chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Feeling hot, Flushing, Hypoaesthesia
Clinical narrative: Face felt flush, irritated by mask. But after mask was removed my face continued to appear red and feel hot to the touch (no fever). (Both sides). Swelling of face became more evident (mostly cheeks) over the next two hours.Flush areas of face also felt numb/tingly. Mouth also felt numb-teeth felt like after dentist anestheic injection. began about 10:50, peaked around 1pm maybe. By 4 felt mostly normal.  Face stayed flush looking after no longer felt hot or numb. Just fatigue after.  Also some swelling/numbness at site of injection. But more mild.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Injection site hypoaesthesia, Injection site swelling, Paraesthesia, Swelling face
Clinical narrative: Face felt flush, irritated by mask. But after mask was removed my face continued to appear red and feel hot to the touch (no fever). (Both sides). Swelling of face became more evident (mostly cheeks) over the next two hours.Flush areas of face also felt numb/tingly. Mouth also felt numb-teeth felt like after dentist anestheic injection. began about 10:50, peaked around 1pm maybe. By 4 felt mostly normal.  Face stayed flush looking after no longer felt hot or numb. Just fatigue after.  Also some swelling/numbness at site of injection. But more mild.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Feeling abnormal, Influenza like illness, Pain
Clinical narrative: Flu-like symptoms for two days after receiving vaccine, including body aches, extreme fatigue, 100.3 fever on day after vaccine, diarrhea on second day after vaccine.  General brain-fog
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Flu-like symptoms for two days after receiving vaccine, including body aches, extreme fatigue, 100.3 fever on day after vaccine, diarrhea on second day after vaccine.  General brain-fog
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Impaired work ability, Loss of personal independence in daily activities
Clinical narrative: nausea experienced 5 hours post shot followed by inability to sleep, increased nausea, vomiting, diarrhea, body aches, chills, fever of 103, headache, fatigue. Shot was received just after 4pm on Monday April 12 and I was in bed and unable to work or care for my children until Thursday morning, 4/15.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Sleep disorder, Vomiting
Clinical narrative: nausea experienced 5 hours post shot followed by inability to sleep, increased nausea, vomiting, diarrhea, body aches, chills, fever of 103, headache, fatigue. Shot was received just after 4pm on Monday April 12 and I was in bed and unable to work or care for my children until Thursday morning, 4/15.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Choking sensation
Clinical narrative: APPREHENSION, CHOKING SENSATION, AND CHEST TIGHTNESS
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait inability, Mobility decreased, Pain
Clinical narrative: Patient states history of fibromyalgia. The day after getting the vaccine, she experienced increasing joint pain. Within a couple days, the joint/body pain increased to the point she was not able to walk and was using a wheelchair. She has been evaluated by her PCP who then referred to an orthopedic specialist for further evaluation and treatment. Now two weeks after the vaccine, her mobility and joint pain have improved to the point she is only needing a walker to move around. However, she states she is still not back to her pre-vaccine mobility/pain status. There may be another VAERS report from her PCP
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: The symptoms were like needles punching inside my body. They started on the arm I received my vaccine and moved to the other arm and then to the rest of my body, specially arms and legs. It went away somehow after a couple of days.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscle spasms, Sleep disorder
Clinical narrative: left leg seriously cramped up around 11pm  last night waking me out of sleep.  continues to feel worse it is 9:50am .   can barely move left leg
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Gaze palsy, Sinusitis
Clinical narrative: Woke up on April 7th with a mild headache.  As the day progressed it got worse.  Friday April 9th, went to Health Care Provider, treated me for a sinus infection.  April 15th, went back & she ordered a cat scan on my brain & everything was good.  Today still have headache, it?s not subsiding at all.  I was even given  medicine for migraines.  Not helping at all.  Health Care Provider suggested I file a report.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Notes severe tinnitus starting 2 days after receiving the vaccine. No hearing loss noted
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Hypoaesthesia, Nausea
