chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Refusal of treatment by patient
Clinical narrative: Systemic: Flushed / Sweating-Mild, Additional Details: patient said she was prone to passing out from anxiety of getting vaccines and within 3 minutes of receiving vaccine patient said she felt like she was going to pass out and did seem to black out for a few seconds. 911 was called but patient refused treatment and was fully recovered before leaving EMT recommended patient take antiaxiety medication before receiving another vaccine
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Janssen COVID 19 vaccine administered to a patient under the age of 18. Patient had no symptoms.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Confusional state, Nausea, Syncope, Tremor
Clinical narrative: Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Herpes zoster
Clinical narrative: Upset stomach for 1 week then broke out with shingles.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Tonight I had a woman call regarding her 58 yo daughter.  She stated that yesterday I gave her the Moderna vaccine and now she has severe facial swelling.   She was wondering if it was related to the vaccination.   I recommended that she go to the emergency room.  She then asked what Keflex was for and that the patient had been receiving for a tooth infection.  She again stated that the facial swelling was severe and I again recommended the emergency room.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypotension, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: numbness on left arm
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Nausea, Urticaria, Vomiting
Clinical narrative: Severe stomach pain and cramps, diarrhea, nausea, vomiting, hives. The onset was approximately 4 hours after receiving the vaccine. The peak of pain was approximately 12 hours after injection. Hives remain on abdomen and thighs 48 hours later.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac stress test normal, Chest discomfort, Cough, Echocardiogram normal, Electrocardiogram ambulatory abnormal
Clinical narrative: Unsure if this was covid related or vaccine related: 1)  exposed to covid within 3 days of vaccine #2 2)  3 days of mild cough and sinus drainage without loss of taste or smell, no breathing difficulty, temps 97 - 99 (Jan 17 - 19, 2021). 3)  Next week increasing chest tightness and irregular heartbeat 4) Cardiology Appt:  holter monitor with > 5000 PVCs in 24 hrs and a few episodes of short-lived arrhythmias.  Cardiac Stress Test normal and Echo negative for cardiomyopathy.  Started on Metoprolol (weight gain and fatigue, intermittent PVCs and occasional arrhythmias), changed to Acebutolol (less side effects and fewer PVCs). 5)  Next Cardiology visit scheduled for October 20, 2021.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Heart rate irregular, Sinus operation
Clinical narrative: Unsure if this was covid related or vaccine related: 1)  exposed to covid within 3 days of vaccine #2 2)  3 days of mild cough and sinus drainage without loss of taste or smell, no breathing difficulty, temps 97 - 99 (Jan 17 - 19, 2021). 3)  Next week increasing chest tightness and irregular heartbeat 4) Cardiology Appt:  holter monitor with > 5000 PVCs in 24 hrs and a few episodes of short-lived arrhythmias.  Cardiac Stress Test normal and Echo negative for cardiomyopathy.  Started on Metoprolol (weight gain and fatigue, intermittent PVCs and occasional arrhythmias), changed to Acebutolol (less side effects and fewer PVCs). 5)  Next Cardiology visit scheduled for October 20, 2021.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Headache, Loss of consciousness, Nausea, Tremor
Clinical narrative: Systemic: Nausea-Medium, Additional Details: Possible Vasovagal reaction, out for a very short time, then had nausea, a bit confused, shakiness, headache
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Nausea, Pallor
Clinical narrative: Patient received 2nd shot and was standing nearby when she started feeling nauseous. She took a seat and started to become pale. She felt sick in her stomach and was responding to questions. Pharmacy staff gave her a bottle of water and bag to vomit in (but did not vomit). Staff also checked her blood pressure resulting in 109/68 HR 65. She felt better and left. Pharmacy staff called mom to follow up around 3:30pm. Mom said she was doing better, but feeling tired.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint noise, Joint swelling
Clinical narrative: 6days after first dose my  right wrist and right knee became swollen and painful. After about 10 days, my knee was no longer swollen but it still ?clicks? when I walk up stairs or hills. My right wrist in the joint area remains severely painful to the touch and when in use, especially when using my thumb. A bump formed on the interior wrist bone and grew larger day-by-day and then either disappeared or grew into my wrist bone.  Joints in my fingers - especially on my right hand are achy.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: When reconstituting for Pfizer covid vaccine only 0.8ml of 0.9% sodium chloride diluent was used instead of the required 1.8ml amount. Patient was given vaccine and were notified the same day about the issue. Currently no side effects have been reported or noted
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Amnesia, Syncope
