chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Hypoaesthesia, Paraesthesia, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: TINGLING IN FEET
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Systemic: Confusion-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: TINGLING IN FEET
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Decreased appetite, Dyspnoea, Headache
Clinical narrative: headache, upset stomach, fever, chills, (usually right after the fever broke), loss of desire to eat,  shorness of breath, started 1 hr after shot, at this time when entering this, still have fever and loss of desire to eat, and chills .  I fell like I had a mild cold with no nasal discharge.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pyrexia
Clinical narrative: headache, upset stomach, fever, chills, (usually right after the fever broke), loss of desire to eat,  shorness of breath, started 1 hr after shot, at this time when entering this, still have fever and loss of desire to eat, and chills .  I fell like I had a mild cold with no nasal discharge.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Head injury, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: PT fainted after receiving the vaccine, she hit her head against a shelf and got bruises. 911 was called to inspect the patient, intial BP was 90/60 and it became 105/60 after about 10 minutes.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Electrocardiogram normal, Pallor, Palpitations, Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Systemic: Tachycardia-Mild, Additional Details: about 10 minutes after patient got the vaccine. she fainted in the chair. her head swung back and she was shaking. she woke soon afterwards. she became increasingly pale and reported feeling palpitations with some blurred vision. nurse checked EKG with normal results. normal blood glucose readings. EMS was called for evaluation then medic transport to nearby hospital
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tremor, Unresponsive to stimuli, Vision blurred
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Systemic: Tachycardia-Mild, Additional Details: about 10 minutes after patient got the vaccine. she fainted in the chair. her head swung back and she was shaking. she woke soon afterwards. she became increasingly pale and reported feeling palpitations with some blurred vision. nurse checked EKG with normal results. normal blood glucose readings. EMS was called for evaluation then medic transport to nearby hospital
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Hypoaesthesia
Clinical narrative: Severe back pain, followed by numbness in left leg and foot
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Inflammation, Joint stiffness, Joint swelling
Clinical narrative: within a few days of the first vaccine shot I had pain and stiffness in my right hip.. over the course of a few weeks that pain and stiffness gradually went to my  other hip and then to both hamstrings, then my right knee. there was a great deal of swelling in the right knee. I also have pain and stiffness in my shoulders. I have now been diagnosed with possibly polymyalgia rheumatica. I have been on oral steroids (prednisone) since May 4. I have improved significantly but remain with some level of swelling, stiffness and pain in a all areas.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Myalgia, X-ray
Clinical narrative: within a few days of the first vaccine shot I had pain and stiffness in my right hip.. over the course of a few weeks that pain and stiffness gradually went to my  other hip and then to both hamstrings, then my right knee. there was a great deal of swelling in the right knee. I also have pain and stiffness in my shoulders. I have now been diagnosed with possibly polymyalgia rheumatica. I have been on oral steroids (prednisone) since May 4. I have improved significantly but remain with some level of swelling, stiffness and pain in a all areas.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diabetic gastroparesis, Headache, Nausea, Retching
Clinical narrative: complaints of upper abdominal pain and headache which started after she got her Covid vaccine earlier today.  She reports nausea with dry heaving.  She has a history of diabetic gastroparesis and states she was unable to take her Reglan for pain medication.  She denies any diarrhea, constipation, dysuria or hematuria.  She states she has multiple allergies and specifically is requesting Dilaudid to treat her pain along with Phenergan.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction, Rash, Rash erythematous
Clinical narrative: Red skin rash about 2 inchs x 1 inch about 3 inchs from vaccine site. Seems like what is being referred to as covid arm
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Skin exfoliation
Clinical narrative: Child's skin on forearm started peeling and is continuing to peel with a slight spread to upper arm. The top layer is the only layer that is peeling right now.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pyrexia
Clinical narrative: Fever, malaise. Given advil. Fever improved. Malaise persists today.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Anticoagulant therapy, Chest pain, Electrocardiogram normal, Pulmonary embolism
