chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure decreased, Chest X-ray normal, Diarrhoea, Dyspnoea
Clinical narrative: I received the vaccine in the afternoon and did fine in the evening aside from a low grade fever. The next morning at 10:30 AM I experienced severe nausea and my BP was dropping. I was taking care of a patient at work at the time. I went ahead and got the nurses to take care of my patient. I laid down for a little until the nausea passed The entire time I was very fatigued. I slept for an hour in my car. Then went back to work. I went home at 1:30PM because I felt so bad. I slept when I got home and into the next day. I had nausea, vomiting and diarrhea. I called in sick on Thursday and Friday and stayed in bed the whole time. I also had a swollen lymph node in my right clavicle area. I was still sick in bed all weekend all through Tuesday. The entire time I also experienced shortness of breath. I still experience the shortness of breath.  The shortness of breath was so bad I couldn't go a few feet to grab something with out having to take a rest. The shortness of breath has gotten me to a point where wearing a mask is difficult for me which was never the case. After having surgery, My stats kept dropping which is unusual for me. I also experienced pain in my shoulders. It feels like I am carrying a heavyweight backpack on my shoulder. I also am now experiencing chest wall pain. If I move around, I feel pain. It got to a point where I had to take a pain pill from my surgery and that did not help. I am scheduled for a echo on Thursday.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Feeling abnormal, Illness, Impaired work ability
Clinical narrative: I received the vaccine in the afternoon and did fine in the evening aside from a low grade fever. The next morning at 10:30 AM I experienced severe nausea and my BP was dropping. I was taking care of a patient at work at the time. I went ahead and got the nurses to take care of my patient. I laid down for a little until the nausea passed The entire time I was very fatigued. I slept for an hour in my car. Then went back to work. I went home at 1:30PM because I felt so bad. I slept when I got home and into the next day. I had nausea, vomiting and diarrhea. I called in sick on Thursday and Friday and stayed in bed the whole time. I also had a swollen lymph node in my right clavicle area. I was still sick in bed all weekend all through Tuesday. The entire time I also experienced shortness of breath. I still experience the shortness of breath.  The shortness of breath was so bad I couldn't go a few feet to grab something with out having to take a rest. The shortness of breath has gotten me to a point where wearing a mask is difficult for me which was never the case. After having surgery, My stats kept dropping which is unusual for me. I also experienced pain in my shoulders. It feels like I am carrying a heavyweight backpack on my shoulder. I also am now experiencing chest wall pain. If I move around, I feel pain. It got to a point where I had to take a pain pill from my surgery and that did not help. I am scheduled for a echo on Thursday.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mitral valve prolapse, Musculoskeletal chest pain, Pain, Pyrexia
Clinical narrative: I received the vaccine in the afternoon and did fine in the evening aside from a low grade fever. The next morning at 10:30 AM I experienced severe nausea and my BP was dropping. I was taking care of a patient at work at the time. I went ahead and got the nurses to take care of my patient. I laid down for a little until the nausea passed The entire time I was very fatigued. I slept for an hour in my car. Then went back to work. I went home at 1:30PM because I felt so bad. I slept when I got home and into the next day. I had nausea, vomiting and diarrhea. I called in sick on Thursday and Friday and stayed in bed the whole time. I also had a swollen lymph node in my right clavicle area. I was still sick in bed all weekend all through Tuesday. The entire time I also experienced shortness of breath. I still experience the shortness of breath.  The shortness of breath was so bad I couldn't go a few feet to grab something with out having to take a rest. The shortness of breath has gotten me to a point where wearing a mask is difficult for me which was never the case. After having surgery, My stats kept dropping which is unusual for me. I also experienced pain in my shoulders. It feels like I am carrying a heavyweight backpack on my shoulder. I also am now experiencing chest wall pain. If I move around, I feel pain. It got to a point where I had to take a pain pill from my surgery and that did not help. I am scheduled for a echo on Thursday.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin D decreased, Vomiting
Clinical narrative: I received the vaccine in the afternoon and did fine in the evening aside from a low grade fever. The next morning at 10:30 AM I experienced severe nausea and my BP was dropping. I was taking care of a patient at work at the time. I went ahead and got the nurses to take care of my patient. I laid down for a little until the nausea passed The entire time I was very fatigued. I slept for an hour in my car. Then went back to work. I went home at 1:30PM because I felt so bad. I slept when I got home and into the next day. I had nausea, vomiting and diarrhea. I called in sick on Thursday and Friday and stayed in bed the whole time. I also had a swollen lymph node in my right clavicle area. I was still sick in bed all weekend all through Tuesday. The entire time I also experienced shortness of breath. I still experience the shortness of breath.  The shortness of breath was so bad I couldn't go a few feet to grab something with out having to take a rest. The shortness of breath has gotten me to a point where wearing a mask is difficult for me which was never the case. After having surgery, My stats kept dropping which is unusual for me. I also experienced pain in my shoulders. It feels like I am carrying a heavyweight backpack on my shoulder. I also am now experiencing chest wall pain. If I move around, I feel pain. It got to a point where I had to take a pain pill from my surgery and that did not help. I am scheduled for a echo on Thursday.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Disturbance in attention, Dizziness, Fatigue