Clinical narrative: The patient stood up to signal something was wrong, and she immediately sat back down. As I went over to her, she was leaning over out of her chair at which time she fainted, and I had her lieing on the groung. she woke up 5-10 seconds later and didn't know what had happeneded and was upset. We moved to the immunization room and elevated her legs while applying ice packs to the back of her neck. She drank water and ate an apple. Within 45 minute she was feeling a lot better.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain
Clinical narrative: Systemic: Abdominal Pain-Severe, Additional Details: Patient came and received the second dose of Pfizer vaccine on may 27th. Tried to contact patient to make sure she is feeling good after the second dose but no response
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: My left arm began hurting about 48 hours after the shot. I am still experiencing soreness 3 weeks later. I also began experiencing joint pain - knees, hips, elbows, ankles, fingers, feet - about a week later. My pain is only getting worse.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal discomfort, Throat tightness
Clinical narrative: 05/20/21 Approximately 5:30 pm, during meal, consumed steak, rice, corn. Felt like "air bubbles" in throat; felt like "throat was closing", patient coughed. Symptoms resolved in "maybe" 3 to 4 minutes.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Feeling hot
Clinical narrative: A 36 year old patient. Received her first dose Pfizer (LOT#: EW0187 Exp: 8/2021) at 0922 on 6/06/21. At approximately 1035 patient came back to facility with a complaint of stomach pain. Patient was walked in by Lead RN and Co-lead RN. Patient stated she started to feel dizzy after being vaccinated. Patient stated that she didnt feel it was worth notifying EMT when she was in observation. Patient left vaccination site after completing her 15 minutes of observation. Patient waited at home for an hour after noticing she was feeling warmer and returned to facility for an assessment. Patient denies signs and symptoms of hives, rash, swelling, discoloration, or anaphylaxis. Patient denies shortness of breath. Patient stated that she only had coffee for breakfast. Patient was given a snack and water. Patient was asked to stay an extra 30 minutes for further observation. Patient agreed to stay. EMT took patient vital signs at 1040. BP:128/88, HR: 82, O2: 100%, temp: 98.6. EMT retook vital signs at 1045. BP: 128/93, HR: 82, O2: 100%. EMT retook vital signs at 1050. BP: 124/90, HR: 80 O2: 100%. EMT retook vital signs at 1102. BP: 124/90 HR: 82, O2: 100%. Patient stated that she was feeling a lot better and was no longer feeling any of her initial symptoms. Patient was advised to call 911 in case of any severe allergic reaction. Patient was encouraged to follow up with her PCP. Patient was encouraged to sign up for Vsafe. Patient refused to sign up for Vsafe. Patient refused to stay for the full 30 minutes of observation. Patient was advised to stay and told she was leaving against medical advice. Patient verbalized understanding. Patient left vaccination site at 1105 unassisted and with a steady gait.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: METALLIC TASTE IN MOUTH STARTING THE DAY AFTER VACCINATION, AND HAS CONTINUED SINCE THEN.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia, Tremor
Clinical narrative: NAUSEA, FEVER/CHILLS, SHAKES/TREMORS. PT HAS NOT TRIED ANY RX OR OTC TREATMENTS
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: When reconstituting for Pfizer covid vaccine only 0.8ml of 0.9% sodium chloride diluent was used instead of the required 1.8ml amount. Patient was given vaccine and were notified the same day about the issue. Currently no side effects have been reported or noted
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Eating disorder, Epistaxis, Fatigue, Headache
Clinical narrative: fever, sweating, headache, cough, bloody nose, congestion, fatigue, difficulty eating, muscle weakness, slept for over 24 hours in total two days after vaccine
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypersomnia, Muscular weakness, Nasal congestion, Pyrexia
Clinical narrative: fever, sweating, headache, cough, bloody nose, congestion, fatigue, difficulty eating, muscle weakness, slept for over 24 hours in total two days after vaccine
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: no adverse event happened after vaccination but there was an error in the covid -19 vaccine brand given. Pt should have received Moderna instead of Pfizer
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Systemic: shingles-Medium, Additional Details: shingles behind the eye that has spread to the eye according to mom. is being treated by an eye doctor.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor, Vision blurred
Clinical narrative: Pt was given vaccine after all DURs were verified. After vaccine patient stood and walked to waiting area with out issue. After 5-7 minutes patient lifted his arm getting our attention. Came out to patient were he said his vision was getting very blurry. Said he could not read the sign 6 feet in front of him. I touched his shoulder as a precaution and asked if he could see me. He stated yes and proceeded to put his head back and take down his mask and close his eyes. I asked pharmacy staff to call a code. His forehead and back of his neck were visibly wet from sweating. He moved his head forward and hung it down for 3 seconds before lifting it saying his vision was back. I asked if he had any blurriness or faintness still and he verbally said no. I asked if I could get some water for him and he said yes. I also gave him a granola bar and he said that it helped a lot. We also brought paper towel for his forehead and neck. He then stated that he hadn't eaten all day. He felt embarrassed that we had to call a code and get more people involved. His color came back 3-5 minutes after he initially lifted his head and said his vision was back. Pharmacy made pt sit another 15 minutes after his color came back. Watched patient stand up after the 15 minutes and pt said he felt good. Told patient we would be sending reports about what happened and if it was okay with him to provide his information to be contacted if needed, he agreed.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Drug ineffective, Product preparation issue
