chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: HISTORY OF PRESENT ILLNESS: Patient is a 20 y.o. female with a PMH of  has no past medical history on file. is being called today for a vaccine reaction    Pt received Pfizer vaccine on 4/6/21.  3-4 hours following the injection - started experiencing itchy raised wheel shaped lesions to arm. Hives gradually spread to both arms, face, neck and are now diffuse to these areas.    Denies difficulty breathing, swelling of the face, tongue, or lips, dizziness, increased drooling.  No GI or other systemic symptoms.    COVID-19 Vaccine Adverse Reaction Screening Flowsheet completed   She has been taking Benadryl Q6-8 in addition to Claritin 10 mg daily. Added topical steroids hydrocortisone 2.5% with mild improvements in itching.    States that hives have continued to expand despite antihistamines and topicals. Would like guidance re: current management and 2nd dose of vaccine.    She does have a hs of hives - triggered by heat. Treated with antihistamine.     Also with many seasonal allergies and some food allergies. No known drug or vaccine allergies in the past    Takes Claritin 10 mg daily for seasonal allergies  No Known Allergies Current Medications Current Outpatient Medications Medication Sig Dispense Refill ? cetirizine (ZYRTEC) 10 mg tablet Take 10 mg by mouth daily.     ? ibuprofen (ADVIL,MOTRIN) 600 MG tablet Take 1 tablet (600 mg total) by mouth every 6 (six) hours as needed.. 60 tablet   ROS: Per HPI   VITAL SIGNS are unavailable for this phone visit.  BP Readings from Last 3 Encounters: 04/09/18 103/67   PHYSICAL EXAM is unavailable for the phone visit. Patient was calm. Voice was clear. No signs of respiratory distress, anxiety, or depression. Speech organized.    DATA REVIEWED:    ASSESSMENT / PLAN Patient was seen today for allergic reaction.   Diagnoses and all orders for this visit:   Urticaria, acute - Spoke with PCP. Agreed with plan for oral steroids although this is likely to decrease immune response of vaccine    Urgent referral to allergy placed    RETURN VISIT:  As needed I spent 25 minutes with the patient, of which 25 minutes were spent reviewing data, counseling and coordination of care. Specifically we discussed my impression of the etiology of the patient's symptoms, interpretation of test results, management plan, and acute symptoms for which to seek immediate medical attention.   I have counseled about COVID19 ? specifically advising on social distancing, hand washing, staying home when sick. I also provided them with the campus resource line   Electronically Signed by APRN, April 9, 2021
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Injected limb mobility decreased, Injection site pain, Rhinorrhoea
Clinical narrative: My right arm started to get sore at injection site several hours after shot. It became more sore as night approached, even though I kept up arm movement, it was difficult to raise right arm completely or pick up a milk jug. I rubbed a small bit of arnica cream on before bed. The next morning my arm was less sore, but my nose was running/drippy, had a bit of sneezing/coughing. I felt a little tired throughout the day.  My ears, particularly my right ear, started ringing some throughout the day, which is not normal for me. But it would last a minute or so than go away.  By the next day, arm is only a little tender to touch, can move it around normally, I don't feel tired, my ears are not ringing, and sneezing/coughing gone, still a bit of runny nose. Will not deter me from getting 2nd shot, and was not difficult to deal with side effects, pretty much expected them.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing, Tinnitus
Clinical narrative: My right arm started to get sore at injection site several hours after shot. It became more sore as night approached, even though I kept up arm movement, it was difficult to raise right arm completely or pick up a milk jug. I rubbed a small bit of arnica cream on before bed. The next morning my arm was less sore, but my nose was running/drippy, had a bit of sneezing/coughing. I felt a little tired throughout the day.  My ears, particularly my right ear, started ringing some throughout the day, which is not normal for me. But it would last a minute or so than go away.  By the next day, arm is only a little tender to touch, can move it around normally, I don't feel tired, my ears are not ringing, and sneezing/coughing gone, still a bit of runny nose. Will not deter me from getting 2nd shot, and was not difficult to deal with side effects, pretty much expected them.
Age: 25.0
Sex: U
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Paraesthesia
Clinical narrative: sweaty, lightheaded, fingers tingly, nauseous BP 78/52; BS-102; HR 62; RR 22 juice and crackers improved symptoms when he left his BP was 115/70 left feeling "almost normal"
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Flushing, Impaired work ability, Pyrexia
Clinical narrative: My first covid- 19 shot I had on March 27, 2021 with no side effects My second covid-19 shot I had on April 27, 2021. At first I felt find but with in 2 hours I felt fluish but had no fever, I drank plenty of water but felt 'off' the rest of the day. The next day I felt tired and went to work for awhile but came home with in a few hours. I ate chicken noddle soup and took a nap. At 1:00 pm on April 28th I started running a fever of 100 degrees and that lasted till 6:00 am on April 29th.  I took ibuprofen from 4/28 to 4/29. I still feel tired and weak and I have a little 'brain fog'.
