chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received the dose after the manufacturer recommended freezer storage duration.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Contraception, Heavy menstrual bleeding, Intermenstrual bleeding
Clinical narrative: I have been on a birth control pill since February 2021 and have not had my period since then. However, about a week after I had my COVID vaccine, I started experiencing brown spotting. This was continuous, and about three weeks later I started to have my full on period which was very heavy. All of this is going on while I am still taking my birth control pills that, prior to the COVID vaccine, had stopped my period completely.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Candida infection, Mononucleosis heterophile test, Oropharyngeal pain
Clinical narrative: UPPER RESPATORY, SORE THROAT, SWELLING IN THE BACK OF NECK, THRASH ANTIBIOTICS STEROIDS (PREDNAZONR), AUGMENTEN
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Streptococcus test, Swelling, Upper respiratory tract infection
Clinical narrative: UPPER RESPATORY, SORE THROAT, SWELLING IN THE BACK OF NECK, THRASH ANTIBIOTICS STEROIDS (PREDNAZONR), AUGMENTEN
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received the dose after the manufacturer recommended freezer storage duration.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, Antibody test negative, Computerised tomogram head normal, Condition aggravated, Evans syndrome
Clinical narrative: Flare of underlying Evans Syndrome, with onset of severe thrombocytopenia occurred 2 weeks and 6 days after the first injection.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Heparin-induced thrombocytopenia test, Migraine, Platelet count decreased, Prothrombin time normal
Clinical narrative: Flare of underlying Evans Syndrome, with onset of severe thrombocytopenia occurred 2 weeks and 6 days after the first injection.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombocytopenia
Clinical narrative: Flare of underlying Evans Syndrome, with onset of severe thrombocytopenia occurred 2 weeks and 6 days after the first injection.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breast mass, Contusion
Clinical narrative: Found lump and dark bruising left breast.  PCP referred patient to get a diagnostic mammogram and left breast ultrasound.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Bell's palsy, Dysarthria, Dysphemia, Ear pain
Clinical narrative: Bells Palsy left side of face. Symptoms started on Saturday June 5, 2021 in the morning. Symptoms included but not limited.  Tingling of tongue and then loss of taste, pain in left jaw, pain in left ear, muscle weakness left side of face (unable to fully close left eye, unable to raise left eyebrow, left nostril unable to flare, slurring of speech, unable to fully smile, stuttering while speaking)  worsening of vision in left eye.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paresis, Lagophthalmos, Pain in jaw, Paraesthesia oral
Clinical narrative: Bells Palsy left side of face. Symptoms started on Saturday June 5, 2021 in the morning. Symptoms included but not limited.  Tingling of tongue and then loss of taste, pain in left jaw, pain in left ear, muscle weakness left side of face (unable to fully close left eye, unable to raise left eyebrow, left nostril unable to flare, slurring of speech, unable to fully smile, stuttering while speaking)  worsening of vision in left eye.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Laboratory test, Palpitations, Troponin increased
Clinical narrative: Heart palpitations out of control. Lightheaded feeling and feeling like I was going to faint. Sitting on the couch and heart started pounding without any instigation.  Lasted at high rate for 1-2 hours. Palpitations continue to this day. Admitted to ER for three days. Triponin  levels were slightly high abnormal.  Discussion of myocarditis/paricarditis
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dysarthria, Hypoglossal nerve disorder, Laboratory test, Malaise
Clinical narrative: I initially got sick from being vaccinated but recovered in a couple of days.  Subsequently  around 2/18/21 I began to slur words.  Doctors became worried I had had a stroke but believe now that I did not initally the thought was I had ALS.  At this point in time the doctors are still ruling out  things but believe my slurring was caused by a reaction to the vaccine in combination with two weakened nerves caused by radiation to the hypoglossal nerve and another nerve which has caused my tongue to permanently atrophy.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nerve injury, Tongue atrophy, Vaccination complication
Clinical narrative: I initially got sick from being vaccinated but recovered in a couple of days.  Subsequently  around 2/18/21 I began to slur words.  Doctors became worried I had had a stroke but believe now that I did not initally the thought was I had ALS.  At this point in time the doctors are still ruling out  things but believe my slurring was caused by a reaction to the vaccine in combination with two weakened nerves caused by radiation to the hypoglossal nerve and another nerve which has caused my tongue to permanently atrophy.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: left fourth and fifth finger tingling at the time of the shot and persisted until now
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Muscle strength abnormal, Muscular weakness, Pain
Clinical narrative: .        patient reports has been having pain in the left arm at the spot twhere he was vaccinated ,pain started right after the shot and has been present since then ,feels pain when tries to lift something heavy and also feels weakness and decreased strength since the 2nd shot in the arm   did had a previous history of paresthesias in left arm few years ago which resolved on its own but now symptoms reappeared after the shot.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Burning sensation, Condition aggravated, Electromyogram normal, Muscle contractions involuntary
