chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia, Swelling face, Swelling of eyelid, Vomiting
Clinical narrative: She got her vaccine, she had no reactions at all.  On 5/12/21, she woke up 2 days with ankle and feet swelling, hand and face swelling, eyelid swelling.  She had  a fever up to 100.5.  Her swelling has not gone down on any of the locations.  She cannot even take her wedding bands off.   Her feet are extremely cramped in her shoes.  Her allergies have gone tremendously.  She has been throwing up and have been nauseous a lot.   She has not been taking anything but Benadryl for the reactions.  She also has gained 7# since the vaccine.  Her hands have also been shaky.  She has not notified her doctor of any of these symptoms.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Weight increased
Clinical narrative: She got her vaccine, she had no reactions at all.  On 5/12/21, she woke up 2 days with ankle and feet swelling, hand and face swelling, eyelid swelling.  She had  a fever up to 100.5.  Her swelling has not gone down on any of the locations.  She cannot even take her wedding bands off.   Her feet are extremely cramped in her shoes.  Her allergies have gone tremendously.  She has been throwing up and have been nauseous a lot.   She has not been taking anything but Benadryl for the reactions.  She also has gained 7# since the vaccine.  Her hands have also been shaky.  She has not notified her doctor of any of these symptoms.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: my eyes were swollen then following day after my second shot.  my right eye was nearly swollen shut.  It took 2 full days for the swelling to get close to normal.  I took benadryl during that time.  On my first shot I did have a red, itchy, hot spot at the site of injection but no other symptoms.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: minutes after receiving the 2nd dose, patient felt dizzy and passed out on the floor. she regained consciousness within a few seconds, and was responsive, she waited about 20 minutes before leaving the store, EMS was not called, she reported no other adverse effects
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Decreased appetite, Hypotension, Loss of consciousness, Vomiting
Clinical narrative: Vomiting Low blood pressure Passing out  High Temperature No appetite
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety
Clinical narrative: c/o anxiousness.      pt. went home after symptoms resolved.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient signed up and intended to receive Johnson and Johnsen but mistakenly was administered Pfizer.  No symptoms of note. just wrong intended vaccination.  Patient states most likely will fulfill the series in 3 weeks.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Lip swelling, Pruritus, Somnolence, Swelling face
Clinical narrative: The first day when I woke up I had really bad back pain and I was really sleepy. towards the afternoon I became very itchy. The itching and hives would become increasingly worse. I didn't take it for anything. On Saturday I went to work still itching I called the nurse at work on the hotline and explained what was happening. I was told to take Benadryl but could not because it would make me drowsy. I finished work and took the Benadryl after. I also started to break out into hives, the itching was turning into hives. On Sunday I got up for work and the hives were large and like welts. This was all over my body.  The itching was still present as well. I was advised to go to an urgent care or a doctor. On Monday morning I woke up and everything was swollen: my face, my lips. I went to the Dr's office where they gave me steroids and an epi pen as well as oral steroids. After the steroids, the swelling went down after a few days. The itching had also ceased. The itching lasted from Friday up until Monday when I got the steroid shot on Thursday.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: The first day when I woke up I had really bad back pain and I was really sleepy. towards the afternoon I became very itchy. The itching and hives would become increasingly worse. I didn't take it for anything. On Saturday I went to work still itching I called the nurse at work on the hotline and explained what was happening. I was told to take Benadryl but could not because it would make me drowsy. I finished work and took the Benadryl after. I also started to break out into hives, the itching was turning into hives. On Sunday I got up for work and the hives were large and like welts. This was all over my body.  The itching was still present as well. I was advised to go to an urgent care or a doctor. On Monday morning I woke up and everything was swollen: my face, my lips. I went to the Dr's office where they gave me steroids and an epi pen as well as oral steroids. After the steroids, the swelling went down after a few days. The itching had also ceased. The itching lasted from Friday up until Monday when I got the steroid shot on Thursday.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Feeling abnormal, Feeling hot, Palpitations
