chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Interchange of vaccine products, Muscle spasms
Clinical narrative: Staff member  received the first dose of the Moderna vaccine on 4-15-21 and was scheduled to receive the second dose on 5-13-21.  The nurse administering the vaccine on 5-13-21 administered the Janseen vaccine instead of the second Moderna vaccine by mistake. She reports that she had a fever, stomach ache/cramping, muscle cramps, lightheadedness and fatigue X 3 days following administration of Janseen vaccine.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Staff member  received the first dose of the Moderna vaccine on 4-15-21 and was scheduled to receive the second dose on 5-13-21.  The nurse administering the vaccine on 5-13-21 administered the Janseen vaccine instead of the second Moderna vaccine by mistake. She reports that she had a fever, stomach ache/cramping, muscle cramps, lightheadedness and fatigue X 3 days following administration of Janseen vaccine.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PFIZER/BIONTECH 0.3ML FOR IM LOT EN6205 EPX:06/30/2021 No known adverse events.  Vaccinated under FDA approved age.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Dyspnoea, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: Normal post vaccine symptoms for 2 days, then on day 3 I developed: Tachycardia at baseline in the low 100s which worsens when vertical and/or active (120's when standing, up to 170's when active), dyspnea and diaphoresis when vertical, body aches, headache extending into neck, low grade fever, severe fatigue, night sweats & brain fog. Symptoms worsen with: eating, staying vertical for longer than a few minutes, exercise, not enough sleep, dehydration. Symptoms improve with: increased fluid intake (>4.5L/day of Gatorade), increased salt intake & rest/laying down.  Symptoms have forced me to quit working as an ICU nurse and move home with my parents.  I am now awaiting an appointment with a dysautonomia specialist out of town.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Full blood count, Headache, Hyperhidrosis
Clinical narrative: Normal post vaccine symptoms for 2 days, then on day 3 I developed: Tachycardia at baseline in the low 100s which worsens when vertical and/or active (120's when standing, up to 170's when active), dyspnea and diaphoresis when vertical, body aches, headache extending into neck, low grade fever, severe fatigue, night sweats & brain fog. Symptoms worsen with: eating, staying vertical for longer than a few minutes, exercise, not enough sleep, dehydration. Symptoms improve with: increased fluid intake (>4.5L/day of Gatorade), increased salt intake & rest/laying down.  Symptoms have forced me to quit working as an ICU nurse and move home with my parents.  I am now awaiting an appointment with a dysautonomia specialist out of town.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Metabolic function test, Neck pain, Night sweats, Pain
Clinical narrative: Normal post vaccine symptoms for 2 days, then on day 3 I developed: Tachycardia at baseline in the low 100s which worsens when vertical and/or active (120's when standing, up to 170's when active), dyspnea and diaphoresis when vertical, body aches, headache extending into neck, low grade fever, severe fatigue, night sweats & brain fog. Symptoms worsen with: eating, staying vertical for longer than a few minutes, exercise, not enough sleep, dehydration. Symptoms improve with: increased fluid intake (>4.5L/day of Gatorade), increased salt intake & rest/laying down.  Symptoms have forced me to quit working as an ICU nurse and move home with my parents.  I am now awaiting an appointment with a dysautonomia specialist out of town.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tachycardia, Urine analysis
Clinical narrative: Normal post vaccine symptoms for 2 days, then on day 3 I developed: Tachycardia at baseline in the low 100s which worsens when vertical and/or active (120's when standing, up to 170's when active), dyspnea and diaphoresis when vertical, body aches, headache extending into neck, low grade fever, severe fatigue, night sweats & brain fog. Symptoms worsen with: eating, staying vertical for longer than a few minutes, exercise, not enough sleep, dehydration. Symptoms improve with: increased fluid intake (>4.5L/day of Gatorade), increased salt intake & rest/laying down.  Symptoms have forced me to quit working as an ICU nurse and move home with my parents.  I am now awaiting an appointment with a dysautonomia specialist out of town.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anal incontinence, Chills, Decreased appetite, Dehydration
Clinical narrative: 5/12 1 am fever, chills, nausea, belly ache 8 am add headache, body aches, congestion, lethargy, lack of appetite, body temperature feverish or low Took Tylenol through the day. Unable to get out of bed. Heart racing, extreme fatigue.  5/13 4 am fever began to break, sweat through the night 8 am, chills, fever, nausea, body aches, and lethargy, extreme headache. No appetite. Fought dehydration 8 pm fever finally subsided, body aches and head ache began to lessen,, nausea letting up. 5/14 headache and belly pain persist, bowel incontinence Took peptobismal 5/15 functioned through headache and belly pain, tried eating a little, fighting dehydration but felt more energetic  5/16 headache and belly pain lessened, tried eating, easily tired, able to drink more 5/17 belly pain present, diarrhea but not incontinent, notified Goforth of lingering symptoms
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Lethargy, Nausea
