chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic stenosis, Blood magnesium, Blood thyroid stimulating hormone, C-reactive protein, COVID-19
Clinical narrative: Patient is a 87-year-old female presented to Hospital on 12/9 with worsening of shortness of breath over 1 week and tested positive for Covid. Patient was initially admitted to cardiology for concern regarding acute heart failure with reduced ejection fraction exacerbation secondary to worsening aortic stenosis. Repeat echocardiogram did not reveal significant worsening of aortic stenosis. Patient was transferred to internal medicine for further care.  During the course of hospitalization patient was treated with dexamethasone for Covid. She was recommended to continue an additional 5 days course of dexamethasone after discharge. On day of discharge 6-minute walk test was performed by the nursing staff, patient required no oxygen while resting and up to 2 L of oxygen via nasal cannula with physical activity.  Imaging studies also suggested finding suggestive of pulmonary edema with small bilateral pleural effusion. Patient appears to be euvolemic on physical examination. During the hospitalization she was treated with IV Lasix followed by transition to oral Lasix. She was recommended to continue oral Lasix for additional 5 days after discharge. Follow-up with primary care provider for consideration of continuation/discontinuation/dose modification of Lasix as recommended. Hepatic lesions were seen on CT abdomen, outpatient follow-up with MRI abdomen is recommended. Her other chronic medical conditions remained stable during the course of the hospitalization.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure, Cardiac failure acute, Chest X-ray, Computerised tomogram abdomen abnormal, Condition aggravated
Clinical narrative: Patient is a 87-year-old female presented to Hospital on 12/9 with worsening of shortness of breath over 1 week and tested positive for Covid. Patient was initially admitted to cardiology for concern regarding acute heart failure with reduced ejection fraction exacerbation secondary to worsening aortic stenosis. Repeat echocardiogram did not reveal significant worsening of aortic stenosis. Patient was transferred to internal medicine for further care.  During the course of hospitalization patient was treated with dexamethasone for Covid. She was recommended to continue an additional 5 days course of dexamethasone after discharge. On day of discharge 6-minute walk test was performed by the nursing staff, patient required no oxygen while resting and up to 2 L of oxygen via nasal cannula with physical activity.  Imaging studies also suggested finding suggestive of pulmonary edema with small bilateral pleural effusion. Patient appears to be euvolemic on physical examination. During the hospitalization she was treated with IV Lasix followed by transition to oral Lasix. She was recommended to continue oral Lasix for additional 5 days after discharge. Follow-up with primary care provider for consideration of continuation/discontinuation/dose modification of Lasix as recommended. Hepatic lesions were seen on CT abdomen, outpatient follow-up with MRI abdomen is recommended. Her other chronic medical conditions remained stable during the course of the hospitalization.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Echocardiogram normal, Full blood count, Glycosylated haemoglobin
Clinical narrative: Patient is a 87-year-old female presented to Hospital on 12/9 with worsening of shortness of breath over 1 week and tested positive for Covid. Patient was initially admitted to cardiology for concern regarding acute heart failure with reduced ejection fraction exacerbation secondary to worsening aortic stenosis. Repeat echocardiogram did not reveal significant worsening of aortic stenosis. Patient was transferred to internal medicine for further care.  During the course of hospitalization patient was treated with dexamethasone for Covid. She was recommended to continue an additional 5 days course of dexamethasone after discharge. On day of discharge 6-minute walk test was performed by the nursing staff, patient required no oxygen while resting and up to 2 L of oxygen via nasal cannula with physical activity.  Imaging studies also suggested finding suggestive of pulmonary edema with small bilateral pleural effusion. Patient appears to be euvolemic on physical examination. During the hospitalization she was treated with IV Lasix followed by transition to oral Lasix. She was recommended to continue oral Lasix for additional 5 days after discharge. Follow-up with primary care provider for consideration of continuation/discontinuation/dose modification of Lasix as recommended. Hepatic lesions were seen on CT abdomen, outpatient follow-up with MRI abdomen is recommended. Her other chronic medical conditions remained stable during the course of the hospitalization.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatic lesion, International normalised ratio, Lipase, Lipids, Metabolic function test
Clinical narrative: Patient is a 87-year-old female presented to Hospital on 12/9 with worsening of shortness of breath over 1 week and tested positive for Covid. Patient was initially admitted to cardiology for concern regarding acute heart failure with reduced ejection fraction exacerbation secondary to worsening aortic stenosis. Repeat echocardiogram did not reveal significant worsening of aortic stenosis. Patient was transferred to internal medicine for further care.  During the course of hospitalization patient was treated with dexamethasone for Covid. She was recommended to continue an additional 5 days course of dexamethasone after discharge. On day of discharge 6-minute walk test was performed by the nursing staff, patient required no oxygen while resting and up to 2 L of oxygen via nasal cannula with physical activity.  Imaging studies also suggested finding suggestive of pulmonary edema with small bilateral pleural effusion. Patient appears to be euvolemic on physical examination. During the hospitalization she was treated with IV Lasix followed by transition to oral Lasix. She was recommended to continue oral Lasix for additional 5 days after discharge. Follow-up with primary care provider for consideration of continuation/discontinuation/dose modification of Lasix as recommended. Hepatic lesions were seen on CT abdomen, outpatient follow-up with MRI abdomen is recommended. Her other chronic medical conditions remained stable during the course of the hospitalization.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Procalcitonin, Prothrombin level, Pulmonary imaging procedure abnormal, Pulmonary oedema