Clinical narrative: Three weeks after receiving the second dose of the Pfizer/BioNTech COVID19 vaccine, I started to experience a marked increase in neuropathy symptoms including burning, parasthesias, fasciculation and pins and needles.  I have a pre-existing peripheral neuropathy, but it had been stable prior to vaccination for a number of years.  The flare up in symptoms was the worst of the 27 years that I have had the neuropathy and continues unabated to this day (roughly four months later).   I do not know if this increase in symptoms is permanent or not at this stage.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Paraesthesia
Clinical narrative: Three weeks after receiving the second dose of the Pfizer/BioNTech COVID19 vaccine, I started to experience a marked increase in neuropathy symptoms including burning, parasthesias, fasciculation and pins and needles.  I have a pre-existing peripheral neuropathy, but it had been stable prior to vaccination for a number of years.  The flare up in symptoms was the worst of the 27 years that I have had the neuropathy and continues unabated to this day (roughly four months later).   I do not know if this increase in symptoms is permanent or not at this stage.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Heart rate increased, Hypotension, Oxygen saturation decreased, Palpitations
Clinical narrative: A couple of days later, I experienced what I can best describe as a "fluttering heart." Beginning around noon two days after my first COVID vaccine was administered, I began to feel a high heart rate and heart palpitations. Later that evening and into the night, I experienced low blood pressure (i.e., 104/55) for an extended period and my oxygen levels dropped to the low 90s--this concerned me because I am a healthy athlete and play a cardio-intensive sport. These symptoms worsened while I laid down to go to sleep and continued for a couple of days. After my second vaccine, however, these symptoms did not appear with the same severity; rather, they were very mild.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Ear disorder, Feeling abnormal, Headache, Joint swelling
Clinical narrative: I have had NONSTOP ringing in my left ear since April 19th. I have sporadically experienced ringing in my Right ear as well but not nearly to the extent I have in my left ear. I also experienced frequent, daily headaches for about the first month or so after the shot. I also experienced neck/right shoulder stiffness for about 3 weeks following the shot. I continue to wake up on a daily basis with a feeling in my head and ears like I've been listening to loud music or been in a loud sporting event for several hours (on top of the still nonstop/constant ringing in my left ear that will not go away). I have also experienced swelling in my feet and ankles anytime i'm active for an extended period of time
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Peripheral swelling, Tinnitus
Clinical narrative: I have had NONSTOP ringing in my left ear since April 19th. I have sporadically experienced ringing in my Right ear as well but not nearly to the extent I have in my left ear. I also experienced frequent, daily headaches for about the first month or so after the shot. I also experienced neck/right shoulder stiffness for about 3 weeks following the shot. I continue to wake up on a daily basis with a feeling in my head and ears like I've been listening to loud music or been in a loud sporting event for several hours (on top of the still nonstop/constant ringing in my left ear that will not go away). I have also experienced swelling in my feet and ankles anytime i'm active for an extended period of time
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Hyperhidrosis, Memory impairment, Seizure
Clinical narrative: Within 2 minutes of the vaccination, the patient became unresponsive and seized, also exhibiting some facial redness and sweating. Within a minute of that reaction, the patient was alert and oriented x4. He noted that he felt dizzy but was not aware of the events that had transpired.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Within 2 minutes of the vaccination, the patient became unresponsive and seized, also exhibiting some facial redness and sweating. Within a minute of that reaction, the patient was alert and oriented x4. He noted that he felt dizzy but was not aware of the events that had transpired.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound scan abnormal
Clinical narrative: Blood clot superficial thrombosis right knee 72 hours after vaccine
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood corticotrophin normal, Blood follicle stimulating hormone normal, Blood luteinising hormone increased, Blood pressure decreased, Blood prolactin increased
Clinical narrative: After the 1st dose (3/29/2021), neck inflammation started on the right-side of the neck. The neck inflammation got worse after the 2nd dose (4/19/2021). The neck inflammation is still present.    Starting 5/11/2021: Intense adrenaline surges started happening every night between 3 am-7 am. My heart feels like it is beating extremely hard. I have checked my pulse and it is normal during the events (ranges from 65-90 bpm). I have checked blood pressure and it is usually in the 120/80 range (normal for me). However, there have been occasions where blood pressure drops to 100/70. These adrenaline surges and hard heart beats tend to get better if I stand up and move around. It will get worse again if I lay down. I have these on occasion during the day, but I am usually able to calm myself down. I have had scenarios where I feel fine during the day, but will lay down. The hard heart beats start almost immediately. I'm also exercise intolerant now. If I do anything more than a brisk walk, I feel very terrible and faint with a hard heart beat. One interesting data point, my father has the same symptoms and his started about the same general timeframe after his second dose of the Pfizer vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood testosterone normal, Condition aggravated, Cortisol normal, Dizziness, Feeling abnormal
