chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Insomnia, Limb discomfort, Malaise
Clinical narrative: within 5-10 minutes of shot, arm hurt and was sore like I got punched and a bit heavy (very similar to first shot). However, by evening, my arm ached and hurt to move; I began having headaches, felt nauseous, went to bed early. All through the night, full body aches bad enough to not get sleep because I could not get comfortable legs really ached and hurt, headache and stomach ache through the night. Next day, felt fluish, out of it, fatigue, sick, sore all over, arm so sore could not lift up without strong pain. Red rash beginning on left arm around injection site. Rash got worse--covered 7-8' in length on arm and when I touched the rash bumps/blisters it sent more pain in arm. These symptoms persisted for about 3 days and the rash did not go away until following week.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain, Pain in extremity
Clinical narrative: within 5-10 minutes of shot, arm hurt and was sore like I got punched and a bit heavy (very similar to first shot). However, by evening, my arm ached and hurt to move; I began having headaches, felt nauseous, went to bed early. All through the night, full body aches bad enough to not get sleep because I could not get comfortable legs really ached and hurt, headache and stomach ache through the night. Next day, felt fluish, out of it, fatigue, sick, sore all over, arm so sore could not lift up without strong pain. Red rash beginning on left arm around injection site. Rash got worse--covered 7-8' in length on arm and when I touched the rash bumps/blisters it sent more pain in arm. These symptoms persisted for about 3 days and the rash did not go away until following week.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Feeling hot, Hypertension, Hypoaesthesia
Clinical narrative: Upon injecting, patient said, she immediately felt like her arm was warm, radiating down her arm, up to her neck. Patient said she had a sore throat prior to the shot, and she felt her throat was warm, and her face was warm. Patient said, her arm felt numb and heavy but not tingly. Pharmacist called EMS. Her vitals were normal, but her BP was slightly high because patient was experiencing anxiety. Patient said she normally suffers from anxiety. Patient's mom said, she was nervous from the morning. EMS said, it's likely a mixture of anxiety and not feeling well combined.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site warmth, Limb discomfort, Malaise, Nervousness
Clinical narrative: Upon injecting, patient said, she immediately felt like her arm was warm, radiating down her arm, up to her neck. Patient said she had a sore throat prior to the shot, and she felt her throat was warm, and her face was warm. Patient said, her arm felt numb and heavy but not tingly. Pharmacist called EMS. Her vitals were normal, but her BP was slightly high because patient was experiencing anxiety. Patient said she normally suffers from anxiety. Patient's mom said, she was nervous from the morning. EMS said, it's likely a mixture of anxiety and not feeling well combined.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus increase from very mild occasional to moderate to severe continuously for past 10 weeks.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary mass, Fatigue, Malaise, Pyrexia, Tenderness
Clinical narrative: Sick with low grade fever and fatigue for 5 days. Large lump under arm receiving the injection which was sore to the touch for about 3 days.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Headache, Influenza like illness
Clinical narrative: Developed flu like or COVID like symptoms: headache; body aches, chills, felt feverish but did not show fever when temperature taken; extreme fatigue; dry cough. This has been happening for 5 days now.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Developed flu like or COVID like symptoms: headache; body aches, chills, felt feverish but did not show fever when temperature taken; extreme fatigue; dry cough. This has been happening for 5 days now.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Blood test normal, Condition aggravated, Confusional state, Depression
Clinical narrative: Severe Brain Fog, Confusion, Memory loss
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram normal, Feeling abnormal, Magnetic resonance imaging normal
Clinical narrative: Severe Brain Fog, Confusion, Memory loss
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site papule, Injection site pruritus
Clinical narrative: The injection site started to itch about two hours after the injection. Today 7/20/2021, continuing itching and it is red circle that seems to have a bruised look under it. The circle has grown in size within the last few days. Its about 2 inches wide and about 1 inch in height.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram normal, Heart rate increased
Clinical narrative: Chest began to feel very tight, breathing became labored within 6 hours of getting the vaccine. I could not sleep the night of the vaccine because lying down on my back or side made the pain/tightness in chest worse. This continued through the next day and night (still could not sleep due to pain and discomfort in chest lying down). The tightness and pain were at the very center of my chest. Breathing hurt, and I felt like I couldn't get enough air even though I was breathing fully. These events are still going on today (7/20/21) 3 days after the vaccine. I had fever and nausea last night, and my chest pain seems to be doing better today but still present.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Nausea, Pyrexia
Clinical narrative: Chest began to feel very tight, breathing became labored within 6 hours of getting the vaccine. I could not sleep the night of the vaccine because lying down on my back or side made the pain/tightness in chest worse. This continued through the next day and night (still could not sleep due to pain and discomfort in chest lying down). The tightness and pain were at the very center of my chest. Breathing hurt, and I felt like I couldn't get enough air even though I was breathing fully. These events are still going on today (7/20/21) 3 days after the vaccine. I had fever and nausea last night, and my chest pain seems to be doing better today but still present.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Blood fibrinogen increased, C-reactive protein increased, Chest X-ray abnormal