Clinical narrative: 5/12 1 am fever, chills, nausea, belly ache 8 am add headache, body aches, congestion, lethargy, lack of appetite, body temperature feverish or low Took Tylenol through the day. Unable to get out of bed. Heart racing, extreme fatigue.  5/13 4 am fever began to break, sweat through the night 8 am, chills, fever, nausea, body aches, and lethargy, extreme headache. No appetite. Fought dehydration 8 pm fever finally subsided, body aches and head ache began to lessen,, nausea letting up. 5/14 headache and belly pain persist, bowel incontinence Took peptobismal 5/15 functioned through headache and belly pain, tried eating a little, fighting dehydration but felt more energetic  5/16 headache and belly pain lessened, tried eating, easily tired, able to drink more 5/17 belly pain present, diarrhea but not incontinent, notified Goforth of lingering symptoms
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Pain, Palpitations, Pyrexia, Respiratory tract congestion
Clinical narrative: 5/12 1 am fever, chills, nausea, belly ache 8 am add headache, body aches, congestion, lethargy, lack of appetite, body temperature feverish or low Took Tylenol through the day. Unable to get out of bed. Heart racing, extreme fatigue.  5/13 4 am fever began to break, sweat through the night 8 am, chills, fever, nausea, body aches, and lethargy, extreme headache. No appetite. Fought dehydration 8 pm fever finally subsided, body aches and head ache began to lessen,, nausea letting up. 5/14 headache and belly pain persist, bowel incontinence Took peptobismal 5/15 functioned through headache and belly pain, tried eating a little, fighting dehydration but felt more energetic  5/16 headache and belly pain lessened, tried eating, easily tired, able to drink more 5/17 belly pain present, diarrhea but not incontinent, notified Goforth of lingering symptoms
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: LARGE RED AREA , SWELLING , INTCHING AND PAIN
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Palpitations
Clinical narrative: patient  felt palpitations noted and weakness with pt having some juice and crackers and feeling better as well. Pt was able to drive out as well with vitals sat 98% HR 89
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PFIZER/BIONTECH 0.3ML FOR IM LOT EN6205 EPX:06/30/2021 No known adverse events.  Vaccinated under FDA approved age.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chemotherapy, SARS-CoV-2 test positive
Clinical narrative: developed COVID-19 infection 4/26/21 chemo started 4/15/21
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: Increased frequency of migraines  4/2 4/3 4/4 4/19  4/29 5/12  Migraines usually occured once annually in the years prior.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Tinnitus
Clinical narrative: Buzzing sound in my left ear and dizziness
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphagia, Feeling abnormal, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Immediately after inject of the first Pfizer vaccine, she could taste the vaccine in her mouth.  Then developed her mouth started  "watering profusely".   She had to swallow constantly.  Then swallowing became difficult, she had chest tightness, and numbness in hands/arms. S he was moved to the rescue area with "fire rescue".   Her BP  160/105.  EMS arrived, transfer recommended.  You consulted with your daughter who is a nurse, and opted to return home.    She was at the fairgrounds for 2 house.  She did not receive medications.  Was provided crackers and water.   After arriving home, her  initial symptoms  resolved, but she felt nauseated and "terrible".    Over the next 3 days she had  swollen lymph nodes on the side of the injection and felt "like she had been hit by a truck".    After 3 days, those symptoms resolved and she felt well.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nausea, Taste disorder
Clinical narrative: Immediately after inject of the first Pfizer vaccine, she could taste the vaccine in her mouth.  Then developed her mouth started  "watering profusely".   She had to swallow constantly.  Then swallowing became difficult, she had chest tightness, and numbness in hands/arms. S he was moved to the rescue area with "fire rescue".   Her BP  160/105.  EMS arrived, transfer recommended.  You consulted with your daughter who is a nurse, and opted to return home.    She was at the fairgrounds for 2 house.  She did not receive medications.  Was provided crackers and water.   After arriving home, her  initial symptoms  resolved, but she felt nauseated and "terrible".    Over the next 3 days she had  swollen lymph nodes on the side of the injection and felt "like she had been hit by a truck".    After 3 days, those symptoms resolved and she felt well.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, Headache, Palpitations, Vaccine positive rechallenge
Clinical narrative: 26 y/o female with no past medical history who presents with headache, heavy eyes and palpitations post vaccination. Patients states that this is her 2nd vaccine in the two-dose series. Patient states that with the 1st vaccination patient experienced similar symptoms but worse. Patient denies nausea, throat pain, shortness of breath and chest pain. NP and Paramedics at patient side. Patient vitals were all within normal limits (137/85 BP, 66 HR, 97% and Resp 12). Patient monitored for 15 mins with resolution of symptoms. Patient cleared for discharge home.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash at the injection site is visible to the eye. does not itch
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Diluent Administered Instead of Vaccine
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Illness, Pneumonia, Respiratory distress