Clinical narrative: After the 1st dose (3/29/2021), neck inflammation started on the right-side of the neck. The neck inflammation got worse after the 2nd dose (4/19/2021). The neck inflammation is still present.    Starting 5/11/2021: Intense adrenaline surges started happening every night between 3 am-7 am. My heart feels like it is beating extremely hard. I have checked my pulse and it is normal during the events (ranges from 65-90 bpm). I have checked blood pressure and it is usually in the 120/80 range (normal for me). However, there have been occasions where blood pressure drops to 100/70. These adrenaline surges and hard heart beats tend to get better if I stand up and move around. It will get worse again if I lay down. I have these on occasion during the day, but I am usually able to calm myself down. I have had scenarios where I feel fine during the day, but will lay down. The hard heart beats start almost immediately. I'm also exercise intolerant now. If I do anything more than a brisk walk, I feel very terrible and faint with a hard heart beat. One interesting data point, my father has the same symptoms and his started about the same general timeframe after his second dose of the Pfizer vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hormone level abnormal, Loss of personal independence in daily activities, Musculoskeletal discomfort, Palpitations
Clinical narrative: After the 1st dose (3/29/2021), neck inflammation started on the right-side of the neck. The neck inflammation got worse after the 2nd dose (4/19/2021). The neck inflammation is still present.    Starting 5/11/2021: Intense adrenaline surges started happening every night between 3 am-7 am. My heart feels like it is beating extremely hard. I have checked my pulse and it is normal during the events (ranges from 65-90 bpm). I have checked blood pressure and it is usually in the 120/80 range (normal for me). However, there have been occasions where blood pressure drops to 100/70. These adrenaline surges and hard heart beats tend to get better if I stand up and move around. It will get worse again if I lay down. I have these on occasion during the day, but I am usually able to calm myself down. I have had scenarios where I feel fine during the day, but will lay down. The hard heart beats start almost immediately. I'm also exercise intolerant now. If I do anything more than a brisk walk, I feel very terrible and faint with a hard heart beat. One interesting data point, my father has the same symptoms and his started about the same general timeframe after his second dose of the Pfizer vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anti-thyroid antibody, Antibody test, Anxiety, Blood test, Blood thyroid stimulating hormone increased
Clinical narrative: After the 1st dose (3/29/2021), neck inflammation started on the right-side of the neck. The neck inflammation got worse after the 2nd dose (4/19/2021). The neck inflammation is still present.    Starting 5/11/2021: Intense adrenaline surges started happening every night between 3 am-7 am. My heart feels like it is beating extremely hard. I have checked my pulse and it is normal during the events (ranges from 65-90 bpm). I have checked blood pressure and it is usually in the 120/80 range (normal for me). However, there have been occasions where blood pressure drops to 100/70. These adrenaline surges and hard heart beats tend to get better if I stand up and move around. It will get worse again if I lay down. I have these on occasion during the day, but I am usually able to calm myself down. I have had scenarios where I feel fine during the day, but will lay down. The hard heart beats start almost immediately. I'm also exercise intolerant now. If I do anything more than a brisk walk, I feel very terrible and faint with a hard heart beat. One interesting data point, my father has the same symptoms and his started about the same general timeframe after his second dose of the Pfizer vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Feeling abnormal, Localised oedema, Loss of personal independence in daily activities, Musculoskeletal stiffness
Clinical narrative: After the 1st dose (3/29/2021), neck inflammation started on the right-side of the neck. The neck inflammation got worse after the 2nd dose (4/19/2021). The neck inflammation is still present.    Starting 5/11/2021: Intense adrenaline surges started happening every night between 3 am-7 am. My heart feels like it is beating extremely hard. I have checked my pulse and it is normal during the events (ranges from 65-90 bpm). I have checked blood pressure and it is usually in the 120/80 range (normal for me). However, there have been occasions where blood pressure drops to 100/70. These adrenaline surges and hard heart beats tend to get better if I stand up and move around. It will get worse again if I lay down. I have these on occasion during the day, but I am usually able to calm myself down. I have had scenarios where I feel fine during the day, but will lay down. The hard heart beats start almost immediately. I'm also exercise intolerant now. If I do anything more than a brisk walk, I feel very terrible and faint with a hard heart beat. One interesting data point, my father has the same symptoms and his started about the same general timeframe after his second dose of the Pfizer vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Pain in extremity, Palpitations, Panic attack, SARS-CoV-2 test
