chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram head, Eye pain, Facial pain, Headache
Clinical narrative: The patient is a 66 y.o. female with past history of diabetes, GERD and HTN who presents to the Emergency Department with visual changes of the right eye and associated pain to the face and neck. Per interpretor, patient woke up feeling at baseline yesterday morning, when she had her COVID-19 vaccine. Yesterday around dinner time, she began having issues with vision in her right eye, causing her visual field in that eye to appear dark to her entire right eye. She told her husband that she thought she might have a hair or eyelash in her right eye and that she had an irritating pain radiating from her right eye to the right side of her face. Even after washing her eye with cold water, the sensation did not subside. At approximately 3-4 AM this morning, she also began to experience pain to the back of her head and neck bilaterally. This morning, the visual impairment improved from the entire visual field to now only just the inferior aspect of the right eye. However, she denies weakness to any of her extremities. Patient also denies chest pain, numbness, abdominal pain or nausea. She was seen at ophthalmology, at which Dr. diagnosed her with a right retinal branch arterial occlusion and decided to send her to SHE to be evaluated for the possibility of a CVA. She denies being on blood thinners or taking Aspirin. She denies any previous diagnosis of a CVA or TIA.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Neck pain, Ophthalmological examination, Retinal artery occlusion, Tenderness
Clinical narrative: The patient is a 66 y.o. female with past history of diabetes, GERD and HTN who presents to the Emergency Department with visual changes of the right eye and associated pain to the face and neck. Per interpretor, patient woke up feeling at baseline yesterday morning, when she had her COVID-19 vaccine. Yesterday around dinner time, she began having issues with vision in her right eye, causing her visual field in that eye to appear dark to her entire right eye. She told her husband that she thought she might have a hair or eyelash in her right eye and that she had an irritating pain radiating from her right eye to the right side of her face. Even after washing her eye with cold water, the sensation did not subside. At approximately 3-4 AM this morning, she also began to experience pain to the back of her head and neck bilaterally. This morning, the visual impairment improved from the entire visual field to now only just the inferior aspect of the right eye. However, she denies weakness to any of her extremities. Patient also denies chest pain, numbness, abdominal pain or nausea. She was seen at ophthalmology, at which Dr. diagnosed her with a right retinal branch arterial occlusion and decided to send her to SHE to be evaluated for the possibility of a CVA. She denies being on blood thinners or taking Aspirin. She denies any previous diagnosis of a CVA or TIA.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: The patient is a 66 y.o. female with past history of diabetes, GERD and HTN who presents to the Emergency Department with visual changes of the right eye and associated pain to the face and neck. Per interpretor, patient woke up feeling at baseline yesterday morning, when she had her COVID-19 vaccine. Yesterday around dinner time, she began having issues with vision in her right eye, causing her visual field in that eye to appear dark to her entire right eye. She told her husband that she thought she might have a hair or eyelash in her right eye and that she had an irritating pain radiating from her right eye to the right side of her face. Even after washing her eye with cold water, the sensation did not subside. At approximately 3-4 AM this morning, she also began to experience pain to the back of her head and neck bilaterally. This morning, the visual impairment improved from the entire visual field to now only just the inferior aspect of the right eye. However, she denies weakness to any of her extremities. Patient also denies chest pain, numbness, abdominal pain or nausea. She was seen at ophthalmology, at which Dr. diagnosed her with a right retinal branch arterial occlusion and decided to send her to SHE to be evaluated for the possibility of a CVA. She denies being on blood thinners or taking Aspirin. She denies any previous diagnosis of a CVA or TIA.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Just wanted to report a very long time with soreness at the site of the injection. It has now been a week and it is still tender.  Maybe this is normal for J&J but it would be nice to have that listed.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Cognitive disorder