Clinical narrative: Development of substernal chest pain with elevated troponin 3 days after vaccination. Normal EKG. CT angio w/o evidence of PE.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: Development of substernal chest pain with elevated troponin 3 days after vaccination. Normal EKG. CT angio w/o evidence of PE.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arteriogram coronary abnormal, Cardiac imaging procedure abnormal, Chest pain, Echocardiogram abnormal, Myocarditis
Clinical narrative: Development of substernal chest pain with elevated troponin 3 days after vaccination. Normal EKG. CT angio w/o evidence of PE.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling in hands, finger tips went numb
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: Period ended on April 16, 2021.  Missed period since then (usually a 24 day cycle).  No period since moderna first shot on 4/15/2021.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Confusional state, Dizziness, Flushing
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: Pt received vaccine, spoke to her shortly after and decided to shop around the store. Shortly after walk pt started feeling light headed, and dizzy and fainted. Mom stated that this had happen to her before. Monitored patient for 30 min, gave water and a snack. Mom decided against calling 911.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Injection site pain, Syncope, Tremor
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: Pt received vaccine, spoke to her shortly after and decided to shop around the store. Shortly after walk pt started feeling light headed, and dizzy and fainted. Mom stated that this had happen to her before. Monitored patient for 30 min, gave water and a snack. Mom decided against calling 911.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Hyperventilation
Clinical narrative: Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Hyperventilation-Mild
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incomplete course of vaccination, Injury associated with device
Clinical narrative: Site: Redness at Injection Site-Mild, Additional Details: child would not sit still and was scratched with needle. new needle obtained attemtped again but child  would not behave and RPh deemed it a safety issue and refused further attempts
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Impaired work ability, Injection site warmth, Skin burning sensation, Urticaria
Clinical narrative: My entire upper body began breaking out in a hives like rash. My skin began to burn and my breathing became difficult. It was a true allergic reaction, my injection site was hot to the touch for hours. My skin did turn a little purple once in the hospital and I?ve missed two days of work looking like three due to this reaction to the vaccine.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Headache, low grade fever, bit of nausea, fatigue for 36 hours.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Nausea, Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Weakness-Medium
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Severe body aches for about 24 hours Large baseball-sized swelling under right armpit
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Oligomenorrhoea
Clinical narrative: Shot was given May 5.  My menstrual cycle started May 9 and has continued for 16 days.  It is heavy and painful.  The bleeding started off very light and has continued to get heavier as the days have gone on.   I am on day 16 and still have very heavy bleeding.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted for about 1 minute. Patient presented symptoms 10 min after injection while being observed. Called 911 but patient recovered fairly quickly with no need for hospitalization.  Was told after event that patient has fainted in past due to being cut but never while being vaccinated.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Cardiac murmur, Chest X-ray normal, Chest discomfort, Differential white blood cell count
Clinical narrative: The day after 2nd shot I was tired and was feeling chest pressure. Pressure lasted about 10 days and continues on and off.  BP went up to 180/101 and remained high. went to urgent care, then primary physician. he heard heart murmur (never had before) and sent me to cardiologist. Prescribed BP meds.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Fatigue, Full blood count
Clinical narrative: The day after 2nd shot I was tired and was feeling chest pressure. Pressure lasted about 10 days and continues on and off.  BP went up to 180/101 and remained high. went to urgent care, then primary physician. he heard heart murmur (never had before) and sent me to cardiologist. Prescribed BP meds.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Troponin normal, Urine analysis
Clinical narrative: The day after 2nd shot I was tired and was feeling chest pressure. Pressure lasted about 10 days and continues on and off.  BP went up to 180/101 and remained high. went to urgent care, then primary physician. he heard heart murmur (never had before) and sent me to cardiologist. Prescribed BP meds.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Shortness of breath for three days after the vaccine
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Fatigue, Flushing, Headache
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Shakiness-Medium
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Lethargy, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Shakiness-Medium
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dehydration, Loss of consciousness, Pyrexia, Syncope