Clinical narrative: Subsequently developed respiratory distress and pneumonia after testing positive for COVID. Pt died due to illness.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Subsequently developed respiratory distress and pneumonia after testing positive for COVID. Pt died due to illness.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angioedema, Arthralgia, Pain in extremity, Pruritus, Tendon pain
Clinical narrative: I first noticed I was itchy on the evening of 5/11 and noticed hives on my body the next morning. They continued to get worse for several days and appeared on all parts of my body from head to toe. I noticed my feet hurt and that I was showing signs of angioedema beginning on 5/14 and peaking the next day. I also experienced joint/tendon pain in the evening of 5/16 between my legs and feet (upper ankle). I still have hives today. The hives were particularly bad in high-touch areas, near the armpits, lower arms, pelvis areas. I took Benadryl occasionally which helped but at no point did the hives go away.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: I first noticed I was itchy on the evening of 5/11 and noticed hives on my body the next morning. They continued to get worse for several days and appeared on all parts of my body from head to toe. I noticed my feet hurt and that I was showing signs of angioedema beginning on 5/14 and peaking the next day. I also experienced joint/tendon pain in the evening of 5/16 between my legs and feet (upper ankle). I still have hives today. The hives were particularly bad in high-touch areas, near the armpits, lower arms, pelvis areas. I took Benadryl occasionally which helped but at no point did the hives go away.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Patient Stated she had a rapid onset of feeling dizzy and Nausious. The patient was laid supine on the floor and assisted py paramedics. Responded, Patients father signed AMA via hospital. Patient released to father.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Headache, Pain, Pain in extremity
Clinical narrative: Had a very sore arm starting 4 hours after the shot compared the pain to worse than childbirth it was a 10 on the pain scale for her. She started at 5am the following day with headache back pain joint pain and body aches.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Nausea
Clinical narrative: Nausea and tightness in chest next day. Tightness is felt when relaxing and worsens when breathing deeper.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Felt feverish, temperature high of 100.4. Treatment include hydrating and resting. Ended after about 24 hours from onset.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Paraesthesia, Seizure, Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PFIZER/BIONTECH 0.3ML FOR IM LOT ER8730 EPX:07/31/2021 No known adverse events.  Vaccinated under FDA approved age.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Glossodynia, Swollen tongue, Tongue ulceration
Clinical narrative: PATIENT DESCRIBED IT AS A SWOLLEN TONGUE THAT FEELS AS IF SHE BURNT IT. ULCERS ON TONGUE WITH SORENESS. SYMPTOMS WERE NOTICED 24 HOURS AFTER VACCINATION, BUT WORSENED ON DAY 5.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Fatigue
Clinical narrative: Extended period of severe fatigue Decreased efficacy of thyroid medications No period since first dose of vaccine
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Erythema, Fatigue, Injection site pain, Injection site swelling
Clinical narrative: redness, swelling and pain at injection site for 2 weeks stomach issues for 2 weeks very tired & felt like a lead weight for 3 weeks
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Weight
Clinical narrative: redness, swelling and pain at injection site for 2 weeks stomach issues for 2 weeks very tired & felt like a lead weight for 3 weeks
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Nurse diluted Pfizer vial with 1.6 ml instead of the required 1.8 ml. A patient was waiting for his injection so after the nurse drew up the first dose from the vial, another nurse labeled the dose and vaccinated the patient. The patient waited 15 minutes then left. As the nurse the was drawing up the 6th dose she realized that she did not have enough to complete the entire dose. She notified her supervisor, the provider, and the patient. No new orders were initiated by provider. Director recieved recommendations from pharmacy to discard/waste doses as they were impropperly reconstituted. Doses were wasted and documented in chart notes. Nurse was re-educated on reconstitution.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: client signaled to EMT  for assistance. Client was a 15 year-old male found sitting upright, alert and tracking and stating he was dizzy. Client had a chief complaint of dizziness. Client stated that he began to feel dizzy approximately "2-3 minutes" after his vaccination. Client denied falling and denied any injury. Client denied any allergies or past medical history. Assessment revealed no swelling, discoloration, hives, shortness of breath or other signs of anaphylaxis. Client stated that he felt dizzy but denied any pain throughout his body. Client appeared mildly pale but was alert and oriented to person, place, date and event. Client's airway, breathing and circulation were intact. Vital signs: pulse 78, O2 99%, Respirations 12, Blood pressure 118/82, Eyes equal and reactive to light, lung sounds clear bilaterally. Temperature 97.8. Client and his mother consented to an additional 30 minute observation. Client had a granola bar and juice while waiting and his color pallor subsided. After lying down for five minutes, client stated that he felt better. Remaining vitals were: 0945 - 99% O2, pulse 76, respirations 18, blood pressure 118/78, 1000 - 116/78, Pulse 70, respirations 16 99% O2, 1010 - 118/78, Pulse 76, Respirations 16, 99% O2. Client's mother was provided with all relevant information and instructed to seek medical care or the emergency room if signs of a severe allergic reaction occur later. No medications were administered.