chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Borrelia test negative, Herpes simplex test negative, Laboratory test normal, Pain in jaw
Clinical narrative: Jaw pain 6/29/21 then 7/6/21 Bells Palsy Left side.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Dyspepsia, Gastrooesophageal reflux disease, Myocardial infarction, Troponin increased
Clinical narrative: Started having indigestion/acid reflux. Was vomiting on occasion. Started to investigate if I had a gall bladder issue but before that could be done I had a heart attack. No blockages or blood clots. Have not gotten an explanation yet but I was in great health before a shoulder surgery in December. EKG done before surgery was good.  I had some viral sinus issue that Dr gave me Prednisone for just before the heart attack so any heart inflammation would have been masked by medication.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Viral sinusitis, Vomiting
Clinical narrative: Started having indigestion/acid reflux. Was vomiting on occasion. Started to investigate if I had a gall bladder issue but before that could be done I had a heart attack. No blockages or blood clots. Have not gotten an explanation yet but I was in great health before a shoulder surgery in December. EKG done before surgery was good.  I had some viral sinus issue that Dr gave me Prednisone for just before the heart attack so any heart inflammation would have been masked by medication.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Blood test, Burning sensation, Cell marker, Colonic lavage
Clinical narrative: Elbows burning red biopsy done, knees broken out with open sores, Bruising below the knee on both legs, Left knee 6 inch red warm circle over knee cap, fingers broke out with puncture marks, Scalp swollen right side and base of neck, Lymphatic system backed up,  Red V shape marks on legs and shoulder, Lesions on legs, purple round spots on legs, Tips of fingers burning and extremely painful, open wounds on elbow and knees,  - 5 rounds of different antibiotics, steroid creams 4 types, biopsies, finally prednisone, helped on my 2nd round now. The antibiotics and steroid creams did nothing. when prednisone wears off I start to break out on the elbows and knees again. Tbis has been 3 plus months May 2nd through todays date 07/28/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Erythema, Manual lymphatic drainage, Pain in extremity, Skin swelling
Clinical narrative: Elbows burning red biopsy done, knees broken out with open sores, Bruising below the knee on both legs, Left knee 6 inch red warm circle over knee cap, fingers broke out with puncture marks, Scalp swollen right side and base of neck, Lymphatic system backed up,  Red V shape marks on legs and shoulder, Lesions on legs, purple round spots on legs, Tips of fingers burning and extremely painful, open wounds on elbow and knees,  - 5 rounds of different antibiotics, steroid creams 4 types, biopsies, finally prednisone, helped on my 2nd round now. The antibiotics and steroid creams did nothing. when prednisone wears off I start to break out on the elbows and knees again. Tbis has been 3 plus months May 2nd through todays date 07/28/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling, Thermal burn, Wound
Clinical narrative: Elbows burning red biopsy done, knees broken out with open sores, Bruising below the knee on both legs, Left knee 6 inch red warm circle over knee cap, fingers broke out with puncture marks, Scalp swollen right side and base of neck, Lymphatic system backed up,  Red V shape marks on legs and shoulder, Lesions on legs, purple round spots on legs, Tips of fingers burning and extremely painful, open wounds on elbow and knees,  - 5 rounds of different antibiotics, steroid creams 4 types, biopsies, finally prednisone, helped on my 2nd round now. The antibiotics and steroid creams did nothing. when prednisone wears off I start to break out on the elbows and knees again. Tbis has been 3 plus months May 2nd through todays date 07/28/2021.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood test, Fatigue, Paraesthesia, Sinus congestion
Clinical narrative: Approx. 2 months after second vaccine I was diagnosed with B12 deficiency after experiencing fatigue, tingling in hands, anxiety.  Long term sinus congestion approx 4 months after second vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitamin B12 deficiency
Clinical narrative: Approx. 2 months after second vaccine I was diagnosed with B12 deficiency after experiencing fatigue, tingling in hands, anxiety.  Long term sinus congestion approx 4 months after second vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Thrombosis
Clinical narrative: Post vaccine heavier menstrual periods.  6 months post vaccine absence of menstrual period for 2 months (May and June).  Next menstrual period on July 19th with heavy bleeding and passing large blood clots no larger than a golf ball size.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Injection site pain
Clinical narrative: Pregnancy history has been normal and all results of bloodwork, BP, weight have been in normal range.  Estimated date of delivery is October 14th, 2021. July 22 I took 2 500mg doses of tylenol July 22 after recieving 2nd vaccine dose, in anticipation of side effects (7pm and midnight) 9am - fever onset, began taking 500mg tylenol every 3 hours until fever broke 10am until 4pm - 100F fever despite taking tylenol, injection site pain, body aches, headache, lightheaded and very weak 4pm to midnight - fever broke and stopped taking tylenol, weakness and lightheaded feeling continued  July 23 some fatigue and lingering headache (mild) lingering injection site pain all other symptoms subsided