Clinical narrative: Patient had flu like symptoms that developed the evening of vaccination including fever, headache, myalgias, nausea and vomiting. He had a syncopal episode on 7/18 (2 days after vaccination) and family found him on the ground.  Following this episode he complained of substernal pleuritic chest pain. Initial EKG demonstrated diffuse ST changes. He became hypotensive and developed respiratory distress with evidence of pulmonary edema on CXR. He was admitted to the PICU on 35L HFNC and received an epinephrine drip for blood pressure control. Respiratory status improved.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram normal, Electrocardiogram ST segment abnormal, Fibrin D dimer, Headache
Clinical narrative: Patient had flu like symptoms that developed the evening of vaccination including fever, headache, myalgias, nausea and vomiting. He had a syncopal episode on 7/18 (2 days after vaccination) and family found him on the ground.  Following this episode he complained of substernal pleuritic chest pain. Initial EKG demonstrated diffuse ST changes. He became hypotensive and developed respiratory distress with evidence of pulmonary edema on CXR. He was admitted to the PICU on 35L HFNC and received an epinephrine drip for blood pressure control. Respiratory status improved.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Inflammatory marker increased, Influenza like illness, Intensive care, Myalgia
Clinical narrative: Patient had flu like symptoms that developed the evening of vaccination including fever, headache, myalgias, nausea and vomiting. He had a syncopal episode on 7/18 (2 days after vaccination) and family found him on the ground.  Following this episode he complained of substernal pleuritic chest pain. Initial EKG demonstrated diffuse ST changes. He became hypotensive and developed respiratory distress with evidence of pulmonary edema on CXR. He was admitted to the PICU on 35L HFNC and received an epinephrine drip for blood pressure control. Respiratory status improved.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pleuritic pain, Procalcitonin, Pulmonary oedema, Pyrexia
Clinical narrative: Patient had flu like symptoms that developed the evening of vaccination including fever, headache, myalgias, nausea and vomiting. He had a syncopal episode on 7/18 (2 days after vaccination) and family found him on the ground.  Following this episode he complained of substernal pleuritic chest pain. Initial EKG demonstrated diffuse ST changes. He became hypotensive and developed respiratory distress with evidence of pulmonary edema on CXR. He was admitted to the PICU on 35L HFNC and received an epinephrine drip for blood pressure control. Respiratory status improved.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress, SARS-CoV-2 antibody test positive, Syncope, Troponin increased, Vomiting
Clinical narrative: Patient had flu like symptoms that developed the evening of vaccination including fever, headache, myalgias, nausea and vomiting. He had a syncopal episode on 7/18 (2 days after vaccination) and family found him on the ground.  Following this episode he complained of substernal pleuritic chest pain. Initial EKG demonstrated diffuse ST changes. He became hypotensive and developed respiratory distress with evidence of pulmonary edema on CXR. He was admitted to the PICU on 35L HFNC and received an epinephrine drip for blood pressure control. Respiratory status improved.
Age: 51.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Erythema, Headache, Paraesthesia oral, Pruritus, Urticaria
Clinical narrative: After first vax had tingling of tongue , headache,. After 2nd vax had whelps and itching redness.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lymphadenopathy, Paraesthesia, Peripheral swelling
Clinical narrative: I experienced axillary lymph node swelling from my axilla down to my wrist with associated numbness and tingling approximately 3-5 days post shot and went to see my health care provider on 2/3/2021.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: COMPLETED VACCINES IN MARCH, 2021 - TYPE UNKNOWN ADMITTED TO HOSPITAL 7/11/2021 WITH NAUSEA, DIARRHEA , HA, BODY ACHES DISCHARGED 7/14
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COMPLETED VACCINES IN MARCH, 2021 - TYPE UNKNOWN ADMITTED TO HOSPITAL 7/11/2021 WITH NAUSEA, DIARRHEA , HA, BODY ACHES DISCHARGED 7/14
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dacryostenosis acquired, Eye pain, Gingival bleeding, Impaired work ability, Mouth ulceration
Clinical narrative: About a month after the vaccine, I started getting sores inside of my mouth. An my gums have started bleeding and teeth started hurting.  Now I have to go to the dentist to see what's wrong. Than my eyes starting  hurting and now I have blocked tear ducts. Went to the eye Dr. 4 times and I have had six blocked tear ducks. I have to go see a Retina doctor. I have to sit in the dark and put my steroids eye drops in. I haven't been able to go to work. The doctor said I might need to go see an  Auto immune disease doctor.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: About a month after the vaccine, I started getting sores inside of my mouth. An my gums have started bleeding and teeth started hurting.  Now I have to go to the dentist to see what's wrong. Than my eyes starting  hurting and now I have blocked tear ducts. Went to the eye Dr. 4 times and I have had six blocked tear ducks. I have to go see a Retina doctor. I have to sit in the dark and put my steroids eye drops in. I haven't been able to go to work. The doctor said I might need to go see an  Auto immune disease doctor.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash, Swelling
Clinical narrative: Rash: large sore lump.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Urticaria
Clinical narrative: About 6 months after vaccine (did not have any initial reactions to vaccine), itchy rash that covers entire torso, breasts, back, buttocks, and back of thighs, still continuing this whole time. Never had previous allergies or had rash, have been to doctor and dermatologist who has diagnosed with hives, zyrtec daily and steroid pack. The rash has not left, plans to go to third doctor.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Lip swelling
Clinical narrative: Lips swollen and Redness of face on the day of the vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Pt. stated after receiving the 1st dose of the Moderna 06/24/2021, started experiencing a rash developing all over the body 06/26/2021 itchy. Primary communications still awaiting recommendations.