Clinical narrative: Patient is a 87-year-old female presented to Hospital on 12/9 with worsening of shortness of breath over 1 week and tested positive for Covid. Patient was initially admitted to cardiology for concern regarding acute heart failure with reduced ejection fraction exacerbation secondary to worsening aortic stenosis. Repeat echocardiogram did not reveal significant worsening of aortic stenosis. Patient was transferred to internal medicine for further care.  During the course of hospitalization patient was treated with dexamethasone for Covid. She was recommended to continue an additional 5 days course of dexamethasone after discharge. On day of discharge 6-minute walk test was performed by the nursing staff, patient required no oxygen while resting and up to 2 L of oxygen via nasal cannula with physical activity.  Imaging studies also suggested finding suggestive of pulmonary edema with small bilateral pleural effusion. Patient appears to be euvolemic on physical examination. During the hospitalization she was treated with IV Lasix followed by transition to oral Lasix. She was recommended to continue oral Lasix for additional 5 days after discharge. Follow-up with primary care provider for consideration of continuation/discontinuation/dose modification of Lasix as recommended. Hepatic lesions were seen on CT abdomen, outpatient follow-up with MRI abdomen is recommended. Her other chronic medical conditions remained stable during the course of the hospitalization.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory viral panel, SARS-CoV-2 test positive, Serum ferritin, Tri-iodothyronine, Troponin T
Clinical narrative: Patient is a 87-year-old female presented to Hospital on 12/9 with worsening of shortness of breath over 1 week and tested positive for Covid. Patient was initially admitted to cardiology for concern regarding acute heart failure with reduced ejection fraction exacerbation secondary to worsening aortic stenosis. Repeat echocardiogram did not reveal significant worsening of aortic stenosis. Patient was transferred to internal medicine for further care.  During the course of hospitalization patient was treated with dexamethasone for Covid. She was recommended to continue an additional 5 days course of dexamethasone after discharge. On day of discharge 6-minute walk test was performed by the nursing staff, patient required no oxygen while resting and up to 2 L of oxygen via nasal cannula with physical activity.  Imaging studies also suggested finding suggestive of pulmonary edema with small bilateral pleural effusion. Patient appears to be euvolemic on physical examination. During the hospitalization she was treated with IV Lasix followed by transition to oral Lasix. She was recommended to continue oral Lasix for additional 5 days after discharge. Follow-up with primary care provider for consideration of continuation/discontinuation/dose modification of Lasix as recommended. Hepatic lesions were seen on CT abdomen, outpatient follow-up with MRI abdomen is recommended. Her other chronic medical conditions remained stable during the course of the hospitalization.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: Patient is a 87-year-old female presented to Hospital on 12/9 with worsening of shortness of breath over 1 week and tested positive for Covid. Patient was initially admitted to cardiology for concern regarding acute heart failure with reduced ejection fraction exacerbation secondary to worsening aortic stenosis. Repeat echocardiogram did not reveal significant worsening of aortic stenosis. Patient was transferred to internal medicine for further care.  During the course of hospitalization patient was treated with dexamethasone for Covid. She was recommended to continue an additional 5 days course of dexamethasone after discharge. On day of discharge 6-minute walk test was performed by the nursing staff, patient required no oxygen while resting and up to 2 L of oxygen via nasal cannula with physical activity.  Imaging studies also suggested finding suggestive of pulmonary edema with small bilateral pleural effusion. Patient appears to be euvolemic on physical examination. During the hospitalization she was treated with IV Lasix followed by transition to oral Lasix. She was recommended to continue oral Lasix for additional 5 days after discharge. Follow-up with primary care provider for consideration of continuation/discontinuation/dose modification of Lasix as recommended. Hepatic lesions were seen on CT abdomen, outpatient follow-up with MRI abdomen is recommended. Her other chronic medical conditions remained stable during the course of the hospitalization.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Headache, nausea, dizziness, aches, fever
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Concussion, Face injury, Syncope
Clinical narrative: Syncope with injury to face, concussion with short term memory loss
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient given Moderna booster shot from vial that was punctured greater than 12 hours before dose was given
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received Moderna booster dose too early. Facility was instructed to provide information about each recipient, when their 1st and 2nd doses were.  Information wasn't accurate (did not list his vaccination dates as being later) so pharmacy nurse administered. Upon realizing the error I contacted the facility and instructed them to contact the physician and guardians.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Influenza like illness, Pain, Toothache
Clinical narrative: pt states that about 8 hours after the vaccine her blood sugar spiked for about 36 hours.  It was 255 which is extremely high for her since she is on insulin and has been a diabetic for 50 years.  She had dramatic breathing improvement since having a severe breathing problem.  It improved for about 5 days then started to go back to normal.  After getting her 3rd vaccine Lot # 037F21A at pharmacy (got full dose not booster) she experienced a slight breathing improvement but not as substantial as 2nd dose.  She had a sinus infection that immediately improved.  She had severe aching in her lower teeth as well as flu like symptoms.  Her infusion sight/portal became very sore.  Her blood sugar would spike after eating food.  This lasted for 3 days.  When her blood sugar elevated her breathing would get better.  She  had some positive reactions happen after 2nd and 3rd dose.   She no longer has any of the other symptoms.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Blister, Dermatitis, Rash maculo-papular