Clinical narrative: Following vaccination patient developed symptoms of extreme fatigue, body aches/chills for 3 days. After day 3 she developed dizziness/vertigo, extreme headaches with intermittent blurred vision and difficulty focusing. She was seen in office by this provider 6/4/21 and labs ordered to rule out blood clot. She was seen again 6/14/21 and is feeling somewhat improved but has developed significant abdominal pain with nausea. She has been treated with observation and hydration. Declined medication.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Full blood count normal, Headache, Heparin-induced thrombocytopenia test, Heparin-induced thrombocytopenia test positive
Clinical narrative: Following vaccination patient developed symptoms of extreme fatigue, body aches/chills for 3 days. After day 3 she developed dizziness/vertigo, extreme headaches with intermittent blurred vision and difficulty focusing. She was seen in office by this provider 6/4/21 and labs ordered to rule out blood clot. She was seen again 6/14/21 and is feeling somewhat improved but has developed significant abdominal pain with nausea. She has been treated with observation and hydration. Declined medication.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Prothrombin level normal, Ultrasound abdomen, Vertigo
Clinical narrative: Following vaccination patient developed symptoms of extreme fatigue, body aches/chills for 3 days. After day 3 she developed dizziness/vertigo, extreme headaches with intermittent blurred vision and difficulty focusing. She was seen in office by this provider 6/4/21 and labs ordered to rule out blood clot. She was seen again 6/14/21 and is feeling somewhat improved but has developed significant abdominal pain with nausea. She has been treated with observation and hydration. Declined medication.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Following vaccination patient developed symptoms of extreme fatigue, body aches/chills for 3 days. After day 3 she developed dizziness/vertigo, extreme headaches with intermittent blurred vision and difficulty focusing. She was seen in office by this provider 6/4/21 and labs ordered to rule out blood clot. She was seen again 6/14/21 and is feeling somewhat improved but has developed significant abdominal pain with nausea. She has been treated with observation and hydration. Declined medication.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Loss of consciousness, Pulmonary thrombosis
Clinical narrative: "Janssen COVID-19 Vaccine EUA"  This patient's wife called me on 06/14/21 after the patient being in a hospital all weekend in another state.  She stated the patient had a blood clot in his lung and had passed out due to lack of oxygen.  Patient is improving now but their MD at the hospital told patient to report this to me, vaccine provider, since this blood clot occurred within 6 months of receiving  the covid vaccine on April 1, 2021.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Underdose
Clinical narrative: Patient jerked his leg while the vaccine was being administered. Patient only got about one fourth of the vaccine. Patient's mom wanted to do the vaccine again, so the patient received the full dose of the MMRV successfully the second time. This nurse explained to the patient's parent  of the side effects that could happen from being  given the second dose of the MMRV today.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Anticoagulant therapy, Arteriogram carotid normal, Borrelia test, Chest X-ray
Clinical narrative: Patient is a 46 year old male who admitted to hospital for Facial nerve palsy. Patient felt with left sided facial droop and tingling sensation for 2 days. He reported symptoms onset at 1330 on 6/10/2021 while driving a truck. He also had left sided occipital headache and rested for 1 hour. His symptoms improved after the nap but never resolved completely. He got into a location and rested there for 1 night. In the morning after waking up he was having difficulty chewing food on his left side. He called EMS and was brought to hospital. While in the ED, he received workup including CT Head W/O, CTA Head/Neck with perfusion scan that were all negative. Other labs obtained included BMP, CBC, Troponin x1, Coag studies & CXR which were largely unremarkable. Neurology were called for stroke alert and given ASA 325mg and ordered MRI. Patient's MRI was unremarkable for stroke or masses. He was started on Prednisone 40mg once daily for Facial Nerve Palsy. He was seen by physical therapy and occupational therapy, they recommended him go home to family. His symptoms improved after therapies were initiated but are not completely resolved. Patient will continue taking his home medications per his primary care doctor. He will complete a 7 day steroid course, has 3 days remaining. He will take Acyclovir 5 times per day for 10 days. We also gave him lubricating eye drops since he continues to have difficulty closing his left eye.  He spends a lot of time outdoors and works with horses. He reports getting tick bites before in his body but never noticed a rashes. He has never received treatment for Lyme Disease. He is a long-haul truck driver and has driven all around. He reports walking in wooded areas when he stops in the rest area. We obtained Lyme Titers, which were eqivocal for IgM and negative for IgG. Western blot was ordered to rule out Lyme disease. He should followup with PCP for treatment if he is positive. We will call him with results when available.   Of note he received Pfizer 2nd COVID vaccine on 6/9/21 (LOT #EW0178). He reported fever and diarrhea that night and next morning. He then reports having presenting symptoms after 7 hours of driving. We also believe the cause of his facial nerve paralysis could have been a side effect of his vaccination.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Coagulation test normal, Computerised tomogram head normal, Diarrhoea, Eyelid function disorder, Facial paralysis
