chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Pain, Pain in extremity
Clinical narrative: Lightheadedness after 10 minutes. It went away. I was walking towards my department and then I felt lightheaded again. but it went away again. I felt really tired after I got home from shift. Leg pain started really bad. I developed a fever. Next morning, I was in pain - legs, hips (legs and hips were where main pain was) and general body aches; headache. I had a fever 101. It was 100.4 at work and I came home from work. I couldn't stand - my legs and hips were so painful (the 6th) and I had a fever that whole day. It went to 101.5 at night and the next day I was still in pain. My body aches were a little better but the legs and hip pain weren't going away and I was so tired. I called my doctor (telemed visit) on the 7th and he said to wait and rest. By the 8th, the fever was gone. All the symptoms subsided on the 8th. I used Tylenol to try to help with my fever but it didn't help with my leg and hip pain. I was left with feeling tired for about a week more and I thought I was just recuperating.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Lightheadedness after 10 minutes. It went away. I was walking towards my department and then I felt lightheaded again. but it went away again. I felt really tired after I got home from shift. Leg pain started really bad. I developed a fever. Next morning, I was in pain - legs, hips (legs and hips were where main pain was) and general body aches; headache. I had a fever 101. It was 100.4 at work and I came home from work. I couldn't stand - my legs and hips were so painful (the 6th) and I had a fever that whole day. It went to 101.5 at night and the next day I was still in pain. My body aches were a little better but the legs and hip pain weren't going away and I was so tired. I called my doctor (telemed visit) on the 7th and he said to wait and rest. By the 8th, the fever was gone. All the symptoms subsided on the 8th. I used Tylenol to try to help with my fever but it didn't help with my leg and hip pain. I was left with feeling tired for about a week more and I thought I was just recuperating.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Groin pain, Pain in extremity
Clinical narrative: On or about January 30, 2021 pain started inside my upper thighs, after about 24 hrs the pain moved to my groin. I contacted my Primary Care Physician and  he instructed me to take 2 Aleve twice a day for 3 days. After completing the aleve for 3 days the pain went away. At this time I have a mild pain inside my upper right thigh.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site bruising, Injection site induration
Clinical narrative: Fever achy chills exhaustion queasy headaches injection site is hard and bruised red and swollen below injection site
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling, Pain, Pyrexia
Clinical narrative: Fever achy chills exhaustion queasy headaches injection site is hard and bruised red and swollen below injection site
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Passed away the morning of 2/9/21.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: rash, itching, burning, red skin on both upper arms, across stomach, and on lower half of front of legs, several smaller spots on thigh area and left side of truck
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Pain in extremity, Paraesthesia
Clinical narrative: sore arm, tingling in fingers, joint pain, increased back pain (chronic), felt like had something stuck in throat, chills, increased headaches (chronic headaches) Patient had recent back surgery, has chronic pain and chronic headaches but states they were more like a migraine
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dysphagia, Nervousness, Paraesthesia oral, Tachypnoea
Clinical narrative: 10:26h - pt reports 'can't swallow', lips tingling, feels nervous/anxious while in parked car in post-vaccination area, BP 138/72, pulse 91, O2 sat 88%, pt observed to be tachypnic but A&Ox3, responding appropriately 10:32h - BP 128/88, pulse 92, O2 sat 98%, MD arrived for further assessment, no meds given/no further interventions, close observation/monitoring only 10:38h - paramedics arrived, pt released to their care, AMA observed to be signed by pt and her partner/driver
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Aphasia, Autism spectrum disorder, Pyrexia, Rash, Urticaria
Clinical narrative: She woke up in the middle of the night wiht a fever,shaking, and screaming and she had a rash patch on her abdomen. took her to the doctor in september and thye gave her DTP/HIB/IPV. after that she had the same reactions wiht the fever, screaming and rash. docotr said it was nothing to worry about and ot use neosporin and hydrocortizone and recommended that she get the flu vaccine. On october 16th 2020 she received the flu vaccine. the rash then spread over her front and back with hives and fever and she turned yellow. we took her back in 11/23 and the doctor looked at the rash and the doctor said she was yellow from foods and administered the flu vaccine again. she is now unresponsive. she stopped talking and she grunts and yells but has no coherant words. she flaps her arms and does not answer to her name or anyone speaking to her. took her to the doctor and took blood and was referred to a neurologist. neurologist said she has autism. the doctor before the neurologist also said autism. we are taking her to another neurologist for a second opion.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Yellow skin