Clinical narrative: At 3:40 am 4/8/21 my dog woke me to go outside. As I walked down the stairs, I was happy  I felt perfectly normal as I had heard so many side effects. My arm was sore but that was all. After a few minutes I went back upstairs and became incredibly nauseas and light headed. It was more overwhelming than any feeling like that in my life. I wasn?t sure if I was going to vomit or faint. I rushed in bed and was breathing very heavily in my nose and out of my mouth focusing on this awful feeling to pass. After a few minutes my right shoulder started to tingle and feel numb. The sensation started working its way down my right arm then began on the left side. The tingling/numb sensation went all the way to my fingertips and I lost movement in both of my hands. I could still feel touch but I had no movement in my fingers. After about five minutes I slowly regained movement in my fingers and the tingle/numb sensation moved slowly back up both my arms in the same manner it began. After roughly ten minutes this episode had entirely passed and I went back to sleep. When I woke around 7am I felt relatively normal, just minor tiredness and headache. Around 1:00pm I developed a fever of 100.7 and went to bed for the day about 6:00pm on 4/8/21. When I woke Friday 4/9/21 I felt entirely back to normal.  My husband said if I hadn?t regained movement of my fingers when I did, he was going to take me to the ER because it was so bizarre and scary. While the episode was at its peak, my husband gave me two Tylenol.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Respiration abnormal
Clinical narrative: At 3:40 am 4/8/21 my dog woke me to go outside. As I walked down the stairs, I was happy  I felt perfectly normal as I had heard so many side effects. My arm was sore but that was all. After a few minutes I went back upstairs and became incredibly nauseas and light headed. It was more overwhelming than any feeling like that in my life. I wasn?t sure if I was going to vomit or faint. I rushed in bed and was breathing very heavily in my nose and out of my mouth focusing on this awful feeling to pass. After a few minutes my right shoulder started to tingle and feel numb. The sensation started working its way down my right arm then began on the left side. The tingling/numb sensation went all the way to my fingertips and I lost movement in both of my hands. I could still feel touch but I had no movement in my fingers. After about five minutes I slowly regained movement in my fingers and the tingle/numb sensation moved slowly back up both my arms in the same manner it began. After roughly ten minutes this episode had entirely passed and I went back to sleep. When I woke around 7am I felt relatively normal, just minor tiredness and headache. Around 1:00pm I developed a fever of 100.7 and went to bed for the day about 6:00pm on 4/8/21. When I woke Friday 4/9/21 I felt entirely back to normal.  My husband said if I hadn?t regained movement of my fingers when I did, he was going to take me to the ER because it was so bizarre and scary. While the episode was at its peak, my husband gave me two Tylenol.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Choking sensation
Clinical narrative: APPREHENSION AND CHOLING SENSATION  PATIENT HAD NOT HAD ANYTHING TO EAT SINCE 6:30AM
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Nausea
Clinical narrative: Patient Complained of lightheadedness and nausea, stomach pain
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Chills, Electrocardiogram, Laboratory test
Clinical narrative: Fever, chills, body aches, chest pain
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, chest pain
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Eczema, Erythema, Eye swelling
Clinical narrative: Developed arm soreness, headache, and right eye swelling with eczema a few hours after 2nd dose. Had whole body aches and chills throughout the night. Woke up with swollen, red, itchy face. Had fatigue and dizziness throughout next day. Side effect subsided within 24 hours. 6 days post 2nd shot, developed face swelling, redness and itch. Woke up the morning of 7 days post 2nd shot with extremely swollen eyes, cheeks and lips that were red and burned. Went to ER and received 3 IV drugs, including Benadryl, took 3d of oral prednisone and also a topical steroid prescribed by dermatologist. Swelling and redness subsided within 48hrs but flared again 14d post 2nd shot.  This flare was mild compared to d7, is limited to mild swelling of lips, redness and itch of lips and eyelids and is being treated with topical steroids.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lip erythema, Lip pruritus, Lip swelling
Clinical narrative: Developed arm soreness, headache, and right eye swelling with eczema a few hours after 2nd dose. Had whole body aches and chills throughout the night. Woke up with swollen, red, itchy face. Had fatigue and dizziness throughout next day. Side effect subsided within 24 hours. 6 days post 2nd shot, developed face swelling, redness and itch. Woke up the morning of 7 days post 2nd shot with extremely swollen eyes, cheeks and lips that were red and burned. Went to ER and received 3 IV drugs, including Benadryl, took 3d of oral prednisone and also a topical steroid prescribed by dermatologist. Swelling and redness subsided within 48hrs but flared again 14d post 2nd shot.  This flare was mild compared to d7, is limited to mild swelling of lips, redness and itch of lips and eyelids and is being treated with topical steroids.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Oral discomfort, Pain, Pain in extremity, Skin induration, Swelling face
Clinical narrative: Developed arm soreness, headache, and right eye swelling with eczema a few hours after 2nd dose. Had whole body aches and chills throughout the night. Woke up with swollen, red, itchy face. Had fatigue and dizziness throughout next day. Side effect subsided within 24 hours. 6 days post 2nd shot, developed face swelling, redness and itch. Woke up the morning of 7 days post 2nd shot with extremely swollen eyes, cheeks and lips that were red and burned. Went to ER and received 3 IV drugs, including Benadryl, took 3d of oral prednisone and also a topical steroid prescribed by dermatologist. Swelling and redness subsided within 48hrs but flared again 14d post 2nd shot.  This flare was mild compared to d7, is limited to mild swelling of lips, redness and itch of lips and eyelids and is being treated with topical steroids.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling of eyelid