Age: 54.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Arthralgia, Back pain, Discomfort, Dysstasia, Fatigue
Clinical narrative: I started feeling drugged about 2 hours after the shot. I then experienced extreme fatigue and felt unwell / sick for 6 days.  My joints were extremely sore in my back, ankles and wrists.  My body felt heavy and it was hard to stand and walk. It felt as if I was losing circulation in my feet. By 5PM each day I was in bed passing out for about 2 hours each day. Most of each day on couch sick. On day 5, I broke out in hives on my face.  All symptoms began to clear on day 7. I was almost feeling normal Apr 28. Today, Apr 29 I feel OK.
Age: 54.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Feeling abnormal, Gait disturbance, Hypersomnia, Malaise, Poor peripheral circulation
Clinical narrative: I started feeling drugged about 2 hours after the shot. I then experienced extreme fatigue and felt unwell / sick for 6 days.  My joints were extremely sore in my back, ankles and wrists.  My body felt heavy and it was hard to stand and walk. It felt as if I was losing circulation in my feet. By 5PM each day I was in bed passing out for about 2 hours each day. Most of each day on couch sick. On day 5, I broke out in hives on my face.  All symptoms began to clear on day 7. I was almost feeling normal Apr 28. Today, Apr 29 I feel OK.
Age: 54.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Urticaria
Clinical narrative: I started feeling drugged about 2 hours after the shot. I then experienced extreme fatigue and felt unwell / sick for 6 days.  My joints were extremely sore in my back, ankles and wrists.  My body felt heavy and it was hard to stand and walk. It felt as if I was losing circulation in my feet. By 5PM each day I was in bed passing out for about 2 hours each day. Most of each day on couch sick. On day 5, I broke out in hives on my face.  All symptoms began to clear on day 7. I was almost feeling normal Apr 28. Today, Apr 29 I feel OK.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Hyperhidrosis, Pain in extremity, Sleep disorder
Clinical narrative: 12 hours after my shot (April 24, 2019) I had a very sore arm much like most people I've talked to but then I had the sensation of being really cold - enough that I couldn't sleep, so I got up and put a heating pad on and numerous layers of cold. Was able to sleep that night. Then on April 28th at around 11:00 pm I got the same sensation but much more significant. It felt like my entire legs were frozen. They were not cold to the touch but the sensation in my skin was that they were very very cold. I could not warm up. 3 shirts, pants, wool socks, 2 blankets - one of them a down comforter - a microwave heated pad and an electric heated pad and I still felt very very cold. No shaking or shivering. No fever. No sweating. My temperature was 97.7 which is what it usually is. Eventually fell asleep but when I got up in the morning (April 29) the cold sensation remained and is now in my arms as well. Took a hot shower but still can't "feel" warm. Sat under multiple blankets and started sweating but never felt hot or even warm. Still no change in temperature and no shivering. Just a very cold sensation - like someone has blasted my legs and upper arms with an air conditioning unit. As of 10:15am on April 29th, these symptoms remain unchanged.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lip disorder, Sensitive skin, Skin exfoliation, Stomatitis, Tongue disorder
Clinical narrative: Janssen COVID-19 Vaccine EUA Sloughing of skin of roof of mouth - has pealed off 3 times in 2.5 weeks white bumps on tongue - as if some taste buds have died Sensitivity of inner lips to acidic foods and mouthwash
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypogeusia, Oral discomfort, Oral mucosal exfoliation, Oral pain, Pain in extremity
Clinical narrative: Janssen COVID-19 Vaccine EUA Sloughing of skin of roof of mouth - has pealed off 3 times in 2.5 weeks white bumps on tongue - as if some taste buds have died Sensitivity of inner lips to acidic foods and mouthwash
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Taste disorder, Tissue injury, Tongue disorder
Clinical narrative: Janssen COVID-19 Vaccine EUA Sloughing of skin of roof of mouth - has pealed off 3 times in 2.5 weeks white bumps on tongue - as if some taste buds have died Sensitivity of inner lips to acidic foods and mouthwash
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Dizziness, Electrocardiogram
