chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: MMR
Symptoms: CSF mononuclear cell count increased, CSF protein increased, CSF test abnormal, Computerised tomogram head normal, Computerised tomogram neck
Clinical narrative: aseptic meningitis; varicella-zoster virus (VZV); .  This report has been received from the authors in a published article, tittle as stated above concerning a 31-year-old male patient. The patient's medical history included two dermatomal varicella-zoster virus (chickenpox) infection episodes in the past, first during childhood and second at 29 years. There were no other complications, and the recovery was uneventful. The patient has been healthy and took no medications.   On an unknown date in 2020 (reported as the prior week), the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) (dose, route of administration, lot # and expiration date were not reported) for prophylaxis, as part of his workplace requirement.  On an unknown date in 2020, the patient presented to the emergency room (ER) with an acute headache for 5 days in the summer of 2020. The headache was localized frontally. The pain was described as sharp and non-pulsating in nature and 10/10 in intensity. It worsened gradually and was associated with nausea and one episode of nonbilious, non-bloody vomiting. He took over-the-counter Nonsteroidal anti-inflammatory drugs (NSAIDs) for the headaches with no improvement. The patient was admitted to a hospital. On physical examination, he appeared uncomfortable and complained of a persistent frontal headache. Vitals were within normal limits, and physical examination was unremarkable without any dermatomal rash. Signs of meningeal irritation were negative. COVID-19 PCR and COVID-19 antibody testing were negative. CT head and CT angiogram head and neck were unremarkable. Lumbar puncture was performed, which showed elevated proteins (86 mg/dL) and mononuclear cells with a lymphocytic predominance (96%) on initial studies suggestive of viral meningitis. The patient received acyclovir and ceftriaxone. The patient reported an improvement of his symptoms on hospital day 2 with an appropriate pain control regimen. The patient was tested for human immunodeficiency virus (HIV), with results of negative. Cerebrospinal fluid (CSF) PCR studies were positive for varicella zoster virus (VZV) PCR (6800 copies/mL) and negative for Herpes Simplex Virus 1 and 2. Diagnosis of aseptic meningitis secondary to VZV was made. VZV IgG came back positive. Intravenous acyclovir with appropriate hydration was continued. The patient's headache resolved gradually, and he was discharged home (hospital day 4) on oral acyclovir for 10 days. The patient was followed up after discharge and was doing well with complete resolution of symptoms on an unknown date.  The reporter considered the event of aseptic meningitis secondary to VZV to be related to measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II).  Upon internal review, the event of meningitis aseptic was considered to be medically significant.   A copy of the published article is attached as further documentation of the patient's experience.
Sex: M
Vaccine: MMR
Symptoms: Discomfort, HIV test negative, Headache, Herpes simplex test negative, Lumbar puncture abnormal
Clinical narrative: aseptic meningitis; varicella-zoster virus (VZV); .  This report has been received from the authors in a published article, tittle as stated above concerning a 31-year-old male patient. The patient's medical history included two dermatomal varicella-zoster virus (chickenpox) infection episodes in the past, first during childhood and second at 29 years. There were no other complications, and the recovery was uneventful. The patient has been healthy and took no medications.   On an unknown date in 2020 (reported as the prior week), the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) (dose, route of administration, lot # and expiration date were not reported) for prophylaxis, as part of his workplace requirement.  On an unknown date in 2020, the patient presented to the emergency room (ER) with an acute headache for 5 days in the summer of 2020. The headache was localized frontally. The pain was described as sharp and non-pulsating in nature and 10/10 in intensity. It worsened gradually and was associated with nausea and one episode of nonbilious, non-bloody vomiting. He took over-the-counter Nonsteroidal anti-inflammatory drugs (NSAIDs) for the headaches with no improvement. The patient was admitted to a hospital. On physical examination, he appeared uncomfortable and complained of a persistent frontal headache. Vitals were within normal limits, and physical examination was unremarkable without any dermatomal rash. Signs of meningeal irritation were negative. COVID-19 PCR and COVID-19 antibody testing were negative. CT head and CT angiogram head and neck were unremarkable. Lumbar puncture was performed, which showed elevated proteins (86 mg/dL) and mononuclear cells with a lymphocytic predominance (96%) on initial studies suggestive of viral meningitis. The patient received acyclovir and ceftriaxone. The patient reported an improvement of his symptoms on hospital day 2 with an appropriate pain control regimen. The patient was tested for human immunodeficiency virus (HIV), with results of negative. Cerebrospinal fluid (CSF) PCR studies were positive for varicella zoster virus (VZV) PCR (6800 copies/mL) and negative for Herpes Simplex Virus 1 and 2. Diagnosis of aseptic meningitis secondary to VZV was made. VZV IgG came back positive. Intravenous acyclovir with appropriate hydration was continued. The patient's headache resolved gradually, and he was discharged home (hospital day 4) on oral acyclovir for 10 days. The patient was followed up after discharge and was doing well with complete resolution of symptoms on an unknown date.  The reporter considered the event of aseptic meningitis secondary to VZV to be related to measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II).  Upon internal review, the event of meningitis aseptic was considered to be medically significant.   A copy of the published article is attached as further documentation of the patient's experience.