Age: 0.58
Sex: F
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: Client was administered a dose of Hib Pedvax that had recently expired. Expiration date was 7/9/21 and the administration date was 7/20/21. Client's mother, was made aware of the error and was recommended to make a new appointment to vaccinate patient appropriately. Mother did not want to reschedule at this time.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Contracted a breakthrough infection of COVID-19 on July 16, 2021, testing positive on July 18, 2021 via the at-COVID-19 Ag home test
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Patient came in for 2nd dose of Moderna vaccine.Shot given at 13:52H,  after injection nurse gave the second shot patient became pale and sweaty. Vital signs checked as follows: BP: 179/116 P 129 O2 Sats 100% offered crackers and water, patient was able to tolerate but was occasionally passing out. Patient said he didn't have any decent meal since last night. Patient wanting to go home, rechecked V/S and still on the high side, BP 178/103 P 119 O2 100% called for team alert and endorsed to Dr. and patient transferred to Medicine C.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Mobility decreased, Vertigo
Clinical narrative: My major symptom was severe and underlying severe dizziness. It lasted for four solid days and it lingered on and off for about three more weeks. The first four days left me non-functioning. It was hard to get out of bed and even move. The entire room was spinning, I've never had vertigo like that.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: From July 14 to July 20, 2021 intense mid back pain, low back pain. Does not improve with medication or relaxing creams. It does not go away, it was not there before getting the Covid-19 vaccine.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypotonia, Loss of consciousness, Pallor
Clinical narrative: Patient walked to waiting area and sat down and then appeared to lose consciousness, and slump over on the table beside her. Patient appeared pale and was perspiring from her face. After about a minute she regained consciousness and was responding vocally.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Pain in extremity
Clinical narrative: Patient started with chills/rigors, fatigue, arm soreness, fever, headache abruptly about 2 hours post vaccination.   It was a fast intense reaction.   Lasted hours.  More severe than any milder sx he had with any other vaccines in the past.  He was very upset and not himself.  He did improve this morning.    Of note he had had the Pfizer Covid vaccines in May 2021 without adverse reactions.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I now have shingles
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Gene mutation, Headache, Pyrexia
Clinical narrative: In addition to the normal side effects of fever, chills, headache and body aches, I developed severe chest pain approximately 34-35 hours after the second Pfizer dose. The pain lasted for a few hours and was severe enough that I had to crawl down the stairs to get to the kitchen in an attempt to find an antacid, in hopes that the pain was related to heartburn (which I don't typically have) and that they would help (they did not).