Clinical narrative: She woke up in the middle of the night wiht a fever,shaking, and screaming and she had a rash patch on her abdomen. took her to the doctor in september and thye gave her DTP/HIB/IPV. after that she had the same reactions wiht the fever, screaming and rash. docotr said it was nothing to worry about and ot use neosporin and hydrocortizone and recommended that she get the flu vaccine. On october 16th 2020 she received the flu vaccine. the rash then spread over her front and back with hives and fever and she turned yellow. we took her back in 11/23 and the doctor looked at the rash and the doctor said she was yellow from foods and administered the flu vaccine again. she is now unresponsive. she stopped talking and she grunts and yells but has no coherant words. she flaps her arms and does not answer to her name or anyone speaking to her. took her to the doctor and took blood and was referred to a neurologist. neurologist said she has autism. the doctor before the neurologist also said autism. we are taking her to another neurologist for a second opion.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Pain, Pain in extremity
Clinical narrative: Body aches, pains, temp, sore lt arm
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Pain in extremity, Pulmonary embolism, Tachycardia
Clinical narrative: Patient developed rapid onset of dyspnea, light headedness and tachycardia. Was taken to the ED where she was treated with an antihistamine and IV fluids.  Symptoms resolved.  6 days after the vaccine, was having shortness of breath and left arm pain (not the arm where injection was received) and was diagnosed with a pulmonary embolism.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Fall, Gait disturbance, Muscular weakness
Clinical narrative: About 6 hours later I fell.  My legs could not hold me up. Next day I felt very weak, If I had to walk I had to hold on furniture, a general body weakness.  At this time,  pretty well recovered. The doctor sent in for full blood workup and chest scan and a brain scan and also the virus test.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: About 6 hours later I fell.  My legs could not hold me up. Next day I felt very weak, If I had to walk I had to hold on furniture, a general body weakness.  At this time,  pretty well recovered. The doctor sent in for full blood workup and chest scan and a brain scan and also the virus test.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Patient called several hours after receiving vaccine from home and said her face was swelling. She was advised to see doctor and she did. she was given Benadryl , prednisone  and famotidine
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Red rash on left arm (arm of injection)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: throat irritation
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Lymph node pain, Lymphadenopathy, Physical examination
Clinical narrative: Vaccine on Friday; Saturday around noon lymph nodes got tender & swollen. Then on Sunday became large (size of eggs), painful.  Located in : Left interior Arm, L armpit, hand, Left neck up to ear, breasts, Left wrist, Right hand.   Monday at 10 a.m. went to doctor.  Ran tests  to make sure nothing else was underlying.  Came back negative.  Started on hydroxovisil to reduce swelling.  2/10/21 physician called to notify that lab results were all negative so they feel it is due to  COVID-19 Vaccine.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted after COVID-19 vaccination,.  Clinic personal assessed and EMS on site.  Patient refused transfer to medical facility.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Flushing, Hypertension
Clinical narrative: At just after 5 o'clock, pt received his 1st dose of the COVID-19 vaccine and about 10 minutes later he began to feel flushed in his face.  This was associated with some chest tightness as well.  He was referred to the emergency department.  He had no difficulty breathing and did not feel like his throat is closing.  He had no rash anywhere else on his body but does feel like his face is redder than usual.  His symptoms have not been associated with shortness of breath and has no abdominal pain.   Upon presentation to emergency department, the patient was hypertensive to the 220s but his vital signs were otherwise within normal limits.  Physical exam was fairly unremarkable with exception of some mild redness of the bilateral cheeks.  He had no rash there is no evidence of airway compromise or wheezing.  Low concern for acute anaphylactoid reaction.  Patient was given diphenhydramine.    Symptoms resolved and patient was discharged home.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Pain in extremity
Clinical narrative: About 12 minutes after the vaccine she developed chest pain and left arm pain.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Erythema, Headache, Pain in extremity
Clinical narrative: 1/27/21 developed dime sized redness and soreness in arm. the next day was 2 inches the next day was 4 inches across and swollen and warm. Pt also having difficulty breathing, Went to Doctor and ER due to breathing distress.  Was monitored but not admitted. Still  continues to experience headaches, chills, and an increase in salivary secretions.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Salivary hypersecretion, Skin warm
Clinical narrative: 1/27/21 developed dime sized redness and soreness in arm. the next day was 2 inches the next day was 4 inches across and swollen and warm. Pt also having difficulty breathing, Went to Doctor and ER due to breathing distress.  Was monitored but not admitted. Still  continues to experience headaches, chills, and an increase in salivary secretions.