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Hypoaesthesia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: May 12th pt. received the TDAP vaccine. Patient reports - first two days lt. arm was only a little sore but nothing else happened.  By 05/15/21 , pt. noticed swelling, redness and more pain.  Currently, patient reports lt. arm is aching much more (a kind of pain that goes from the vaccination site to the elbow), reports pain 5/10 on a 1:10 pain scale ratio; swelling, redness, warmth to injection site, fingers are feeling tingly. Patient reports using ice intermittingly. RN suggested warm/ cold compress, use of Ibuprofen for swelling and pain, and to seek medical attention for increasing concerns or if numbness continues.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Pain in extremity, Paraesthesia, Peripheral swelling
Clinical narrative: May 12th pt. received the TDAP vaccine. Patient reports - first two days lt. arm was only a little sore but nothing else happened.  By 05/15/21 , pt. noticed swelling, redness and more pain.  Currently, patient reports lt. arm is aching much more (a kind of pain that goes from the vaccination site to the elbow), reports pain 5/10 on a 1:10 pain scale ratio; swelling, redness, warmth to injection site, fingers are feeling tingly. Patient reports using ice intermittingly. RN suggested warm/ cold compress, use of Ibuprofen for swelling and pain, and to seek medical attention for increasing concerns or if numbness continues.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Presyncope
Clinical narrative: I occasionally get vaso-vagal episodes that can be related to digestive issues, blood withdrawals, etc.  I get light-headed, weak, feel like I can vomit and/or have a diarrhea "attack", get hot, feel itchy/burning sensation, turn very pale, get drenched in sweat.   These episodes can range from 5-60 minutes.  I did not have any reaction on my first dose, ONLY after the 2nd dose was received.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscle spasms, Vaginal haemorrhage
Clinical narrative: Vaginal bleeding, cramps and headaches as of 5/13/2021 to present day. Period cycle was prior to vaccination and only last 3 days.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: BODYACHES FATIGUE
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypoaesthesia, Pain, Skin exfoliation, Swelling
Clinical narrative: Six days after second injection my toes turned purple/red and swollen. The skin peeled off and I have had numbness and pain since.  Three weeks on, they are still painful and red
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Headache, Influenza like illness
Clinical narrative: After the second shot I had the normal side effects that went away in a day. But then on day 11, I started having flu-like symptoms - aches headaches chills and feverish. This lasted for about 3 days. I went in for a COVID test which was negative. I recovered but now I have those symptoms again. Also some shortness of breath and minor cough occasionally.  Tomorrow will be 4 weeks from when I got the shot. If I take Advil I can manage.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: After the second shot I had the normal side effects that went away in a day. But then on day 11, I started having flu-like symptoms - aches headaches chills and feverish. This lasted for about 3 days. I went in for a COVID test which was negative. I recovered but now I have those symptoms again. Also some shortness of breath and minor cough occasionally.  Tomorrow will be 4 weeks from when I got the shot. If I take Advil I can manage.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Body aches, Severe headache, Fever
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on chest. Spread to abdomen. I took 20mg of prednisone I had on hand. Rash has not subsided
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received the second Pfizer vaccine 4/5/2021.  On 5/6 tested positive for COVID-19.  She had tested positive in January as well but is had been greater than 90 days so this is considered a new illness  per CDC guidelines.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Confusional state, Death, Dyspnoea
Clinical narrative: My uncle, died on February 17, 2021.  He was admitted on February 2, 2021 6 days after taking the COVID-19 Moderna vaccine (1/28/2021).  After the shot was administered, he developed all the COVID-19 symptoms (loss of taste, smell, high temperature, and had trouble breathing).  He was deprived of oxygen and had labored breathing and was acting confused.  The home health nurse contacted his primary care physician and was instructed to bring him into  the ER.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Laboratory test, Pyrexia
Clinical narrative: My uncle, died on February 17, 2021.  He was admitted on February 2, 2021 6 days after taking the COVID-19 Moderna vaccine (1/28/2021).  After the shot was administered, he developed all the COVID-19 symptoms (loss of taste, smell, high temperature, and had trouble breathing).  He was deprived of oxygen and had labored breathing and was acting confused.  The home health nurse contacted his primary care physician and was instructed to bring him into  the ER.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Nausea
