chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Taste disorder, Troponin normal
Clinical narrative: Chief Complaint Patient presents with ? Fatigue pt states food just does not taste right, he feels like he has no taste, sx started about 2 - 3 weeks ago, was around positive exposures  ED to Hosp-Admission Current  8/27/2021 - present (5 days) Patient is being admitted to medical surgical unit.   Acute hypoxic respiratory failure. Bilateral pneumonia secondary to coronavirus infection. o Patient's COVID-19 virus testing is positive. o Treatment protocol will be implemented. o Steroids are going to be used orally o Empiric antibiotics are initiated.    Chief Complaint Patient presents with ? Shortness of Breath     Patient is an 83 y.o. male presented to Emergency Care Unit for evaluation of fever, fatigue, decreased taste and cough.  Patient does have a reported exposure to coronavirus about 2 weeks ago.  He had been tested in the past and the test was positive.  He denies having nausea, vomiting or diarrhea.       During the initial stages of evaluation in emergency care unit the following test and imaging were ordered.  I have personally reviewed the results: o Hematology panel is generally unremarkable. o Procalcitonin is mildly elevated 2.41 ng/mL. o Troponin is 0.03 ng/mL. o Comprehensive metabolic panel is revealing depleted sodium to 140 mmol/L. o BUN and creatinine are elevated indicative of the acute renal injury. o Patient does have elevated AST and ALT. o Lactate is within normal range. o Microbiology studies reviewed detected corona virus?COVID-19. o Imaging studies confirm bilateral interstitial changes in both lung bases. o EKG is revealing normal sinus rhythm     Review of Systems  Constitutional: Positive for appetite change, fatigue and fever.  HENT: Positive for congestion and sore throat.   Eyes: Negative.  Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea.  Endocrine: Negative.   Genitourinary: Negative.  Negative for difficulty urinating.  Musculoskeletal: Positive for arthralgias and myalgias.  Skin: Negative.  Negative for rash.  Allergic/Immunologic: Negative.   Neurological: Positive for dizziness and weakness.  Hematological: Negative.  Negative for adenopathy.  Psychiatric/Behavioral: The patient is nervous/anxious.   All other systems reviewed and are negative.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Seven days after the injection, I developed a very red, hot,swollen, painful, and itchy area encompassing the upper outer part of my left arm surrounding the injection site, approximately 8-10 cm in diameter.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Hepatic enzyme increased
Clinical narrative: Elevated ALT liver enzymes
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Chills, Dyspnoea, Fatigue
Clinical narrative: On 6/20 I had fatigue and chills, the next day I had sinus issues, headache, fever and body aches. On 06/24 I thought I probably had Covid I had a bad fever, body aches, fever was high and was not going down with Advil, tightness of chest, hard to breath as it progressed, I was prescribed albuterol twice a day. My O2 remained 96-98 On 6/28 I started having an achy feeling my whole body felt fizzy pins and needles feeling. I continued to have fatigue, muscle weakness, muscle pain, and shortness of breath lasted through middle to about of July. I still have fatigue and shortness of breath.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscular weakness, Pain, Paraesthesia, Pyrexia
Clinical narrative: On 6/20 I had fatigue and chills, the next day I had sinus issues, headache, fever and body aches. On 06/24 I thought I probably had Covid I had a bad fever, body aches, fever was high and was not going down with Advil, tightness of chest, hard to breath as it progressed, I was prescribed albuterol twice a day. My O2 remained 96-98 On 6/28 I started having an achy feeling my whole body felt fizzy pins and needles feeling. I continued to have fatigue, muscle weakness, muscle pain, and shortness of breath lasted through middle to about of July. I still have fatigue and shortness of breath.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: On 6/20 I had fatigue and chills, the next day I had sinus issues, headache, fever and body aches. On 06/24 I thought I probably had Covid I had a bad fever, body aches, fever was high and was not going down with Advil, tightness of chest, hard to breath as it progressed, I was prescribed albuterol twice a day. My O2 remained 96-98 On 6/28 I started having an achy feeling my whole body felt fizzy pins and needles feeling. I continued to have fatigue, muscle weakness, muscle pain, and shortness of breath lasted through middle to about of July. I still have fatigue and shortness of breath.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Client was administered Pfizer vaccine prior to eligibility for age. Phone call to parent on 8/30/2021. Reports knowing he was too young but thought it was okay due to his height and weight being that of a grown adult. Reports no adverse symptoms noted.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Malaise, Pain
Clinical narrative: fatigue, chills, body aches, malaise starting 5 hours after vaccine
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Decreased appetite, Diarrhoea, Feeling abnormal, Gastric disorder