Clinical narrative: Developed arm soreness, headache, and right eye swelling with eczema a few hours after 2nd dose. Had whole body aches and chills throughout the night. Woke up with swollen, red, itchy face. Had fatigue and dizziness throughout next day. Side effect subsided within 24 hours. 6 days post 2nd shot, developed face swelling, redness and itch. Woke up the morning of 7 days post 2nd shot with extremely swollen eyes, cheeks and lips that were red and burned. Went to ER and received 3 IV drugs, including Benadryl, took 3d of oral prednisone and also a topical steroid prescribed by dermatologist. Swelling and redness subsided within 48hrs but flared again 14d post 2nd shot.  This flare was mild compared to d7, is limited to mild swelling of lips, redness and itch of lips and eyelids and is being treated with topical steroids.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Nasal congestion, Pyrexia, Sneezing
Clinical narrative: fever 101 , ongoing heavy nasal congestion, coughing ,sneezing, no appetite
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Nausea, Thrombosis
Clinical narrative: Nausea.  Heavy bleeding including clot
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Mobility decreased, Pain in extremity, Photophobia
Clinical narrative: sore arm that became so sore, was hard to lift up at exactly 9 hours after injection. next day arm sore unable to lift up without discomfort migraine type headache, light sensitive, stomach distress
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Chest X-ray abnormal, Chest pain, Computerised tomogram head, Computerised tomogram normal
Clinical narrative: Within 15-minutes of vaccination, the patient reported headache, nausea, and malaise. Paramedics evaluated the patient on-site. The patient was hypertensive (229/129). EKG demonstrated NSR, rate 85 bpm, no ST elevation. Paramedics transported the patient to Emergency Department. In the ED, the patient developed centralized chest pain, diaphoresis, and right jaw pain, but denies shortness of breath, nausea/vomiting, focal weakness, fever or chills. The patient remained hypertensive (184/85). Physician administered 325mg PO Aspirin, 0.2mg PO Clonidine, and 1 inch topical Nitroglycerin. The labs and imaging did not present evidence of myocardial infarct or intracranial hemorrhage. Due to symptoms on presentation, the patient was admitted to rule out ACS. Upon admission, the patient stated the chest pain "comes and goes", but is not currently having any chest discomfort. Admitting physician administered 5mg PO Amlodipine, 5mg PO Lisinopril, labetalol 10mg  IV, and prophylactic Lovenox. As of 4/16, the patient had not been discharged, but their hypertensive urgency and chest pain have resolved and will be treated outpatient. Internist planning patient's discharge.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Full blood count normal, Headache, Hyperhidrosis, Hypertension
Clinical narrative: Within 15-minutes of vaccination, the patient reported headache, nausea, and malaise. Paramedics evaluated the patient on-site. The patient was hypertensive (229/129). EKG demonstrated NSR, rate 85 bpm, no ST elevation. Paramedics transported the patient to Emergency Department. In the ED, the patient developed centralized chest pain, diaphoresis, and right jaw pain, but denies shortness of breath, nausea/vomiting, focal weakness, fever or chills. The patient remained hypertensive (184/85). Physician administered 325mg PO Aspirin, 0.2mg PO Clonidine, and 1 inch topical Nitroglycerin. The labs and imaging did not present evidence of myocardial infarct or intracranial hemorrhage. Due to symptoms on presentation, the patient was admitted to rule out ACS. Upon admission, the patient stated the chest pain "comes and goes", but is not currently having any chest discomfort. Admitting physician administered 5mg PO Amlodipine, 5mg PO Lisinopril, labetalol 10mg  IV, and prophylactic Lovenox. As of 4/16, the patient had not been discharged, but their hypertensive urgency and chest pain have resolved and will be treated outpatient. Internist planning patient's discharge.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Metabolic function test, Nausea, Pain in jaw, SARS-CoV-2 test negative
Clinical narrative: Within 15-minutes of vaccination, the patient reported headache, nausea, and malaise. Paramedics evaluated the patient on-site. The patient was hypertensive (229/129). EKG demonstrated NSR, rate 85 bpm, no ST elevation. Paramedics transported the patient to Emergency Department. In the ED, the patient developed centralized chest pain, diaphoresis, and right jaw pain, but denies shortness of breath, nausea/vomiting, focal weakness, fever or chills. The patient remained hypertensive (184/85). Physician administered 325mg PO Aspirin, 0.2mg PO Clonidine, and 1 inch topical Nitroglycerin. The labs and imaging did not present evidence of myocardial infarct or intracranial hemorrhage. Due to symptoms on presentation, the patient was admitted to rule out ACS. Upon admission, the patient stated the chest pain "comes and goes", but is not currently having any chest discomfort. Admitting physician administered 5mg PO Amlodipine, 5mg PO Lisinopril, labetalol 10mg  IV, and prophylactic Lovenox. As of 4/16, the patient had not been discharged, but their hypertensive urgency and chest pain have resolved and will be treated outpatient. Internist planning patient's discharge.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal
