chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Hypoaesthesia, Hypoaesthesia oral, Magnetic resonance imaging, Magnetic resonance imaging head abnormal
Clinical narrative: Patient developed numbness of lips within 2 hours and left side of face. patient developed a burning sensation on Left side of head later that day. Right foot started going numb 3 days later and then spread to shin after  3 days  and by 1 week spread to waist and Left side of chest also. Patient then developed numbness in left leg and in perineal area.  MRI lumbar spine was done to evaluate patient's history of herniated disc which had no significant change from previous MRI. So a brain MRI was ordered and patient was referred to a Neurologist
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging neck
Clinical narrative: Patient developed numbness of lips within 2 hours and left side of face. patient developed a burning sensation on Left side of head later that day. Right foot started going numb 3 days later and then spread to shin after  3 days  and by 1 week spread to waist and Left side of chest also. Patient then developed numbness in left leg and in perineal area.  MRI lumbar spine was done to evaluate patient's history of herniated disc which had no significant change from previous MRI. So a brain MRI was ordered and patient was referred to a Neurologist
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, Chills, Headache, Injection site pain, Myalgia
Clinical narrative: Pain where they administered the shot and fatigued the rest of the day and the next. At 3am the next day woke up with a fever of 102F, muscle pain, chills and a headache. 30 minutes later I vomited. Took Tylenol. Woke up at 10am with a fever of 100F, muscle pain, chills (not severe as earlier), headache (not as severe) and eye strain very severe. (I wear glasses but I?ve never had eye strain this severe)
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Pain where they administered the shot and fatigued the rest of the day and the next. At 3am the next day woke up with a fever of 102F, muscle pain, chills and a headache. 30 minutes later I vomited. Took Tylenol. Woke up at 10am with a fever of 100F, muscle pain, chills (not severe as earlier), headache (not as severe) and eye strain very severe. (I wear glasses but I?ve never had eye strain this severe)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Headache, Fatigue, body aches for 24 hours (started 3/19/21) Additionally on 3/23/21 GI distress and headache, fatigue for about 12 hours
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Sleep disorder
Clinical narrative: Headache. Uncontrollable shivering.  Fatigue.  Intermittent sleep.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Erythema, Feeling abnormal
Clinical narrative: I got the shot they had to clean up my arm because I was cleaning and put pressure on the arm. I sat for 30 mins. My chest felt a little funny. about 9am my face was really red, I got my BP checked 188/85 Oxygen was good and Dr said  to take benadryl and took two right away and I took 2 more after 6 hours, symptoms subsided that evening. My BP stayed high and I felt not good, I had pressure in my chest and some pressure on the left and right side of my breast,  BP was 177 at 4pm. I went home to bed I woke up with pressure again in my chest. I went to the Dr and he said come back in two weeks and see how you are, I went in this last monday and he put me on medication for high blood pressure
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Balance disorder, Hypertension, Hypertensive emergency, Hypertensive urgency
Clinical narrative: Patient received first dose of Pfizer vaccine 3/24/21. Patient became unsteady and was directed to stretcher. Patient has a hx of HTN and reports not taking his BP medication for "a while." Patient was unsure what BP medication he was on. Reports potentially taking Lasix and Vit K. Patient reports not eating or drinking prior to receiving the vaccination. Alert and oriented. Denies SOB/chest pain.     Vitals taken at 10:45AM:  BP 197/11  HR 75 SPO2 98% RA   ED rapid response called. Pt unable to stand up from stretcher.   Patient was taken to ED and neurology was consulted.  Neurology noted:  55-year-old man past medical history of hypertension coming with uncontrolled hypertension systolic over 220.  Concern for gait instability, no evidence of strength weakness on any extremity with confrontational testing.  No evidence of change in altered mental status, no evidence of cranial nerve palsy, and no evidence of sensory loss.   No evidence of coordination problems with finger-to-nose testing and heel-to-shin testing bilaterally.  He exhibits 5 out of 5 confrontational testing to all extremities muscles as above albeit with giveaway weakness.  NIHSS 0.     Although patient presents within TPA window he has had no disabling symptoms and therefore is not a candidate for TPA.  Although the patient presents with a mechanical thrombectomy window he has no disabling symptoms and no evidence of LVO either on exam or my preliminary read of his CTA head and neck.  As such he is not a candidate for mechanical thrombectomy.   Symptoms do not localize well although patient presents with clear hypertensive urgency versus hypertensive emergency.  Would recommend full medical work-up for this condition as we rule out signs of acute ischemic stroke.   Patient passes dysphagia screen in the ED.  Recommendation: 1. Admit to Observation.  2. MRI brain without contrast 3. Obtain stroke labs A1c, TSH, lipid profile 4. PT OT consult evaluation and treat 5. Social worker and case management consult for stroke work-up
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test