Age: 5.0
Sex: M
Vaccine: HEPA, PNC13, VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine's given to pt.  No adverse reaction
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: Anaphylactic reaction: 911 dispatched: IV diphenhydramine administered by EMS;  patient stable/coherent and transported to local hospital.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Impaired work ability, Neck pain, Pain
Clinical narrative: Shooting Neck pain irradiates to my face, rash on my face more concentrated on my eyelids, severe whole body ache, profuse sweating, Dizziness
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin culture
Clinical narrative: Shooting Neck pain irradiates to my face, rash on my face more concentrated on my eyelids, severe whole body ache, profuse sweating, Dizziness
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Muscle spasms, Myalgia
Clinical narrative: Had severe muscle aches in late afternoon,  then starting about 6 PM I had chills for a couple of hours, fever of 100.7.   Headache, neck ache, continued leg and hip aching, mild nausea, no vomiting.  I took one extra-strength Tylenol 3 different times, beginning of the episode, middle and bedtime.   Fever came down gradually and was normal by midnight.  I feel pretty normal today, a little tired.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Had severe muscle aches in late afternoon,  then starting about 6 PM I had chills for a couple of hours, fever of 100.7.   Headache, neck ache, continued leg and hip aching, mild nausea, no vomiting.  I took one extra-strength Tylenol 3 different times, beginning of the episode, middle and bedtime.   Fever came down gradually and was normal by midnight.  I feel pretty normal today, a little tired.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: C/o feeling dizzy at 1500 provided juice and granola bar
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Death, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient sent to the ED or sudden onset of shortness of breath on 02/02/2021. Per documentation by the MD, the patient had COVID19 "several weeks ago" and the nursing facility felt like he had recovered. A rapid test done in the ED was negative. When the patient worsened and seemed to be following the same path as other COVID patients, a send out PCR test was done, which was positive. The patient worsened and passed away that same day (02/05/2021) I was not made aware that the patient had the vaccine on 01/21/2021 until Monday 02/08/2021.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Flushing, Hypoaesthesia oral, Paraesthesia, Pharyngeal swelling
Clinical narrative: Tingling, numbness of lips, sensation of swelling in left side of throat without difficulty swallowing,, elevated BP, no shortness of breath, O2, P wnl. Benadryl 25 mg PO given and tolerated, flushing of face and still sensation of lt throat swelling, called EMS to transport to ED
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Pallor, Paraesthesia oral
Clinical narrative: about an hour after the administered vaccine the patient reports he developed some mild swelling to his right upper lip that appeared to be slightly white and was tingling.. All symptoms resolved at the time reporting to the ER at 4pm. MD comments: possible minor vaccine reaction minor angioedema which has resolved.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Catheterisation cardiac normal, Chest pain, Electrocardiogram, Myocardial necrosis marker increased
Clinical narrative: 02/03-02/04/2021 TEMPERATURE 100.5 *F, TREATMENT WITH TYLENOL. 02/05/2021 FELT WORSE IN THE MORNING, TREATMENT WITH ALEVE, FELT BETTER. EVENING BEGAN TO HAVE CHEST PAIN, BODYACHE, NECK/JAW PAIN - WENT TO EMERGENCY ROOM. CARDIAC LABS ELEVATED ADMITTED TO HOSPITAL. ALL OTHER TESTS CAME BACK WITHIN LIMITS BUT CATH NOT AVAILABLE ON THE SEEKENDS SO HELD. PATIENT CATH WAS CLEAR, RELEASED APPROX 1600 02/08/2021 WITH INSTRUCTIONS TO FOLLOW-UP WITH PCM. PCM APPOINTMENT SCHEDULED FOR 02/12/2021.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pain in jaw, Troponin increased
Clinical narrative: 02/03-02/04/2021 TEMPERATURE 100.5 *F, TREATMENT WITH TYLENOL. 02/05/2021 FELT WORSE IN THE MORNING, TREATMENT WITH ALEVE, FELT BETTER. EVENING BEGAN TO HAVE CHEST PAIN, BODYACHE, NECK/JAW PAIN - WENT TO EMERGENCY ROOM. CARDIAC LABS ELEVATED ADMITTED TO HOSPITAL. ALL OTHER TESTS CAME BACK WITHIN LIMITS BUT CATH NOT AVAILABLE ON THE SEEKENDS SO HELD. PATIENT CATH WAS CLEAR, RELEASED APPROX 1600 02/08/2021 WITH INSTRUCTIONS TO FOLLOW-UP WITH PCM. PCM APPOINTMENT SCHEDULED FOR 02/12/2021.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: fever chills
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: On day 8 after vaccine administered I developed a red rash at the earlier inoculation site.  The site was sore and icy hot and felt as if I had just been administered a flu shot.  This is the second day of the reaction and it is still sore and feels icy hot with the rash the same.  It involves my Left upper arm exactly where I had been inoculated.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Fatigue
Clinical narrative: Lightheadedness right away. Fever started about about 10:30 PM and body aches. My legs started hurting. Hip pain but it wasn't as bad as first dose of vaccine. Fever all night. Chills - had more chills with this second dose of vaccine. Chills through the following day. I had body aches all day the next day and a headache. I was feeling very, very weak and tired. I didn't check my temperature but had chills all day. Night time - body aches and leg pain. Next day, I was feeling much better but just very tired (4th). Chills were gone by the 4th and the body aches, too.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Lightheadedness right away. Fever started about about 10:30 PM and body aches. My legs started hurting. Hip pain but it wasn't as bad as first dose of vaccine. Fever all night. Chills - had more chills with this second dose of vaccine. Chills through the following day. I had body aches all day the next day and a headache. I was feeling very, very weak and tired. I didn't check my temperature but had chills all day. Night time - body aches and leg pain. Next day, I was feeling much better but just very tired (4th). Chills were gone by the 4th and the body aches, too.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nervousness
Clinical narrative: Within approx 12-15 minutes of injection, I began to feel slightly light-headed. I didn't say anything at the time, because it was so slight, and I attributed it to being a little nervous. It continued, for perhaps hours 3 or so hours, getting slightly worse before subsiding.  I had eaten my usual breakfast in the am before I went for my injection.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pruritus, Nausea, Pruritus, Sensation of foreign body, Throat irritation
Clinical narrative: Per COVID Vaccine Clinic nurse, employee/pt was screened for ASE and asked to stay for 30 minutes after immunization at 1430 on 02/08/2021; pt did not report any s/sx of anaphylaxis and left the COVID Vaccine Clinic at 1500 on 02/08/2021.   Per Dr. from Care Center, which is located in the same building as the employee's COVID-19 Vaccine Clinic, pt returned at 1545 on 02/08/2021 reporting  "generalized itching as well as nausea and feeling of swelling and itching n her throat and bilateral ears." She was treated by employer's ICC for s/sx of anaphylaxis and given epinephrine 1 mg/mL 0.5 mL IM, cetirizine 10 mg PO, and Prednisone 60 mg PO. Per ICC, pt was monitored for 1 hour, symptoms resolved, and she was advised to "go to the ER if she has return of symptoms, but this is unlikely."