Clinical narrative: Patient is a 46 year old male who admitted to hospital for Facial nerve palsy. Patient felt with left sided facial droop and tingling sensation for 2 days. He reported symptoms onset at 1330 on 6/10/2021 while driving a truck. He also had left sided occipital headache and rested for 1 hour. His symptoms improved after the nap but never resolved completely. He got into a location and rested there for 1 night. In the morning after waking up he was having difficulty chewing food on his left side. He called EMS and was brought to hospital. While in the ED, he received workup including CT Head W/O, CTA Head/Neck with perfusion scan that were all negative. Other labs obtained included BMP, CBC, Troponin x1, Coag studies & CXR which were largely unremarkable. Neurology were called for stroke alert and given ASA 325mg and ordered MRI. Patient's MRI was unremarkable for stroke or masses. He was started on Prednisone 40mg once daily for Facial Nerve Palsy. He was seen by physical therapy and occupational therapy, they recommended him go home to family. His symptoms improved after therapies were initiated but are not completely resolved. Patient will continue taking his home medications per his primary care doctor. He will complete a 7 day steroid course, has 3 days remaining. He will take Acyclovir 5 times per day for 10 days. We also gave him lubricating eye drops since he continues to have difficulty closing his left eye.  He spends a lot of time outdoors and works with horses. He reports getting tick bites before in his body but never noticed a rashes. He has never received treatment for Lyme Disease. He is a long-haul truck driver and has driven all around. He reports walking in wooded areas when he stops in the rest area. We obtained Lyme Titers, which were eqivocal for IgM and negative for IgG. Western blot was ordered to rule out Lyme disease. He should followup with PCP for treatment if he is positive. We will call him with results when available.   Of note he received Pfizer 2nd COVID vaccine on 6/9/21 (LOT #EW0178). He reported fever and diarrhea that night and next morning. He then reports having presenting symptoms after 7 hours of driving. We also believe the cause of his facial nerve paralysis could have been a side effect of his vaccination.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Headache, Immunology test, Magnetic resonance imaging head normal, Mastication disorder
Clinical narrative: Patient is a 46 year old male who admitted to hospital for Facial nerve palsy. Patient felt with left sided facial droop and tingling sensation for 2 days. He reported symptoms onset at 1330 on 6/10/2021 while driving a truck. He also had left sided occipital headache and rested for 1 hour. His symptoms improved after the nap but never resolved completely. He got into a location and rested there for 1 night. In the morning after waking up he was having difficulty chewing food on his left side. He called EMS and was brought to hospital. While in the ED, he received workup including CT Head W/O, CTA Head/Neck with perfusion scan that were all negative. Other labs obtained included BMP, CBC, Troponin x1, Coag studies & CXR which were largely unremarkable. Neurology were called for stroke alert and given ASA 325mg and ordered MRI. Patient's MRI was unremarkable for stroke or masses. He was started on Prednisone 40mg once daily for Facial Nerve Palsy. He was seen by physical therapy and occupational therapy, they recommended him go home to family. His symptoms improved after therapies were initiated but are not completely resolved. Patient will continue taking his home medications per his primary care doctor. He will complete a 7 day steroid course, has 3 days remaining. He will take Acyclovir 5 times per day for 10 days. We also gave him lubricating eye drops since he continues to have difficulty closing his left eye.  He spends a lot of time outdoors and works with horses. He reports getting tick bites before in his body but never noticed a rashes. He has never received treatment for Lyme Disease. He is a long-haul truck driver and has driven all around. He reports walking in wooded areas when he stops in the rest area. We obtained Lyme Titers, which were eqivocal for IgM and negative for IgG. Western blot was ordered to rule out Lyme disease. He should followup with PCP for treatment if he is positive. We will call him with results when available.   Of note he received Pfizer 2nd COVID vaccine on 6/9/21 (LOT #EW0178). He reported fever and diarrhea that night and next morning. He then reports having presenting symptoms after 7 hours of driving. We also believe the cause of his facial nerve paralysis could have been a side effect of his vaccination.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Paraesthesia, Perfusion brain scan normal, Pyrexia, Troponin
