chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Nasal congestion, Oropharyngeal pain, Pain, SARS-CoV-2 test negative
Clinical narrative: Patient was in clinic on 12/11/2021 with concerns about a stiff left arm along with a rash on the site where she received a covid-19 booster (left deltoid). She states she has been able to move her left arm above her head. The rash appeared the next day along with body aches and fatigue. She also reports sore throat, congestion, and cough present for 2 days. Unsure if the URI symptoms are related to the vaccine or something else.  Vaccinated for influenza.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Electrocardiogram normal, Feeling abnormal, Heart rate irregular
Clinical narrative: 2 hours after vaccination patient started to get heart palpitations, but tried to relax and calm down this started around 8pm.  Patient went to bed at 10pm still not feeling right, patient woke back up at 12:30 still not feeling right irregular heartbeat.  Patient checked blood pressure which showed pulse was 106 and pulse was irregular.  Around 1am patient decided to got the ER they did an EKG and a chest X-ray results were normal blood was taken and everything looked normal besides the irregular heartbeat they were thinking of A-fib.  They shocked the heart twice to try and get it on a regular beat but it wouldn't stabilize.  There recommendation was to start on Xarelto and to follow up with a cardiologist.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: 2 hours after vaccination patient started to get heart palpitations, but tried to relax and calm down this started around 8pm.  Patient went to bed at 10pm still not feeling right, patient woke back up at 12:30 still not feeling right irregular heartbeat.  Patient checked blood pressure which showed pulse was 106 and pulse was irregular.  Around 1am patient decided to got the ER they did an EKG and a chest X-ray results were normal blood was taken and everything looked normal besides the irregular heartbeat they were thinking of A-fib.  They shocked the heart twice to try and get it on a regular beat but it wouldn't stabilize.  There recommendation was to start on Xarelto and to follow up with a cardiologist.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Diarrhoea, Dyspnoea, Gingival discomfort
Clinical narrative: Within 3 hours of receiving the vaccine, I feel heaviness and numbness both arms and fever, body arches afterwards.  Next morning, I am waking up with fever blister on my lips, diarhhea, cough and cold like symptoms (runny nose, cough, body ache).  I anticipated these might be just side effects for 1-2 days or so.  But then I developed mouth sores and my gum lines were red and irritated.  Fever continues to be on and off, worsening at night.  I've been faithfully taking ibuprofen, zyrtec, drinking a lot of fluid, resting.  Every day since I feel fast heart rate (105 per min)  and develop short of breath feeling chest pain for jogging few seconds when I can usually run fast for at least 1 block with no problem.   I feel like my body is too hypersensitive.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival erythema, Heart rate increased, Hypoaesthesia, Limb discomfort, Oral herpes
Clinical narrative: Within 3 hours of receiving the vaccine, I feel heaviness and numbness both arms and fever, body arches afterwards.  Next morning, I am waking up with fever blister on my lips, diarhhea, cough and cold like symptoms (runny nose, cough, body ache).  I anticipated these might be just side effects for 1-2 days or so.  But then I developed mouth sores and my gum lines were red and irritated.  Fever continues to be on and off, worsening at night.  I've been faithfully taking ibuprofen, zyrtec, drinking a lot of fluid, resting.  Every day since I feel fast heart rate (105 per min)  and develop short of breath feeling chest pain for jogging few seconds when I can usually run fast for at least 1 block with no problem.   I feel like my body is too hypersensitive.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rhinorrhoea, Stomatitis
Clinical narrative: Within 3 hours of receiving the vaccine, I feel heaviness and numbness both arms and fever, body arches afterwards.  Next morning, I am waking up with fever blister on my lips, diarhhea, cough and cold like symptoms (runny nose, cough, body ache).  I anticipated these might be just side effects for 1-2 days or so.  But then I developed mouth sores and my gum lines were red and irritated.  Fever continues to be on and off, worsening at night.  I've been faithfully taking ibuprofen, zyrtec, drinking a lot of fluid, resting.  Every day since I feel fast heart rate (105 per min)  and develop short of breath feeling chest pain for jogging few seconds when I can usually run fast for at least 1 block with no problem.   I feel like my body is too hypersensitive.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness, Ear, nose and throat examination, Tinnitus
Clinical narrative: Woke up a 2 am with lots of hearing loss and ringing. Ended up getting treated immediately with prednisone 60mg x 9 days and then taper down over 9 more days
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Body temperature decreased, Dizziness, Fatigue, Injection site erythema
Clinical narrative: Quick onset of exhaustion, dizziness, low body temperature, loss of word retrieval ability, injection site greatly enlarged, sensitive to touch, swollen, red and expelling heat several inches away from body for 5+ days
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Quick onset of exhaustion, dizziness, low body temperature, loss of word retrieval ability, injection site greatly enlarged, sensitive to touch, swollen, red and expelling heat several inches away from body for 5+ days
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: arm pain
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site reaction, Pyrexia, Urticaria
Clinical narrative: Patient was given regular Pfizer instead of the Pediatric Pfizer.  Presumed dose of 0.2ml.  Patient's mother states normal side effects from Covid vaccine with low grade fever and a whelp at injection site.  No other events.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Ringing in ears, low fever, nausea, bad headache, achy, tired
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in ears, low fever, nausea, bad headache, achy, tired
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: Patient complained that she's been losing her hairs a lot since 2nd pfizer shot.   She does not use shampoo when she never use any shampoo
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Gait disturbance, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: Shooting pain thruout  my body.  Feet and ankles hurt to walk.  Waves of chills.  My feet went numb many times after a pain episode.  I've never had that happen with any of my tick borne illnesses.