Clinical narrative: Severe fever and chills. Dehydration. Loss on conscience/fainting.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Feeling cold
Clinical narrative: Pain in vaccinated area for three day.  Felt freezing cold for two day.  Had to take Tylenol.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Pruritus, Rash
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bicarbonate decreased, Blood chloride normal, Blood creatinine normal, Blood potassium normal, Blood sodium normal
Clinical narrative: At approximately 6 PM on 05/23/2021, family was sitting down for dinner when all of a sudden she noticed that he was turning his head to the left and appeared to be falling out of his chair.  Mom states that eyes were darting back and forth at this time.  He was not responding to her shouting his name and his left arm was curled in towards his body with the rest of his body remaining stiff.  This lasted approximately 1 minute, followed by a time of confusion and drowsiness.  Approximately 1 minute later mom states that patient's eyes rolled back to his head and he had full body movement consistent with tonic-clonic seizures.  Family were able to lay him onto the ground during this time.  Mom denies any color change, apnea, or loss of bowel or bladder.  States he did have one episode of emesis following the event, and 2 episodes of emesis in the ambulance on the way to ED.  Patient has no previous history of seizures or seizure-like activity.  No new ingestions.  Has not been sick recently and denies any new sick contacts.  There has been no head trauma.   Per Mom, patient's dad has a history of "partial seizures" but never required any medication for them.   At arrival to the ED he continued to be drowsy and not at his normal baseline.  Continue to hold his left wrist up toward his body in a contracted manner and tended to have repetitive speech.   Briefly, ER course significant for a CT head and evaluation by pediatric neurology.  CT head was unremarkable for acute intracranial process.  A CBC, CMP, and coags were also obtained due to patient's continued contracture positioning and the possibility of a stroke.  CMP was unremarkable with a sodium of 139, potassium of 3.7, chloride of 107, bicarb 25, BUN of 12 and creatinine of 0.64.  CBC was also unremarkable with WBC of 10.72, hemoglobin of 14.8, hematocrit of 44.4 and platelets of 370.  There was 81.77% neutrophils after evaluation by neurology it was felt that the patient remained postictal and recommended that he be admitted on continuous EEG and possible MRI in the a.m.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea normal, Computerised tomogram head normal, Confusional state, Dyskinesia, Electroencephalogram
Clinical narrative: At approximately 6 PM on 05/23/2021, family was sitting down for dinner when all of a sudden she noticed that he was turning his head to the left and appeared to be falling out of his chair.  Mom states that eyes were darting back and forth at this time.  He was not responding to her shouting his name and his left arm was curled in towards his body with the rest of his body remaining stiff.  This lasted approximately 1 minute, followed by a time of confusion and drowsiness.  Approximately 1 minute later mom states that patient's eyes rolled back to his head and he had full body movement consistent with tonic-clonic seizures.  Family were able to lay him onto the ground during this time.  Mom denies any color change, apnea, or loss of bowel or bladder.  States he did have one episode of emesis following the event, and 2 episodes of emesis in the ambulance on the way to ED.  Patient has no previous history of seizures or seizure-like activity.  No new ingestions.  Has not been sick recently and denies any new sick contacts.  There has been no head trauma.   Per Mom, patient's dad has a history of "partial seizures" but never required any medication for them.   At arrival to the ED he continued to be drowsy and not at his normal baseline.  Continue to hold his left wrist up toward his body in a contracted manner and tended to have repetitive speech.   Briefly, ER course significant for a CT head and evaluation by pediatric neurology.  CT head was unremarkable for acute intracranial process.  A CBC, CMP, and coags were also obtained due to patient's continued contracture positioning and the possibility of a stroke.  CMP was unremarkable with a sodium of 139, potassium of 3.7, chloride of 107, bicarb 25, BUN of 12 and creatinine of 0.64.  CBC was also unremarkable with WBC of 10.72, hemoglobin of 14.8, hematocrit of 44.4 and platelets of 370.  There was 81.77% neutrophils after evaluation by neurology it was felt that the patient remained postictal and recommended that he be admitted on continuous EEG and possible MRI in the a.m.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Eye movement disorder, Full blood count normal, Gaze palsy, Haematocrit increased, Haemoglobin normal
