chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Hyperhidrosis, Vomiting
Clinical narrative: Patient felt weak and got really sweaty (cold sweat) , then he vomited for a few minutes and felt better.  The sick feeling came on within 2 minutes of the administration and he felt better after vomiting
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Ear pain, Facial paralysis, Full blood count, Metabolic function test
Clinical narrative: I received my second Pfizer COVID-19 vaccine on 4/23.  Symptoms began on 4/26 and worsened, slowly, over the course of the next three days.   My symptom included a pain behind my right ear and partial paralysis of right side of my face including forehead, eye, and mouth.  I called my primary care physician who sent me directly to the Medical Center in for a stroke evaluation including various blood tests. No imaging was performed.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: I received my second Pfizer COVID-19 vaccine on 4/23.  Symptoms began on 4/26 and worsened, slowly, over the course of the next three days.   My symptom included a pain behind my right ear and partial paralysis of right side of my face including forehead, eye, and mouth.  I called my primary care physician who sent me directly to the Medical Center in for a stroke evaluation including various blood tests. No imaging was performed.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: I was sitting down in the waiting area, reading an article and finished it about 40 minutes later.  When I looked up, I was unable to focus on any opject over about 30 feet away.  I got up and casually walked around and my ability to focus on distant objects became more clear.  I was well enough (75 minutes after shot) to leave the building.  I sat in my car for another 15 minutes to make sure that my vision was okay.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Vomiting
Clinical narrative: Aches, chills, vomiting, headaches
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abnormal faeces, Ageusia, Anosmia, Blood folate normal, C-reactive protein normal
Clinical narrative: The day after receiving the second Moderna vaccine for Covid-19, my taste and smell (which I had lost when infected with Covid-19 in January 2021), became disrupted. My smell and taste were changed so that most things smelled/tasted like melted/burned plastic mixed with something metallic.  Also, due to the severe change in diet, my stool was mostly mucus with reddish tints for three and a half weeks until I was prescribed steroids form my doctor (Prednisone).
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Clostridium test negative, Differential white blood cell count normal, Faeces discoloured, Full blood count normal, Vitamin B12 normal
Clinical narrative: The day after receiving the second Moderna vaccine for Covid-19, my taste and smell (which I had lost when infected with Covid-19 in January 2021), became disrupted. My smell and taste were changed so that most things smelled/tasted like melted/burned plastic mixed with something metallic.  Also, due to the severe change in diet, my stool was mostly mucus with reddish tints for three and a half weeks until I was prescribed steroids form my doctor (Prednisone).
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitamin D decreased
Clinical narrative: The day after receiving the second Moderna vaccine for Covid-19, my taste and smell (which I had lost when infected with Covid-19 in January 2021), became disrupted. My smell and taste were changed so that most things smelled/tasted like melted/burned plastic mixed with something metallic.  Also, due to the severe change in diet, my stool was mostly mucus with reddish tints for three and a half weeks until I was prescribed steroids form my doctor (Prednisone).
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Tinnitus
Clinical narrative: Nausea, fever of 104 degrees Fahrenheit verified through personal oral thermometer, Tinitis on Left ear with intermittent effect.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fall, Hyperhidrosis
Clinical narrative: Patient became weak and fell to the floor.  Patient felt lightheaded and was sweating profusely. We monitored his blood pressure and it was 104/65 with a pulse of 45. The patient never lost conciousness. We monitored his BP and HR over the next 30 minutes and it eventually went back to normal of 134/86 with HR of 57.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy
Clinical narrative: superclavicular lymphadenopathy  on the left side
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Chills, Dizziness, Erythema, Fatigue
Clinical narrative: superclavicular lymphadenopathy  on the left side
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Lymph node pain, Lymphadenopathy, Muscle spasms, Neck pain
Clinical narrative: superclavicular lymphadenopathy  on the left side
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: superclavicular lymphadenopathy  on the left side
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Patient has a history of vasovagal syncope when getting vaccines. Patient received COVID vaccine and about 30 seconds later passed out. Patient did not fall. Nurse was able to stabilize him.  Within 15 seconds patient regained consciousness and was fine.  Patient with no injuries or issues after. Was able to ambulate with no issues.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Fever, chills, muscle ache, headache, weakness. No special treatment; just rest, aspirin, drinking fluids. Lasted about 24 hours; felt fine the next day. Note: no reaction to first COVID vaccine injection 3 weeks earlier.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Angina pectoris
Clinical narrative: Patient presented to the ED on 2/24/21 with STEMI and was subsequently hospitalized. He also presented to the ED on 3/18/21 with stable angina.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Headache, Paraesthesia