Clinical narrative: After the 1st dose (3/29/2021), neck inflammation started on the right-side of the neck. The neck inflammation got worse after the 2nd dose (4/19/2021). The neck inflammation is still present.    Starting 5/11/2021: Intense adrenaline surges started happening every night between 3 am-7 am. My heart feels like it is beating extremely hard. I have checked my pulse and it is normal during the events (ranges from 65-90 bpm). I have checked blood pressure and it is usually in the 120/80 range (normal for me). However, there have been occasions where blood pressure drops to 100/70. These adrenaline surges and hard heart beats tend to get better if I stand up and move around. It will get worse again if I lay down. I have these on occasion during the day, but I am usually able to calm myself down. I have had scenarios where I feel fine during the day, but will lay down. The hard heart beats start almost immediately. I'm also exercise intolerant now. If I do anything more than a brisk walk, I feel very terrible and faint with a hard heart beat. One interesting data point, my father has the same symptoms and his started about the same general timeframe after his second dose of the Pfizer vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder, Syncope, Tinnitus, Vertigo
Clinical narrative: After the 1st dose (3/29/2021), neck inflammation started on the right-side of the neck. The neck inflammation got worse after the 2nd dose (4/19/2021). The neck inflammation is still present.    Starting 5/11/2021: Intense adrenaline surges started happening every night between 3 am-7 am. My heart feels like it is beating extremely hard. I have checked my pulse and it is normal during the events (ranges from 65-90 bpm). I have checked blood pressure and it is usually in the 120/80 range (normal for me). However, there have been occasions where blood pressure drops to 100/70. These adrenaline surges and hard heart beats tend to get better if I stand up and move around. It will get worse again if I lay down. I have these on occasion during the day, but I am usually able to calm myself down. I have had scenarios where I feel fine during the day, but will lay down. The hard heart beats start almost immediately. I'm also exercise intolerant now. If I do anything more than a brisk walk, I feel very terrible and faint with a hard heart beat. One interesting data point, my father has the same symptoms and his started about the same general timeframe after his second dose of the Pfizer vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site nodule, Injection site reaction, Pruritus, Rash erythematous, Rash papular
Clinical narrative: Large knot a injection for 2wks, then a raise red rash started spreading out from the injection site. Whole arm swelled up and rash circled my arm. I was told to use ice packs and Benadryl to counter act the allergic reaction and intense itching. Missed 4 days of work.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Joint swelling, Pain in extremity, Peripheral swelling
Clinical narrative: I do not know if there is any relationship with the shot and my symptoms, but the timing is suspicious.   Additionally I know of no other reason for the adverse symptoms. About a week after the second dose of the Moderna, both my shoulders started to hurt and my wrists and back side of my hands, especially the thumb areas, swelled and hurt.  By March 1st the pain and swelling  was so bad that I saw a rheumatologist.  He did testing and I am currently taking 5 mg prednisone daily and 200 mg Hydroxichloroquine twice daily.  As of June 16, 2021 the swelling is finally gone as is the pain.  I have a follow-up appointment with a doctor on Monday, June 28, 2021.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: I do not know if there is any relationship with the shot and my symptoms, but the timing is suspicious.   Additionally I know of no other reason for the adverse symptoms. About a week after the second dose of the Moderna, both my shoulders started to hurt and my wrists and back side of my hands, especially the thumb areas, swelled and hurt.  By March 1st the pain and swelling  was so bad that I saw a rheumatologist.  He did testing and I am currently taking 5 mg prednisone daily and 200 mg Hydroxichloroquine twice daily.  As of June 16, 2021 the swelling is finally gone as is the pain.  I have a follow-up appointment with a doctor on Monday, June 28, 2021.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Palpitations
Clinical narrative: Heart Racing, Pounding in Chest. 4 Hours
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Chest X-ray abnormal, Computerised tomogram abnormal, Computerised tomogram thorax, Electrocardiogram normal
Clinical narrative: 6/23 ED visit 14-year-old male who presents to the emergency department 6 days status post Covid vaccine #2 who has had persistent fever, up to 105 °F, with some vomiting and nonspecific rash to his arms today.  Work-up initially showed a questionable pulmonary nodule versus infiltrate which CAT scan later shows as a likely hamartoma, likely incidental to his fever.  Work-up showed slight leukopenia, neutrophilia and mild elevation of his cardiac enzyme.  I discussed the case with both my attending physician, our hospitalist pediatrician Doctor T., and the recommendation was to get advice from hospitalist.  I discussed the case with Doctor A. hospitalist on-call, gave him all of the pertinent information including all vitals, lab assessment, EKG, chest x-ray and CT scan findings.  His impression is that this is likely post vaccine myocarditis.  Because the patient has no cardiomegaly, pericardial effusion, normal EKG and feels essentially asymptomatic at this time the patient and his family was given the option of close follow-up tomorrow for repeat troponin and NSAIDs versus transfer to hospital.  Risk/benefits/alternatives were discussed with the patient family and ultimately they would like to treat as an outpatient and come back tomorrow for repeat troponin testing.  6/24  14-year-old male with no chronic illnesses presenting to the emergency department with a worsening rash to the palms of his hands and soles times this morning. Per mother, patient was seen in the emergency department yesterday for generalized body aches, intermittent fever as high as 105 °F, vomiting and localized rash to bilateral forearms.  Patient was diagnosed with fever and myocarditis.  Mother states symptoms started after receiving a second dose of COVID - 19 vaccine approximately 1 week ago.  No diarrhea or shortness of breath.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Hamartoma, Laboratory test, Leukopenia, Myocardial necrosis marker increased, Myocarditis