Clinical narrative: Patient complains of subjective significant word-finding (cognitive) difficulties that developed shortly after receiving her first dose of Pfizer covid vaccine (at another facility) in March, with continued symptoms after second dose of vaccine on 4/6/21. She is still having symptoms now.  Patient has a neurological condition and medication that could contribute to symptoms, and we are evaluating for other possible contributors with labs (just ordered), but given the temporal relationship to vaccine administration, we have opted to report to VAERS. Patient reported symptoms, has not had in-person evaluation since symptoms developed.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breath sounds abnormal, Chest X-ray, Dyspnoea, Paraesthesia oral, Tongue disorder
Clinical narrative: pt reports difficulty getting a full breath of air, her oxygen saturation is 95% today in clinic. she has diminished breath sounds. no hx of asthma/allergic rhinitis. she reports that her tongue 'feels fat'.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Conjunctivitis, Dyspnoea, Eye pruritus, Fatigue, Nasal congestion
Clinical narrative: I started with rashes (red) on both ankles. then near arm pits.  They I started with very itchy eyes which turned to Pink Eye.  Addtionally I got very congested, trouble breathing, phelm production.  Tired or fatigued.  Got back enough and went to the doctor and receive a steroid shot, and eye drops.   I am still have issues still.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Rash, Rash erythematous
Clinical narrative: I started with rashes (red) on both ankles. then near arm pits.  They I started with very itchy eyes which turned to Pink Eye.  Addtionally I got very congested, trouble breathing, phelm production.  Tired or fatigued.  Got back enough and went to the doctor and receive a steroid shot, and eye drops.   I am still have issues still.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Pain, Swelling
Clinical narrative: LEFT ARM BURNING SENSATION, SLIGHT SWELLING & EXTREME PAIN ON GOING, ACTIVE FROM 04/01/2021 - PRESENT DATE.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Cerebral haemorrhage, Computerised tomogram head abnormal, Diabetes mellitus, Dizziness
Clinical narrative: My mom had called saying she's feeling nausea, dizziness, drowsiness and vomiting. We called the emergency services when they arrived she had collapsed. They broke the window and took her to the hospital, upon arrival we were informed that she has got a hemorrhage possible clotting due to high blood pressure. I now know the term is Cerebral Hemorrhage, she has been in ICU on a ventilation machine while they tried to drain the blood and clots. She's currently out of ICU however still complains about headache and back pain. We are informed that she has now developed some blood pressure and diabetes however it could be cleared in the short term. She's at the hospital and unknown how long she would have to stay there.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Magnetic resonance imaging head abnormal, Mechanical ventilation, Nausea, Somnolence
Clinical narrative: My mom had called saying she's feeling nausea, dizziness, drowsiness and vomiting. We called the emergency services when they arrived she had collapsed. They broke the window and took her to the hospital, upon arrival we were informed that she has got a hemorrhage possible clotting due to high blood pressure. I now know the term is Cerebral Hemorrhage, she has been in ICU on a ventilation machine while they tried to drain the blood and clots. She's currently out of ICU however still complains about headache and back pain. We are informed that she has now developed some blood pressure and diabetes however it could be cleared in the short term. She's at the hospital and unknown how long she would have to stay there.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vascular test abnormal, Vomiting
Clinical narrative: My mom had called saying she's feeling nausea, dizziness, drowsiness and vomiting. We called the emergency services when they arrived she had collapsed. They broke the window and took her to the hospital, upon arrival we were informed that she has got a hemorrhage possible clotting due to high blood pressure. I now know the term is Cerebral Hemorrhage, she has been in ICU on a ventilation machine while they tried to drain the blood and clots. She's currently out of ICU however still complains about headache and back pain. We are informed that she has now developed some blood pressure and diabetes however it could be cleared in the short term. She's at the hospital and unknown how long she would have to stay there.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient complaint of light headness after shot lasted for about 5 minutes then went away prior to patient leaving
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Coeliac disease, Heavy menstrual bleeding, Pain
Clinical narrative: Heavier than usual menstruation, lower back and stomach cramps radiating down the legs (from thighs to feet)