Clinical narrative: When reconstituting for Pfizer covid vaccine only 0.8ml of 0.9% sodium chloride diluent was used instead of the required 1.8ml amount. Patient was given vaccine and were notified the same day about the issue. Currently no side effects have been reported or noted
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received second dose 62 days after initial dose.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Feeling abnormal, Impaired driving ability, Impaired work ability, Loss of personal independence in daily activities
Clinical narrative: After getting the vaccine I felt strange for a few days (my body felt different) and then on Friday my brain crashed and has been foggy ever since. My concussion symptoms have re-emerged and I'm unable to work a full day, drive, or do complex tasks.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Post concussion syndrome
Clinical narrative: After getting the vaccine I felt strange for a few days (my body felt different) and then on Friday my brain crashed and has been foggy ever since. My concussion symptoms have re-emerged and I'm unable to work a full day, drive, or do complex tasks.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Chronic lymphocytic leukaemia
Clinical narrative: None stated.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Hypoaesthesia, Pain
Clinical narrative: Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: CHEST CRAMP, JOINT PAIN IN RIGHT ARM, PAIN ON RIGHT SIDE OF BODY, SYMPTOMS LAST 1 DAY
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Fatigue
Clinical narrative: Patient's mom reported that patient had chest pressure and felt tired on Saturday 6/5/2021 (pt got 2nd pfizer covid 19 vaccine dose on 6/4/2021) per mom.   Pt's mom was advised to contact PCP or visit urgent care or ER if symptoms get worse.    Called pt's mom next day to follow up on pt's adverse reactions.  Pt felt better and chest pressure went away per pt's mom.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Thrombosis, Ultrasound Doppler abnormal, Ultrasound scan
Clinical narrative: clot behind right knee, had ultra sound done, sent me o emergency room was given a pill of xarelto and prescription ans sent home, have to take pills for the next 31 days.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: patients  first dose received April 13, 2021, 2nd dose received June 3, 2021
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Psoriasis, Urticaria
Clinical narrative: Hives after initial dose 3 days after being administered. Provider, believed it was not related and advised pt to get her second vaccine. After 2nd dose pt had a response mildly the same day and it progressed over the next week. Hives were far more severe than after initial vaccination affecting the periorbital tissue, arms, abdomen, and legs. Exacerbated pt's plaque psoriasis. Pt was prescribed a topical clobetasol 0.05% BID. pt to follow-up next week. No changes to respiration or irritation or oropharynx.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dyspnoea, Nausea, Pain
Clinical narrative: Breathing difficulty, Nausea, Diarrhea, Fever, Chills, Body Aches.  Patient stated she had to go the  emergency room on 6/4/2021
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Breathing difficulty, Nausea, Diarrhea, Fever, Chills, Body Aches.  Patient stated she had to go the  emergency room on 6/4/2021
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder, Nausea, Skin warm, Somnolence
Clinical narrative: About 5 minutes following immunization, parent came to alert pharmacist that patient was experiencing nausea and light-headedness. Pharmacist observed that patient had a drowsy appearance and her eyes would periodically roll to the back of her head. Patient was also warm to the touch. She was given a cold pack which we placed on her wrists and she said that seemed to help. Patient remained under observation for about 20 minutes before she felt comfortable to leave the store.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Rash appeared a few hours after vaccination; color of rash was dark red to blue; patient reports this lasted for about 1 week; did not seek treatment and did not use any OTC products for rash to resolve on its own; no itching per patient
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Case was hospitalized.      **second dose was 2/4/2021.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect route of product administration
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pyrexia, Rash papular, Rash pruritic, Urticaria
Clinical narrative: 2nd pfizer covid vaccine....Fever the morning after that lasted only about 8 hours (and came down w/ tylenol, but after 2 rounds of that, it never returned). Hives on the feet and ankles appeared the night after (about 36 hours after) and persist now that we are 48 hours out.  Raised skin, redness and slight yellowing of the skin w/ the hives.  Somewhat itchy hives.  Administered Benadryl orally every 4 hours and topical hydrocortisone cream.  It is still there, but not an emergency or causing problems.  We will monitor and call the Dr. in the morning if it persists.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Yellow skin