Clinical narrative: Immediately I started to feel a warm sensation like a wave come over my body. My heart started racing and I told the woman who administered the vaccine. I started to feel like I was going to faint so I sat in a chair with my legs up on another chair. The hot wave feeling kept getting more intense and so did the feeling like I was going to faint. I never fainted but the feeling kept coming on strong then going away. The woman kept telling me I was ok because I didn?t have hives or trouble breathing. At one point she walked away from me and I had a started to shake uncontrollably. I called paramedics because my heart was racing and the shaking got even worse. At this point I laid on the ground because I couldn?t sit in the chair from the shaking. The paramedics were very dismissive and asked if I had a history of panic attacks. I repeatedly told them and the woman who administered the vaccine that I was not having a panic attack and that I felt fine before the vaccine and that I do not have a fear of needles.  They took my blood pressure and pulse and said I was fine. I didn?t feel fine and kept shaking throughout the examination (on the floor). I was unable to stand up for 2 hours. It was awful laying on the floor of a grocery store for that long and feeling so terrible. The shaking lasted 2 hours but the rapid heartbeat and feeling of waves of heat lasted days.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Immediately I started to feel a warm sensation like a wave come over my body. My heart started racing and I told the woman who administered the vaccine. I started to feel like I was going to faint so I sat in a chair with my legs up on another chair. The hot wave feeling kept getting more intense and so did the feeling like I was going to faint. I never fainted but the feeling kept coming on strong then going away. The woman kept telling me I was ok because I didn?t have hives or trouble breathing. At one point she walked away from me and I had a started to shake uncontrollably. I called paramedics because my heart was racing and the shaking got even worse. At this point I laid on the ground because I couldn?t sit in the chair from the shaking. The paramedics were very dismissive and asked if I had a history of panic attacks. I repeatedly told them and the woman who administered the vaccine that I was not having a panic attack and that I felt fine before the vaccine and that I do not have a fear of needles.  They took my blood pressure and pulse and said I was fine. I didn?t feel fine and kept shaking throughout the examination (on the floor). I was unable to stand up for 2 hours. It was awful laying on the floor of a grocery store for that long and feeling so terrible. The shaking lasted 2 hours but the rapid heartbeat and feeling of waves of heat lasted days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pain in extremity, Rash
Clinical narrative: I had a case of shingles. Started with rear upper thigh leg pain. It turned into a right side rash and moved all the way up to my rear - mainly the back side of my leg. It was very severe and painful. The doctor gave me Valtrex (Valacyclovir tablets), Tylenol, and Methylprednisolone. I had some relief after a week, but the rash started to scab up.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Client received dose from expired vial
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac abnormal, Degenerative mitral valve disease, Heart valve incompetence, Hypomagnesaemia, Mitral valve prolapse
Clinical narrative: Patient hospitalized on 4/1/2021 for heart catheterization, was diagnosed with Severe (+3-4) degenerative mitral valve regurgitation. Patient hospitalized on 5/5/2021 for hypomagnesemia and severe mitral valve prolapse. Patient presented to the ED on 5/20/2021 and was subsequently hospitalized for severe sepsis without septic shock. These visits are within 6 weeks of receiving COVID vaccination.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Patient hospitalized on 4/1/2021 for heart catheterization, was diagnosed with Severe (+3-4) degenerative mitral valve regurgitation. Patient hospitalized on 5/5/2021 for hypomagnesemia and severe mitral valve prolapse. Patient presented to the ED on 5/20/2021 and was subsequently hospitalized for severe sepsis without septic shock. These visits are within 6 weeks of receiving COVID vaccination.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Illness, Pain, Pyrexia
Clinical narrative: I became very fatigue and had body aches. I also had a high fever. I was sick for about two days.  After the first dose I had a miscarriage.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cellulitis, Erythema, Full blood count, Injection site pain, Injection site pruritus
Clinical narrative: Patient presented to the ER after developing pain and itching at injection site after COVID-19 vaccine.  Pain was worsening and redness was expanding.  Patient was diagnosed with early mild cellulitis and treated with Keflex 500mg QID for 10 days.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lipase, Metabolic function test
Clinical narrative: Patient presented to the ER after developing pain and itching at injection site after COVID-19 vaccine.  Pain was worsening and redness was expanding.  Patient was diagnosed with early mild cellulitis and treated with Keflex 500mg QID for 10 days.
Age: 50.0
Sex: M
Vaccine: UNK
Symptoms: Cardiovascular evaluation, Coronary arterial stent insertion, Myocardial infarction, Thromboembolectomy, Vascular stent thrombosis
Clinical narrative: Acute MI, new heart attack a week after 2nd dose of pfizer vaccination, stented 1 vessel, which failed and clotted 4 days after, needing a balloon and another stent.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was administered COVID-19 Moderna 19 vaccination. Patient does not meet the age requirement.. Moderna vaccine has only been indicated for use emergency in individuals over the age of 18. This patient is 16.  Vaccine administration error noted on June 1, 2021. Patient's guardian (mother) contacted on June 2, 2021 and made aware of vaccine administration error . Reports no adverse reaction.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Client received a  1st dose of  Moderna vaccine on 03/04/2021 and 2nd dose on 04/01/2021.  Client tested tested positive for covid-19 on 05/12/2021. Client was an in patient at a hospital when covid-19 sample was taken