Clinical narrative: same day - headache, extremities tingly, chills. Next day - headache, mental fogginess
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The dose for the Moderna vaccine is 0.5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the excess dose could potentially lead to side effects that could be local or systemic. No serious adverse events were experienced by the patient.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Rash
Clinical narrative: Plus one day: prickly all over; don't touch me feeling similar to the feeling at the beginning of a common cold or herpes outbreak. 600 mg ibuprofen mitigated symptoms  Plus two days: rash covering 80% of abdomen
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I am experiencing non stop bilateral tinnitus in my ears.  It began as a subtle sound like thousands of crickets chirping and is now a high pitched, high frequency type of sound.   I had my ears cleaned by my PCP's office and wax was extracted from one ear, but the other ear was clean.  the sound diminished for approx 12 hours and then returned worse than before.  In my own research online, I have found tinnitus to be one of the adverse affects of the Pfizer vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Heart rate decreased, Pacemaker syndrome, Tachycardia
Clinical narrative: I started having tachycardia (rate in 180s) at about 3am on 1/29/2021. This lasted for about 36 hours. It also felt like my heart rate would drop drastically. I have a pacemaker, so I downloaded my report and I could see that my pacing had doubled from my normal activity. I have had my pacemaker for 4 years and have always been at 1% use for my pacemaker. After the vaccine, my rate went up to 2% (I was requiring my pacemaker double from what I normally would). I downloaded my report again about a month later and it was still at 2% usage. I go for my 6 month pacemaker check in June and will see what the usage is at that time. My pacemaker is used when my heart goes into 3rd degree AV block. So according to my pacemaker report, I was going into 3rd degree heart block twice as much as I usually do, in addition to my heart rate racing in the 180-190s. My heart rate would be racing and then drastically drop so low my pacemaker would kick in.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Cough, Dyspnoea, Fibrin D dimer, Full blood count
Clinical narrative: 4/22/21- Cough, body aches, Sore throat- Drive up COVID test 4/27/21- Cough, increased SOB- Office visit, CBC, CMP. Given Augmentin, Azithromycin and Prednisone 4/30/21- Increased SOB- Office Visit, CBC, CMP, COVID CT and US
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Oropharyngeal pain, Pain, Pneumonitis, SARS-CoV-2 test negative
Clinical narrative: 4/22/21- Cough, body aches, Sore throat- Drive up COVID test 4/27/21- Cough, increased SOB- Office visit, CBC, CMP. Given Augmentin, Azithromycin and Prednisone 4/30/21- Increased SOB- Office Visit, CBC, CMP, COVID CT and US
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal, White blood cell count increased
Clinical narrative: 4/22/21- Cough, body aches, Sore throat- Drive up COVID test 4/27/21- Cough, increased SOB- Office visit, CBC, CMP. Given Augmentin, Azithromycin and Prednisone 4/30/21- Increased SOB- Office Visit, CBC, CMP, COVID CT and US
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine recipient was a minor (17 y/o) and was given the  MODERNA Covid-19 vaccine, instead of the PFIZER Covid-19 vaccine. There was a miscommunication and after multiple verbal verifications of age and consent the vaccinator did not confirm the vaccine was PFIZER and instead administered MODERNA. After vaccination, the guardian gave the vaccinator the orange "Pfizer ONLY" paper placard and it was then the vaccinator realized the minor was given the wrong presentation of vaccine. The vaccinator alerted the lead clinician on site, and another individual, spoke with the guardian and explained the medical error that occured and answered any questions or concerns that arose.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Seizure, Tremor
Clinical narrative: 15 minutes post vaccine patient said she did not feel well. I noticed her arms starting to tremor she then went into a seizure. She had 2 seizures lasting about 1 minute a piece a few minutes apart. An ambulance was called. Patient refused to be seen at the hospital.  The person with her stated she has seizures and has had one recently.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain
Clinical narrative: The patients complain of headache and a sore throat , we put on her on oxygen and verify her blood pressure and then we call 911, the 911 arrive to the store and tranfer the the patient to the hospital.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea
Clinical narrative: Severe abdominal pain, diarrhea
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Bronchitis, Chest X-ray, Dyspnoea, Electrocardiogram
Clinical narrative: 2 days after receiving vaccine pt developed sudden onset of difficulty breathing.  He could not take a breath in. Denies cough, wheezing, fever or URI sx. Went to ER and diagnosed with bronchitis and pleurisy.  Given albuterol, medrol and toradol.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pleurisy
Clinical narrative: 2 days after receiving vaccine pt developed sudden onset of difficulty breathing.  He could not take a breath in. Denies cough, wheezing, fever or URI sx. Went to ER and diagnosed with bronchitis and pleurisy.  Given albuterol, medrol and toradol.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain
Clinical narrative: Patient had severe aching after wk of vaccination starting (4/20/21) and currently still has (5/3/21) with difficulty getting out of bed
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Deep vein thrombosis, Pulmonary embolism, Thrombectomy, Ultrasound scan