Clinical narrative: Patient received first dose of Pfizer vaccine 3/24/21. Patient became unsteady and was directed to stretcher. Patient has a hx of HTN and reports not taking his BP medication for "a while." Patient was unsure what BP medication he was on. Reports potentially taking Lasix and Vit K. Patient reports not eating or drinking prior to receiving the vaccination. Alert and oriented. Denies SOB/chest pain.     Vitals taken at 10:45AM:  BP 197/11  HR 75 SPO2 98% RA   ED rapid response called. Pt unable to stand up from stretcher.   Patient was taken to ED and neurology was consulted.  Neurology noted:  55-year-old man past medical history of hypertension coming with uncontrolled hypertension systolic over 220.  Concern for gait instability, no evidence of strength weakness on any extremity with confrontational testing.  No evidence of change in altered mental status, no evidence of cranial nerve palsy, and no evidence of sensory loss.   No evidence of coordination problems with finger-to-nose testing and heel-to-shin testing bilaterally.  He exhibits 5 out of 5 confrontational testing to all extremities muscles as above albeit with giveaway weakness.  NIHSS 0.     Although patient presents within TPA window he has had no disabling symptoms and therefore is not a candidate for TPA.  Although the patient presents with a mechanical thrombectomy window he has no disabling symptoms and no evidence of LVO either on exam or my preliminary read of his CTA head and neck.  As such he is not a candidate for mechanical thrombectomy.   Symptoms do not localize well although patient presents with clear hypertensive urgency versus hypertensive emergency.  Would recommend full medical work-up for this condition as we rule out signs of acute ischemic stroke.   Patient passes dysphagia screen in the ED.  Recommendation: 1. Admit to Observation.  2. MRI brain without contrast 3. Obtain stroke labs A1c, TSH, lipid profile 4. PT OT consult evaluation and treat 5. Social worker and case management consult for stroke work-up
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise, Pallor
Clinical narrative: After receiving vaccine, patient complained of not feeling well and feeling faint. Patient laid on floor with feet elevated. Bp 96/58, P 70, R 18. Color was pale with no signs of respiratory distress or other skin changes noted. Given cool compress and juice. Transferred to cot to monitor for half hour. Before leaving patient noted to have pink color back to skin, was tolerating sitting without feeling dizzy, and vitals: Bp 110/80, P 88, R 16.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: Total loss of sense of smell, partial loss of sense of taste.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Lymph node pain, Mobility decreased
Clinical narrative: My right arm starting hurting 24 hours later, I cannot raise it up or down without lots of pain. I cannot move my arm around to my back without major pain. My left side of my neck-lymph note? hurts when I touch it. Aches and pains through my body, similar to a flu. Headache and very tired. My brain is foggy. This all happened approximately 26 hours later. I have iced, used heat and I buprofento try to calm the pain.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: My right arm starting hurting 24 hours later, I cannot raise it up or down without lots of pain. I cannot move my arm around to my back without major pain. My left side of my neck-lymph note? hurts when I touch it. Aches and pains through my body, similar to a flu. Headache and very tired. My brain is foggy. This all happened approximately 26 hours later. I have iced, used heat and I buprofento try to calm the pain.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Injection site erythema, Injection site pruritus
Clinical narrative: 2 wk after injection, 2ndary skin inflammation ( 2"x2") with itching  below injection site which also had renewed redness
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cardiac flutter, Fatigue, Heart rate abnormal, Loss of personal independence in daily activities
Clinical narrative: 27 hours later (Friday March 19th at 1:00 pm) I started feeling a very fluttery heart.  I sat still for the afternoon and noticed my resting heart rate bounce around. The highest was 129. On average it stayed around 89 for the next 2 days. (Usually mine is around 65)I was really tired but that could of been because I wasn?t getting good sleep as my heart was keeping me up. I lacked energy and the desire to do anything. This resumed until afternoon Sunday on the 21st. By late afternoon I had my energy back and felt like myself again. Still had some heart flutters but manageable and able to do daily activities again.  Today is March 24th and I still have some flutters but not too bad. Heart rate is back to normal.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: 27 hours later (Friday March 19th at 1:00 pm) I started feeling a very fluttery heart.  I sat still for the afternoon and noticed my resting heart rate bounce around. The highest was 129. On average it stayed around 89 for the next 2 days. (Usually mine is around 65)I was really tired but that could of been because I wasn?t getting good sleep as my heart was keeping me up. I lacked energy and the desire to do anything. This resumed until afternoon Sunday on the 21st. By late afternoon I had my energy back and felt like myself again. Still had some heart flutters but manageable and able to do daily activities again.  Today is March 24th and I still have some flutters but not too bad. Heart rate is back to normal.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: 3/20-3/21 : 12- 24 hrs after dose - fever, body aches 3/22:  strong headache, sore arm at injection site, body aches 3/23:  strong headache, joint pain, body aches 3/24:  strong headache, joint pain, body ache