Clinical narrative: 24 yo F present to observation area with her service dog. Patient notified staff member that she was feeling a little dizziness and needed to lie down. Patient was lowered to the floor by her boyfriend. EMS was notified .  Patient was evaluated by on-site EMS and NP.  It was found via PT's boyfriend that she suffers from a condition called POTS.  Patient has a medical Hx of Syncope and anemia. , Allergies to PCN.   Patient was moved to triage area and reevaluated by NP. After receiving oxygen patient stated she was feeling better. EKG and Glucose test was perform by EMS, all within normal limits. Patient was released via wheelchair accompanied by staff.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Client observed vomiting .  When asked, client voiced that she had same reaction with first dose and had notified her physician.  Client seen and assessed by EMT and V/S are B/P 214/148, HR 86, O2 97%.  Client advised to go to ER but declined and voiced that her husband would take her.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Tinnitus
Clinical narrative: Tinnitus (ringing in the ears), not sure if it comes and goes or just when occupied I do not hear it. Only other symptom was sore arm after each injection. Was only tired after the second shot.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No adverse event, but this was a medication error in which Pfizer was inadvertently administered to a patient under the age of 16. HOWEVER, the parents falsified the Vaccine Administration Record, stating that he was born in 2004 and was 16 years old, in order for him to receive the vaccine. This was discovered when entering data. His actual DOB was verified in two separate medical records.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Thrombocytopenia
Clinical narrative: Patient developed significant thrombocytopenia 3 days after vaccination (platelet count 35,000).  Other counts normal, no clinical bleeding. Lab was ordered as part of a work up for persistent abdominal pain (which was present before the vaccine)
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pain, Rash, Swelling
Clinical narrative: red, swollen, spreading rash, painful to touch
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Chills, fatigue, headache, nausea, and muscle aches that lasted about 36-48 hours.  Mild rash on face, neck and upper body started at 48 hours after vaccine and lasted about 12 hours.  Arm soreness for about 3 days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash
Clinical narrative: Chills, fatigue, headache, nausea, and muscle aches that lasted about 36-48 hours.  Mild rash on face, neck and upper body started at 48 hours after vaccine and lasted about 12 hours.  Arm soreness for about 3 days.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Injection site swelling, Neck pain, Pain, Pain in extremity
Clinical narrative: Patient developed swelling at the injection site several days after completing the injection.  Also pain that radiates into his supra spinatus and neck.  Also a "buzzing" feeling on the radial and palmar aspect of his left thumb (in the radial nerve distribution).  The symptoms have not abated and have continued to bother the patient at the same level since initially appearing.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Patient developed swelling at the injection site several days after completing the injection.  Also pain that radiates into his supra spinatus and neck.  Also a "buzzing" feeling on the radial and palmar aspect of his left thumb (in the radial nerve distribution).  The symptoms have not abated and have continued to bother the patient at the same level since initially appearing.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain, Swelling, Tenderness
Clinical narrative: A day after the vaccine I noticed pain in my armpit.  I looked at my arm and I have roughly a golf ball sized lump in my armpit.  It's pretty tender when I touch or move my arm abruptly.  From what I've researched it seems like a fairly normal reaction, but I still want to report it.  I've taken ibuprofen and tried icing it to help with the swelling.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Drug ineffective, Ultrasound scan
Clinical narrative: propagation of known DVT despite anticoagulation with Eliquis
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Prior to receiving the 2 dose vaccine I had not had my period in over 7 months. Since receiving the vaccine I have had 3 very irregular and heavy periods. I recently became aware that there seems to be a link between the vaccine and menstruation becoming irregular or heavy. I thought I would report it.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Confusional state, Fatigue, Heavy menstrual bleeding
Clinical narrative: I started with chills/fever the night of my 2nd shot. All night, I had body aches, joint pain, migraine, unable to sleep and SEVERE stiff neck pain. The most concerning side affect for me was I felt as though my central nervous system was affected. I had difficulty speaking, formulating sentences and experienced general confusion. I couldn't communicate with my husband to tell him how sick I felt or what I even needed.  The fever went away after 24 hours, the joint pain stuck around for 3-4 days, as did the migraine and exhaustion.  My menstrua cycle has also been affected. It's heavier, lasting longer and affected my usual cycle time.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Menstrual disorder, Migraine, Musculoskeletal stiffness, Nervous system disorder