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Breast enlargement, Breast pain, Diarrhoea, Dysmenorrhoea, Headache
Clinical narrative: Nausea, Diarrhea  and Headache developed within 4 hours of getting shot.  Menstrual spotting, and cramping, started less than 24 hours after getting shot. Enlarged and painful breasts started with in 48 hours of shot. Spotting and cramping lasted 4 days from onset. Breast symptoms lasted 5 days from onset.  Still experiencing lingering headaches and nausea a week later.  I have not menstruated in almost ten years. Had a D&C, Hysteroscopy and Uterine Ablation to end my heave periods.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Menstrual disorder, Nausea
Clinical narrative: Nausea, Diarrhea  and Headache developed within 4 hours of getting shot.  Menstrual spotting, and cramping, started less than 24 hours after getting shot. Enlarged and painful breasts started with in 48 hours of shot. Spotting and cramping lasted 4 days from onset. Breast symptoms lasted 5 days from onset.  Still experiencing lingering headaches and nausea a week later.  I have not menstruated in almost ten years. Had a D&C, Hysteroscopy and Uterine Ablation to end my heave periods.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Patient was ending her menstrual cycle on the day of her 2nd Moderna vaccine. She then started to bleed heavy again and has been bleeding now for almost 2 weeks. Her menstrual cycles are always regular and last no more than 4-5 days.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Client received first dose of Pfizer Covid 19 Vaccine in left  Deltoid; Client complained of tingling and numbness in fingers of left hand 10 minutes into waiting time after the vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Headache
Clinical narrative: client was in observation area post vaccine complained of anxiety and headache.  NP and EMT were called to monitor client. Vitals obtained at 1:29pm BP 131/93 HR 66 and 02sat 97%. Client remained in observation until 1:57pm left with husband at her side, no further complaints noted.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral venous sinus thrombosis, Venogram abnormal
Clinical narrative: Cerebral venous sinus thrombosis
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood cholesterol increased, Blood glucose abnormal, Cough, Dizziness
Clinical narrative: Since vaccine, chronically tired, spike in cholesterol, constant dry cough, dizziness, problems with eyes focusing.  Have not been given medicine as they try to figure out cause of cholesterol spike, leg and knee pain
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pain in extremity, Vision blurred
Clinical narrative: Since vaccine, chronically tired, spike in cholesterol, constant dry cough, dizziness, problems with eyes focusing.  Have not been given medicine as they try to figure out cause of cholesterol spike, leg and knee pain
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Insomnia, Myocardial infarction, Palpitations, Thrombosis
Clinical narrative: I had the vaccine on Saturday and Monday early morning something woke me up, I was sweating and my heart was pounding like crazy. I thought it was the side effects of the vaccine. It took 3-4 hours to stop. After 2 weeks at 4AM something woke me up again and I was sweating for no reason. The same symptoms I had after getting the vaccine. On 06/18/2021 again 4AM something woke me up and I had the same sweating and I was throwing up. I thought it was the vaccine so I did not go to the hospital. I did not think this was a heart attack since I am young, healthy, non-smoker, non-drinker. Again, something woke me up. I went upstairs with my neighbor and she took me to urgent care because she thought it was COVID and I thought it was just the vaccine and they said to call ambulance immediately because I was having a heart attack. They took me to the hospital, and they started the procedure. They said it was impossible to open here. By helicopter they took me to another hospital. I was on the doctor on Friday and they told me I still have a blood clot and they try to open but they were not able to open so they left it like clotted. Now they told me they need to do the bypass surgery. No heart attack history in my family. I am not having that surgery because doctors do not care here. I am going to another country to have surgery since they do care over there and it is less expensive. They prescribed a lot of medications for my heart.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I had the vaccine on Saturday and Monday early morning something woke me up, I was sweating and my heart was pounding like crazy. I thought it was the side effects of the vaccine. It took 3-4 hours to stop. After 2 weeks at 4AM something woke me up again and I was sweating for no reason. The same symptoms I had after getting the vaccine. On 06/18/2021 again 4AM something woke me up and I had the same sweating and I was throwing up. I thought it was the vaccine so I did not go to the hospital. I did not think this was a heart attack since I am young, healthy, non-smoker, non-drinker. Again, something woke me up. I went upstairs with my neighbor and she took me to urgent care because she thought it was COVID and I thought it was just the vaccine and they said to call ambulance immediately because I was having a heart attack. They took me to the hospital, and they started the procedure. They said it was impossible to open here. By helicopter they took me to another hospital. I was on the doctor on Friday and they told me I still have a blood clot and they try to open but they were not able to open so they left it like clotted. Now they told me they need to do the bypass surgery. No heart attack history in my family. I am not having that surgery because doctors do not care here. I am going to another country to have surgery since they do care over there and it is less expensive. They prescribed a lot of medications for my heart.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: I and my partner got two different vaccines. The first dose was Moderna and the second dose was Pfizer. We do not know why we got these different shots. Is he testing us without asking our concerns? can they just inject without letting us know?