Clinical narrative: Patient started out feeling good on August 4.  By 5 PM she felt achy and started to have diarrhea.  She went home and went to bed.  She was up every 2 hours with diarrhea.  Thursday, August 5th, continued aches with decreased appetite.  Thursday evening she had more stomach problems with diarrhea.  On Friday, August 6th,  around 1:30 in the morning she woke up with diarrhea, sweating profusely and she was in the locked position on the floor.  Her hands were locked.  She called for her husband and they took her to the emergency room.  The ambulance was unable to get blood out of her finger for a glucose check.  They gave her Imodium, IV fluids.  Sunday night, August 8th, she then had diarrhea and numbness in her legs, hands but they did not lock up.  Sunday evening she had diarrhea again.  Monday, August 9th, she was feeling better.   No more aching. She still felt weak and not like herself. I have not had any further update since I spoke with her on 8/9/21.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Hyperhidrosis, Hypoaesthesia, Locked-in syndrome, Pain
Clinical narrative: Patient started out feeling good on August 4.  By 5 PM she felt achy and started to have diarrhea.  She went home and went to bed.  She was up every 2 hours with diarrhea.  Thursday, August 5th, continued aches with decreased appetite.  Thursday evening she had more stomach problems with diarrhea.  On Friday, August 6th,  around 1:30 in the morning she woke up with diarrhea, sweating profusely and she was in the locked position on the floor.  Her hands were locked.  She called for her husband and they took her to the emergency room.  The ambulance was unable to get blood out of her finger for a glucose check.  They gave her Imodium, IV fluids.  Sunday night, August 8th, she then had diarrhea and numbness in her legs, hands but they did not lock up.  Sunday evening she had diarrhea again.  Monday, August 9th, she was feeling better.   No more aching. She still felt weak and not like herself. I have not had any further update since I spoke with her on 8/9/21.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Areflexia, Arthralgia, Asthenia, Balance disorder, Blood pressure increased
Clinical narrative: Cascade and Marching of symptoms including but not limited to itching of skin diffuse rash and scalp, Proprioception difficulties, fall, severe progression of numbness and tingling of feet, hands, face and nose, Loss of LE reflexes, weakness, Increase BP and heart rate, feet and hands felt as if walking on or holding glass of cactus , Pain in shoulders and down legs at times.  Difficulty walking  with wide based gait, off balance and dizzy at times and could not tandem walk.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic inflammatory demyelinating polyradiculoneuropathy, Dizziness, Electromyogram, Fall, Gait disturbance
Clinical narrative: Cascade and Marching of symptoms including but not limited to itching of skin diffuse rash and scalp, Proprioception difficulties, fall, severe progression of numbness and tingling of feet, hands, face and nose, Loss of LE reflexes, weakness, Increase BP and heart rate, feet and hands felt as if walking on or holding glass of cactus , Pain in shoulders and down legs at times.  Difficulty walking  with wide based gait, off balance and dizzy at times and could not tandem walk.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Heart rate increased, Hypoaesthesia, Immunoglobulin therapy, Loss of proprioception
Clinical narrative: Cascade and Marching of symptoms including but not limited to itching of skin diffuse rash and scalp, Proprioception difficulties, fall, severe progression of numbness and tingling of feet, hands, face and nose, Loss of LE reflexes, weakness, Increase BP and heart rate, feet and hands felt as if walking on or holding glass of cactus , Pain in shoulders and down legs at times.  Difficulty walking  with wide based gait, off balance and dizzy at times and could not tandem walk.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging, Pain in extremity, Paraesthesia, Pruritus
Clinical narrative: Cascade and Marching of symptoms including but not limited to itching of skin diffuse rash and scalp, Proprioception difficulties, fall, severe progression of numbness and tingling of feet, hands, face and nose, Loss of LE reflexes, weakness, Increase BP and heart rate, feet and hands felt as if walking on or holding glass of cactus , Pain in shoulders and down legs at times.  Difficulty walking  with wide based gait, off balance and dizzy at times and could not tandem walk.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin disorder
Clinical narrative: Cascade and Marching of symptoms including but not limited to itching of skin diffuse rash and scalp, Proprioception difficulties, fall, severe progression of numbness and tingling of feet, hands, face and nose, Loss of LE reflexes, weakness, Increase BP and heart rate, feet and hands felt as if walking on or holding glass of cactus , Pain in shoulders and down legs at times.  Difficulty walking  with wide based gait, off balance and dizzy at times and could not tandem walk.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Vomiting
Clinical narrative: Pt passed out during administration of covid19 vaccine. Within approx. 15 seconds, pt regained consciousness and was AAOX4 with no obvious distress. Pt was instructed to stay in clinic for 15 to 30 minutes for monitoring. Pt c/o nausea and vomited once while waiting in exam room. Pt denied pain. Pt sat down next to break room in store after leaving clinic and began throwing up. Since pt had left, EMS was notified immediately. Pt did not decide to leave with EMS rather but had a family member pick her up
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adenovirus test, Angiogram pulmonary abnormal, Bordetella test negative, COVID-19