Sex: M
Vaccine: MMR
Symptoms: Meningitis aseptic, Nausea, Pain, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative
Clinical narrative: aseptic meningitis; varicella-zoster virus (VZV); .  This report has been received from the authors in a published article, tittle as stated above concerning a 31-year-old male patient. The patient's medical history included two dermatomal varicella-zoster virus (chickenpox) infection episodes in the past, first during childhood and second at 29 years. There were no other complications, and the recovery was uneventful. The patient has been healthy and took no medications.   On an unknown date in 2020 (reported as the prior week), the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) (dose, route of administration, lot # and expiration date were not reported) for prophylaxis, as part of his workplace requirement.  On an unknown date in 2020, the patient presented to the emergency room (ER) with an acute headache for 5 days in the summer of 2020. The headache was localized frontally. The pain was described as sharp and non-pulsating in nature and 10/10 in intensity. It worsened gradually and was associated with nausea and one episode of nonbilious, non-bloody vomiting. He took over-the-counter Nonsteroidal anti-inflammatory drugs (NSAIDs) for the headaches with no improvement. The patient was admitted to a hospital. On physical examination, he appeared uncomfortable and complained of a persistent frontal headache. Vitals were within normal limits, and physical examination was unremarkable without any dermatomal rash. Signs of meningeal irritation were negative. COVID-19 PCR and COVID-19 antibody testing were negative. CT head and CT angiogram head and neck were unremarkable. Lumbar puncture was performed, which showed elevated proteins (86 mg/dL) and mononuclear cells with a lymphocytic predominance (96%) on initial studies suggestive of viral meningitis. The patient received acyclovir and ceftriaxone. The patient reported an improvement of his symptoms on hospital day 2 with an appropriate pain control regimen. The patient was tested for human immunodeficiency virus (HIV), with results of negative. Cerebrospinal fluid (CSF) PCR studies were positive for varicella zoster virus (VZV) PCR (6800 copies/mL) and negative for Herpes Simplex Virus 1 and 2. Diagnosis of aseptic meningitis secondary to VZV was made. VZV IgG came back positive. Intravenous acyclovir with appropriate hydration was continued. The patient's headache resolved gradually, and he was discharged home (hospital day 4) on oral acyclovir for 10 days. The patient was followed up after discharge and was doing well with complete resolution of symptoms on an unknown date.  The reporter considered the event of aseptic meningitis secondary to VZV to be related to measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II).  Upon internal review, the event of meningitis aseptic was considered to be medically significant.   A copy of the published article is attached as further documentation of the patient's experience.