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Mass, Pain, Pruritus, Skin warm
Clinical narrative: Large lump (Size of half dollar) warm to touch, itchy and slight pain
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Chills, Fatigue, Headache, Pain
Clinical narrative: Arm and breast pain on the side the vaccine was given. Chills for about 3 hours, extreme pain in the whole body, headache, tiredness.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Arm and breast pain on the side the vaccine was given. Chills for about 3 hours, extreme pain in the whole body, headache, tiredness.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Flatulence, Headache, Nausea, Pain in extremity, Peripheral swelling
Clinical narrative: Swollen & sore arm for 4 days. Gas for 18-20 hrs. Nausea for 2 wks. Headache on left side is still occurring.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Myalgia, Nausea
Clinical narrative: Fever, chills, sweats, nausea, muscle aches and headache. Happened about 12:30am.  Took some nausea medication and Tylenol.  Was able to get back to sleep after an hour of fighting off vomiting .  Nausea is mostly gone this morning.  Headache and muscle soreness still persist.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, sweats, nausea, muscle aches and headache. Happened about 12:30am.  Took some nausea medication and Tylenol.  Was able to get back to sleep after an hour of fighting off vomiting .  Nausea is mostly gone this morning.  Headache and muscle soreness still persist.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I had a rash on my back and my chest for 3-4 days.  ( It did not itch, just a rash)
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse.   NO ADVERSE REACTION, just reporting medication error.   Our Vaccine Task Force, after speaking with CDC and PA DOH, decided to offer the employee an additional COVID-19 vaccine dose.  Thanks.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Started rash late Saturday the 20th or early Sunday the 21st. Small bumps over both cheeks. The bumps do not currently hurt or itch.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: RED WELT ON INJECTION SITE THAT IS HOT, ITCHY, BURNS, AND IS GROWING IN SIZE DAILY.  TREATMENT TRIED BENADRYL AND APPLIED CORTISONE CREAM.  IT IS NOW DAY 5 AND I HAVE CONTACTED MY DOCTOR TO TRY TO GET AN APPOINTMENT.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: RED WELT ON INJECTION SITE THAT IS HOT, ITCHY, BURNS, AND IS GROWING IN SIZE DAILY.  TREATMENT TRIED BENADRYL AND APPLIED CORTISONE CREAM.  IT IS NOW DAY 5 AND I HAVE CONTACTED MY DOCTOR TO TRY TO GET AN APPOINTMENT.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Injection site pruritus, Injection site reaction, Injection site warmth, Pruritus
Clinical narrative: Burning, itching, hot at injection site and down the arm
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Burning, itching, hot at injection site and down the arm
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Rash
Clinical narrative: Pt stated she had received the vaccine and about 1 hour later started developing a rash around her arms. Pt took benadryl and took a hot shower. the next morning it was not better and pt stated that the rash was now burning. pt was advised to continue taking benadryl and contact dr
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Osteoarthritis, Pain
Clinical narrative: Lasting for 3 weeks as of today, all points of arthritis have extreme ache and pain requiring relief by taking ibuprofen. Arthritis in neck, thumb joints/hands, hips and knees. (Osteoarthritis)
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Cardiac stress test, Echocardiogram, Full blood count, Hypertensive urgency
Clinical narrative: Tachycardia, hypertensive urgency, paresthesia of the lips about 3 hours following vaccination
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Investigation, Metabolic function test, Paraesthesia oral, Tachycardia, Troponin
Clinical narrative: Tachycardia, hypertensive urgency, paresthesia of the lips about 3 hours following vaccination
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Rash erythematous
Clinical narrative: Redness/rash occurring at and around injection site.  Did not start until a few days after injection.  Itching starting one week after injection around injection site.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Nausea, Tremor
Clinical narrative: Shortly after receiving this vaccine, I had shaking and severe nausea to the point where I couldn't really get out of bed for several days. I missed work for these days. The nausea has persisted and I am on day 19 after the vaccine and am still having severe nausea. No chance of pregnancy
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aphasia, Cranial nerve disorder, Cranial nerve infection, Drooling, Dysphagia
Clinical narrative: March 20: Onset of SEVERE facial pain, left side. Cheek, ear, jaw area to occiput. March 22: Pain lessening, taking Gabapentin. March 23: Sudden onset of L facial paralysis, drooping, tearing, lips and tongue numb, trouble drinking and swallowing, difficulty speaking. Saw PCP, sent for stat MRI ER. Result show inflammation and compression of several cranial nerves. Put on high dose prednisone, antiviral, and upped Gabapentin dosage.  March 24: Today RIGHT side of face, numb lips, unable to smile, drooling and difficulty drinking and speaking.  L side of face the sam, no improvement. NOTE: Had 2nd Shingles vaccine dose on February 16th, 2021, 16 days after 2nd Moderna.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Facial pain, Facial paralysis, Hypoaesthesia oral, Lacrimation increased, Magnetic resonance imaging head