Clinical narrative: Within 15-minutes of vaccination, the patient reported headache, nausea, and malaise. Paramedics evaluated the patient on-site. The patient was hypertensive (229/129). EKG demonstrated NSR, rate 85 bpm, no ST elevation. Paramedics transported the patient to Emergency Department. In the ED, the patient developed centralized chest pain, diaphoresis, and right jaw pain, but denies shortness of breath, nausea/vomiting, focal weakness, fever or chills. The patient remained hypertensive (184/85). Physician administered 325mg PO Aspirin, 0.2mg PO Clonidine, and 1 inch topical Nitroglycerin. The labs and imaging did not present evidence of myocardial infarct or intracranial hemorrhage. Due to symptoms on presentation, the patient was admitted to rule out ACS. Upon admission, the patient stated the chest pain "comes and goes", but is not currently having any chest discomfort. Admitting physician administered 5mg PO Amlodipine, 5mg PO Lisinopril, labetalol 10mg  IV, and prophylactic Lovenox. As of 4/16, the patient had not been discharged, but their hypertensive urgency and chest pain have resolved and will be treated outpatient. Internist planning patient's discharge.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Pruritus, Throat tightness, Wheezing
Clinical narrative: ITCHING, CHOKING SENSATION, COUGHING, WHEEZING, AND DIFFICULTY BREATHING
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Impaired work ability, Nausea
Clinical narrative: I had a fever that started an hour or two after the shot, then the next morning I woke up around 9am with fever, chills, nausea, body aches, weakness, and dizziness if I tried to walk. I called off work, went back to sleep, and by 1pm the nausea and dizziness were gone. I had a fever, body aches, and chills for the rest of the day. This morning I woke up and my fever was gone.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: I had a fever that started an hour or two after the shot, then the next morning I woke up around 9am with fever, chills, nausea, body aches, weakness, and dizziness if I tried to walk. I called off work, went back to sleep, and by 1pm the nausea and dizziness were gone. I had a fever, body aches, and chills for the rest of the day. This morning I woke up and my fever was gone.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Angiogram abnormal, Anticoagulant therapy, Blood creatinine increased, Blood urea increased
Clinical narrative: Patient is a 71-year-old female with history of hypertension, hyperlipidemia, and obesity who presents with complaint of acute onset shortness of breath.  She reports she was walking around her house earlier when she suddenly became short of breath.  She denies any chest pain, numbness or tingling but states that shortness of breath persisted.  She denies any tobacco, alcohol or drug use and states she has never had any symptoms similar to this before.  Denies any lung disease or heart disease previously.  She does have hypertension and hyperlipidemia and is on metoprolol and rosuvastatin respectively which she reports good compliance.  Denies family history of MI or strokes.  She also denies other symptoms such as nausea, vomiting, abdominal pain, fevers or lower extremity edema.  In the ED vitals were found to be within normal limits.  EKG was obtained showing diffuse T wave inversions, right bundle branch block, no ST changes, no hypertrophy.  Troponin found to be elevated at 0.137, creatinine elevated at 1.3, BUN 26.  Chest x-ray was within normal limits.  Otherwise lab work was unremarkable.  She was given aspirin and Nitropaste Hospital Course:         Patient was admitted to the medical floor and remained hemodynamically stable throughout her stay. She actually remained asymptomatic and had no further shortness of breath. She was not hypoxic, at no point required supplemental oxygen. Her troponins however continued to uptrend to 0.389. Cardiology consulted, she was medically optimized with increased statin dose, therapeutic lovenox, and aspirin. Original plan was for cardiac catheterization. However, a d-dimer was ordered which returned elevated to 13.7. CTA was performed which revealed extensive bilateral pulmonary emboli with large clot burden and concern for right heart strain. Echocardiogram showed mildly dilated and hypokinetic RV with mild diastolic dysfunction with impaired relaxation. She was deemed not to be candidate for EKOS. Troponin elevation was felt to be type II NSTEMI 2/2 PE.  PE was classified as unprovoked as she has no definite risk factors for this: no prior DVT/PE, no family history of clotting disorder, no evidence of malignancy (UTD with cancer screenings and visits PCP q6m for health maintenance), no cell line abnormalities, no prolonged immobility or long trips or surgeries, no trauma, no hormone or steroid therapies or even antidepressants. She is obese, and has mild CKD. She tested negative for COVID-19 by antigen testing. The only identifiable change in her health habits recently was receiving the first COVID-vaccine dose on 3/18. We discharged her with Eliquis with instructions to taper from 10BID to 5BID after 7 days. As she will be on anticoagulation, the benefit will likely outweigh the risk of receiving the second COVID dose.  She will follow up with her PCP and hematology/oncology.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, Bundle branch block right, Chest X-ray normal, Diastolic dysfunction, Dyspnoea