Clinical narrative: 15-20 macular papules that progressed to blistering dermatitis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticaria
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Heart rate irregular
Clinical narrative: Irregular heartbeat No outcome yet as I am STILL WAITING for another test, the symptoms have improved, but are still present.  Just with less frequency.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Skin warm, Swelling
Clinical narrative: Area of swelling and pain approximately 4 in by 5 in. Hot to the touch with a temperature of swelling at 101 degrees Fahrenheit. Dr called and she stated that it looks infected possibly cellulitis.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody increased, Antinuclear antibody positive, Arthralgia, Arthritis, Autoimmune disorder
Clinical narrative: Started to feel feverish and had chills, severe headache, neck pain and generalized joint pain.  Symptoms partially subsided at 48hours post-vaccine, but feverish spells and headaches continued to occur randomly over next several weeks.  Wrist and hand pain did not subside and seemed to worsen over several months until hand pain(throbbing, aching, burning)  was waking me up at night. Saw primary doctor who referred me to rheumatologist.  Received diagnosis of post-vaccine arthritis and Sjogren's syndrome. Started taking hydroxychloroquine today and more tests to be done in January to rule out other autoimmune issues.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Headache, Neck pain, Pain
Clinical narrative: Started to feel feverish and had chills, severe headache, neck pain and generalized joint pain.  Symptoms partially subsided at 48hours post-vaccine, but feverish spells and headaches continued to occur randomly over next several weeks.  Wrist and hand pain did not subside and seemed to worsen over several months until hand pain(throbbing, aching, burning)  was waking me up at night. Saw primary doctor who referred me to rheumatologist.  Received diagnosis of post-vaccine arthritis and Sjogren's syndrome. Started taking hydroxychloroquine today and more tests to be done in January to rule out other autoimmune issues.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Sjogren's syndrome, Sleep disorder, X-ray limb
Clinical narrative: Started to feel feverish and had chills, severe headache, neck pain and generalized joint pain.  Symptoms partially subsided at 48hours post-vaccine, but feverish spells and headaches continued to occur randomly over next several weeks.  Wrist and hand pain did not subside and seemed to worsen over several months until hand pain(throbbing, aching, burning)  was waking me up at night. Saw primary doctor who referred me to rheumatologist.  Received diagnosis of post-vaccine arthritis and Sjogren's syndrome. Started taking hydroxychloroquine today and more tests to be done in January to rule out other autoimmune issues.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Developed Covid infection Delta variant
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Headache, Tinnitus
Clinical narrative: I had stomach ache and headache. I have now being diagnosed with Pulsatile Tinnitus.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Product administered at inappropriate site, Rotator cuff syndrome, X-ray normal
Clinical narrative: Patient reports to Urgent Care today, 12/15/21 after covid-19 booster (3rd shot) given on 11/29/21 and symptoms of left shoulder pain occurred since 11/30/21. Likely shoulder rotator cuff tendinopathy as a result of his covid-19 vaccination given too superiorly on his left arm and subsequently into his shoulder joint. Patient says the shot was "way too high" and was scared it would be a problem. We will start with NSAID therapy, ice packs as tolerated. May need shoulder steroid injection vs physical therapy in near future.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain lower, Appendicitis perforated, Caecectomy, Chills
Clinical narrative: Received Pfizer vaccine on 10/2 - had fever 101.5, chills, extreme fatigue, muscle aches starting within hours.  also occ vomiting and diarrhea. Noted generalized abd soreness worse in prone position - no distention. By 10/4 symptoms improved, but abd pain did not.  10/5 Abd pain now in RLQ - husband took me to ER due to change in mentation. CT showed ruptured appy with enlarged spleen - some free air and fluid. Went to surgery that pm for open lap - cecectomy and small bowel resection.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Diarrhoea, Fatigue, Intra-abdominal fluid collection, Laparoscopic surgery
Clinical narrative: Received Pfizer vaccine on 10/2 - had fever 101.5, chills, extreme fatigue, muscle aches starting within hours.  also occ vomiting and diarrhea. Noted generalized abd soreness worse in prone position - no distention. By 10/4 symptoms improved, but abd pain did not.  10/5 Abd pain now in RLQ - husband took me to ER due to change in mentation. CT showed ruptured appy with enlarged spleen - some free air and fluid. Went to surgery that pm for open lap - cecectomy and small bowel resection.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Myalgia, Pneumoperitoneum, Pyrexia, Small intestinal resection
Clinical narrative: Received Pfizer vaccine on 10/2 - had fever 101.5, chills, extreme fatigue, muscle aches starting within hours.  also occ vomiting and diarrhea. Noted generalized abd soreness worse in prone position - no distention. By 10/4 symptoms improved, but abd pain did not.  10/5 Abd pain now in RLQ - husband took me to ER due to change in mentation. CT showed ruptured appy with enlarged spleen - some free air and fluid. Went to surgery that pm for open lap - cecectomy and small bowel resection.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Splenomegaly, Vomiting, White blood cell count normal
Clinical narrative: Received Pfizer vaccine on 10/2 - had fever 101.5, chills, extreme fatigue, muscle aches starting within hours.  also occ vomiting and diarrhea. Noted generalized abd soreness worse in prone position - no distention. By 10/4 symptoms improved, but abd pain did not.  10/5 Abd pain now in RLQ - husband took me to ER due to change in mentation. CT showed ruptured appy with enlarged spleen - some free air and fluid. Went to surgery that pm for open lap - cecectomy and small bowel resection.