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Radiculopathy
Clinical narrative: Heavier than usual menstruation, lower back and stomach cramps radiating down the legs (from thighs to feet)
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaginal lesion, Vulvovaginal pain
Clinical narrative: I received my 2nd shot Thursday evening and by Friday evening I started to have some pain in the vaginal area. It progressively got worse over the course of the weekend. I called my regular doctor and OB/Gyn Monday and was seen by my gyn Tuesday. My regular doctor told me to stop taking the Terbinafine to see if it would help, ut my gyn said I had a vaginal lesion outbreak.  I've never had anything like this before. I'm currently taking a steroid and an antibiotic to help relieve pain and discomfort.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: I have not had a period due to my Mirena, 2 days after my second injection I received a heavy period.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain in extremity
Clinical narrative: Took the vaccine at  3 PM. Around 6 PM had lower back and left leg pain. This increased a lot during the next 2 weeks. Then visited my physician on Apr 02. The doctor prescribed Meloxicam 15 mg. since I also had seasonal allergies for which the Dr prescribed Fluticasone 50 mcg and Azelastine 137 mcg nasal spray. The Dr also requested for lower back MRI.  I have scheduled the lower back MRI for 04/16. I did let the doctors office know today about the vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Condition aggravated, Facial paralysis
Clinical narrative: Bell's palsy. Developed L facial droop on 3/29/2021; COVID vaccines on 1/16/2021 and 2/8/2021.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Rash
Clinical narrative: Guest had a new onset of rash on left arm, guests face and neck were flushed.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Headache, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Headache, fever, body ache, Mucus congestion and blood
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Secretion discharge
Clinical narrative: Headache, fever, body ache, Mucus congestion and blood
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Constant vomiting; cannot keep anything down except smoothies and water; cannot keep down gatorade, soup, bread, etc.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Limb discomfort, Pain in extremity
Clinical narrative: Felt leg pain, heavy legs, burning sensation.  The symptoms were more acute  for the first week, still having some symptoms but a little lighter.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: I received the vaccine at 3:50 pm and by 9:45 I had the typical side effects --muscle aches, minor pain at the injection site, and chills.  Within an hour from that I also had a terrible headache, nausea, and my skin hurt to touch.  I slept most of the next day, save for 5 or 6 hours.  Starting on 3/30/21 (exactly two weeks from receiving my vaccine) I started having sore skin.  No rash, red marks, itching, just hypersensitive to touch, even with clothing.  This started on my right arm right above the elbow.  The following day the pain had moved to inside both arms right above the elbow.  The day after that, the pain was more intense and was straight across my stomach at belly button height, and across my lower back at that same height.  It was more intense for two days and hurt whether anything was touching my skin or not.  It was very uncomfortable.  In the days following it continued to move to different places on my body.  Legs, bottom of feet, palms of hands, ankles, hips, groin, lower back.    Sometimes it just hurts, sometimes it's like a prickling, sometimes the skin in that area aches -- especially when on my hands. It's also very sensitive to anything cold.  Again, if you look at my skin though you can't see anything.  There's no visible signs of something being wrong.  It also stopped for a day or so, or just lessened so much that it wasn't that noticeable, but then returns.  That's happened twice where I thought this was finally over, only to have it return the next day.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin, Tenderness