Clinical narrative: Large DVT and pulmonary embolism requiring anticoagulation and hospitalization. Also found to have a large fibroid uterus compressing IVC which likely contributed to IVC. Patient ended up needing mechanical thrombectomy to help relieve clot burden.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine leiomyoma
Clinical narrative: Large DVT and pulmonary embolism requiring anticoagulation and hospitalization. Also found to have a large fibroid uterus compressing IVC which likely contributed to IVC. Patient ended up needing mechanical thrombectomy to help relieve clot burden.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Breast disorder female, Lymphadenopathy, Mammogram, Ultrasound scan
Clinical narrative: Right arm enlarged axillary lymph nodes and right breast discomfort
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Blood glucose normal, Blood immunoglobulin G normal, Blood immunoglobulin M, Computerised tomogram head normal
Clinical narrative: Bell's Palsy.  Developed right-side facial paralysis 4/30/21 12:00PM involving forehead, eye and mouth.  Evaluated in ED 4/30/21 6:00PM.  Diagnosed with Bell's palsy based on physical examination and imaging.  Discharged to home 4/30/21 9:00PM.  Prescribed 60mg prednisone q.d. x 5 days; 1g valcyclovir t.i.d.  x 7 days.  Follow-up with primary care.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Full blood count normal, Immunology test
Clinical narrative: Bell's Palsy.  Developed right-side facial paralysis 4/30/21 12:00PM involving forehead, eye and mouth.  Evaluated in ED 4/30/21 6:00PM.  Diagnosed with Bell's palsy based on physical examination and imaging.  Discharged to home 4/30/21 9:00PM.  Prescribed 60mg prednisone q.d. x 5 days; 1g valcyclovir t.i.d.  x 7 days.  Follow-up with primary care.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis, Paraesthesia
Clinical narrative: Several weeks after the 2nd vaccine, I started having slight nose bleeds, this lasted for 2 weeks then stopped. After that I noticed my arms, fingers tingling like when they go to sleep. this was happening throughout the day getting worse. I took my BP and the Diastolic number was in the 60's sometimes 50's. I stopped taking my BP medication (been 2 weeks now) and the tingling has stopped, but my Diastolic # is till low, in the 60s. I have an appointment this Thursday, May 6 with the above doctor for a checkup and will make her aware of this reaction. I will see my cardiologist in June, who is the one who placed me on BP medication in 2014 and will ask him what to do.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactic acid decreased, C-reactive protein increased, Dizziness
Clinical narrative: Patient experienced hives/rash within first half-hour of receiving the vaccine. She took Benadryl and rash subsided. Pt woke up the next day (4/4/21) feeling ill with heart racing, hypertension, and headache. She was scheduled to have an infusion appointment 4/5/21, which was canceled when she was found to have elevated liver enzymes and very high blood pressure. Patient went to ED on 4/6/21 for high blood pressure, lightheadedness, and headache.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypertension, Malaise, Palpitations, Rash
Clinical narrative: Patient experienced hives/rash within first half-hour of receiving the vaccine. She took Benadryl and rash subsided. Pt woke up the next day (4/4/21) feeling ill with heart racing, hypertension, and headache. She was scheduled to have an infusion appointment 4/5/21, which was canceled when she was found to have elevated liver enzymes and very high blood pressure. Patient went to ED on 4/6/21 for high blood pressure, lightheadedness, and headache.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient experienced hives/rash within first half-hour of receiving the vaccine. She took Benadryl and rash subsided. Pt woke up the next day (4/4/21) feeling ill with heart racing, hypertension, and headache. She was scheduled to have an infusion appointment 4/5/21, which was canceled when she was found to have elevated liver enzymes and very high blood pressure. Patient went to ED on 4/6/21 for high blood pressure, lightheadedness, and headache.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Erythema
Clinical narrative: arm was "bruised and red" pt "just noticed it today"
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. She also presented to the ED on 4/1/21.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The dose for the Moderna vaccine is 0.5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the excess dose could potentially lead to side effects that could be local or systemic. No serious adverse events were experienced by the patient.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Dose 1: Eight days following the first dose, I developed a red rash around the injection site. It was approximately 4x3", itchy, and warm to the touch. It persisted for three days, getting less red as time went on.   Dose 2: The night of the second dose, I had chills and then around 8pm I developed a fever (100F) and tried to sleep. I woke up around midnight with a temperature of (104F) and a headache. I took 500mg of ibuprofen and stayed in bed. At 2am my temperature was (102F) and stayed around 102 until 8am that morning. I ensured to stay hydrated during this time.The day after the vaccine I had a fever around (100F) until 6:30pm and took an additional 200mg of ibuprofen.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: c/o right arm pain  from shoulder to wrist onset a couple of days post vaccination.  states pain is constant, sharp and achy, has not taken any medication or received any treatment.  not worse with movement. states nothing makes it worse or better.  rates 9 out of 10 on 0-10 pain scale.   patient reported to receive dose # 2 today, but reported above symptoms.  instructed to follow up with PCP prior to receiving dose # 2.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Palpitations, Vision blurred