Clinical narrative: ED to Hosp-Admission Discharged  8/25/2021 - 8/29/2021 (4 days)  COVID-19 virus infection  Respiratory insufficiency  Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] COVID-19 virus infection [U07.1]     Hospital Course   This is a 49-year-old male with essential hypertension and type 2 diabetes on oral medications who got his first Covid vaccine (moderna)-2 days later started getting sick coughing fever chills and ultimately presented to the hospital with acute hypoxic respiratory insufficiency requiring supplemental oxygen he was admitted to the hospital and had convalescent plasma for COVID-19, CT scan showing infiltrates but negative for PE, his COVID-19 pneumonia responded to the combination of convalescent plasma, remdesivir, dexamethasone and time   He had hyperglycemia secondary to steroids and was treated with insulin Blood pressure medications were adjusted for lower blood pressures however at the time of discharge his blood pressure is 130/84
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chills, Chlamydia test negative, Computerised tomogram thorax abnormal
Clinical narrative: ED to Hosp-Admission Discharged  8/25/2021 - 8/29/2021 (4 days)  COVID-19 virus infection  Respiratory insufficiency  Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] COVID-19 virus infection [U07.1]     Hospital Course   This is a 49-year-old male with essential hypertension and type 2 diabetes on oral medications who got his first Covid vaccine (moderna)-2 days later started getting sick coughing fever chills and ultimately presented to the hospital with acute hypoxic respiratory insufficiency requiring supplemental oxygen he was admitted to the hospital and had convalescent plasma for COVID-19, CT scan showing infiltrates but negative for PE, his COVID-19 pneumonia responded to the combination of convalescent plasma, remdesivir, dexamethasone and time   He had hyperglycemia secondary to steroids and was treated with insulin Blood pressure medications were adjusted for lower blood pressures however at the time of discharge his blood pressure is 130/84
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Convalescent plasma transfusion, Coronavirus test negative, Cough, Dyspnoea, Enterovirus test negative
Clinical narrative: ED to Hosp-Admission Discharged  8/25/2021 - 8/29/2021 (4 days)  COVID-19 virus infection  Respiratory insufficiency  Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] COVID-19 virus infection [U07.1]     Hospital Course   This is a 49-year-old male with essential hypertension and type 2 diabetes on oral medications who got his first Covid vaccine (moderna)-2 days later started getting sick coughing fever chills and ultimately presented to the hospital with acute hypoxic respiratory insufficiency requiring supplemental oxygen he was admitted to the hospital and had convalescent plasma for COVID-19, CT scan showing infiltrates but negative for PE, his COVID-19 pneumonia responded to the combination of convalescent plasma, remdesivir, dexamethasone and time   He had hyperglycemia secondary to steroids and was treated with insulin Blood pressure medications were adjusted for lower blood pressures however at the time of discharge his blood pressure is 130/84
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Essential hypertension, Human metapneumovirus test, Human rhinovirus test, Hyperglycaemia, Imaging procedure
Clinical narrative: ED to Hosp-Admission Discharged  8/25/2021 - 8/29/2021 (4 days)  COVID-19 virus infection  Respiratory insufficiency  Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] COVID-19 virus infection [U07.1]     Hospital Course   This is a 49-year-old male with essential hypertension and type 2 diabetes on oral medications who got his first Covid vaccine (moderna)-2 days later started getting sick coughing fever chills and ultimately presented to the hospital with acute hypoxic respiratory insufficiency requiring supplemental oxygen he was admitted to the hospital and had convalescent plasma for COVID-19, CT scan showing infiltrates but negative for PE, his COVID-19 pneumonia responded to the combination of convalescent plasma, remdesivir, dexamethasone and time   He had hyperglycemia secondary to steroids and was treated with insulin Blood pressure medications were adjusted for lower blood pressures however at the time of discharge his blood pressure is 130/84
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Lung consolidation, Lung infiltration, Lung opacity
Clinical narrative: ED to Hosp-Admission Discharged  8/25/2021 - 8/29/2021 (4 days)  COVID-19 virus infection  Respiratory insufficiency  Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] COVID-19 virus infection [U07.1]     Hospital Course   This is a 49-year-old male with essential hypertension and type 2 diabetes on oral medications who got his first Covid vaccine (moderna)-2 days later started getting sick coughing fever chills and ultimately presented to the hospital with acute hypoxic respiratory insufficiency requiring supplemental oxygen he was admitted to the hospital and had convalescent plasma for COVID-19, CT scan showing infiltrates but negative for PE, his COVID-19 pneumonia responded to the combination of convalescent plasma, remdesivir, dexamethasone and time   He had hyperglycemia secondary to steroids and was treated with insulin Blood pressure medications were adjusted for lower blood pressures however at the time of discharge his blood pressure is 130/84
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Mycoplasma test negative, Pneumonia, Pyrexia, Respiratory syncytial virus test negative
Clinical narrative: ED to Hosp-Admission Discharged  8/25/2021 - 8/29/2021 (4 days)  COVID-19 virus infection  Respiratory insufficiency  Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] COVID-19 virus infection [U07.1]     Hospital Course   This is a 49-year-old male with essential hypertension and type 2 diabetes on oral medications who got his first Covid vaccine (moderna)-2 days later started getting sick coughing fever chills and ultimately presented to the hospital with acute hypoxic respiratory insufficiency requiring supplemental oxygen he was admitted to the hospital and had convalescent plasma for COVID-19, CT scan showing infiltrates but negative for PE, his COVID-19 pneumonia responded to the combination of convalescent plasma, remdesivir, dexamethasone and time   He had hyperglycemia secondary to steroids and was treated with insulin Blood pressure medications were adjusted for lower blood pressures however at the time of discharge his blood pressure is 130/84