Clinical narrative: I started with chills/fever the night of my 2nd shot. All night, I had body aches, joint pain, migraine, unable to sleep and SEVERE stiff neck pain. The most concerning side affect for me was I felt as though my central nervous system was affected. I had difficulty speaking, formulating sentences and experienced general confusion. I couldn't communicate with my husband to tell him how sick I felt or what I even needed.  The fever went away after 24 hours, the joint pain stuck around for 3-4 days, as did the migraine and exhaustion.  My menstrua cycle has also been affected. It's heavier, lasting longer and affected my usual cycle time.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia, Sleep disorder, Speech disorder
Clinical narrative: I started with chills/fever the night of my 2nd shot. All night, I had body aches, joint pain, migraine, unable to sleep and SEVERE stiff neck pain. The most concerning side affect for me was I felt as though my central nervous system was affected. I had difficulty speaking, formulating sentences and experienced general confusion. I couldn't communicate with my husband to tell him how sick I felt or what I even needed.  The fever went away after 24 hours, the joint pain stuck around for 3-4 days, as did the migraine and exhaustion.  My menstrua cycle has also been affected. It's heavier, lasting longer and affected my usual cycle time.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Fatigue, Vertigo
Clinical narrative: I woke up with vertigo which lasted several hours. I was fatigued for full day. I was exhausted and needed to nap a couple of times and struggled to focus on work. All symptoms were gone by 4/23.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Round red fairly large circle around injection site on arm that appeared many days after I got the vaccine. Slightly warm to the touch but not painful. Not going away after several days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hyperhidrosis, Lymphadenopathy
Clinical narrative: 2weeks after getting 2nd shot I woke up with swollen lymph nodes under right arm and feeling warm and sweating  Moderna COVID?19 Vaccine EUA
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Sleep disorder
Clinical narrative: It's been 9 days since the injection, and my shoulder is still a bit sore. It hurts to raise my arm very high or to sleep on my right side.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angioedema, Dysphagia, Mouth swelling, Pharyngeal swelling, Swollen tongue
Clinical narrative: Angioedema, difficulty swallowing, swelling of tongue and mouth and throat, onset 35min after vaccine, no hx of similar events in the past
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swollen tongue
Clinical narrative: Angioedema, difficulty swallowing, swelling of tongue and mouth and throat, onset 35min after vaccine, no hx of similar events in the past
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Angiogram normal, Anxiety, Blood cholesterol increased, Blood triglycerides increased
Clinical narrative: Within 30-minutes of vaccination, the patient reported a headache, slurred speech, and right side weakness. EMS evaluated the patient on-site. The patient was hypertensive (197/129) with a FSBG of 95mg/dL. During stroke assessment, the patient had new onset facial palsy/droop and need speech abnormality which signaled a stroke alert. 12-lead EKG was unremarkable. EMS transported the patient to Emergency Department. In the ED, the patient presented with a headache, chest heaviness, and slurred speech, but no aphasia. NIH stroke scale was 0. Patient remained hypertensive (170/109). Labs, tests, and imaging did not indicate rtPA administration. ED physician administered 0.4mg SL Nitroglycerin, 10mg IV Hydralazine, and 325mg PO Aspirin prior to admission for suspected Transient Ischemic Attack. Upon admission, differential was TIA vs. CVA vs. ACS. Admitting physician ordered HbA1C, lipid panel, MRI brain, CTA head/neck, 2D echo, and neurology consult. Throughout course of admission, patient had recurring midsternal chest pain that was relieved with Nitroglycerin. Imaging ruled out CVA. Given elevated TGs and Cholesterol, patient was started on Atorvastatin 40mg PO. Suspected TIA and ACS.  Neurology consult reviewed the labs and imaging, and stated the episodes of stuttering are most commonly associated with anxiety or stress reaction. Neuro did not recommend any further workup unless this happened again unprovoked. Patient was discharged after a 3-day admission with diagnosis of cerebrovascular disease, unspecified. The patient was prescribed 81mg PO Aspirin, 20mg PO Lisinopril, and 40mg PO Atorvastatin.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test normal, Cerebrovascular disorder, Chest X-ray normal, Chest discomfort, Chest pain