Age: 29.0
Sex: M
Vaccine: UNK
Symptoms: Fatigue, Hypersomnia, Lymph node pain, Lymphadenopathy, Pyrexia
Clinical narrative: Low-grade fever for 3 days, extreme fatigue, I could not stay awake the whole day and slept 2-4 hours extra. I also had a painful swollen lymph node for 5 days under my right armpit.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Client received booster dose of pfizer at the age of 15, sooner than agency recommendation. No symptoms or adverse reactions observed or reported at this time. Pfizer notified.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Lymph node pain, Lymphadenopathy
Clinical narrative: Left deltoid area warm, red, swollen,  and lymph nodes under left axillary are feeling swollen and mildly uncomfortable
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Diarrhoea, Injection site erythema, Injection site swelling
Clinical narrative: Pfizer-BioNTech COVID-19 EUA Significant swelling of the face, neck, and extremities for >18 hours starting 20 minutes after injection. Fever of 101 degrees and chills 18 hours after injection. Significant muscle pain and injection site swelling and redness lasting >3 days. Loss of appetite, nausea, and diarrhea lasting >3 days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Peripheral swelling, Pyrexia, Swelling
Clinical narrative: Pfizer-BioNTech COVID-19 EUA Significant swelling of the face, neck, and extremities for >18 hours starting 20 minutes after injection. Fever of 101 degrees and chills 18 hours after injection. Significant muscle pain and injection site swelling and redness lasting >3 days. Loss of appetite, nausea, and diarrhea lasting >3 days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Pfizer-BioNTech COVID-19 EUA Significant swelling of the face, neck, and extremities for >18 hours starting 20 minutes after injection. Fever of 101 degrees and chills 18 hours after injection. Significant muscle pain and injection site swelling and redness lasting >3 days. Loss of appetite, nausea, and diarrhea lasting >3 days.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The patient received a vaccine that had been stored in the freezer too long and was expired .  Patient has not suffered any side effects to this date
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Autonomic nervous system imbalance, Cardiac disorder, Chest pain
Clinical narrative: I believe I had a Takotsubo (TTS) cardiac episode and or cardiac??? , increase in myocarditis??? from the vaccination. I felt it happen during Friday night. I had/have other symptoms too (chills, fever, pain, weakness, headache, nausea, headache, swollen glands under arm, ANS dysregulation). The symptoms are what happens after a TTS episode (chest pain, shortness of breath, vasovagal symptoms, heart dysregulation, extreme fatigue, nausea) and autonomic nervous system dysfunction. Also developed neck pain, swollen lymph nodes, vision problems, arm pain, abdominal pain.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Dyspnoea, Fatigue, Headache
Clinical narrative: I believe I had a Takotsubo (TTS) cardiac episode and or cardiac??? , increase in myocarditis??? from the vaccination. I felt it happen during Friday night. I had/have other symptoms too (chills, fever, pain, weakness, headache, nausea, headache, swollen glands under arm, ANS dysregulation). The symptoms are what happens after a TTS episode (chest pain, shortness of breath, vasovagal symptoms, heart dysregulation, extreme fatigue, nausea) and autonomic nervous system dysfunction. Also developed neck pain, swollen lymph nodes, vision problems, arm pain, abdominal pain.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nausea, Neck pain, Pain, Pain in extremity
Clinical narrative: I believe I had a Takotsubo (TTS) cardiac episode and or cardiac??? , increase in myocarditis??? from the vaccination. I felt it happen during Friday night. I had/have other symptoms too (chills, fever, pain, weakness, headache, nausea, headache, swollen glands under arm, ANS dysregulation). The symptoms are what happens after a TTS episode (chest pain, shortness of breath, vasovagal symptoms, heart dysregulation, extreme fatigue, nausea) and autonomic nervous system dysfunction. Also developed neck pain, swollen lymph nodes, vision problems, arm pain, abdominal pain.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Pyrexia, Visual impairment
Clinical narrative: I believe I had a Takotsubo (TTS) cardiac episode and or cardiac??? , increase in myocarditis??? from the vaccination. I felt it happen during Friday night. I had/have other symptoms too (chills, fever, pain, weakness, headache, nausea, headache, swollen glands under arm, ANS dysregulation). The symptoms are what happens after a TTS episode (chest pain, shortness of breath, vasovagal symptoms, heart dysregulation, extreme fatigue, nausea) and autonomic nervous system dysfunction. Also developed neck pain, swollen lymph nodes, vision problems, arm pain, abdominal pain.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pruritus
Clinical narrative: Itchy hands, headache
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Lymph nodes in armpit swollen and tender.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Aphasia, Arteriogram carotid abnormal, Atrioventricular block first degree, Blood bicarbonate normal