Clinical narrative: At approximately 6 PM on 05/23/2021, family was sitting down for dinner when all of a sudden she noticed that he was turning his head to the left and appeared to be falling out of his chair.  Mom states that eyes were darting back and forth at this time.  He was not responding to her shouting his name and his left arm was curled in towards his body with the rest of his body remaining stiff.  This lasted approximately 1 minute, followed by a time of confusion and drowsiness.  Approximately 1 minute later mom states that patient's eyes rolled back to his head and he had full body movement consistent with tonic-clonic seizures.  Family were able to lay him onto the ground during this time.  Mom denies any color change, apnea, or loss of bowel or bladder.  States he did have one episode of emesis following the event, and 2 episodes of emesis in the ambulance on the way to ED.  Patient has no previous history of seizures or seizure-like activity.  No new ingestions.  Has not been sick recently and denies any new sick contacts.  There has been no head trauma.   Per Mom, patient's dad has a history of "partial seizures" but never required any medication for them.   At arrival to the ED he continued to be drowsy and not at his normal baseline.  Continue to hold his left wrist up toward his body in a contracted manner and tended to have repetitive speech.   Briefly, ER course significant for a CT head and evaluation by pediatric neurology.  CT head was unremarkable for acute intracranial process.  A CBC, CMP, and coags were also obtained due to patient's continued contracture positioning and the possibility of a stroke.  CMP was unremarkable with a sodium of 139, potassium of 3.7, chloride of 107, bicarb 25, BUN of 12 and creatinine of 0.64.  CBC was also unremarkable with WBC of 10.72, hemoglobin of 14.8, hematocrit of 44.4 and platelets of 370.  There was 81.77% neutrophils after evaluation by neurology it was felt that the patient remained postictal and recommended that he be admitted on continuous EEG and possible MRI in the a.m.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Muscle contracture, Musculoskeletal stiffness, Neutrophil percentage increased, Platelet count normal
Clinical narrative: At approximately 6 PM on 05/23/2021, family was sitting down for dinner when all of a sudden she noticed that he was turning his head to the left and appeared to be falling out of his chair.  Mom states that eyes were darting back and forth at this time.  He was not responding to her shouting his name and his left arm was curled in towards his body with the rest of his body remaining stiff.  This lasted approximately 1 minute, followed by a time of confusion and drowsiness.  Approximately 1 minute later mom states that patient's eyes rolled back to his head and he had full body movement consistent with tonic-clonic seizures.  Family were able to lay him onto the ground during this time.  Mom denies any color change, apnea, or loss of bowel or bladder.  States he did have one episode of emesis following the event, and 2 episodes of emesis in the ambulance on the way to ED.  Patient has no previous history of seizures or seizure-like activity.  No new ingestions.  Has not been sick recently and denies any new sick contacts.  There has been no head trauma.   Per Mom, patient's dad has a history of "partial seizures" but never required any medication for them.   At arrival to the ED he continued to be drowsy and not at his normal baseline.  Continue to hold his left wrist up toward his body in a contracted manner and tended to have repetitive speech.   Briefly, ER course significant for a CT head and evaluation by pediatric neurology.  CT head was unremarkable for acute intracranial process.  A CBC, CMP, and coags were also obtained due to patient's continued contracture positioning and the possibility of a stroke.  CMP was unremarkable with a sodium of 139, potassium of 3.7, chloride of 107, bicarb 25, BUN of 12 and creatinine of 0.64.  CBC was also unremarkable with WBC of 10.72, hemoglobin of 14.8, hematocrit of 44.4 and platelets of 370.  There was 81.77% neutrophils after evaluation by neurology it was felt that the patient remained postictal and recommended that he be admitted on continuous EEG and possible MRI in the a.m.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Repetitive speech, Somnolence, Tonic clonic movements, Unresponsive to stimuli, Vomiting
Clinical narrative: At approximately 6 PM on 05/23/2021, family was sitting down for dinner when all of a sudden she noticed that he was turning his head to the left and appeared to be falling out of his chair.  Mom states that eyes were darting back and forth at this time.  He was not responding to her shouting his name and his left arm was curled in towards his body with the rest of his body remaining stiff.  This lasted approximately 1 minute, followed by a time of confusion and drowsiness.  Approximately 1 minute later mom states that patient's eyes rolled back to his head and he had full body movement consistent with tonic-clonic seizures.  Family were able to lay him onto the ground during this time.  Mom denies any color change, apnea, or loss of bowel or bladder.  States he did have one episode of emesis following the event, and 2 episodes of emesis in the ambulance on the way to ED.  Patient has no previous history of seizures or seizure-like activity.  No new ingestions.  Has not been sick recently and denies any new sick contacts.  There has been no head trauma.   Per Mom, patient's dad has a history of "partial seizures" but never required any medication for them.   At arrival to the ED he continued to be drowsy and not at his normal baseline.  Continue to hold his left wrist up toward his body in a contracted manner and tended to have repetitive speech.   Briefly, ER course significant for a CT head and evaluation by pediatric neurology.  CT head was unremarkable for acute intracranial process.  