Clinical narrative: 20-30 minutes after Pfizer vaccine patient became light headed, felt dizzy with blurred vision and some heart palpitations
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Nausea, Pruritus, Pyrexia
Clinical narrative: I fainted the morning after receiving my second dose of the Moderna vaccine.  I had a slight fever, chills, and nasuea, and was walking to the bathroom when I lost consciousness for a few seconds.   Three days after receiving the 2nd dose of the vaccine, I broke out in itchy hives on my hands and feet.  This issues has not resolved, yet.  My fever, chills, nausea, and dizziness has resolved, though.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Urticaria
Clinical narrative: I fainted the morning after receiving my second dose of the Moderna vaccine.  I had a slight fever, chills, and nasuea, and was walking to the bathroom when I lost consciousness for a few seconds.   Three days after receiving the 2nd dose of the vaccine, I broke out in itchy hives on my hands and feet.  This issues has not resolved, yet.  My fever, chills, nausea, and dizziness has resolved, though.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle tightness, Pain in extremity
Clinical narrative: Following day, minor soreness & numbness of upper left arm Day 3, continued numbness of arm & also shoulder area As of May 3rd, numbness still present along with some tightness on left side of neck
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Fall, Feeling abnormal
Clinical narrative: After 10 minutes after administering the vaccine, the patient fell on the floor dazed. Face was completely red. After a few minutes he was able to respond. Called 911 and the ambulance arrived. The paramedics attended to him. He was able to stand and was assisted to the ambulance for further evaluation.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Presyncope
Clinical narrative: Vasovagal event with hypotension and dizziness after vaccine (patient stated did not eat that morning)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram abnormal, Anticoagulant therapy, Blood lactate dehydrogenase increased, Blood potassium decreased, Brain natriuretic peptide increased
Clinical narrative: 4/9/21 Pt had URI symptoms. She was seen at a Minute Clinic. Tested negative for Sars-Co-V-2 4/12 Had continued symptoms. Test positive for SARS-CoV-2 4/15 Treated with mAB 4/17 Presented to ED w/nausea and decreased appetite. Vitals stable. No hypoxemia. +electrolyte imbalance K+ was 2.9. Given IFV and K repletion and discharged to home 4/19 Started on Zpack and Decadron as outpt 4/21 Returned to ED with increasing SOB and reported home pulse ox 75-82% w/ exertion. In ED, sats in low 90's. Tachypnea with RR24-28. CTA + for PNA and new PE Discharge summary : Pulmonary embolus Likely secondary to COVID-19 infection; HRT possibly contributing Chest CTA showed a small subsegmental pulmonary embolus in the left lower lobe.  Flattening of the interventricular septum possibly indicating acute right heart strain Lovenox 1 mg/kg twice daily in the hospital and transitioned to Eliquis at discharge  Patient currently on estrogen placement therapy-discontinued     Covid-19 Virus Infection Date of onset of symptoms: 4/9/2021 Symptoms present on admission: Productive cough, dyspnea Date of covid positive test: 4/12/2021 Vaccination status: First dose given on 3/31/2021 Special isolation anticipated end date: 4/22/2021 if symptomatically improving Imaging: Chest CTA with interval worsening of diffuse interstitial infiltrates  Oxygen requirements on admission: Room air Current oxygen requirements: Room air Medical therapy: Continue oral Decadron 6 mg daily Consultants following: None Inflammatory markers: LDH 306, ferritin 507, CRP 54.3 and D-dimer 2.07 Disharged on codeine cough syrup and Tessalon for persistent cough
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, Decreased appetite, Dyspnoea, Echocardiogram normal
Clinical narrative: 4/9/21 Pt had URI symptoms. She was seen at a Minute Clinic. Tested negative for Sars-Co-V-2 4/12 Had continued symptoms. Test positive for SARS-CoV-2 4/15 Treated with mAB 4/17 Presented to ED w/nausea and decreased appetite. Vitals stable. No hypoxemia. +electrolyte imbalance K+ was 2.9. Given IFV and K repletion and discharged to home 4/19 Started on Zpack and Decadron as outpt 4/21 Returned to ED with increasing SOB and reported home pulse ox 75-82% w/ exertion. In ED, sats in low 90's. Tachypnea with RR24-28. CTA + for PNA and new PE Discharge summary : Pulmonary embolus Likely secondary to COVID-19 infection; HRT possibly contributing Chest CTA showed a small subsegmental pulmonary embolus in the left lower lobe.  Flattening of the interventricular septum possibly indicating acute right heart strain Lovenox 1 mg/kg twice daily in the hospital and transitioned to Eliquis at discharge  Patient currently on estrogen placement therapy-discontinued     Covid-19 Virus Infection Date of onset of symptoms: 4/9/2021 Symptoms present on admission: Productive cough, dyspnea Date of covid positive test: 4/12/2021 Vaccination status: First dose given on 3/31/2021 Special isolation anticipated end date: 4/22/2021 if symptomatically improving Imaging: Chest CTA with interval worsening of diffuse interstitial infiltrates  Oxygen requirements on admission: Room air Current oxygen requirements: Room air Medical therapy: Continue oral Decadron 6 mg daily Consultants following: None Inflammatory markers: LDH 306, ferritin 507, CRP 54.3 and D-dimer 2.07 Disharged on codeine cough syrup and Tessalon for persistent cough
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Electrolyte imbalance, Fibrin D dimer, Lung infiltration, Nausea
