chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood lactic acid, Blood magnesium decreased, Blood thyroid stimulating hormone
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received Pfizer vaccine (2nd dose in series) on 03/03/21. Hospitalized from 08/10/21 - 08/11/21. Below is copied from her discharge summary:   Hospital Course:  Patient is a 70 y.o. female with PMHx of low grade MDS, MGUS, iron deficiency anemia, hypertension, GERD, hyperlipidemia, restless leg syndrome, chronic lower back pain who is being admitted to the hospital for suspected community-acquired pneumonia and COVID positive.  Patient was in the heme Onc clinic in the morning for her monthly follow-up in regards to her MDS and it was noted that patient was very tired and minimally responsive with blood pressure of 99/44.  She was then brought in a wheelchair over to the emergency department.  Vitals in the emergency department within normal limits with the exception of a mild elevated temperature of 100.1 degrees/  Labs with an elevated creatinine of 1.92, prior baseline appears to be around 1.3. Mg low at 1.6. Troponin 41 and 33 with delta <0. LA wnl. TSH wnl. Hg 7.2, previously 8-9 range. COVID positive. CXR with patchy opacities in RUL.  On my evaluation, pt reported she was very tired in the clinic as her husband was not well the night before and she was awake most of the night with him and had to call EMS after he slid off the bed around 3 am. She denied any other symptoms including SOA, CP, cough, nausea, vomiting, fever, chills, abdominal pain, diarrhea, loss of appetite. She is FULLY vaccinated with Pfizer, received in 3/2021.  She was started on ceftriaxone, azithromycin and received a one time 1L LR bolus. She was monitored overnight. She did not require any oxygen and continued to endorse to feeling well without any SOA, CP, nausea, vomiting, cough. Afebrile and BP with systolic 130-160 range. Repeat labs with improved Cr to 1.2. She was advised to d/c naproxen she was taking at home for pain due to AKI. She was advised to resume home blood pressure meds of HCTZ and lisinopril on d/c with BP monitoring at home and repeat BMP and PCP f/u in 7-10 days. She was prescribed 4 more days of Augmentin for CAP.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, COVID-19, Chest X-ray abnormal, Fatigue, Haemoglobin decreased
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received Pfizer vaccine (2nd dose in series) on 03/03/21. Hospitalized from 08/10/21 - 08/11/21. Below is copied from her discharge summary:   Hospital Course:  Patient is a 70 y.o. female with PMHx of low grade MDS, MGUS, iron deficiency anemia, hypertension, GERD, hyperlipidemia, restless leg syndrome, chronic lower back pain who is being admitted to the hospital for suspected community-acquired pneumonia and COVID positive.  Patient was in the heme Onc clinic in the morning for her monthly follow-up in regards to her MDS and it was noted that patient was very tired and minimally responsive with blood pressure of 99/44.  She was then brought in a wheelchair over to the emergency department.  Vitals in the emergency department within normal limits with the exception of a mild elevated temperature of 100.1 degrees/  Labs with an elevated creatinine of 1.92, prior baseline appears to be around 1.3. Mg low at 1.6. Troponin 41 and 33 with delta <0. LA wnl. TSH wnl. Hg 7.2, previously 8-9 range. COVID positive. CXR with patchy opacities in RUL.  On my evaluation, pt reported she was very tired in the clinic as her husband was not well the night before and she was awake most of the night with him and had to call EMS after he slid off the bed around 3 am. She denied any other symptoms including SOA, CP, cough, nausea, vomiting, fever, chills, abdominal pain, diarrhea, loss of appetite. She is FULLY vaccinated with Pfizer, received in 3/2021.  She was started on ceftriaxone, azithromycin and received a one time 1L LR bolus. She was monitored overnight. She did not require any oxygen and continued to endorse to feeling well without any SOA, CP, nausea, vomiting, cough. Afebrile and BP with systolic 130-160 range. Repeat labs with improved Cr to 1.2. She was advised to d/c naproxen she was taking at home for pain due to AKI. She was advised to resume home blood pressure meds of HCTZ and lisinopril on d/c with BP monitoring at home and repeat BMP and PCP f/u in 7-10 days. She was prescribed 4 more days of Augmentin for CAP.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Pneumonia, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received Pfizer vaccine (2nd dose in series) on 03/03/21. Hospitalized from 08/10/21 - 08/11/21. Below is copied from her discharge summary:   Hospital Course:  Patient is a 70 y.o. female with PMHx of low grade MDS, MGUS, iron deficiency anemia, hypertension, GERD, hyperlipidemia, restless leg syndrome, chronic lower back pain who is being admitted to the hospital for suspected community-acquired pneumonia and COVID positive.  Patient was in the heme Onc clinic in the morning for her monthly follow-up in regards to her MDS and it was noted that patient was very tired and minimally responsive with blood pressure of 99/44.  She was then brought in a wheelchair over to the emergency department.  Vitals in the emergency department within normal limits with the exception of a mild elevated temperature of 100.1 degrees/  Labs with an elevated creatinine of 1.92, prior baseline appears to be around 1.3. Mg low at 1.6. Troponin 41 and 33 with delta <0. LA wnl. TSH wnl. Hg 7.2, previously 8-9 range. COVID positive. CXR with patchy opacities in RUL.  