Clinical narrative: Patient is a 46 year old male who admitted to hospital for Facial nerve palsy. Patient felt with left sided facial droop and tingling sensation for 2 days. He reported symptoms onset at 1330 on 6/10/2021 while driving a truck. He also had left sided occipital headache and rested for 1 hour. His symptoms improved after the nap but never resolved completely. He got into a location and rested there for 1 night. In the morning after waking up he was having difficulty chewing food on his left side. He called EMS and was brought to hospital. While in the ED, he received workup including CT Head W/O, CTA Head/Neck with perfusion scan that were all negative. Other labs obtained included BMP, CBC, Troponin x1, Coag studies & CXR which were largely unremarkable. Neurology were called for stroke alert and given ASA 325mg and ordered MRI. Patient's MRI was unremarkable for stroke or masses. He was started on Prednisone 40mg once daily for Facial Nerve Palsy. He was seen by physical therapy and occupational therapy, they recommended him go home to family. His symptoms improved after therapies were initiated but are not completely resolved. Patient will continue taking his home medications per his primary care doctor. He will complete a 7 day steroid course, has 3 days remaining. He will take Acyclovir 5 times per day for 10 days. We also gave him lubricating eye drops since he continues to have difficulty closing his left eye.  He spends a lot of time outdoors and works with horses. He reports getting tick bites before in his body but never noticed a rashes. He has never received treatment for Lyme Disease. He is a long-haul truck driver and has driven all around. He reports walking in wooded areas when he stops in the rest area. We obtained Lyme Titers, which were eqivocal for IgM and negative for IgG. Western blot was ordered to rule out Lyme disease. He should followup with PCP for treatment if he is positive. We will call him with results when available.   Of note he received Pfizer 2nd COVID vaccine on 6/9/21 (LOT #EW0178). He reported fever and diarrhea that night and next morning. He then reports having presenting symptoms after 7 hours of driving. We also believe the cause of his facial nerve paralysis could have been a side effect of his vaccination.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Hyperhidrosis, Loss of consciousness, Tremor
Clinical narrative: Patient was sitting in observation chairs and was observed leaning over the side of the chair.  Pharmacist went to check on patient who regained consciousness and was able to talk. Patient requested emergency services when asked. He then proceeded to lose consciousness again for a few seconds and was held in his chair.  He regained consciousness and was lowered to the ground. He continued to report dizziness, sweating, and shakiness. He remained conscious and talking until the paramedics arrived and assessed him. He was able to leave on his own and did not require any medical intervention.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: PATIENT FAINTED SEVERAL MINUTES AFTER RECEIVING THE VACCINE.  THEY WERE FINE IMMEDIATELY AFTER RECEIVING THE VACCINE BUT WHEN THEY WERE WALKING AROUND THE STORE, THE PATIENT FAINTED.  THE PATIENT'S FATHER CARRIED HER TO THE PHARMACY AREA WHERE WE GAVE HER ICE AND A WET CLOTH AND A PRIVATE AREA (IMMUNIZATION ROOM) TO LAY DOWN.  AFTER ABOUT 15 MINUTES, THE PATIENT RECOVERED AND THEY LEFT THE PHARMACY.  THE PATIENT'S MOTHER REPORTED THAT SHE HAS HAD SIMILAR REACTIONS (VASOVAGAL REPONSE) TO OTHER VACCINES, SIGHT OF BLOOD OR SIGHT OF NEEDLES, ETC.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dysstasia, Immediate post-injection reaction, Nausea
Clinical narrative: right after receiving 2nd shot of Pfizer covid vaccine pt was felling weak, nauseated. she could not stand up by her self. she was breathing and talking ok.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Urticaria
Clinical narrative: States that she has a red mark around the injection site. also says that she has some welts around the area. Took an non-sedating anti-histamine, i suggested benedryl and a call to md...especially if it keeps growing.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Symptomatic with Covid-19 5/21/2021
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Fatigue, Hypotension
Clinical narrative: dizziness, low blood pressure (85/46), chest pain, tireness
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Blood test abnormal, Rheumatoid factor increased, X-ray
Clinical narrative: I ended up being diagnosed severe arthritis in  my hands and feet. The RA factor in my blood was 380. Joint pain in elbows and hips. Now I on medications in result.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Postmenopausal haemorrhage
Clinical narrative: PATIENT RECEIVED HER FIRST DOSE OF THE MODERNA COVID VACCINE ON 5/24/21.  PATIENT IS POST-MENOPAUSAL AND REPORTED HAVING A PERIOD A DAY OR SO AFTER GETTING THE VACCINE.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nasopharyngitis
Clinical narrative: Chills, fatigue, cold
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Blood calcium, Blood test, Cardiac discomfort, Catheterisation cardiac
Clinical narrative: 5/24/21- 5/27/21 - Tightness in chest, nausea, low grade fever, headache, fatigue 5/27/21-5/29/21 - fatigue but able to work 3-4 hour shifts at work 5/30/21-6/4/21 - heavy chest pressure, shortness of breath,  fatigue, heart palpitations periodically, ears buzzing loudly/knocking sensation in head 6/4/21 - Went to Dr and she sent me to lab for CT Scan/ Angiogram to check for blood clot told to go to ER if it worsened. 6/7/21 - Tighness of chest and shortness of breath, heart palpitations Went to ER.  Released me with nothing found wrong 6/8/21 - had appointment with Cardiologist Dr.  Prescribed Arythozmiasin, Steroids and anti anxiety meds.  told to go to ER if they symptoms return or worsen.  6/10/21 - Went to ER in AM  6/11/21 - sent home Current - periodic heart pressure, shortness of breath apon activity
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Computerised tomogram, Dyspnoea, Dyspnoea exertional, Electrocardiogram
Clinical narrative: 5/24/21- 5/27/21 - Tightness in chest, nausea, low grade fever, headache, fatigue 5/27/21-5/29/21 - fatigue but able to work 3-4 hour shifts at work 5/30/21-6/4/21 - heavy chest pressure, shortness of breath,  fatigue, heart palpitations periodically, ears buzzing loudly/knocking sensation in head 6/4/21 - Went to Dr and she sent me to lab for CT Scan/ Angiogram to check for blood clot told to go to ER if it worsened. 6/7/21 - Tighness of chest and shortness of breath, heart palpitations Went to ER.  Released me with nothing found wrong 6/8/21 - had appointment with Cardiologist Dr.  Prescribed Arythozmiasin, Steroids and anti anxiety meds.  told to go to ER if they symptoms return or worsen.  6/10/21 - Went to ER in AM  6/11/21 - sent home Current - periodic heart pressure, shortness of breath apon activity