Age: 17.0
Sex: M
Vaccine: MENB, MENB, MNQ
Symptoms: Gaze palsy, Unresponsive to stimuli
Clinical narrative: He flew back hard on the exam table his eyes rolled to the back of his head and all 4 limbs moved in a seizure action.  He was unresponsive. I?m not sure what the brand of the vaccines are.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash on both arms, right leg and parts of face
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Resident developed a femoral, popliteal and posterior tibial DVT.  Treated with Xarelto with resolution of symptoms by 6/1/21
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Peripheral vein occlusion, Ultrasound Doppler abnormal
Clinical narrative: Resident developed a femoral, popliteal and posterior tibial DVT.  Treated with Xarelto with resolution of symptoms by 6/1/21
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Patient taken to local hospital on 05/28/2021 and diagnosed with a DVT left mid and distal femoral vein, left popliteal vein left posterior tibial vein
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Peripheral vein occlusion, Ultrasound Doppler abnormal
Clinical narrative: Patient taken to local hospital on 05/28/2021 and diagnosed with a DVT left mid and distal femoral vein, left popliteal vein left posterior tibial vein
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Mobility decreased, Palpitations, Postural orthostatic tachycardia syndrome
Clinical narrative: I would be standing up and had to sit down because my heart started to race and was bedridden for a week (Pots Syndrome). I'm in the process of trying to get diagnosis on it to find out correlation between the two to find out if it was due to the vaccine because my health started going downhill shortly after receiving my vaccination. I have been going to a couple of Cardiologists so far and am mentioning the correlation with the vaccination to see what they are saying and it is still an ongoing investigation. My heart rate increases drastically when I stand up and goes down rapidly when I sit down within 30 seconds.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Hypertension, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient experienced facial numness/tingling, chest tightness,  possible throat swelling, and shortness of breath about 10 minutes after administering Moderna Covid vaccine dose 1.  Instructed patient to stay in consultation room for observation.  I stayed with the patient and called 911.  EMS arrived on scene about 5-10 minutes later.   Took vitals, oxygen saturation within normal limits, elevated bp, normal heart rate.  EMS monitored patient for about 15 minutes after which patient was still conscious and alert.  EMS advised patient to go to hospital for further evaluation and patient accepted.  EMS took patient to hospital.   Patient generally seemed fine when he left the pharmacy which was about 30 minutes after receiving the vaccine.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Malaise, Myalgia, Pain
Clinical narrative: I felt like 8-10 hours after the vaccine around 8:00PM, I experienced the general tiredness and weakness and malaise. I had a low grade fever and body aches. 1-2 days after that around 01/06/2021 I felt like my legs were sore like I had done a leg work out. The fatigue and weakness lasted about 24 hours and the muscle aches lasted a couple weeks.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: I felt like 8-10 hours after the vaccine around 8:00PM, I experienced the general tiredness and weakness and malaise. I had a low grade fever and body aches. 1-2 days after that around 01/06/2021 I felt like my legs were sore like I had done a leg work out. The fatigue and weakness lasted about 24 hours and the muscle aches lasted a couple weeks.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, C-reactive protein, Chest discomfort, Chest pain, Differential white blood cell count
Clinical narrative: Chest pain - Pt with left sided chest pain with running yesterday, about a mile into the run, jogging on a treadmill.  Sharp pain, severe, had to stop.  Pain resolved within a few seconds when he stopped.  Similar episode the day before but much more subtle mild achy pain.  Has had faster heartrate and out of breath much easier since he received the 2nd COVID-19 vaccine 3 weeks ago.  Dull pain/pressure in his chest has been persistent the last few days since he started running for soccer, club soccer just started.  Rode a long intense mountain bike ride prior to the 2nd COVID-19 vaccine, no problems with that, that was 2 weeks after the first, 1 week before the 2nd shot.  Since the second vaccine has been really fat
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Full blood count, Heart rate increased, Metabolic function test
Clinical narrative: Chest pain - Pt with left sided chest pain with running yesterday, about a mile into the run, jogging on a treadmill.  Sharp pain, severe, had to stop.  Pain resolved within a few seconds when he stopped.  Similar episode the day before but much more subtle mild achy pain.  Has had faster heartrate and out of breath much easier since he received the 2nd COVID-19 vaccine 3 weeks ago.  Dull pain/pressure in his chest has been persistent the last few days since he started running for soccer, club soccer just started.  Rode a long intense mountain bike ride prior to the 2nd COVID-19 vaccine, no problems with that, that was 2 weeks after the first, 1 week before the 2nd shot.  Since the second vaccine has been really fat
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate, Troponin T