Clinical narrative: 2nd pfizer covid vaccine....Fever the morning after that lasted only about 8 hours (and came down w/ tylenol, but after 2 rounds of that, it never returned). Hives on the feet and ankles appeared the night after (about 36 hours after) and persist now that we are 48 hours out.  Raised skin, redness and slight yellowing of the skin w/ the hives.  Somewhat itchy hives.  Administered Benadryl orally every 4 hours and topical hydrocortisone cream.  It is still there, but not an emergency or causing problems.  We will monitor and call the Dr. in the morning if it persists.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Cyanosis, Dizziness, Head injury, Hypertension, Loss of consciousness
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypertension-Medium, Systemic: Neurological Disorder (diagnosed by MD)-Medium, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Systemic: Vomiting-Medium, Additional Details: after receiving the J&J vaccine on 6/5/21 about 1.5 minutes after administration the patient hit his head against the wall and was unconscious. the patient started to mildly seize and lips started turning cyanotic and the patient urinated himself. The whole episode lasting about 45 seconds. When the patient came to he informed me that was epileptic. I kept the patient in the supine position until the paramedics arrived on the scene shortly after.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Nervous system disorder, Seizure, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypertension-Medium, Systemic: Neurological Disorder (diagnosed by MD)-Medium, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Systemic: Vomiting-Medium, Additional Details: after receiving the J&J vaccine on 6/5/21 about 1.5 minutes after administration the patient hit his head against the wall and was unconscious. the patient started to mildly seize and lips started turning cyanotic and the patient urinated himself. The whole episode lasting about 45 seconds. When the patient came to he informed me that was epileptic. I kept the patient in the supine position until the paramedics arrived on the scene shortly after.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary incontinence, Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypertension-Medium, Systemic: Neurological Disorder (diagnosed by MD)-Medium, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Systemic: Vomiting-Medium, Additional Details: after receiving the J&J vaccine on 6/5/21 about 1.5 minutes after administration the patient hit his head against the wall and was unconscious. the patient started to mildly seize and lips started turning cyanotic and the patient urinated himself. The whole episode lasting about 45 seconds. When the patient came to he informed me that was epileptic. I kept the patient in the supine position until the paramedics arrived on the scene shortly after.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site irritation, Injection site pruritus, Injection site rash
Clinical narrative: PATIENT DID NOT SEEK MEDICAL TREATMENT, STATES RASH NEAR INJECTION SITE STARTED ABOUT A WEEK AFTER FIRST DOSE AND STILL PRESENT WHEN ARRIVED FOR SECOND DOSE, CLAIMS ITCHY AND IRRITATED.  USED OTC HYDROCORTISONE CREAM WHICH PROVIDED SOME RELIEF
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: No adverse events noted. Patient received Pfizer instead of Moderna for dose 2.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Heart rate increased, Hyperhidrosis, Hypoaesthesia
Clinical narrative: pounding/racing heart, profuse sweating, beats per minute are 15-20 points higher than normal and is still that way, left arm and hand is numb all the time, shortness of breath, tightness in chest, SEVERE tinnitus.  All still on-going.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Tinnitus
Clinical narrative: pounding/racing heart, profuse sweating, beats per minute are 15-20 points higher than normal and is still that way, left arm and hand is numb all the time, shortness of breath, tightness in chest, SEVERE tinnitus.  All still on-going.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site haemorrhage, Injection site warmth, Product administered at inappropriate site
Clinical narrative: Patient's mother reported bruising, redness at injection site and warmth day 5 following Pfizer covid vaccine dose 1. Mother states no pain upon injection.  I advised mother to follow up with primary care doctor to further evaluate her arm. Parent states the arm bled after immunization and believed the injection site to be too low.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anal incontinence, Back pain, Gait disturbance, Lumbar puncture, Muscle spasms
Clinical narrative: PATIENT RECEIVED VACCINE 5/20/2021, WITHIN 8 HOURS OF VACCINATION, PATIENT BEGAN TO EXPERIECNE COVID TYPE SYMPTOMS (102.7 TEMP, MUSCLE ACHES, CORE MUSCLES BECAME VERY TENSE, NAUSEATED, SKIN FEELING PRICKLY TO THE TOUCH, DIFFICULTY WALKING. SYMPTOMS PROGRESSED TO THE POINT OF HIM LOSING ABILITY TO CONTROL BOWELS. AT THIS POINT PATIENT WAS HOSPITLIZED AT HOSPITAL FOR 1 WEEK. THERE, STAFF TREATED HIS SYMPTOMS WITH PAIN MEDICATIONS, THINKING IT WAS DUE TO BACK PAIN AND NOT THE VACCINE. THIS DID NOT ALLEVIATE HIS SYMPTOMS, HE HAD A SPASM LATING 18 HOURS. HE CAME HOME, THEN WAS REHOSPITALIZED AT MEDICAL FACILITY, AND REMAINS THERE AS PATIENT. NEUROLIGICAL TESTING WAS PERFORMED, AND MEDICAL STAFF IS THINKING THAT HE HAS TRANSVERSE MYELITIS, THIS DIAGNOSIS IS PENDING SPINAL TAP. HE IS RECEIVING IV STEROIDS, WHICH HAS DECREASED HIS INFLAMMATORY MARKERS. HIS GAIN HAS IMPROVED, VERBAL COMMUNICATION HAS IMPROVED, HAND AND BODY TREMMORS HAVE INCREASED, PAIN IS UNDER CONTROL WITH PAIN MEDICATIONS.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle tightness, Myalgia, Nausea, Paraesthesia, Pyrexia