Clinical narrative: I received the vaccine at 3:50 pm and by 9:45 I had the typical side effects --muscle aches, minor pain at the injection site, and chills.  Within an hour from that I also had a terrible headache, nausea, and my skin hurt to touch.  I slept most of the next day, save for 5 or 6 hours.  Starting on 3/30/21 (exactly two weeks from receiving my vaccine) I started having sore skin.  No rash, red marks, itching, just hypersensitive to touch, even with clothing.  This started on my right arm right above the elbow.  The following day the pain had moved to inside both arms right above the elbow.  The day after that, the pain was more intense and was straight across my stomach at belly button height, and across my lower back at that same height.  It was more intense for two days and hurt whether anything was touching my skin or not.  It was very uncomfortable.  In the days following it continued to move to different places on my body.  Legs, bottom of feet, palms of hands, ankles, hips, groin, lower back.    Sometimes it just hurts, sometimes it's like a prickling, sometimes the skin in that area aches -- especially when on my hands. It's also very sensitive to anything cold.  Again, if you look at my skin though you can't see anything.  There's no visible signs of something being wrong.  It also stopped for a day or so, or just lessened so much that it wasn't that noticeable, but then returns.  That's happened twice where I thought this was finally over, only to have it return the next day.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Pain, Pain in extremity, Pyrexia
Clinical narrative: Started feeling a little sick in the stomach at 6 PM and advanced to  a fever of 100 and body aches. Lasted about one day and went away as fast as it started about 3 pm the next day.  Had a sore arm.  I am retired and have had many vaccinations.  I have only ever experienced a sore arm.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Constipation, Discomfort, Dizziness
Clinical narrative: 1030 am felt headache, pressure, extreme shaking chills, sore arm and oncoming body aches. By 2 pm added weak ess, dizziness, increase pain with aches, 6pm...extreme fatigue, nausea, chills, very extreme muscle weakness, allover bodyaches 8/10 pain with added mucsle spasms overall legs , abdominal, lung/chest, groin, to neck 9/10 sharp pains. 10 pm still continued ...unable to sleep due to pain and discomfort.  5am broke down and took 1 - 500 mg tylenol with continues use of heat/ice alternating previous 12 hours. After sleeping 5-830am.... reduction in aches  and headache to 6/10... muscle spasms subsided.  Continued fatigue and alot of sinus and ear pressure. 1- 500mg tyenol at 12 noon and napped 1220-230pm....woke up to strength back, mostly just sore arm where injected, increase in head ache and sinus pressure.  10 pm bed for night with 1- 500 mg tylenol and woke up every 2-3 hours during night with night sweats and sinus sneezing, runny nose, headache. 2nd day today post shot and slight  headache, sore arm, some sinus pressure, slight fatigue.   Last 2 days increase in urination triple usualy urination....constiaption.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Fatigue, Headache, Injection site pain, Muscle spasms
Clinical narrative: 1030 am felt headache, pressure, extreme shaking chills, sore arm and oncoming body aches. By 2 pm added weak ess, dizziness, increase pain with aches, 6pm...extreme fatigue, nausea, chills, very extreme muscle weakness, allover bodyaches 8/10 pain with added mucsle spasms overall legs , abdominal, lung/chest, groin, to neck 9/10 sharp pains. 10 pm still continued ...unable to sleep due to pain and discomfort.  5am broke down and took 1 - 500 mg tylenol with continues use of heat/ice alternating previous 12 hours. After sleeping 5-830am.... reduction in aches  and headache to 6/10... muscle spasms subsided.  Continued fatigue and alot of sinus and ear pressure. 1- 500mg tyenol at 12 noon and napped 1220-230pm....woke up to strength back, mostly just sore arm where injected, increase in head ache and sinus pressure.  10 pm bed for night with 1- 500 mg tylenol and woke up every 2-3 hours during night with night sweats and sinus sneezing, runny nose, headache. 2nd day today post shot and slight  headache, sore arm, some sinus pressure, slight fatigue.   Last 2 days increase in urination triple usualy urination....constiaption.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Myalgia, Nausea, Night sweats, Pain
Clinical narrative: 1030 am felt headache, pressure, extreme shaking chills, sore arm and oncoming body aches. By 2 pm added weak ess, dizziness, increase pain with aches, 6pm...extreme fatigue, nausea, chills, very extreme muscle weakness, allover bodyaches 8/10 pain with added mucsle spasms overall legs , abdominal, lung/chest, groin, to neck 9/10 sharp pains. 10 pm still continued ...unable to sleep due to pain and discomfort.  5am broke down and took 1 - 500 mg tylenol with continues use of heat/ice alternating previous 12 hours. After sleeping 5-830am.... reduction in aches  and headache to 6/10... muscle spasms subsided.  Continued fatigue and alot of sinus and ear pressure. 1- 500mg tyenol at 12 noon and napped 1220-230pm....woke up to strength back, mostly just sore arm where injected, increase in head ache and sinus pressure.  10 pm bed for night with 1- 500 mg tylenol and woke up every 2-3 hours during night with night sweats and sinus sneezing, runny nose, headache. 2nd day today post shot and slight  headache, sore arm, some sinus pressure, slight fatigue.   Last 2 days increase in urination triple usualy urination....constiaption.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paranasal sinus discomfort, Pollakiuria, Rhinorrhoea, Sleep disorder