Clinical narrative: 6/23 ED visit 14-year-old male who presents to the emergency department 6 days status post Covid vaccine #2 who has had persistent fever, up to 105 °F, with some vomiting and nonspecific rash to his arms today.  Work-up initially showed a questionable pulmonary nodule versus infiltrate which CAT scan later shows as a likely hamartoma, likely incidental to his fever.  Work-up showed slight leukopenia, neutrophilia and mild elevation of his cardiac enzyme.  I discussed the case with both my attending physician, our hospitalist pediatrician Doctor T., and the recommendation was to get advice from hospitalist.  I discussed the case with Doctor A. hospitalist on-call, gave him all of the pertinent information including all vitals, lab assessment, EKG, chest x-ray and CT scan findings.  His impression is that this is likely post vaccine myocarditis.  Because the patient has no cardiomegaly, pericardial effusion, normal EKG and feels essentially asymptomatic at this time the patient and his family was given the option of close follow-up tomorrow for repeat troponin and NSAIDs versus transfer to hospital.  Risk/benefits/alternatives were discussed with the patient family and ultimately they would like to treat as an outpatient and come back tomorrow for repeat troponin testing.  6/24  14-year-old male with no chronic illnesses presenting to the emergency department with a worsening rash to the palms of his hands and soles times this morning. Per mother, patient was seen in the emergency department yesterday for generalized body aches, intermittent fever as high as 105 °F, vomiting and localized rash to bilateral forearms.  Patient was diagnosed with fever and myocarditis.  Mother states symptoms started after receiving a second dose of COVID - 19 vaccine approximately 1 week ago.  No diarrhea or shortness of breath.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophilia, Pain, Pulmonary mass, Pyrexia, Rash
Clinical narrative: 6/23 ED visit 14-year-old male who presents to the emergency department 6 days status post Covid vaccine #2 who has had persistent fever, up to 105 °F, with some vomiting and nonspecific rash to his arms today.  Work-up initially showed a questionable pulmonary nodule versus infiltrate which CAT scan later shows as a likely hamartoma, likely incidental to his fever.  Work-up showed slight leukopenia, neutrophilia and mild elevation of his cardiac enzyme.  I discussed the case with both my attending physician, our hospitalist pediatrician Doctor T., and the recommendation was to get advice from hospitalist.  I discussed the case with Doctor A. hospitalist on-call, gave him all of the pertinent information including all vitals, lab assessment, EKG, chest x-ray and CT scan findings.  His impression is that this is likely post vaccine myocarditis.  Because the patient has no cardiomegaly, pericardial effusion, normal EKG and feels essentially asymptomatic at this time the patient and his family was given the option of close follow-up tomorrow for repeat troponin and NSAIDs versus transfer to hospital.  Risk/benefits/alternatives were discussed with the patient family and ultimately they would like to treat as an outpatient and come back tomorrow for repeat troponin testing.  6/24  14-year-old male with no chronic illnesses presenting to the emergency department with a worsening rash to the palms of his hands and soles times this morning. Per mother, patient was seen in the emergency department yesterday for generalized body aches, intermittent fever as high as 105 °F, vomiting and localized rash to bilateral forearms.  Patient was diagnosed with fever and myocarditis.  Mother states symptoms started after receiving a second dose of COVID - 19 vaccine approximately 1 week ago.  No diarrhea or shortness of breath.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Troponin, Vomiting
Clinical narrative: 6/23 ED visit 14-year-old male who presents to the emergency department 6 days status post Covid vaccine #2 who has had persistent fever, up to 105 °F, with some vomiting and nonspecific rash to his arms today.  Work-up initially showed a questionable pulmonary nodule versus infiltrate which CAT scan later shows as a likely hamartoma, likely incidental to his fever.  Work-up showed slight leukopenia, neutrophilia and mild elevation of his cardiac enzyme.  I discussed the case with both my attending physician, our hospitalist pediatrician Doctor T., and the recommendation was to get advice from hospitalist.  I discussed the case with Doctor A. hospitalist on-call, gave him all of the pertinent information including all vitals, lab assessment, EKG, chest x-ray and CT scan findings.  His impression is that this is likely post vaccine myocarditis.  Because the patient has no cardiomegaly, pericardial effusion, normal EKG and feels essentially asymptomatic at this time the patient and his family was given the option of close follow-up tomorrow for repeat troponin and NSAIDs versus transfer to hospital.  Risk/benefits/alternatives were discussed with the patient family and ultimately they would like to treat as an outpatient and come back tomorrow for repeat troponin testing.  6/24  14-year-old male with no chronic illnesses presenting to the emergency department with a worsening rash to the palms of his hands and soles times this morning. Per mother, patient was seen in the emergency department yesterday for generalized body aches, intermittent fever as high as 105 °F, vomiting and localized rash to bilateral forearms.  Patient was diagnosed with fever and myocarditis.  Mother states symptoms started after receiving a second dose of COVID - 19 vaccine approximately 1 week ago.  No diarrhea or shortness of breath.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Headache, Neck pain, Pain in jaw, Tinnitus