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Persistent dizziness since vaccine
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Blood creatine phosphokinase MB, Brain natriuretic peptide, C-reactive protein, Chest X-ray normal
Clinical narrative: HISTORY OF PRESENT ILLNESS:  The patient is a very pleasant previously healthy 22-year-old male, who just finished his second COVID vaccine on 07/07/2021 and developed chest pain, fever, nausea.  He presented to the ER where troponins were noted to be elevated, he was transferred here for further evaluation and treatment based on his cardiac condition and his insurance status.  HOSPITAL COURSE:  COVID-19 vaccine induced myopericarditis:  The patient was admitted to telemetry.  He was placed on colchicine. The doctor was kind enough to see the patient in consultation.  She recommended supportive care.  Echocardiogram showed preserved left ventricular function at this time.  It appears that the patient is tolerating the condition well; however, this is a very new clinical entity, so he will need close followup with cardiology.  I did ask the infectious disease nurse to notify the CDC that the patient did have this complication related to his vaccine, a known entity with COVID vaccination.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram, Ejection fraction, Ejection fraction normal, Myocarditis
Clinical narrative: HISTORY OF PRESENT ILLNESS:  The patient is a very pleasant previously healthy 22-year-old male, who just finished his second COVID vaccine on 07/07/2021 and developed chest pain, fever, nausea.  He presented to the ER where troponins were noted to be elevated, he was transferred here for further evaluation and treatment based on his cardiac condition and his insurance status.  HOSPITAL COURSE:  COVID-19 vaccine induced myopericarditis:  The patient was admitted to telemetry.  He was placed on colchicine. The doctor was kind enough to see the patient in consultation.  She recommended supportive care.  Echocardiogram showed preserved left ventricular function at this time.  It appears that the patient is tolerating the condition well; however, this is a very new clinical entity, so he will need close followup with cardiology.  I did ask the infectious disease nurse to notify the CDC that the patient did have this complication related to his vaccine, a known entity with COVID vaccination.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Myoglobin blood, Nausea, Pyrexia, Right ventricular enlargement, Troponin increased
Clinical narrative: HISTORY OF PRESENT ILLNESS:  The patient is a very pleasant previously healthy 22-year-old male, who just finished his second COVID vaccine on 07/07/2021 and developed chest pain, fever, nausea.  He presented to the ER where troponins were noted to be elevated, he was transferred here for further evaluation and treatment based on his cardiac condition and his insurance status.  HOSPITAL COURSE:  COVID-19 vaccine induced myopericarditis:  The patient was admitted to telemetry.  He was placed on colchicine. The doctor was kind enough to see the patient in consultation.  She recommended supportive care.  Echocardiogram showed preserved left ventricular function at this time.  It appears that the patient is tolerating the condition well; however, this is a very new clinical entity, so he will need close followup with cardiology.  I did ask the infectious disease nurse to notify the CDC that the patient did have this complication related to his vaccine, a known entity with COVID vaccination.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: THE PATIENT RECEIVED 1ST  DOSE OF THE PFIZER  SERIES ON 7/9/21. THE SECOND DOSE WAS GIVEN ON  7/20/21,  11 DAYS APART FROM THE FIRST DOSE.  THE PATIENT CHECKED IN FOR THE  SECOND DOSE EARLIER THAN THE APPOINTED TIME AND DATE SCHEDULED.  THE PATIENT WAS STABLE, ALERT, ORIENTED, AND  AMBULATORY BEFORE  LEAVING THE VACCINATION SITE. THE PATIENT REPORTED NO SIGNS ,SYMPTOMS, OR ADVERSE REACTIONS.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site haemorrhage
Clinical narrative: 1ST vaccine I experienced excessive bleeding when needle was removed, had dizziness as well.
Age: 18.0
Sex: U
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Presyncope, Tinnitus, Tremor
Clinical narrative: Patient had vasovagal reaction starting about 2 minutes after vaccination and took about 15 minutes to resolve. Symptoms included tunnel vision, nausea, sweating, shakiness, ringing in the ear. I had patient wait an additional 15 minutes in the pharmacy once he felt better. Checked blood pressure about 20 minutes after vaccination and reading was 122/83 with pulse 65. Patient felt better after the additional 15 minutes and felt like he was ready to leave. Checked in on patient again via phone around 1:30 pm and he was feeling fine.