Age: 52.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Angioedema, Chest discomfort, Erythema, Inflammation, Oesophageal discomfort
Clinical narrative: 9 days after receiving the booster on Nov 17th overnight, broke out in hives, extreme itching.  Started in head, but also moving to torso, waistline, groin.  Also had a tight feeling in esophagus like a swallowed a pill, which coincided with MINOR swelling of tongue. These symptoms continued badly for 4 days all over body in random spots coming and going, plus chest tightness coming and going always with tongue sides swollen slightly. Nov 20 doctor gave a steroid shot and prednisolone 5 day pack of pills which helped a lot, but symptoms have continued still. Today is 4 weeks since the initial hives outbreak.  Since the steroid shot/pills, the symptoms now are not big hives, maybe just minor, but itching red bumps, itching and scratching red inflamed lines, all different body parts, comes and goes, some days better than others.  Taking Zyrtec most days. Benadryl some nights. Hydrocortisone cream if it itches a lot.  Seems like I am keeping the bumps and itches from turning in to the huge welts and hives by staying on antihistamine and cream. If I have a mild day and go off for a day, the next day it is back.  Just read on this case of dozens of others with same delayed symptoms after booster:  https://www.cureus.com/articles/69363-chronic-spontaneous-urticaria-after-covid-19-vaccine?open_comments=true#article-comments-section
Age: 52.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pruritus, Rash erythematous, Rash pruritic, Scratch, Swelling
Clinical narrative: 9 days after receiving the booster on Nov 17th overnight, broke out in hives, extreme itching.  Started in head, but also moving to torso, waistline, groin.  Also had a tight feeling in esophagus like a swallowed a pill, which coincided with MINOR swelling of tongue. These symptoms continued badly for 4 days all over body in random spots coming and going, plus chest tightness coming and going always with tongue sides swollen slightly. Nov 20 doctor gave a steroid shot and prednisolone 5 day pack of pills which helped a lot, but symptoms have continued still. Today is 4 weeks since the initial hives outbreak.  Since the steroid shot/pills, the symptoms now are not big hives, maybe just minor, but itching red bumps, itching and scratching red inflamed lines, all different body parts, comes and goes, some days better than others.  Taking Zyrtec most days. Benadryl some nights. Hydrocortisone cream if it itches a lot.  Seems like I am keeping the bumps and itches from turning in to the huge welts and hives by staying on antihistamine and cream. If I have a mild day and go off for a day, the next day it is back.  Just read on this case of dozens of others with same delayed symptoms after booster:  https://www.cureus.com/articles/69363-chronic-spontaneous-urticaria-after-covid-19-vaccine?open_comments=true#article-comments-section
Age: 52.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Swollen tongue, Urticaria
Clinical narrative: 9 days after receiving the booster on Nov 17th overnight, broke out in hives, extreme itching.  Started in head, but also moving to torso, waistline, groin.  Also had a tight feeling in esophagus like a swallowed a pill, which coincided with MINOR swelling of tongue. These symptoms continued badly for 4 days all over body in random spots coming and going, plus chest tightness coming and going always with tongue sides swollen slightly. Nov 20 doctor gave a steroid shot and prednisolone 5 day pack of pills which helped a lot, but symptoms have continued still. Today is 4 weeks since the initial hives outbreak.  Since the steroid shot/pills, the symptoms now are not big hives, maybe just minor, but itching red bumps, itching and scratching red inflamed lines, all different body parts, comes and goes, some days better than others.  Taking Zyrtec most days. Benadryl some nights. Hydrocortisone cream if it itches a lot.  Seems like I am keeping the bumps and itches from turning in to the huge welts and hives by staying on antihistamine and cream. If I have a mild day and go off for a day, the next day it is back.  Just read on this case of dozens of others with same delayed symptoms after booster:  https://www.cureus.com/articles/69363-chronic-spontaneous-urticaria-after-covid-19-vaccine?open_comments=true#article-comments-section
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Feeling hot, Headache
Clinical narrative: At 11pm on the day of receiving my 2nd does I became cold and started shivering very bad, had to get into a hot bath to make it stop then I got extremely hot and a headache that lasted until 10am the following day
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Client presented for his second Moderna vaccine in his primary series. Client was given Pfizer in error. Client was observed for required 15 minutes and left asymptomatic.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Burning sensation, Hypoaesthesia, Laboratory test, Muscular weakness
Clinical narrative: Bilateral lower extremity numbness, tingling, weakness, and  burning sensations
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Bilateral lower extremity numbness, tingling, weakness, and  burning sensations
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Nausea, Pain in extremity, Syncope