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Autoantibody test, Blood lactate dehydrogenase increased, CSF glucose normal, CSF lymphocyte count normal
Clinical narrative: The night after receiving dose 1 of the vaccine, she didn't want to eat dinner, was starting to spit up saliva, and noted a new headache, and asked her daughter to sleep with her that night considering she was feeling poorly. She was restless all night, and then at ~5am her L arm began to twitch; she was still alert at this time but didn't realize her arm was moving. Shortly after this she lost consciousness, her eyes rolled back in her head, and she developed a frank GTC seizure. Her daughter called an ambulance, and by the time she was on the way to the hospital, she was awake and alert again. At the hospital, she was initially talking and able to answer most questions appropriately. She was noted to be afebrile, hemodynamically stable, without an O2 requirement, though with tachycardia to the 110s.  She was found to have a leukocytosis to ~16, thrombocytosis to ~550, and LDH elevated in the 600s. Over the following day, her mental status declined and she became agitated and disoriented to place/time. CT chest revealed b/l multifocal pneumonia, for which she was started on pip-tazo. She underwent MRI brain (DWI sequence only) which did not reveal any obvious CVA. LP was performed on 1/29 at ~10PM; as far as we can tell, she had only received pip-tazo for antibiotics at this point. CSF studies revealed 220 WBCs (14% PMNs, 76% lymphs, 10% monos), 14 RBCs, Glu 59, Prot 145; GS 2+ WBCs, no orgs; india ink stain negative; Cx pending at time of transfer. Given concern for bacterial or viral meningoencephalitis she was transitioned to vancomycin/ceftriaxone/acyclovir. Patient was then transferred to another Hospital for further management. Micro was all negative or pending at the time of transfer. Shortly after admission to hospital she was intubated. Spine MRI was notable for longitudinally extensive transverse myelitis. All infectious workup has been negative with just two more pending studies for tuberculosis; autoantibody panel pending. She is now able to follow commands with eyes and mouth, but has not been able to move her arms or legs.  We do not have high suspicion that this syndrome is related to the vaccine, given that progressive neurological symptoms started the week before vaccine, but thought it prudent to report given the time course.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: CSF monocyte count decreased, CSF neutrophil count increased, CSF protein increased, CSF red blood cell count positive, CSF white blood cell count increased
Clinical narrative: The night after receiving dose 1 of the vaccine, she didn't want to eat dinner, was starting to spit up saliva, and noted a new headache, and asked her daughter to sleep with her that night considering she was feeling poorly. She was restless all night, and then at ~5am her L arm began to twitch; she was still alert at this time but didn't realize her arm was moving. Shortly after this she lost consciousness, her eyes rolled back in her head, and she developed a frank GTC seizure. Her daughter called an ambulance, and by the time she was on the way to the hospital, she was awake and alert again. At the hospital, she was initially talking and able to answer most questions appropriately. She was noted to be afebrile, hemodynamically stable, without an O2 requirement, though with tachycardia to the 110s.  She was found to have a leukocytosis to ~16, thrombocytosis to ~550, and LDH elevated in the 600s. Over the following day, her mental status declined and she became agitated and disoriented to place/time. CT chest revealed b/l multifocal pneumonia, for which she was started on pip-tazo. She underwent MRI brain (DWI sequence only) which did not reveal any obvious CVA. LP was performed on 1/29 at ~10PM; as far as we can tell, she had only received pip-tazo for antibiotics at this point. CSF studies revealed 220 WBCs (14% PMNs, 76% lymphs, 10% monos), 14 RBCs, Glu 59, Prot 145; GS 2+ WBCs, no orgs; india ink stain negative; Cx pending at time of transfer. Given concern for bacterial or viral meningoencephalitis she was transitioned to vancomycin/ceftriaxone/acyclovir. Patient was then transferred to another Hospital for further management. Micro was all negative or pending at the time of transfer. Shortly after admission to hospital she was intubated. Spine MRI was notable for longitudinally extensive transverse myelitis. All infectious workup has been negative with just two more pending studies for tuberculosis; autoantibody panel pending. She is now able to follow commands with eyes and mouth, but has not been able to move her arms or legs.  We do not have high suspicion that this syndrome is related to the vaccine, given that progressive neurological symptoms started the week before vaccine, but thought it prudent to report given the time course.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Culture, Decreased appetite, Disorientation, Dyskinesia, Endotracheal intubation