Clinical narrative: Vertigo, Ringing in Right ear, loss or muffled sound in right ear, headaches, jaw soreness right side, neck pain right side
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo, Ringing in Right ear, loss or muffled sound in right ear, headaches, jaw soreness right side, neck pain right side
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Joint stiffness, Neck pain, Pain in jaw, Trigeminal neuralgia
Clinical narrative: I was having pain from my neck all the way to my ear, temple, upper/lower jaw bones, right eye, really bad pain in my neck. I went to the Chiropractor and the neck calmed down but the rest of the pain did not stop in the other areas. The pain was so bad in my jaw bones and I could not talk. After going to the Chiropractor without getting any relief the following day I made medical appointments with my Dentist and Doctor. My Doctor said that said that she was glad that I tried to rule the pains out by going to the Chiropractor. Dr. ordered a series of X-rays on my jaws on 06/07/2021 and the X-ray clinic took them on 06/10/2021. I was diagnosed with trigeminal neuralgia and ruled out any structural thing or anything else going on with me (no way that there was any way that I was causing tension by turning my head and if the nerves were following where my pain was occurring). I have to let one of my colleagues takeover after talking too long because it starts to get stiff or sensitive. I'm adjusting around it right now.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Ear infection
Clinical narrative: Ear Infection, Augmentin, cleared up in 2 days and finished course of antibiotics
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Chest pain
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Cardiac stress test abnormal, Chest pain, Cough, Hypoaesthesia
Clinical narrative: Within 15 minutes of 2nd shot had significant pins and needles (and some numbness) in right leg most significantly below knee in calf to foot area - this persisted for approximately 24 hours.  Typical flu like symptoms (aches)/fever along with slight cough with phlegm occurred from 18-48 hours as these resolved patient was left with significant and persistent pain in chest  on day 3 post vaccination.  This pain persisted and spread to neck, back, jaw.  Ultimately due to persistent pain patient went to a hospital emergency room for evaluation.  Nuclear stress came back abnormal and patient was admitted for further evaluation but eventually released  to follow up with cardiologist. Patient currently following up with medical professionals for continuing care for suspected myocarditis.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Myocarditis, Neck pain, Pain, Pain in jaw
Clinical narrative: Within 15 minutes of 2nd shot had significant pins and needles (and some numbness) in right leg most significantly below knee in calf to foot area - this persisted for approximately 24 hours.  Typical flu like symptoms (aches)/fever along with slight cough with phlegm occurred from 18-48 hours as these resolved patient was left with significant and persistent pain in chest  on day 3 post vaccination.  This pain persisted and spread to neck, back, jaw.  Ultimately due to persistent pain patient went to a hospital emergency room for evaluation.  Nuclear stress came back abnormal and patient was admitted for further evaluation but eventually released  to follow up with cardiologist. Patient currently following up with medical professionals for continuing care for suspected myocarditis.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Productive cough, Pyrexia
Clinical narrative: Within 15 minutes of 2nd shot had significant pins and needles (and some numbness) in right leg most significantly below knee in calf to foot area - this persisted for approximately 24 hours.  Typical flu like symptoms (aches)/fever along with slight cough with phlegm occurred from 18-48 hours as these resolved patient was left with significant and persistent pain in chest  on day 3 post vaccination.  This pain persisted and spread to neck, back, jaw.  Ultimately due to persistent pain patient went to a hospital emergency room for evaluation.  Nuclear stress came back abnormal and patient was admitted for further evaluation but eventually released  to follow up with cardiologist. Patient currently following up with medical professionals for continuing care for suspected myocarditis.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram, Cough, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Shortness of breath, cough
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pericardial effusion
Clinical narrative: Shortness of breath, cough
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Feeling abnormal, Myalgia
Clinical narrative: dementia like feeling occurred after 2 days , worse after 4 and still has slightly ,  joint and  muscle pain.  pt very concerned about this
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Haemorrhage, Immediate post-injection reaction, Induration, Lip discolouration
Clinical narrative: Right after administration, patients arm started bleeding a lot so we cleaned up the blood and were going to switch out the bandaid and noticed her arm was already really swollen and hard (like a big marble under the skin). She then said that she was feeling really dizzy and thought she was going to pass out. She turned white and said she felt very sick. She leaned back in her chair and a cold ice pack was applied to her forehead and the injection site. This continued for about 30 minutes and then colored returned to her face and lips and she said she was feeling much better.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Peripheral swelling, Skin discolouration