Clinical narrative: Patient complained of Flushing/sweating, Nausea, and dizziness.  BP 143/97, HR 76, RR 18 -- > 137/91, 75, 18.  Pt A&O x4, VSS, no Resp distress.  Water/juice given.  Pt states symptoms resolved and released from vaccination site.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiovascular function test, Chest discomfort, Dyspnoea, Feeling abnormal, Heart rate irregular
Clinical narrative: tingling in lips, chest compress, palpitations, irregular heartbeat, swollen lips, pressure in lungs, brain fog, extremities tingling, trouble breathing
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Palpitations, Paraesthesia, Paraesthesia oral, SARS-CoV-2 test
Clinical narrative: tingling in lips, chest compress, palpitations, irregular heartbeat, swollen lips, pressure in lungs, brain fog, extremities tingling, trouble breathing
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia, Skin discolouration
Clinical narrative: FEVER CHILLS  DISCOLORATION OF FEET
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations
Clinical narrative: Same Day: Heart Palpitations - began a few hours after shot and lasted off for 3 days.  Occurred approx 10-15x per day. Day after Vaccine: Body Aches that lasted for 24 hours, Fever that lasted for 8 hours
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Patient complained of nausea after receiving the vaccine. As a result, patient started vomiting consistently, and stated she hadn't eaten. Patient was given a snack, 40mg of famotidine, water and sprite. Vitals signs were good. B/P 122/76. Pulse 97%,Oxygen 97  and temp. 96.8. Patient was  EMS, arrived and transported to the hospital of choice.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Pain, Pain in extremity
Clinical narrative: About 6 hours after vaccine patient presented with extremely sore arm and felt fatigued and like he had been "hit by a train" for a full 24 hours from the symptom onset. Patient also reported headache and body aches chills and low fever in 99-100 range.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: About 6 hours after vaccine patient presented with extremely sore arm and felt fatigued and like he had been "hit by a train" for a full 24 hours from the symptom onset. Patient also reported headache and body aches chills and low fever in 99-100 range.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dyspnoea, Headache, Injection site pain
Clinical narrative: Chills, fever (102) lasting  36 hours, weakness, rapid breathing, muscle pains, nausea, headache (three days), malaise, injection site pain, arm pain. Excepting the injection site pain and arm pain, all very similar to when I was getting COVID (Dec. 2020), with which I had 17 days of fever and illness with severe cough, positive COVID test (Dec. 2020).
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Chills, fever (102) lasting  36 hours, weakness, rapid breathing, muscle pains, nausea, headache (three days), malaise, injection site pain, arm pain. Excepting the injection site pain and arm pain, all very similar to when I was getting COVID (Dec. 2020), with which I had 17 days of fever and illness with severe cough, positive COVID test (Dec. 2020).
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Myalgia
Clinical narrative: Patient stated that he received his second dose Moderna Vaccine on 03/25/2021 in his left arm and on 05/16/2021 he got into the shower in the evening and noticed his right arm (where he received his first moderna vaccine on 02/25/2021) was extremely sore and it hurts right where he got the vaccine and it is a muscle ache feeling and also a joint achy feeling.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chest discomfort, Computerised tomogram normal, Dizziness
Clinical narrative: I got my depo shot a week and a day after I got my 2nd dose of the vaccine. Shortly after I was driving home and I felt like there was an elephant sitting on my chest. I couldn?t get my air in I was freaking out. I drove home  and was so weak walking into my house I thought I was going to pass out. I told my mom I think I need to go to the hospital. I sat down. Ate some food and tried to relax. It eventually went away and I started getting ready to go to school. Just as I was getting ready to leave I got a huge migraine and started feeling really shakey. That?s when I decided to go to the doctors. They made me take some bloodwork, EKG, X-ray. They suspected from my white blood count that I might have a blood clot so they ordered an emergency cat scan. I got one done and they told me no blood clot. Then today I came in for more bloodwork and they told me that some of my waves from my EKG were slightly abnormal which meant I wasn?t getting enough oxygen into my heart. They want me to take an echo which in that they put me out and shove a scope down my throat and look at my heart. They think it was a reaction from taking my depo so soon after my covid vaccine.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Migraine, Nervousness, White blood cell count abnormal