Sex: M
Vaccine: MMR
Symptoms: Varicella virus test positive, Varicella zoster virus infection, Vomiting
Clinical narrative: aseptic meningitis; varicella-zoster virus (VZV); .  This report has been received from the authors in a published article, tittle as stated above concerning a 31-year-old male patient. The patient's medical history included two dermatomal varicella-zoster virus (chickenpox) infection episodes in the past, first during childhood and second at 29 years. There were no other complications, and the recovery was uneventful. The patient has been healthy and took no medications.   On an unknown date in 2020 (reported as the prior week), the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) (dose, route of administration, lot # and expiration date were not reported) for prophylaxis, as part of his workplace requirement.  On an unknown date in 2020, the patient presented to the emergency room (ER) with an acute headache for 5 days in the summer of 2020. The headache was localized frontally. The pain was described as sharp and non-pulsating in nature and 10/10 in intensity. It worsened gradually and was associated with nausea and one episode of nonbilious, non-bloody vomiting. He took over-the-counter Nonsteroidal anti-inflammatory drugs (NSAIDs) for the headaches with no improvement. The patient was admitted to a hospital. On physical examination, he appeared uncomfortable and complained of a persistent frontal headache. Vitals were within normal limits, and physical examination was unremarkable without any dermatomal rash. Signs of meningeal irritation were negative. COVID-19 PCR and COVID-19 antibody testing were negative. CT head and CT angiogram head and neck were unremarkable. Lumbar puncture was performed, which showed elevated proteins (86 mg/dL) and mononuclear cells with a lymphocytic predominance (96%) on initial studies suggestive of viral meningitis. The patient received acyclovir and ceftriaxone. The patient reported an improvement of his symptoms on hospital day 2 with an appropriate pain control regimen. The patient was tested for human immunodeficiency virus (HIV), with results of negative. Cerebrospinal fluid (CSF) PCR studies were positive for varicella zoster virus (VZV) PCR (6800 copies/mL) and negative for Herpes Simplex Virus 1 and 2. Diagnosis of aseptic meningitis secondary to VZV was made. VZV IgG came back positive. Intravenous acyclovir with appropriate hydration was continued. The patient's headache resolved gradually, and he was discharged home (hospital day 4) on oral acyclovir for 10 days. The patient was followed up after discharge and was doing well with complete resolution of symptoms on an unknown date.  The reporter considered the event of aseptic meningitis secondary to VZV to be related to measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II).  Upon internal review, the event of meningitis aseptic was considered to be medically significant.   A copy of the published article is attached as further documentation of the patient's experience.
Age: 15.0
Sex: M
Vaccine: HPV4
Symptoms: Anxiety, Confusional state, Dizziness, Drug ineffective, Dyskinesia
Clinical narrative: ENT diagnosed him with a virus; drug ineffective; inappropriate schedule; Acute Encephalopathy/ Patient started to fall (unable to walk)/ Dizziness/ confusion/ jerking of the hands/ Anxiety; This spontaneous report was received from the patient's parent and refers to a 15-year-old male patient. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On 17-AUG-2011, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) lot # 0963AA with expiration date on 11-SEP-2013 (dose, route of administration were unknown) for prevention of human papillomavirus. On an unknown date in October 2011, couple of days after the vaccination, the patient started falling and was unable to walk, experiencing confusion, and jerking of the hands, dizziness and anxiety. The patient was taken to the emergency room and a lumbar puncture along with (EEG (Electroencephalography) were performed. No results were reported. The patient was not admitted and was sent home. On an unknown date, based on the symptoms, the patient was diagnosed with acute encephalopathy. The patient received aripiprazole (ABILIFY) for anxiety and  clozapine (CLOZARIL) and  divalproex (DEPAKOTE) as treatment (also reported that the patient did not received any treatment). The patient was also referred to the psychiatrist. On an unknown date, the patient was prescribed meclozine hydrochloride (MECLIZINE) (dose, frequency, route of administration, lot # and expiration date were unknown) for dizziness, but it did not work. Action taken with meclozine hydrochloride (MECLIZINE) was unknown. On an unknown date, between 2011 and 2012, the patient was referred to a neurologist and ENT (Ear, Nose, Throat) and he was diagnosed with an unspecified viral infection.  Therapy with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine(GARDASIL) was discontinued, the patient did not complete the series.  The outcome of encephalopathy was reported as not recovered as the patient' symptoms would come and go. The outcome of viral infection and drug ineffectiveness was unknown. The causality assessment was not reported. Upon internal review, the event of acute encephalopathy was considered to be medically significant.