Clinical narrative: Patient received the Moderna Covid 19 injection as a booster in the a.m of 11/10/2021.  I saw him on dialysis rounds in the afternoon on 11/10 and he reported this injection occurence to me.  He had previously received the Johnson and Johnson injection 03/31/2021.  He was not reporting any side effects of the Moderna injection to me in the afternoon of 11/10.   He presented to a local ER on 11/11/2021 at approximately 12:15pm complaining of brief right arm stiffness that occured during exercise that a.m. and troubles finding words as described by the ER intake RN.  The ER MD note descirbes a chief complaint of Dysarthria.  See the continuation page for details.  Patient was found dead in his home on 11/12/2021    the information below is copied from patient's medical record:  This patient is a 66-year-old male with a history of CAD status post three-vessel CABG, hyperlipidemia, hypercoagulable state (on Coumadin), end-stage renal disease (on HD), and hypotension (on midodrine) who presents to the ED with chief complaint of slurred speech that started approximately 1 hour prior to arrival while he was exercising with a trainer.  He reports that while he was exercising his right arm suddently "shot out" and became stiff followed shortly with the patient slurring his words and "trying to think of the right word to say but couldn't."  Patient reports that his speech is better now.  No fever, chills, nausea, vomiting, headache, chest pain/pressure, shortness of breath, palpitations, abdominal pain, change in bowel/bladder function, or other symptoms. ED work-up includes labs that were obtained and reviewed as below.  Of note the patient's ECG shows a first-degree AV block without other acute findings.  Troponin is negative x1, patient denies any chest pain/pressure; low suspicion for ACS.  BMP shows evidence of end-stage renal disease with a creatinine of 4.66 but normal potassium.  INR therapeutic at 2.63.  The patient currently does not have any focal neurological deficits.  Given pt's ABCD2 score of 3 (60 years old or greater, impaired speech, TIA duration for 10-59 minutes) 2-day risk for stroke is low (1.0%). CTA head/neck with and without contrast was done which was negative for acute intracranial pathology, did show approximately 40% diameter stenosis in the left ICA.     The patient is already on Coumadin and a aspirin daily.  He reports that he has had a statin medication in the past which has caused a rash (he is not sure which statin it was).  He reports that he has been able to tolerate pravastatin before without any adverse reaction and so this was prescribed as a preventative medication for TIA/CVA.  Given that his symptoms have resolved and per the TIA pathway he was advised to follow-up with the clinic.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride decreased, Blood creatinine increased, Blood glucose normal, Blood potassium normal
Clinical narrative: Patient received the Moderna Covid 19 injection as a booster in the a.m of 11/10/2021.  I saw him on dialysis rounds in the afternoon on 11/10 and he reported this injection occurence to me.  He had previously received the Johnson and Johnson injection 03/31/2021.  He was not reporting any side effects of the Moderna injection to me in the afternoon of 11/10.   He presented to a local ER on 11/11/2021 at approximately 12:15pm complaining of brief right arm stiffness that occured during exercise that a.m. and troubles finding words as described by the ER intake RN.  The ER MD note descirbes a chief complaint of Dysarthria.  See the continuation page for details.  Patient was found dead in his home on 11/12/2021    the information below is copied from patient's medical record:  This patient is a 66-year-old male with a history of CAD status post three-vessel CABG, hyperlipidemia, hypercoagulable state (on Coumadin), end-stage renal disease (on HD), and hypotension (on midodrine) who presents to the ED with chief complaint of slurred speech that started approximately 1 hour prior to arrival while he was exercising with a trainer.  He reports that while he was exercising his right arm suddently "shot out" and became stiff followed shortly with the patient slurring his words and "trying to think of the right word to say but couldn't."  Patient reports that his speech is better now.  No fever, chills, nausea, vomiting, headache, chest pain/pressure, shortness of breath, palpitations, abdominal pain, change in bowel/bladder function, or other symptoms. ED work-up includes labs that were obtained and reviewed as below.  Of note the patient's ECG shows a first-degree AV block without other acute findings.  Troponin is negative x1, patient denies any chest pain/pressure; low suspicion for ACS.  BMP shows evidence of end-stage renal disease with a creatinine of 4.66 but normal potassium.  INR therapeutic at 2.63.  The patient currently does not have any focal neurological deficits.  Given pt's ABCD2 score of 3 (60 years old or greater, impaired speech, TIA duration for 10-59 minutes) 2-day risk for stroke is low (1.0%). CTA head/neck with and without contrast was done which was negative for acute intracranial pathology, did show approximately 40% diameter stenosis in the left ICA.     The patient is already on Coumadin and a aspirin daily.  He reports that he has had a statin medication in the past which has caused a rash (he is not sure which statin it was).  He reports that he has been able to tolerate pravastatin before without any adverse reaction and so this was prescribed as a preventative medication for TIA/CVA.  Given that his symptoms have resolved and per the TIA pathway he was advised to follow-up with the clinic.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, Cerebral artery stenosis, Cerebral atrophy, Computerised tomogram