Clinical narrative: Within 30-minutes of vaccination, the patient reported a headache, slurred speech, and right side weakness. EMS evaluated the patient on-site. The patient was hypertensive (197/129) with a FSBG of 95mg/dL. During stroke assessment, the patient had new onset facial palsy/droop and need speech abnormality which signaled a stroke alert. 12-lead EKG was unremarkable. EMS transported the patient to Emergency Department. In the ED, the patient presented with a headache, chest heaviness, and slurred speech, but no aphasia. NIH stroke scale was 0. Patient remained hypertensive (170/109). Labs, tests, and imaging did not indicate rtPA administration. ED physician administered 0.4mg SL Nitroglycerin, 10mg IV Hydralazine, and 325mg PO Aspirin prior to admission for suspected Transient Ischemic Attack. Upon admission, differential was TIA vs. CVA vs. ACS. Admitting physician ordered HbA1C, lipid panel, MRI brain, CTA head/neck, 2D echo, and neurology consult. Throughout course of admission, patient had recurring midsternal chest pain that was relieved with Nitroglycerin. Imaging ruled out CVA. Given elevated TGs and Cholesterol, patient was started on Atorvastatin 40mg PO. Suspected TIA and ACS.  Neurology consult reviewed the labs and imaging, and stated the episodes of stuttering are most commonly associated with anxiety or stress reaction. Neuro did not recommend any further workup unless this happened again unprovoked. Patient was discharged after a 3-day admission with diagnosis of cerebrovascular disease, unspecified. The patient was prescribed 81mg PO Aspirin, 20mg PO Lisinopril, and 40mg PO Atorvastatin.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Dysarthria, Ejection fraction normal, Electrocardiogram normal, Facial paralysis
Clinical narrative: Within 30-minutes of vaccination, the patient reported a headache, slurred speech, and right side weakness. EMS evaluated the patient on-site. The patient was hypertensive (197/129) with a FSBG of 95mg/dL. During stroke assessment, the patient had new onset facial palsy/droop and need speech abnormality which signaled a stroke alert. 12-lead EKG was unremarkable. EMS transported the patient to Emergency Department. In the ED, the patient presented with a headache, chest heaviness, and slurred speech, but no aphasia. NIH stroke scale was 0. Patient remained hypertensive (170/109). Labs, tests, and imaging did not indicate rtPA administration. ED physician administered 0.4mg SL Nitroglycerin, 10mg IV Hydralazine, and 325mg PO Aspirin prior to admission for suspected Transient Ischemic Attack. Upon admission, differential was TIA vs. CVA vs. ACS. Admitting physician ordered HbA1C, lipid panel, MRI brain, CTA head/neck, 2D echo, and neurology consult. Throughout course of admission, patient had recurring midsternal chest pain that was relieved with Nitroglycerin. Imaging ruled out CVA. Given elevated TGs and Cholesterol, patient was started on Atorvastatin 40mg PO. Suspected TIA and ACS.  Neurology consult reviewed the labs and imaging, and stated the episodes of stuttering are most commonly associated with anxiety or stress reaction. Neuro did not recommend any further workup unless this happened again unprovoked. Patient was discharged after a 3-day admission with diagnosis of cerebrovascular disease, unspecified. The patient was prescribed 81mg PO Aspirin, 20mg PO Lisinopril, and 40mg PO Atorvastatin.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin, Headache, Hemiparesis, Hypertension, Magnetic resonance imaging head abnormal
Clinical narrative: Within 30-minutes of vaccination, the patient reported a headache, slurred speech, and right side weakness. EMS evaluated the patient on-site. The patient was hypertensive (197/129) with a FSBG of 95mg/dL. During stroke assessment, the patient had new onset facial palsy/droop and need speech abnormality which signaled a stroke alert. 12-lead EKG was unremarkable. EMS transported the patient to Emergency Department. In the ED, the patient presented with a headache, chest heaviness, and slurred speech, but no aphasia. NIH stroke scale was 0. Patient remained hypertensive (170/109). Labs, tests, and imaging did not indicate rtPA administration. ED physician administered 0.4mg SL Nitroglycerin, 10mg IV Hydralazine, and 325mg PO Aspirin prior to admission for suspected Transient Ischemic Attack. Upon admission, differential was TIA vs. CVA vs. ACS. Admitting physician ordered HbA1C, lipid panel, MRI brain, CTA head/neck, 2D echo, and neurology consult. Throughout course of admission, patient had recurring midsternal chest pain that was relieved with Nitroglycerin. Imaging ruled out CVA. Given elevated TGs and Cholesterol, patient was started on Atorvastatin 40mg PO. Suspected TIA and ACS.  Neurology consult reviewed the labs and imaging, and stated the episodes of stuttering are most commonly associated with anxiety or stress reaction. Neuro did not recommend any further workup unless this happened again unprovoked. Patient was discharged after a 3-day admission with diagnosis of cerebrovascular disease, unspecified. The patient was prescribed 81mg PO Aspirin, 20mg PO Lisinopril, and 40mg PO Atorvastatin.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Sinusitis, Speech disorder, Transient ischaemic attack, Troponin increased