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Maternal exposure during pregnancy, Pain, Pyrexia
Clinical narrative: Pregnancy history has been normal and all results of bloodwork, BP, weight have been in normal range.  Estimated date of delivery is October 14th, 2021. July 22 I took 2 500mg doses of tylenol July 22 after recieving 2nd vaccine dose, in anticipation of side effects (7pm and midnight) 9am - fever onset, began taking 500mg tylenol every 3 hours until fever broke 10am until 4pm - 100F fever despite taking tylenol, injection site pain, body aches, headache, lightheaded and very weak 4pm to midnight - fever broke and stopped taking tylenol, weakness and lightheaded feeling continued  July 23 some fatigue and lingering headache (mild) lingering injection site pain all other symptoms subsided
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dysphagia, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Cough-Medium, Additional Details: Patient received vaccine, started coughing but said she felt okay, coughing got a little bit worse so patient took a benadryl that she had brought with her. coughing not resolved so we called EMS to assist her and check her out.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Cough, Oropharyngeal pain, Swollen tongue, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Cough-Medium, Additional Details: Patient received vaccine, started coughing but said she felt okay, coughing got a little bit worse so patient took a benadryl that she had brought with her. coughing not resolved so we called EMS to assist her and check her out.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Menstrual disorder, Pregnancy test negative
Clinical narrative: Didn?t have my period for 99 days. Typically a 33 day cycle.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza like illness, Injection site swelling, Injection site warmth
Clinical narrative: swelling of the upper arm (from shoulder to elbow)  that was injected with heat to area, lasted 14 days; fatigue and malaise, continuous headache, flu like symptoms lasting 4 days, treated with ibuprofen and Tylenol with negative effects.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: swelling of the upper arm (from shoulder to elbow)  that was injected with heat to area, lasted 14 days; fatigue and malaise, continuous headache, flu like symptoms lasting 4 days, treated with ibuprofen and Tylenol with negative effects.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: PFizer vaccine was administered after being discovered that the vaccines were kept in the freezer for 11 days longer than the two week standard time.  Patient was notified and given the option for additional dose.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Meniere's disease
Clinical narrative: Meniere?s Syndeome
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No reaction. Patient recieved a 3rd dose of Moderna.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Blood iron, Full blood count, Iron binding capacity total, Microcytic anaemia, Serum ferritin
Clinical narrative: Adverse reaction to COVID-19 vaccine     2. Microcytic anemia  Retic Count   Iron and Iron Binding Capacity   Ferritin   CBC no Differential   Doing well following adverse reaction.  Advised to let us know of any recurrent symptoms.  Anticipating possible booster doses of COVID-19 vaccine down the line, advised that they should stay tuned for information about whether he would be a candidate.    Mild anemia with significant microcytosis.  Will check iron studies, follow up with results.  Consider thalassemia if iron studies normal.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Headache, Malaise, Paraesthesia, Sensation of foreign body
Clinical narrative: a minute or so after I vaccinated patient, I asked her to stay in store 15 minutes,   she came back to the window stating she didn't feel well.  I brought her back into the room  and monitored her. She complained of pain moving up chest,  "ball" in throat, then tongue swelling, severe pain in head and then tingling in the arms.  She never had any difficulty breathing or speaking . EMS was called and came and patient refused treatment and left on her on with her parents
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: a minute or so after I vaccinated patient, I asked her to stay in store 15 minutes,   she came back to the window stating she didn't feel well.  I brought her back into the room  and monitored her. She complained of pain moving up chest,  "ball" in throat, then tongue swelling, severe pain in head and then tingling in the arms.  She never had any difficulty breathing or speaking . EMS was called and came and patient refused treatment and left on her on with her parents
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Dyspnoea, Fatigue
Clinical narrative: The next day I was pretty much wiped out. I was having trouble breathing. 2 weeks after getting the shot I went to see the doctor I was prescribed ventalin because they thought it was seasonal allergies. It didn't get any better so I went back to the doctor and I was referred to a cardiologist. It continued to get worse. The cardiologist has now taken over and have ran stress test.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: After the Pfizer vaccination, the patient started to sweat  and became pale. The patient passed out for 5 seconds. His mother was present. The patient was given water and remained seated for 15 minutes . He walked out of the pharmacy
Age: 16.0
Sex: F
Vaccine: COVID19, MENB, MNQ
Symptoms: Injection site pain, Neck pain, Pain, Pain in extremity
