 days to see if my lymph nodes will swelled down but they did not.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Shingles rash to right side of chest
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arterial thrombosis, Autopsy, Malaise, Pain in extremity, Pyrexia
Clinical narrative: pt developed fever later the day after getting his covid vax so he took ibuprofen and went to bed.  Next day he went back to work.  Pt showed no symptoms until the month of June when he started complaining about pain in both arms.  He was using a heating pad on his shoulders to help with the pain.   He was taking Aleve for the pain but it was not helping so he no longer wanted to take it.  He had a vomiting episode on the afternoon of June 16th stating he thought he has eaten a bad lemon.  He wasn't feeling well the morning of June 18th, 2021 but continued working.  He only wanted something light to eat since he didn't feel well and was headed to bed.  When his wife went to go to bed she found him collapsed on the bedroom floor with face forward in the bed.  She turned him around and found him unresponsive.  She contacted 911 and he was taken to Medical Center ER.  They were not able to revive him.  County conducted an autopsy where they found a blood clot in left artery.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli, Vomiting
Clinical narrative: pt developed fever later the day after getting his covid vax so he took ibuprofen and went to bed.  Next day he went back to work.  Pt showed no symptoms until the month of June when he started complaining about pain in both arms.  He was using a heating pad on his shoulders to help with the pain.   He was taking Aleve for the pain but it was not helping so he no longer wanted to take it.  He had a vomiting episode on the afternoon of June 16th stating he thought he has eaten a bad lemon.  He wasn't feeling well the morning of June 18th, 2021 but continued working.  He only wanted something light to eat since he didn't feel well and was headed to bed.  When his wife went to go to bed she found him collapsed on the bedroom floor with face forward in the bed.  She turned him around and found him unresponsive.  She contacted 911 and he was taken to Medical Center ER.  They were not able to revive him.  County conducted an autopsy where they found a blood clot in left artery.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm
Clinical narrative: My right eye (underneath) is twitching (shaking). It's been approximately 22 hours since I first noticed it. More often, the shaking is rapid,   but sometimes, there are not as fast.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Vomiting
Clinical narrative: Bad headache, chills, vomiting
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen supraclavicle lymph node on the same side as my shot was given
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Laboratory test normal, Paraesthesia, Swelling
Clinical narrative: generalized swelling, joint pain, paresthesias, neg labwork
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: He has no side effects that we know of, but he notified us after getting the J&J vaccine that he previously had both rounds of the Pfizer vaccine. completed already.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Fainted twice months after the 2nd shot
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site induration, Injection site pain, Pain, Pain in extremity
Clinical narrative: Pain and hardness at injection site, radiates down arm and into joints, shoulder, elbow, bicep, forearm all the way to fingers.   Still happening a month later.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest discomfort, Chest pain, Electrocardiogram abnormal, Painful respiration
Clinical narrative: Presented to the ED for chest pain x 3 days intermittently. Began again when would play down, worse at night. Would wake him up from sleep at 2-3am.Last episode was 7/27/21 at 0600, lasting for a few hours. Described as sharp pain, mildly pleuritic in nature however denies any shortness of breath Initially, ambulating, laying down, or deep inhalations made the pain worse and showers helped to alleviate the pain. He does not currently have any pain sitting or laying down and the pain is not worse with ambulating.  This is the first occurrence-- no prev h/o chest pain. Pt states that he received his first dose of the Covid vaccine 6 days ago and then began to feel chest pain/pressure 3 days ago. He made an appointment with his Pediatrician yesterday morning and they took an EKG which was abnormal and was told to go to the ED
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Pleuritic pain, Red blood cell sedimentation rate increased, Troponin increased