Clinical narrative: Patient is a 71-year-old female with history of hypertension, hyperlipidemia, and obesity who presents with complaint of acute onset shortness of breath.  She reports she was walking around her house earlier when she suddenly became short of breath.  She denies any chest pain, numbness or tingling but states that shortness of breath persisted.  She denies any tobacco, alcohol or drug use and states she has never had any symptoms similar to this before.  Denies any lung disease or heart disease previously.  She does have hypertension and hyperlipidemia and is on metoprolol and rosuvastatin respectively which she reports good compliance.  Denies family history of MI or strokes.  She also denies other symptoms such as nausea, vomiting, abdominal pain, fevers or lower extremity edema.  In the ED vitals were found to be within normal limits.  EKG was obtained showing diffuse T wave inversions, right bundle branch block, no ST changes, no hypertrophy.  Troponin found to be elevated at 0.137, creatinine elevated at 1.3, BUN 26.  Chest x-ray was within normal limits.  Otherwise lab work was unremarkable.  She was given aspirin and Nitropaste Hospital Course:         Patient was admitted to the medical floor and remained hemodynamically stable throughout her stay. She actually remained asymptomatic and had no further shortness of breath. She was not hypoxic, at no point required supplemental oxygen. Her troponins however continued to uptrend to 0.389. Cardiology consulted, she was medically optimized with increased statin dose, therapeutic lovenox, and aspirin. Original plan was for cardiac catheterization. However, a d-dimer was ordered which returned elevated to 13.7. CTA was performed which revealed extensive bilateral pulmonary emboli with large clot burden and concern for right heart strain. Echocardiogram showed mildly dilated and hypokinetic RV with mild diastolic dysfunction with impaired relaxation. She was deemed not to be candidate for EKOS. Troponin elevation was felt to be type II NSTEMI 2/2 PE.  PE was classified as unprovoked as she has no definite risk factors for this: no prior DVT/PE, no family history of clotting disorder, no evidence of malignancy (UTD with cancer screenings and visits PCP q6m for health maintenance), no cell line abnormalities, no prolonged immobility or long trips or surgeries, no trauma, no hormone or steroid therapies or even antidepressants. She is obese, and has mild CKD. She tested negative for COVID-19 by antigen testing. The only identifiable change in her health habits recently was receiving the first COVID-vaccine dose on 3/18. We discharged her with Eliquis with instructions to taper from 10BID to 5BID after 7 days. As she will be on anticoagulation, the benefit will likely outweigh the risk of receiving the second COVID dose.  She will follow up with her PCP and hematology/oncology.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram ST-T segment abnormal, Electrocardiogram abnormal, Fibrin D dimer increased, Pulmonary arterial hypertension
Clinical narrative: Patient is a 71-year-old female with history of hypertension, hyperlipidemia, and obesity who presents with complaint of acute onset shortness of breath.  She reports she was walking around her house earlier when she suddenly became short of breath.  She denies any chest pain, numbness or tingling but states that shortness of breath persisted.  She denies any tobacco, alcohol or drug use and states she has never had any symptoms similar to this before.  Denies any lung disease or heart disease previously.  She does have hypertension and hyperlipidemia and is on metoprolol and rosuvastatin respectively which she reports good compliance.  Denies family history of MI or strokes.  She also denies other symptoms such as nausea, vomiting, abdominal pain, fevers or lower extremity edema.  In the ED vitals were found to be within normal limits.  EKG was obtained showing diffuse T wave inversions, right bundle branch block, no ST changes, no hypertrophy.  Troponin found to be elevated at 0.137, creatinine elevated at 1.3, BUN 26.  Chest x-ray was within normal limits.  Otherwise lab work was unremarkable.  She was given aspirin and Nitropaste Hospital Course:         Patient was admitted to the medical floor and remained hemodynamically stable throughout her stay. She actually remained asymptomatic and had no further shortness of breath. She was not hypoxic, at no point required supplemental oxygen. Her troponins however continued to uptrend to 0.389. Cardiology consulted, she was medically optimized with increased statin dose, therapeutic lovenox, and aspirin. Original plan was for cardiac catheterization. However, a d-dimer was ordered which returned elevated to 13.7. CTA was performed which revealed extensive bilateral pulmonary emboli with large clot burden and concern for right heart strain. Echocardiogram showed mildly dilated and hypokinetic RV with mild diastolic dysfunction with impaired relaxation. She was deemed not to be candidate for EKOS. Troponin elevation was felt to be type II NSTEMI 2/2 PE.  PE was classified as unprovoked as she has no definite risk factors for this: no prior DVT/PE, no family history of clotting disorder, no evidence of malignancy (UTD with cancer screenings and visits PCP q6m for health maintenance), no cell line abnormalities, no prolonged immobility or long trips or surgeries, no trauma, no hormone or steroid therapies or even antidepressants. She is obese, and has mild CKD. She tested negative for COVID-19 by antigen testing. The only identifiable change in her health habits recently was receiving the first COVID-vaccine dose on 3/18. We discharged her with Eliquis with instructions to taper from 10BID to 5BID after 7 days. As she will be on anticoagulation, the benefit will likely outweigh the risk of receiving the second COVID dose.  She will follow up with her PCP and hematology/oncology.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Right ventricular dilatation, SARS-CoV-2 test negative, Tricuspid valve incompetence, Troponin increased