Clinical narrative: Patient is a 16 year old female here with mother, complaining of right deltoid pain since MCV4 and Men B vaccination on 07/20. Injection pain up to her neck, later radiating down to wrist. No medication yet.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PFizer vaccine was administered after being discovered that the vaccines were kept in the freezer for 11 days longer than the two week standard time.  Patient was notified and given the option for additional dose.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory specimen by Rapid immunoassay~SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory specimen by Rapid immunoassay performed on 7/26/21. Came back detected. Case investigation interview with patient has not been conducted as of the time of this note.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Inflammation, Mast cell activation syndrome, Pain
Clinical narrative: Assessment & Plan: Pt is here to discuss post covid vaccination symptoms after vaccine was given 5/7/21. Reviewed information. Additional research done prior to seeing patient.  While ivermectin may be used in the clinical trial setting it is not currently recommended for outpatient treatment howevver, it has been shown to decrease time of symptoms by about 2 days. Given taht we are so far from the vaccine I am more thinking that this might be continued elevated body inflammation. She also has joint pains and arthritis, thus we discussed using mobic which given its NSAIDs category is generally not recommended immediately after vaccines due to decreased antibody response. Given she is still having these global inflammation symptoms, with joint pains/body aches, will start mobic 7.5mg bid for around a month. If no benefit, could consider low dose prednisone burst to help diminish any further inflammation. However if the mobic does not help the symptoms, I do not suspect continued improvement in symptoms with prednisone but could try 5-10mg QD x 5 days. Other options which may be helpful if it is suspected to be mast cell activation would lbe antihistamines +/- montelukast. She will f/u in 1 month or sooner should condition worsen
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt had no adverse reaction. Shot was just given on day 14 and not 24 or higher.
Age: 16.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Dizziness, Dyskinesia, Muscle rigidity, Mydriasis
Clinical narrative: She became ridged and pupils dilated and had some involuntary movements of arms and legs lasted  about 8 sec. Client then regained conciseness . She states she was light headed and felt like she passed out and woke up. Client monitored for 30 minutes and then was released to go home. PCP notified.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia, SARS-CoV-2 test
Clinical narrative: 103 fever, headache muscle ache
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: PFizer vaccine was administered after being discovered that the vaccines were kept in the freezer for 11 days longer than the two week standard time.  Patient was notified and given the option for additional dose.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Cough, Ear infection, Feeling of body temperature change
Clinical narrative: I did not have anything as far as getting the shot but the second day of getting the shot I felt extreme fever, shaking in the bones and I did not go to work. I felt in extreme fever stage. Hot and cold. My body could not tell what was going on. Weeks later in May and June I was sick, and it lasted for a month and that was a lot of sinus infections, not having as good as taste I always had, lost of smell. I went to the doctor when both my ears were infected since I could not hear with either of them. They prescribed amoxicillin for 10 days because I had 2 ears infections. I still have coughing, nasal problems, half my smell is gone. I feel like I have a lingering cold. The first month I was not coughing at all, and when I cough I get a dry cough sometimes.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Nasal disorder, Pyrexia, Sinusitis, Tremor
Clinical narrative: I did not have anything as far as getting the shot but the second day of getting the shot I felt extreme fever, shaking in the bones and I did not go to work. I felt in extreme fever stage. Hot and cold. My body could not tell what was going on. Weeks later in May and June I was sick, and it lasted for a month and that was a lot of sinus infections, not having as good as taste I always had, lost of smell. I went to the doctor when both my ears were infected since I could not hear with either of them. They prescribed amoxicillin for 10 days because I had 2 ears infections. I still have coughing, nasal problems, half my smell is gone. I feel like I have a lingering cold. The first month I was not coughing at all, and when I cough I get a dry cough sometimes.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Slow response to stimuli
Clinical narrative: After receiving the pfizer vaccine pt c/o dizziness , then slow to respond to questions pt later was unable to state her name and where she was, rapid response called; Pt taken to the ED.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Metabolic function test, Nausea, Pyrexia, Vertigo