Clinical narrative: March 20: Onset of SEVERE facial pain, left side. Cheek, ear, jaw area to occiput. March 22: Pain lessening, taking Gabapentin. March 23: Sudden onset of L facial paralysis, drooping, tearing, lips and tongue numb, trouble drinking and swallowing, difficulty speaking. Saw PCP, sent for stat MRI ER. Result show inflammation and compression of several cranial nerves. Put on high dose prednisone, antiviral, and upped Gabapentin dosage.  March 24: Today RIGHT side of face, numb lips, unable to smile, drooling and difficulty drinking and speaking.  L side of face the sam, no improvement. NOTE: Had 2nd Shingles vaccine dose on February 16th, 2021, 16 days after 2nd Moderna.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ear pain, Facial pain, Magnetic resonance imaging head
Clinical narrative: March 20: Onset of SEVERE facial pain, left side. Cheek, ear, jaw area to occiput. March 22: Pain lessening, taking Gabapentin. March 23: Sudden onset of L facial paralysis, drooping, tearing, lips and tongue numb, trouble drinking and swallowing, difficulty speaking. Saw PCP, sent for stat MRI ER. Result show inflammation and compression of several cranial nerves. Put on high dose prednisone, antiviral, and upped Gabapentin dosage.  March 24: Today RIGHT side of face, numb lips, unable to smile, drooling and difficulty drinking and speaking.  L side of face the sam, no improvement. NOTE: Had 2nd Shingles vaccine dose on February 16th, 2021, 16 days after 2nd Moderna.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aphasia, Cranial nerve disorder, Cranial nerve infection, Drooling, Dysphagia
Clinical narrative: One week ago starting 3/17/2021, pt. developed severe left ear pain which progressed to left facial pain.  I evaluated her yesterday in clinic.  Over course of afternoon 3/23/2021, she developed left facial paralysis consistent with Bells Palsy.  I sent her for MRI which confirmed diagnosis.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Facial pain, Facial paralysis, Hypoaesthesia oral, Lacrimation increased, Magnetic resonance imaging head
Clinical narrative: One week ago starting 3/17/2021, pt. developed severe left ear pain which progressed to left facial pain.  I evaluated her yesterday in clinic.  Over course of afternoon 3/23/2021, she developed left facial paralysis consistent with Bells Palsy.  I sent her for MRI which confirmed diagnosis.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ear pain, Facial pain, Magnetic resonance imaging head
Clinical narrative: One week ago starting 3/17/2021, pt. developed severe left ear pain which progressed to left facial pain.  I evaluated her yesterday in clinic.  Over course of afternoon 3/23/2021, she developed left facial paralysis consistent with Bells Palsy.  I sent her for MRI which confirmed diagnosis.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Patient received vaccine on 3/20, full body itching started on 3/21, "bumps and itching" on 3/22 and 3/23, presents to clinic on 3/24 with red rash remaining, did not use and medications or request them. States he never had an allergic reaction before.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling on injection side (left) of body around temple/ear/eye/cheek.  Minor headache on left side and extreme fatigue approximately 6 - 8 hours after injection.  Lasted approximately 24 hours after injection.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance, Laboratory test, Muscular weakness, Myalgia
Clinical narrative: Patient woke up in middle of night the following day after the vaccination with shaking, muscle weakness, dizziness, severe muscle soreness, and inability to walk.  Patient went to emergency room to rule out more serious complications.  All tests came out normal and was told the symptoms were a reaction to the vaccine.  The symptoms continued for 2 days, but eased up with time.  Patient was feeling normal 5 to 6 days after administration.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Tremor
Clinical narrative: Patient woke up in middle of night the following day after the vaccination with shaking, muscle weakness, dizziness, severe muscle soreness, and inability to walk.  Patient went to emergency room to rule out more serious complications.  All tests came out normal and was told the symptoms were a reaction to the vaccine.  The symptoms continued for 2 days, but eased up with time.  Patient was feeling normal 5 to 6 days after administration.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram abnormal, Heart rate increased, Hot flush, Lethargy
Clinical narrative: Within 30 min of shot, starting feeling itchy tongue and throat.  Drank water and within a few minutes got a full body heat flush and starting shaking all over.  Heart beating fast and having some pain in chest.  Drove to her work place and was assessed by MD and RN on staff.  BP was 220/120, pulse over 100.   She took a Claritin and was monitored in the work place.  She became lethargic and chest pain continued so she went to the closest Emergency Room.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Tongue pruritus, Tremor, Troponin increased, Vaccination complication
Clinical narrative: Within 30 min of shot, starting feeling itchy tongue and throat.  Drank water and within a few minutes got a full body heat flush and starting shaking all over.  Heart beating fast and having some pain in chest.  Drove to her work place and was assessed by MD and RN on staff.  BP was 220/120, pulse over 100.   She took a Claritin and was monitored in the work place.  She became lethargic and chest pain continued so she went to the closest Emergency Room.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling around injection site, tender to touch
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Intensive care, Respiratory distress