Clinical narrative: Patient received the Moderna Covid 19 injection as a booster in the a.m of 11/10/2021.  I saw him on dialysis rounds in the afternoon on 11/10 and he reported this injection occurence to me.  He had previously received the Johnson and Johnson injection 03/31/2021.  He was not reporting any side effects of the Moderna injection to me in the afternoon of 11/10.   He presented to a local ER on 11/11/2021 at approximately 12:15pm complaining of brief right arm stiffness that occured during exercise that a.m. and troubles finding words as described by the ER intake RN.  The ER MD note descirbes a chief complaint of Dysarthria.  See the continuation page for details.  Patient was found dead in his home on 11/12/2021    the information below is copied from patient's medical record:  This patient is a 66-year-old male with a history of CAD status post three-vessel CABG, hyperlipidemia, hypercoagulable state (on Coumadin), end-stage renal disease (on HD), and hypotension (on midodrine) who presents to the ED with chief complaint of slurred speech that started approximately 1 hour prior to arrival while he was exercising with a trainer.  He reports that while he was exercising his right arm suddently "shot out" and became stiff followed shortly with the patient slurring his words and "trying to think of the right word to say but couldn't."  Patient reports that his speech is better now.  No fever, chills, nausea, vomiting, headache, chest pain/pressure, shortness of breath, palpitations, abdominal pain, change in bowel/bladder function, or other symptoms. ED work-up includes labs that were obtained and reviewed as below.  Of note the patient's ECG shows a first-degree AV block without other acute findings.  Troponin is negative x1, patient denies any chest pain/pressure; low suspicion for ACS.  BMP shows evidence of end-stage renal disease with a creatinine of 4.66 but normal potassium.  INR therapeutic at 2.63.  The patient currently does not have any focal neurological deficits.  Given pt's ABCD2 score of 3 (60 years old or greater, impaired speech, TIA duration for 10-59 minutes) 2-day risk for stroke is low (1.0%). CTA head/neck with and without contrast was done which was negative for acute intracranial pathology, did show approximately 40% diameter stenosis in the left ICA.     The patient is already on Coumadin and a aspirin daily.  He reports that he has had a statin medication in the past which has caused a rash (he is not sure which statin it was).  He reports that he has been able to tolerate pravastatin before without any adverse reaction and so this was prescribed as a preventative medication for TIA/CVA.  Given that his symptoms have resolved and per the TIA pathway he was advised to follow-up with the clinic.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Death, Dysarthria, Electrocardiogram abnormal, End stage renal disease
Clinical narrative: Patient received the Moderna Covid 19 injection as a booster in the a.m of 11/10/2021.  I saw him on dialysis rounds in the afternoon on 11/10 and he reported this injection occurence to me.  He had previously received the Johnson and Johnson injection 03/31/2021.  He was not reporting any side effects of the Moderna injection to me in the afternoon of 11/10.   He presented to a local ER on 11/11/2021 at approximately 12:15pm complaining of brief right arm stiffness that occured during exercise that a.m. and troubles finding words as described by the ER intake RN.  The ER MD note descirbes a chief complaint of Dysarthria.  See the continuation page for details.  Patient was found dead in his home on 11/12/2021    the information below is copied from patient's medical record:  This patient is a 66-year-old male with a history of CAD status post three-vessel CABG, hyperlipidemia, hypercoagulable state (on Coumadin), end-stage renal disease (on HD), and hypotension (on midodrine) who presents to the ED with chief complaint of slurred speech that started approximately 1 hour prior to arrival while he was exercising with a trainer.  He reports that while he was exercising his right arm suddently "shot out" and became stiff followed shortly with the patient slurring his words and "trying to think of the right word to say but couldn't."  Patient reports that his speech is better now.  No fever, chills, nausea, vomiting, headache, chest pain/pressure, shortness of breath, palpitations, abdominal pain, change in bowel/bladder function, or other symptoms. ED work-up includes labs that were obtained and reviewed as below.  Of note the patient's ECG shows a first-degree AV block without other acute findings.  Troponin is negative x1, patient denies any chest pain/pressure; low suspicion for ACS.  BMP shows evidence of end-stage renal disease with a creatinine of 4.66 but normal potassium.  INR therapeutic at 2.63.  The patient currently does not have any focal neurological deficits.  Given pt's ABCD2 score of 3 (60 years old or greater, impaired speech, TIA duration for 10-59 minutes) 2-day risk for stroke is low (1.0%). CTA head/neck with and without contrast was done which was negative for acute intracranial pathology, did show approximately 40% diameter stenosis in the left ICA.     The patient is already on Coumadin and a aspirin daily.  He reports that he has had a statin medication in the past which has caused a rash (he is not sure which statin it was).  He reports that he has been able to tolerate pravastatin before without any adverse reaction and so this was prescribed as a preventative medication for TIA/CVA.  Given that his symptoms have resolved and per the TIA pathway he was advised to follow-up with the clinic.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, International normalised ratio increased, Laboratory test, Metabolic function test abnormal, Musculoskeletal stiffness