Clinical narrative: Onset of nausea, vomiting (~6 episodes) & related symptoms of vertigo began about 0600h on 7/3. Presented to ED for eval/treat. Basic workup done - no abnormal labs noted. Given ondansetron & meclizine in ED and symptoms decreased enough for patient to agree to be discharged to home.  Later in the morning on 7/3, patient began experiencing fever & chills (did not take her own temp), which resolved by evening.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Onset of nausea, vomiting (~6 episodes) & related symptoms of vertigo began about 0600h on 7/3. Presented to ED for eval/treat. Basic workup done - no abnormal labs noted. Given ondansetron & meclizine in ED and symptoms decreased enough for patient to agree to be discharged to home.  Later in the morning on 7/3, patient began experiencing fever & chills (did not take her own temp), which resolved by evening.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness postural, Electrocardiogram, Head discomfort, Headache, Hypertension
Clinical narrative: sudden onset April 2021 headache pressure in head ringing in ears - constant worse when lying down dizziness BP very high medication increased  then very low - all medication stopped 7/5/21
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging spinal, Tinnitus
Clinical narrative: sudden onset April 2021 headache pressure in head ringing in ears - constant worse when lying down dizziness BP very high medication increased  then very low - all medication stopped 7/5/21
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dizziness, Dyspnoea, Electrocardiogram, Full blood count
Clinical narrative: Tachycardia, profuse sweating, lightheaded, dizziness, aggressive heart palpitations, Shortness of breath
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Metabolic function test, Palpitations, Tachycardia
Clinical narrative: Tachycardia, profuse sweating, lightheaded, dizziness, aggressive heart palpitations, Shortness of breath
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient hospitalized due to COVID-19. Patient is fully vaccinated.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Defaecation urgency, Dysarthria, Fatigue, Feeling cold
Clinical narrative: Symptoms began at 12:30AM Symptoms began as itchy, inflamed hands and feet Next swelling of lips began When seated on the toilet, began to sweat uncontrollably as itchy and inflammation increase  Called for partner to check in on me at this time.  Tried to get into the bathtub to help with itching but was unable to due to sudden urge to use restroom.  Had one bowel movement after returning to toilet Proceeded to continue to sweat and ears began to ring.  Vision became blurred, seeing purple spots.  Speech was slurred and limbs were heavy and weak.  Could think clearly but unable to do simple tasks such as grasp a cup of water without effort.  Vision completely blackout at this point. I did not faint and still able to communicate but could not see anything other than blackness.  This happened twice between 10 minute span. Once I was able to lie down, Vision and hearing cleared.  Chills began then and itching continued. I was wrapped in three blankets unable to stop chills and shakes.  Eventually I was able to relax and stop the chills and fall back to sleep at 3AM.  It is now 2:05PM and I am  experiencing some itching, fatigue, and cramping
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Inflammation, Limb discomfort, Lip swelling, Motor dysfunction
Clinical narrative: Symptoms began at 12:30AM Symptoms began as itchy, inflamed hands and feet Next swelling of lips began When seated on the toilet, began to sweat uncontrollably as itchy and inflammation increase  Called for partner to check in on me at this time.  Tried to get into the bathtub to help with itching but was unable to due to sudden urge to use restroom.  Had one bowel movement after returning to toilet Proceeded to continue to sweat and ears began to ring.  Vision became blurred, seeing purple spots.  Speech was slurred and limbs were heavy and weak.  Could think clearly but unable to do simple tasks such as grasp a cup of water without effort.  Vision completely blackout at this point. I did not faint and still able to communicate but could not see anything other than blackness.  This happened twice between 10 minute span. Once I was able to lie down, Vision and hearing cleared.  Chills began then and itching continued. I was wrapped in three blankets unable to stop chills and shakes.  Eventually I was able to relax and stop the chills and fall back to sleep at 3AM.  It is now 2:05PM and I am  experiencing some itching, fatigue, and cramping
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Muscular weakness, Peripheral swelling, Postpartum anxiety, Pruritus
Clinical narrative: Symptoms began at 12:30AM Symptoms began as itchy, inflamed hands and feet Next swelling of lips began When seated on the toilet, began to sweat uncontrollably as itchy and inflammation increase  Called for partner to check in on me at this time.  Tried to get into the bathtub to help with itching but was unable to due to sudden urge to use restroom.  Had one bowel movement after returning to toilet Proceeded to continue to sweat and ears began to ring.  Vision became blurred, seeing purple spots.  Speech was slurred and limbs were heavy and weak.  Could think clearly but unable to do simple tasks such as grasp a cup of water without effort.  Vision completely blackout at this point. I did not faint and still able to communicate but could not see anything other than blackness.  This happened twice between 10 minute span. Once I was able to lie down, Vision and hearing cleared.  Chills began then and itching continued. I was wrapped in three blankets unable to stop chills and shakes.  Eventually I was able to relax and stop the chills and fall back to sleep at 3AM.  It is now 2:05PM and I am  experiencing some itching, fatigue, and cramping
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Tremor, Vision blurred