Age: 15.0
Sex: M
Vaccine: HPV4
Symptoms: Electroencephalogram, Encephalopathy, Fall, Gait inability, Inappropriate schedule of product administration
Clinical narrative: ENT diagnosed him with a virus; drug ineffective; inappropriate schedule; Acute Encephalopathy/ Patient started to fall (unable to walk)/ Dizziness/ confusion/ jerking of the hands/ Anxiety; This spontaneous report was received from the patient's parent and refers to a 15-year-old male patient. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On 17-AUG-2011, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) lot # 0963AA with expiration date on 11-SEP-2013 (dose, route of administration were unknown) for prevention of human papillomavirus. On an unknown date in October 2011, couple of days after the vaccination, the patient started falling and was unable to walk, experiencing confusion, and jerking of the hands, dizziness and anxiety. The patient was taken to the emergency room and a lumbar puncture along with (EEG (Electroencephalography) were performed. No results were reported. The patient was not admitted and was sent home. On an unknown date, based on the symptoms, the patient was diagnosed with acute encephalopathy. The patient received aripiprazole (ABILIFY) for anxiety and  clozapine (CLOZARIL) and  divalproex (DEPAKOTE) as treatment (also reported that the patient did not received any treatment). The patient was also referred to the psychiatrist. On an unknown date, the patient was prescribed meclozine hydrochloride (MECLIZINE) (dose, frequency, route of administration, lot # and expiration date were unknown) for dizziness, but it did not work. Action taken with meclozine hydrochloride (MECLIZINE) was unknown. On an unknown date, between 2011 and 2012, the patient was referred to a neurologist and ENT (Ear, Nose, Throat) and he was diagnosed with an unspecified viral infection.  Therapy with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine(GARDASIL) was discontinued, the patient did not complete the series.  The outcome of encephalopathy was reported as not recovered as the patient' symptoms would come and go. The outcome of viral infection and drug ineffectiveness was unknown. The causality assessment was not reported. Upon internal review, the event of acute encephalopathy was considered to be medically significant.
Age: 15.0
Sex: M
Vaccine: HPV4
Symptoms: Lumbar puncture, Viral infection
Clinical narrative: ENT diagnosed him with a virus; drug ineffective; inappropriate schedule; Acute Encephalopathy/ Patient started to fall (unable to walk)/ Dizziness/ confusion/ jerking of the hands/ Anxiety; This spontaneous report was received from the patient's parent and refers to a 15-year-old male patient. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On 17-AUG-2011, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) lot # 0963AA with expiration date on 11-SEP-2013 (dose, route of administration were unknown) for prevention of human papillomavirus. On an unknown date in October 2011, couple of days after the vaccination, the patient started falling and was unable to walk, experiencing confusion, and jerking of the hands, dizziness and anxiety. The patient was taken to the emergency room and a lumbar puncture along with (EEG (Electroencephalography) were performed. No results were reported. The patient was not admitted and was sent home. On an unknown date, based on the symptoms, the patient was diagnosed with acute encephalopathy. The patient received aripiprazole (ABILIFY) for anxiety and  clozapine (CLOZARIL) and  divalproex (DEPAKOTE) as treatment (also reported that the patient did not received any treatment). The patient was also referred to the psychiatrist. On an unknown date, the patient was prescribed meclozine hydrochloride (MECLIZINE) (dose, frequency, route of administration, lot # and expiration date were unknown) for dizziness, but it did not work. Action taken with meclozine hydrochloride (MECLIZINE) was unknown. On an unknown date, between 2011 and 2012, the patient was referred to a neurologist and ENT (Ear, Nose, Throat) and he was diagnosed with an unspecified viral infection.  Therapy with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine(GARDASIL) was discontinued, the patient did not complete the series.  The outcome of encephalopathy was reported as not recovered as the patient' symptoms would come and go. The outcome of viral infection and drug ineffectiveness was unknown. The causality assessment was not reported. Upon internal review, the event of acute encephalopathy was considered to be medically significant.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Paraesthesia oral
Clinical narrative: 30 min after shot, my tongue started to tingle, but went away within the hour. I did have headaches almost daily, got the first week or 2.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Headache, Hyperhidrosis, Hyperventilation
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Mild, Systemic: Hyperventilation-Medium, Systemic: Nausea-Mild, Systemic: Shakiness-Medium, Additional Details: pt was expericing a panic attack after the vaccine. pt started hyperventilating and sweating profusely. pt requested that i call 911. Ambulance came and all vitals were normal. ambulance refused transport. pt sat at the pharmacy for another 15 mins. followed up with pt 5-6 hours later. pt was doing well. no other signs or symptoms
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Panic attack, Tremor