Clinical narrative: Chest pain - Pt with left sided chest pain with running yesterday, about a mile into the run, jogging on a treadmill.  Sharp pain, severe, had to stop.  Pain resolved within a few seconds when he stopped.  Similar episode the day before but much more subtle mild achy pain.  Has had faster heartrate and out of breath much easier since he received the 2nd COVID-19 vaccine 3 weeks ago.  Dull pain/pressure in his chest has been persistent the last few days since he started running for soccer, club soccer just started.  Rode a long intense mountain bike ride prior to the 2nd COVID-19 vaccine, no problems with that, that was 2 weeks after the first, 1 week before the 2nd shot.  Since the second vaccine has been really fat
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood test abnormal, Hypoaesthesia, Hypoaesthesia oral, Magnetic resonance imaging head normal
Clinical narrative: Facial numbness middle to left side of chin and over to check, including lower lip and tip of tongue. First spoke with dentist and he took xrays to see if there was anything related he did not see anything, suggested I see my doctor. Had appt. with my family doctor and she did bloodwork, only issue with bloodwork was very low B12, began a daily supplement. Family suggested I see a neurologist to figure out this numbness. Went to neurologist, had more bloodwork and an MRI.. MRI was negative and bloodwork showed low albumin. I did document this on my weekly check-in post vaccine and in May received a call from CDC to report this adverse event. I had not correlated this to the vaccine, but once the CDC called, I did investigate and it seems that this could very well be a side effect. I am hoping someone can help me find a doctor that can help correct this numbness, thank you~
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological examination, Vitamin B12 decreased, X-ray dental normal
Clinical narrative: Facial numbness middle to left side of chin and over to check, including lower lip and tip of tongue. First spoke with dentist and he took xrays to see if there was anything related he did not see anything, suggested I see my doctor. Had appt. with my family doctor and she did bloodwork, only issue with bloodwork was very low B12, began a daily supplement. Family suggested I see a neurologist to figure out this numbness. Went to neurologist, had more bloodwork and an MRI.. MRI was negative and bloodwork showed low albumin. I did document this on my weekly check-in post vaccine and in May received a call from CDC to report this adverse event. I had not correlated this to the vaccine, but once the CDC called, I did investigate and it seems that this could very well be a side effect. I am hoping someone can help me find a doctor that can help correct this numbness, thank you~
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging head normal
Clinical narrative: Patient received Janssen vaccine on 3/31/2021.  Patient had complaints of sharp pain on right side of head starting 1 week after receiving the vaccine.  Patient went to doctor 3 weeks after receiving the vaccine with complaints of frequent sharp pain on right side of head.  He was then prescribed blood pressure medication.  MRI was performed and the patient was told everything was fine.  He visited the pharmacy today on 6/2/2021 and explained to employees that he is still having sharp pains on the right side of his head but they are less frequent.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest discomfort, Computerised tomogram head, Dizziness
Clinical narrative: shortness of breath; tightness in chest; dizziness;
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram
Clinical narrative: shortness of breath; tightness in chest; dizziness;
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Pfizer vaccine prior to Moderna vaccine
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eye pruritus, Ocular hyperaemia, Swelling of eyelid
Clinical narrative: Severe itching and redness in both eyes. Slight swelling in upper lids.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea
Clinical narrative: Severe itching and redness in both eyes. Slight swelling in upper lids.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyskinesia, Eyelid function disorder, Facial paralysis, Headache
Clinical narrative: After receiving the vaccination I went to bed had fever, chills, and a very bad headache. I started to drink tea and realized the tea was spilling down the left side of my mouth. My face was drooping and I could not close my left eye. I was not able to smile and had lost full sensation on the left side of the face.  I phoned my physician and was placed on antiviral and steroid medications. Both Valacyclovir 1 gram 3xs per day. and Prednisone 60mg per day.  I also was referred to an eye physician for further follow up and a Neurologist of whom referred me to Physical therapy and Acupuncture.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pyrexia
Clinical narrative: After receiving the vaccination I went to bed had fever, chills, and a very bad headache. I started to drink tea and realized the tea was spilling down the left side of my mouth. My face was drooping and I could not close my left eye. I was not able to smile and had lost full sensation on the left side of the face.  I phoned my physician and was placed on antiviral and steroid medications. Both Valacyclovir 1 gram 3xs per day. and Prednisone 60mg per day.  I also was referred to an eye physician for further follow up and a Neurologist of whom referred me to Physical therapy and Acupuncture.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was administered Pfizer vaccine as second dose rather than Moderna (Moderna administered as first vaccination).