Clinical narrative: 1030 am felt headache, pressure, extreme shaking chills, sore arm and oncoming body aches. By 2 pm added weak ess, dizziness, increase pain with aches, 6pm...extreme fatigue, nausea, chills, very extreme muscle weakness, allover bodyaches 8/10 pain with added mucsle spasms overall legs , abdominal, lung/chest, groin, to neck 9/10 sharp pains. 10 pm still continued ...unable to sleep due to pain and discomfort.  5am broke down and took 1 - 500 mg tylenol with continues use of heat/ice alternating previous 12 hours. After sleeping 5-830am.... reduction in aches  and headache to 6/10... muscle spasms subsided.  Continued fatigue and alot of sinus and ear pressure. 1- 500mg tyenol at 12 noon and napped 1220-230pm....woke up to strength back, mostly just sore arm where injected, increase in head ache and sinus pressure.  10 pm bed for night with 1- 500 mg tylenol and woke up every 2-3 hours during night with night sweats and sinus sneezing, runny nose, headache. 2nd day today post shot and slight  headache, sore arm, some sinus pressure, slight fatigue.   Last 2 days increase in urination triple usualy urination....constiaption.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing, Tremor
Clinical narrative: 1030 am felt headache, pressure, extreme shaking chills, sore arm and oncoming body aches. By 2 pm added weak ess, dizziness, increase pain with aches, 6pm...extreme fatigue, nausea, chills, very extreme muscle weakness, allover bodyaches 8/10 pain with added mucsle spasms overall legs , abdominal, lung/chest, groin, to neck 9/10 sharp pains. 10 pm still continued ...unable to sleep due to pain and discomfort.  5am broke down and took 1 - 500 mg tylenol with continues use of heat/ice alternating previous 12 hours. After sleeping 5-830am.... reduction in aches  and headache to 6/10... muscle spasms subsided.  Continued fatigue and alot of sinus and ear pressure. 1- 500mg tyenol at 12 noon and napped 1220-230pm....woke up to strength back, mostly just sore arm where injected, increase in head ache and sinus pressure.  10 pm bed for night with 1- 500 mg tylenol and woke up every 2-3 hours during night with night sweats and sinus sneezing, runny nose, headache. 2nd day today post shot and slight  headache, sore arm, some sinus pressure, slight fatigue.   Last 2 days increase in urination triple usualy urination....constiaption.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Cognitive disorder, Muscular weakness, Nausea, Pruritus
Clinical narrative: Since my vaccination, I've been experiencing itchiness all over my body. The most troubling adverse reactions have appeared in the last two days, five days after receiving the vaccination. Those reactions include the following: vertigo, general feeling of unsteadiness, nausea, visual focusing issues, mental focusing issues, and weakness that is mainly in my arms and legs.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo, Visual impairment
Clinical narrative: Since my vaccination, I've been experiencing itchiness all over my body. The most troubling adverse reactions have appeared in the last two days, five days after receiving the vaccination. Those reactions include the following: vertigo, general feeling of unsteadiness, nausea, visual focusing issues, mental focusing issues, and weakness that is mainly in my arms and legs.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Paraesthesia oral
Clinical narrative: Patient complained of tongue tingling and chest tightness approximately 15 minutes after administration of vaccine.  Pt has severe COPD, Anxiety, and possibly heart failure.  She was observed for one hour and treated with 50 mg of Benadyl which she frequently takes for these symptoms with her medications.  She used her personal inhaler and began feeling better.  Vitals were stable throughout the hour, pulse ox was 99% on her usual continuous nasal cannula O2.  Rapid response team evaluated the patient and the responding RN and MD felt the patient was improved.   Complaints of tongue tingling and chest tightness were improved.  The patient denied a history of allergic symptom relapse after taking Benadryl.  The patient requested discharge from the clinic accompanied by her caregiver.  She was discharged in her wheelchair with home O2 at 4:10 p.m.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Injection site pain
Clinical narrative: burning at injection site, numbness radiating from arm up neck, and face
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral
Clinical narrative: hearing loss in left ear
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adenovirus test, Anion gap normal, Antinuclear antibody positive, Bacterial test, Bacterial test negative