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Mild, Systemic: Hyperventilation-Medium, Systemic: Nausea-Mild, Systemic: Shakiness-Medium, Additional Details: pt was expericing a panic attack after the vaccine. pt started hyperventilating and sweating profusely. pt requested that i call 911. Ambulance came and all vitals were normal. ambulance refused transport. pt sat at the pharmacy for another 15 mins. followed up with pt 5-6 hours later. pt was doing well. no other signs or symptoms
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Dizziness, Dyspnoea, Hyperventilation
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hyperventilation-Severe, Systemic: Weakness-Severe
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hyperventilation-Severe, Systemic: Weakness-Severe
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution-
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution-
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chest pain, Condition aggravated, Crohn's disease
Clinical narrative: Received the vaccine around 9am. Chest pain/palpitations started around 12pm, lasting about an hour. Tuesday, August 24, 2021, chest pain on and off all day, stomach pains.  Wednesday , August 25, 2021, Crohn?s disease (that was in remission) starting flaring up. Stomach pains, joint pains. Wednesday, August 25, 2021, could barely grip a shopping cart from joint swelling/pain, diarrhea, chest pain. SOB Thursday, August 26, 2021, more diarrhea, joint pain/swelling, chest pains on and off all day , Shortness of breath (SOB) on and off all day.  Friday, August 27, 2021 (today), joint swelling/pain, stomach pain, chest pain (5am), SOB
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Grip strength decreased, Joint swelling, Palpitations
Clinical narrative: Received the vaccine around 9am. Chest pain/palpitations started around 12pm, lasting about an hour. Tuesday, August 24, 2021, chest pain on and off all day, stomach pains.  Wednesday , August 25, 2021, Crohn?s disease (that was in remission) starting flaring up. Stomach pains, joint pains. Wednesday, August 25, 2021, could barely grip a shopping cart from joint swelling/pain, diarrhea, chest pain. SOB Thursday, August 26, 2021, more diarrhea, joint pain/swelling, chest pains on and off all day , Shortness of breath (SOB) on and off all day.  Friday, August 27, 2021 (today), joint swelling/pain, stomach pain, chest pain (5am), SOB
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Hypotension
Clinical narrative: Patient received Pfizer vaccine dose 1, after receiving vaccine advised to wait in store for 15 minutes, mom said they were going to walk around. Mom came back to pharmacy saying patient fell. Dad had caught her in the isle, she bumped her head. Seemed like classic syncope reaction. Checked patients blood pressure, confirmed with dr that patients BP usually runs low.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extremities)-Mild, Additional Details: Tingling, pin pick, numb feeling in right arm/hand
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Palpitations, Pyrexia
Clinical narrative: Tiredness and fever started shy of 24 hours after vaccination, lasted about 8 hours then went away heart palpitations started about 29 hours after vaccination, lasted about 30 minutes then went away.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Confusional state, Dizziness, Flushing
Clinical narrative: Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: Patient's symptoms had a very quick onset (of about 2 minutes post-vaccination), and lasted for about 10 minutes before he felt better.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Nausea, Pyrexia, Tremor
Clinical narrative: Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: Patient's symptoms had a very quick onset (of about 2 minutes post-vaccination), and lasted for about 10 minutes before he felt better.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash macular, Rash pruritic
Clinical narrative: blotchy, itchy red rash on arms, chest, back and thighs
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypertension
Clinical narrative: Systemic: Headache-Severe, Systemic: Hypertension-Severe
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: patient experienced lightheadeness and flushing. was given benadryl. after approx 10 minutes was sweating but all other symptoms resolved. after 20 minutes all symptoms resolved
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Loss of consciousness, Pulse abnormal, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Additional Details: After vaccine patient was sitting and she passed out.  Her mom was right next to her and caught her. She came to get us and the technician (who is also a nurse) and I went out.  We called 911. She was clammy and pulse was thready. We layed her on the floor and within a few minutes she came to. Patient and Mom went in ambulance together.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Ultrasound antenatal screen abnormal
Clinical narrative: Patient found that she had a miscarriage/intrauterine fetal demise at estimated 9wks gestational age, diagnosed by ultrasound performed 8/11/2021.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Systemic: Headache-Mild
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Discomfort, Dizziness, Dyspnoea, Pain
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Dizziness / Lightheadness-Severe
Sex: U
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Chills, Decreased appetite, Dry mouth