Clinical narrative: Presented to the ED for chest pain x 3 days intermittently. Began again when would play down, worse at night. Would wake him up from sleep at 2-3am.Last episode was 7/27/21 at 0600, lasting for a few hours. Described as sharp pain, mildly pleuritic in nature however denies any shortness of breath Initially, ambulating, laying down, or deep inhalations made the pain worse and showers helped to alleviate the pain. He does not currently have any pain sitting or laying down and the pain is not worse with ambulating.  This is the first occurrence-- no prev h/o chest pain. Pt states that he received his first dose of the Covid vaccine 6 days ago and then began to feel chest pain/pressure 3 days ago. He made an appointment with his Pediatrician yesterday morning and they took an EKG which was abnormal and was told to go to the ED
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dysphagia, Dyspnoea, Hypersensitivity, Swelling
Clinical narrative: 4:00pm- Received vaccine (Moderna dose 1) 4:10pm- Started experiencing throat swelling, trouble breathing, increased anxiety. Alerted pharmacist that I was having a reaction and they have me a bottle of water.  4:25-4:30pm- Alerted pharmacist again that the reaction was still going on and I was given a 25mg Benadryl. It was hard to swallow but I was still able to take it. 4:30pm-5:30pm- Waited to see if the Benadryl would help but it did not. Had to call a family member to take me to ER. 6pm-8pm - Went to ER to get checked out. Doctor said I was having an allergic reaction (similar to a shellfish reaction) and was given IV steroid (Dexmethosone) and some fluids.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blister
Clinical narrative: Blisters on bottom of feet and legs, doctor started patient on steroids
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Muscular weakness
Clinical narrative: On June 11, both of my legs buckled and I fell down. On July 25, my husbands leg buckled several times and has had reoccurring muscle spasms in both arms for 1 minute ~ 6X since vaccination and my son's leg buckled yesterday, July 27, and he fell requiring 6 staples in his head. We all had the J&J on the same day and are healthy.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Somnolence
Clinical narrative: Patient appears to be sleepy and lethargic after 15 minutes post vaccines. Patient responsive to command and alert but sleepy.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Coronavirus infection, SARS-CoV-2 test positive
Clinical narrative: Unknown, patient requested test
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Pain in extremity, X-ray limb normal
Clinical narrative: Had first Pfizer vaccine in right arm on 3/22/2021, no problems, absolutely no side effects.  Received second Pfizer on 4/22/2021 in left arm.  A few hours later, had severe soreness in right arm (first injection site), no redness or outside indication of any problem.  No other symptoms.  I am still having severe pain in the right arm months later.  Contacted my PCP, who advised that I see ortho.  Just returned from ortho visit, xray of arm is normal, was told they could do nothing but recommend stretching exercise and prescribe NSAIDs.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: confirmed COVID-19 infection -pneumonia
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Tremor
Clinical narrative: Patient complaint of dizziness, shuddered, and passed out per sister. PT passed out in car. EMS arrived and assessed PT. Parent was present. VS 108/40 , HR 49 , 02 Sat 99% on RA. PT provided cold pack and water. PT's Mom declined EMS transportation to ER. VS WNL per EMS when PT left site.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Deep vein thrombosis, Impaired work ability, Joint swelling, Ultrasound Doppler abnormal
Clinical narrative: Left wrist began to hurt and swell around mid April 2021. I went to Medical Office Building where it was discovered through ultra sound I had blood clots in my left wrist. I was immediately sent to the Advanced Care where I was told that I would not be able to go home and to call a family member because I had to remain for treatment which was an intravenous treatment then had to start immediate injections and medication. My wrist is in constant pain and I am unable to work due to the adverse reaction to the COVID 19 vaccine. Follow up appointment with Oncology 5/19/21, Follow up appointment with Primary Care Physician 6/17/21, US DVT Bilateral with Ultrasound-7/19/21
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Syncope
Clinical narrative: Patient fainted on bathroom floor at 10:30am, his head hitting the floor. He then regained consciousness, and has since been resting in bed.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Neuralgia, Pain, Paraesthesia
Clinical narrative: About a week or two after second shot. developed strange nerve pain in right foot large toe. Was mainly noticeable when pointing foot down and especially if shaking leg. Tingling pain would work way from toe, up foot. This lasted for a little over a month and then went away suddenly in July.  Related to vaccine? No idea, but was strange and had never happened before. Didn't make connection the two could be related until recerntly.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Chest pressure, shortness of breath for 3  days, no treatment, doctor is monitoring, continued intermittent pangs in chest