A CBC, CMP, and coags were also obtained due to patient's continued contracture positioning and the possibility of a stroke.  CMP was unremarkable with a sodium of 139, potassium of 3.7, chloride of 107, bicarb 25, BUN of 12 and creatinine of 0.64.  CBC was also unremarkable with WBC of 10.72, hemoglobin of 14.8, hematocrit of 44.4 and platelets of 370.  There was 81.77% neutrophils after evaluation by neurology it was felt that the patient remained postictal and recommended that he be admitted on continuous EEG and possible MRI in the a.m.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: At approximately 6 PM on 05/23/2021, family was sitting down for dinner when all of a sudden she noticed that he was turning his head to the left and appeared to be falling out of his chair.  Mom states that eyes were darting back and forth at this time.  He was not responding to her shouting his name and his left arm was curled in towards his body with the rest of his body remaining stiff.  This lasted approximately 1 minute, followed by a time of confusion and drowsiness.  Approximately 1 minute later mom states that patient's eyes rolled back to his head and he had full body movement consistent with tonic-clonic seizures.  Family were able to lay him onto the ground during this time.  Mom denies any color change, apnea, or loss of bowel or bladder.  States he did have one episode of emesis following the event, and 2 episodes of emesis in the ambulance on the way to ED.  Patient has no previous history of seizures or seizure-like activity.  No new ingestions.  Has not been sick recently and denies any new sick contacts.  There has been no head trauma.   Per Mom, patient's dad has a history of "partial seizures" but never required any medication for them.   At arrival to the ED he continued to be drowsy and not at his normal baseline.  Continue to hold his left wrist up toward his body in a contracted manner and tended to have repetitive speech.   Briefly, ER course significant for a CT head and evaluation by pediatric neurology.  CT head was unremarkable for acute intracranial process.  A CBC, CMP, and coags were also obtained due to patient's continued contracture positioning and the possibility of a stroke.  CMP was unremarkable with a sodium of 139, potassium of 3.7, chloride of 107, bicarb 25, BUN of 12 and creatinine of 0.64.  CBC was also unremarkable with WBC of 10.72, hemoglobin of 14.8, hematocrit of 44.4 and platelets of 370.  There was 81.77% neutrophils after evaluation by neurology it was felt that the patient remained postictal and recommended that he be admitted on continuous EEG and possible MRI in the a.m.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: Tingling sensation from back down to feet
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac disorder, Cardiac stress test
Clinical narrative: Heart attack symptoms.  Taken by ambulance.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Migraine
Clinical narrative: Dizziness, Migraine, no visual disturbance.  First Migraine accured on 05/12/2021 lasting 24 hours, Second migraine on 05/19/2021, lasting 24 hours
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Injection site erythema, Injection site inflammation
Clinical narrative: Body aches, chills, swollen throat, severe head ache, dizzy. Got sick around 10 pm on Friday 5/14/2021.  Felt better Sunday morning 5/16/2021.  The injection sick had a large red circle, swollen inflamed and hot to touch. That went away on Tuesday 5/18/2021.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Malaise, Pain, Pharyngeal swelling
Clinical narrative: Body aches, chills, swollen throat, severe head ache, dizzy. Got sick around 10 pm on Friday 5/14/2021.  Felt better Sunday morning 5/16/2021.  The injection sick had a large red circle, swollen inflamed and hot to touch. That went away on Tuesday 5/18/2021.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Anti-cyclic citrullinated peptide antibody negative, Antinuclear antibody increased, Aspartate aminotransferase increased, Basedow's disease
Clinical narrative: Patient previously healthy, developed Graves disease via lab testing 4/16/21, is also undergoing workup for thyroid nodule, also had significantly elevated LFTs but it is unclear of cause for this, they have been down trending.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood alkaline phosphatase increased, Blood lactate dehydrogenase normal, Blood thyroid stimulating hormone decreased, C-reactive protein increased, Gamma-glutamyltransferase increased
Clinical narrative: Patient previously healthy, developed Graves disease via lab testing 4/16/21, is also undergoing workup for thyroid nodule, also had significantly elevated LFTs but it is unclear of cause for this, they have been down trending.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hepatitis C antibody negative, Liver function test, Liver function test increased, Red blood cell sedimentation rate normal, Rheumatoid factor
Clinical narrative: Patient previously healthy, developed Graves disease via lab testing 4/16/21, is also undergoing workup for thyroid nodule, also had significantly elevated LFTs but it is unclear of cause for this, they have been down trending.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thyroid mass, Thyroid stimulating immunoglobulin, Thyroxine free normal, Ultrasound thyroid abnormal