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: PT RECEIVED FIRST DOSE OF PFIZER ON 5/16. PT IS HERE FOR SECOND DOSE (9 DAYS EARLY). THE ERROR WAS NOT REALIZED UNTIL THE CARD WAS CHECKED BY MONITORING STAFF AFTER VACCINATION. FATHER WAS INFORMED OF ERROR.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Severe pain in chest above my heart.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells Palsy
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for Acute CVA (cerebrovascular accident) within 6 weeks of receiving COVID vaccination.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient received a dose of vaccine from an expired vial.  Unable to contact patient.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: 1400: Pt recd. Vaccine and immediately loss conciousness for 20-30 seconds, Pt regained conciousness , was diaphoretic and anxious. Pt VS noted BP 96/60, HR 73, SPO2 100% on RA, RR 22. Pt escorted via wheelchair to ER for further evaluation. Husband notified.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: My wife had the vaccine and the next day she had some redness around the injection site. Ten days after she went to the doctor and they said it was a plus 2 infection and by then it was a three inch redness. It started at 1 in.  They did not give her any medications, they told her to not worry about it because it would go away.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Movement disorder
Clinical narrative: Patient reported full body joint aching stating that she could barely move the night of her vaccination. The aching is slowly resolving.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient given Pfizer vaccine for 2nd dose in series rather than Moderna.  Moderna was administered 1st dose
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: My side effects were body aches, very sore arm, fever of 100.3, headache, chills, and vomiting.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: My side effects were body aches, very sore arm, fever of 100.3, headache, chills, and vomiting.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash, Rash pruritic, Weight bearing difficulty
Clinical narrative: BODY ACHES TO THE POINT OF NONWEIGHT BEARING ON RIGHT KNEE ITCHY RASH ON FOREHEAD
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Blood test, Exposure during pregnancy, Ultrasound scan
Clinical narrative: I was 6 weeks along and I was suppose to deliver in January 2022. I missed carried May 17, 2021. It can take upto 4 weeks with the miscarried.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary normal, Catheterisation cardiac normal, Chest discomfort, Chest pain, Chills
Clinical narrative: Reason for Admission  Patient 22-year-old male with a history of seasonal allergic asthma who presented to ER with a chief complaint of chest pain.  He said he started having multiple episodes of vomiting/fever on Saturday morning, went to urgent care and diagnosed with sinus infection,  prescribed amoxicillin, then  he started having chest pain on Sunday at 4 PM, mid sternum, constant, pressure type of pain, 5 out of 10 in severity, worse with cough and deep breathing/lying down flat a lateral position, better with sitting up/ leaning forward.  No radiation.  Denies lifting any heavy weight or any heavy exercise.  Never had similar symptoms in the past.  He had his second dose Pfizer COVID-19 vaccine on May 12.  He denies leg pain or swelling.  His vomiting and fever resolved.   ED: He was found to have troponin of more than 12,000, EKG showed diffuse ST segment elevation with possible repolarization.   Transferred for possible cardiac cath/cardiac MRI.  CT angio chest no PE, normal aorta, no infiltration.  Pending second set of troponin, stat echo, aspirin po  given in the ER.   In addition to the above HPI, he reports having 2 days of fevers, chills, nausea, vomiting, diarrhea.  T-max 103F.  His chest pain began around 4 PM yesterday and he felt like it was initially consistent with his asthma, however it did not improve so around 1:30 AM he states they went to the ER.  He states that the chest pain gets better with exertion, and is worse with deep breaths and lying on his side, or leaning forward. He did take Nyquil decongestant which contains phenylephrine.     Hospital Course   22 yo M w/PMH exercise induced asthma admitted for evaluation of CP, elevated troponin to 21,292 with negative LHC. UDS Negative. EKG w/diffuse ST changes so consistent with Myopericarditis I31.9 given Recent Viral Illness resulting in first time myopericarditis, will treat per pericarditis algorithm, ASA+Colchicine w/90% response rate by 1 week.     -ASA 650 to 1000 mg TID, weekly tapers if CRP normalized and sx free; will start at 650 mg dose   -Colchicine 0.6 mg BID for 3 months, no taper (lowers recurrence rate, NNT = 5)   -Glucocorticoid generally not indicated in first-time acute myopericarditis as observational studies suggest increased recurrence rate, but can consider if he does not adequately respond to aspirin and colchicine   -Trend troponin to ensure downtrend continues   -No strenuous exercise during recovery period
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Diarrhoea, Drug screen negative, Echocardiogram, Electrocardiogram ST segment elevation