Clinical narrative: Nausea and vomiting 10 minutes after injection Dizziness 10 minutes after injection Syncope about 6 hours after injection, followed by dizziness and weakness Extreme pain in arm the day following
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Nausea and vomiting 10 minutes after injection Dizziness 10 minutes after injection Syncope about 6 hours after injection, followed by dizziness and weakness Extreme pain in arm the day following
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Muscle discomfort, Tendon discomfort
Clinical narrative: subcutaneous discomfort of tendon and muscles without rash or joint involvement starting at medial right knee x1 day then migrating to right great toe x1day then medial right ankle x3days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dyspnoea, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: Tachycardia since 11/8/2021 and feeling winded with any physical movement. Unable to exercise after 1 month.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Tachycardia
Clinical narrative: Tachycardia since 11/8/2021 and feeling winded with any physical movement. Unable to exercise after 1 month.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus, Urticaria
Clinical narrative: I was covered in hives on my entire body from mid-thigh up until my ears/chin starting the next morning. I attempted to take a bath to resolve the issue but it started burning/itching so I went to  Care. They wanted to give me steroids but I was concerned about building immunity with the vaccine so they treated me with a topical steroid cream. After a couple of days, the hives went away, and I also took Benadryl to alleviate my symptoms.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Malaise
Clinical narrative: Feel like I have covid.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Affect lability, Behaviour disorder, Emotional disorder, Impulsive behaviour, Psychomotor hyperactivity
Clinical narrative: Emotion and behavioral deterioration started 24 to 36 hours after second dose, including lability, outbursts, hyperactivity, and impulsivity, followed by emergence of persistent facial tics the following day. Emotional and behavioral symptoms began to alleviate within approximately 5 days, though facial tics currently remain.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Tic
Clinical narrative: Emotion and behavioral deterioration started 24 to 36 hours after second dose, including lability, outbursts, hyperactivity, and impulsivity, followed by emergence of persistent facial tics the following day. Emotional and behavioral symptoms began to alleviate within approximately 5 days, though facial tics currently remain.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Acute respiratory failure, Alanine aminotransferase increased, Aspartate aminotransferase increased
Clinical narrative: The day after the patient received the vaccine she developed generalized body weakness, could not go to the bathroom by herself, became nauseated and vomited some.  On the day of presentation to the ED, her husband could not get her out of bed and she was unresponsive through the entire day so he called an ambulance.  On presentation to the ED around 6 pm she was moribund, unresponsive, hypoxic and hypotensive.  Her temperature in the ED was 103.4F.  Patient was admitted with a diagnosis of septic shock secondary to UTI or pneumonia, acute hypoxic respiratory failure requiring mechanical ventilation, acute encephalopathy, NSTEMI and acute kidney injury.  Patient was intubated and pressors were antibiotics were started.  Within the next few days, the physicians began to suspect cardiogenic shock as pressors were discontinued and patient was stable on dobutamine alone.  SvO2 from central line improved from 53.7% to 83.4$ after dobutamine was started.  Echocardiogram showed an ejection fraction of 30-40% compared to 55-65% in 2019.  This lead the team to suspect the cardiogenic shock may have been caused by myocarditis from the COVID vaccine.  Patient is also experiencing an increase in liver function tests thought to either be shock liver or rejection of her transplant.  Patient's status has improved, however, she remains confused.  The neurologist feels she has encephalopathy secondary to multiple comorbidities and some degree of critical illness delirium.  Patient is still in the hospital.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood creatinine increased, Blood lactic acid decreased, Blood potassium decreased, Blood sodium decreased
Clinical narrative: The day after the patient received the vaccine she developed generalized body weakness, could not go to the bathroom by herself, became nauseated and vomited some.  On the day of presentation to the ED, her husband could not get her out of bed and she was unresponsive through the entire day so he called an ambulance.  On presentation to the ED around 6 pm she was moribund, unresponsive, hypoxic and hypotensive.  Her temperature in the ED was 103.4F.  Patient was admitted with a diagnosis of septic shock secondary to UTI or pneumonia, acute hypoxic respiratory failure requiring mechanical ventilation, acute encephalopathy, NSTEMI and acute kidney injury.  Patient was intubated and pressors were antibiotics were started.  Within the next few days, the physicians began to suspect cardiogenic shock as pressors were discontinued and patient was stable on dobutamine alone.  