Clinical narrative: Patient received the Moderna Covid 19 injection as a booster in the a.m of 11/10/2021.  I saw him on dialysis rounds in the afternoon on 11/10 and he reported this injection occurence to me.  He had previously received the Johnson and Johnson injection 03/31/2021.  He was not reporting any side effects of the Moderna injection to me in the afternoon of 11/10.   He presented to a local ER on 11/11/2021 at approximately 12:15pm complaining of brief right arm stiffness that occured during exercise that a.m. and troubles finding words as described by the ER intake RN.  The ER MD note descirbes a chief complaint of Dysarthria.  See the continuation page for details.  Patient was found dead in his home on 11/12/2021    the information below is copied from patient's medical record:  This patient is a 66-year-old male with a history of CAD status post three-vessel CABG, hyperlipidemia, hypercoagulable state (on Coumadin), end-stage renal disease (on HD), and hypotension (on midodrine) who presents to the ED with chief complaint of slurred speech that started approximately 1 hour prior to arrival while he was exercising with a trainer.  He reports that while he was exercising his right arm suddently "shot out" and became stiff followed shortly with the patient slurring his words and "trying to think of the right word to say but couldn't."  Patient reports that his speech is better now.  No fever, chills, nausea, vomiting, headache, chest pain/pressure, shortness of breath, palpitations, abdominal pain, change in bowel/bladder function, or other symptoms. ED work-up includes labs that were obtained and reviewed as below.  Of note the patient's ECG shows a first-degree AV block without other acute findings.  Troponin is negative x1, patient denies any chest pain/pressure; low suspicion for ACS.  BMP shows evidence of end-stage renal disease with a creatinine of 4.66 but normal potassium.  INR therapeutic at 2.63.  The patient currently does not have any focal neurological deficits.  Given pt's ABCD2 score of 3 (60 years old or greater, impaired speech, TIA duration for 10-59 minutes) 2-day risk for stroke is low (1.0%). CTA head/neck with and without contrast was done which was negative for acute intracranial pathology, did show approximately 40% diameter stenosis in the left ICA.     The patient is already on Coumadin and a aspirin daily.  He reports that he has had a statin medication in the past which has caused a rash (he is not sure which statin it was).  He reports that he has been able to tolerate pravastatin before without any adverse reaction and so this was prescribed as a preventative medication for TIA/CVA.  Given that his symptoms have resolved and per the TIA pathway he was advised to follow-up with the clinic.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Scan with contrast abnormal, Troponin normal, White blood cell count normal
Clinical narrative: Patient received the Moderna Covid 19 injection as a booster in the a.m of 11/10/2021.  I saw him on dialysis rounds in the afternoon on 11/10 and he reported this injection occurence to me.  He had previously received the Johnson and Johnson injection 03/31/2021.  He was not reporting any side effects of the Moderna injection to me in the afternoon of 11/10.   He presented to a local ER on 11/11/2021 at approximately 12:15pm complaining of brief right arm stiffness that occured during exercise that a.m. and troubles finding words as described by the ER intake RN.  The ER MD note descirbes a chief complaint of Dysarthria.  See the continuation page for details.  Patient was found dead in his home on 11/12/2021    the information below is copied from patient's medical record:  This patient is a 66-year-old male with a history of CAD status post three-vessel CABG, hyperlipidemia, hypercoagulable state (on Coumadin), end-stage renal disease (on HD), and hypotension (on midodrine) who presents to the ED with chief complaint of slurred speech that started approximately 1 hour prior to arrival while he was exercising with a trainer.  He reports that while he was exercising his right arm suddently "shot out" and became stiff followed shortly with the patient slurring his words and "trying to think of the right word to say but couldn't."  Patient reports that his speech is better now.  No fever, chills, nausea, vomiting, headache, chest pain/pressure, shortness of breath, palpitations, abdominal pain, change in bowel/bladder function, or other symptoms. ED work-up includes labs that were obtained and reviewed as below.  Of note the patient's ECG shows a first-degree AV block without other acute findings.  Troponin is negative x1, patient denies any chest pain/pressure; low suspicion for ACS.  BMP shows evidence of end-stage renal disease with a creatinine of 4.66 but normal potassium.  INR therapeutic at 2.63.  The patient currently does not have any focal neurological deficits.  Given pt's ABCD2 score of 3 (60 years old or greater, impaired speech, TIA duration for 10-59 minutes) 2-day risk for stroke is low (1.0%). CTA head/neck with and without contrast was done which was negative for acute intracranial pathology, did show approximately 40% diameter stenosis in the left ICA.     The patient is already on Coumadin and a aspirin daily.  He reports that he has had a statin medication in the past which has caused a rash (he is not sure which statin it was).  He reports that he has been able to tolerate pravastatin before without any adverse reaction and so this was prescribed as a preventative medication for TIA/CVA.  Given that his symptoms have resolved and per the TIA pathway he was advised to follow-up with the clinic.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Skin infection