On my evaluation, pt reported she was very tired in the clinic as her husband was not well the night before and she was awake most of the night with him and had to call EMS after he slid off the bed around 3 am. She denied any other symptoms including SOA, CP, cough, nausea, vomiting, fever, chills, abdominal pain, diarrhea, loss of appetite. She is FULLY vaccinated with Pfizer, received in 3/2021.  She was started on ceftriaxone, azithromycin and received a one time 1L LR bolus. She was monitored overnight. She did not require any oxygen and continued to endorse to feeling well without any SOA, CP, nausea, vomiting, cough. Afebrile and BP with systolic 130-160 range. Repeat labs with improved Cr to 1.2. She was advised to d/c naproxen she was taking at home for pain due to AKI. She was advised to resume home blood pressure meds of HCTZ and lisinopril on d/c with BP monitoring at home and repeat BMP and PCP f/u in 7-10 days. She was prescribed 4 more days of Augmentin for CAP.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: I got my first Pfizer  shot Thursday  08/05/2021. Friday 08/06 both feet were numb.  Saturday/Sunday feet were numb and tingling.   Monday 8/9 my legs and feet felt numb and tingling. Tuesday I started having numbness and tingling in my hands, arms, feet, legs and face. Today date is 08/11 and I?m still having symptoms.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Premature baby
Clinical narrative: due date 07/19/2021 and delivered at 27 weeks b
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic arteriosclerosis, Asthenia, Bladder catheterisation, COVID-19, Fall
Clinical narrative: 85 Y male remote smoker with hx significant for hyperlipidemia,  COPD (no PFT on file) , chronic kidney disease (baseline creat 1.1-1.2), prior osteomyelitis of right 2nd toe s/p amputation and atrial fibrillation on anticoagulation therapy who presented to the Emergency Department with generalized weakness and fever admitted for weakness in the setting of COVID +.    Sepsis secondary to COVID Patient med sepsis criteria on presentation given fever and tachycardia with slight tachypnia. His presenting symptoms are weakness and fall. No respiratory complaints and he is saturating well on RA.  - Continue to monitor oxygen saturations - Clinically not meeting criteria for systemic steroid, or antiviral    Weakness - PT eval with recommendation for SNF.   Urinary retention - Continue foley catheter for now, voiding trial at SNF in 1 week.     HTN - Continue PTA Atenolol    Atrial fibrillation, rate control - Continue PTA coumadin with pharmacy to dose.   Reason for Hospital Admission (Admitting Diagnosis):  Weakness
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Intervertebral disc degeneration, Pyrexia, Scoliosis, Sepsis, Tachycardia
Clinical narrative: 85 Y male remote smoker with hx significant for hyperlipidemia,  COPD (no PFT on file) , chronic kidney disease (baseline creat 1.1-1.2), prior osteomyelitis of right 2nd toe s/p amputation and atrial fibrillation on anticoagulation therapy who presented to the Emergency Department with generalized weakness and fever admitted for weakness in the setting of COVID +.    Sepsis secondary to COVID Patient med sepsis criteria on presentation given fever and tachycardia with slight tachypnia. His presenting symptoms are weakness and fall. No respiratory complaints and he is saturating well on RA.  - Continue to monitor oxygen saturations - Clinically not meeting criteria for systemic steroid, or antiviral    Weakness - PT eval with recommendation for SNF.   Urinary retention - Continue foley catheter for now, voiding trial at SNF in 1 week.     HTN - Continue PTA Atenolol    Atrial fibrillation, rate control - Continue PTA coumadin with pharmacy to dose.   Reason for Hospital Admission (Admitting Diagnosis):  Weakness
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea, Urinary retention
Clinical narrative: 85 Y male remote smoker with hx significant for hyperlipidemia,  COPD (no PFT on file) , chronic kidney disease (baseline creat 1.1-1.2), prior osteomyelitis of right 2nd toe s/p amputation and atrial fibrillation on anticoagulation therapy who presented to the Emergency Department with generalized weakness and fever admitted for weakness in the setting of COVID +.    Sepsis secondary to COVID Patient med sepsis criteria on presentation given fever and tachycardia with slight tachypnia. His presenting symptoms are weakness and fall. No respiratory complaints and he is saturating well on RA.  - Continue to monitor oxygen saturations - Clinically not meeting criteria for systemic steroid, or antiviral    Weakness - PT eval with recommendation for SNF.   Urinary retention - Continue foley catheter for now, voiding trial at SNF in 1 week.     HTN - Continue PTA Atenolol    Atrial fibrillation, rate control - Continue PTA coumadin with pharmacy to dose.   Reason for Hospital Admission (Admitting Diagnosis):  Weakness
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest pain, Dizziness, Palpitations, Respiratory rate increased