Clinical narrative: PATIENT RECEIVED VACCINE 5/20/2021, WITHIN 8 HOURS OF VACCINATION, PATIENT BEGAN TO EXPERIECNE COVID TYPE SYMPTOMS (102.7 TEMP, MUSCLE ACHES, CORE MUSCLES BECAME VERY TENSE, NAUSEATED, SKIN FEELING PRICKLY TO THE TOUCH, DIFFICULTY WALKING. SYMPTOMS PROGRESSED TO THE POINT OF HIM LOSING ABILITY TO CONTROL BOWELS. AT THIS POINT PATIENT WAS HOSPITLIZED AT HOSPITAL FOR 1 WEEK. THERE, STAFF TREATED HIS SYMPTOMS WITH PAIN MEDICATIONS, THINKING IT WAS DUE TO BACK PAIN AND NOT THE VACCINE. THIS DID NOT ALLEVIATE HIS SYMPTOMS, HE HAD A SPASM LATING 18 HOURS. HE CAME HOME, THEN WAS REHOSPITALIZED AT MEDICAL FACILITY, AND REMAINS THERE AS PATIENT. NEUROLIGICAL TESTING WAS PERFORMED, AND MEDICAL STAFF IS THINKING THAT HE HAS TRANSVERSE MYELITIS, THIS DIAGNOSIS IS PENDING SPINAL TAP. HE IS RECEIVING IV STEROIDS, WHICH HAS DECREASED HIS INFLAMMATORY MARKERS. HIS GAIN HAS IMPROVED, VERBAL COMMUNICATION HAS IMPROVED, HAND AND BODY TREMMORS HAVE INCREASED, PAIN IS UNDER CONTROL WITH PAIN MEDICATIONS.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: PATIENT RECEIVED VACCINE 5/20/2021, WITHIN 8 HOURS OF VACCINATION, PATIENT BEGAN TO EXPERIECNE COVID TYPE SYMPTOMS (102.7 TEMP, MUSCLE ACHES, CORE MUSCLES BECAME VERY TENSE, NAUSEATED, SKIN FEELING PRICKLY TO THE TOUCH, DIFFICULTY WALKING. SYMPTOMS PROGRESSED TO THE POINT OF HIM LOSING ABILITY TO CONTROL BOWELS. AT THIS POINT PATIENT WAS HOSPITLIZED AT HOSPITAL FOR 1 WEEK. THERE, STAFF TREATED HIS SYMPTOMS WITH PAIN MEDICATIONS, THINKING IT WAS DUE TO BACK PAIN AND NOT THE VACCINE. THIS DID NOT ALLEVIATE HIS SYMPTOMS, HE HAD A SPASM LATING 18 HOURS. HE CAME HOME, THEN WAS REHOSPITALIZED AT MEDICAL FACILITY, AND REMAINS THERE AS PATIENT. NEUROLIGICAL TESTING WAS PERFORMED, AND MEDICAL STAFF IS THINKING THAT HE HAS TRANSVERSE MYELITIS, THIS DIAGNOSIS IS PENDING SPINAL TAP. HE IS RECEIVING IV STEROIDS, WHICH HAS DECREASED HIS INFLAMMATORY MARKERS. HIS GAIN HAS IMPROVED, VERBAL COMMUNICATION HAS IMPROVED, HAND AND BODY TREMMORS HAVE INCREASED, PAIN IS UNDER CONTROL WITH PAIN MEDICATIONS.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Body temperature increased, Fatigue, Inflammation, Inflammatory marker increased
Clinical narrative: PATIENT RECEIVED VACCINE 5/20/2021, WITHIN 8 HOURS OF VACCINATION, PATIENT BEGAN TO EXPERIECNE COVID TYPE SYMPTOMS (102.7 TEMP, MUSCLE ACHES, CORE MUSCLES BECAME VERY TENSE, NAUSEATED, SKIN FEELING PRICKLY TO THE TOUCH, DIFFICULTY WALKING. SYMPTOMS PROGRESSED TO THE POINT OF HIM LOSING ABILITY TO CONTROL BOWELS. AT THIS POINT PATIENT WAS HOSPITLIZED AT HOSPITAL FOR 1 WEEK. THERE, STAFF TREATED HIS SYMPTOMS WITH PAIN MEDICATIONS, THINKING IT WAS DUE TO BACK PAIN AND NOT THE VACCINE. THIS DID NOT ALLEVIATE HIS SYMPTOMS, HE HAD A SPASM LATING 18 HOURS. HE CAME HOME, THEN WAS REHOSPITALIZED AT MEDICAL FACILITY, AND REMAINS THERE AS PATIENT. NEUROLIGICAL TESTING WAS PERFORMED, AND MEDICAL STAFF IS THINKING THAT HE HAS TRANSVERSE MYELITIS, THIS DIAGNOSIS IS PENDING SPINAL TAP. HE IS RECEIVING IV STEROIDS, WHICH HAS DECREASED HIS INFLAMMATORY MARKERS. HIS GAIN HAS IMPROVED, VERBAL COMMUNICATION HAS IMPROVED, HAND AND BODY TREMMORS HAVE INCREASED, PAIN IS UNDER CONTROL WITH PAIN MEDICATIONS.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Joint range of motion decreased, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Mobility decreased, Movement disorder
Clinical narrative: PATIENT RECEIVED VACCINE 5/20/2021, WITHIN 8 HOURS OF VACCINATION, PATIENT BEGAN TO EXPERIECNE COVID TYPE SYMPTOMS (102.7 TEMP, MUSCLE ACHES, CORE MUSCLES BECAME VERY TENSE, NAUSEATED, SKIN FEELING PRICKLY TO THE TOUCH, DIFFICULTY WALKING. SYMPTOMS PROGRESSED TO THE POINT OF HIM LOSING ABILITY TO CONTROL BOWELS. AT THIS POINT PATIENT WAS HOSPITLIZED AT HOSPITAL FOR 1 WEEK. THERE, STAFF TREATED HIS SYMPTOMS WITH PAIN MEDICATIONS, THINKING IT WAS DUE TO BACK PAIN AND NOT THE VACCINE. THIS DID NOT ALLEVIATE HIS SYMPTOMS, HE HAD A SPASM LATING 18 HOURS. HE CAME HOME, THEN WAS REHOSPITALIZED AT MEDICAL FACILITY, AND REMAINS THERE AS PATIENT. NEUROLIGICAL TESTING WAS PERFORMED, AND MEDICAL STAFF IS THINKING THAT HE HAS TRANSVERSE MYELITIS, THIS DIAGNOSIS IS PENDING SPINAL TAP. HE IS RECEIVING IV STEROIDS, WHICH HAS DECREASED HIS INFLAMMATORY MARKERS. HIS GAIN HAS IMPROVED, VERBAL COMMUNICATION HAS IMPROVED, HAND AND BODY TREMMORS HAVE INCREASED, PAIN IS UNDER CONTROL WITH PAIN MEDICATIONS.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Muscle tightness, Nausea, Neuralgia, Pain
Clinical narrative: PATIENT RECEIVED VACCINE 5/20/2021, WITHIN 8 HOURS OF VACCINATION, PATIENT BEGAN TO EXPERIECNE COVID TYPE SYMPTOMS (102.7 TEMP, MUSCLE ACHES, CORE MUSCLES BECAME VERY TENSE, NAUSEATED, SKIN FEELING PRICKLY TO THE TOUCH, DIFFICULTY WALKING. SYMPTOMS PROGRESSED TO THE POINT OF HIM LOSING ABILITY TO CONTROL BOWELS. AT THIS POINT PATIENT WAS HOSPITLIZED AT HOSPITAL FOR 1 WEEK. THERE, STAFF TREATED HIS SYMPTOMS WITH PAIN MEDICATIONS, THINKING IT WAS DUE TO BACK PAIN AND NOT THE VACCINE. THIS DID NOT ALLEVIATE HIS SYMPTOMS, HE HAD A SPASM LATING 18 HOURS. HE CAME HOME, THEN WAS REHOSPITALIZED AT MEDICAL FACILITY, AND REMAINS THERE AS PATIENT. NEUROLIGICAL TESTING WAS PERFORMED, AND MEDICAL STAFF IS THINKING THAT HE HAS TRANSVERSE MYELITIS, THIS DIAGNOSIS IS PENDING SPINAL TAP. HE IS RECEIVING IV STEROIDS, WHICH HAS DECREASED HIS INFLAMMATORY MARKERS. HIS GAIN HAS IMPROVED, VERBAL COMMUNICATION HAS IMPROVED, HAND AND BODY TREMMORS HAVE INCREASED, PAIN IS UNDER CONTROL WITH PAIN MEDICATIONS.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Contusion, Dyspnoea, Eye pain, Fatigue