Clinical narrative: The night after receiving dose 1 of the vaccine, she didn't want to eat dinner, was starting to spit up saliva, and noted a new headache, and asked her daughter to sleep with her that night considering she was feeling poorly. She was restless all night, and then at ~5am her L arm began to twitch; she was still alert at this time but didn't realize her arm was moving. Shortly after this she lost consciousness, her eyes rolled back in her head, and she developed a frank GTC seizure. Her daughter called an ambulance, and by the time she was on the way to the hospital, she was awake and alert again. At the hospital, she was initially talking and able to answer most questions appropriately. She was noted to be afebrile, hemodynamically stable, without an O2 requirement, though with tachycardia to the 110s.  She was found to have a leukocytosis to ~16, thrombocytosis to ~550, and LDH elevated in the 600s. Over the following day, her mental status declined and she became agitated and disoriented to place/time. CT chest revealed b/l multifocal pneumonia, for which she was started on pip-tazo. She underwent MRI brain (DWI sequence only) which did not reveal any obvious CVA. LP was performed on 1/29 at ~10PM; as far as we can tell, she had only received pip-tazo for antibiotics at this point. CSF studies revealed 220 WBCs (14% PMNs, 76% lymphs, 10% monos), 14 RBCs, Glu 59, Prot 145; GS 2+ WBCs, no orgs; india ink stain negative; Cx pending at time of transfer. Given concern for bacterial or viral meningoencephalitis she was transitioned to vancomycin/ceftriaxone/acyclovir. Patient was then transferred to another Hospital for further management. Micro was all negative or pending at the time of transfer. Shortly after admission to hospital she was intubated. Spine MRI was notable for longitudinally extensive transverse myelitis. All infectious workup has been negative with just two more pending studies for tuberculosis; autoantibody panel pending. She is now able to follow commands with eyes and mouth, but has not been able to move her arms or legs.  We do not have high suspicion that this syndrome is related to the vaccine, given that progressive neurological symptoms started the week before vaccine, but thought it prudent to report given the time course.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Food refusal, Gaze palsy, Generalised tonic-clonic seizure, Gram stain positive
Clinical narrative: The night after receiving dose 1 of the vaccine, she didn't want to eat dinner, was starting to spit up saliva, and noted a new headache, and asked her daughter to sleep with her that night considering she was feeling poorly. She was restless all night, and then at ~5am her L arm began to twitch; she was still alert at this time but didn't realize her arm was moving. Shortly after this she lost consciousness, her eyes rolled back in her head, and she developed a frank GTC seizure. Her daughter called an ambulance, and by the time she was on the way to the hospital, she was awake and alert again. At the hospital, she was initially talking and able to answer most questions appropriately. She was noted to be afebrile, hemodynamically stable, without an O2 requirement, though with tachycardia to the 110s.  She was found to have a leukocytosis to ~16, thrombocytosis to ~550, and LDH elevated in the 600s. Over the following day, her mental status declined and she became agitated and disoriented to place/time. CT chest revealed b/l multifocal pneumonia, for which she was started on pip-tazo. She underwent MRI brain (DWI sequence only) which did not reveal any obvious CVA. LP was performed on 1/29 at ~10PM; as far as we can tell, she had only received pip-tazo for antibiotics at this point. CSF studies revealed 220 WBCs (14% PMNs, 76% lymphs, 10% monos), 14 RBCs, Glu 59, Prot 145; GS 2+ WBCs, no orgs; india ink stain negative; Cx pending at time of transfer. Given concern for bacterial or viral meningoencephalitis she was transitioned to vancomycin/ceftriaxone/acyclovir. Patient was then transferred to another Hospital for further management. Micro was all negative or pending at the time of transfer. Shortly after admission to hospital she was intubated. Spine MRI was notable for longitudinally extensive transverse myelitis. All infectious workup has been negative with just two more pending studies for tuberculosis; autoantibody panel pending. She is now able to follow commands with eyes and mouth, but has not been able to move her arms or legs.  We do not have high suspicion that this syndrome is related to the vaccine, given that progressive neurological symptoms started the week before vaccine, but thought it prudent to report given the time course.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Leukocytosis, Loss of consciousness, Magnetic resonance imaging brain normal, Magnetic resonance imaging spinal abnormal
Clinical narrative: The night after receiving dose 1 of the vaccine, she didn't want to eat dinner, was starting to spit up saliva, and noted a new headache, and asked her daughter to sleep with her that night considering she was feeling poorly. She was restless all night, and then at ~5am her L arm began to twitch; she was still alert at this time but didn't realize her arm was moving. Shortly after this she lost consciousness, her eyes rolled back in her head, and she developed a frank GTC seizure. Her daughter called an ambulance, and by the time she was on the way to the hospital, she was awake and alert again. At the hospital, she was initially talking and able to answer most questions appropriately. She was noted to be afebrile, hemodynamically stable, without an O2 requirement, though with tachycardia to the 110s.  