Clinical narrative: Localized injection site redness and soreness.  Approximately 5" diamater area of redness, swelling and warm to the touch.  Indicative of a skin infection.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Injection site swelling, Lymph node pain, Lymphadenopathy
Clinical narrative: Pain and swelling directly under injection spot, pain and swelling in underarm/lymph node of left arm, slight tingling through to fingers in left arm, occasional numbness through to fingers in left arm
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Pain and swelling directly under injection spot, pain and swelling in underarm/lymph node of left arm, slight tingling through to fingers in left arm, occasional numbness through to fingers in left arm
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Oral mucosal blistering, Oral pustule
Clinical narrative: Individual reported symptoms of cough, SOB, congestion, sore throat, and while blisters/pustules in her mouth since 12/8/21. She tested Covid positive on 12/9/21. She continues to remain isolated at home (lives alone) for 10 days. She will contact a provider today to make a telehealth appointment. Individual will notify Mgmt and to callback Covid hotline for follow up. Infection Control notified.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Individual reported symptoms of cough, SOB, congestion, sore throat, and while blisters/pustules in her mouth since 12/8/21. She tested Covid positive on 12/9/21. She continues to remain isolated at home (lives alone) for 10 days. She will contact a provider today to make a telehealth appointment. Individual will notify Mgmt and to callback Covid hotline for follow up. Infection Control notified.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Nasopharyngitis
Clinical narrative: Was almost over a cold when vaccinated and next day got way worse
Age: 38.0
Sex: M
Vaccine: UNK
Symptoms: Balance disorder, Dizziness, Fall
Clinical narrative: Dizzzy, Fell off the chair due to loss of balance
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Loss of consciousness, Refusal of treatment by patient
Clinical narrative: Patient received his flu shot and received a bandaid. Upon turning around to place needle in sharps container, the patient leaned out of chair onto the floor. Nurse immediately went to his side and laid platient flat . Less than 1 minute passed and the patient was awake, alert, and asking what happened, trying to get up but patient has told to remain lying down. Patient laid on floor approximately 10 minutes, then he was allowed to sit up for 5 mins. PAtient reported feeling "normal and  okay". Father was offered an ambulance but declined. Mother was called and declined ambulance as well.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Autoimmune hepatitis, Blood alkaline phosphatase increased, Blood bilirubin increased
Clinical narrative: Patient presented with severe jaundice and elevated LFTs. Assessed by gastroenterology team who believe that Moderna booster may have led to an autoimmune hepatitis-like picture. LFTs are slowly resolving, on Prednisolone
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Jaundice, Liver function test increased
Clinical narrative: Patient presented with severe jaundice and elevated LFTs. Assessed by gastroenterology team who believe that Moderna booster may have led to an autoimmune hepatitis-like picture. LFTs are slowly resolving, on Prednisolone
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain, Pain in extremity, Rheumatoid factor
Clinical narrative: I developed a lot of pain in my body, esp in my hands and fingers. In two fingers the pain never went away. Now over four months later, my RF factor score was 27, and 18 is the maximum normal score. I looked at the clinical trials and realized that an adverse event was defined as not being able to work. I work. But My hands are stiff and two fingers are sore every day. I have realized that the clinical trials never asked patients what they might consider to be an adverse event. That?s why the adverse event rate is low. Very unethical, since adverse events are harms by definition, and the Hippocratic Oath requires physicians to first do no harm. I have experienced an adverse event that was defined out of existence by the clinical trials protocol. Very deceptive. :(
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was given the pediatric pfizer vaccine instead of the adult 12+ pfizer vaccine. No adverse reaction.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac stress test, Chest discomfort, Dizziness, Echocardiogram normal, Electrocardiogram ambulatory abnormal
Clinical narrative: Heart palpitations, high blood pressure when standing up, dizziness, chest pressure No treatment taken
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Palpitations