Clinical narrative: The first dose gave me a lot of headache, nausea, tiredness, eye pain, body aches, pain in the injection area, a large, hard, itchy red welt, and vertigo. On the second day of the application they say that it has nothing to do but yes, because I did not bring any of that, 2nd dose that was on June 3, 2021 at the time I started with a headache, body, eyes, nausea, tiredness, sleepiness, temperature. On day 4 I was already there that I could not even breathe from the pain so strong that the 800 ibuprofen only calmed the pain for 3 hours and did not take it away completely, that same day I sent a message to my doc where they told me I had to go to the emergency room to help me, but I had no one to take me. By afternoon I could no longer bear the pain in my body, head, eyes, neck, armpits, and I had some bruises. Today the 6th I still have pain, head, body, neck.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Neck pain, Pain, Somnolence
Clinical narrative: The first dose gave me a lot of headache, nausea, tiredness, eye pain, body aches, pain in the injection area, a large, hard, itchy red welt, and vertigo. On the second day of the application they say that it has nothing to do but yes, because I did not bring any of that, 2nd dose that was on June 3, 2021 at the time I started with a headache, body, eyes, nausea, tiredness, sleepiness, temperature. On day 4 I was already there that I could not even breathe from the pain so strong that the 800 ibuprofen only calmed the pain for 3 hours and did not take it away completely, that same day I sent a message to my doc where they told me I had to go to the emergency room to help me, but I had no one to take me. By afternoon I could no longer bear the pain in my body, head, eyes, neck, armpits, and I had some bruises. Today the 6th I still have pain, head, body, neck.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Loss of personal independence in daily activities
Clinical narrative: Left arm swelling from shoulder to elbow and extreme pain. Unable to go about daily activities.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster Given Too Late
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Joint stiffness, Peripheral swelling, Pruritus, Rash
Clinical narrative: Stiff joints, fatigued, rash on lower arms, swollen hands (itchy due to swollen ness) - 06/05/2021 7:00am to 8:00pm Rash continue to inner thighs and swollen feet (itchy due to swollen ness) - 06/06/2021 1:00am to present (around 5:45pm)
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Lip swelling, Nasal discomfort, Pyrexia, Swelling face
Clinical narrative: After receiving the J&J Covid vaccine I was awake all night with fever and chills, which I understand is completely normal.  However the next day my upper lip and lower nose swole up in an allergic reaction.  I took Benadryl and went to sleep and by the time I work up it had subsided.  Two days after that incident I woke up (this morning) and my left cheek was swollen from another allergic reaction.  During this time I had not eaten or taken anything out of the ordinary.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Insomnia, Joint range of motion decreased, Loss of personal independence in daily activities
Clinical narrative: pain in right arm.  As the days past on the pain in arm became worse and could not raise arm or hold anything that was heavy.  Extreme pain in right arm; was unable to sleep because of the pain.  I am right handed and it is extremely difficult to do anything, it is very hard to eat, dress myself and do household chores because of the pain in the right arm,
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pruritus, Paraesthesia, Pruritus
Clinical narrative: Site: Itching at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pruritus, Urticaria
Clinical narrative: Pt experienced itching on first day, then also hives and numbness in fingers starting the next day.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Eye movement disorder, Hypoaesthesia, Lacrimation increased, Pain in extremity
Clinical narrative: Once I got the vaccine my right arm had been sore but on the second day of having it I felt the right side of my face not function properly. The right side of my face had gotten swollen and felt numb. My right eye was slower at closing compared to the left one. It would water and was sensitive to any wind or light. My mouth seemed to go off on one side when I'd speak and my right ear was in pain.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Swelling face
Clinical narrative: Once I got the vaccine my right arm had been sore but on the second day of having it I felt the right side of my face not function properly. The right side of my face had gotten swollen and felt numb. My right eye was slower at closing compared to the left one. It would water and was sensitive to any wind or light. My mouth seemed to go off on one side when I'd speak and my right ear was in pain.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient received her second dose of Moderna 06/05/2021 at 12:31pm. Within a minute, she fainted. Had patient lay flat on the ground, feet elevated on a chair. Patient became responsive within seconds after elevating her feet. EMT arrived soon afterwards to take vitals. She rested at the pharmacy for 30-60 minutes, stated that she was feeling fine. A friend came to pick her up and drive her home.