She was found to have a leukocytosis to ~16, thrombocytosis to ~550, and LDH elevated in the 600s. Over the following day, her mental status declined and she became agitated and disoriented to place/time. CT chest revealed b/l multifocal pneumonia, for which she was started on pip-tazo. She underwent MRI brain (DWI sequence only) which did not reveal any obvious CVA. LP was performed on 1/29 at ~10PM; as far as we can tell, she had only received pip-tazo for antibiotics at this point. CSF studies revealed 220 WBCs (14% PMNs, 76% lymphs, 10% monos), 14 RBCs, Glu 59, Prot 145; GS 2+ WBCs, no orgs; india ink stain negative; Cx pending at time of transfer. Given concern for bacterial or viral meningoencephalitis she was transitioned to vancomycin/ceftriaxone/acyclovir. Patient was then transferred to another Hospital for further management. Micro was all negative or pending at the time of transfer. Shortly after admission to hospital she was intubated. Spine MRI was notable for longitudinally extensive transverse myelitis. All infectious workup has been negative with just two more pending studies for tuberculosis; autoantibody panel pending. She is now able to follow commands with eyes and mouth, but has not been able to move her arms or legs.  We do not have high suspicion that this syndrome is related to the vaccine, given that progressive neurological symptoms started the week before vaccine, but thought it prudent to report given the time course.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Microbiology test normal, Mobility decreased, Movement disorder, Muscle twitching
Clinical narrative: The night after receiving dose 1 of the vaccine, she didn't want to eat dinner, was starting to spit up saliva, and noted a new headache, and asked her daughter to sleep with her that night considering she was feeling poorly. She was restless all night, and then at ~5am her L arm began to twitch; she was still alert at this time but didn't realize her arm was moving. Shortly after this she lost consciousness, her eyes rolled back in her head, and she developed a frank GTC seizure. Her daughter called an ambulance, and by the time she was on the way to the hospital, she was awake and alert again. At the hospital, she was initially talking and able to answer most questions appropriately. She was noted to be afebrile, hemodynamically stable, without an O2 requirement, though with tachycardia to the 110s.  She was found to have a leukocytosis to ~16, thrombocytosis to ~550, and LDH elevated in the 600s. Over the following day, her mental status declined and she became agitated and disoriented to place/time. CT chest revealed b/l multifocal pneumonia, for which she was started on pip-tazo. She underwent MRI brain (DWI sequence only) which did not reveal any obvious CVA. LP was performed on 1/29 at ~10PM; as far as we can tell, she had only received pip-tazo for antibiotics at this point. CSF studies revealed 220 WBCs (14% PMNs, 76% lymphs, 10% monos), 14 RBCs, Glu 59, Prot 145; GS 2+ WBCs, no orgs; india ink stain negative; Cx pending at time of transfer. Given concern for bacterial or viral meningoencephalitis she was transitioned to vancomycin/ceftriaxone/acyclovir. Patient was then transferred to another Hospital for further management. Micro was all negative or pending at the time of transfer. Shortly after admission to hospital she was intubated. Spine MRI was notable for longitudinally extensive transverse myelitis. All infectious workup has been negative with just two more pending studies for tuberculosis; autoantibody panel pending. She is now able to follow commands with eyes and mouth, but has not been able to move her arms or legs.  We do not have high suspicion that this syndrome is related to the vaccine, given that progressive neurological symptoms started the week before vaccine, but thought it prudent to report given the time course.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Mycobacterium tuberculosis complex test, Myelitis transverse, Platelet count increased, Pneumonia, Poor quality sleep
Clinical narrative: The night after receiving dose 1 of the vaccine, she didn't want to eat dinner, was starting to spit up saliva, and noted a new headache, and asked her daughter to sleep with her that night considering she was feeling poorly. She was restless all night, and then at ~5am her L arm began to twitch; she was still alert at this time but didn't realize her arm was moving. Shortly after this she lost consciousness, her eyes rolled back in her head, and she developed a frank GTC seizure. Her daughter called an ambulance, and by the time she was on the way to the hospital, she was awake and alert again. At the hospital, she was initially talking and able to answer most questions appropriately. She was noted to be afebrile, hemodynamically stable, without an O2 requirement, though with tachycardia to the 110s.  She was found to have a leukocytosis to ~16, thrombocytosis to ~550, and LDH elevated in the 600s. Over the following day, her mental status declined and she became agitated and disoriented to place/time. CT chest revealed b/l multifocal pneumonia, for which she was started on pip-tazo. She underwent MRI brain (DWI sequence only) which did not reveal any obvious CVA. LP was performed on 1/29 at ~10PM; as far as we can tell, she had only received pip-tazo for antibiotics at this point. CSF studies revealed 220 WBCs (14% PMNs, 76% lymphs, 10% monos), 14 RBCs, Glu 59, Prot 145; GS 2+ WBCs, no orgs; india ink stain negative; Cx pending at time of transfer. Given concern for bacterial or viral meningoencephalitis she was transitioned to vancomycin/ceftriaxone/acyclovir. Patient was then transferred to another Hospital for further management. Micro was all negative or pending at the time of transfer. Shortly after admission to hospital she was intubated. Spine MRI was notable for longitudinally extensive transverse myelitis. All infectious workup has been negative with just two more pending studies for tuberculosis; autoantibody panel pending. She is now able to follow commands with eyes and mouth, but has not been able to move her arms or legs.  