Clinical narrative: 72 y/o with hx of HTN, Aortic valve replacement, venous stasis and venous insufficiency of both lower extremities, CAD, AAA, and s/p squamous cell carcinoma excision in 2019  Upon reviewing the history, here is what we found.   1. 2/27 -- Received send-out covid swabbing/testing- Patient did not disclose this information when screened for his covid vaccination at the clinic.   2. 3/2, 10:00 AM ? Presented to Covid Vaccination Clinic and received 1st dose of Moderna. Results of pending covid test were not back at this time, nor did he disclose this information when screened by nurse prior to vaccination.  3. 3/2, 10:30 PM ? Covid result came back to lab as positive SARS Co-V 2019  4. 3/3 ? patient called and notified of result per ED nurse   5. 3/3 ? Pharmacy recommended patient for mAB infusion (patient did not receive it)   6. 3/6 ? patient presents to ED in severe respiratory distress, DX of Covid-19 pneumonia & transferred to ICU  7. 3/21 ? patient dies after 15 day hospitalization in ICU (pt. had received convalescent plasma x 2 and remdesivir there)
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 72 y/o with hx of HTN, Aortic valve replacement, venous stasis and venous insufficiency of both lower extremities, CAD, AAA, and s/p squamous cell carcinoma excision in 2019  Upon reviewing the history, here is what we found.   1. 2/27 -- Received send-out covid swabbing/testing- Patient did not disclose this information when screened for his covid vaccination at the clinic.   2. 3/2, 10:00 AM ? Presented to Covid Vaccination Clinic and received 1st dose of Moderna. Results of pending covid test were not back at this time, nor did he disclose this information when screened by nurse prior to vaccination.  3. 3/2, 10:30 PM ? Covid result came back to lab as positive SARS Co-V 2019  4. 3/3 ? patient called and notified of result per ED nurse   5. 3/3 ? Pharmacy recommended patient for mAB infusion (patient did not receive it)   6. 3/6 ? patient presents to ED in severe respiratory distress, DX of Covid-19 pneumonia & transferred to ICU  7. 3/21 ? patient dies after 15 day hospitalization in ICU (pt. had received convalescent plasma x 2 and remdesivir there)
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Rash vesicular
Clinical narrative: something like a boil or a pimple began appearing in various places on her body: top of left breast, under her breast, right buttock, etc. Each of these was an inflamed (red) area about the size of a dime, with a small amount of pus under a blister in the middle of the inflamed area.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Lethargy, Nausea, Vertigo
Clinical narrative: Worst vertigo and nausea in my life, sweats and chills with it lasting 6 hours. Low energy for several days. 1 week later I feel good again.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody, Blood test, C-reactive protein, HLA marker study, Red blood cell sedimentation rate
Clinical narrative: Developed bilateral uveitis, confirmed by ophthalmologist. Treated with Durezol (difluprednate) eye drops. Improving
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rheumatoid factor, Treponema test, Uveitis
Clinical narrative: Developed bilateral uveitis, confirmed by ophthalmologist. Treated with Durezol (difluprednate) eye drops. Improving
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Corneal endotheliitis
Clinical narrative: Developed bilateral uveitis, confirmed by ophthalmologist. Treated with Durezol (difluprednate) eye drops. Improving
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: I experienced chills, fever and body aches. My temperature went up to 103.1 about 10 hours after I received my injection. I took Tylenol and it was reduced to 101 by the next morning. I felt bad for the rest of the day and took one more dose of Tylenol. My shot was on Wednesday afternoon and I felt better by Friday morning.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Injection site pain, Pain, X-ray limb normal
Clinical narrative: I believe the shot was improperly administered too close to my shoulder joint, and as a result, I have experienced increasing pain over the last 11 days.  Initially, there was mild pain (I would rate a 3-4 out of 10) near the injection site immediately which persisted for days as expected after getting a shot; mainly discomfort during sleep and when moving my arm. Pain has become progressively worse, and not better as reported to be a normal and expected side effect. At day 10 I called my PCP to go in for an exam. She ordered an Xray and prescribed muscle relaxers. Xray showed no signs of breakage (as expected).  Today is day 11 and  I can barely move or lift my arm without severe discomfort, I would rate the pain as severe (9 out of 10) when moving or lifting my arm, rotating shoulder, sleeping on it.  While I have not been diagnosed with anything in particular yet, I believe I have a shoulder injury relating to improper vaccine administration (SIRVA). I have requested to be referred to a shoulder specialist for evaluation. I have not had prior injuries or symptoms in this area. I am an active and healthy person with no known health conditions and this is very troubling. I am a strong advocate for COVID vaccines, yet, I must say this experience has me questioning my decision to get one.  I never knew this could happen, and I sincerely hope my shoulder is not permanently impacted by this event.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Dizziness, nausea.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Dizziness, Electrocardiogram, Hypertension
Clinical narrative: HTN, Dizziness
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Dizziness, Headache, Nausea
Clinical narrative: Severe headache for 3+ days, nauseous for 3+ days, stomach aches, dizzy, fever, chills