Clinical narrative: Heart palpitations, high blood pressure when standing up, dizziness, chest pressure No treatment taken
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Confusional state, Dehydration, Echocardiogram
Clinical narrative: Patient had relatively acute onset of weakness, confusion with multiple falls occurring approximately 24-36 hours after Moderna booster.  Brought to the ED, temperature 100.7.  Patient was found to have elevated troponin, peaking 0.58 and then trending downward.  No EKG changes.  Also found to be dehydrated, have orthostasis.  She was in normal state of health without acute complaints at the time of her booster. Patient was admitted.  Underwent echocardiogram.  She was given IV fluids and supportive care.  She did not have any changes on her EKG and she did not have any evident decreased cardiac function.  Discharged after staying 2 nights in the hospital
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fall, Laboratory test, Troponin increased
Clinical narrative: Patient had relatively acute onset of weakness, confusion with multiple falls occurring approximately 24-36 hours after Moderna booster.  Brought to the ED, temperature 100.7.  Patient was found to have elevated troponin, peaking 0.58 and then trending downward.  No EKG changes.  Also found to be dehydrated, have orthostasis.  She was in normal state of health without acute complaints at the time of her booster. Patient was admitted.  Underwent echocardiogram.  She was given IV fluids and supportive care.  She did not have any changes on her EKG and she did not have any evident decreased cardiac function.  Discharged after staying 2 nights in the hospital
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Erythema, Extra dose administered, Feeling abnormal, Hyperhidrosis
Clinical narrative: Pt is a/o x 4, Pt received her booster shot and stated that she is severely allergic to eggs. Pt stated that she noticed redness developing on her neck and asked for Benadryl. When pt was informed the Benadryl was IM route pt refused stating that she would take some when she got home. Pt ambulated independently to the front door where she stated she began to feel worse. Pt became visibly agitated, diaphoretic and stated that her throat felt funny. Pt was determined to be having a moderate allergic response and was administered 50mg Benadryl IM @1608. Pt condition immediately improved stating that she felt much better. Pt was advised to follow up with her provider and further evaluation with EMS. Pt refused EMS evaluation signing a refusal stating such.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort
Clinical narrative: Pt is a/o x 4, Pt received her booster shot and stated that she is severely allergic to eggs. Pt stated that she noticed redness developing on her neck and asked for Benadryl. When pt was informed the Benadryl was IM route pt refused stating that she would take some when she got home. Pt ambulated independently to the front door where she stated she began to feel worse. Pt became visibly agitated, diaphoretic and stated that her throat felt funny. Pt was determined to be having a moderate allergic response and was administered 50mg Benadryl IM @1608. Pt condition immediately improved stating that she felt much better. Pt was advised to follow up with her provider and further evaluation with EMS. Pt refused EMS evaluation signing a refusal stating such.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Headache, Heart rate increased, Influenza like illness
Clinical narrative: Rapid heart rate, felt like throat was closing, cold sweat (clothes were wet), Faintlike with black spots  obscuring  vision, ears ringing,nausea, dry heeves,  lasted 10-15 minutes, subsided as I was getting ready to go to ED.  Post episode, shaky, headache, standard flu like symptoms for the day.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Retching, Throat tightness, Tinnitus, Tremor
Clinical narrative: Rapid heart rate, felt like throat was closing, cold sweat (clothes were wet), Faintlike with black spots  obscuring  vision, ears ringing,nausea, dry heeves,  lasted 10-15 minutes, subsided as I was getting ready to go to ED.  Post episode, shaky, headache, standard flu like symptoms for the day.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Rapid heart rate, felt like throat was closing, cold sweat (clothes were wet), Faintlike with black spots  obscuring  vision, ears ringing,nausea, dry heeves,  lasted 10-15 minutes, subsided as I was getting ready to go to ED.  Post episode, shaky, headache, standard flu like symptoms for the day.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Diplopia, Hypoaesthesia, Limb discomfort, Magnetic resonance imaging
Clinical narrative: Four days after my booster I developed double vision, blurred vision, facial numbness, and a heavy/restless/weak feeling in my right leg that?s progressing quickly and no one can seem to help. I don?t know if this is directly related to the vaccine but thought it?s worth making sure the proper people know.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Restless legs syndrome, Scan with contrast, Vision blurred
Clinical narrative: Four days after my booster I developed double vision, blurred vision, facial numbness, and a heavy/restless/weak feeling in my right leg that?s progressing quickly and no one can seem to help. I don?t know if this is directly related to the vaccine but thought it?s worth making sure the proper people know.