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Respirovirus test, SARS-CoV-2 test negative, Scan with contrast abnormal, Type 2 diabetes mellitus, Viral test
Clinical narrative: ED to Hosp-Admission Discharged  8/25/2021 - 8/29/2021 (4 days)  COVID-19 virus infection  Respiratory insufficiency  Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath [R06.02] COVID-19 virus infection [U07.1]     Hospital Course   This is a 49-year-old male with essential hypertension and type 2 diabetes on oral medications who got his first Covid vaccine (moderna)-2 days later started getting sick coughing fever chills and ultimately presented to the hospital with acute hypoxic respiratory insufficiency requiring supplemental oxygen he was admitted to the hospital and had convalescent plasma for COVID-19, CT scan showing infiltrates but negative for PE, his COVID-19 pneumonia responded to the combination of convalescent plasma, remdesivir, dexamethasone and time   He had hyperglycemia secondary to steroids and was treated with insulin Blood pressure medications were adjusted for lower blood pressures however at the time of discharge his blood pressure is 130/84
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Eczema, Headache, Musculoskeletal stiffness, Myalgia
Clinical narrative: 07/10/21 Sore arm muscle, headache. 07/10/21 - 07/14/21 Sore/stiff arm muscle. 07/14/21 Dormant Eczema activated. 4 blisters, duration 3 days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: 07/10/21 Sore arm muscle, headache. 07/10/21 - 07/14/21 Sore/stiff arm muscle. 07/14/21 Dormant Eczema activated. 4 blisters, duration 3 days.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Headache, Hypoaesthesia, Pain in extremity, Pruritus
Clinical narrative: Chest pain, blurred vision, numbness in arms and feet, persistent headache, pain in extremities, generalized aching.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Chest pain, blurred vision, numbness in arms and feet, persistent headache, pain in extremities, generalized aching.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Death, General physical health deterioration, Lung neoplasm malignant
Clinical narrative: 32 hours after patient obtained the 2nd vaccine, he began to seriously decline and died the next day. He was on hospice and his death was eventually inevitable due to his lung cancer, but I am reporting this event as his death occurred so close to administration of the vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Chest X-ray normal, Chest pain, Dyspnoea, Electrocardiogram normal
Clinical narrative: I received my first Modern vaccine on July 22,2020.  One week after on July 29, 2021, I started experiencing chest pains and discomfort that radiated to my right arm on and off.  This was accompanied by leg and left calf pain, burning, tingling, numbing, and pulling sensation that went to my left grate toe.  The pain became extreme in the left calf especially when touched or against anything. I noticed that it was worst when I was sitting or lying down and it worsened at night and I could not sleep at night. My right leg started to tingle, burn and numbness and my legs were restless, and I had to move them for relief. The chest pain was becoming more frequent.  I was taking Ibuprofen with no relief and I started taking Tylenol and received some slight relief on and off during this entire time.   I visited my primary on Friday, August 13th and EKG was done and it was normal, but I was sent to an ER for further testing.  EKG, chest x-ray, and labs, d-dimer were performed and was normal.  I was discharged and told that if the pain in my legs increases to return. On Sunday August 15, 2021, the pain in my chest and in my legs worsened. I returned to another ER on Monday.  EKG, labs, chest x-ray, and an Ultrasound was done on the L leg and nothing was found.  I was given IV Toradol and aspirin via mouth and that was the first time that I got relief from my chest and leg. My left calf felt better after that, but I continue the restless leg symptoms at night or when I was sitting, just not as intense.  I was advised by my primary and both ER doctors to finish the Moderna series in the meantime because my 2nd vaccine was due Thursday, August 19th. I received my second vaccine on Thursday August 19, 2021 followed back up with my primary on Tuesday Aug 24, 2021 and was prescribed Requip and given Gabapentin PRN for pain.  I started that Requip that day and experienced total relief on Wednesday Aug 25, 2021 and Thursday August 26,2021. I was able to sleep and had no pain at night.  On Friday, August 27, exactly 1 week and a day from the second vaccine, the chest pains on and off with the radiation to both arms and the bilateral pain burning, tingling and numbness to the legs returned.  I added the gabapentin August 30 at night and received slight relief at night, but it returned Tuesday morning.  Currently I am still experiencing the pain, burning, and tingling in my legs during the day so I must take it in the morning.  My chest is still hurting on and off and when I bend my legs, I get shortness of breath.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer normal, Laboratory test, Pain in extremity, Paraesthesia, Ultrasound Doppler normal