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Basophil count decreased, Basophil count normal, Biopsy bone marrow normal, Blastomycosis, Blood chloride normal
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood culture negative, Blood lactic acid decreased, Blood potassium normal, Blood sodium decreased, Blood urea normal
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bordetella test negative, C-reactive protein increased, Carbon dioxide decreased, Chromaturia, Complement factor C4
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cytomegalovirus test negative, Cytopenia, Double stranded DNA antibody positive, Enterovirus test negative, Eosinophil count normal
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epstein-Barr virus test negative, Fibrin D dimer increased, Glomerular filtration rate normal, Glucose urine absent, HIV antibody negative
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: HIV antigen negative, HIV test negative, Haematocrit decreased, Haemoglobin decreased, Headache
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Histoplasmosis, Human anaplasmosis, Human metapneumovirus test, Human rhinovirus test, Hypoxia
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Lymphocyte count normal, Lymphocyte percentage increased, Mean cell haemoglobin concentration normal
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count decreased, Monocyte count normal, Mycoplasma test negative
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neutrophil count decreased, Neutrophil percentage decreased, Nitrite urine absent, Pancytopenia, Platelet count normal
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet morphology normal, Procalcitonin, Protein urine present, Pyrexia, Red blood cell count decreased
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red blood cell elliptocytes present, Red blood cells urine negative, Red cell distribution width normal, Respiratory syncytial virus test negative, Rheumatoid factor negative
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rickettsiosis, SARS-CoV-2 test negative, Specific gravity urine normal, Transaminases increased, Urinary sediment present
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine abnormality, Urine ketone body absent, Urine leukocyte esterase, Urine phosphorus normal, White blood cell count decreased
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cells urine negative
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth, Rash erythematous
Clinical narrative: Red rash, itchy and warm to the touch. Measures approx 2 inch diameter at injection site.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Red rash, itchy and warm to the touch. Measures approx 2 inch diameter at injection site.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electroencephalogram, Nausea, Tremor, Vomiting
Clinical narrative: Patient stayed in pharmacy area for 15 minute observation time. Was released from pharmacy in good condition and left to shop with parents and sister. Approximately 5 minutes later, sister came and said he was very dizzy and sitting in chair in store. Pharmacist checked BP 131/75 HR 97. Patient had not eaten breakfast, was dizzy and shaking. Parents had gotten him a sandwich and orange juice was added in case due to blood sugar drop. Parents stated he was not presenting as having a seizure. He began feeling nauseous and vomited 3 times while waiting for EMTs to arrive. EMTs checked him out, blood sugar 93. They took him to ER to be examined and was released to go home later same day. Per conversation with parent that evening, he was doing better after having several episodes of vomiting at hospital.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Tylenol
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Fall, Syncope
Clinical narrative: MINUTES AFTER RECEIVING VACCINE, PATIENT FELL AND WOKE UP CONFUSED. POSSIBLE SLIGHT SYNCOPE. PATIENT SEEMED FINE AFTER SITTING DOWN AGAIN. PATIENT TOLD TO WAIT 30 MINUTES LONGER AND TO CONTACT SOMEONE ELSE TO DRIVE HIM HOME. OFFERED TO CALL 911, BUT PATIENT DECLINED AND SAID HE FELT FINE.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Headache, Myalgia
Clinical narrative: Dizziness, extreme muscle/joint pain, headache and fever with shivers shakes and chills.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Dizziness, extreme muscle/joint pain, headache and fever with shivers shakes and chills.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient received 2nd vaccine on left deltoid muscle at 01:05PM.   Patient advise the need to wait 15 minutes for any adverse reaction. Patient verbalized understanding. Patient asked if history of fainting patient stated when he was younger and has not fainted in a while, and his first COVID-19 vaccine was done in a drive-thru and he was fine. Patient was monitor for 5 mins after vaccine was given inside the room, when patient stated is was feeling dizzy and patient fainted at 01:10PM. Provider was called and made aware. Patient was move to provider room to be laid down with help of other nursing staff.  