Clinical narrative: 4/9/21 Pt had URI symptoms. She was seen at a Minute Clinic. Tested negative for Sars-Co-V-2 4/12 Had continued symptoms. Test positive for SARS-CoV-2 4/15 Treated with mAB 4/17 Presented to ED w/nausea and decreased appetite. Vitals stable. No hypoxemia. +electrolyte imbalance K+ was 2.9. Given IFV and K repletion and discharged to home 4/19 Started on Zpack and Decadron as outpt 4/21 Returned to ED with increasing SOB and reported home pulse ox 75-82% w/ exertion. In ED, sats in low 90's. Tachypnea with RR24-28. CTA + for PNA and new PE Discharge summary : Pulmonary embolus Likely secondary to COVID-19 infection; HRT possibly contributing Chest CTA showed a small subsegmental pulmonary embolus in the left lower lobe.  Flattening of the interventricular septum possibly indicating acute right heart strain Lovenox 1 mg/kg twice daily in the hospital and transitioned to Eliquis at discharge  Patient currently on estrogen placement therapy-discontinued     Covid-19 Virus Infection Date of onset of symptoms: 4/9/2021 Symptoms present on admission: Productive cough, dyspnea Date of covid positive test: 4/12/2021 Vaccination status: First dose given on 3/31/2021 Special isolation anticipated end date: 4/22/2021 if symptomatically improving Imaging: Chest CTA with interval worsening of diffuse interstitial infiltrates  Oxygen requirements on admission: Room air Current oxygen requirements: Room air Medical therapy: Continue oral Decadron 6 mg daily Consultants following: None Inflammatory markers: LDH 306, ferritin 507, CRP 54.3 and D-dimer 2.07 Disharged on codeine cough syrup and Tessalon for persistent cough
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Productive cough, Pulmonary embolism, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: 4/9/21 Pt had URI symptoms. She was seen at a Minute Clinic. Tested negative for Sars-Co-V-2 4/12 Had continued symptoms. Test positive for SARS-CoV-2 4/15 Treated with mAB 4/17 Presented to ED w/nausea and decreased appetite. Vitals stable. No hypoxemia. +electrolyte imbalance K+ was 2.9. Given IFV and K repletion and discharged to home 4/19 Started on Zpack and Decadron as outpt 4/21 Returned to ED with increasing SOB and reported home pulse ox 75-82% w/ exertion. In ED, sats in low 90's. Tachypnea with RR24-28. CTA + for PNA and new PE Discharge summary : Pulmonary embolus Likely secondary to COVID-19 infection; HRT possibly contributing Chest CTA showed a small subsegmental pulmonary embolus in the left lower lobe.  Flattening of the interventricular septum possibly indicating acute right heart strain Lovenox 1 mg/kg twice daily in the hospital and transitioned to Eliquis at discharge  Patient currently on estrogen placement therapy-discontinued     Covid-19 Virus Infection Date of onset of symptoms: 4/9/2021 Symptoms present on admission: Productive cough, dyspnea Date of covid positive test: 4/12/2021 Vaccination status: First dose given on 3/31/2021 Special isolation anticipated end date: 4/22/2021 if symptomatically improving Imaging: Chest CTA with interval worsening of diffuse interstitial infiltrates  Oxygen requirements on admission: Room air Current oxygen requirements: Room air Medical therapy: Continue oral Decadron 6 mg daily Consultants following: None Inflammatory markers: LDH 306, ferritin 507, CRP 54.3 and D-dimer 2.07 Disharged on codeine cough syrup and Tessalon for persistent cough
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin increased, Tachypnoea, Troponin normal, Ultrasound Doppler
Clinical narrative: 4/9/21 Pt had URI symptoms. She was seen at a Minute Clinic. Tested negative for Sars-Co-V-2 4/12 Had continued symptoms. Test positive for SARS-CoV-2 4/15 Treated with mAB 4/17 Presented to ED w/nausea and decreased appetite. Vitals stable. No hypoxemia. +electrolyte imbalance K+ was 2.9. Given IFV and K repletion and discharged to home 4/19 Started on Zpack and Decadron as outpt 4/21 Returned to ED with increasing SOB and reported home pulse ox 75-82% w/ exertion. In ED, sats in low 90's. Tachypnea with RR24-28. CTA + for PNA and new PE Discharge summary : Pulmonary embolus Likely secondary to COVID-19 infection; HRT possibly contributing Chest CTA showed a small subsegmental pulmonary embolus in the left lower lobe.  Flattening of the interventricular septum possibly indicating acute right heart strain Lovenox 1 mg/kg twice daily in the hospital and transitioned to Eliquis at discharge  Patient currently on estrogen placement therapy-discontinued     Covid-19 Virus Infection Date of onset of symptoms: 4/9/2021 Symptoms present on admission: Productive cough, dyspnea Date of covid positive test: 4/12/2021 Vaccination status: First dose given on 3/31/2021 Special isolation anticipated end date: 4/22/2021 if symptomatically improving Imaging: Chest CTA with interval worsening of diffuse interstitial infiltrates  Oxygen requirements on admission: Room air Current oxygen requirements: Room air Medical therapy: Continue oral Decadron 6 mg daily Consultants following: None Inflammatory markers: LDH 306, ferritin 507, CRP 54.3 and D-dimer 2.07 Disharged on codeine cough syrup and Tessalon for persistent cough
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Injection site erythema, Injection site warmth, Pain
Clinical narrative: The first day I was fine until about 11:30p.m. I started to have  fever and body aches. Then the next morning I started vomiting about 11:30am and again at 1:30pm. I became very weak and couldn't hold anything down. My wife took me to the ER and I was given iv fluids and nausea medicine, ibuprofen, Benadryl, and Toradol for my headache.  I was then released after a bag of fluids . The following day my injection site had a red circle the size of a large grapefruit and was warm to touch and I still have a light red circle around injection site.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: The first day I was fine until about 11:30p.m. I started to have  fever and body aches. Then the next morning I started vomiting about 11:30am and again at 1:30pm. I became very weak and couldn't hold anything down. My wife took me to the ER and I was given iv fluids and nausea medicine, ibuprofen, Benadryl, and Toradol for my headache.  I was then released after a bag of fluids . The following day my injection site had a red circle the size of a large grapefruit and was warm to touch and I still have a light red circle around injection site.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Body temperature increased, Dizziness, Headache, Hypoacusis