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Impaired work ability, Nausea, Palpitations
Clinical narrative: 5/24/21- 5/27/21 - Tightness in chest, nausea, low grade fever, headache, fatigue 5/27/21-5/29/21 - fatigue but able to work 3-4 hour shifts at work 5/30/21-6/4/21 - heavy chest pressure, shortness of breath,  fatigue, heart palpitations periodically, ears buzzing loudly/knocking sensation in head 6/4/21 - Went to Dr and she sent me to lab for CT Scan/ Angiogram to check for blood clot told to go to ER if it worsened. 6/7/21 - Tighness of chest and shortness of breath, heart palpitations Went to ER.  Released me with nothing found wrong 6/8/21 - had appointment with Cardiologist Dr.  Prescribed Arythozmiasin, Steroids and anti anxiety meds.  told to go to ER if they symptoms return or worsen.  6/10/21 - Went to ER in AM  6/11/21 - sent home Current - periodic heart pressure, shortness of breath apon activity
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus, Ultrasound scan
Clinical narrative: 5/24/21- 5/27/21 - Tightness in chest, nausea, low grade fever, headache, fatigue 5/27/21-5/29/21 - fatigue but able to work 3-4 hour shifts at work 5/30/21-6/4/21 - heavy chest pressure, shortness of breath,  fatigue, heart palpitations periodically, ears buzzing loudly/knocking sensation in head 6/4/21 - Went to Dr and she sent me to lab for CT Scan/ Angiogram to check for blood clot told to go to ER if it worsened. 6/7/21 - Tighness of chest and shortness of breath, heart palpitations Went to ER.  Released me with nothing found wrong 6/8/21 - had appointment with Cardiologist Dr.  Prescribed Arythozmiasin, Steroids and anti anxiety meds.  told to go to ER if they symptoms return or worsen.  6/10/21 - Went to ER in AM  6/11/21 - sent home Current - periodic heart pressure, shortness of breath apon activity
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Gingival bleeding
Clinical narrative: Gums started bleeding for about 5 mins
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient felt dizzy and lightheaded for about 15 minutes after receiving the vaccine
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pyrexia, Vomiting
Clinical narrative: home by parents for symptom control. Chest pain started on 6/13, fever 103, vomiting continued. Sought treatment in the ED. See attached ED provider note for more detail
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Hypoaesthesia, Nausea, Pain in extremity, Paraesthesia
Clinical narrative: Pt is a 26 yr/o female status post second  COVID-19 vaccination yesterday in her right arm at around 2:30 PM who presents to the ED with an onset of soreness in her right arm with numbness and tingling radiating down to her long and ring fingers last night.  She states she has had chills but denies any documented fever.  She has had some nausea and vomiting.  She denies any chest pain or shortness of breath.   She received her Covid vaccine in preparation to have an upcoming breast reduction.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Pt is a 26 yr/o female status post second  COVID-19 vaccination yesterday in her right arm at around 2:30 PM who presents to the ED with an onset of soreness in her right arm with numbness and tingling radiating down to her long and ring fingers last night.  She states she has had chills but denies any documented fever.  She has had some nausea and vomiting.  She denies any chest pain or shortness of breath.   She received her Covid vaccine in preparation to have an upcoming breast reduction.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac monitoring abnormal, Condition aggravated, Heart rate irregular
Clinical narrative: I was in AFib (atrial fibrillation) 3 years ago and was treated with an ablation - 7/16/2018.  Afterwards I would occasionally feel an irregular heart beat. I had my first Covid 19 vaccination on 01/15/2021 - Pfizer-BioNTech - lot # EL1284 My second Covid 19 vaccination was on 02/05/2021 On about 02/19/2021 and many times after I was feeling an irregular heart beat. My doctor says I am in AFib again and I am scheduled for another ablation in July, 2021. Is it possible that the Pfizer-BioNTech Covid 19 vaccination caused the current AFib (my doctor thought so) or is it a coincidence ?
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Vomiting
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Gait disturbance, Headache, Joint stiffness
Clinical narrative: June 14, 2021   This E-Mail concerns continuing ?side effects? from the second shot of the Moderna vaccine.   I received the second shot on May 11.   Today is June 14.  So, I am writing this report 5 weeks after the last shot, with many of the effects continuing.  I am 64 yr. old male.  I have a history of high blood pressure, which has been controlled successfully with medication for the past 8 years.  I had a hemorrhagic stroke in 2013, successfully recovered.  Otherwise no severe disease-type medical risks, I am health and physically fit.  I live with serious chronic pain from a multitude of factors.   I have severe tendinitis-type problems in my arms and legs; joint stiffness and pain, tight muscle problems.  The vaccine ?attacked? and severely worsened these symptoms.  The night of the vaccination, I started getting serious pain in a number of painful areas ? knees, ankles, elbows and forearms, like inflammation, all at once.  This pain advanced to injuries in prior injured areas, like knees forearms lower legs, and worsened when I would try basic loosening up exercises, to point that I could barely walk for a couple of weeks.  