Clinical narrative: Looked over patient's consent form and saw that the patient had multiple allergies such as Keflex, Amoxicillin, and Bactrim. And everything else did not prevent her from getting the vaccine.  Pt did not mark that she had any health issues on the consent form.  Prepped the vaccines and called both husband and the patient into the room to get their shots. Verified both patients date of birth and confirmed that they were getting the JJ vaccines.  Gave the husband the first shot and went over the side effects of the JJ and the rare occurrences of GBS in men.  Gave him the shot and we discussed the differences of the vaccine and why they were getting the vaccine because at their son's school nobody was masked and up in each other's faces and they wanted to get vaccinated.  The husband said that a few doctors told him that the Moderna and Pfizer did not stay in one place and how the JJ does and it is like the flu shot.  Then the patient got into the chair and went over the side effects and how it effects women about risk of clotting and it affects women that are smokers and on birth control. The patient confirmed that she's good and that everything will be fine.  I discussed her allergies and that bc of that we ask that all patient stay and be observed for at least 30 minutes.  And then gave the shot to the patient and everything seemed fine.  Then the husband and I continued our discussion about how they developed the Moderna and the Pfizer vaccines and then the patient said that her heart was racing and how she was feeling dizzy.  I advised the patient to stay down and sit and asked her husband to look over her and I grabbed her a cup of orange juice and rice krispy treat and she ate it and drank the orange juice and she said that she was feeling a little better, but then progressively looked worse. Staff continued to watch over her as they took her blood pressure and pulse ox and the first blood pressure reading was 144/89 and 81 pulse, then a second blood pressure reading was 151/90 and her pulse ox was 99% but she was trying to breathe in and out slowly.  At that time 20 minutes had passed and I had to go to lunch and other staff members were looking over her. Staff member brought up POTS syndrome but the consent form didn't indicate any about dizziness or fainting or health condition for before and after shots.  Staff member and I went over shot technique and everything was fine in our eyes.   Patient experienced dizziness, rapid breathing, and chest pain
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Decreased appetite, Dizziness
Clinical narrative: Day 3 shoulder, neck aches, moderate to severe headache, ear pain, taste issues, sleep issues, extremely tired, dizzy, chills with goosebumps, feverish, hot flashes, very weak. No appreciate, very tachy heart beat!
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Fatigue, Headache, Heart rate increased, Hot flush
Clinical narrative: Day 3 shoulder, neck aches, moderate to severe headache, ear pain, taste issues, sleep issues, extremely tired, dizzy, chills with goosebumps, feverish, hot flashes, very weak. No appreciate, very tachy heart beat!
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Piloerection, Pyrexia, Sleep disorder, Taste disorder
Clinical narrative: Day 3 shoulder, neck aches, moderate to severe headache, ear pain, taste issues, sleep issues, extremely tired, dizzy, chills with goosebumps, feverish, hot flashes, very weak. No appreciate, very tachy heart beat!
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Hypoaesthesia, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: on evening of vaccine receipt, had red, itchy 2.5 inch area around injecton site. Took Benadryl; it worsened and on 2/13/21, had red, swollen area "size of an egg" at injection site. Itchiness worsened 2/14/21. In a.m. 2/14/21, both hands numb, then left arm numb and cold with "stabbing pain" in left arm. Numbness in left arm resolved by bed time 2/14/21  after intermittent numbness throughout day. As of 2/17/21, less itchiness at injections site ,but still reddened. No recurrence of numbness.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: on evening of vaccine receipt, had red, itchy 2.5 inch area around injecton site. Took Benadryl; it worsened and on 2/13/21, had red, swollen area "size of an egg" at injection site. Itchiness worsened 2/14/21. In a.m. 2/14/21, both hands numb, then left arm numb and cold with "stabbing pain" in left arm. Numbness in left arm resolved by bed time 2/14/21  after intermittent numbness throughout day. As of 2/17/21, less itchiness at injections site ,but still reddened. No recurrence of numbness.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: fainted. Felt light headed then asked to lay on the floor, we supported her as she briefly seemed to pass out for not more than a few seconds. She quickly began to respond to us, her blood pressure was 135/65  86 she began to perspire. PT felt better after a few moments talking to us and drank a couple glasses of water that we provided. at 11:05 her blood pressure returned to 105/65 63 she stayed for 30 minutes eventually standing and walking outside the pharmacy, she declined a ride offer and drove herself home
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: Feeling of brain fog and sort of "out of it" for an entire day approximately one day every two weeks since taking the 2nd shot.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Hyperhidrosis, Nausea
Clinical narrative: Sweating, vision blacked out, nausea
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia, Throat irritation
Clinical narrative: Patient came in as a Nurse Visit, walk in. All paperwork completed, EUA form given along with handouts,  and patient answered questions on consent form and signed. We talked about his Immune Globulin Therapy and he stated his provider still recommend he get vaccinated. Vaccination given at 12:03 in left deltoid. Patient was released in stable condition at 12:18. Patient made second appt for vaccine and left clinic. Patient got to car and stated his throat "felt itchy." I had patient lie down and dimmed lights, call bell placed on the exam bed with him. He was advised to use it as I stated I was going to go get him some juice and check with provider. I went to get some juice and the epi pen kit. Went back to room and asked how he was doing. He stated he was feeling lightheaded and dizzy. Tingling sensation going down his left arm. Told him I would be right back. Went and advised Dr of situation. Asked if I could give a diphenhydramine 25mg . She said, "yes, and wheel patient to ED." This was administered at around 12:30. He was then put in wheelchair/escorted to ED where report given and he was released to ED nurse a few minutes before 1 PM.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: feeling uneasy