Vital sign taken at 01:15 PM BP 108/81 HR 75 SPo2 99% RR 18 patient stated he was feeling a bit better. Vital sign taken at 01:25 PM BP 106/79 HR 71 RR 16 Spo2 98%.  Patient stated he was better but was going to call Partner to come and pick him up. Vital sign at 01:35PM 123/81 HR 72 Spo2 98 % RR 16, patient stated he was much better. Patient was asked to sit on chair and stated he felt fine vital sign taken at 01:45 PM BP 128/87 RR 16 SPo2 97% HR 71. Vaccination record card and Fact sheet for vaccine provided to patient. Patient monitor for 30 minutes no adverse reaction noted. Patient left clinic stable with steady gait with Partner.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Headache, Pain in extremity
Clinical narrative: BLURRED VISION, HEADACHE, CHILLES, SEVERE PAIN IN RIGHT ARM, SHOULDER AND BACK FOR DAYS. STILL HAVING BLURRED VISION AND LITTLE HEADACHES
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: BLURRED VISION, HEADACHE, CHILLES, SEVERE PAIN IN RIGHT ARM, SHOULDER AND BACK FOR DAYS. STILL HAVING BLURRED VISION AND LITTLE HEADACHES
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient less than 18 years of age at time of Janssen vaccination.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure measurement, Condition aggravated, Heart rate, Vital signs measurement
Clinical narrative: Patient anxious prior to coming to vaccine site. His anxiety worsened before shot was given. He was still anxious after the shot and could not calm down. Patient taken to observation unit. Became calm in observation unit, and exam showed no light headedness or nystagmus. Was given one bottle of water to drink and was feeling fine. Ready to go. 5:27pm discharged with no symptoms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Axillary pain, Diarrhoea, Hypoaesthesia, Pain
Clinical narrative: - within the first 30-40 minutes: I could feel numbness creep up my arm on the side of the injection.  It traveled as high as my eyebrow.  It felt much like an injection would if you were getting a filling at the dentist.  I couldn't see any swelling or puffiness but definitely numb.  This passed within the first few hours. - first two days - I was very sore and achy in my muscles all over my body, but on the third day it was centralized to just the muscles on my upper arm and under the arm kinda into the "peck" area I believe it would be called. - day 6 - today I have mild diarrhea and a slight upset stomach.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: - within the first 30-40 minutes: I could feel numbness creep up my arm on the side of the injection.  It traveled as high as my eyebrow.  It felt much like an injection would if you were getting a filling at the dentist.  I couldn't see any swelling or puffiness but definitely numb.  This passed within the first few hours. - first two days - I was very sore and achy in my muscles all over my body, but on the third day it was centralized to just the muscles on my upper arm and under the arm kinda into the "peck" area I believe it would be called. - day 6 - today I have mild diarrhea and a slight upset stomach.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Rash pruritic
Clinical narrative: itchy rash at vaccination spot for 2 weeks sporadic muscle pain for 3 weeks at vaccination spot
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, Blood test abnormal, Brain natriuretic peptide, Cellulitis, Chest discomfort
Clinical narrative: Tightness in chest.  Pain and soreness in arm.   Swelling started evening of the injection and continued throughout the weekend when I went to the hospital.    In 48 hours the injection site was painful, red, hot to the touch  and very swollen.   Two trips to ER on 4/7 being treated for allergic reaction.  On 4/8 went to doctor and was ad used to go to ER for testing.   Was admitted for cellulitis and severe infection and hospitalization until 3/10.   Subsequent return to ER 3 days later for follow up because of swelling and elevated white blood cell count, elevated blood work suggesting blood clots.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Full blood count, Infection, Injection site erythema, Injection site pain
Clinical narrative: Tightness in chest.  Pain and soreness in arm.   Swelling started evening of the injection and continued throughout the weekend when I went to the hospital.    In 48 hours the injection site was painful, red, hot to the touch  and very swollen.   Two trips to ER on 4/7 being treated for allergic reaction.  On 4/8 went to doctor and was ad used to go to ER for testing.   Was admitted for cellulitis and severe infection and hospitalization until 3/10.   Subsequent return to ER 3 days later for follow up because of swelling and elevated white blood cell count, elevated blood work suggesting blood clots.