Clinical narrative: I received my first Modern vaccine on July 22,2020.  One week after on July 29, 2021, I started experiencing chest pains and discomfort that radiated to my right arm on and off.  This was accompanied by leg and left calf pain, burning, tingling, numbing, and pulling sensation that went to my left grate toe.  The pain became extreme in the left calf especially when touched or against anything. I noticed that it was worst when I was sitting or lying down and it worsened at night and I could not sleep at night. My right leg started to tingle, burn and numbness and my legs were restless, and I had to move them for relief. The chest pain was becoming more frequent.  I was taking Ibuprofen with no relief and I started taking Tylenol and received some slight relief on and off during this entire time.   I visited my primary on Friday, August 13th and EKG was done and it was normal, but I was sent to an ER for further testing.  EKG, chest x-ray, and labs, d-dimer were performed and was normal.  I was discharged and told that if the pain in my legs increases to return. On Sunday August 15, 2021, the pain in my chest and in my legs worsened. I returned to another ER on Monday.  EKG, labs, chest x-ray, and an Ultrasound was done on the L leg and nothing was found.  I was given IV Toradol and aspirin via mouth and that was the first time that I got relief from my chest and leg. My left calf felt better after that, but I continue the restless leg symptoms at night or when I was sitting, just not as intense.  I was advised by my primary and both ER doctors to finish the Moderna series in the meantime because my 2nd vaccine was due Thursday, August 19th. I received my second vaccine on Thursday August 19, 2021 followed back up with my primary on Tuesday Aug 24, 2021 and was prescribed Requip and given Gabapentin PRN for pain.  I started that Requip that day and experienced total relief on Wednesday Aug 25, 2021 and Thursday August 26,2021. I was able to sleep and had no pain at night.  On Friday, August 27, exactly 1 week and a day from the second vaccine, the chest pains on and off with the radiation to both arms and the bilateral pain burning, tingling and numbness to the legs returned.  I added the gabapentin August 30 at night and received slight relief at night, but it returned Tuesday morning.  Currently I am still experiencing the pain, burning, and tingling in my legs during the day so I must take it in the morning.  My chest is still hurting on and off and when I bend my legs, I get shortness of breath.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: I received my first Modern vaccine on July 22,2020.  One week after on July 29, 2021, I started experiencing chest pains and discomfort that radiated to my right arm on and off.  This was accompanied by leg and left calf pain, burning, tingling, numbing, and pulling sensation that went to my left grate toe.  The pain became extreme in the left calf especially when touched or against anything. I noticed that it was worst when I was sitting or lying down and it worsened at night and I could not sleep at night. My right leg started to tingle, burn and numbness and my legs were restless, and I had to move them for relief. The chest pain was becoming more frequent.  I was taking Ibuprofen with no relief and I started taking Tylenol and received some slight relief on and off during this entire time.   I visited my primary on Friday, August 13th and EKG was done and it was normal, but I was sent to an ER for further testing.  EKG, chest x-ray, and labs, d-dimer were performed and was normal.  I was discharged and told that if the pain in my legs increases to return. On Sunday August 15, 2021, the pain in my chest and in my legs worsened. I returned to another ER on Monday.  EKG, labs, chest x-ray, and an Ultrasound was done on the L leg and nothing was found.  I was given IV Toradol and aspirin via mouth and that was the first time that I got relief from my chest and leg. My left calf felt better after that, but I continue the restless leg symptoms at night or when I was sitting, just not as intense.  I was advised by my primary and both ER doctors to finish the Moderna series in the meantime because my 2nd vaccine was due Thursday, August 19th. I received my second vaccine on Thursday August 19, 2021 followed back up with my primary on Tuesday Aug 24, 2021 and was prescribed Requip and given Gabapentin PRN for pain.  I started that Requip that day and experienced total relief on Wednesday Aug 25, 2021 and Thursday August 26,2021. I was able to sleep and had no pain at night.  On Friday, August 27, exactly 1 week and a day from the second vaccine, the chest pains on and off with the radiation to both arms and the bilateral pain burning, tingling and numbness to the legs returned.  I added the gabapentin August 30 at night and received slight relief at night, but it returned Tuesday morning.  Currently I am still experiencing the pain, burning, and tingling in my legs during the day so I must take it in the morning.  My chest is still hurting on and off and when I bend my legs, I get shortness of breath.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Eye swelling, Neck mass, Oral pain, Palatal swelling
Clinical narrative: Developed lump on base of  neck around 8/22/21 lump then moved towards chin--lasted about5 days.  Stayed on the chin area for awhile. around the weekend felt on the roof of the mouth pain and swollen and moved to the eye left eye
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Fatigue, Mouth swelling, Swelling face
Clinical narrative: Second shot was on 8/30/2021 around 6:00 pm and on next day 8/31/2021 felt very tired and  Wednesday 9/1/2021 woke up around 1:00 am felt my face was getting swollen went back to sleep and woke up 5:00 am and noticed most of my left part of face is swollen mouth area and eye .