Age: 18.0
Sex: U
Vaccine: COVID19
Symptoms: Tunnel vision
Clinical narrative: Patient had vasovagal reaction starting about 2 minutes after vaccination and took about 15 minutes to resolve. Symptoms included tunnel vision, nausea, sweating, shakiness, ringing in the ear. I had patient wait an additional 15 minutes in the pharmacy once he felt better. Checked blood pressure about 20 minutes after vaccination and reading was 122/83 with pulse 65. Patient felt better after the additional 15 minutes and felt like he was ready to leave. Checked in on patient again via phone around 1:30 pm and he was feeling fine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Bone pain, Fatigue, Nausea
Clinical narrative: I reported symptoms to CDC initially but they have not gone away, aches, pain, extreme fatigue, nausea daily, vomiting weekly,  bone pain, leg pain,  weakness
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Vomiting
Clinical narrative: I reported symptoms to CDC initially but they have not gone away, aches, pain, extreme fatigue, nausea daily, vomiting weekly,  bone pain, leg pain,  weakness
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Facial pain, Hyperacusis, Hypoaesthesia, Hypoaesthesia eye
Clinical narrative: Two days after receiving the second vaccine, I experienced, what I'm assuming to be a migraine. I felt light-headed and dizzy I had sensitivity to light and sound. The pain started above and around my left eye and then progressed down my cheek and I also had numbness going from around my eye down my left cheek. The migraine lasted from about Monday until Wednesday.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Periorbital pain, Photosensitivity reaction
Clinical narrative: Two days after receiving the second vaccine, I experienced, what I'm assuming to be a migraine. I felt light-headed and dizzy I had sensitivity to light and sound. The pain started above and around my left eye and then progressed down my cheek and I also had numbness going from around my eye down my left cheek. The migraine lasted from about Monday until Wednesday.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Pallor, Paraesthesia
Clinical narrative: patient experienced dizziness and tingling and was responding slowly around 5 minutes after receiving his dose. once he was moved to the floor and legs elevated, he regained consciousness and coloration and stated that he felt better.  he was monitored for around 20 minutes after the reaction and was told to seek medical care if he started to feel any other symptoms
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Corneal reflex decreased, Ear pain, Electrocardiogram, Full blood count
Clinical narrative: patient had numbness on left side of face,  eye brows wouldn't move as much as other one,  ear pain, headache,  and couldn't blink left eye.  Patient was prescribed:  prednisone for 5 days and valacyclovir for 7 days. patient still having some symptoms with left side of face but improving.  not 100% yet.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Metabolic function test
Clinical narrative: patient had numbness on left side of face,  eye brows wouldn't move as much as other one,  ear pain, headache,  and couldn't blink left eye.  Patient was prescribed:  prednisone for 5 days and valacyclovir for 7 days. patient still having some symptoms with left side of face but improving.  not 100% yet.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Diarrhoea, Ultrasound abdomen
Clinical narrative: After about two days, began to experience diahhrea for three months.  Consulted with Gastroenterologist who put me on CREON. I am still trying to get diaahrea under control.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Ovarian cyst, Ultrasound ovary abnormal, Ultrasound uterus abnormal
Clinical narrative: About a month after the second dose of the vaccine I had bleeding for two weeks after my period. It was the first period I had since the vaccine. I was also experiencing increased pain with my menstrual cycle. I had a couple of months with extra pain and excessive bleeding with my periods. I had an Ultrasound at the end of May 2021 and I was diagnosed with Uterine Fibroids. I have also been diagnosed with an Ovarian Cyst. I have never had any of these issues before. It has been six months since my second dose of the vaccine and I am scheduled to have one of the Fibroids removed.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine leiomyoma
Clinical narrative: About a month after the second dose of the vaccine I had bleeding for two weeks after my period. It was the first period I had since the vaccine. I was also experiencing increased pain with my menstrual cycle. I had a couple of months with extra pain and excessive bleeding with my periods. I had an Ultrasound at the end of May 2021 and I was diagnosed with Uterine Fibroids. I have also been diagnosed with an Ovarian Cyst. I have never had any of these issues before. It has been six months since my second dose of the vaccine and I am scheduled to have one of the Fibroids removed.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: I had the common nausea fever and aches. But more notably, I had a heavier period for a long time than usual.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Pulsatile tinnitus occurred two days after the 2nd dose.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: DIFFICULTY BREATHING IN THE MORNINGS BUT SUBSIDES BY MIDDAY ALMOST EVERY DAY
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Swelling
Clinical narrative: Itchy bump similar to mosquito bite appeared during evening walk on 07/18. Visible but not itchy rash appeared 4pm 07/20 (1 by 2 inches).