Clinical narrative: I got my depo shot a week and a day after I got my 2nd dose of the vaccine. Shortly after I was driving home and I felt like there was an elephant sitting on my chest. I couldn?t get my air in I was freaking out. I drove home  and was so weak walking into my house I thought I was going to pass out. I told my mom I think I need to go to the hospital. I sat down. Ate some food and tried to relax. It eventually went away and I started getting ready to go to school. Just as I was getting ready to leave I got a huge migraine and started feeling really shakey. That?s when I decided to go to the doctors. They made me take some bloodwork, EKG, X-ray. They suspected from my white blood count that I might have a blood clot so they ordered an emergency cat scan. I got one done and they told me no blood clot. Then today I came in for more bloodwork and they told me that some of my waves from my EKG were slightly abnormal which meant I wasn?t getting enough oxygen into my heart. They want me to take an echo which in that they put me out and shove a scope down my throat and look at my heart. They think it was a reaction from taking my depo so soon after my covid vaccine.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: I got my depo shot a week and a day after I got my 2nd dose of the vaccine. Shortly after I was driving home and I felt like there was an elephant sitting on my chest. I couldn?t get my air in I was freaking out. I drove home  and was so weak walking into my house I thought I was going to pass out. I told my mom I think I need to go to the hospital. I sat down. Ate some food and tried to relax. It eventually went away and I started getting ready to go to school. Just as I was getting ready to leave I got a huge migraine and started feeling really shakey. That?s when I decided to go to the doctors. They made me take some bloodwork, EKG, X-ray. They suspected from my white blood count that I might have a blood clot so they ordered an emergency cat scan. I got one done and they told me no blood clot. Then today I came in for more bloodwork and they told me that some of my waves from my EKG were slightly abnormal which meant I wasn?t getting enough oxygen into my heart. They want me to take an echo which in that they put me out and shove a scope down my throat and look at my heart. They think it was a reaction from taking my depo so soon after my covid vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Angiotensin converting enzyme, Antineutrophil cytoplasmic antibody, Antinuclear antibody, Antiphospholipid antibodies, Aphasia
Clinical narrative: Pt was seen at ED on5/8 for L sided weakness in the setting of a headache. Pt?s mother reports that these symptoms began 2 days after receiving second dose of Pfizer COVID-19 vaccination in R deltoid. She says that on 5/6, pt complained of L arm weakness during cooking class at school, which was followed by a mild L sided headache later in the day. Symptoms resolved without intervention but recurred on 5/8 with associated L sided facial droop, slurred speech, L arm spasms, and L foot drag.  Pt was seen at  ED for this and had a HA (5/10 in severity) at that time -- workup was unremarkable with a normal head CT, laboratory workup, and resolution of symptoms. Pediatric Neurology evaluated the pt, deemed no further workup necessary, and advised outpatient follow up.   Pt presented again to the ED on 5/10 with concern for full tonic/clonic seizure, witnessed by pt?s mother. Mother reports that she heard pt fall and went upstairs to find pt seizing on his bed -- says that pt had shaking of bilateral upper extremities (in flexed position close to chest) and symmetric lower extremity shaking; eyes were closed without clear focality or eye deviation. Also some drooling, though no incontinence or tongue biting. Episode lasted for approximately 2 minutes; pt was confused and did not recall what happened immediately afterwards but improved within the next 8 minutes. He was taken to the ED by EMS.   By the time he arrived in the ED, he had left sided weakness again. He was given Keppra 1g, placed on EEG, and was admitted. EEG overnight was read "normal" and additional workup was unremarkable. Pt had MRI brain completed showing cortical abnormalities in the R parietal lobe, suspected to be related to recent seizure. MRA showed patent intracranial cerebral vasculature. MRV showed no evidence of dural venous sinus thrombosis. Weakness resolved by the morning and pt was back to baseline on morning of 5/11/21. However, around 9 AM, L sided weakness (face, arm>leg) with associated headache recurred. Mom says that this event was captured on EEG. He was then transferred to our facility. He was placed on pEEG and had repeat labs, imaging completed. Pt did have L sided facial droop, L arm weakness, and slurred speech on arrival, but this resolved within 24 hours. Pt had one additional episode of "wave" of L sided weakness including L sided facial droop and slurred speech at one other time during the hospitalization, but no additional seizure like activity. He was discharged on 5/14 with a normal neuro exam-- some labs (including labs of Rheum and Id workup were pending at time of discharge.) Primary and consulting teams elected to forgo steroids but reconsider should symptoms worsen or return. Pt was readmitted on 5/16-- had an episode of expressive aphasia + headache while at a social gathering; states that he became overwhelmed by the noise. No additional seizure like activity.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bacterial test, Beta-2 glycoprotein antibody, Brain oedema, C-reactive protein normal