After exercising or loosening up, muscles and joints would tighten up severely, exacerbating pain and function.   I was barely able to walk or do much for a week or more.  I?ve needed extra bodywork and chiropractic sessions to deal with this.  The problem with tendinitis areas is less bad than right after the shot but still significantly worse than it had been before the vaccine.  When exercising, I am slower and able to do less time at cardio functions and have to lift 10-20 lbs. less weight when using weight machines.  I also get joint pain, ala knees when I use exercise bike; knees and shoulders get a certain type of pain (I feel it on the outside of the joint).  These are quantifiable factors.  The joint problems mirror a type of joint problem I had for a couple of years after my stroke, not what I experience every day.  The joint is weaker, and I feel a vague pain like the pain is coming from outside of the joint.   So, the vaccine seems to have ?attacked? and exacerbated problem areas of mine which already affect my ability to function adequately, and it is unclear whether or not these will fully resolve.  It is not a ?one or two-day? thing as suggested.    Additionally, I?ve generally felt drowsiness and ?headachy? during the day since.  These symptoms have lessened, but still there to some extent.  It is unclear whether or not I will fully recover or if anything else is wrong.  I am doubtful that I should take any additional ?booster shots? later if suggested or mandated.  Your attention to this matter is very much appreciated.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle tightness, Pain in extremity, Somnolence
Clinical narrative: June 14, 2021   This E-Mail concerns continuing ?side effects? from the second shot of the Moderna vaccine.   I received the second shot on May 11.   Today is June 14.  So, I am writing this report 5 weeks after the last shot, with many of the effects continuing.  I am 64 yr. old male.  I have a history of high blood pressure, which has been controlled successfully with medication for the past 8 years.  I had a hemorrhagic stroke in 2013, successfully recovered.  Otherwise no severe disease-type medical risks, I am health and physically fit.  I live with serious chronic pain from a multitude of factors.   I have severe tendinitis-type problems in my arms and legs; joint stiffness and pain, tight muscle problems.  The vaccine ?attacked? and severely worsened these symptoms.  The night of the vaccination, I started getting serious pain in a number of painful areas ? knees, ankles, elbows and forearms, like inflammation, all at once.  This pain advanced to injuries in prior injured areas, like knees forearms lower legs, and worsened when I would try basic loosening up exercises, to point that I could barely walk for a couple of weeks.  After exercising or loosening up, muscles and joints would tighten up severely, exacerbating pain and function.   I was barely able to walk or do much for a week or more.  I?ve needed extra bodywork and chiropractic sessions to deal with this.  The problem with tendinitis areas is less bad than right after the shot but still significantly worse than it had been before the vaccine.  When exercising, I am slower and able to do less time at cardio functions and have to lift 10-20 lbs. less weight when using weight machines.  I also get joint pain, ala knees when I use exercise bike; knees and shoulders get a certain type of pain (I feel it on the outside of the joint).  These are quantifiable factors.  The joint problems mirror a type of joint problem I had for a couple of years after my stroke, not what I experience every day.  The joint is weaker, and I feel a vague pain like the pain is coming from outside of the joint.   So, the vaccine seems to have ?attacked? and exacerbated problem areas of mine which already affect my ability to function adequately, and it is unclear whether or not these will fully resolve.  It is not a ?one or two-day? thing as suggested.    Additionally, I?ve generally felt drowsiness and ?headachy? during the day since.  These symptoms have lessened, but still there to some extent.  It is unclear whether or not I will fully recover or if anything else is wrong.  I am doubtful that I should take any additional ?booster shots? later if suggested or mandated.  Your attention to this matter is very much appreciated.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Axillary pain, Chest discomfort, Computerised tomogram, Cough
Clinical narrative: Increased fatigue, lightheadedness, nausea, intermittent left arm pain and underarm pain and swelling. Left sided chest discomfort - pain worse with breathing and coughing  non productive cough
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Nausea, Oedema peripheral, Pain in extremity
Clinical narrative: Increased fatigue, lightheadedness, nausea, intermittent left arm pain and underarm pain and swelling. Left sided chest discomfort - pain worse with breathing and coughing  non productive cough
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Painful respiration
Clinical narrative: Increased fatigue, lightheadedness, nausea, intermittent left arm pain and underarm pain and swelling. Left sided chest discomfort - pain worse with breathing and coughing  non productive cough
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein abnormal, COVID-19, Carbon dioxide decreased, Cardiogenic shock, Computerised tomogram thorax