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe headache for 3+ days, nauseous for 3+ days, stomach aches, dizzy, fever, chills
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Immediate post-injection reaction, Injection site pain, Lethargy, Limb mass
Clinical narrative: As soon as I was injected I felt a burning sensation that went from the site up into my neck. Day 2, 7am I woke with a temperature of 102 degrees, Throughout the day I had fever, chills and arm injection site to neck continued to be painful, arm swollen and warm to touch with a lump about the size of a walnut, and lethargic. Day 3-4 symptoms continued same as day 2 with temperature decreasing to 100 degrees. Day 5 fever gone. Day 5 through today the injection site continues to be somewhat painful with some heat in the arm and lump has decreased to dime size. Called and spoke with doctors office this morning. Advised to treat with wet warm compress and Ibuprofen for discomfort. Call is worsen.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Peripheral swelling, Pyrexia, Skin burning sensation, Skin warm
Clinical narrative: As soon as I was injected I felt a burning sensation that went from the site up into my neck. Day 2, 7am I woke with a temperature of 102 degrees, Throughout the day I had fever, chills and arm injection site to neck continued to be painful, arm swollen and warm to touch with a lump about the size of a walnut, and lethargic. Day 3-4 symptoms continued same as day 2 with temperature decreasing to 100 degrees. Day 5 fever gone. Day 5 through today the injection site continues to be somewhat painful with some heat in the arm and lump has decreased to dime size. Called and spoke with doctors office this morning. Advised to treat with wet warm compress and Ibuprofen for discomfort. Call is worsen.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Palpitations
Clinical narrative: onset of heart palpitations and lightheadedness almost 24 hours after injection of 2nd dose in series.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pain in extremity, Peripheral swelling
Clinical narrative: I have a large red, circle on my arm tender to touch. It has a 2" diameter and is the width of almost my arm. The entire red area is very firm and feels like a bump.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Bell's palsy, Blood glucose normal, Facial paralysis, Hemiplegia
Clinical narrative: pt stated that on 3/20/21 he developed facial paralysis on the right side of this face and loss of taste.  Pt went to Urgent Care.  They gave him a glucose test, Covid 19 Rapid test, took BP and Temp. which was 98.5.  Pt diagnosed w/ Bells Palsy and was prescribed prednisone and valacyclovir.  Pt is slightly recovering at this time but feels like he is improving.    Pt was instructed to contact Dr. upon finishing medication to see if he needed to be referred to a Neurologist.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: pt stated that on 3/20/21 he developed facial paralysis on the right side of this face and loss of taste.  Pt went to Urgent Care.  They gave him a glucose test, Covid 19 Rapid test, took BP and Temp. which was 98.5.  Pt diagnosed w/ Bells Palsy and was prescribed prednisone and valacyclovir.  Pt is slightly recovering at this time but feels like he is improving.    Pt was instructed to contact Dr. upon finishing medication to see if he needed to be referred to a Neurologist.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient experienced syncopal episode approx 24 hours after vaccine administration. required evaluation in ED and was ultimately discharged after testing and observation.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain in extremity
Clinical narrative: Patient called today to report that his arm muscle that he received his second vaccine dose in began hurting on 2/21/2021. 9 days after vaccination. He also says it has now began hurting in his "joint." Referred to his PCP.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Faeces discoloured, Full blood count, Laboratory test
Clinical narrative: loose green stools for 3 days, then slowly progressed to right upper quid pain after eating , nausea, navel pain,  loose stool at times  Have not resolved
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: loose green stools for 3 days, then slowly progressed to right upper quid pain after eating , nausea, navel pain,  loose stool at times  Have not resolved
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Dyspnoea, Endotracheal intubation, Intensive care, Respiratory rate increased
Clinical narrative: Pt. arrived just prior to the clinic at 4:00pm  for her scheduled vaccination.  While there she informed the educator and the vaccinator that she had unknown environmental allergies and indicated that she had a history of anaphylaxis.  She and the nurse reviewed the ingredients in the fact sheet and the patient stated that she was not aware/did not have any allergies to the ingredients to the Moderna vaccine.  She stated that she had had other vaccinations Flu and pneumonia with no issues.  After discussing with the nurse, she decided to proceed with getting the vaccine.  0.5 ML of Moderna vaccine was administered to her right Deltoid at approximately 4:00 pm.  She was informed that she would need to stay and be evaluated for 30 due to her history of anaphylaxis.  At 4:17 patient reported to the monitors that she was starting to feel like her throat was tightening and that she was having difficulty breathing.  At 4:19 pm she began pulling out her epinephrine to draw it up.  RN took over for her as she was struggling and administer 0.5 mg SQ to her right lower abdomen. BP was 180/80 at 4:19 pm.  911 was called.  Pt. continued to have difficulty breathing  and talking.  