Clinical narrative: Symptoms were terrible headaches,  body aches, stomach pain,  stabbing pain, fever, chills, tired, sleepy, On August 25, 2021 was at working after taken shot when pain occurred had to leave work due to feeling pain and body just trying to shut down. I made it home around 1:48 pm I was so tired weak heart racing I laid in my bed 10 hours straight sleep when I awoke it was almost 1am on August 26, 2021 I was so weak I couldn't move  I was in so much pain I had to call out for work. I was scared sometimes to even fall asleep I had no appetite just started back eating as of last night on August 26, 2021 my mouth was so dry I was more thirsty for water than hungry for food. I can't afford to get sick missing out on work is like missing a days meal or a bill for my family. I don't ever want to experience that pain again
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Headache, Impaired work ability, Pain, Palpitations
Clinical narrative: Symptoms were terrible headaches,  body aches, stomach pain,  stabbing pain, fever, chills, tired, sleepy, On August 25, 2021 was at working after taken shot when pain occurred had to leave work due to feeling pain and body just trying to shut down. I made it home around 1:48 pm I was so tired weak heart racing I laid in my bed 10 hours straight sleep when I awoke it was almost 1am on August 26, 2021 I was so weak I couldn't move  I was in so much pain I had to call out for work. I was scared sometimes to even fall asleep I had no appetite just started back eating as of last night on August 26, 2021 my mouth was so dry I was more thirsty for water than hungry for food. I can't afford to get sick missing out on work is like missing a days meal or a bill for my family. I don't ever want to experience that pain again
Sex: U
Vaccine: COVID19
Symptoms: Pyrexia, Somnolence
Clinical narrative: Symptoms were terrible headaches,  body aches, stomach pain,  stabbing pain, fever, chills, tired, sleepy, On August 25, 2021 was at working after taken shot when pain occurred had to leave work due to feeling pain and body just trying to shut down. I made it home around 1:48 pm I was so tired weak heart racing I laid in my bed 10 hours straight sleep when I awoke it was almost 1am on August 26, 2021 I was so weak I couldn't move  I was in so much pain I had to call out for work. I was scared sometimes to even fall asleep I had no appetite just started back eating as of last night on August 26, 2021 my mouth was so dry I was more thirsty for water than hungry for food. I can't afford to get sick missing out on work is like missing a days meal or a bill for my family. I don't ever want to experience that pain again
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Discomfort, Dizziness, Fall, Hyperacusis
Clinical narrative: 8/25 7:00pm- severe muscle pains in whole body.  7:30pm- severe body tremors/convulsions started (lasted 3 hours) followed by chills, fever, sweating. 8/26 9:00am severe dizziness, lightheaded, severe sensitivity to light and sound. Lasted all day 8/27 12:30am got up to go to the bath room and my right leg felt funny, went to take a step and it completely gave out on me and I fell. I tried to get up and it wouldn?t work, it could t hold weight. I had to sit for 3/4 minutes before I could use it again. 6:30 am- now? my body is extremely heavy.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Muscular weakness, Myalgia, Photophobia, Pyrexia
Clinical narrative: 8/25 7:00pm- severe muscle pains in whole body.  7:30pm- severe body tremors/convulsions started (lasted 3 hours) followed by chills, fever, sweating. 8/26 9:00am severe dizziness, lightheaded, severe sensitivity to light and sound. Lasted all day 8/27 12:30am got up to go to the bath room and my right leg felt funny, went to take a step and it completely gave out on me and I fell. I tried to get up and it wouldn?t work, it could t hold weight. I had to sit for 3/4 minutes before I could use it again. 6:30 am- now? my body is extremely heavy.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Tremor
Clinical narrative: 8/25 7:00pm- severe muscle pains in whole body.  7:30pm- severe body tremors/convulsions started (lasted 3 hours) followed by chills, fever, sweating. 8/26 9:00am severe dizziness, lightheaded, severe sensitivity to light and sound. Lasted all day 8/27 12:30am got up to go to the bath room and my right leg felt funny, went to take a step and it completely gave out on me and I fell. I tried to get up and it wouldn?t work, it could t hold weight. I had to sit for 3/4 minutes before I could use it again. 6:30 am- now? my body is extremely heavy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint injury, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Discomfort, Pain
Clinical narrative: Systemic: Chest Tightness / Heaviness / Pain-Mild
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing/buzzing in ears
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Dizziness, Fatigue, Flushing
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Severe, Additional Details: RPh was alerted by seatedpatient 10min after injection that she was lightheaded, then patient's head fell back, her arms strongly shook two times Rph went to her but she was unconscious. Rph place her hand on the back of her head for support patients eyes were opn Rph asked if she was ok she then "woke up" a bit dazed gave her apple juice and fan- episode 10 sec