Clinical narrative: Right after administration, patients arm started bleeding a lot so we cleaned up the blood and were going to switch out the bandaid and noticed her arm was already really swollen and hard (like a big marble under the skin). She then said that she was feeling really dizzy and thought she was going to pass out. She turned white and said she felt very sick. She leaned back in her chair and a cold ice pack was applied to her forehead and the injection site. This continued for about 30 minutes and then colored returned to her face and lips and she said she was feeling much better.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood pressure increased, Blood test normal, Chest X-ray normal, Chest pain
Clinical narrative: Chest and upper back pain. Soreness when breathing, shortness of breath, elevated blood pressure. Visited Urgent Care, EKG was normal, oxygen normal, heart rate normal. After advice of primary care, visited emergency room. Blood test showed negative for blood clot, chest x-ray was normal. Blood pressure elevated, oxygen and heart rate normal. Sent home, symptoms subsided by Saturday morning.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Painful respiration
Clinical narrative: Chest and upper back pain. Soreness when breathing, shortness of breath, elevated blood pressure. Visited Urgent Care, EKG was normal, oxygen normal, heart rate normal. After advice of primary care, visited emergency room. Blood test showed negative for blood clot, chest x-ray was normal. Blood pressure elevated, oxygen and heart rate normal. Sent home, symptoms subsided by Saturday morning.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Emotional distress, Feeling abnormal, Intermenstrual bleeding, Muscle spasms
Clinical narrative: Received the 2nd dose on March 18th 2021 a little over a month later around late April I started to feel as though I was losing my mind. I started to feel more emotional, I had a harder time to cope with everything around me, very hormonal. Started seeing a therapist May 4th, 2021. Around mid-May, I started feeling cramping, menstrual spotting in between periods which caused me to go through a spiral and seek a therapist. I'm feeling better now physically.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Headache
Clinical narrative: One week after my vaccination I was diagnosed with Covid-19 and I was treated with prednisone. I had a COVID-19 test  and it was positive. I had respiratory symptoms like wheezing shortness of breath, cough, muscle aches, and headaches. A week and 1/2 after the vaccination I went to the ER because I had respiratory symptoms and I passed out in the ER. I was diagnosed with pneumonia.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Myalgia, Pneumonia, SARS-CoV-2 test positive, Wheezing
Clinical narrative: One week after my vaccination I was diagnosed with Covid-19 and I was treated with prednisone. I had a COVID-19 test  and it was positive. I had respiratory symptoms like wheezing shortness of breath, cough, muscle aches, and headaches. A week and 1/2 after the vaccination I went to the ER because I had respiratory symptoms and I passed out in the ER. I was diagnosed with pneumonia.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: PATIENT REPORTED A FEW DAYS AFTER RECEIVING MODERNA VACCINE SHE GOT A ITCHY, RED RASH ON UPPER ARM WHERE VACCINE WAS GIVEN.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Vaccination complication
Clinical narrative: Diagnosed with Right sided Bell?s  Palsy Adverse effect of COVID-19 vaccine
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Flushing, Pharyngeal swelling, Swollen tongue
Clinical narrative: Swelling of tongue and throat, flushing, hives, shortness of breath, cough within 45 min of injection
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Swelling of tongue and throat, flushing, hives, shortness of breath, cough within 45 min of injection
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac monitoring, Sleep disorder
Clinical narrative: I have developed arrythmia for the first time in my life.  On some days, the arrythmia has prevented me from sleeping overnight.  I have visited a cardiologist for the first time in my life, though i have had annual normal EKGs each year for my annual physical.  Dr. currently has me wearing a Zio Patch heart monitor to help determine what is happening.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECIEVED THE DOSE AFTER MANUFACTURER RECOMMENDED FREEZER STORAGE DURATION.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Diabetic ketoacidosis, Grey matter heterotopia, Headache, Magnetic resonance imaging head abnormal, Mental status changes
Clinical narrative: Polyuria, polydipsia, and headaches for one week, then altered mental status that prompted a visit to the ED. Patient found to be in DKA and was treated per protocol, but altered mental status lasted 2 days. An MRI of the brain without contrast showed subependymal gray-white matter heterotopia along the left lateral ventricle.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Polydipsia, Polyuria
Clinical narrative: Polyuria, polydipsia, and headaches for one week, then altered mental status that prompted a visit to the ED. Patient found to be in DKA and was treated per protocol, but altered mental status lasted 2 days. An MRI of the brain without contrast showed subependymal gray-white matter heterotopia along the left lateral ventricle.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Paraesthesia, Periarthritis
Clinical narrative: I've had frozen shoulder and nerve tingling that has continued. Also, my first period after the vaccine went on for 9 days. The second period was 6 days-regular for me- however, there was a huge clot the span of 5 quarters that was about 3/4 an inch thick.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Inflammation, Insomnia, Lymphadenopathy