Clinical narrative: Within 30-minutes of vaccination, the patient reported a headache, slurred speech, and right side weakness. EMS evaluated the patient on-site. The patient was hypertensive (197/129) with a FSBG of 95mg/dL. During stroke assessment, the patient had new onset facial palsy/droop and need speech abnormality which signaled a stroke alert. 12-lead EKG was unremarkable. EMS transported the patient to Emergency Department. In the ED, the patient presented with a headache, chest heaviness, and slurred speech, but no aphasia. NIH stroke scale was 0. Patient remained hypertensive (170/109). Labs, tests, and imaging did not indicate rtPA administration. ED physician administered 0.4mg SL Nitroglycerin, 10mg IV Hydralazine, and 325mg PO Aspirin prior to admission for suspected Transient Ischemic Attack. Upon admission, differential was TIA vs. CVA vs. ACS. Admitting physician ordered HbA1C, lipid panel, MRI brain, CTA head/neck, 2D echo, and neurology consult. Throughout course of admission, patient had recurring midsternal chest pain that was relieved with Nitroglycerin. Imaging ruled out CVA. Given elevated TGs and Cholesterol, patient was started on Atorvastatin 40mg PO. Suspected TIA and ACS.  Neurology consult reviewed the labs and imaging, and stated the episodes of stuttering are most commonly associated with anxiety or stress reaction. Neuro did not recommend any further workup unless this happened again unprovoked. Patient was discharged after a 3-day admission with diagnosis of cerebrovascular disease, unspecified. The patient was prescribed 81mg PO Aspirin, 20mg PO Lisinopril, and 40mg PO Atorvastatin.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Blood albumin decreased, Mobility decreased, Pain, Polyarthritis, Rash
Clinical narrative: I am not sure if my medical provider had reported this reaction to VAERS at the time, but I had a severe serum sickness type of reaction to this vaccine 7 days after I got it, it started out with a whole body rash and then resulted in severe polyarthritis in all joints to the point where I was in severe pain and could not move any joint in my body. I had a very high WBC count of 17.4 noted as well as serum inflammatory markers, low albumin when I had gone to the ER. I needed to see rheumatology afterwards and had to take a month long high dose prednisone taper in order for symptoms to resolve.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Serum sickness, Specialist consultation, White blood cell count increased
Clinical narrative: I am not sure if my medical provider had reported this reaction to VAERS at the time, but I had a severe serum sickness type of reaction to this vaccine 7 days after I got it, it started out with a whole body rash and then resulted in severe polyarthritis in all joints to the point where I was in severe pain and could not move any joint in my body. I had a very high WBC count of 17.4 noted as well as serum inflammatory markers, low albumin when I had gone to the ER. I needed to see rheumatology afterwards and had to take a month long high dose prednisone taper in order for symptoms to resolve.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Back pain, Chest pain, Computerised tomogram abdomen abnormal
Clinical narrative: BRIEF OVERVIEW:  Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 4/22/2021;  Discharge Date: 4/23/2021  Active Hospital Problems - Admitted for bilateral PE ? Acute pulmonary embolism without acute cor pulmonale, unspecified pulmonary embolism type (HCC) 04/22/2021  DETAILS OF HOSPITAL STAY: Patient is a 87 y.o. male with psoriatic arthritis, essential hypertension who presents today with right-sided chest pain.  He reports onset starting yesterday. The pain radiated around to his back into the center of his chest. Thought he had pulled a muscle was having heartburn. Taking a deep breath made the pain worse. He tried Tums but no significant relief. It was not associated with shortness breath. Denied any, lower extremity swelling or calf pain.  Today the pain was acutely worse so presented to the emergency department for evaluation. No prior DVT, PE, no FH of DVT/PE. No weight loss. No recent prolonged trip. On arrival to the emergency department his pulse was noted to be elevated to 120 but otherwise vitals unremarkable.  CT angiogram thorax had significant findings of multiple bilateral pulmonary emboli involving segmental and subsegmental vessels.  There was no evidence of right heart strain.  He was started on heparin drip and transferred to another facility for ongoing care. He was switched to Eliquis 10 mg bid for 7 days, then 5 mg bid for 3 months.  He has not sign of any malignancy, no weigh loss. He received Moderna COVID-19 vaccine on 3/4/21 and 4/1/21. It is conceivable that this PE could be complication of COVID-19 vaccine. He should follow up with PCP in 1 week.              CTA also showed partial visualization of gas fluid collection within the right upper quadrant, likely reflecting a duodenal diverticulum which was present on 8/20/2012 CT abdomen, incompletely assessed. There is a small hiatal hernia. PCP to follow. Discussed with wife, and with daughter over the phone.  Patient discharged home.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Diverticulum intestinal, Dyspepsia, Heart rate increased, Hiatus hernia, Intra-abdominal fluid collection