We do not have high suspicion that this syndrome is related to the vaccine, given that progressive neurological symptoms started the week before vaccine, but thought it prudent to report given the time course.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Restlessness, Salivary hypersecretion, Tachycardia, Thrombocytosis, White blood cell count increased
Clinical narrative: The night after receiving dose 1 of the vaccine, she didn't want to eat dinner, was starting to spit up saliva, and noted a new headache, and asked her daughter to sleep with her that night considering she was feeling poorly. She was restless all night, and then at ~5am her L arm began to twitch; she was still alert at this time but didn't realize her arm was moving. Shortly after this she lost consciousness, her eyes rolled back in her head, and she developed a frank GTC seizure. Her daughter called an ambulance, and by the time she was on the way to the hospital, she was awake and alert again. At the hospital, she was initially talking and able to answer most questions appropriately. She was noted to be afebrile, hemodynamically stable, without an O2 requirement, though with tachycardia to the 110s.  She was found to have a leukocytosis to ~16, thrombocytosis to ~550, and LDH elevated in the 600s. Over the following day, her mental status declined and she became agitated and disoriented to place/time. CT chest revealed b/l multifocal pneumonia, for which she was started on pip-tazo. She underwent MRI brain (DWI sequence only) which did not reveal any obvious CVA. LP was performed on 1/29 at ~10PM; as far as we can tell, she had only received pip-tazo for antibiotics at this point. CSF studies revealed 220 WBCs (14% PMNs, 76% lymphs, 10% monos), 14 RBCs, Glu 59, Prot 145; GS 2+ WBCs, no orgs; india ink stain negative; Cx pending at time of transfer. Given concern for bacterial or viral meningoencephalitis she was transitioned to vancomycin/ceftriaxone/acyclovir. Patient was then transferred to another Hospital for further management. Micro was all negative or pending at the time of transfer. Shortly after admission to hospital she was intubated. Spine MRI was notable for longitudinally extensive transverse myelitis. All infectious workup has been negative with just two more pending studies for tuberculosis; autoantibody panel pending. She is now able to follow commands with eyes and mouth, but has not been able to move her arms or legs.  We do not have high suspicion that this syndrome is related to the vaccine, given that progressive neurological symptoms started the week before vaccine, but thought it prudent to report given the time course.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Injection site warmth, Rash erythematous, Rash pruritic
Clinical narrative: 6 days after receiving the first Moderna Covid 19 vaccination, a red itchy sore rash developed around the injection site, approximate size  4"x6", which was warm to touch.  This slowly dissipated over the following 5 days.  However, on the morning of 2/9/21 the same symptoms reappeared without the itching and pain.  Because of this delayed, but concerning reaction, I was seen by my PCP listed above.  MD recommended use of topical hydrocortizone or oral antihistimine as needed.  Also prescribed Augmentin to be taken if the area becomes more red, hot, swollen, and painful.  If the area is not better within 48 hours, to be seen right away by PCP.  NOTE: SECOND INJECTION OF COVID VACCINE CANCELLED BY MD
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Fatigue, Full blood count, Heart rate increased
Clinical narrative: Fever, sore throat, swollen lymph nodes in throat, clavicle, armpits and breasts, fatigue, chest tightness, some shortness of breath, rapid heart rate upon moving
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Fever, sore throat, swollen lymph nodes in throat, clavicle, armpits and breasts, fatigue, chest tightness, some shortness of breath, rapid heart rate upon moving
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test
Clinical narrative: Fever, sore throat, swollen lymph nodes in throat, clavicle, armpits and breasts, fatigue, chest tightness, some shortness of breath, rapid heart rate upon moving
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Approximately 2 1/2 in long by 1  3/4 inch wide red splotch at site of injection, slightly raised, no itching Went to Pharmacy where injection was received and it was checked. They administered the vaccine at about 11:30 a.m. no treatment  current time 4:30p.m. and area remains unchanged
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: The EMS Medic arrived at the POD site at 6:12 pm. They evaluated and monitored the client at the site, and decided there was no need to transport the client to the hospital. Client walked to her car, stating that ?she felt fine.?