Clinical narrative: Patient is a 71-year-old female with history of hypertension, hyperlipidemia, and obesity who presents with complaint of acute onset shortness of breath.  She reports she was walking around her house earlier when she suddenly became short of breath.  She denies any chest pain, numbness or tingling but states that shortness of breath persisted.  She denies any tobacco, alcohol or drug use and states she has never had any symptoms similar to this before.  Denies any lung disease or heart disease previously.  She does have hypertension and hyperlipidemia and is on metoprolol and rosuvastatin respectively which she reports good compliance.  Denies family history of MI or strokes.  She also denies other symptoms such as nausea, vomiting, abdominal pain, fevers or lower extremity edema.  In the ED vitals were found to be within normal limits.  EKG was obtained showing diffuse T wave inversions, right bundle branch block, no ST changes, no hypertrophy.  Troponin found to be elevated at 0.137, creatinine elevated at 1.3, BUN 26.  Chest x-ray was within normal limits.  Otherwise lab work was unremarkable.  She was given aspirin and Nitropaste Hospital Course:         Patient was admitted to the medical floor and remained hemodynamically stable throughout her stay. She actually remained asymptomatic and had no further shortness of breath. She was not hypoxic, at no point required supplemental oxygen. Her troponins however continued to uptrend to 0.389. Cardiology consulted, she was medically optimized with increased statin dose, therapeutic lovenox, and aspirin. Original plan was for cardiac catheterization. However, a d-dimer was ordered which returned elevated to 13.7. CTA was performed which revealed extensive bilateral pulmonary emboli with large clot burden and concern for right heart strain. Echocardiogram showed mildly dilated and hypokinetic RV with mild diastolic dysfunction with impaired relaxation. She was deemed not to be candidate for EKOS. Troponin elevation was felt to be type II NSTEMI 2/2 PE.  PE was classified as unprovoked as she has no definite risk factors for this: no prior DVT/PE, no family history of clotting disorder, no evidence of malignancy (UTD with cancer screenings and visits PCP q6m for health maintenance), no cell line abnormalities, no prolonged immobility or long trips or surgeries, no trauma, no hormone or steroid therapies or even antidepressants. She is obese, and has mild CKD. She tested negative for COVID-19 by antigen testing. The only identifiable change in her health habits recently was receiving the first COVID-vaccine dose on 3/18. We discharged her with Eliquis with instructions to taper from 10BID to 5BID after 7 days. As she will be on anticoagulation, the benefit will likely outweigh the risk of receiving the second COVID dose.  She will follow up with her PCP and hematology/oncology.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: Patient is a 71-year-old female with history of hypertension, hyperlipidemia, and obesity who presents with complaint of acute onset shortness of breath.  She reports she was walking around her house earlier when she suddenly became short of breath.  She denies any chest pain, numbness or tingling but states that shortness of breath persisted.  She denies any tobacco, alcohol or drug use and states she has never had any symptoms similar to this before.  Denies any lung disease or heart disease previously.  She does have hypertension and hyperlipidemia and is on metoprolol and rosuvastatin respectively which she reports good compliance.  Denies family history of MI or strokes.  She also denies other symptoms such as nausea, vomiting, abdominal pain, fevers or lower extremity edema.  In the ED vitals were found to be within normal limits.  EKG was obtained showing diffuse T wave inversions, right bundle branch block, no ST changes, no hypertrophy.  Troponin found to be elevated at 0.137, creatinine elevated at 1.3, BUN 26.  Chest x-ray was within normal limits.  Otherwise lab work was unremarkable.  She was given aspirin and Nitropaste Hospital Course:         Patient was admitted to the medical floor and remained hemodynamically stable throughout her stay. She actually remained asymptomatic and had no further shortness of breath. She was not hypoxic, at no point required supplemental oxygen. Her troponins however continued to uptrend to 0.389. Cardiology consulted, she was medically optimized with increased statin dose, therapeutic lovenox, and aspirin. Original plan was for cardiac catheterization. However, a d-dimer was ordered which returned elevated to 13.7. CTA was performed which revealed extensive bilateral pulmonary emboli with large clot burden and concern for right heart strain. Echocardiogram showed mildly dilated and hypokinetic RV with mild diastolic dysfunction with impaired relaxation. She was deemed not to be candidate for EKOS. Troponin elevation was felt to be type II NSTEMI 2/2 PE.  PE was classified as unprovoked as she has no definite risk factors for this: no prior DVT/PE, no family history of clotting disorder, no evidence of malignancy (UTD with cancer screenings and visits PCP q6m for health maintenance), no cell line abnormalities, no prolonged immobility or long trips or surgeries, no trauma, no hormone or steroid therapies or even antidepressants. She is obese, and has mild CKD. She tested negative for COVID-19 by antigen testing. The only identifiable change in her health habits recently was receiving the first COVID-vaccine dose on 3/18. We discharged her with Eliquis with instructions to taper from 10BID to 5BID after 7 days. As she will be on anticoagulation, the benefit will likely outweigh the risk of receiving the second COVID dose.  She will follow up with her PCP and hematology/oncology.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bundle branch block, Electrocardiogram, Ventricular extrasystoles