Clinical narrative: Symptoms began at 12:30AM Symptoms began as itchy, inflamed hands and feet Next swelling of lips began When seated on the toilet, began to sweat uncontrollably as itchy and inflammation increase  Called for partner to check in on me at this time.  Tried to get into the bathtub to help with itching but was unable to due to sudden urge to use restroom.  Had one bowel movement after returning to toilet Proceeded to continue to sweat and ears began to ring.  Vision became blurred, seeing purple spots.  Speech was slurred and limbs were heavy and weak.  Could think clearly but unable to do simple tasks such as grasp a cup of water without effort.  Vision completely blackout at this point. I did not faint and still able to communicate but could not see anything other than blackness.  This happened twice between 10 minute span. Once I was able to lie down, Vision and hearing cleared.  Chills began then and itching continued. I was wrapped in three blankets unable to stop chills and shakes.  Eventually I was able to relax and stop the chills and fall back to sleep at 3AM.  It is now 2:05PM and I am  experiencing some itching, fatigue, and cramping
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Essential hypertension, Fatigue, Gastrooesophageal reflux disease, Oesophagitis, Palpitations
Clinical narrative: ASSESSMENT AND PLAN: 1. Palpitations (Primary) Assessment & Plan: Next step would be to take 1/2 dose metoprolol for any Bp <100/70 but pt doesn't want to do that at this time. Will cont asprin prophylaxis and will check tsh given concurrent fatigue. Will call with results. If normal thyroid, will f/u in 6 months or sooner should condition worsen   Orders: -     TSH, Reflex Free T4; Future -     aspirin 81 mg EC tablet; Take 1 tablet by mouth Daily.  Dispense: 90 tablet; Refill: 3   2. Essential hypertension Assessment & Plan: Well controlled at present. Limited by palpitations t hat are controlled by metoprolol but when controlled with metoprolol also occasionally cause some low bp and fatigue of unknown etiology. Will cont for now but may need to decrease metoprolol to 1/2 dose for any Bp  <100/70 inf uture.    Orders: -     metoprolol tartrate (LOPRESSOR) 25 mg tablet; Take 1 tablet by mouth 2 times daily.  Dispense: 180 tablet; Refill: 3   3. Fatigue after COVID-19 vaccination Comments: suspect much of fatigue is related to covid 19 vaccination. will monitor   4. Gastroesophageal reflux disease without esophagitis -     omeprazole (PRILOSEC) 20 mg capsule; Take 1 capsule by mouth Daily 1 tablet before breakfast .  Dispense: 90 capsule; Refill: 2   5. Seborrhea Comments: refilled chronic medications Orders: -     desonide (DESOWEN) 0.05 % lotion; Apply 1 Application topically Daily as needed (itch) Apply once daily to prevent ear seborrhea. .  Dispense: 59 mL; Refill: 3 -     triamcinolone (KENALOG) 0.1% lotion; Apply small amount to affected area(s) two to four times daily as needed: avoid face and groin areas.  Dispense: 60 mL; Refill: 3
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea
Clinical narrative: I had mostly nausea and diarrhea.  It keep happening so I went to my doctor.  They told me to take over-the-counter medicine for it.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Head discomfort, Headache
Clinical narrative: I got shot, spoke with pharmacist who injected for about 3 min, they didn?t behave me sit and wait 15min like my husband  did (different location) this morning. I started to leave store and immediately had metallic taste & my head felt different. I knew something was off! The taste is still there, my head is achy but everything else is fine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Feeling abnormal, Hot flush, Hypotension
Clinical narrative: For the second shot,  it was night sweats, dizziness, brain fog, and just disorientation. Then hot flashes between 1pm- 5pm the next day. THEN I have had nonstop dizziness, disorientation, and some nausea that might be tied to low blood pressure that started right after the 2nd Vax
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Night sweats
Clinical narrative: For the second shot,  it was night sweats, dizziness, brain fog, and just disorientation. Then hot flashes between 1pm- 5pm the next day. THEN I have had nonstop dizziness, disorientation, and some nausea that might be tied to low blood pressure that started right after the 2nd Vax
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PFizer vaccine was administered after being discovered that the vaccines were kept in the freezer for 11 days longer than the two week standard time.  Patient was notified and given the option for additional dose.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest pain, Electrocardiogram normal, Hyperhidrosis
Clinical narrative: On July 19, 2021 about 05:30PM I was driving home and I had severe chest pain, on the right side of my heart. Once I got home I felt awful even after the pain stopped, I was diaphoretic. I went to work the next day and called a nurse. She suggested I go to the ER since I had chest pain. At the ER, they started an IV, did EKG, did a portable chest x-ray and gave me aspirin. I was sent home from the ER that day.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: On July 19, 2021 about 05:30PM I was driving home and I had severe chest pain, on the right side of my heart. Once I got home I felt awful even after the pain stopped, I was diaphoretic. I went to work the next day and called a nurse. She suggested I go to the ER since I had chest pain. At the ER, they started an IV, did EKG, did a portable chest x-ray and gave me aspirin. I was sent home from the ER that day.