Age: 40.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: Client received Covid 19 Moderna vaccination then received her flu vaccination Flucelvax Quadrivalent immediately after.  She complained of feeling dizzy immediately after the flu vaccination.  She was placed in a supine postion with her feet up and reported relief.  VS stable throughout.  4:15 PM HR 68, RR 18, BP 130/70, 4:20 HR72 RR 16, BP 132/80, 4:45PM HR 60, RR 16, BP 124/76. 4:45 PM client was placed in a sitting position with no symptoms.  Husband was present.  5:50 PM discharged with husband.  Denies any further dizziness.  Husband drove her home.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Mother of child requested to staff member administering the COVID-19 vaccine, to give half of the recommended dose for the age. The staff member administered half dose of the vaccine to the child,without consulting first with medical director on site or DOH site supervisor.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Vomiting
Clinical narrative: Vomiting every 20 min for 4 hours the next morning.  Almost totally recovered by evening.  No fever, just lethargic while vomiting continued
Age: 3.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site injury, Muscle injury
Clinical narrative: 3 year old patient used his unbound free arm (left) to attempt to move/displace syringe in the middle of administration - tearing the muscle
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient recevied second dose of Pfizer/BioNTech COVID-19 vaccine; 5 to 11-year-old; NDC: 59267105504 on 12/11/2021. Patient passed out in chair 15 minutes after administration of the vaccine. Parents by her side. She was not harmed. Paramedics arrived, but she was not transported to a hospital.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient felt dizzy after administration of vaccination. After a couple minutes, patient loss conciousness for a short period of time. Local first responder team arrived and checked out patient to determine if further care was necessary. No treatment was administered and patient felt better after ~15 minutes and left with her parents.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose normal, Bradycardia, Drooling, Hyperhidrosis
Clinical narrative: 4:30pm Resident found slouched in chair drooling. Resident was assessed. Resident was found to have no strength to left arm and unable to answer questions or to focus staring straight ahead. Resident was hypotensive and bradycardia BP- 56/32, HR 51. Blood glucose was checked and was 133. Resident was cool to the touch and diaphoretic. 911 was called. Resident taken to local ED.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Muscular weakness, Peripheral coldness, Posture abnormal, Staring
Clinical narrative: 4:30pm Resident found slouched in chair drooling. Resident was assessed. Resident was found to have no strength to left arm and unable to answer questions or to focus staring straight ahead. Resident was hypotensive and bradycardia BP- 56/32, HR 51. Blood glucose was checked and was 133. Resident was cool to the touch and diaphoretic. 911 was called. Resident taken to local ED.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: 4:30pm Resident found slouched in chair drooling. Resident was assessed. Resident was found to have no strength to left arm and unable to answer questions or to focus staring straight ahead. Resident was hypotensive and bradycardia BP- 56/32, HR 51. Blood glucose was checked and was 133. Resident was cool to the touch and diaphoretic. 911 was called. Resident taken to local ED.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Nausea
Clinical narrative: Dizziness, light headed.  Cold sweats.  Nausea.  Room spinning.   Symptoms get worse when I sit up or stand up.  Subsides after periods of inactivity.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse reactions reported by patient
Age: 18.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Dizziness, Presyncope
Clinical narrative: The patient experienced dizziness and lightheadedness about 2-4 minutes post-vaccination. Determined patient may have experienced a vasovagal episode.
Age: 6.0
Sex: M
Vaccine: UNK
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Dizzy, lightheaded, sweating
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Pain, Shoulder injury related to vaccine administration
Clinical narrative: Client came in for booster dose and reported symptoms of SIRVA post 2nd dose administration of Moderna Vaccine.  Client reports intermittent shooting pain on right arm especially when sleeping on that side.  Recommended to visit PCP for treatment
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Provider gave patient 0.2ml instead of 0.3 ml.  Dr was called.  It was instructed to reach out the patient's parents to let know what has happened and ask if they can return today to clinic for the  remaining dosage. Parent has agreed to return to clinic.  Dr has given the remaining amount to be given to the patient to  RN ( dose drawer of the day).
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Culture urine negative, Decreased appetite, Fatigue, Headache
Clinical narrative: Woke with headache several nights starting about 3 weeks after vaccine, nausea, loss of appetite. Off and on for 10 days-2 weeks.  (One day particularly bad (12/3).  Stayed in dark room all day, headache, fatigue, vomited x1).  Consulted with advice nurse & MD, lots of lab work came back normal. Feeling better. Doc thought viral. (I?m not at all sure it was vaccine related but the question was MIGHT it be. Who knows? That?s what you?re figuring out. :) Thank you.)
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Urine analysis normal, Vomiting
Clinical narrative: Woke with headache several nights starting about 3 weeks after vaccine, nausea, loss of appetite. Off and on for 10 days-2 weeks.  (One day particularly bad (12/3).  Stayed in dark room all day, headache, fatigue, vomited x1).  Consulted with advice nurse & MD, lots of lab work came back normal. Feeling better. Doc thought viral. (I?m not at all sure it was vaccine related but the question was MIGHT it be. Who knows? That?s what you?re figuring out. :) Thank you.)
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Drainage, Lymphadenopathy, Pyrexia
Clinical narrative: Low grade fever, treated with Ibuprophen or Tylenol. ongoing not yet resolved. Swollen lymph node under left arm (side of injection site).           Treated with cold packs and pressure drainage of the lymph node twice. (Like draining a blocked milk duct- applying pressure above swollen node, and pressing in and down until congestion exits the gland.  This clears the blockage and allows for normal function.)        Resolved in 36 hours, but now has s/s of expected immune response
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: The patient started to go pale and said she was getting dizzy while in the chair and said she was going to faint.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo that started second day