Clinical narrative: 53 yo woman with no PMH was diagnosed with COVID-19 by PCR on 5/7/21. She had a mild illness with cough and fevers but did not require hospitalization. Her symptoms lasted about 1 week. She got her first dose of Pfizer COVID vaccine on 5/29 around 11 am. Within 4 hours (around 3 pm) she started to develop extreme fatigue, which she attributed to vaccine. This was followed by nausea, vomiting and diarrhea later that same day. The symptoms got worse on 5/30. Her diarrhea/GI symptoms resolved on 5/31. That day, she had a fever to 101.3. She continued to have fatigue, and started to have dyspnea, and presented to hospital on 6/1/21. On arrival to ED her vitals were 88/41, 36.1, 125, 18, 95% on RA (13:22). She become more hypotensive with nadir BP 63/48, HR 109 at 17:30, at which time she was started on norepinephrine. Physical exam at admission was notable for clear lungs, tenderness to palpation in the midepigastric and LUQ areas, and the absence of rash. Admission labs: WBC 31.3, Hb 14.2, Hct 43.0, Plt 144, MCV 96, 85% neutrophils, BNP 3117, Na 132, K 3.8, CO2 19, Cl 95, BUN 35, Create 4.62, gluc 133, protein 6.1, alb 2.2, TB 5.5, DB 2.9, Alk phos 159, ALT 47, AST 33, lactate 4.2, troponin I 0.047, random cortisol 93. Strep pneumo and legionella antigens negative. Hepatitis serologies, HIV test, all negative. COVID test by PCR was positive on 6/1/21. She was admitted to the ICU. The day following admission (6/2) CRP 32.4, ESR 106, LDH 399, ferritin 1626, procalcitonin 54.85. CT A/P unremarkable except for bilateral patchy airspace opacities. RUQ US unremarkable, including Dopplers. Echocardiogram (TTE) with LV systolic function mod-severely globally reduced, EF 35%, no valvular disease. Dopplers of LE showed small non-occlusive thrombus in R common femoral. The patient was seen by Infectious Diseases on HD#2 (6/2/21) and IVIG was recommended and administered due to suspicion for MIS-A. She had also been started on cefepime, vancomycin and metronidazole on admission. Blood, urine and resp cultures were negative. She continued to have high norepinephrine requirements, reaching 0.34 mcg/kg/min on 6/3. Due to ongoing shock (cardiogenic vs septic), a Swan-Ganz was placed on 6/4/21. RAP 11 mmHg, RV 38/10 mmHg, PA 40/20 (27) mmHg, PCWP 19 mm Hg, CO 5.75, CI 2.8, SVR 1100, MvO2: 70%. These were consistent with distributive/septic shock rather than cardiogenic.  The patient was able to be weaned from pressors on 6/5/21 at 11:55. Throughout her entire hospital stay, she was comfortable with no respiratory distress, and no abnormalities in mentation. She was transferred to the general medical floor and completed 7 days of antibiotics for empiric sepsis treatment. Labs at discharge on 6/8 showed procalcitonin 5.43, CRP 8.8, LDH 362, Ferritin 1511, TP 5.9, ALT 17, AST 29, Alk phs 158, TB 1.3, Alb 1.6, Create 0.98, WBC 32.5, Hb 7.8, Hct 22.9, Plt 100, neutrophils 70%. She was feeling well without complaints, and will follow up as an outpatient. She was prescribed Xarelto for DVT.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Culture negative, Culture urine negative, Diarrhoea, Dyspnoea, Echocardiogram
Clinical narrative: 53 yo woman with no PMH was diagnosed with COVID-19 by PCR on 5/7/21. She had a mild illness with cough and fevers but did not require hospitalization. Her symptoms lasted about 1 week. She got her first dose of Pfizer COVID vaccine on 5/29 around 11 am. Within 4 hours (around 3 pm) she started to develop extreme fatigue, which she attributed to vaccine. This was followed by nausea, vomiting and diarrhea later that same day. The symptoms got worse on 5/30. Her diarrhea/GI symptoms resolved on 5/31. That day, she had a fever to 101.3. She continued to have fatigue, and started to have dyspnea, and presented to hospital on 6/1/21. On arrival to ED her vitals were 88/41, 36.1, 125, 18, 95% on RA (13:22). She become more hypotensive with nadir BP 63/48, HR 109 at 17:30, at which time she was started on norepinephrine. Physical exam at admission was notable for clear lungs, tenderness to palpation in the midepigastric and LUQ areas, and the absence of rash. Admission labs: WBC 31.3, Hb 14.2, Hct 43.0, Plt 144, MCV 96, 85% neutrophils, BNP 3117, Na 132, K 3.8, CO2 19, Cl 95, BUN 35, Create 4.62, gluc 133, protein 6.1, alb 2.2, TB 5.5, DB 2.9, Alk phos 159, ALT 47, AST 33, lactate 4.2, troponin I 0.047, random cortisol 93. Strep pneumo and legionella antigens negative. Hepatitis serologies, HIV test, all negative. COVID test by PCR was positive on 6/1/21. She was admitted to the ICU. The day following admission (6/2) CRP 32.4, ESR 106, LDH 399, ferritin 1626, procalcitonin 54.85. CT A/P unremarkable except for bilateral patchy airspace opacities. RUQ US unremarkable, including Dopplers. Echocardiogram (TTE) with LV systolic function mod-severely globally reduced, EF 35%, no valvular disease. Dopplers of LE showed small non-occlusive thrombus in R common femoral. The patient was seen by Infectious Diseases on HD#2 (6/2/21) and IVIG was recommended and administered due to suspicion for MIS-A. She had also been started on cefepime, vancomycin and metronidazole on admission. Blood, urine and resp cultures were negative. She continued to have high norepinephrine requirements, reaching 0.34 mcg/kg/min on 6/3. Due to ongoing shock (cardiogenic vs septic), a Swan-Ganz was placed on 6/4/21. RAP 11 mmHg, RV 38/10 mmHg, PA 40/20 (27) mmHg, PCWP 19 mm Hg, CO 5.75, CI 2.8, SVR 1100, MvO2: 70%. These were consistent with distributive/septic shock rather than cardiogenic.  The patient was able to be weaned from pressors on 6/5/21 at 11:55. Throughout her entire hospital stay, she was comfortable with no respiratory distress, and no abnormalities in mentation. She was transferred to the general medical floor and completed 7 days of antibiotics for empiric sepsis treatment. Labs at discharge on 6/8 showed procalcitonin 5.43, CRP 8.8, LDH 362, Ferritin 1511, TP 5.9, ALT 17, AST 29, Alk phs 158, TB 1.3, Alb 1.6, Create 0.98, WBC 32.5, Hb 7.8, Hct 22.9, Plt 100, neutrophils 70%. She was feeling well without complaints, and will follow up as an outpatient. She was prescribed Xarelto for DVT.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction, Fatigue, HIV test negative, Haematocrit abnormal