Age: 37.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: I admisitered the Varicella vaccine via IM injection. This vaccine is to be administered via SQ. Client had no symptoms at time of vaccine or for 15 mins after. Called client 24 hours later, she states only some soreness when the injection site is touched. She denies any other adverse effects.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Thrombosis
Clinical narrative: About 2 weeks after first COVID-19 vaccine, patient states he had trouble breathing and called 911. He states he was diagnosed with multiple blood clots at the hospital. He doesn't recall exact dates, states the difficulty breathing started at 2am. Was taken to on .
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Cardiac arrest, Condition aggravated, Death, Dyspnoea
Clinical narrative: The patient received the Janssen vaccine on 5-29-21 and had previously well controlled asthma. The patient presented to ED on 6-1-21, 6-13-21, 6-28-21, and 7-19-21  with acute asthma exacerbation. On 7-21-21 the patient was admitted into the ED and later ICU with cardiac arrest related to asthma acerbation and pronounced deceased on 7-25-21.  Symptoms: - Wheezing -Shortness of breath - Onset following the day after vaccine administration  Treatments: - Albuterol/ipratropium nebulizers - Prednisone -Albuterol inhaler
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Wheezing
Clinical narrative: The patient received the Janssen vaccine on 5-29-21 and had previously well controlled asthma. The patient presented to ED on 6-1-21, 6-13-21, 6-28-21, and 7-19-21  with acute asthma exacerbation. On 7-21-21 the patient was admitted into the ED and later ICU with cardiac arrest related to asthma acerbation and pronounced deceased on 7-25-21.  Symptoms: - Wheezing -Shortness of breath - Onset following the day after vaccine administration  Treatments: - Albuterol/ipratropium nebulizers - Prednisone -Albuterol inhaler
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Electrocardiogram, Fatigue, Pain
Clinical narrative: Body aches slight fever fatigue and chest tightness.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Body aches slight fever fatigue and chest tightness.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood thyroid stimulating hormone normal, Chest discomfort, Heart rate increased, Palpitations
Clinical narrative: I experienced chest tightness and numbness (trigeminal myalgia). I had heart palpitations (blood pressure went up and heart resting rate was high as well). I scheduled a virtual appointment with my doctor for the following week since I could not reach her initially while I was at my campsite. She referred me for Thyroid testing. I was referred to a Endocrinologist who did not feel that my Thyroid function was off enough to put me on medication and she referred me to a Surgeon because I have a Thyroid Nodule just to rule out that it's not my Thyroid.; however because of my chest tightness did repeat tests for a month Heart rate and blood pressure are still off and my normal doctor put me on metoprolol to take every day. I was also prescribe gabapentin to take whenever I have numbness and nerve pain.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid mass, Trigeminal neuralgia
Clinical narrative: I experienced chest tightness and numbness (trigeminal myalgia). I had heart palpitations (blood pressure went up and heart resting rate was high as well). I scheduled a virtual appointment with my doctor for the following week since I could not reach her initially while I was at my campsite. She referred me for Thyroid testing. I was referred to a Endocrinologist who did not feel that my Thyroid function was off enough to put me on medication and she referred me to a Surgeon because I have a Thyroid Nodule just to rule out that it's not my Thyroid.; however because of my chest tightness did repeat tests for a month Heart rate and blood pressure are still off and my normal doctor put me on metoprolol to take every day. I was also prescribe gabapentin to take whenever I have numbness and nerve pain.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: Patient developed new-onset hypertension the day after immunization that has persisted for the past 4 days. Patient not having chest pain, shortness of breath, or palpitations. Patient does endorse forceful heartbeat.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer vaccine was administered after being discovered that the vaccines were kept in the freezer for 11 days longer than the two week standard time. Patient was notified and given the option for additional dose.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Heart rate decreased
Clinical narrative: Patient complained of many complications her main concern was her pulse was dropping low to a 50. Her blood pressure was dropping at a high rate. She complain of fatigue and headaches and feeling really dizzy.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose 2 given 14 days.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Oropharyngeal pain
Clinical narrative: Since the second injection I've lost the ability to speak. Along with quite a lot of pain in my throat. As I'm not a doctor I couldn't say if it is vaccine related, but one thing followed the other.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.