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rhinorrhoea
Clinical narrative: CASE IS HAVINF RUNNING NOSE AND HEADACHE. ONSET DATE 8/7/2021
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Full blood count, Hypoaesthesia, Injection site pain, Migraine
Clinical narrative: Tuesday: 8:30 injection L arm, 9:30 L facial tingling/numbness that resolved by 16:00 Wednesday: Sev. muscle pain at injection site, Nose bleeds started. Thursday: Migraine.... Had 8-10 nose bleeds over the course of 3 days....Nose bleeds finally stopped on  08/03
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Platelet count normal
Clinical narrative: Tuesday: 8:30 injection L arm, 9:30 L facial tingling/numbness that resolved by 16:00 Wednesday: Sev. muscle pain at injection site, Nose bleeds started. Thursday: Migraine.... Had 8-10 nose bleeds over the course of 3 days....Nose bleeds finally stopped on  08/03
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2nd dose on Day 21
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram normal, Dysarthria, Dysgraphia, Echocardiogram normal
Clinical narrative: I experienced a stroke on 06/15/2021 (woke up with slurred speech and has trouble writing). I ended up going to the ER on 06/17/2021. The ER doctors asked me what was wrong because my speech was slurred and immediately ordered an MRI of my head and neck area along with a CT Scan. The final diagnosis was that everything was normal with the exception of my speech. I was prescribed Plavix 75mg and Aspirin (81mg) to take every day. I decided not to stay in the hospital and was released (went in to see my PCP for further follow up). My doctor sent me for an Echo Cardiogram and wants to continue following up since my speech is now impaired.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging neck
Clinical narrative: I experienced a stroke on 06/15/2021 (woke up with slurred speech and has trouble writing). I ended up going to the ER on 06/17/2021. The ER doctors asked me what was wrong because my speech was slurred and immediately ordered an MRI of my head and neck area along with a CT Scan. The final diagnosis was that everything was normal with the exception of my speech. I was prescribed Plavix 75mg and Aspirin (81mg) to take every day. I decided not to stay in the hospital and was released (went in to see my PCP for further follow up). My doctor sent me for an Echo Cardiogram and wants to continue following up since my speech is now impaired.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Inflammatory bowel disease, Joint stiffness, Musculoskeletal stiffness
Clinical narrative: It began with stiffness in my neck and shoulder muscles. Stiffness and swelling of my heart muscle. Necrological disruption which is sending a zapping sensation throughout my body. I feel swelling and severe inflammation of my bowels and my lungs which is causing shortness of breath. On day 5 I noticed that my lungs hurt and continue to have shortness of breath everything else is subsiding
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Injection site: swollen, red welt, itchy, warm to touch -Lasted 3 days, felt better for 2 days then the same symptoms began again for 2 days
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Injection site: swollen, red welt, itchy, warm to touch -Lasted 3 days, felt better for 2 days then the same symptoms began again for 2 days
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Small fever that lasted for about a day and a half.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Electrocardiogram normal, Fatigue, Feeling abnormal, Head discomfort
Clinical narrative: I went to work that day and while I was at my desk, I was feeling anxious. I had had anxiety attacks over 10 years ago for 2 years. I haven't carried my medication for the past couple of years. When I felt an anxiety attack coming on, I tried to calm myself and I couldn't. It really escalated.  I asked a co-worker to call the ambulance. In the ambulance, They took blood pressure reading and they did EKG - 210/ 110 blood pressure reading; my EKG was fine. I was slowly getting better. I opted out of going to ER. And my blood pressure came down a little bit  to 160 over something. An hour later, I went home and took my medication. .5 mg - 1/2 pill - Generic form of Xanax. I went back to work the next day. Two days later, I saw my doctor and I renewed my medication and now I'm making sure to always carry it again. My blood pressure was 140 something at the doctor. But I did feel a little anxious when I went to the doctor because I had just had a bad anxiety attack so I was just apprehensive. Lately, I do feel a pressure in my head - generalized in my head. I feel tired. No coughing or shortness of breath but I don't feel good. I am wondering if I need to get tested. But there are times when I feel fine, though, so I don't know.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient requested Moderna and was vaccinated with Pfizer. No adverse reactions reported at this time.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram abnormal, Death, Deep vein thrombosis, Gastrointestinal necrosis
Clinical narrative: Patient presented 3 weeks after vaccination with massive bilateral femoral and portal visceral thrombosis. Taken to surgery and resected dead bowel. Thrombosis progressed and patient died after 2 days.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Intestinal resection, Portal vein thrombosis, Surgery, Visceral venous thrombosis