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, Diarrhoea, Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: Pt received both Pfizer vaccines. On August 31st, 2021, pt tested positive for COVID-19. Presented to ED with complaint of finger swelling and diarrhea. Pt. is asymptomatic in regards to COVID.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anticonvulsant drug level, C-reactive protein, Computerised tomogram head, Differential white blood cell count, Face injury
Clinical narrative: seizure, fall, hit his face, LOC; traumatic injury of head, facial trauma, seizure.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Full blood count, Injury, Loss of consciousness, Metabolic function test
Clinical narrative: seizure, fall, hit his face, LOC; traumatic injury of head, facial trauma, seizure.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Urine analysis
Clinical narrative: seizure, fall, hit his face, LOC; traumatic injury of head, facial trauma, seizure.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Heart rate increased, Hypertension, Laboratory test, Palpitations
Clinical narrative: I had my second dose on 02-21-21. On March 6, 2021, I started getting palpitations and I was not doing any physical exercises. I started to feel my heart race, my heartbeat was over 100. I took my blood pressure, and it was also high. I called my insurance company provider and she told me to be on safe side for me to go to the ER. I did not want to go at first but then my symptoms started to get worse and about noon time on my daughter took me to ER. They kept me for 25 hours or so at the ER. They did a lot of testing and sure enough my blood pressure and heart rate were really high then they sent me home the next day. On that Sunday 03-07-2021, it was the two week mark that I had rec my second vaccine. At the ER they told me there was no correlation with the vaccine. I also got a nuclear exam study. When I went to see my cardiologist, he said there is a possibility there was a correlation with the vaccine and my symptoms. I took my medications prescribed and I started to feel better after 4-5 days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Headache, Injection site pain, Nausea
Clinical narrative: Extremely nauseous, vomiting, pain at injection site, neck, shoulder, and back. No energy, severe headaches.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Vomiting
Clinical narrative: Extremely nauseous, vomiting, pain at injection site, neck, shoulder, and back. No energy, severe headaches.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized for COVID-19 Reported per Pfizer COVID-19 Vaccine EUA
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 RNA increased
Clinical narrative: Tested positive for covid-19 on 8/3/2021. He was an exposure and did not have any symptoms at the time.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Eye pain, Herpes zoster, Pain, Rash
Clinical narrative: Acute pain behind left eye.  Over the counter pain meds did nothing.  My first trip to the ER was at 9:30 pm on 8/22/2021.   CT Scan was good.  All vitals were normal.  I was negative for Covid.   I was prescribed Ibuprofen (600 mg).  The pain never diminshed.  On Tuesday, 8/24/2021, I went back to the ER at 9 AM.   All my vitals were normal.  I had a few small spots of a skin rash above my left eye.  The Dr. immediately said I have shingles.  She prescribed Acyclovir (800 mg); Gabapentin (300 mg); Hydrocodone 5-325 mg.  and made me an appointment with an eye doctor.  Dr. confirmed the shingles diagnosis on 8/26/2021 and prescribed Valacyclovir (1 Gm) and eye ointment.  Follow-up visit was 8/30/2021 - Dr. prescribed Prednisolone AC 1%.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Acute pain behind left eye.  Over the counter pain meds did nothing.  My first trip to the ER was at 9:30 pm on 8/22/2021.   CT Scan was good.  All vitals were normal.  I was negative for Covid.   I was prescribed Ibuprofen (600 mg).  The pain never diminshed.  On Tuesday, 8/24/2021, I went back to the ER at 9 AM.   All my vitals were normal.  I had a few small spots of a skin rash above my left eye.  The Dr. immediately said I have shingles.  She prescribed Acyclovir (800 mg); Gabapentin (300 mg); Hydrocodone 5-325 mg.  and made me an appointment with an eye doctor.  Dr. confirmed the shingles diagnosis on 8/26/2021 and prescribed Valacyclovir (1 Gm) and eye ointment.  Follow-up visit was 8/30/2021 - Dr. prescribed Prednisolone AC 1%.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Coronary arterial stent insertion, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: On 4/27/2021 around 3am,  I woke up in a sweat and I was having severe chest pains.  I took 2 aspirins right away.  At 9am,  I decided to go to the ER.  They did blood work and  EKG and it showed I was having a heart attack.  I did an emergency surgery and a stent was place.  I was admitted and was in the ICU for 5 days.  I was discharged with new medications and to follow up with a cardiologist.  On 5/28/2021, I had another stent place.  I now have SOB and breathing issues that I have never had before.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Intensive care, Myocardial infarction, Respiratory disorder, Sleep disorder