Age: 74.0
Sex: U
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Computerised tomogram, Deafness bilateral, Sudden hearing loss
Clinical narrative: Hearing loss in left ear a few days after first vaccine   Right ear was affect after second vaccine on 2/18/2021 which was profound.  My physician ordered prednisone ear drops and ordered a CT scan.   Then referred me to ENT. Was placed on Prednisone for 2 weeks for sudden profound hearing loss.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Limb injury, Nervousness, Syncope
Clinical narrative: Patient received vaccine at roughly 2:40 pm on 7/28/21. Was advised to stay at location for 15 minutes prior to leaving . Patient was shopping in store and fainted . Found patient lying on floor with her mother by her side . Patient was alert but shaken . Patient said she had hit her head and scraped her leg. patient was put into a chair and given some juice and an ice pack for back of neck . After about 10 to 15 minutes patient said she felt well enough to walk and was taken home by her mother .
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Hyperhidrosis
Clinical narrative: Chest pain, shortness of breath and sweating
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Myalgia
Clinical narrative: Severe and constant fatigue. Joint pain extreme. As well as muscle pain
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Heart rate irregular, Palpitations, Ventricular tachycardia
Clinical narrative: Erratic heartbeat, palpitations, atrial fib, ventricular tachycardia.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Patient reported muscle spasms
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic, Skin warm, Swelling
Clinical narrative: Began as itchy red rash,  painful to touch, increasingly warm and swollen, increasing in size.  Went to urgent care on 3rd day and was told to use Benadryl and cortisone cream.  Began to fade 2/13 and gone on 2/15
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Fluid retention, International normalised ratio, Joint swelling, X-ray limb abnormal
Clinical narrative: On 07/18/2021 late that night my right knee swollen rapidly, about 1:30am called EMS, Xrays indicated fluid, Blood testing said my INR 7.1, the DR took my off Warphrine and bed rest.  I was in the hospital for 6 days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Dyskinesia, Facial asymmetry, Facial paralysis, Facial paresis
Clinical narrative: I was woken up by a severe headache in the area behind my left ear. I went to brush my teeth and then looked in the mirror and saw my face and that the toothpaste could not stay in my mouth. The entire left side of my face had fallen about an inch. I could tell because my eyebrows were not even. The headache continued for several days but not as severe as the initial event. I could not use the muscles on the left side of my face at all. Initially, I was afraid to go to the hospital because of the level of COVID in my area but I did take pictures throughout the several weeks of my recovery.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging head abnormal, Sleep disorder
Clinical narrative: I was woken up by a severe headache in the area behind my left ear. I went to brush my teeth and then looked in the mirror and saw my face and that the toothpaste could not stay in my mouth. The entire left side of my face had fallen about an inch. I could tell because my eyebrows were not even. The headache continued for several days but not as severe as the initial event. I could not use the muscles on the left side of my face at all. Initially, I was afraid to go to the hospital because of the level of COVID in my area but I did take pictures throughout the several weeks of my recovery.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient hospitalized due to COVID-19. Patient is fully vaccinated.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthropathy, Chills, Pain in extremity, Palpitations
Clinical narrative: After receiving the vaccine I had the occasional sore arm and was experiencing chills for the first 3 days. Later on throughout the month I started to experience heart palpitations. I mentioned them to my PCP and he advised me to use a heart monitoring system until they could find out the reason why I was experiencing them out of nowhere.  Also I have an appointment coming up to check out what is going on with my hip. I have been experiencing hip pain ever since receiving my 2nd dose of the vaccine. They are sending me to an orthopedic after they did an xray and seen how it was slowly deteriorating.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray of pelvis and hip abnormal
Clinical narrative: After receiving the vaccine I had the occasional sore arm and was experiencing chills for the first 3 days. Later on throughout the month I started to experience heart palpitations. I mentioned them to my PCP and he advised me to use a heart monitoring system until they could find out the reason why I was experiencing them out of nowhere.  Also I have an appointment coming up to check out what is going on with my hip. I have been experiencing hip pain ever since receiving my 2nd dose of the vaccine. They are sending me to an orthopedic after they did an xray and seen how it was slowly deteriorating.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood gases, Brain natriuretic peptide, Coagulation test, Computerised tomogram abdomen
Clinical narrative: dehydration with acute kidney injury, melanotic stool that is hematest positive
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Dehydration, Differential white blood cell count, Electrocardiogram, Full blood count
Clinical narrative: dehydration with acute kidney injury, melanotic stool that is hematest positive
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Melaena, Metabolic function test, Occult blood positive, Troponin, Urine analysis
Clinical narrative: dehydration with acute kidney injury, melanotic stool that is hematest positive
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Pt became nauseous and vomited minutes after receiving vaccine. Pt was given cold compress and water. VS were taken and WNL. Pt was allowed to rest until she felt better. No further adverse reaction was noted. Pt was advised to seek medical treatment if symptoms worsen over the course of time.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient had received single dose of Johnson & Johnson on 3/23/21. When asked if patient had ever received Covid-19 shot previously, patient stated "no". Patient also marked "no" on the first question of the consent form that asks "Have you ever received a Covid-19 vaccine? If so, which one?"