Clinical narrative: Reason for Admission  Patient 22-year-old male with a history of seasonal allergic asthma who presented to ER with a chief complaint of chest pain.  He said he started having multiple episodes of vomiting/fever on Saturday morning, went to urgent care and diagnosed with sinus infection,  prescribed amoxicillin, then  he started having chest pain on Sunday at 4 PM, mid sternum, constant, pressure type of pain, 5 out of 10 in severity, worse with cough and deep breathing/lying down flat a lateral position, better with sitting up/ leaning forward.  No radiation.  Denies lifting any heavy weight or any heavy exercise.  Never had similar symptoms in the past.  He had his second dose Pfizer COVID-19 vaccine on May 12.  He denies leg pain or swelling.  His vomiting and fever resolved.   ED: He was found to have troponin of more than 12,000, EKG showed diffuse ST segment elevation with possible repolarization.   Transferred for possible cardiac cath/cardiac MRI.  CT angio chest no PE, normal aorta, no infiltration.  Pending second set of troponin, stat echo, aspirin po  given in the ER.   In addition to the above HPI, he reports having 2 days of fevers, chills, nausea, vomiting, diarrhea.  T-max 103F.  His chest pain began around 4 PM yesterday and he felt like it was initially consistent with his asthma, however it did not improve so around 1:30 AM he states they went to the ER.  He states that the chest pain gets better with exertion, and is worse with deep breaths and lying on his side, or leaning forward. He did take Nyquil decongestant which contains phenylephrine.     Hospital Course   22 yo M w/PMH exercise induced asthma admitted for evaluation of CP, elevated troponin to 21,292 with negative LHC. UDS Negative. EKG w/diffuse ST changes so consistent with Myopericarditis I31.9 given Recent Viral Illness resulting in first time myopericarditis, will treat per pericarditis algorithm, ASA+Colchicine w/90% response rate by 1 week.     -ASA 650 to 1000 mg TID, weekly tapers if CRP normalized and sx free; will start at 650 mg dose   -Colchicine 0.6 mg BID for 3 months, no taper (lowers recurrence rate, NNT = 5)   -Glucocorticoid generally not indicated in first-time acute myopericarditis as observational studies suggest increased recurrence rate, but can consider if he does not adequately respond to aspirin and colchicine   -Trend troponin to ensure downtrend continues   -No strenuous exercise during recovery period
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Nausea, Pyrexia, Sinusitis, Troponin increased
Clinical narrative: Reason for Admission  Patient 22-year-old male with a history of seasonal allergic asthma who presented to ER with a chief complaint of chest pain.  He said he started having multiple episodes of vomiting/fever on Saturday morning, went to urgent care and diagnosed with sinus infection,  prescribed amoxicillin, then  he started having chest pain on Sunday at 4 PM, mid sternum, constant, pressure type of pain, 5 out of 10 in severity, worse with cough and deep breathing/lying down flat a lateral position, better with sitting up/ leaning forward.  No radiation.  Denies lifting any heavy weight or any heavy exercise.  Never had similar symptoms in the past.  He had his second dose Pfizer COVID-19 vaccine on May 12.  He denies leg pain or swelling.  His vomiting and fever resolved.   ED: He was found to have troponin of more than 12,000, EKG showed diffuse ST segment elevation with possible repolarization.   Transferred for possible cardiac cath/cardiac MRI.  CT angio chest no PE, normal aorta, no infiltration.  Pending second set of troponin, stat echo, aspirin po  given in the ER.   In addition to the above HPI, he reports having 2 days of fevers, chills, nausea, vomiting, diarrhea.  T-max 103F.  His chest pain began around 4 PM yesterday and he felt like it was initially consistent with his asthma, however it did not improve so around 1:30 AM he states they went to the ER.  He states that the chest pain gets better with exertion, and is worse with deep breaths and lying on his side, or leaning forward. He did take Nyquil decongestant which contains phenylephrine.     Hospital Course   22 yo M w/PMH exercise induced asthma admitted for evaluation of CP, elevated troponin to 21,292 with negative LHC. UDS Negative. EKG w/diffuse ST changes so consistent with Myopericarditis I31.9 given Recent Viral Illness resulting in first time myopericarditis, will treat per pericarditis algorithm, ASA+Colchicine w/90% response rate by 1 week.     -ASA 650 to 1000 mg TID, weekly tapers if CRP normalized and sx free; will start at 650 mg dose   -Colchicine 0.6 mg BID for 3 months, no taper (lowers recurrence rate, NNT = 5)   -Glucocorticoid generally not indicated in first-time acute myopericarditis as observational studies suggest increased recurrence rate, but can consider if he does not adequately respond to aspirin and colchicine   -Trend troponin to ensure downtrend continues   -No strenuous exercise during recovery period
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Viral infection, Vomiting
Clinical narrative: Reason for Admission  Patient 22-year-old male with a history of seasonal allergic asthma who presented to ER with a chief complaint of chest pain.  He said he started having multiple episodes of vomiting/fever on Saturday morning, went to urgent care and diagnosed with sinus infection,  prescribed amoxicillin, then  he started having chest pain on Sunday at 4 PM, mid sternum, constant, pressure type of pain, 5 out of 10 in severity, worse with cough and deep breathing/lying down flat a lateral position, better with sitting up/ leaning forward.  No radiation.  Denies lifting any heavy weight or any heavy exercise.  Never had similar symptoms in the past.  He had his second dose Pfizer COVID-19 vaccine on May 12.  He denies leg pain or swelling.  His vomiting and fever resolved.   ED: He was found to have troponin of more than 12,000, EKG showed diffuse ST segment elevation with possible repolarization.   Transferred for possible cardiac cath/cardiac MRI.  CT angio chest no PE, normal aorta, no infiltration.  