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test, Antibody test, Chest X-ray, Cough, Full blood count
Clinical narrative: 2-3 weeks after 2nd vaccine I developed this lingering cough. Some days it?s mild , some days it?s aggressive. One to two days a month I get achey legs that last 24 hours. Very similar to the side effect after the vaccine
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gastrooesophageal reflux disease, Influenza virus test, Pain in extremity, SARS-CoV-2 test, Urine analysis
Clinical narrative: 2-3 weeks after 2nd vaccine I developed this lingering cough. Some days it?s mild , some days it?s aggressive. One to two days a month I get achey legs that last 24 hours. Very similar to the side effect after the vaccine
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Vision blurred
Clinical narrative: Patient has developed blurred vision and a sensation of pressure in the head that lasts about 1-2 seconds, occurs up to 5x per day, occurs daily since second vaccine.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Asymptomatic
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chemotherapy, Computerised tomogram abdomen normal, Platelet count decreased, Platelet transfusion, Thrombotic thrombocytopenic purpura
Clinical narrative: Thrombotic thrombocytopenic purpura, Steroid gamma globulin platelet transfusion and chemo therapy.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Thrombotic thrombocytopenic purpura, Steroid gamma globulin platelet transfusion and chemo therapy.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: had exposure to positive person. Tested positive on 4/26,  dept health confirmed the case was variant strain.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: PFizer vaccine was administered after being discovered that the vaccines were kept in the freezer for 11 days longer than the two week standard time.  Patient was notified and given option for additional dose.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Patient reports exposure 1 week ago, denies symptoms
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fatigue, Gait disturbance, Headache
Clinical narrative: Arm soreness that evening.  Starting 1am post vaccination- fever, bone racking chills, vertigo, difficulty ambulating, nausea, fatigue, headache. Nasue took 2 days to resolve, fever took 3 days to resolve even with medications.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Pyrexia, Vertigo
Clinical narrative: Arm soreness that evening.  Starting 1am post vaccination- fever, bone racking chills, vertigo, difficulty ambulating, nausea, fatigue, headache. Nasue took 2 days to resolve, fever took 3 days to resolve even with medications.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PFizer vaccine was administered after being discovered that the vaccines were kept in the freezer for 11 days longer than the two week standard time.  Patient was notified and given option for additional dose.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysphagia, Pyrexia, Somnolence, Vomiting
Clinical narrative: yesterday high fever, coghing, fever, hard to swallow, cant stay awake, vommitting
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Emotional distress, Loss of consciousness, Malaise, Musculoskeletal stiffness
Clinical narrative: Patient was resting after vaccination, sister/ she said "not feeling well", sat her down, she started to faint, laid her on the floor, she became stiff, (we had called 911), she came to and was disoriented and upset, sister and pharmacist comforted until her while  fire dept and paramedics arrived, 911 operator talked pharmacist through seizure protocol questions. Paramedics took her to hospital for follow up evaluation.  Sister said patient has fainted in past while having blood drawn.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient was resting after vaccination, sister/ she said "not feeling well", sat her down, she started to faint, laid her on the floor, she became stiff, (we had called 911), she came to and was disoriented and upset, sister and pharmacist comforted until her while  fire dept and paramedics arrived, 911 operator talked pharmacist through seizure protocol questions. Paramedics took her to hospital for follow up evaluation.  Sister said patient has fainted in past while having blood drawn.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Headache, Neuralgia
Clinical narrative: I had a stroke. My headaches were only on the left side of my temple. I've been getting a lot of nerve pain all on the left side on my body, back and leg. This pain has been occurring for over two months.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site rash, Irritability, Pyrexia
Clinical narrative: Rash at injection site Fever for four days Irritability Exhaustion