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: On Monday 02/01/21 she developed red swelling and itching over top of her left foot, this cleared up. On Saturday, 02/06/21, she developed 3 red circular itchy spots on her left arm.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia, Paraesthesia oral
Clinical narrative: Pt recieved covid vaccine around 1320 on 02/10/2021. Short after, pt reported being light headed/dizzy. Pt advised to rest and drink some water. Condition progressed to reported complaints of tingling in lips and cheek area @ 1340. Pt then given one 50 mg diphendyramine capsule. Thirty minutes later, symptoms had improved. Pt advised to have someone drive her home as benadryl causes drowsiness. Will discuss with MD what future plans are for second dose.
Age: 77.0
Sex: U
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: 1148 Pt felt heart rate starting to increase. BP 188/81. Dr on site made aware. Monitored VS, All WNL. Pt has hx HTN and take lisinopril. Discharged at 12:15 with Dr advising pt to follow up with PCP for HTN. No meds given.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Diarrhoea, Fatigue
Clinical narrative: pt states that she had fatigue later on in the day after getting her vax.  She woke up early next day w/ joint pain, chills, body aches, 101 fever, vomiting and diarrhea.  On 2/6/2021  pt did not have fever but had body aches, joint pain and headache.  On 2/7 /2021  pt stated she felt a little better but by 2/9 /2021 she started having 101. 2 fever along with body aches, joint pain, fatigue, weakness and a rash developed on her lower abdomen which is spreading to her upper torso and is inflamed and itching.  She was tested for Covid virus and is waiting on the test results.  She will contact her PCP after receiving her test results for medical advice.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Inflammation, Pain, Pyrexia, Rash
Clinical narrative: pt states that she had fatigue later on in the day after getting her vax.  She woke up early next day w/ joint pain, chills, body aches, 101 fever, vomiting and diarrhea.  On 2/6/2021  pt did not have fever but had body aches, joint pain and headache.  On 2/7 /2021  pt stated she felt a little better but by 2/9 /2021 she started having 101. 2 fever along with body aches, joint pain, fatigue, weakness and a rash developed on her lower abdomen which is spreading to her upper torso and is inflamed and itching.  She was tested for Covid virus and is waiting on the test results.  She will contact her PCP after receiving her test results for medical advice.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, SARS-CoV-2 test, Vomiting
Clinical narrative: pt states that she had fatigue later on in the day after getting her vax.  She woke up early next day w/ joint pain, chills, body aches, 101 fever, vomiting and diarrhea.  On 2/6/2021  pt did not have fever but had body aches, joint pain and headache.  On 2/7 /2021  pt stated she felt a little better but by 2/9 /2021 she started having 101. 2 fever along with body aches, joint pain, fatigue, weakness and a rash developed on her lower abdomen which is spreading to her upper torso and is inflamed and itching.  She was tested for Covid virus and is waiting on the test results.  She will contact her PCP after receiving her test results for medical advice.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Loss of consciousness, Nausea, Vomiting
Clinical narrative: Passed out from standing/leaning on her bed, awoke, nausea, vomited, fatigue for two days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood count normal, Blood electrolytes normal, Chest pain, Decreased appetite, Diarrhoea
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: three days after vaccination patient reported to primary care provider experiencing nausea, vomiting, diarrhea, and poor oral intake for two days. Patient also reported palpitations, dyspnea on exertion, and chest pain and was sent to the emergency department (ED). On arrival to the ED vital signs within normal ranges except pulse 112 beats per minute. Intravenous fluids and acetaminophen administered with symptom improvement. Repeat vital signs within normal ranges and patient discharged home stable.  The next day patient returned to the ED with palpitations, dizziness, and shortness of breath. Vital signs all within normal ranges. Patient administered intravenous fluids and ondansetron with symptom improvement and discharged to home stable.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Dyspnoea exertional, Electrocardiogram normal, Fibrin D dimer normal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: three days after vaccination patient reported to primary care provider experiencing nausea, vomiting, diarrhea, and poor oral intake for two days. Patient also reported palpitations, dyspnea on exertion, and chest pain and was sent to the emergency department (ED). On arrival to the ED vital signs within normal ranges except pulse 112 beats per minute. Intravenous fluids and acetaminophen administered with symptom improvement. Repeat vital signs within normal ranges and patient discharged home stable.  The next day patient returned to the ED with palpitations, dizziness, and shortness of breath. Vital signs all within normal ranges. Patient administered intravenous fluids and ondansetron with symptom improvement and discharged to home stable.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Pregnancy test urine negative, SARS-CoV-2 test negative, Uterine dilation and curettage
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: three days after vaccination patient reported to primary care provider experiencing nausea, vomiting, diarrhea, and poor oral intake for two days. Patient also reported palpitations, dyspnea on exertion, and chest pain and was sent to the emergency department (ED). On arrival to the ED vital signs within normal ranges except pulse 112 beats per minute. Intravenous fluids and acetaminophen administered with symptom improvement. Repeat vital signs within normal ranges and patient discharged home stable.  The next day patient returned to the ED with palpitations, dizziness, and shortness of breath. Vital signs all within normal ranges. Patient administered intravenous fluids and ondansetron with symptom improvement and discharged to home stable.