Clinical narrative: Patient presented 3 weeks after vaccination with massive bilateral femoral and portal visceral thrombosis. Taken to surgery and resected dead bowel. Thrombosis progressed and patient died after 2 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pharyngeal swelling, Pruritus
Clinical narrative: Naseau Lightheadedness Throat swelling Full body itchiness 50mg Benadryl administered within 10 min of shot which caused symptoms to stop progressing repeat dose of 50mg 3 hrs later symptoms decreasing by evening (10 hrs post injection) but still present.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Cold sweat, Condition aggravated, Dizziness
Clinical narrative: Patient received first dose of Pfizer COVID vaccine at approximately 3:15pm. Patient reports history of severe reaction to other vaccinations in the past, such as the flu shot (flu shot - anaphylaxis). Also reports history of chest pain, but denies ever having heart attack. Per patient, she had a discussion with her PCP, and that per PCP said that it was ok to receive the COVID vaccine. Right after receiving the shot, patient started feeling dizzy. Asked patient to remain seated in vaccination room with me for a few minutes. Dizziness went away after a few minutes after. Asked patient to have a seat in the waiting area for 30 minutes. Followed up after 30 minutes passed, and patient reported facial itch, chest pain, and generalized joint pain, but denied difficulty breathing. Face appeared flushing, but not blue. Also appeared clammy. Called PCP and PCP requested to call 9-1-1. Referred patient to emergency services. Paramedics arrived at 4pm for transport to emergency services. MD will follow up with patient afterward.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Pruritus
Clinical narrative: Patient received first dose of Pfizer COVID vaccine at approximately 3:15pm. Patient reports history of severe reaction to other vaccinations in the past, such as the flu shot (flu shot - anaphylaxis). Also reports history of chest pain, but denies ever having heart attack. Per patient, she had a discussion with her PCP, and that per PCP said that it was ok to receive the COVID vaccine. Right after receiving the shot, patient started feeling dizzy. Asked patient to remain seated in vaccination room with me for a few minutes. Dizziness went away after a few minutes after. Asked patient to have a seat in the waiting area for 30 minutes. Followed up after 30 minutes passed, and patient reported facial itch, chest pain, and generalized joint pain, but denied difficulty breathing. Face appeared flushing, but not blue. Also appeared clammy. Called PCP and PCP requested to call 9-1-1. Referred patient to emergency services. Paramedics arrived at 4pm for transport to emergency services. MD will follow up with patient afterward.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: positive COVID case mild symptoms and improving
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: pain right deltoid area, worsened by activity
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Blood urine present, Chest X-ray, Chills, Computerised tomogram thorax
Clinical narrative: sore throat, ear pain, headache, fever, chills, night sweats, high blood pressure, blood in urine, neck pain, loss of appetite, swollen lymph nodes, going on 38 days and counting with no relief.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Decreased appetite, Ear pain, Headache, Hypertension
Clinical narrative: sore throat, ear pain, headache, fever, chills, night sweats, high blood pressure, blood in urine, neck pain, loss of appetite, swollen lymph nodes, going on 38 days and counting with no relief.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Neck pain, Night sweats, Oropharyngeal pain, Pyrexia
Clinical narrative: sore throat, ear pain, headache, fever, chills, night sweats, high blood pressure, blood in urine, neck pain, loss of appetite, swollen lymph nodes, going on 38 days and counting with no relief.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan, Urine analysis
Clinical narrative: sore throat, ear pain, headache, fever, chills, night sweats, high blood pressure, blood in urine, neck pain, loss of appetite, swollen lymph nodes, going on 38 days and counting with no relief.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort, Pain, Swelling
Clinical narrative: Patient stated that the whole right side of her body is hurting.  The patient right shoulder blade is swollen and very irrated.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Dyspnoea, Pyrexia
Clinical narrative: About 12 hours after vaccine, patient experiencing blurred vison, shortness of breath, fever, chills, dizziness, body shaking, hands shaking uncontrollably. difficulty breathing, weakness.  Patient called about 3pm the following day still having these symptoms.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, Vision blurred
Clinical narrative: About 12 hours after vaccine, patient experiencing blurred vison, shortness of breath, fever, chills, dizziness, body shaking, hands shaking uncontrollably. difficulty breathing, weakness.  Patient called about 3pm the following day still having these symptoms.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Chest pain, Dizziness, Hyperhidrosis, Tremor