Clinical narrative: new onset of ventricular premature contractions and right bundle branch block approximately 6 weeks following the second dose of vaccine.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia
Clinical narrative: Muscle pain in arm, mild to severe at times.  Headache.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Electrocardiogram, Oropharyngeal discomfort, Respiratory sinus arrhythmia magnitude abnormal
Clinical narrative: Feel throat difficulty swallowing.  Recommended by EMS to contact primary care or call 911.  Understanding verbalized.  176/96, HR 76, BS 187, O2Sat 98%, 183/102, P 70. 197/93 11:10am Refusing transport, prefers to go home and will call 911 from home.  Accompanied by husband.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Feeling cold, Headache, Myalgia
Clinical narrative: Vaccine was given at 840am on 4/14/2021.  Felt fine during the day.  Slept for a few hours. At 1a woke up to fever, chills, headache, joint soreness, sweating, then freezing.  I took tylenol throughout the following day but it barely made it the symptoms go away.  Symptoms continued until 9pm 4/15/2021.  4/16/2021 - continued muscle soreness and headache but fever has subsided.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Vaccine was given at 840am on 4/14/2021.  Felt fine during the day.  Slept for a few hours. At 1a woke up to fever, chills, headache, joint soreness, sweating, then freezing.  I took tylenol throughout the following day but it barely made it the symptoms go away.  Symptoms continued until 9pm 4/15/2021.  4/16/2021 - continued muscle soreness and headache but fever has subsided.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Herpes zoster, Pain, Rash
Clinical narrative: Day 1 = Chills Day 2 = Body Aches and Fatigue Day 3 = Rash on the Right side of my Face & Left Lower Neck & Chin.  I made an appt with my Dr.  I went in for a visit and she diagnosed me with a Mild Case on the Shingles (and prescribed me two treatments for it).  Further, my Dr. says that I am the 2nd patient she has treated for Shingles shortly after receiving the J & J vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity
Clinical narrative: Chills soreness in arm tired
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling
Clinical narrative: Knot in arm on inner bicep facing body towards armpit. Painful to touch and not exactly at injection site but near
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Headache, Hypersomnia, Malaise
Clinical narrative: I was sick the whole next day... upset stomach...no energy- slept most of the day,,,headache, even teeth hurt
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: I was sick the whole next day... upset stomach...no energy- slept most of the day,,,headache, even teeth hurt
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hyperhidrosis, Hypertension
Clinical narrative: PATIENT EXPERIENCED HYPERTENSION HEADACHE  DIZZINESS  DIAPHORESIS AND WAS TRANSPORTED BY EMS TO ER
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary arterial stent insertion, Coronary artery thrombosis, Intensive care, Myocardial infarction
Clinical narrative: On 4/7/2021 I was hospitalized with a heart attack due to an embolism in my LAD. Had to be re-stented. In ICU for 5 days- regular hospital 2 and discharged after total of 7 days
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Choking sensation, Throat irritation
Clinical narrative: CHOKING SENSATION AND ITCHY THROAT
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given Moderna vaccine at off-site clinic and was not eligible due to age restriction of 18 years old
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Myalgia, Pyrexia
Clinical narrative: Fever chills headache sweats muscular pain
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Choking sensation
Clinical narrative: APPREHENSION AND CHOKING SENSATION
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Swelling, Tenderness
Clinical narrative: Large lympadenopathy axillary on right side- the size of a softball, tender, pronounced swelling
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Pallor, Seizure
Clinical narrative: After injection patient went to waiting room with mother for 15 minutes. Within 5 minutes he began seizing, He stiffened and hit his head on a shelf behind him. Pharmacist called over and did witness second (or continued) seizure. Mom and I held him steady until done. Patient breathing fine and responsive after seizure though not wanting to move. Called 911, stayed with him until paramedics arrived. He was talking to us, though very pale and weak. Refused to lie down. Paramedics transferred the patient to the hospital for further evaluation and treatment.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue
Clinical narrative: CHILLS FATIGUE