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Muscle strain, Musculoskeletal chest pain, Oropharyngeal pain
Clinical narrative: I woke up that Saturday - sore throat, cough, congestion a lot of fatigue - lasted four days. That following Thursday I saw DR. (who is a PA in my office) - pain in my ribs when I coughed - he thought it might be a pulled muscle and he gave me muscle relaxers. I took over the counter Day quill and nigh quill and Mucinex. By last weekend, I woke up and felt much better.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: I woke up that Saturday - sore throat, cough, congestion a lot of fatigue - lasted four days. That following Thursday I saw DR. (who is a PA in my office) - pain in my ribs when I coughed - he thought it might be a pulled muscle and he gave me muscle relaxers. I took over the counter Day quill and nigh quill and Mucinex. By last weekend, I woke up and felt much better.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Hypoaesthesia
Clinical narrative: Patient reported that on 04/13 she had extremely joint pains... inside of arms hand and knees, Right hand is numb when she wakes up
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anion gap, Arthralgia, Blood chloride, Blood thyroid stimulating hormone, Bone densitometry
Clinical narrative: Patient reported that on 04/13 she had extremely joint pains... inside of arms hand and knees, Right hand is numb when she wakes up
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Gait disturbance, Insomnia, Lipids, Mammogram
Clinical narrative: Patient reported that on 04/13 she had extremely joint pains... inside of arms hand and knees, Right hand is numb when she wakes up
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Thyroxin binding globulin, Thyroxine, Ultrasound breast
Clinical narrative: Patient reported that on 04/13 she had extremely joint pains... inside of arms hand and knees, Right hand is numb when she wakes up
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Electrocardiogram abnormal, Nasal congestion
Clinical narrative: acute onset of cough, chest tightness and shortness of breath starting 3 hours after vaccination. Presented to urgent care facility. Took albuterol every 4 hours which improved symptoms. Developed body aches, nasal congestion in the following days.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Sinus bradycardia
Clinical narrative: acute onset of cough, chest tightness and shortness of breath starting 3 hours after vaccination. Presented to urgent care facility. Took albuterol every 4 hours which improved symptoms. Developed body aches, nasal congestion in the following days.
Age: 13.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dizziness, Hyperhidrosis, Hypotension, Lethargy, Unresponsive to stimuli
Clinical narrative: Severe hypotension, sweating, unresponsive, lethargic, "lightheaded"
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Electrocardiogram abnormal, Hypertension, Thyroid function test, Ventricular extrasystoles
Clinical narrative: About 3 weeks after 2nd vaccine started having hypertension with multiple PVC?s. EKG showed a iv?s with every heartbeat. This would last for a day or 5 min. Would go in and out of abnormal rhrhm
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site bruising, Injection site pain
Clinical narrative: patient reported that he first had flu like symptoms and his injection site looked like it may have had bruising. He then said after flu symptoms faded away he kept noticing his injection site first looked like a pea sized bruising it then kept increasing in size and is now about the size of Ping-Pong ball.  He said its painful if he lays on it otherwise does not hurt but still keeps increasing in size with time and is not shrinking.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test normal, Cardiac function test normal, Condition aggravated, Deep vein thrombosis
Clinical narrative: Large pulmonary embolisms in both lungs resulting from DVT in left leg.  About 2-3 weeks after receiving 2nd Covid-19 vaccine shot, I started to have unusual breathing/fatigue symptoms.  I did not seek any treatment for these symptoms but now believe that these were due to several small blood clots in my lungs.  After another 3 weeks on May 10, 2021, I suffered a pulmonary embolism from a blood clot in my left lung.  I still did not seek treatment.  Two days later on May 12, I suffered a pulmonary embolism from a blood clot in my right lung.  This was sufficiently painful that I went to the Emergency Room on May 13 where an MRI diagnosed blood clots in both left and right lungs.  I was hospitalized until May 15 and now am required to take blood thinner Eloquis.  In the hospital, a DVT was identified in my left leg as a source for the clots, though I had no reason to develop such a DVT.  10 years prior in 2011, I had a DVT resulting from a long plane flight but no symptoms since.