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fall, Syncope
Clinical narrative: Fainting and falling
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fall, Fatigue, Loss of consciousness, Menstrual disorder
Clinical narrative: Fainting and falling
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Syncope, Tinnitus, Tremor, Unresponsive to stimuli
Clinical narrative: Fainting and falling
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis
Clinical narrative: Systemic: Flushed / Sweating-Medium, Additional Details: at 12:25pm had extreme sweating, BP at 12:31pm was 137/87 pulse of 82, turned fan on for patient and had her elevate legs. Patient felt better at 12:40pm and left, advised no to drive until felt better.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pain, Limb discomfort
Clinical narrative: Tired, sore arm, injection site remained red until second injection (06/04/21). Arm remained sore until second shot as well. Arm is still ?heavy? feeling & gets tired faster.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Pt. came in for his 2nd Moderna dose and reported to the pharmacist that he has been experiencing a metallic taste in his mouth ever since getting his 1st  Moderna dose in May.  Pt. stated he is still experiencing  this side effect today.
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arteriogram coronary abnormal, Chest pain, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Fatigue
Clinical narrative: 8 hrs post vaccine- 6/3 -Site pain and fatigue 24 hrs post vaccine-6/4- stiff neck  48hrs post- 6/5 severe chest pain- went to ER, 6/5 20:00 Admitted to Hospital
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immunoglobulin therapy, Injection site pain, Intensive care, Musculoskeletal stiffness, Troponin increased
Clinical narrative: 8 hrs post vaccine- 6/3 -Site pain and fatigue 24 hrs post vaccine-6/4- stiff neck  48hrs post- 6/5 severe chest pain- went to ER, 6/5 20:00 Admitted to Hospital
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac dysfunction, Chest pain, Dizziness, Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: 8 hrs post vaccine- 6/3 -Site pain and fatigue 24 hrs post vaccine-6/4- stiff neck  48hrs post- 6/5 severe chest pain- went to ER, 6/5 20:00 Admitted to Hospital
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Influenza like illness, Intensive care, Ischaemia, Myocarditis
Clinical narrative: 8 hrs post vaccine- 6/3 -Site pain and fatigue 24 hrs post vaccine-6/4- stiff neck  48hrs post- 6/5 severe chest pain- went to ER, 6/5 20:00 Admitted to Hospital
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myositis, Neck pain, Pain, Pain in extremity, Painful respiration
Clinical narrative: 8 hrs post vaccine- 6/3 -Site pain and fatigue 24 hrs post vaccine-6/4- stiff neck  48hrs post- 6/5 severe chest pain- went to ER, 6/5 20:00 Admitted to Hospital
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Post vaccination syndrome, Troponin increased, Visual impairment
Clinical narrative: 8 hrs post vaccine- 6/3 -Site pain and fatigue 24 hrs post vaccine-6/4- stiff neck  48hrs post- 6/5 severe chest pain- went to ER, 6/5 20:00 Admitted to Hospital
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: after shot at 2:10pm complained of sweating, asked if "Am i going to dye" very anxious, nausea, lightheaded. had pt elevate legs and took bp1: at 2:15pm 96/55 pulse 68, bpt2: 21pm 117/80 pulse 93, complained of tingleness in lower extremities, 3rd bp: at 2:29pm 120/80 pulse 88,  had pt leave with friend at 2:34pm advised not to drive
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia, Pyrexia
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: after shot at 2:10pm complained of sweating, asked if "Am i going to dye" very anxious, nausea, lightheaded. had pt elevate legs and took bp1: at 2:15pm 96/55 pulse 68, bpt2: 21pm 117/80 pulse 93, complained of tingleness in lower extremities, 3rd bp: at 2:29pm 120/80 pulse 88,  had pt leave with friend at 2:34pm advised not to drive
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Influenza like illness, Nausea, Paraesthesia, Pyrexia
Clinical narrative: Patient states that in the first two days after vaccination, she experienced flu-like symptoms. Her symptoms progressed and became more severe with nausea, vomiting, fever, and "sleeping legs" (numbness, tingling). Pt's mother called pharmacy on 6/3/2021 to express concern and pharmacist advised her to take daughter to emergency department. Follow-up calls to patient have gone unanswered.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient states that in the first two days after vaccination, she experienced flu-like symptoms. Her symptoms progressed and became more severe with nausea, vomiting, fever, and "sleeping legs" (numbness, tingling). Pt's mother called pharmacy on 6/3/2021 to express concern and pharmacist advised her to take daughter to emergency department. Follow-up calls to patient have gone unanswered.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Pain
Clinical narrative: Left-side/back pain, sometimes throbbing, sometimes sharp. Felt similar to a mild kidney stone.  Passed in a day or so.  Note that I felt a slightly more intense version of this a few days after my first dose. I just assumed I had had a kidney stone at that point.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Dyspnoea, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Dizziness / Lightheadness-Mild