Clinical narrative: After injection I too seat to wait 15-20 minutes. Immediately I started to lose peripheral vision and then my hearing....I called for help. They took me in a room to lay down and said my blood pressure had dropped vary low.  After an out of doing better I just needed t get home. So another hour passes and I get home, go directly to bed and what seems like a bad flu begins.   That night my temperature continues to climb, the aches and headache are horrible.  I continue fevers for 3 nights.  Feel a little better and then with 2 days it relapse and all starts again.  I am in bed for 1 and 1/2 weeks, then stay home due to continued headache, dizziness.  After 3 weeks the dizziness continues and I then start getting an aching pain in the back of my left leg.  Seeing my doctor on May 11th and hope to discuss.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Visual field defect
Clinical narrative: After injection I too seat to wait 15-20 minutes. Immediately I started to lose peripheral vision and then my hearing....I called for help. They took me in a room to lay down and said my blood pressure had dropped vary low.  After an out of doing better I just needed t get home. So another hour passes and I get home, go directly to bed and what seems like a bad flu begins.   That night my temperature continues to climb, the aches and headache are horrible.  I continue fevers for 3 nights.  Feel a little better and then with 2 days it relapse and all starts again.  I am in bed for 1 and 1/2 weeks, then stay home due to continued headache, dizziness.  After 3 weeks the dizziness continues and I then start getting an aching pain in the back of my left leg.  Seeing my doctor on May 11th and hope to discuss.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Feeling hot
Clinical narrative: Sat in recovery for 30 minutes before stating to the monitor that he felt lightheaded, hot.  His face was reddened and noted heavy hoody jacket around his neck.  He stated that he had not had much to drink today, so started to hydrate with water.  At 1:42 pm, VSS: 122/82-112 Hr-97% on room air.  His vitals were rechecked at 1:59 pm HR-107, O2 saturation: 97% on room air.  States that he works at specific location and needs the evening off to finish a paper that is due.  Attempted to call the place of employment as continues to feel lightheaded.  Card with contact information given to patient to show work and continued to hydrate until his release at 2:30 pm.  He was able to walk out on his own.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Faeces discoloured, Fatigue, Full blood count, Haemoptysis
Clinical narrative: Nose Bleed for 5 & 1/2 hours on 04/25/2021 Coughing Large chunks of Dark Blood 04/25/2021 Black Stool on 04/26/2021 - patient is better and improving Severe Fatigue Rash on Chest, Arms and Thighs, Upper Chest, Under Bilateral Breasts
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Rash
Clinical narrative: Nose Bleed for 5 & 1/2 hours on 04/25/2021 Coughing Large chunks of Dark Blood 04/25/2021 Black Stool on 04/26/2021 - patient is better and improving Severe Fatigue Rash on Chest, Arms and Thighs, Upper Chest, Under Bilateral Breasts
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The dose for the Moderna vaccine is 0.5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the excess dose could potentially lead to side effects that could be local or systemic. No serious adverse events were experienced by the patient.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Fatigue, Headache, Lymphadenopathy, Malaise
Clinical narrative: Patient complained of not feeling well and fatigued hours after receiving her 2nd dose of the Covid vaccine. Patient stated that within 36 hours after receiving the vaccine that she fainted, had two bloody noses, multiple muscle cramps in her hand and legs, headaches, and swollen lymph nodes throughout body.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Syncope
Clinical narrative: Patient complained of not feeling well and fatigued hours after receiving her 2nd dose of the Covid vaccine. Patient stated that within 36 hours after receiving the vaccine that she fainted, had two bloody noses, multiple muscle cramps in her hand and legs, headaches, and swollen lymph nodes throughout body.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Oropharyngeal pain, Panic reaction, Pruritus, Throat tightness
Clinical narrative: Right ear itchy after getting vaccine. Around 3 pm Right ear itchy, throat tight , sore under jaw like when you swallow clearing throat .No problem eating dinner.7 pm Trouble swallowing feels stuck when swallows food, esophagus tight. 10 pm took Benadryl . Panicky at 12 midnight. Benadryl helped still feels tight  did not want to take second benadryl . Watched until 1:30 am felt tightness under chin but esophagus relaxed. Ringing in ears Saturday all day and still has it. Started Friday but has gotten worse. was told to inform patient to go to PCP.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Right ear itchy after getting vaccine. Around 3 pm Right ear itchy, throat tight , sore under jaw like when you swallow clearing throat .No problem eating dinner.7 pm Trouble swallowing feels stuck when swallows food, esophagus tight. 10 pm took Benadryl . Panicky at 12 midnight. Benadryl helped still feels tight  did not want to take second benadryl . Watched until 1:30 am felt tightness under chin but esophagus relaxed. Ringing in ears Saturday all day and still has it. Started Friday but has gotten worse. was told to inform patient to go to PCP.