Pending second set of troponin, stat echo, aspirin po  given in the ER.   In addition to the above HPI, he reports having 2 days of fevers, chills, nausea, vomiting, diarrhea.  T-max 103F.  His chest pain began around 4 PM yesterday and he felt like it was initially consistent with his asthma, however it did not improve so around 1:30 AM he states they went to the ER.  He states that the chest pain gets better with exertion, and is worse with deep breaths and lying on his side, or leaning forward. He did take Nyquil decongestant which contains phenylephrine.     Hospital Course   22 yo M w/PMH exercise induced asthma admitted for evaluation of CP, elevated troponin to 21,292 with negative LHC. UDS Negative. EKG w/diffuse ST changes so consistent with Myopericarditis I31.9 given Recent Viral Illness resulting in first time myopericarditis, will treat per pericarditis algorithm, ASA+Colchicine w/90% response rate by 1 week.     -ASA 650 to 1000 mg TID, weekly tapers if CRP normalized and sx free; will start at 650 mg dose   -Colchicine 0.6 mg BID for 3 months, no taper (lowers recurrence rate, NNT = 5)   -Glucocorticoid generally not indicated in first-time acute myopericarditis as observational studies suggest increased recurrence rate, but can consider if he does not adequately respond to aspirin and colchicine   -Trend troponin to ensure downtrend continues   -No strenuous exercise during recovery period
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Blood test, Chest pain, Echocardiogram, Electrocardiogram
Clinical narrative: Reason for Admission  Patient 22-year-old male with a history of seasonal allergic asthma who presented to ER with a chief complaint of chest pain.  He said he started having multiple episodes of vomiting/fever on Saturday morning, went to urgent care and diagnosed with sinus infection,  prescribed amoxicillin, then  he started having chest pain on Sunday at 4 PM, mid sternum, constant, pressure type of pain, 5 out of 10 in severity, worse with cough and deep breathing/lying down flat a lateral position, better with sitting up/ leaning forward.  No radiation.  Denies lifting any heavy weight or any heavy exercise.  Never had similar symptoms in the past.  He had his second dose Pfizer COVID-19 vaccine on May 12.  He denies leg pain or swelling.  His vomiting and fever resolved.   ED: He was found to have troponin of more than 12,000, EKG showed diffuse ST segment elevation with possible repolarization.   Transferred for possible cardiac cath/cardiac MRI.  CT angio chest no PE, normal aorta, no infiltration.  Pending second set of troponin, stat echo, aspirin po  given in the ER.   In addition to the above HPI, he reports having 2 days of fevers, chills, nausea, vomiting, diarrhea.  T-max 103F.  His chest pain began around 4 PM yesterday and he felt like it was initially consistent with his asthma, however it did not improve so around 1:30 AM he states they went to the ER.  He states that the chest pain gets better with exertion, and is worse with deep breaths and lying on his side, or leaning forward. He did take Nyquil decongestant which contains phenylephrine.     Hospital Course   22 yo M w/PMH exercise induced asthma admitted for evaluation of CP, elevated troponin to 21,292 with negative LHC. UDS Negative. EKG w/diffuse ST changes so consistent with Myopericarditis I31.9 given Recent Viral Illness resulting in first time myopericarditis, will treat per pericarditis algorithm, ASA+Colchicine w/90% response rate by 1 week.     -ASA 650 to 1000 mg TID, weekly tapers if CRP normalized and sx free; will start at 650 mg dose   -Colchicine 0.6 mg BID for 3 months, no taper (lowers recurrence rate, NNT = 5)   -Glucocorticoid generally not indicated in first-time acute myopericarditis as observational studies suggest increased recurrence rate, but can consider if he does not adequately respond to aspirin and colchicine   -Trend troponin to ensure downtrend continues   -No strenuous exercise during recovery period
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Vaccination complication
Clinical narrative: Reason for Admission  Patient 22-year-old male with a history of seasonal allergic asthma who presented to ER with a chief complaint of chest pain.  He said he started having multiple episodes of vomiting/fever on Saturday morning, went to urgent care and diagnosed with sinus infection,  prescribed amoxicillin, then  he started having chest pain on Sunday at 4 PM, mid sternum, constant, pressure type of pain, 5 out of 10 in severity, worse with cough and deep breathing/lying down flat a lateral position, better with sitting up/ leaning forward.  No radiation.  Denies lifting any heavy weight or any heavy exercise.  Never had similar symptoms in the past.  He had his second dose Pfizer COVID-19 vaccine on May 12.  He denies leg pain or swelling.  His vomiting and fever resolved.   ED: He was found to have troponin of more than 12,000, EKG showed diffuse ST segment elevation with possible repolarization.   Transferred for possible cardiac cath/cardiac MRI.  CT angio chest no PE, normal aorta, no infiltration.  Pending second set of troponin, stat echo, aspirin po  given in the ER.   In addition to the above HPI, he reports having 2 days of fevers, chills, nausea, vomiting, diarrhea.  T-max 103F.  His chest pain began around 4 PM yesterday and he felt like it was initially consistent with his asthma, however it did not improve so around 1:30 AM he states they went to the ER.  He states that the chest pain gets better with exertion, and is worse with deep breaths and lying on his side, or leaning forward. He did take Nyquil decongestant which contains phenylephrine.     Hospital Course   22 yo M w/PMH exercise induced asthma admitted for evaluation of CP, elevated troponin to 21,292 with negative LHC. UDS Negative. EKG w/diffuse ST changes so consistent with Myopericarditis I31.9 given Recent Viral Illness resulting in first time myopericarditis, will treat per pericarditis algorithm, ASA+Colchicine w/90% response rate by 1 week.     -ASA 650 to 1000 mg TID, weekly tapers if CRP normalized and sx free; will start at 650 mg dose   -Colchicine 0.6 mg BID for 3 months, no taper (lowers recurrence rate, NNT = 5)   -Glucocorticoid generally not indicated in first-time acute myopericarditis as observational studies suggest increased recurrence rate, but can consider if he does not adequately respond to aspirin and colchicine   -Trend troponin to ensure downtrend continues   -No strenuous exercise during recovery period