At 4:27 pm 50mg Benadryl IM was administered to her right deltoid.  She was still having difficulty breathing and her respirations were rapid.  At 4:28 pm  Epinephrine 0.5mg SQ was administered to her lower left abdomen.  BP at 4:28 pm was 150/100, Pulse was 154.  At approximately 4:33 pt. reported some relief, her respirations were not noted to be as rapid but she reported continued difficulty breathing.  At approximately 4:35 EMS was on scene.  EMS intubated patient in the EMS and transported to Hospital.  Pt. is in critical condition in the ICU.  This RN called to check on patient on 03/24/2021 and it was reported by her nurse that she coded multiple times through the night and was made a DNR and will be placed on comfort care and it was anticipated she may pass in the next day or two.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: Pt. arrived just prior to the clinic at 4:00pm  for her scheduled vaccination.  While there she informed the educator and the vaccinator that she had unknown environmental allergies and indicated that she had a history of anaphylaxis.  She and the nurse reviewed the ingredients in the fact sheet and the patient stated that she was not aware/did not have any allergies to the ingredients to the Moderna vaccine.  She stated that she had had other vaccinations Flu and pneumonia with no issues.  After discussing with the nurse, she decided to proceed with getting the vaccine.  0.5 ML of Moderna vaccine was administered to her right Deltoid at approximately 4:00 pm.  She was informed that she would need to stay and be evaluated for 30 due to her history of anaphylaxis.  At 4:17 patient reported to the monitors that she was starting to feel like her throat was tightening and that she was having difficulty breathing.  At 4:19 pm she began pulling out her epinephrine to draw it up.  RN took over for her as she was struggling and administer 0.5 mg SQ to her right lower abdomen. BP was 180/80 at 4:19 pm.  911 was called.  Pt. continued to have difficulty breathing  and talking.  At 4:27 pm 50mg Benadryl IM was administered to her right deltoid.  She was still having difficulty breathing and her respirations were rapid.  At 4:28 pm  Epinephrine 0.5mg SQ was administered to her lower left abdomen.  BP at 4:28 pm was 150/100, Pulse was 154.  At approximately 4:33 pt. reported some relief, her respirations were not noted to be as rapid but she reported continued difficulty breathing.  At approximately 4:35 EMS was on scene.  EMS intubated patient in the EMS and transported to Hospital.  Pt. is in critical condition in the ICU.  This RN called to check on patient on 03/24/2021 and it was reported by her nurse that she coded multiple times through the night and was made a DNR and will be placed on comfort care and it was anticipated she may pass in the next day or two.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Throat tightness
Clinical narrative: Pt. arrived just prior to the clinic at 4:00pm  for her scheduled vaccination.  While there she informed the educator and the vaccinator that she had unknown environmental allergies and indicated that she had a history of anaphylaxis.  She and the nurse reviewed the ingredients in the fact sheet and the patient stated that she was not aware/did not have any allergies to the ingredients to the Moderna vaccine.  She stated that she had had other vaccinations Flu and pneumonia with no issues.  After discussing with the nurse, she decided to proceed with getting the vaccine.  0.5 ML of Moderna vaccine was administered to her right Deltoid at approximately 4:00 pm.  She was informed that she would need to stay and be evaluated for 30 due to her history of anaphylaxis.  At 4:17 patient reported to the monitors that she was starting to feel like her throat was tightening and that she was having difficulty breathing.  At 4:19 pm she began pulling out her epinephrine to draw it up.  RN took over for her as she was struggling and administer 0.5 mg SQ to her right lower abdomen. BP was 180/80 at 4:19 pm.  911 was called.  Pt. continued to have difficulty breathing  and talking.  At 4:27 pm 50mg Benadryl IM was administered to her right deltoid.  She was still having difficulty breathing and her respirations were rapid.  At 4:28 pm  Epinephrine 0.5mg SQ was administered to her lower left abdomen.  BP at 4:28 pm was 150/100, Pulse was 154.  At approximately 4:33 pt. reported some relief, her respirations were not noted to be as rapid but she reported continued difficulty breathing.  At approximately 4:35 EMS was on scene.  EMS intubated patient in the EMS and transported to Hospital.  Pt. is in critical condition in the ICU.  This RN called to check on patient on 03/24/2021 and it was reported by her nurse that she coded multiple times through the night and was made a DNR and will be placed on comfort care and it was anticipated she may pass in the next day or two.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pain in extremity, Pallor
Clinical narrative: Patient reported fear of needles before being vaccinated. Reported feeling light headed and having a sore arm. Skin became pale. Patient laid down and noted to have vitals: Bp 108/50, P 72, and R 18 with no distress noted. Water given to patient. Patient reported feeling better as soon as she was laid down. Monitored for additional 30 minutes noting color to return and patient's vitals remaining stable: Bp 110/60, P 68, and R 18.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injected limb mobility decreased, Loss of personal independence in daily activities, Pain, Sleep disorder