SvO2 from central line improved from 53.7% to 83.4$ after dobutamine was started.  Echocardiogram showed an ejection fraction of 30-40% compared to 55-65% in 2019.  This lead the team to suspect the cardiogenic shock may have been caused by myocarditis from the COVID vaccine.  Patient is also experiencing an increase in liver function tests thought to either be shock liver or rejection of her transplant.  Patient's status has improved, however, she remains confused.  The neurologist feels she has encephalopathy secondary to multiple comorbidities and some degree of critical illness delirium.  Patient is still in the hospital.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Brain natriuretic peptide increased, Cardiogenic shock, Confusional state, Delirium
Clinical narrative: The day after the patient received the vaccine she developed generalized body weakness, could not go to the bathroom by herself, became nauseated and vomited some.  On the day of presentation to the ED, her husband could not get her out of bed and she was unresponsive through the entire day so he called an ambulance.  On presentation to the ED around 6 pm she was moribund, unresponsive, hypoxic and hypotensive.  Her temperature in the ED was 103.4F.  Patient was admitted with a diagnosis of septic shock secondary to UTI or pneumonia, acute hypoxic respiratory failure requiring mechanical ventilation, acute encephalopathy, NSTEMI and acute kidney injury.  Patient was intubated and pressors were antibiotics were started.  Within the next few days, the physicians began to suspect cardiogenic shock as pressors were discontinued and patient was stable on dobutamine alone.  SvO2 from central line improved from 53.7% to 83.4$ after dobutamine was started.  Echocardiogram showed an ejection fraction of 30-40% compared to 55-65% in 2019.  This lead the team to suspect the cardiogenic shock may have been caused by myocarditis from the COVID vaccine.  Patient is also experiencing an increase in liver function tests thought to either be shock liver or rejection of her transplant.  Patient's status has improved, however, she remains confused.  The neurologist feels she has encephalopathy secondary to multiple comorbidities and some degree of critical illness delirium.  Patient is still in the hospital.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Encephalopathy, Endotracheal intubation, Hypotension
Clinical narrative: The day after the patient received the vaccine she developed generalized body weakness, could not go to the bathroom by herself, became nauseated and vomited some.  On the day of presentation to the ED, her husband could not get her out of bed and she was unresponsive through the entire day so he called an ambulance.  On presentation to the ED around 6 pm she was moribund, unresponsive, hypoxic and hypotensive.  Her temperature in the ED was 103.4F.  Patient was admitted with a diagnosis of septic shock secondary to UTI or pneumonia, acute hypoxic respiratory failure requiring mechanical ventilation, acute encephalopathy, NSTEMI and acute kidney injury.  Patient was intubated and pressors were antibiotics were started.  Within the next few days, the physicians began to suspect cardiogenic shock as pressors were discontinued and patient was stable on dobutamine alone.  SvO2 from central line improved from 53.7% to 83.4$ after dobutamine was started.  Echocardiogram showed an ejection fraction of 30-40% compared to 55-65% in 2019.  This lead the team to suspect the cardiogenic shock may have been caused by myocarditis from the COVID vaccine.  Patient is also experiencing an increase in liver function tests thought to either be shock liver or rejection of her transplant.  Patient's status has improved, however, she remains confused.  The neurologist feels she has encephalopathy secondary to multiple comorbidities and some degree of critical illness delirium.  Patient is still in the hospital.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Ischaemic hepatitis, Mechanical ventilation, Mobility decreased, Myocarditis
Clinical narrative: The day after the patient received the vaccine she developed generalized body weakness, could not go to the bathroom by herself, became nauseated and vomited some.  On the day of presentation to the ED, her husband could not get her out of bed and she was unresponsive through the entire day so he called an ambulance.  On presentation to the ED around 6 pm she was moribund, unresponsive, hypoxic and hypotensive.  Her temperature in the ED was 103.4F.  Patient was admitted with a diagnosis of septic shock secondary to UTI or pneumonia, acute hypoxic respiratory failure requiring mechanical ventilation, acute encephalopathy, NSTEMI and acute kidney injury.  Patient was intubated and pressors were antibiotics were started.  Within the next few days, the physicians began to suspect cardiogenic shock as pressors were discontinued and patient was stable on dobutamine alone.  SvO2 from central line improved from 53.7% to 83.4$ after dobutamine was started.  Echocardiogram showed an ejection fraction of 30-40% compared to 55-65% in 2019.  This lead the team to suspect the cardiogenic shock may have been caused by myocarditis from the COVID vaccine.  Patient is also experiencing an increase in liver function tests thought to either be shock liver or rejection of her transplant.  Patient's status has improved, however, she remains confused.  The neurologist feels she has encephalopathy secondary to multiple comorbidities and some degree of critical illness delirium.  Patient is still in the hospital.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pneumonia, Procalcitonin increased, Septic shock, Transplant rejection