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hyperventilation, Hypotension, Injection site pain, Lethargy
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Severe, Additional Details: RPh was alerted by seatedpatient 10min after injection that she was lightheaded, then patient's head fell back, her arms strongly shook two times Rph went to her but she was unconscious. Rph place her hand on the back of her head for support patients eyes were opn Rph asked if she was ok she then "woke up" a bit dazed gave her apple juice and fan- episode 10 sec
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope, Tremor, Unresponsive to stimuli, Visual impairment
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Severe, Additional Details: RPh was alerted by seatedpatient 10min after injection that she was lightheaded, then patient's head fell back, her arms strongly shook two times Rph went to her but she was unconscious. Rph place her hand on the back of her head for support patients eyes were opn Rph asked if she was ok she then "woke up" a bit dazed gave her apple juice and fan- episode 10 sec
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of personal independence in daily activities, Vertigo positional
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: vertigo exacerbated by positional changes-Severe, Additional Details: Pt did not have this reaction to the prior two doses. Instructed mom to bring pt to be evaluated to r/o inner ear issues, cardiac issues, etc. Pt had a rheumatologist appointment a few days after the vaccine and issue was not directly addressed by provider. Problem still persists even almost a week later. Pt unable to perform a fair amount of ADLs.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Lethargy, Vaccination complication
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Weakness-Severe, Additional Details: Pt said after recieving vaccine and returning home they became very weak, lethargic and dizzy. family members had to take them to the emergency room.  Pt said ER doctors told her she had a reaction to the vaccine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Groin pain, Lethargy, Pyrexia
Clinical narrative: Groin pain, lethargy, fever and hospitalized.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chest pain, Chills, Dizziness
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Joint Pain-Medium
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Eye swelling, Flushing, Hyperhidrosis, Mouth swelling
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Joint Pain-Medium
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash, Swelling face, Swollen tongue
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Joint Pain-Medium
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Joint Pain-Medium
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Lethargy, Pain
Clinical narrative: Systemic: Body Aches Generalized-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Joint Pain-Severe, Additional Details: Was given monoclonal antibody infusion 3 days post vaccination at healthcare center
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Additional Details: pt was feeling a little dizzy, but she informed me that she didn't eat.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Loss of consciousness, Malaise, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Severe, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: Patient waited the 15 minutes after injection in the store and was on the wat back to the pharmacy to ask questions since they were not feeling well and the patient fainted. 911 was called and pt was still unconscious when taken to the hospital.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Tremor, Unresponsive to stimuli, Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Severe, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: Patient waited the 15 minutes after injection in the store and was on the wat back to the pharmacy to ask questions since they were not feeling well and the patient fainted. 911 was called and pt was still unconscious when taken to the hospital.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Bordetella test negative, COVID-19, Chest X-ray normal, Chest discomfort
Clinical narrative: ED Discharged   8/16/2021 (2 hours) Hospital ER    Last attending ? Treatment team COVID-19  Clinical impression Shortness of Breath ? Chest Pain  Chief complaint   ED Provider Notes MD (Physician) ? ? Emergency Medicine Expand AllCollapse All    ED PROVIDER NOTE  MRN:  Medical Decision Making HPI as documented, differential diagnosis includes but not limited to COVID-19, pneumonia, COPD exacerbation   64-year-old male presenting today with shortness of breath, history of chronic bronchitis and COPD, vaccinated for Covid, presenting with upper respiratory symptoms, cough and congestion.  EKG is without acute ischemic change, troponin is negative, x-ray unremarkable, he is positive for COVID-19.He is not tachycardic, does not appear consistent with PE at this time.  He was given albuterol, steroids, feels safe for outpatient at this time as he is not hypoxic, will discharge  History of Present Illness Client is a 64 y.o. yo male presenting to the ED with cough, URI, chest pain and arm numbness. Very pleasant 64 year old male presenting with URI symptoms, congestion, cough productive of an occassional sputum, chest tightness starting today with pain into his neck and left arm. No pain /numbness to left arm currently. Did have some associated diarrhea today. No sick contacts. Did receive covid vaccine. States has COPD but no problems in recent years. H/o CAD s/p stenting