Clinical narrative: Patient previously healthy, developed Graves disease via lab testing 4/16/21, is also undergoing workup for thyroid nodule, also had significantly elevated LFTs but it is unclear of cause for this, they have been down trending.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dysphagia, Lymphadenopathy
Clinical narrative: Lymph nodes in neck glands swelled causing it difficult to swallow. Joints have been achy for weeks.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac abnormal, Electrocardiogram, Pericarditis
Clinical narrative: Pericarditis
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: 1:16 Pt. c/o that she feels faint, also has nausea and vomiting.  1:25 Pt. report feeling better. 1:45 left site.  BP 133/66, 81hr, O2Sat 100%1.  1:47 Patient reported feeling better.  Mom was advised that if patient (daughter) still experiencing symptoms to consult 911 or family physician.   Understanding verbalized.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cold sweat, Dizziness, Flushing
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: pt started feeling weak, shaky, clammy, nauseated, flusg and sweating after pzizer vaccine adminstration. pt had a fainting spell. gave pt epi-pen and called 911. i had pt lie down with her feet elevated. paramedics got her vitals and it was normal. BP (120/80), normal HR. After a few minutes of rest, pt felt better. she did not go to the hospital. advised pt to seek her pcp for further advise to get the 2nd dose.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Syncope, Tremor
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: pt started feeling weak, shaky, clammy, nauseated, flusg and sweating after pzizer vaccine adminstration. pt had a fainting spell. gave pt epi-pen and called 911. i had pt lie down with her feet elevated. paramedics got her vitals and it was normal. BP (120/80), normal HR. After a few minutes of rest, pt felt better. she did not go to the hospital. advised pt to seek her pcp for further advise to get the 2nd dose.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, SARS-CoV-2 test positive
Clinical narrative: WAS TESTED FOR PRE-ADMISSION TESTING 5/21/21  AND TESTED POSITIVE. PATIENT IS ASYMPTOMATIC
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Paraesthesia
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Feet - elevated feet on chair
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Heart rate increased, Hot flush, Palpitations
Clinical narrative: At 9:10 PM on 5/11/21, I experienced chills that required multiple layers of heavy blankets. This lasted till about 10:20 PM on 5/11/21. I was shaking a lot. I never experienced chills that extreme before. At 10:30PM on 5/11/21, I took one Tylenol.  At about 2:00AM on 5/12/21, I woke up with heat flashes for an unknown time due to sleeping.  At 7:30AM on 5/12/21, I woke up to a heart rate of 105 beats per minute. This lasted for about six hours. I could feel my heart pounding through my chest. During this event, I also experienced shortness of breath. That lasted for about the same time. At 9:00AM on 5/12/21, I took one Tylenol. By 4:00PM on 5/12/21, I started to feel better and my heart rate got down to my normal level of 70 beats per minute while resting.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 2.5 INCH RED, ITCHY, RAISED , BURNING AREA NEAR INJECTION SITE
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Face injury, Fall, Flushing, Hyperhidrosis, Loss of consciousness
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: pt was in chair in waiting area and fell out of chair when passed out 8 minutes after vaccine, pt had rug burn on left side of forehead, pt said felt ok and soemtimes passes out after blood work-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: i stayed with patient and asked the manager on site to get patients father from car. pt was responsive within seconds of going to him, pt was pale and said he was ok. patient remained in lying position on floor, I cleaned his forehead with alcohol swab that had "rug burn and helped him int ositting positon then standing slowly. patient was given gatorade and washelped to sit in chair and father came in and stayed with him. patient refused ambulanceand further care and was in good mood
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: pt was in chair in waiting area and fell out of chair when passed out 8 minutes after vaccine, pt had rug burn on left side of forehead, pt said felt ok and soemtimes passes out after blood work-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: i stayed with patient and asked the manager on site to get patients father from car. pt was responsive within seconds of going to him, pt was pale and said he was ok. patient remained in lying position on floor, I cleaned his forehead with alcohol swab that had "rug burn and helped him int ositting positon then standing slowly. patient was given gatorade and washelped to sit in chair and father came in and stayed with him. patient refused ambulanceand further care and was in good mood
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood magnesium, Blood phosphorus, Blood thyroid stimulating hormone, Chest pain
Clinical narrative: Patient received vaccine at 7:45 pm on 5/19/2021. Chest pain and rapid heart rate occurred approximately 2 hours post vaccine shot. Patient went to ER. Diagnosis was atrial fibrillation with RVR (CMS/HCC). Medication given: Metroprolol 5mg/5ml injection - ADS override pull (10:41pm), sodium chloride 0.9% bonus 1000mL stopped at 5/20 12:36am. Patient spontaneously came out of atrial fibrillation and was released