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: 8 hours after the shot, I developed a fever of 100 degrees Fahrenheit, chills, and body aches.  The next morning, the only symptom I had was a headache.  2 days after the shot I was fine.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amenorrhoea, Depression, Menstruation irregular
Clinical narrative: Interruption in menstrual cycle. I have not had a period since first or second dose of Pfizer vaccine and pregnancy is not a possibility. Vaccine appears to stop effects of sertraline for about a week. I experienced manic depression for about a week both after first and second dose of vaccine, despite not having any issues while on sertraline prior to being vaccinated. It was like my sertraline medication completely stopped working.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pruritus
Clinical narrative: Large ring appeared around vaccination side day 9. Super itchy. Day 3-9 large golf ball lump under injection site
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Lymphadenopathy, Oral herpes, Skin irritation
Clinical narrative: My left arm pit Lymph Node started swelling 4/11/2021 and the pressure/swollen feeling lasted 4 days ending on 4/15/2021. Also I got a cold sore in my left nostril on 4/15/2021 currently irritated.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Headache, Nausea, Pyrexia
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Cavernous sinus thrombosis, Computerised tomogram head abnormal, Fibrin D dimer increased, Full blood count, Magnetic resonance imaging head abnormal
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Platelet count decreased, Thrombocytopenia, Venogram abnormal
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Chills, Computerised tomogram head abnormal, Full blood count, Headache
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Immune thrombocytopenia, Intensive care, Magnetic resonance imaging head abnormal, Nausea, Pain
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Platelet count decreased, Pyrexia, Scan with contrast abnormal, Thrombosis
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Blood count abnormal, Body temperature, Cavernous sinus thrombosis, Chills
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Computerised tomogram head, Computerised tomogram head abnormal, Fibrin D dimer increased, Full blood count, Headache
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging head abnormal, Nausea, Pain, Platelet count
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Platelet count decreased, Pyrexia, Thrombocytopenia, Venogram, Venogram abnormal
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Anticoagulant therapy, Cerebral thrombosis, Chills, Computerised tomogram head abnormal
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Full blood count abnormal, Headache, Intensive care, Magnetic resonance imaging head abnormal, Nausea
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Pain, Platelet count decreased, Pyrexia, Scan with contrast abnormal, Thrombosis with thrombocytopenia syndrome
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Blood count abnormal, Cavernous sinus thrombosis, Computerised tomogram, Computerised tomogram head abnormal, Fibrin D dimer
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Fibrin D dimer increased, Full blood count, Magnetic resonance imaging, Magnetic resonance imaging head abnormal, Platelet count
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Platelet count decreased, Thrombocytopenia, Venogram, Venogram abnormal
Clinical narrative: Nausea, abdominal pain, persistent headache, fever
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: After patient received this vaccine dose, it was discovered that the vial had been stored outside of the recommended temperature range calling into question its efficacy  After conferring with immunization experts it was determined that this dose needs to be repeated.  Patient was contacted by the person completing this form and made aware of this information.  The patient plans to repeat vaccine on 4/26/21 or 4/27/21.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Nausea, Pain
Clinical narrative: Headache, Chills, Sore Injection Area, body aches, mild nausea.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Peripheral swelling, Pharyngeal swelling, Pruritus
Clinical narrative: Severe allergic reaction with swollen face, hands, feet, throat, chest congestion, shortness of breath, rash, and pruritis. Cortisone shot and prednisone oral 20 mg for 10 days , zyrtec.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling face
Clinical narrative: Severe allergic reaction with swollen face, hands, feet, throat, chest congestion, shortness of breath, rash, and pruritis. Cortisone shot and prednisone oral 20 mg for 10 days , zyrtec.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema multiforme, Rash
Clinical narrative: The patient presented with erythema multiforme on bilateral palms and lower extremities, which started a little over the week post the 2nd dose of the COVID vaccine. The patient reports that the rash was painful at the beginning but it's better now. No other side effects reported.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Severe case of shingles on face 3-4 weeks after second vaccine
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain
Clinical narrative: Very sore on my whole left side of my body. Sore and stiff muscels in my back, left arm and left side of my chest.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache
Clinical narrative: Headache Foggy Feeling in my head