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough, Diarrhoea, Dyspnoea, Electrocardiogram normal
Clinical narrative: ED Discharged   8/16/2021 (2 hours) Hospital ER    Last attending ? Treatment team COVID-19  Clinical impression Shortness of Breath ? Chest Pain  Chief complaint   ED Provider Notes MD (Physician) ? ? Emergency Medicine Expand AllCollapse All    ED PROVIDER NOTE  MRN:  Medical Decision Making HPI as documented, differential diagnosis includes but not limited to COVID-19, pneumonia, COPD exacerbation   64-year-old male presenting today with shortness of breath, history of chronic bronchitis and COPD, vaccinated for Covid, presenting with upper respiratory symptoms, cough and congestion.  EKG is without acute ischemic change, troponin is negative, x-ray unremarkable, he is positive for COVID-19.He is not tachycardic, does not appear consistent with PE at this time.  He was given albuterol, steroids, feels safe for outpatient at this time as he is not hypoxic, will discharge  History of Present Illness Client is a 64 y.o. yo male presenting to the ED with cough, URI, chest pain and arm numbness. Very pleasant 64 year old male presenting with URI symptoms, congestion, cough productive of an occassional sputum, chest tightness starting today with pain into his neck and left arm. No pain /numbness to left arm currently. Did have some associated diarrhea today. No sick contacts. Did receive covid vaccine. States has COPD but no problems in recent years. H/o CAD s/p stenting
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Influenza B virus test, Influenza virus test negative, Neck pain, Pain in extremity
Clinical narrative: ED Discharged   8/16/2021 (2 hours) Hospital ER    Last attending ? Treatment team COVID-19  Clinical impression Shortness of Breath ? Chest Pain  Chief complaint   ED Provider Notes MD (Physician) ? ? Emergency Medicine Expand AllCollapse All    ED PROVIDER NOTE  MRN:  Medical Decision Making HPI as documented, differential diagnosis includes but not limited to COVID-19, pneumonia, COPD exacerbation   64-year-old male presenting today with shortness of breath, history of chronic bronchitis and COPD, vaccinated for Covid, presenting with upper respiratory symptoms, cough and congestion.  EKG is without acute ischemic change, troponin is negative, x-ray unremarkable, he is positive for COVID-19.He is not tachycardic, does not appear consistent with PE at this time.  He was given albuterol, steroids, feels safe for outpatient at this time as he is not hypoxic, will discharge  History of Present Illness Client is a 64 y.o. yo male presenting to the ED with cough, URI, chest pain and arm numbness. Very pleasant 64 year old male presenting with URI symptoms, congestion, cough productive of an occassional sputum, chest tightness starting today with pain into his neck and left arm. No pain /numbness to left arm currently. Did have some associated diarrhea today. No sick contacts. Did receive covid vaccine. States has COPD but no problems in recent years. H/o CAD s/p stenting
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test, Respiratory tract congestion, Respiratory viral panel, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: ED Discharged   8/16/2021 (2 hours) Hospital ER    Last attending ? Treatment team COVID-19  Clinical impression Shortness of Breath ? Chest Pain  Chief complaint   ED Provider Notes MD (Physician) ? ? Emergency Medicine Expand AllCollapse All    ED PROVIDER NOTE  MRN:  Medical Decision Making HPI as documented, differential diagnosis includes but not limited to COVID-19, pneumonia, COPD exacerbation   64-year-old male presenting today with shortness of breath, history of chronic bronchitis and COPD, vaccinated for Covid, presenting with upper respiratory symptoms, cough and congestion.  EKG is without acute ischemic change, troponin is negative, x-ray unremarkable, he is positive for COVID-19.He is not tachycardic, does not appear consistent with PE at this time.  He was given albuterol, steroids, feels safe for outpatient at this time as he is not hypoxic, will discharge  History of Present Illness Client is a 64 y.o. yo male presenting to the ED with cough, URI, chest pain and arm numbness. Very pleasant 64 year old male presenting with URI symptoms, congestion, cough productive of an occassional sputum, chest tightness starting today with pain into his neck and left arm. No pain /numbness to left arm currently. Did have some associated diarrhea today. No sick contacts. Did receive covid vaccine. States has COPD but no problems in recent years. H/o CAD s/p stenting
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Confusional state, SARS-CoV-2 test
Clinical narrative: Confusion
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vaccine should have been discarded at 2:07pm since was put at room temp at 8:07am but this vaccine was given at 6pm. She has no issues as a result but we are having her come back in to repeat the dose.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram
Clinical narrative: Patient describes feeling like he has a "heavy chest and shortness of breath" three days after his first vaccine. Patient describes that is has continued on and off. Seen by provider, unremarkable exam, EKG ordered, patient encouraged to continue with vaccination series.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Cough Fatigue and Congestion or runny nose