Clinical narrative: The injection was in the shoulder.  Pain began less than one day later.  I waited for the pain to resolve.  It has not.  My shoulder is still sore.  The pain is getting progressively worse and it now hurts to comb my hair, it hurts to raise my arm to put dishes in the cabinet, and it is hard to carry lift and carry objects of 8 ounces more.  This pain also make it difficult to sleep through the night.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Vaccination site pain
Clinical narrative: The injection was in the shoulder.  Pain began less than one day later.  I waited for the pain to resolve.  It has not.  My shoulder is still sore.  The pain is getting progressively worse and it now hurts to comb my hair, it hurts to raise my arm to put dishes in the cabinet, and it is hard to carry lift and carry objects of 8 ounces more.  This pain also make it difficult to sleep through the night.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo, sporadic throughout the day.  Now only for a moment when I get into or out of bed.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling of body temperature change, Hyperhidrosis, Pain
Clinical narrative: Janssen Covid-19 vaccine EUA First 24 hours, tired and achy.  36 hours in at bedtime felt shivery and cold for a few hours then hot and sweaty for a few more hours. In the morning I felt fine. Very mild symptoms.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cardiac ventricular thrombosis, Cardiogenic shock, Echocardiogram abnormal, Left ventricular dysfunction
Clinical narrative: Patient had a ST elevation myocardial infarction but presented late to the hospital on 3/9/21 (he thought his symptoms were secondary to vaccine side effects). He underwent a percutaneous intervention to his left anterior coronary artery and had significant left ventricular systolic dysfunction (EF 20-25%) with cardiogenic shock requiring inotropes. He was evaluated by palliative care and transferred to our inpatient hospice unit.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Percutaneous coronary intervention, Troponin increased
Clinical narrative: Patient had a ST elevation myocardial infarction but presented late to the hospital on 3/9/21 (he thought his symptoms were secondary to vaccine side effects). He underwent a percutaneous intervention to his left anterior coronary artery and had significant left ventricular systolic dysfunction (EF 20-25%) with cardiogenic shock requiring inotropes. He was evaluated by palliative care and transferred to our inpatient hospice unit.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Influenza like illness, Rhinorrhoea
Clinical narrative: Flu like symptoms Fatigue, runny nose, mental fog, chills
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: started with slight headache early in the morning.  I attributed this to pollen and allergies.  It last most of day.  Then at 4:30 my head began to pound.  I felt dizzy and extremely nauseous.  This lasted about 4 hours and then I felt much better.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pain in extremity, Peripheral swelling
Clinical narrative: 7 days later woke up with sore arm.  Swelling in armpit area and a rash around the vaccine site.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dyspnoea, Loss of personal independence in daily activities
Clinical narrative: SEVERE, SEVERE back pain, from lower to upper back.  trouble breathing--taking a deep breath. using Tylenol for pain, but it is barely making  a dent in the pain.  started Sat. morning,  bad on Sun. (3/21); then Mon. and Tues. morning = not so bad.  but Tues. night and today, Weds. 3/24, VERY  BAD pain in back returned, rendering me dysfunctional.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Pyrexia
Clinical narrative: Fever, chills and headache for first day. Fatigue and brain fog ever since for a total of nine days so far. Very little improvement.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Pain
Clinical narrative: Day after vaccination (18/MAR/2021)--fatigue, body aches, chills.  Physically felt as if temperature was elevated--but when measured, no temperature elevation was found.  Symptoms lasted entire day, were gone the following day.  Two days after vaccination (19/MAR/2021)--injection site soreness.  Note that site was not at all sore on either date of injection (17/MAR/2021), or day after.  Soreness lasted approximately two days.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Vital signs measurement
Clinical narrative: Patient received vaccine at approximately 8:55 am, patient says she called her sister, and then her husband.  After she got off the phone, about 7 minutes after her injection, she started to feel like she was going to faint,  she then put her head between her knees like she normally does when she gets that feeling, and then when she came to, she felt better. The patient had blown her horn, so an EMT and nurses were able to assist her right away. EMS was called to check patient for her syncopal episode.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial tachycardia, Dizziness, Electrocardiogram abnormal, Headache, Hyperhidrosis
Clinical narrative: Awoke early morning with headache; felt dizzy.  Went downstairs for Tylenol; on return to bed felt nauseated, sweaty, dizzy.    Passed out on bed for approximately 15 seconds.   Husband shook me and called out then I awoke and gained consciousness. Rested in recovery the remainder of the day and was able to take the Tylenol and resume normal activity by midday.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Stress echocardiogram abnormal
Clinical narrative: Awoke early morning with headache; felt dizzy.  Went downstairs for Tylenol; on return to bed felt nauseated, sweaty, dizzy.    Passed out on bed for approximately 15 seconds.   Husband shook me and called out then I awoke and gained consciousness. Rested in recovery the remainder of the day and was able to take the Tylenol and resume normal activity by midday.