Clinical narrative: Pt was seen at ED on5/8 for L sided weakness in the setting of a headache. Pt?s mother reports that these symptoms began 2 days after receiving second dose of Pfizer COVID-19 vaccination in R deltoid. She says that on 5/6, pt complained of L arm weakness during cooking class at school, which was followed by a mild L sided headache later in the day. Symptoms resolved without intervention but recurred on 5/8 with associated L sided facial droop, slurred speech, L arm spasms, and L foot drag.  Pt was seen at  ED for this and had a HA (5/10 in severity) at that time -- workup was unremarkable with a normal head CT, laboratory workup, and resolution of symptoms. Pediatric Neurology evaluated the pt, deemed no further workup necessary, and advised outpatient follow up.   Pt presented again to the ED on 5/10 with concern for full tonic/clonic seizure, witnessed by pt?s mother. Mother reports that she heard pt fall and went upstairs to find pt seizing on his bed -- says that pt had shaking of bilateral upper extremities (in flexed position close to chest) and symmetric lower extremity shaking; eyes were closed without clear focality or eye deviation. Also some drooling, though no incontinence or tongue biting. Episode lasted for approximately 2 minutes; pt was confused and did not recall what happened immediately afterwards but improved within the next 8 minutes. He was taken to the ED by EMS.   By the time he arrived in the ED, he had left sided weakness again. He was given Keppra 1g, placed on EEG, and was admitted. EEG overnight was read "normal" and additional workup was unremarkable. Pt had MRI brain completed showing cortical abnormalities in the R parietal lobe, suspected to be related to recent seizure. MRA showed patent intracranial cerebral vasculature. MRV showed no evidence of dural venous sinus thrombosis. Weakness resolved by the morning and pt was back to baseline on morning of 5/11/21. However, around 9 AM, L sided weakness (face, arm>leg) with associated headache recurred. Mom says that this event was captured on EEG. He was then transferred to our facility. He was placed on pEEG and had repeat labs, imaging completed. Pt did have L sided facial droop, L arm weakness, and slurred speech on arrival, but this resolved within 24 hours. Pt had one additional episode of "wave" of L sided weakness including L sided facial droop and slurred speech at one other time during the hospitalization, but no additional seizure like activity. He was discharged on 5/14 with a normal neuro exam-- some labs (including labs of Rheum and Id workup were pending at time of discharge.) Primary and consulting teams elected to forgo steroids but reconsider should symptoms worsen or return. Pt was readmitted on 5/16-- had an episode of expressive aphasia + headache while at a social gathering; states that he became overwhelmed by the noise. No additional seizure like activity.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: CSF cell count, CSF culture, CSF test abnormal, Cardiolipin antibody, Computerised tomogram head normal
Clinical narrative: Pt was seen at ED on5/8 for L sided weakness in the setting of a headache. Pt?s mother reports that these symptoms began 2 days after receiving second dose of Pfizer COVID-19 vaccination in R deltoid. She says that on 5/6, pt complained of L arm weakness during cooking class at school, which was followed by a mild L sided headache later in the day. Symptoms resolved without intervention but recurred on 5/8 with associated L sided facial droop, slurred speech, L arm spasms, and L foot drag.  Pt was seen at  ED for this and had a HA (5/10 in severity) at that time -- workup was unremarkable with a normal head CT, laboratory workup, and resolution of symptoms. Pediatric Neurology evaluated the pt, deemed no further workup necessary, and advised outpatient follow up.   Pt presented again to the ED on 5/10 with concern for full tonic/clonic seizure, witnessed by pt?s mother. Mother reports that she heard pt fall and went upstairs to find pt seizing on his bed -- says that pt had shaking of bilateral upper extremities (in flexed position close to chest) and symmetric lower extremity shaking; eyes were closed without clear focality or eye deviation. Also some drooling, though no incontinence or tongue biting. Episode lasted for approximately 2 minutes; pt was confused and did not recall what happened immediately afterwards but improved within the next 8 minutes. He was taken to the ED by EMS.   By the time he arrived in the ED, he had left sided weakness again. He was given Keppra 1g, placed on EEG, and was admitted. EEG overnight was read "normal" and additional workup was unremarkable. Pt had MRI brain completed showing cortical abnormalities in the R parietal lobe, suspected to be related to recent seizure. MRA showed patent intracranial cerebral vasculature. MRV showed no evidence of dural venous sinus thrombosis. Weakness resolved by the morning and pt was back to baseline on morning of 5/11/21. However, around 9 AM, L sided weakness (face, arm>leg) with associated headache recurred. Mom says that this event was captured on EEG. He was then transferred to our facility. He was placed on pEEG and had repeat labs, imaging completed. Pt did have L sided facial droop, L arm weakness, and slurred speech on arrival, but this resolved within 24 hours. Pt had one additional episode of "wave" of L sided weakness including L sided facial droop and slurred speech at one other time during the hospitalization, but no additional seizure like activity. He was discharged on 5/14 with a normal neuro exam-- some labs (including labs of Rheum and Id workup were pending at time of discharge.) Primary and consulting teams elected to forgo steroids but reconsider should symptoms worsen or return. Pt was readmitted on 5/16-- had an episode of expressive aphasia + headache while at a social gathering; states that he became overwhelmed by the noise. No additional seizure like activity.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Drooling, Dysarthria, Electroencephalogram normal, Facial paralysis