Clinical narrative: Pt. c/o dizziness 10 to 15 minutes after receiving the vaccine. Pt. stayed for longer observation then after 10 or 15 extra minutes said he was feeling better and requested to go to class. Approximately 10 minutes later I was called to the patient's class, found pt. sitting in the chair in the hall with his mother, teacher, and school NP. Pt. was diaphoretic but AAO, c/o pain in the middle of the chest not radiating anywhere. Pulse 65, respirations 20, b/p 170/116. The mother said, " he received his Abilify shot yesterday, and getting the covid shot today was too much medicine". Pt. started to have slight tremors with looking straight ahead for about 10 to 20 seconds then would stop x 3. Capillary blood glucose was obtained and was 93. EMS arrived and took over care.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Essential hypertension, Hypertension
Clinical narrative: Pt got first Moderna vaccine (Lot#036A21A) on 3/26/21 and her second Moderna on 4/23/21 (Lot# 031A21A). On 6/14/21 patient started to have C/O SOB and High Blood Pressure. Was seen here at the Clinic a couple times and then was referred to Cardiology for Follow-up. Patient now has a diagnosis of Essential Hypertension.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chapped lips, Cheilitis, Noninfective gingivitis, Oral discomfort
Clinical narrative: She is not sure of onset of adverse event as at first she didn't realize "it would become this big of a deal nor that it could be connected to the vaccine. First had lips that felt chapped and burning, then noticed mouth was starting to feel strange-as if she had burnt it-like "when you eat something too hot and your taste buds get damaged and it feels rough in your mouth". Then started to feel like there were sores in front of my front teeth on the back of lips on top and bottom-but not sores seen. Feeling of burnt mouth worsened and food started tasting strangely-like everything was oily and with an odd texture. It keeps getting worse.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Oral mucosal roughening, Taste disorder
Clinical narrative: She is not sure of onset of adverse event as at first she didn't realize "it would become this big of a deal nor that it could be connected to the vaccine. First had lips that felt chapped and burning, then noticed mouth was starting to feel strange-as if she had burnt it-like "when you eat something too hot and your taste buds get damaged and it feels rough in your mouth". Then started to feel like there were sores in front of my front teeth on the back of lips on top and bottom-but not sores seen. Feeling of burnt mouth worsened and food started tasting strangely-like everything was oily and with an odd texture. It keeps getting worse.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Paraesthesia, Sleep disorder
Clinical narrative: PATIENT STATES SHE IS HAVING MUSCLE SPASMS, SLEEP DISTURBANCES AND TINGLING SENSATIONS IN HER FINGERS.  THESE SIDE EFFECTS COME AND GOES THROUGH OUT THE DAY.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, SARS-CoV-2 test
Clinical narrative: PATIENT STATES SHE IS HAVING MUSCLE SPASMS, SLEEP DISTURBANCES AND TINGLING SENSATIONS IN HER FINGERS.  THESE SIDE EFFECTS COME AND GOES THROUGH OUT THE DAY.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Menstrual period coming 18 days early with heavy flow that included a lot of uterine lining. Passed a golf ball size of lining.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyskinesia, Feeling cold, Loss of consciousness
Clinical narrative: Patient received first Pfizer Covid vaccine at 3PM on 8/11/2021. About 5 minutes post vaccination, patient felt faint while seated in the waiting area and loss consciousness for a few seconds and body was cold. Loss control of body movements for few seconds. Felt better while waiting for emergency services. patient was transported to hospital for further evaluation. Patient was released from hospital and came home around 7PM.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Acupuncture, Asthenia, Dizziness, Dysstasia, Fatigue
Clinical narrative: Rash(possibly shingles) treated with acupuncture and cortisone, Fatigue and Brain fog(no current treatment) After 2nd shot had an event where she had nausea, vomiting, weakness, extreme fatigue(hard to stand and walk) dizziness. Lasted 3 days. (until 2/1)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Gait disturbance, Nausea, Rash, Vomiting
Clinical narrative: Rash(possibly shingles) treated with acupuncture and cortisone, Fatigue and Brain fog(no current treatment) After 2nd shot had an event where she had nausea, vomiting, weakness, extreme fatigue(hard to stand and walk) dizziness. Lasted 3 days. (until 2/1)
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Bradycardia, Cardiac pacemaker insertion, Depressed level of consciousness, Dyspnoea
Clinical narrative: Received 1st dose of Moderna shot on 4/23/21, 2nd dose on 5/21/21.  Patient has had worsening shortness of breath since his second Moderna dose.  Hospitalized 6/30/21-7/2/21 for NSTEMI, stent placement.  ER visit 7/4/21 for difficulty breathing.  ER visit 7/14/21 after being found difficult to arouse, bradycardia, temporary pacemaker placed.  Hospitalized 7/14-7/18/21 for permanent pacemaker placement.  Patient complains of difficulty breathing with minimal exertion and is no longer able to ambulate now requiring continuous oxygen supplementation.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea exertional, Stent placement
Clinical narrative: Received 1st dose of Moderna shot on 4/23/21, 2nd dose on 5/21/21.  Patient has had worsening shortness of breath since his second Moderna dose.  Hospitalized 6/30/21-7/2/21 for NSTEMI, stent placement.  ER visit 7/4/21 for difficulty breathing.  ER visit 7/14/21 after being found difficult to arouse, bradycardia, temporary pacemaker placed.  Hospitalized 7/14-7/18/21 for permanent pacemaker placement.  Patient complains of difficulty breathing with minimal exertion and is no longer able to ambulate now requiring continuous oxygen supplementation.