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Blood test, Diarrhoea, Endoscopy
Clinical narrative: Daily morning queasiness with trembling, weakness, diarrhea and anxiety that disappeared by 10:30am. It lasted for 10 days and never re-occurred.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Tremor, Ultrasound scan
Clinical narrative: Daily morning queasiness with trembling, weakness, diarrhea and anxiety that disappeared by 10:30am. It lasted for 10 days and never re-occurred.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Colonoscopy, Pyrexia, Rectal haemorrhage, Tendon injury
Clinical narrative: Low fevers tendon joint pain Rectal bleeding and blowout of my prixamal  hamstring tendon completely seporated and to partially seporated hamstring tendons
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tendon pain, Tenoplasty
Clinical narrative: Low fevers tendon joint pain Rectal bleeding and blowout of my prixamal  hamstring tendon completely seporated and to partially seporated hamstring tendons
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fall, Head injury, Pain in extremity, Paraesthesia, Peripheral coldness
Clinical narrative: Patient was vaccinated with his first dose of Covid Pfizer vaccine and approximately 10-11 minutes later his mother stated that he no longer felt like sitting.  He went to stand by her and 3-4 minutes later patient had a syncopal episode, fell back, and hit his head on a wall.  The patient had recovered consciousness by the time staff reached him. Our staff came to his aid and had him sit up, assessed for any signs of bleeding, which there were not, and checked vitals (results below).  Patient had no complaints of headache, no dizziness, was alert and oriented (was able to repeat name, DOB, address, and where he was), no nausea, no neck or back pain, just mentioned that he was standing then everything went dark.  He mentioned that his left arm was tingling and sore but nothing he would be alarmed about.  At the time, we suggested we monitor him an additional 15 minutes and for him to inform us if he felt any additional side effects.  At approximately 3:55pm, patient mentioned that his hands felt cold, but otherwise he had feeling and no numbness.  Patient mom was concerned and agreed to call emergency services.  Ambulance arrived and took patient to hospital at approximately 4:09pm.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Patient was vaccinated with his first dose of Covid Pfizer vaccine and approximately 10-11 minutes later his mother stated that he no longer felt like sitting.  He went to stand by her and 3-4 minutes later patient had a syncopal episode, fell back, and hit his head on a wall.  The patient had recovered consciousness by the time staff reached him. Our staff came to his aid and had him sit up, assessed for any signs of bleeding, which there were not, and checked vitals (results below).  Patient had no complaints of headache, no dizziness, was alert and oriented (was able to repeat name, DOB, address, and where he was), no nausea, no neck or back pain, just mentioned that he was standing then everything went dark.  He mentioned that his left arm was tingling and sore but nothing he would be alarmed about.  At the time, we suggested we monitor him an additional 15 minutes and for him to inform us if he felt any additional side effects.  At approximately 3:55pm, patient mentioned that his hands felt cold, but otherwise he had feeling and no numbness.  Patient mom was concerned and agreed to call emergency services.  Ambulance arrived and took patient to hospital at approximately 4:09pm.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Loss of consciousness, Syncope
Clinical narrative: Patient was vaccinated with his first dose of Covid Pfizer vaccine and approximately 10-11 minutes later his mother stated that he no longer felt like sitting.  He went to stand by her and 3-4 minutes later patient had a syncopal episode, fell back, and hit his head on a wall.  The patient had recovered consciousness by the time staff reached him. Our staff came to his aid and had him sit up, assessed for any signs of bleeding, which there were not, and checked vitals (results below).  Patient had no complaints of headache, no dizziness, was alert and oriented (was able to repeat name, DOB, address, and where he was), no nausea, no neck or back pain, just mentioned that he was standing then everything went dark.  He mentioned that his left arm was tingling and sore but nothing he would be alarmed about.  At the time, we suggested we monitor him an additional 15 minutes and for him to inform us if he felt any additional side effects.  At approximately 3:55pm, patient mentioned that his hands felt cold, but otherwise he had feeling and no numbness.  Patient mom was concerned and agreed to call emergency services.  Ambulance arrived and took patient to hospital at approximately 4:09pm.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Swollen armpit after receiving second dose of Pfizer vaccine. Still have lump and no improvement.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Chills, Decreased appetite, Diarrhoea
Clinical narrative: I woke at 2:30 AM the day after my shot (so 7/18/21) with chills, a fever of 101.3, and body aches in my joints, teeth, and face. I was unable to sleep through it. Around 10AM, I took 400mg of ibuprofen and was able to sleep for a bit. I woke around noon feeling hot. I basically bounced from being too hot to being too cold all day, in and out of sleep, from here. At 8 PM, the left side of my upper chest started to hurt and I discovered a lump between my armpit and left breast. I determined this to be enlarged lymph nodes. It was very difficult to sleep that night due to this soreness (I can best describe that it felt like a bruised rib). The next morning, (so 7/19/21),
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Fatigue, Feeling cold, Feeling hot, Joint range of motion decreased
Clinical narrative: I woke at 2:30 AM the day after my shot (so 7/18/21) with chills, a fever of 101.3, and body aches in my joints, teeth, and face. I was unable to sleep through it. Around 10AM, I took 400mg of ibuprofen and was able to sleep for a bit. I woke around noon feeling hot. I basically bounced from being too hot to being too cold all day, in and out of sleep, from here. At 8 PM, the left side of my upper chest started to hurt and I discovered a lump between my armpit and left breast. I determined this to be enlarged lymph nodes. It was very difficult to sleep that night due to this soreness (I can best describe that it felt like a bruised rib). The next morning, (so 7/19/21),