Clinical narrative: 05/04/2021 around 8:30 AM I started feeling effects like nausea and fatigue. The typical symptoms. They lasted for about a week and a half. It lasted until about 06/14/2021 and then I noticed the lymph node protrusion on Sunday and I went to the urgent care  Clinic on Monday  06/14/2021and they just said it would go away. At the Doctor they did blood pressure test and an EKG and they did EKG because I had vasovagal response after touching lymph node. There was a few nights in a row about a week after the vaccine, where I had insomnia and I couldn't fall asleep at all and had to take sleep aid. Lymph node swelling did go down and isn't inflamed anymore.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Presyncope
Clinical narrative: 05/04/2021 around 8:30 AM I started feeling effects like nausea and fatigue. The typical symptoms. They lasted for about a week and a half. It lasted until about 06/14/2021 and then I noticed the lymph node protrusion on Sunday and I went to the urgent care  Clinic on Monday  06/14/2021and they just said it would go away. At the Doctor they did blood pressure test and an EKG and they did EKG because I had vasovagal response after touching lymph node. There was a few nights in a row about a week after the vaccine, where I had insomnia and I couldn't fall asleep at all and had to take sleep aid. Lymph node swelling did go down and isn't inflamed anymore.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Crying, Emotional distress, Feeling abnormal, Headache
Clinical narrative: No symptoms first 12 hours after vaccine, but when woke up her lips were swollen, she had headache for multiple days, cried/very emotional for 4 days, aches in joints, brain fog.  Did not require ER  and was advised to take Benadryl after called MD but symptoms were resolving.  She did see PCP and 2 separate allergists. 2nd dose was not given.  Took 4+ days for symptoms to fully resolve.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: No symptoms first 12 hours after vaccine, but when woke up her lips were swollen, she had headache for multiple days, cried/very emotional for 4 days, aches in joints, brain fog.  Did not require ER  and was advised to take Benadryl after called MD but symptoms were resolving.  She did see PCP and 2 separate allergists. 2nd dose was not given.  Took 4+ days for symptoms to fully resolve.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Dyspnoea, Facial pain, Fatigue, Nasal congestion
Clinical narrative: On the day my symptoms started, I had face pain through the tops of my cheeks and my jaw and a congested nose. The following day when I woke up, I had a bad cough that produced a green/yellow mucus, body aches through my chest and shoulders, runny nose, congestion, sneezing, difficulty breathing, and fatigue. I went to my local urgent care because my primary care doctor's office was closed. I was diagnosed with bronchitis. I was prescribed ten 20mg tablets of prednisone and six 250mg tablets of zithromax z-pack. After finishing both prescriptions, I still have a slight cough which occasionally produces clear mucus and an occasional runny nose.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in jaw, Productive cough, Rhinorrhoea, Sneezing
Clinical narrative: On the day my symptoms started, I had face pain through the tops of my cheeks and my jaw and a congested nose. The following day when I woke up, I had a bad cough that produced a green/yellow mucus, body aches through my chest and shoulders, runny nose, congestion, sneezing, difficulty breathing, and fatigue. I went to my local urgent care because my primary care doctor's office was closed. I was diagnosed with bronchitis. I was prescribed ten 20mg tablets of prednisone and six 250mg tablets of zithromax z-pack. After finishing both prescriptions, I still have a slight cough which occasionally produces clear mucus and an occasional runny nose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Pain
Clinical narrative: Later that night I felt very fatigue, I had sweats, chills, body aches.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac discomfort, Cardiac flutter, Fatigue, Immediate post-injection reaction, Vaccine positive rechallenge
Clinical narrative: After getting both doses i immediately experienced fatigue and tiredness. But the past few months my heart has been feeling as if it were fluttering, just uncomfortable heart.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Condition aggravated, Electrocardiogram, Heart rate increased, Heart rate irregular
Clinical narrative: I have underlying Afib which has been controlled on Sotolol for the last five years with occasional episodes of arrhythmia but my heart rate stayed controlled.  After the vaccine my heart rate shot up to nearly 300 while I was driving home and it eventually came down but I stayed in Afib for nearly 2 months afterwards.  I upped my dose to 400 mg daily from 320 mg of sotolol and eventually got some control of the Afib but now goes out of rhythm more frequently and when it goes out I am not rate controlled.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECIEVED THE DOSE AFTER MANUFACTURER RECOMMENDED FREEZER STORAGE DURATION.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Severe Vertigo
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chills, Electrocardiogram, Fatigue
Clinical narrative: heart palpitations and premature ventricular contractions several times  day  nausea, chills, fatigue everyday - worse on the day after the vaccine
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Ventricular extrasystoles
Clinical narrative: heart palpitations and premature ventricular contractions several times  day  nausea, chills, fatigue everyday - worse on the day after the vaccine
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Borrelia test
Clinical narrative: Bell's Palsy