Clinical narrative: Pt was seen at ED on5/8 for L sided weakness in the setting of a headache. Pt?s mother reports that these symptoms began 2 days after receiving second dose of Pfizer COVID-19 vaccination in R deltoid. She says that on 5/6, pt complained of L arm weakness during cooking class at school, which was followed by a mild L sided headache later in the day. Symptoms resolved without intervention but recurred on 5/8 with associated L sided facial droop, slurred speech, L arm spasms, and L foot drag.  Pt was seen at  ED for this and had a HA (5/10 in severity) at that time -- workup was unremarkable with a normal head CT, laboratory workup, and resolution of symptoms. Pediatric Neurology evaluated the pt, deemed no further workup necessary, and advised outpatient follow up.   Pt presented again to the ED on 5/10 with concern for full tonic/clonic seizure, witnessed by pt?s mother. Mother reports that she heard pt fall and went upstairs to find pt seizing on his bed -- says that pt had shaking of bilateral upper extremities (in flexed position close to chest) and symmetric lower extremity shaking; eyes were closed without clear focality or eye deviation. Also some drooling, though no incontinence or tongue biting. Episode lasted for approximately 2 minutes; pt was confused and did not recall what happened immediately afterwards but improved within the next 8 minutes. He was taken to the ED by EMS.   By the time he arrived in the ED, he had left sided weakness again. He was given Keppra 1g, placed on EEG, and was admitted. EEG overnight was read "normal" and additional workup was unremarkable. Pt had MRI brain completed showing cortical abnormalities in the R parietal lobe, suspected to be related to recent seizure. MRA showed patent intracranial cerebral vasculature. MRV showed no evidence of dural venous sinus thrombosis. Weakness resolved by the morning and pt was back to baseline on morning of 5/11/21. However, around 9 AM, L sided weakness (face, arm>leg) with associated headache recurred. Mom says that this event was captured on EEG. He was then transferred to our facility. He was placed on pEEG and had repeat labs, imaging completed. Pt did have L sided facial droop, L arm weakness, and slurred speech on arrival, but this resolved within 24 hours. Pt had one additional episode of "wave" of L sided weakness including L sided facial droop and slurred speech at one other time during the hospitalization, but no additional seizure like activity. He was discharged on 5/14 with a normal neuro exam-- some labs (including labs of Rheum and Id workup were pending at time of discharge.) Primary and consulting teams elected to forgo steroids but reconsider should symptoms worsen or return. Pt was readmitted on 5/16-- had an episode of expressive aphasia + headache while at a social gathering; states that he became overwhelmed by the noise. No additional seizure like activity.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Full blood count normal, HIV antibody negative, Headache, Hyperacusis
Clinical narrative: Pt was seen at ED on5/8 for L sided weakness in the setting of a headache. Pt?s mother reports that these symptoms began 2 days after receiving second dose of Pfizer COVID-19 vaccination in R deltoid. She says that on 5/6, pt complained of L arm weakness during cooking class at school, which was followed by a mild L sided headache later in the day. Symptoms resolved without intervention but recurred on 5/8 with associated L sided facial droop, slurred speech, L arm spasms, and L foot drag.  Pt was seen at  ED for this and had a HA (5/10 in severity) at that time -- workup was unremarkable with a normal head CT, laboratory workup, and resolution of symptoms. Pediatric Neurology evaluated the pt, deemed no further workup necessary, and advised outpatient follow up.   Pt presented again to the ED on 5/10 with concern for full tonic/clonic seizure, witnessed by pt?s mother. Mother reports that she heard pt fall and went upstairs to find pt seizing on his bed -- says that pt had shaking of bilateral upper extremities (in flexed position close to chest) and symmetric lower extremity shaking; eyes were closed without clear focality or eye deviation. Also some drooling, though no incontinence or tongue biting. Episode lasted for approximately 2 minutes; pt was confused and did not recall what happened immediately afterwards but improved within the next 8 minutes. He was taken to the ED by EMS.   By the time he arrived in the ED, he had left sided weakness again. He was given Keppra 1g, placed on EEG, and was admitted. EEG overnight was read "normal" and additional workup was unremarkable. Pt had MRI brain completed showing cortical abnormalities in the R parietal lobe, suspected to be related to recent seizure. MRA showed patent intracranial cerebral vasculature. MRV showed no evidence of dural venous sinus thrombosis. Weakness resolved by the morning and pt was back to baseline on morning of 5/11/21. However, around 9 AM, L sided weakness (face, arm>leg) with associated headache recurred. Mom says that this event was captured on EEG. He was then transferred to our facility. He was placed on pEEG and had repeat labs, imaging completed. Pt did have L sided facial droop, L arm weakness, and slurred speech on arrival, but this resolved within 24 hours. Pt had one additional episode of "wave" of L sided weakness including L sided facial droop and slurred speech at one other time during the hospitalization, but no additional seizure like activity. He was discharged on 5/14 with a normal neuro exam-- some labs (including labs of Rheum and Id workup were pending at time of discharge.) Primary and consulting teams elected to forgo steroids but reconsider should symptoms worsen or return. Pt was readmitted on 5/16-- had an episode of expressive aphasia + headache while at a social gathering; states that he became overwhelmed by the noise. No additional seizure like activity.