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nausea, Pain, Pyrexia, Sleep disorder
Clinical narrative: I woke at 2:30 AM the day after my shot (so 7/18/21) with chills, a fever of 101.3, and body aches in my joints, teeth, and face. I was unable to sleep through it. Around 10AM, I took 400mg of ibuprofen and was able to sleep for a bit. I woke around noon feeling hot. I basically bounced from being too hot to being too cold all day, in and out of sleep, from here. At 8 PM, the left side of my upper chest started to hurt and I discovered a lump between my armpit and left breast. I determined this to be enlarged lymph nodes. It was very difficult to sleep that night due to this soreness (I can best describe that it felt like a bruised rib). The next morning, (so 7/19/21),
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Toothache
Clinical narrative: I woke at 2:30 AM the day after my shot (so 7/18/21) with chills, a fever of 101.3, and body aches in my joints, teeth, and face. I was unable to sleep through it. Around 10AM, I took 400mg of ibuprofen and was able to sleep for a bit. I woke around noon feeling hot. I basically bounced from being too hot to being too cold all day, in and out of sleep, from here. At 8 PM, the left side of my upper chest started to hurt and I discovered a lump between my armpit and left breast. I determined this to be enlarged lymph nodes. It was very difficult to sleep that night due to this soreness (I can best describe that it felt like a bruised rib). The next morning, (so 7/19/21),
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Benign breast neoplasm, Biopsy lymph gland, Lymphadenopathy, Ultrasound breast, Ultrasound scan abnormal
Clinical narrative: Found a lump on left side of my breast.  Diagnostic mammo/ultrasound found a second, more questionable lump in deep left axilla.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Blood clot in left leg
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Vaccination error
Clinical narrative: No adverse event. I am reporting a vaccination error. Moderna vaccine was accidentally given instead of Pfizer as second dose. On 7-19-21, two patients came in for COVID vaccines. The technician did the paperwork for both while I was on the phone with patients and gave the consent forms to me (the pharmacist) while she went on to help other people. I called the name for patient 1, but patient 2 answered. Confirmed name and date of birth of patient 1 with patient 2, and he acknowledged both. Believing him to be patient 1, I went over information on the second dose, confirmed I would be giving the Moderna vaccine, and gave him the vaccine. After the vaccine was given, patient 2 had a question on the name of the vaccine given. Went over the paperwork and vaccination card of patient 1 with him thinking he is patient 1, confirmed with him that he is getting the same medication as last time while pointing out the vaccination card to him showing both doses as Moderna, and he continued to agree. Gave patient 2 the receipt and vaccination card of patient 1 after going over them with him and he left. Did not realize until called patient 2's name and patient one said that was not him. Apologized to patient 1 and informed him of the situation, as well as telling him that patient 2 does have his receipt and vaccination card. Gave patient 1 his vaccine and a new receipt and vaccination card. Spoke with the technician, who agreed she had overheard me confirm name and medication with who we now know is actually patient 2. We had believed that patient 2 could speak well enough, but just to be sure I had the technician call patient 2 to have him come back and then translate for him in Spanish and explain to him the situation as well as apologize for the misunderstanding. Patient 2 acknowledged his understanding but said in Spanish that the printed name on the vaccination card was too small so he didn't realize it was not his. Had patient 2 return patient 1's documents. Did some research and explained to him that even though now we know that his first dose was Pfizer and he was given Moderna for his second dose, the CDC does not recommend repeating the dose. Explained to him possible side effects to watch for with getting the second covid vaccine, and discussed with him that if more data comes out in the future on booster vaccines he might consider getting it. Patient said that it is okay and left with his updated vaccination card. No adverse effects that we know of.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt denied being given Covid vaccine before yesterday (7/19/21). After giving pt vaccine and entering it into our system, pt was noted to have received the same vaccine on 6/21/21.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Loss of consciousness
Clinical narrative: Patient received 1st dose covid vaccine and at the 13 minute mark slumped over in chair.  We promptly went out to keep him from falling and within 10 seconds he regained consciousness and was able to tell us his name, where he was and was alert.  He said he was feeling very weak all over but no other symptoms.  We called 911 and while paramedics were on the way he lost consciousness another 2 times each time for about 10 seconds.  He was alert when paramedics arrived and they took blood sugar, blood pressure, oxygen levels and applied leads to his chest.  From what I could tell all those tests came back normal.  While they were evaluating him, he lost consciousness again and they were able to revive him with sternal rub.  They transported the patient to the ER for further evaluation.
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Syncope
Clinical narrative: Parents came out of room stating pt fainted. Medical assistant to room and pt was was trying to sit up. She advised he continue to lay down. Pt was given cool cloth for head, juice and a supine BP was taken by RN. Pt reported no dizziness. Pt was then asked to sit and reported no sx. Second BP was taken. Vitals WNL each time. Pt was helped to stand and to take a few steps. Pt was back to baseline. Took 5 minutes.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Unevaluable event
Clinical narrative: patient came to clinic to get the vaccine and she did not bring her shot record, she was told the last office visit that she had to come in one month for the second dose. our system was not working, we were not able to log in to our system to see her shot record. but like patient needed the vaccine to go to college she just wanted to get and was demanding it. We just want to see if patient can have any side affects to do that she got a second Men B within one week. we spoke to patient and told her that we go on a protocol based vaccines.