Clinical narrative: The day after the patient received the vaccine she developed generalized body weakness, could not go to the bathroom by herself, became nauseated and vomited some.  On the day of presentation to the ED, her husband could not get her out of bed and she was unresponsive through the entire day so he called an ambulance.  On presentation to the ED around 6 pm she was moribund, unresponsive, hypoxic and hypotensive.  Her temperature in the ED was 103.4F.  Patient was admitted with a diagnosis of septic shock secondary to UTI or pneumonia, acute hypoxic respiratory failure requiring mechanical ventilation, acute encephalopathy, NSTEMI and acute kidney injury.  Patient was intubated and pressors were antibiotics were started.  Within the next few days, the physicians began to suspect cardiogenic shock as pressors were discontinued and patient was stable on dobutamine alone.  SvO2 from central line improved from 53.7% to 83.4$ after dobutamine was started.  Echocardiogram showed an ejection fraction of 30-40% compared to 55-65% in 2019.  This lead the team to suspect the cardiogenic shock may have been caused by myocarditis from the COVID vaccine.  Patient is also experiencing an increase in liver function tests thought to either be shock liver or rejection of her transplant.  Patient's status has improved, however, she remains confused.  The neurologist feels she has encephalopathy secondary to multiple comorbidities and some degree of critical illness delirium.  Patient is still in the hospital.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased, Unresponsive to stimuli, Urinary tract infection, Vaccination complication, Vomiting
Clinical narrative: The day after the patient received the vaccine she developed generalized body weakness, could not go to the bathroom by herself, became nauseated and vomited some.  On the day of presentation to the ED, her husband could not get her out of bed and she was unresponsive through the entire day so he called an ambulance.  On presentation to the ED around 6 pm she was moribund, unresponsive, hypoxic and hypotensive.  Her temperature in the ED was 103.4F.  Patient was admitted with a diagnosis of septic shock secondary to UTI or pneumonia, acute hypoxic respiratory failure requiring mechanical ventilation, acute encephalopathy, NSTEMI and acute kidney injury.  Patient was intubated and pressors were antibiotics were started.  Within the next few days, the physicians began to suspect cardiogenic shock as pressors were discontinued and patient was stable on dobutamine alone.  SvO2 from central line improved from 53.7% to 83.4$ after dobutamine was started.  Echocardiogram showed an ejection fraction of 30-40% compared to 55-65% in 2019.  This lead the team to suspect the cardiogenic shock may have been caused by myocarditis from the COVID vaccine.  Patient is also experiencing an increase in liver function tests thought to either be shock liver or rejection of her transplant.  Patient's status has improved, however, she remains confused.  The neurologist feels she has encephalopathy secondary to multiple comorbidities and some degree of critical illness delirium.  Patient is still in the hospital.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: The day after the patient received the vaccine she developed generalized body weakness, could not go to the bathroom by herself, became nauseated and vomited some.  On the day of presentation to the ED, her husband could not get her out of bed and she was unresponsive through the entire day so he called an ambulance.  On presentation to the ED around 6 pm she was moribund, unresponsive, hypoxic and hypotensive.  Her temperature in the ED was 103.4F.  Patient was admitted with a diagnosis of septic shock secondary to UTI or pneumonia, acute hypoxic respiratory failure requiring mechanical ventilation, acute encephalopathy, NSTEMI and acute kidney injury.  Patient was intubated and pressors were antibiotics were started.  Within the next few days, the physicians began to suspect cardiogenic shock as pressors were discontinued and patient was stable on dobutamine alone.  SvO2 from central line improved from 53.7% to 83.4$ after dobutamine was started.  Echocardiogram showed an ejection fraction of 30-40% compared to 55-65% in 2019.  This lead the team to suspect the cardiogenic shock may have been caused by myocarditis from the COVID vaccine.  Patient is also experiencing an increase in liver function tests thought to either be shock liver or rejection of her transplant.  Patient's status has improved, however, she remains confused.  The neurologist feels she has encephalopathy secondary to multiple comorbidities and some degree of critical illness delirium.  Patient is still in the hospital.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure congestive, Death, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid on 12/6/21 and expired on 12/11/21. Patient was admitted to hospice for end stage CHF on 11/24/21.