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate irregular
Clinical narrative: 1) on 05/08/21: Very fast irregular and hard hear beating for3 hours. 2) on 05/25/21: heart erratic and hard in morning for two hours 3) on 5/29/21: heart pounding hard, not erratic, from 4:30 am to 9:14 am 4) on 05/31/21: from 3:30 am to 10:30 am very hard hear beating. Ended on its own. 5) on 6/4/21: hard heart beats from 3:30 am to 4 pm.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Hypoaesthesia, Malaise, Nausea
Clinical narrative: Patient experienced increased perspiration, chills, nausea, numbness in her fingertips, and syncope that lasted for about 30 seconds. This occurred about 15 minutes after receiving the vaccination. Paramedics were called per the request of the mother soon after she informed me that the patient was not feeling well.  When the paramedics came, vitals were taken and she was escorted to the hospital.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient experienced increased perspiration, chills, nausea, numbness in her fingertips, and syncope that lasted for about 30 seconds. This occurred about 15 minutes after receiving the vaccination. Paramedics were called per the request of the mother soon after she informed me that the patient was not feeling well.  When the paramedics came, vitals were taken and she was escorted to the hospital.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ammonia decreased, Angiogram cerebral normal, Arteriogram carotid normal, Blood alcohol normal, Blood lactic acid
Clinical narrative: 81 year old male who presented to Medical ER 6/4/21 with possible seizure like activity at home after having his second dose of COVID vaccine on 6/3/21. His first dose of COVID vaccine was given on 5/4/21. After the patient arrived to the ED he was able so my questions.  The patient had an EKG performed was not concerning for ACS.  He was given a total of 1 mg of Ativan IV.  CT head CTA head and neck were negative for any acute findings.  He was started on IV lactated Ringer's.  CBC was reassuring.  CMP showed a sodium of 125 and potassium 3.3.  The patient was started on a liter of NS.  Magnesium was found to be 1.7 was given 2 g of magnesium IV.  Ammonia level blood alcohol level were negative.  Initial lactic acid level was 5.9.  Repeat lactic acid level is down to 1.9.  I had spoke with on-call neurology felt that seizure is most likely due to the patient's electrolyte abnormalities.  Did not recommend antiepileptics at this time.  I spoke with Dr. who is willing accept the patient for admission to the ICU.  When Dr. came down and spoke with the patient he started having another seizure.  After the seizure he continued to not breathe.  The patient was bagged and started having some spontaneous respirations however continued to have a low O2 sat if he was not bagged.  We were able to speak with the neurologist again who recommended giving Keppra 1500 mg IV.  Dr. was able to speak with the patient's next of kin his son and the patient's brother who both recommend the patient not be intubated or any other life-saving measures.  Would like the patient be kept comfortable.  The patient passed away shortly thereafter time of death was 2044.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood magnesium normal, Blood potassium decreased, Blood sodium decreased, Computerised tomogram head normal, Death
Clinical narrative: 81 year old male who presented to Medical ER 6/4/21 with possible seizure like activity at home after having his second dose of COVID vaccine on 6/3/21. His first dose of COVID vaccine was given on 5/4/21. After the patient arrived to the ED he was able so my questions.  The patient had an EKG performed was not concerning for ACS.  He was given a total of 1 mg of Ativan IV.  CT head CTA head and neck were negative for any acute findings.  He was started on IV lactated Ringer's.  CBC was reassuring.  CMP showed a sodium of 125 and potassium 3.3.  The patient was started on a liter of NS.  Magnesium was found to be 1.7 was given 2 g of magnesium IV.  Ammonia level blood alcohol level were negative.  Initial lactic acid level was 5.9.  Repeat lactic acid level is down to 1.9.  I had spoke with on-call neurology felt that seizure is most likely due to the patient's electrolyte abnormalities.  Did not recommend antiepileptics at this time.  I spoke with Dr. who is willing accept the patient for admission to the ICU.  When Dr. came down and spoke with the patient he started having another seizure.  After the seizure he continued to not breathe.  The patient was bagged and started having some spontaneous respirations however continued to have a low O2 sat if he was not bagged.  We were able to speak with the neurologist again who recommended giving Keppra 1500 mg IV.  Dr. was able to speak with the patient's next of kin his son and the patient's brother who both recommend the patient not be intubated or any other life-saving measures.  Would like the patient be kept comfortable.  The patient passed away shortly thereafter time of death was 2044.