Clinical narrative: On 4/27/2021 around 3am,  I woke up in a sweat and I was having severe chest pains.  I took 2 aspirins right away.  At 9am,  I decided to go to the ER.  They did blood work and  EKG and it showed I was having a heart attack.  I did an emergency surgery and a stent was place.  I was admitted and was in the ICU for 5 days.  I was discharged with new medications and to follow up with a cardiologist.  On 5/28/2021, I had another stent place.  I now have SOB and breathing issues that I have never had before.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient had breakthrough case of covid diagnosed on 8/16/21.  She had received her covid vaccines on 1/29/21 and 2/26/21.  She received regencov on 8/17/21.  She was not hospitalized.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Fear of injection, Syncope
Clinical narrative: The patient had a syncopal episode following vaccine administration.  The patient reported a fear of needles and reported no injuries after the event.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Malaise, Nausea, Pain
Clinical narrative: malaise, nausea, fatigue, chills, body aches 2 hours following Phizer covid vax dose 1. Pt had lab-confirmed covid in June 2021.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Polymerase chain reaction, SARS-CoV-2 test positive
Clinical narrative: Hospitalization/Death due to COVID-19 Reported per Pfizer COIVID-19 Vaccine EUA
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Pneumonia
Clinical narrative: patient received 2nd covid vaccine and passed away 24 hours later. He was on hospice because he chose not to treat his pneumonia. We are reporting this event as the death was so close to the administration of the vaccine
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal uterine bleeding, Eye pain, Fibrin D dimer, Full blood count, Headache
Clinical narrative: Vascular enlargement of the veins. Extreme headache, pain in hands, eyes excruciating pain. Uncontrollable bleeding  during menstruation.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Pain in extremity, Varicose vein
Clinical narrative: Vascular enlargement of the veins. Extreme headache, pain in hands, eyes excruciating pain. Uncontrollable bleeding  during menstruation.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Erythema, Polymenorrhoea
Clinical narrative: The first shot made my arm turn red. Then I bled a black paste for about 2 straight weeks ( I wasn't supposed to get my period for 2 more weeks) Then when I got my period I hemorrhaged for another week and a half. I only have 1 ovary and fallopian tube and this had been the worst bout of pain and blood since my hysterectomy.  I have never seen so much black goo come out of a body.  My periods are still not back to normal.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Depressed level of consciousness, Feeling hot, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: After receiving the shot I immediately felt  like there was hot water running through my entire body , I was  sweaty thirsty and clammy , when I woke up I was on the ground and  told me I was out for over 10 minutes and I had pee all  over , she thought it might have been a seizure as she was unable to rouse me .  She called the ambulance and I was checked out at and sent home
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Sensory disturbance, Thirst, Urinary incontinence
Clinical narrative: After receiving the shot I immediately felt  like there was hot water running through my entire body , I was  sweaty thirsty and clammy , when I woke up I was on the ground and  told me I was out for over 10 minutes and I had pee all  over , she thought it might have been a seizure as she was unable to rouse me .  She called the ambulance and I was checked out at and sent home
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Lymph node pain
Clinical narrative: Sick for 3 days with headache, fever, chills, and weakness/ fatigue. On day 5 woke up with left side lymph node in neck inflamed, sore, and knotted. Went to Urgent care where I was transferred to Emergency Department for further evaluation and treatment.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Malaise, Pyrexia
Clinical narrative: Sick for 3 days with headache, fever, chills, and weakness/ fatigue. On day 5 woke up with left side lymph node in neck inflamed, sore, and knotted. Went to Urgent care where I was transferred to Emergency Department for further evaluation and treatment.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Biopsy skin abnormal, Dermatitis, Fatigue
Clinical narrative: Profound exhaustion that hasn't subsided, and my vaccine was five months ago. I used to walk 10,000 steps a day, and took a two-mile walk every morning. Now, on a good day, I can walk 1,000 to 2,000 steps, and no more daily walks. I've gone from an active person to housebound and sometimes bed-bound. In addition, I have severe muscle and joint pain, severe weakness that hasn't subsided and post-exertional collapse that has not subsided. Skin rashes; one was biopsied and showed purpuric  dermatitis. Brain fog makes it difficult to think, write, pay bills and fill out this form. Because of my adverse reactions, my doctor has advised me not to get a second vaccine or booster shots.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Loss of personal independence in daily activities, Mental impairment, Mobility decreased, Myalgia
Clinical narrative: Profound exhaustion that hasn't subsided, and my vaccine was five months ago. I used to walk 10,000 steps a day, and took a two-mile walk every morning. Now, on a good day, I can walk 1,000 to 2,000 steps, and no more daily walks. I've gone from an active person to housebound and sometimes bed-bound. In addition, I have severe muscle and joint pain, severe weakness that hasn't subsided and post-exertional collapse that has not subsided. Skin rashes; one was biopsied and showed purpuric  dermatitis. Brain fog makes it difficult to think, write, pay bills and fill out this form. Because of my adverse reactions, my doctor has advised me not to get a second vaccine or booster shots.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Purpura, Rash, Syncope