Age: 60.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given past beyond use date, no adverse event associated.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bronchitis, Chest pain, Dizziness, Dyspnoea
Clinical narrative: AFTER ABOUT 20MINS - THROAT & TONGUE SWELLED    ON FRIDAY - STRAIGHT FROM SHOT TO EMERGENCY ROOM    HEART NOT BEATING RIGHT - DIZZY - SHORT OF BREATH - WENT BACK TO EMERGENCY ROOM SUNDAY WITH  137 PULSE.......HAD WEEK AND A HALF OF HEART PAPULTATIONS/DIZZY/WEAK/COULDNT EAT / THEN WEEK OF LOW BLOW PRESSURE / THEN WEEK OF CHEST PAINS/THEN / A WEEK OF FEELING LIKE I WAS BEING STRANGELED-PRESSURE ON THROAT...   STREP THROAT / COLD / BRONCHITIS / NOW TRYING TO GET 2ND COLD         ISSUES STILL COMING SINCE SHOT   I HAVEN'T HAD SO MUCH AS A COLD IN A YEAR OR TWO
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram, Feeding disorder, Hypotension, Laboratory test, Nasopharyngitis
Clinical narrative: AFTER ABOUT 20MINS - THROAT & TONGUE SWELLED    ON FRIDAY - STRAIGHT FROM SHOT TO EMERGENCY ROOM    HEART NOT BEATING RIGHT - DIZZY - SHORT OF BREATH - WENT BACK TO EMERGENCY ROOM SUNDAY WITH  137 PULSE.......HAD WEEK AND A HALF OF HEART PAPULTATIONS/DIZZY/WEAK/COULDNT EAT / THEN WEEK OF LOW BLOW PRESSURE / THEN WEEK OF CHEST PAINS/THEN / A WEEK OF FEELING LIKE I WAS BEING STRANGELED-PRESSURE ON THROAT...   STREP THROAT / COLD / BRONCHITIS / NOW TRYING TO GET 2ND COLD         ISSUES STILL COMING SINCE SHOT   I HAVEN'T HAD SO MUCH AS A COLD IN A YEAR OR TWO
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Palpitations, Pharyngeal swelling, Pharyngitis streptococcal, Scan thyroid gland
Clinical narrative: AFTER ABOUT 20MINS - THROAT & TONGUE SWELLED    ON FRIDAY - STRAIGHT FROM SHOT TO EMERGENCY ROOM    HEART NOT BEATING RIGHT - DIZZY - SHORT OF BREATH - WENT BACK TO EMERGENCY ROOM SUNDAY WITH  137 PULSE.......HAD WEEK AND A HALF OF HEART PAPULTATIONS/DIZZY/WEAK/COULDNT EAT / THEN WEEK OF LOW BLOW PRESSURE / THEN WEEK OF CHEST PAINS/THEN / A WEEK OF FEELING LIKE I WAS BEING STRANGELED-PRESSURE ON THROAT...   STREP THROAT / COLD / BRONCHITIS / NOW TRYING TO GET 2ND COLD         ISSUES STILL COMING SINCE SHOT   I HAVEN'T HAD SO MUCH AS A COLD IN A YEAR OR TWO
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: AFTER ABOUT 20MINS - THROAT & TONGUE SWELLED    ON FRIDAY - STRAIGHT FROM SHOT TO EMERGENCY ROOM    HEART NOT BEATING RIGHT - DIZZY - SHORT OF BREATH - WENT BACK TO EMERGENCY ROOM SUNDAY WITH  137 PULSE.......HAD WEEK AND A HALF OF HEART PAPULTATIONS/DIZZY/WEAK/COULDNT EAT / THEN WEEK OF LOW BLOW PRESSURE / THEN WEEK OF CHEST PAINS/THEN / A WEEK OF FEELING LIKE I WAS BEING STRANGELED-PRESSURE ON THROAT...   STREP THROAT / COLD / BRONCHITIS / NOW TRYING TO GET 2ND COLD         ISSUES STILL COMING SINCE SHOT   I HAVEN'T HAD SO MUCH AS A COLD IN A YEAR OR TWO
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Swelling of eyelid
Clinical narrative: 1 hour after receiving Moderna booster, eyelids swelled. Great pain in eyes when moving eyes. Pain and eyelid edema persisting after 48 hours
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Parent intended for patient to receive the flu vaccine, Covid pediatric dose was inadvertently given.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: + COVID 19 test SOB, cough, and fever.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS POST-VACCINE.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram normal
Clinical narrative: Apprx 8 hours after booster shot, I experienced chest tightness and a few sharp pains in chest area. For the next 24 hrs+ chest area remained tight, I was short of breath and my heart felt like it was beating fast.  Symptoms felt worst about 24 hours after shot was given, at which point I consulted a teledoctor service who told me these were not symptoms of the vaccine and that I should be seen in person by someone to check my vitals. I went to an urgent care where they confirmed a fever, a negative COVID test, and did an EKG. EKG was normal but told me that I needed to go to the ER to rule out blood clot or PC. Pain was still mild at this point, short of breath, and migraine but still told to go to ER. The ER did another EKG and X-ray. X-ray showed mild lung inflammation, EKG indicated possible long QT interval. Given my daily medication, they thought this was probably unrelated to the booster and referred me to my primary to double-check in a day (3 days later, EKG was normal). ER gave me Tylenol which relieved headache but not chest tightness, and I was sent home. Symptoms lessened over the next two days but still present. No symptoms 12/13