Age: 20.0
Sex: F
Vaccine: UNK
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Rash on stomach, sides, and under arms that started on Saturday after covid-19 vaccination. Not super noticeable, but it is red and very itchy. Still there to this day
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Influenza like illness
Clinical narrative: Headache, tiredness, fever, chills, nausea, diarrhea (feels like the flu)
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Headache, tiredness, fever, chills, nausea, diarrhea (feels like the flu)
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Ever since i got the shot. 3 times alreasy i have nose bleed. Never happen like that before
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood bilirubin increased
Clinical narrative: Per PCP visit note 4/28/2021: Patient reports has had some malaise, labile sugars, insulin resistance for past 2 weeks which he notes began about 2-3 weeks after initial Covid Moderna vaccine.  He then reports over past 4-5 days has felt dehydrated, dark urine, and now with some abdominal distension, nausea, and fatigue.  Normal bowel movements.  Able to eat, no Tylenol or alcohol use.  All meds stopped by Endo due to lab results except his insulin.    Did find a note that states he received 2nd Moderna vaccine but also noted that his Endo suggested he should not get the 2nd dose.  Our Immunization system did not pull in a 2nd dose.  Also was some confusion as to whether he got Pfizer or Moderna, but the system did show Moderna given 3/30.  Plan: CT scan, stay off all meds except insulin, PharmD review of meds and report to VAERs, schedule f/u with GI (will see in ~ 2months)  CT Scan of abdomen/pelvis: no acute findings  Will continue to f/u with PCP and watch lab to be sure numbers are improving.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, C-reactive protein normal, Chromaturia, Computerised tomogram abdomen normal, Computerised tomogram pelvis
Clinical narrative: Per PCP visit note 4/28/2021: Patient reports has had some malaise, labile sugars, insulin resistance for past 2 weeks which he notes began about 2-3 weeks after initial Covid Moderna vaccine.  He then reports over past 4-5 days has felt dehydrated, dark urine, and now with some abdominal distension, nausea, and fatigue.  Normal bowel movements.  Able to eat, no Tylenol or alcohol use.  All meds stopped by Endo due to lab results except his insulin.    Did find a note that states he received 2nd Moderna vaccine but also noted that his Endo suggested he should not get the 2nd dose.  Our Immunization system did not pull in a 2nd dose.  Also was some confusion as to whether he got Pfizer or Moderna, but the system did show Moderna given 3/30.  Plan: CT scan, stay off all meds except insulin, PharmD review of meds and report to VAERs, schedule f/u with GI (will see in ~ 2months)  CT Scan of abdomen/pelvis: no acute findings  Will continue to f/u with PCP and watch lab to be sure numbers are improving.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dehydration, Diabetes mellitus inadequate control, Fatigue, Full blood count normal
Clinical narrative: Per PCP visit note 4/28/2021: Patient reports has had some malaise, labile sugars, insulin resistance for past 2 weeks which he notes began about 2-3 weeks after initial Covid Moderna vaccine.  He then reports over past 4-5 days has felt dehydrated, dark urine, and now with some abdominal distension, nausea, and fatigue.  Normal bowel movements.  Able to eat, no Tylenol or alcohol use.  All meds stopped by Endo due to lab results except his insulin.    Did find a note that states he received 2nd Moderna vaccine but also noted that his Endo suggested he should not get the 2nd dose.  Our Immunization system did not pull in a 2nd dose.  Also was some confusion as to whether he got Pfizer or Moderna, but the system did show Moderna given 3/30.  Plan: CT scan, stay off all meds except insulin, PharmD review of meds and report to VAERs, schedule f/u with GI (will see in ~ 2months)  CT Scan of abdomen/pelvis: no acute findings  Will continue to f/u with PCP and watch lab to be sure numbers are improving.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Insulin resistance, Liver function test normal, Malaise, Metabolic function test normal, Nausea
Clinical narrative: Per PCP visit note 4/28/2021: Patient reports has had some malaise, labile sugars, insulin resistance for past 2 weeks which he notes began about 2-3 weeks after initial Covid Moderna vaccine.  He then reports over past 4-5 days has felt dehydrated, dark urine, and now with some abdominal distension, nausea, and fatigue.  Normal bowel movements.  Able to eat, no Tylenol or alcohol use.  All meds stopped by Endo due to lab results except his insulin.    Did find a note that states he received 2nd Moderna vaccine but also noted that his Endo suggested he should not get the 2nd dose.  Our Immunization system did not pull in a 2nd dose.  Also was some confusion as to whether he got Pfizer or Moderna, but the system did show Moderna given 3/30.  Plan: CT scan, stay off all meds except insulin, PharmD review of meds and report to VAERs, schedule f/u with GI (will see in ~ 2months)  CT Scan of abdomen/pelvis: no acute findings  Will continue to f/u with PCP and watch lab to be sure numbers are improving.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Musculoskeletal stiffness, Neck pain