Clinical narrative: Profound exhaustion that hasn't subsided, and my vaccine was five months ago. I used to walk 10,000 steps a day, and took a two-mile walk every morning. Now, on a good day, I can walk 1,000 to 2,000 steps, and no more daily walks. I've gone from an active person to housebound and sometimes bed-bound. In addition, I have severe muscle and joint pain, severe weakness that hasn't subsided and post-exertional collapse that has not subsided. Skin rashes; one was biopsied and showed purpuric  dermatitis. Brain fog makes it difficult to think, write, pay bills and fill out this form. Because of my adverse reactions, my doctor has advised me not to get a second vaccine or booster shots.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aspiration pleural cavity, COVID-19, Chest X-ray abnormal, Cough, Diarrhoea
Clinical narrative: Patient presented to the emergency department on 8/19/2021 with fever and cough that started 6 days ago. While at home he has had mild shortness of breath, nausea, diarrhea, and fatigue.   Chest Xray shows interval development of a moderate size right pleural effusion and adjacent consolidation.  Patient had a thoracentesis with removal of 1.7 L.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative
Clinical narrative: Patient presented to the emergency department on 8/19/2021 with fever and cough that started 6 days ago. While at home he has had mild shortness of breath, nausea, diarrhea, and fatigue.   Chest Xray shows interval development of a moderate size right pleural effusion and adjacent consolidation.  Patient had a thoracentesis with removal of 1.7 L.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung consolidation, Nausea, Pleural effusion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the emergency department on 8/19/2021 with fever and cough that started 6 days ago. While at home he has had mild shortness of breath, nausea, diarrhea, and fatigue.   Chest Xray shows interval development of a moderate size right pleural effusion and adjacent consolidation.  Patient had a thoracentesis with removal of 1.7 L.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough, Diarrhoea, Dyspnoea, Endotracheal intubation
Clinical narrative: cough, shortness of breath, chest pain, nausea/vomiting, diarrhea, difficulty breathing.  patient received mechanical ventilation intubation
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation, Nausea, Polymerase chain reaction, Vomiting
Clinical narrative: cough, shortness of breath, chest pain, nausea/vomiting, diarrhea, difficulty breathing.  patient received mechanical ventilation intubation
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Muscle spasms, Psoriatic arthropathy, Vaginal haemorrhage
Clinical narrative: Right after 2nd dose, had 2 weeks of diarrhea, muscle spasms, both flare-up symptoms of chronic psoriatic arthritis. Also had vaginal bleeding for one week.  My concern now, is after doing  a 6 week physical standing for a job in May and June, I again had a flare-up, which I am still experiencing.  Past 3 months, my body has been in a inflammation flare-up, since July 1st.  Muscle spasms and loose bowels, which I have now scheduled a gastric doctor appointment  for tomorrow, and a rheumatologist, which is not until end of November. I have always been able to recoop after a flare-up after a 2 week period, and my body does not seem to be able to now. Has my basic system changed to inflammation?
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Epistaxis, Headache, Respiratory disorder, SARS-CoV-2 test
Clinical narrative: Headache, Severe burning in both nostril's, Severe nose bleeding X 2+ days  (have VonWillebrand's disease. Breathing issues.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Von Willebrand's disease
Clinical narrative: Headache, Severe burning in both nostril's, Severe nose bleeding X 2+ days  (have VonWillebrand's disease. Breathing issues.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Got shingles 3 weeks after vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging
Clinical narrative: Numbness in leg(s)
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Rash
Clinical narrative: Bodyaches, chills, headache 12 hours after the vaccine. 3 days after, she developed rash on arms, upper thighs, abdomen and jawline. HAd covid on 12/22/2020
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Swelling, Tenderness
Clinical narrative: right posterior neck tender enlarged 3 cm adenopathy
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: Severe arm pain from shoulder through fingers. Arm numbness. Pain worsens with movement.
Age: 1.17
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site haematoma, Injection site induration, Urticaria
Clinical narrative: The MA who gave patient his vaccine today called me to assess the vaccine site. I went in to see the patient and his twin brother and parents. Apparently after receiving his MMR vaccine patient developed a pea sized hematoma surrounded by a nickel sized reddened induration on his right thigh. I had the MA get some ice for the area and alerted the clinic "Hot Doc", Dr. who came in to assess the child. Upon her arrival the parents reported that patient also had hives on his chest and back. Dr. was great and took the time with the parents to explain what to do. The child will return to clinic tomorrow with one of our NPs for reassessment.