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anti-cyclic citrullinated peptide antibody negative, Antineutrophil cytoplasmic antibody negative, Antinuclear antibody, Antinuclear antibody negative
Clinical narrative: Patient developed hemoptysis, chest pain, and shortness of breath and was admitted to the hospital.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Aspergillus test negative, Blood creatinine decreased, Brain natriuretic peptide normal, Bronchoscopy normal, C-reactive protein
Clinical narrative: Patient developed hemoptysis, chest pain, and shortness of breath and was admitted to the hospital.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram thorax abnormal, Culture negative, Cytology normal, Dyspnoea
Clinical narrative: Patient developed hemoptysis, chest pain, and shortness of breath and was admitted to the hospital.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fungal test negative, Haemoptysis, Laboratory test normal, Legionella test, Lung opacity
Clinical narrative: Patient developed hemoptysis, chest pain, and shortness of breath and was admitted to the hospital.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Mycobacterium test negative, Mycobacterium tuberculosis complex test negative, Red blood cell sedimentation rate normal, Respiratory viral panel, SARS-CoV-2 test negative
Clinical narrative: Patient developed hemoptysis, chest pain, and shortness of breath and was admitted to the hospital.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative, White blood cell count increased
Clinical narrative: Patient developed hemoptysis, chest pain, and shortness of breath and was admitted to the hospital.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular tachycardia
Clinical narrative: Patient hospitalized for ventricular tachycardia within 6 weeks of receiving COVID vaccination.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: Felt "spacey" Patient was given water and was  observed, symptoms resolved Discharged to home
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: PT RECEIVED VACCINATION 5 DAYS EARLY, DID NOT EXPERIENCE ANY ADVERSE EFFECTS NOR SIDE EFFECTS. ADULT SISTER MADE AWARE.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Dizziness, Headache, Immediate post-injection reaction
Clinical narrative: HPI: Patient is a * year old * who presents following administration of the first dose of Pfizer COVID19 vaccine in the left deltoid.  She states that immediately following administration of the vaccine, she started to feel lightheaded with ?fuzzy vision,? and pain with swallowing.  She denies a history of anaphylaxis.  She affirms seasonal allergies and confirms that she was feeling ?stuffy? this morning.  She affirms that she ate and drank this morning without odynophagia.  She relates that there was a big family argument that is causing her to feel stressed at this time as well.   She affirms pleuritic chest pain, odynophagia, epigastric abdominal pain, headache, lightheadedness, and blurry vision.  She denies chest pain, difficulty breathing, swelling of the face/lips/tongue/throat, skin rash/itching, cramping abdominal pain, nausea, and vomiting.     Exam: GEN: Alert and oriented x 4, NAD.  Patient appears to have a developmental delay secondary to eye contact avoidance, slow to respond, and speech impediment. HEAD: NCAT EYES: PERRL, EOMI ENT: Ears normal, Nose normal, OP normal, no evidence of angioedema NECK: Supple, without LAD.  CV: RRR, no m/r/g PULM: Shallow, guarded breathing at rest, but clear to auscultation bilaterally with deep inspiration, no accessory muscle use ABD: Soft, no tenderness. SKIN: No rashes, skin warm and dry.  No erythema or edema of the injection site. MSK: FROM, MS 5/5 NEURO: Alert and oriented x 4, CN 2-12 grossly intact, no ataxia, gait steady   Clinical Impression/Field Tx: Vital signs stable and physical exam within normal limits, however, patient continued to report odynophagia, pleuritic chest pain, abdominal pain, lightheadedness, and blurry vision, even after giving patient snack/drink and reclining her with lower extremities above the level of heart and head.  EMS called to the scene for further evaluation.   Instructed patient and parent to consult their PCP regarding the post-vaccination reaction.  Patient and parent instructed to go to emergency department should she develop chest pain, difficulty breathing, swelling of the face/lips/mouth/tongue/throat, or cramping abdominal pain with nausea/vomiting.  Patient and parent demonstrated understanding of post-vaccination instructions.     Medications administered: None   Disposition:  EMS contacted due to patient not improving. Care transferred to EMS .  No workup was performed by EMS and they instructed the parent of the patient to take the patient to ER via private car for further evaluation.  Father was amenable to plan and signed form.