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Neck pain on left side of neck (same side I got the needle in). Mild pain began on Saturday night, went away and returned on Sunday night (still mild), went away and returned on Monday night. Beginning Monday night, the pain was severe and severe pain lasted until the following Saturday (5 days). Neck was stiff, hot to touch, and in pain even when not moving it. Advil helped but did not fully resolve. On Saturday afternoon, the pain decreased suddenly and pain completely subsided by around Tuesday.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: pt c/o dizziness, alert and verbal - no change vitals  151/92 Pulse -94 bpm, 98% RA,  RR-18cpm  Patient rested and avised to take some fluids. Drank water. patient stable before going home.  Patient stable before going home. patient verbalized releif from dizziness after resting.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Chest pain
Clinical narrative: Patient received first Pfizer COVID vaccination 3 days ago at an outside facility and has presented today to our facility with chest pain found to be acute coronary syndrome.  Patient is daily smoker, BMI of 35.5, and drinks 5-6 drinks daily.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: DX with COVID on 1/24/2021
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Itch started around stomach area, first thought it was a bug bite. Eventually hives started spreading all over the chest, back, under the arms, thighs, and now my hands and neck. Was not sure if this was caused by the vaccine until 5/1. Found out that this was a rare non-severe symptom, and  that's when I started taking allergy meds (Benadryl) for Antihistamines and it has relieved the itch temporary. Does not stop the spread of the itchiness.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: Vaccine administered 4pm on 4/12 8am 4/13: headache and soreness at injection site Noon on 4/13: chills and achiness, fever 99.5. Significant swelling, heat and redness and injection site Fever, chills, achiness resolved by 4/14 AM Redness, swelling and itchy rash at injection site 4/14 through 4/16
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Pain, Pyrexia, Rash pruritic
Clinical narrative: Vaccine administered 4pm on 4/12 8am 4/13: headache and soreness at injection site Noon on 4/13: chills and achiness, fever 99.5. Significant swelling, heat and redness and injection site Fever, chills, achiness resolved by 4/14 AM Redness, swelling and itchy rash at injection site 4/14 through 4/16
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Eczema, Rash
Clinical narrative: - Lightheadedness for 9 days - Rashes / eczema on both arms (never had a rash a day in my life) - Stomach cramps on days 4-6 (and diarrhea)  - Slept all of day 3 - Slept until 1:30 pm on day 4 - Nap on day 5
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: - Lightheadedness for 9 days - Rashes / eczema on both arms (never had a rash a day in my life) - Stomach cramps on days 4-6 (and diarrhea)  - Slept all of day 3 - Slept until 1:30 pm on day 4 - Nap on day 5
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Erythema, Fatigue, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Hives and wheezing within 2 hours. Had itching redness also.  Very heavy period started within 2 days with severe cramping and large blood clots.  That lasted for several days then stopped then started again.  Still experiencing side effects one week later.  Also felt nauseous and tired.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pruritus, Urticaria, Wheezing
Clinical narrative: Hives and wheezing within 2 hours. Had itching redness also.  Very heavy period started within 2 days with severe cramping and large blood clots.  That lasted for several days then stopped then started again.  Still experiencing side effects one week later.  Also felt nauseous and tired.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Injection site pain, Injection site warmth, Nausea
Clinical narrative: Fever up to 102F, aches, chills, and slight nausea for 24 straight hours. Loss of appetite. Left arm was sore, felt hot to the touch at injection site. Took 1000g of Tylenol Extra Strength at 2:30 am, 9:30 am, 2:30 pm, 10pm.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever up to 102F, aches, chills, and slight nausea for 24 straight hours. Loss of appetite. Left arm was sore, felt hot to the touch at injection site. Took 1000g of Tylenol Extra Strength at 2:30 am, 9:30 am, 2:30 pm, 10pm.