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, EGFR status assay, Free thyroxine index, Full blood count, Heart rate increased
Clinical narrative: Patient received vaccine at 7:45 pm on 5/19/2021. Chest pain and rapid heart rate occurred approximately 2 hours post vaccine shot. Patient went to ER. Diagnosis was atrial fibrillation with RVR (CMS/HCC). Medication given: Metroprolol 5mg/5ml injection - ADS override pull (10:41pm), sodium chloride 0.9% bonus 1000mL stopped at 5/20 12:36am. Patient spontaneously came out of atrial fibrillation and was released
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test
Clinical narrative: Patient received vaccine at 7:45 pm on 5/19/2021. Chest pain and rapid heart rate occurred approximately 2 hours post vaccine shot. Patient went to ER. Diagnosis was atrial fibrillation with RVR (CMS/HCC). Medication given: Metroprolol 5mg/5ml injection - ADS override pull (10:41pm), sodium chloride 0.9% bonus 1000mL stopped at 5/20 12:36am. Patient spontaneously came out of atrial fibrillation and was released
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell?s palsy
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Interchange of vaccine products, Lymphadenopathy, Malaise, Oropharyngeal pain
Clinical narrative: I was given the Moderna shot on 4/14/2021, then the Janssen shot on 5/12/2021, with out my knowledge or consent for them to be used together. I was sick for 2 days after receiving the Janssen as my second dose. I still have a sore throat, swelling in my lymph nodes and a slight headache.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Pain in extremity
Clinical narrative: sore arm, fatigue, overall ill feeling
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Pain started within 2 hours of vaccination shot. This 2nd shot was much more painful than 1st shot. Pain worsened through the night and I went to Urgent Care the next day. They had never heard of Sirva so they sent me home with no diagnosis. Have been seeing a physical therapist but pain continues over 2 months later.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Skin discolouration, Ultrasound scan, X-ray limb
Clinical narrative: Patient had an injury to her foot several days prior to vaccination, with some pain to the area since.  Received 2nd dose of vaccine on 1/26, several days after injury. Within a few days after vaccine, patient developed calf pain and some discoloration of foot. On 1/31, she presented to the ED for evaluation. Xrays and ultrasound ordered - ultrasound positive for DVT. Patient started on Xarelto and discharged with instructions for follow up with PCP and repeat ultrasound.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Thrombosis
Clinical narrative: Period clots that resemble miscarriage every 20 minutes for 4+ days
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Confusional state, Dizziness, Flushing
Clinical narrative: Systemic: Chills-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Medium, Additional Details: pt passed out after about 10 minutes while in observation area. dad was next to her and she did not fall. emt were called to check her out and after 1/2 hr pt seemed to be ok
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Chills-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Medium, Additional Details: pt passed out after about 10 minutes while in observation area. dad was next to her and she did not fall. emt were called to check her out and after 1/2 hr pt seemed to be ok
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Chills, Erythema, Pain, Pruritus
Clinical narrative: She got her vaccine, she did not have any immediate reaction, had fever and chills by the end of the day which lasted a couple of days.  On Monday she noticed that her chest was very red, looked like it was sunburned.  She felt that was strange and where did it come from.  on her hands and wrist she had some very red, itchy and skin colored rash that was starting.  Every 4-5 hours it seemed to be getting worse, the chest rash started to separate and had white spots.  On Tuesday noticed that it was getting worse and let it go and by Wednesday is was pretty bad, but she felt fine.  She then noticed it was spreading down her stomach and going up to her neck.  On Thursday she went to the UC and they told her that she should have gone to the ER but was stubborn as she felt fine.  She was treated with Benadryl and Pepcid.  She chest area is still a little red, but has spread all over her body and has blisters popping up, some on her face and one on her big toe.  The rash is better, but still has a stinging itching feeling, but has red welts all over.  Some have areas that cluster together and other areas are just blistered.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: She got her vaccine, she did not have any immediate reaction, had fever and chills by the end of the day which lasted a couple of days.  On Monday she noticed that her chest was very red, looked like it was sunburned.  She felt that was strange and where did it come from.  on her hands and wrist she had some very red, itchy and skin colored rash that was starting.  Every 4-5 hours it seemed to be getting worse, the chest rash started to separate and had white spots.  On Tuesday noticed that it was getting worse and let it go and by Wednesday is was pretty bad, but she felt fine.  She then noticed it was spreading down her stomach and going up to her neck.  On Thursday she went to the UC and they told her that she should have gone to the ER but was stubborn as she felt fine.  She was treated with Benadryl and Pepcid.  She chest area is still a little red, but has spread all over her body and has blisters popping up, some on her face and one on her big toe.  The rash is better, but still has a stinging itching feeling, but has red welts all over.  Some have areas that cluster together and other areas are just blistered.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Endotracheal intubation, SARS-CoV-2 test positive