Clinical narrative: BRIEF OVERVIEW:  Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 4/22/2021;  Discharge Date: 4/23/2021  Active Hospital Problems - Admitted for bilateral PE ? Acute pulmonary embolism without acute cor pulmonale, unspecified pulmonary embolism type (HCC) 04/22/2021  DETAILS OF HOSPITAL STAY: Patient is a 87 y.o. male with psoriatic arthritis, essential hypertension who presents today with right-sided chest pain.  He reports onset starting yesterday. The pain radiated around to his back into the center of his chest. Thought he had pulled a muscle was having heartburn. Taking a deep breath made the pain worse. He tried Tums but no significant relief. It was not associated with shortness breath. Denied any, lower extremity swelling or calf pain.  Today the pain was acutely worse so presented to the emergency department for evaluation. No prior DVT, PE, no FH of DVT/PE. No weight loss. No recent prolonged trip. On arrival to the emergency department his pulse was noted to be elevated to 120 but otherwise vitals unremarkable.  CT angiogram thorax had significant findings of multiple bilateral pulmonary emboli involving segmental and subsegmental vessels.  There was no evidence of right heart strain.  He was started on heparin drip and transferred to another facility for ongoing care. He was switched to Eliquis 10 mg bid for 7 days, then 5 mg bid for 3 months.  He has not sign of any malignancy, no weigh loss. He received Moderna COVID-19 vaccine on 3/4/21 and 4/1/21. It is conceivable that this PE could be complication of COVID-19 vaccine. He should follow up with PCP in 1 week.              CTA also showed partial visualization of gas fluid collection within the right upper quadrant, likely reflecting a duodenal diverticulum which was present on 8/20/2012 CT abdomen, incompletely assessed. There is a small hiatal hernia. PCP to follow. Discussed with wife, and with daughter over the phone.  Patient discharged home.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Painful respiration, Pulmonary embolism
Clinical narrative: BRIEF OVERVIEW:  Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 4/22/2021;  Discharge Date: 4/23/2021  Active Hospital Problems - Admitted for bilateral PE ? Acute pulmonary embolism without acute cor pulmonale, unspecified pulmonary embolism type (HCC) 04/22/2021  DETAILS OF HOSPITAL STAY: Patient is a 87 y.o. male with psoriatic arthritis, essential hypertension who presents today with right-sided chest pain.  He reports onset starting yesterday. The pain radiated around to his back into the center of his chest. Thought he had pulled a muscle was having heartburn. Taking a deep breath made the pain worse. He tried Tums but no significant relief. It was not associated with shortness breath. Denied any, lower extremity swelling or calf pain.  Today the pain was acutely worse so presented to the emergency department for evaluation. No prior DVT, PE, no FH of DVT/PE. No weight loss. No recent prolonged trip. On arrival to the emergency department his pulse was noted to be elevated to 120 but otherwise vitals unremarkable.  CT angiogram thorax had significant findings of multiple bilateral pulmonary emboli involving segmental and subsegmental vessels.  There was no evidence of right heart strain.  He was started on heparin drip and transferred to another facility for ongoing care. He was switched to Eliquis 10 mg bid for 7 days, then 5 mg bid for 3 months.  He has not sign of any malignancy, no weigh loss. He received Moderna COVID-19 vaccine on 3/4/21 and 4/1/21. It is conceivable that this PE could be complication of COVID-19 vaccine. He should follow up with PCP in 1 week.              CTA also showed partial visualization of gas fluid collection within the right upper quadrant, likely reflecting a duodenal diverticulum which was present on 8/20/2012 CT abdomen, incompletely assessed. There is a small hiatal hernia. PCP to follow. Discussed with wife, and with daughter over the phone.  Patient discharged home.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash pruritic, Skin warm, Urticaria
Clinical narrative: Face became very red and then chest and legs had redness and hives within 30 minutes of receiving the #2 shot of Pfizer.  Rash was itchy and warm to the touch.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity, Peripheral swelling
Clinical narrative: Exhaustion, sore left arm, swelling left arm, severe headache
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Oligomenorrhoea
Clinical narrative: My period often is only heavy for 1 day and it lasts for 2 to 3 days. I have had a heavy non stop period for 5 days.