Age: 55.0
Sex: M
Vaccine: FLU4
Symptoms: Peripheral swelling, Rash erythematous
Clinical narrative: Patient's right hand started swelling and developed a red rash a few minutes after the vaccine. I asked if he was having any other severe allergic reaction symptoms such as trouble breathing/hives/palpitations/throat swelling etc and he said he was feeling fine. I advised him to remain seated for an extra 30 mins just to be safe. I called his PCP just to make her aware.  I had to leave a message since they didn't answer. The patient was feeling better after 30 mins. I advised him to call his doctor right away or go to the ER if he had any of the emergency symptoms/signs or if he wasn't feeling okay. I went over the list of severe allergic reaction symptoms with him too.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Patient reported to pharmacy continued arm/shoulder pain 8 days after 2nd dose of Moderna COVID-10 Vaccine
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site paraesthesia, Paraesthesia
Clinical narrative: Patient reported feeling numbness and tingling in her arm about 1 hour after receiving vaccine. She noticed it on her drive home and it had not subsided yet during our phone call conversation when she was reporting effects to me. The numbness/tingling starts at injection site at left deltoid and radiates down to her fingertips.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Diagnosed with Bell's Palsy, second week of July.  Given Anti-virals, and Steroid (prednisone) for one week.  Full recovery after 3.5 weeks
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Arthralgia, COVID-19, Condition aggravated, Dyspnoea
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received JnJ vaccine on 05/21/21. Hospitalized from 07/18/21 - 07/26/21. Below is copied from discharge summary:   Hospital Course:   This is a 64-year-old female with past medical history of morbid obesity/arthralgias, presents with lower extremity edema and pain along with shortness of breath after testing positive for COVID-19.  Patient has been vaccinated withJ&J vaccine last month.     Acute hypoxic respiratory failure secondary to COVID 19 Better, tolerating nasal cannula Completed remdesivir.  Continue decadron  Keep PRN albuterol inhlaer Muccinex PRN D/c to a facility.   Essential hypertension / NIDDM  Resume outpatient medications   Bilateral lower extremity arthritic pain  Continue p.r.n. pain medications US neg for DVT   Seizure disorder  - stable continue Trileptal
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Essential hypertension, Infection, Oedema peripheral, Pain, SARS-CoV-2 test positive
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received JnJ vaccine on 05/21/21. Hospitalized from 07/18/21 - 07/26/21. Below is copied from discharge summary:   Hospital Course:   This is a 64-year-old female with past medical history of morbid obesity/arthralgias, presents with lower extremity edema and pain along with shortness of breath after testing positive for COVID-19.  Patient has been vaccinated withJ&J vaccine last month.     Acute hypoxic respiratory failure secondary to COVID 19 Better, tolerating nasal cannula Completed remdesivir.  Continue decadron  Keep PRN albuterol inhlaer Muccinex PRN D/c to a facility.   Essential hypertension / NIDDM  Resume outpatient medications   Bilateral lower extremity arthritic pain  Continue p.r.n. pain medications US neg for DVT   Seizure disorder  - stable continue Trileptal
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler normal
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received JnJ vaccine on 05/21/21. Hospitalized from 07/18/21 - 07/26/21. Below is copied from discharge summary:   Hospital Course:   This is a 64-year-old female with past medical history of morbid obesity/arthralgias, presents with lower extremity edema and pain along with shortness of breath after testing positive for COVID-19.  Patient has been vaccinated withJ&J vaccine last month.     Acute hypoxic respiratory failure secondary to COVID 19 Better, tolerating nasal cannula Completed remdesivir.  Continue decadron  Keep PRN albuterol inhlaer Muccinex PRN D/c to a facility.   Essential hypertension / NIDDM  Resume outpatient medications   Bilateral lower extremity arthritic pain  Continue p.r.n. pain medications US neg for DVT   Seizure disorder  - stable continue Trileptal
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Patient presents today for COVID-19 vaccination with Janssen Johnson & Johnson COVID-19 vaccination. Approximately 10 minutes after injection patient reports mild tongue swelling. In-clinic Benadryl 25 mg PO administered. Symptoms resolved within 20 minutes of Benadryl administration.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Loss of personal independence in daily activities, Myalgia
Clinical narrative: I have become weaker. My muscles hurt now. All the time. Just from regular things. Like cleaning the house.  I have gotten weaker from this vaccine.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nausea
Clinical narrative: PATIENT FELT NAUSEATED AFTER THE SHOT BUT REMAINED SEATED FOR 20 MINUTES.  AFTER 20 MINUTES SHE DECIDED TO LEAVE BUT FELT LIGHT HEADED AND NAUSEATED AND SAT DOWN IN A CHAIR AND PASSED OUT FOR ABOUT 1 MINUTE.  SHE WAS PALE BUT CAME TO WITHIN A MINUTE.  VITAL SIGNS WERE CHECKED BY EMS AND CAME BACK NORMAL AND SHE WAS ABLE TO LEAVE 30 MINUTES LATER.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy, Injection site lymphadenopathy, Ultrasound scan abnormal
Clinical narrative: Apparently my lymph nodes in the arm of injection (left side) became swollen presumably from the vaccinations.  They remained swollen at routine mammogram first conducted  April 30, 2021, almost two months after second vaccination.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Vaccination site pain
Clinical narrative: I experienced soreness in my left arm immediately after each vaccine.  I am now at the 6 months out mark and still have intermittent soreness in my left arm at the site of the vaccine.  It tends to occur when I've been physically active with my left arm.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Inappropriate schedule of product administration, Pyrexia