Clinical narrative: Pt developed COVID pneumonia requiring intubation after being fully vaccinated in January, 2021.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Critical illness, Mechanical ventilation
Clinical narrative: Pt developed COVID pneumonia requiring intubation after being fully vaccinated in January, 2021.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Oral pruritus, Throat irritation, Wheezing
Clinical narrative: wheezing, difficulty breathing, very itchy, scratchy mouth and throat
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Impaired work ability, Lethargy
Clinical narrative: Severe debilitating headache, shaking chills, fever, aching joints, lethargy.  Lost time from work.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe debilitating headache, shaking chills, fever, aching joints, lethargy.  Lost time from work.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site hypoaesthesia
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Additional Details: pt chief complaint was feeling dizzy and numbness feeling at site of injection, which was left arm deltoid region.  Pt laid on the floor for about 20 minutes and felt better.  Was able to get up herself and left the store with her mom.  Offered to call EMS but mom and pt declined
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Death, General physical health deterioration, Pain, Skin discolouration
Clinical narrative: Went to er on March 3rd around 2am with discoloration on body with confusion and pain. Was told possible ttp. Condition quickly declined and was transferred to hospital main campus around 12pm. Condition continued to rapidly decline and passed away on March 4th at 11am.  There is much more to tell about this. To much to write down. I have called several times no one has called me back.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis, Feeling hot, Mobility decreased, Musculoskeletal stiffness, Peripheral swelling
Clinical narrative: about a week after getting the second dose of the covid vax he developed a severe case of rheumatoid arthritis.  His neck became stiff, his hands became hot and swollen.  All of the joints were inflamed including his hips, knees, feet and all parts of his body that came on all at once.  He states it was so dramatic he had problems getting up and down and moving around.  He saw his PCP, in April.  He was prescribed prednisone.  He was instructed to take naproxen sodium after finishing the steroids. He has improved about 90% at this time.  His doctor says if his symptoms do not improve then will do blood work and refer him to a Rheumatologist.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Rheumatoid arthritis
Clinical narrative: about a week after getting the second dose of the covid vax he developed a severe case of rheumatoid arthritis.  His neck became stiff, his hands became hot and swollen.  All of the joints were inflamed including his hips, knees, feet and all parts of his body that came on all at once.  He states it was so dramatic he had problems getting up and down and moving around.  He saw his PCP, in April.  He was prescribed prednisone.  He was instructed to take naproxen sodium after finishing the steroids. He has improved about 90% at this time.  His doctor says if his symptoms do not improve then will do blood work and refer him to a Rheumatologist.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Person was vaccinated for COVID in January 2021. Tested positive for COVID 5/21/21
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT ARRIVED AT MASS VACCINTION EVENT AND WAS GIVEN PFIZER AS A FIRST DOSE. MONTHS LATER, DURING A ROUTINE POSITIVE TEST INVESTIGATION IT WAS DISCOVERED PATIENT HAD RECEIVED FIRST DOSE MODERNA 14 DAYS PRIOR TO PFIZER VACCINATION. CONSENT PAPERWORK WAS PULLED FROM PFIZER EVENT AND PATIENT DOES NOT DISCLOSE PRIOR VACCINATION OF MODERNA.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Mild
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hypoaesthesia oral
Clinical narrative: Numb tongue More flushed than normal skin Allegra administered 0836, vitals obtained. BP 138/86, SPO2 96%, P 55. At 0856 patient complained of increased numbness of tongue, vitals signs BP 153/83, SPO2 100%, P 71. Patient remained in no acute distress, no angioedema noted, patient remains without respiratory distress. Patient advised to report to closest Emergency Room.  Patient agreed, patient accompanied by wife.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose was inadvertently administered on day 23.  Patient was scheduled for her second shot on 5/24/21, but came during our clinic on 5/19/21.  The pharmacist did not realize until after the dose was administered that she was 5 days early.