Clinical narrative: 53 yo woman with no PMH was diagnosed with COVID-19 by PCR on 5/7/21. She had a mild illness with cough and fevers but did not require hospitalization. Her symptoms lasted about 1 week. She got her first dose of Pfizer COVID vaccine on 5/29 around 11 am. Within 4 hours (around 3 pm) she started to develop extreme fatigue, which she attributed to vaccine. This was followed by nausea, vomiting and diarrhea later that same day. The symptoms got worse on 5/30. Her diarrhea/GI symptoms resolved on 5/31. That day, she had a fever to 101.3. She continued to have fatigue, and started to have dyspnea, and presented to hospital on 6/1/21. On arrival to ED her vitals were 88/41, 36.1, 125, 18, 95% on RA (13:22). She become more hypotensive with nadir BP 63/48, HR 109 at 17:30, at which time she was started on norepinephrine. Physical exam at admission was notable for clear lungs, tenderness to palpation in the midepigastric and LUQ areas, and the absence of rash. Admission labs: WBC 31.3, Hb 14.2, Hct 43.0, Plt 144, MCV 96, 85% neutrophils, BNP 3117, Na 132, K 3.8, CO2 19, Cl 95, BUN 35, Create 4.62, gluc 133, protein 6.1, alb 2.2, TB 5.5, DB 2.9, Alk phos 159, ALT 47, AST 33, lactate 4.2, troponin I 0.047, random cortisol 93. Strep pneumo and legionella antigens negative. Hepatitis serologies, HIV test, all negative. COVID test by PCR was positive on 6/1/21. She was admitted to the ICU. The day following admission (6/2) CRP 32.4, ESR 106, LDH 399, ferritin 1626, procalcitonin 54.85. CT A/P unremarkable except for bilateral patchy airspace opacities. RUQ US unremarkable, including Dopplers. Echocardiogram (TTE) with LV systolic function mod-severely globally reduced, EF 35%, no valvular disease. Dopplers of LE showed small non-occlusive thrombus in R common femoral. The patient was seen by Infectious Diseases on HD#2 (6/2/21) and IVIG was recommended and administered due to suspicion for MIS-A. She had also been started on cefepime, vancomycin and metronidazole on admission. Blood, urine and resp cultures were negative. She continued to have high norepinephrine requirements, reaching 0.34 mcg/kg/min on 6/3. Due to ongoing shock (cardiogenic vs septic), a Swan-Ganz was placed on 6/4/21. RAP 11 mmHg, RV 38/10 mmHg, PA 40/20 (27) mmHg, PCWP 19 mm Hg, CO 5.75, CI 2.8, SVR 1100, MvO2: 70%. These were consistent with distributive/septic shock rather than cardiogenic.  The patient was able to be weaned from pressors on 6/5/21 at 11:55. Throughout her entire hospital stay, she was comfortable with no respiratory distress, and no abnormalities in mentation. She was transferred to the general medical floor and completed 7 days of antibiotics for empiric sepsis treatment. Labs at discharge on 6/8 showed procalcitonin 5.43, CRP 8.8, LDH 362, Ferritin 1511, TP 5.9, ALT 17, AST 29, Alk phs 158, TB 1.3, Alb 1.6, Create 0.98, WBC 32.5, Hb 7.8, Hct 22.9, Plt 100, neutrophils 70%. She was feeling well without complaints, and will follow up as an outpatient. She was prescribed Xarelto for DVT.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin abnormal, Hepatitis viral test negative, Hypotension, Immunoglobulin therapy, Intensive care
Clinical narrative: 53 yo woman with no PMH was diagnosed with COVID-19 by PCR on 5/7/21. She had a mild illness with cough and fevers but did not require hospitalization. Her symptoms lasted about 1 week. She got her first dose of Pfizer COVID vaccine on 5/29 around 11 am. Within 4 hours (around 3 pm) she started to develop extreme fatigue, which she attributed to vaccine. This was followed by nausea, vomiting and diarrhea later that same day. The symptoms got worse on 5/30. Her diarrhea/GI symptoms resolved on 5/31. That day, she had a fever to 101.3. She continued to have fatigue, and started to have dyspnea, and presented to hospital on 6/1/21. On arrival to ED her vitals were 88/41, 36.1, 125, 18, 95% on RA (13:22). She become more hypotensive with nadir BP 63/48, HR 109 at 17:30, at which time she was started on norepinephrine. Physical exam at admission was notable for clear lungs, tenderness to palpation in the midepigastric and LUQ areas, and the absence of rash. Admission labs: WBC 31.3, Hb 14.2, Hct 43.0, Plt 144, MCV 96, 85% neutrophils, BNP 3117, Na 132, K 3.8, CO2 19, Cl 95, BUN 35, Create 4.62, gluc 133, protein 6.1, alb 2.2, TB 5.5, DB 2.9, Alk phos 159, ALT 47, AST 33, lactate 4.2, troponin I 0.047, random cortisol 93. Strep pneumo and legionella antigens negative. Hepatitis serologies, HIV test, all negative. COVID test by PCR was positive on 6/1/21. She was admitted to the ICU. The day following admission (6/2) CRP 32.4, ESR 106, LDH 399, ferritin 1626, procalcitonin 54.85. CT A/P unremarkable except for bilateral patchy airspace opacities. RUQ US unremarkable, including Dopplers. Echocardiogram (TTE) with LV systolic function mod-severely globally reduced, EF 35%, no valvular disease. Dopplers of LE showed small non-occlusive thrombus in R common femoral. The patient was seen by Infectious Diseases on HD#2 (6/2/21) and IVIG was recommended and administered due to suspicion for MIS-A. She had also been started on cefepime, vancomycin and metronidazole on admission. Blood, urine and resp cultures were negative. She continued to have high norepinephrine requirements, reaching 0.34 mcg/kg/min on 6/3. Due to ongoing shock (cardiogenic vs septic), a Swan-Ganz was placed on 6/4/21. RAP 11 mmHg, RV 38/10 mmHg, PA 40/20 (27) mmHg, PCWP 19 mm Hg, CO 5.75, CI 2.8, SVR 1100, MvO2: 70%. These were consistent with distributive/septic shock rather than cardiogenic.  The patient was able to be weaned from pressors on 6/5/21 at 11:55. Throughout her entire hospital stay, she was comfortable with no respiratory distress, and no abnormalities in mentation. She was transferred to the general medical floor and completed 7 days of antibiotics for empiric sepsis treatment. Labs at discharge on 6/8 showed procalcitonin 5.43, CRP 8.8, LDH 362, Ferritin 1511, TP 5.9, ALT 17, AST 29, Alk phs 158, TB 1.3, Alb 1.6, Create 0.98, WBC 32.5, Hb 7.8, Hct 22.9, Plt 100, neutrophils 70%. She was feeling well without complaints, and will follow up as an outpatient. She was prescribed Xarelto for DVT.