Clinical narrative: The patient's first shot was given on 7/29/21. The second dose was inadvertently given at the 13 day mark on 8/11/21. This was discovered in the afternoon of her second dose because her husband came in to get the shot at the same interval and his was caught. I called the CDC and they said in retrospective review the dose was not to be repeated, but did not have info to whether it would decrease effectiveness. I called the patient to inform her of the information I received from the CDC. She reported having a low grade fever and headache this afternoon. I explained this could happen with the second dose anyway, but for her to contact us with any further adverse events.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Arthralgia, Balance disorder, Blood test, Computerised tomogram head
Clinical narrative: Less than 24 hr after first injection, awoke the next morning unable to walk with severe pain in all joints (knees, elbows, ankles, wrists, hips).  Severe pain in thighs and calves. Severe headaches, dizziness, disequilibrium. Evaluated by primary care ~ 2 weeks after injection. Had blood work and CT head scan. Symptoms lasted  until a few days before second shot.  Taking acetaminophen 650mg QID.  The morning following the second injection, he experienced a repeat of all the above symptoms with even greater intensity. Unable to walk again and with excruciating bilateral leg pain. Was re-evaluated by primary care again ~ 2 weeks after second injection. Referred to radiology for bilateral lower extremity US and found to have extensive DVTs in both legs  ("3 in each leg" with greater thrombus burden in R leg).  Started on apixaban 5 mg BID.  Clots have since resolved on repeat venous doppler US 3 months later. Has residual bilateral LE pain and difficulty walking, as well as severe headaches up to 3 x/week.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Dizziness, Gait disturbance, Gait inability, Headache
Clinical narrative: Less than 24 hr after first injection, awoke the next morning unable to walk with severe pain in all joints (knees, elbows, ankles, wrists, hips).  Severe pain in thighs and calves. Severe headaches, dizziness, disequilibrium. Evaluated by primary care ~ 2 weeks after injection. Had blood work and CT head scan. Symptoms lasted  until a few days before second shot.  Taking acetaminophen 650mg QID.  The morning following the second injection, he experienced a repeat of all the above symptoms with even greater intensity. Unable to walk again and with excruciating bilateral leg pain. Was re-evaluated by primary care again ~ 2 weeks after second injection. Referred to radiology for bilateral lower extremity US and found to have extensive DVTs in both legs  ("3 in each leg" with greater thrombus burden in R leg).  Started on apixaban 5 mg BID.  Clots have since resolved on repeat venous doppler US 3 months later. Has residual bilateral LE pain and difficulty walking, as well as severe headaches up to 3 x/week.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Less than 24 hr after first injection, awoke the next morning unable to walk with severe pain in all joints (knees, elbows, ankles, wrists, hips).  Severe pain in thighs and calves. Severe headaches, dizziness, disequilibrium. Evaluated by primary care ~ 2 weeks after injection. Had blood work and CT head scan. Symptoms lasted  until a few days before second shot.  Taking acetaminophen 650mg QID.  The morning following the second injection, he experienced a repeat of all the above symptoms with even greater intensity. Unable to walk again and with excruciating bilateral leg pain. Was re-evaluated by primary care again ~ 2 weeks after second injection. Referred to radiology for bilateral lower extremity US and found to have extensive DVTs in both legs  ("3 in each leg" with greater thrombus burden in R leg).  Started on apixaban 5 mg BID.  Clots have since resolved on repeat venous doppler US 3 months later. Has residual bilateral LE pain and difficulty walking, as well as severe headaches up to 3 x/week.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Cyanosis, Dizziness, Hyperhidrosis, Pallor, Unresponsive to stimuli
Clinical narrative: Patient started to get light headed and drank some water.  became less and less responsive.  shortly after he turned very pale then his lips started to turn blue.  non responsive for several minutes but kept breathing.  hand ice cold while rest of the body sweating
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram
Clinical narrative: Developed Bell's Palsy, Diagnosed at a Medical Facility.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Dysstasia, Fall, Grip strength decreased
Clinical narrative: i lost strength in my left arm and leg. i couldn?t stand or grip anything. i was experiencing foot drop and getting a blood work up but by the time i did that it was too late. i fell at work and had to go to the ER, i was transferred where i was diagnosed with MS.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiparesis, Lumbar puncture, Magnetic resonance imaging, Multiple sclerosis, Muscular weakness
Clinical narrative: i lost strength in my left arm and leg. i couldn?t stand or grip anything. i was experiencing foot drop and getting a blood work up but by the time i did that it was too late. i fell at work and had to go to the ER, i was transferred where i was diagnosed with MS.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Peroneal nerve palsy
Clinical narrative: i lost strength in my left arm and leg. i couldn?t stand or grip anything. i was experiencing foot drop and getting a blood work up but by the time i did that it was too late. i fell at work and had to go to the ER, i was transferred where i was diagnosed with MS.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site infection
Clinical narrative: Facility nurse states the patient has developed an infection at the injection site.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Acne cystic, Alopecia, Menstruation irregular
Clinical narrative: menstrual cycle started early after 1st dose.   Irregular cycle since vaccine.  Increased acne more cystic type normally have clear skin.  Higher hair shedding May and June.