Age: 19.0
Sex: M
Vaccine: UNK
Symptoms: Pallor, Syncope
Clinical narrative: Patient fainted, was pale, Vital signs stable accucheck 106. After providing juice patient fainted again. Continue observation until patient was feeling better which took an hour.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Herpes Zoster (Shingles)
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Electrocardiogram normal, Feeling hot, Hypotension
Clinical narrative: Within 10-minutes of vaccination, the patient experienced dizziness and a syncopal episode. EMS evaluated the patient on-site. The patient was hypotensive (86/53) with a FSBG of 98mg/dL. EMS administered 700mL IV normal saline. EKG was normal. EMS transported to  Hospital Emergency Department. En-route to ED, the patient's blood pressure improved (146/97) with fluids. In the ED,  the patient stated that their syncope was preceeded by "feeling very warm" and nausea, but now feels improved with fluids. Labs and tests were unremarkable. Physician discharged the patient with diagnosis of vasovagal like syncope.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Nausea, Syncope, Troponin
Clinical narrative: Within 10-minutes of vaccination, the patient experienced dizziness and a syncopal episode. EMS evaluated the patient on-site. The patient was hypotensive (86/53) with a FSBG of 98mg/dL. EMS administered 700mL IV normal saline. EKG was normal. EMS transported to  Hospital Emergency Department. En-route to ED, the patient's blood pressure improved (146/97) with fluids. In the ED,  the patient stated that their syncope was preceeded by "feeling very warm" and nausea, but now feels improved with fluids. Labs and tests were unremarkable. Physician discharged the patient with diagnosis of vasovagal like syncope.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Pain, Skin tightness
Clinical narrative: Toughness/tightness of skin, red and giving off heat. Soreness, size of mango
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Activated partial thromboplastin time, Blood creatine phosphokinase, Blood creatine phosphokinase MB, Blood culture
Clinical narrative: 3/23: upset stomach; diarrhea. 3/24: severe vomiting and diarrhea. so severe that transported to ER; provided fluids and anti nausea meds and discharged. DX--Viral Gastroenteritis; hyperglycemia. Later that evening experienced seizure and fell out of bed unconscious; suffered shoulder fracture.  Transported to ER again, experienced 2nd seizure en route,  and hospitalized/intubated in ICU.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, Blood glucose, Blood magnesium, Diarrhoea, Endotracheal intubation
Clinical narrative: 3/23: upset stomach; diarrhea. 3/24: severe vomiting and diarrhea. so severe that transported to ER; provided fluids and anti nausea meds and discharged. DX--Viral Gastroenteritis; hyperglycemia. Later that evening experienced seizure and fell out of bed unconscious; suffered shoulder fracture.  Transported to ER again, experienced 2nd seizure en route,  and hospitalized/intubated in ICU.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Gastroenteritis viral, Hyperglycaemia, Intensive care, International normalised ratio
Clinical narrative: 3/23: upset stomach; diarrhea. 3/24: severe vomiting and diarrhea. so severe that transported to ER; provided fluids and anti nausea meds and discharged. DX--Viral Gastroenteritis; hyperglycemia. Later that evening experienced seizure and fell out of bed unconscious; suffered shoulder fracture.  Transported to ER again, experienced 2nd seizure en route,  and hospitalized/intubated in ICU.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Lipase, Liver function test, Loss of consciousness, Metabolic function test, Prothrombin time
Clinical narrative: 3/23: upset stomach; diarrhea. 3/24: severe vomiting and diarrhea. so severe that transported to ER; provided fluids and anti nausea meds and discharged. DX--Viral Gastroenteritis; hyperglycemia. Later that evening experienced seizure and fell out of bed unconscious; suffered shoulder fracture.  Transported to ER again, experienced 2nd seizure en route,  and hospitalized/intubated in ICU.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Seizure, Upper limb fracture, Urine analysis, Vomiting
Clinical narrative: 3/23: upset stomach; diarrhea. 3/24: severe vomiting and diarrhea. so severe that transported to ER; provided fluids and anti nausea meds and discharged. DX--Viral Gastroenteritis; hyperglycemia. Later that evening experienced seizure and fell out of bed unconscious; suffered shoulder fracture.  Transported to ER again, experienced 2nd seizure en route,  and hospitalized/intubated in ICU.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysarthria, Facial paralysis, Hypoaesthesia oral
Clinical narrative: 4/23/21- Experienced lip numbness 4/24/21- current - Eyes, cheek, mouth droopy and slurred speech.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 16 year old client received Moderna as first dose vaccine; Moderna not approved for individuals less than 18 years of age.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Redness and itching at injection site started 9 days post vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blepharospasm
Clinical narrative: Eye began twitching on left side several days after vaccine and continues to twitch. No preexisting instances of eye twitching.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Rash
Clinical narrative: Sore injection site. Extremely tired the entire next day and broke out in a rash around the neck, nose, chin and upper torso area.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Back pain, Feeling cold, Headache
Clinical narrative: I felt back pain and  on Apr. 26th.  Then I thought it will be ok soon. But in the next 2 or 3 days, I felt weak, joint pain and cold. Then I test my body temperature.  It was over 100.  Today, I still felt back joint pain, a little headache and have low fever. But I did not cough and was not shortness of breath.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I felt back pain and  on Apr. 26th.  Then I thought it will be ok soon. But in the next 2 or 3 days, I felt weak, joint pain and cold. Then I test my body temperature.  It was over 100.  Today, I still felt back joint pain, a little headache and have low fever. But I did not cough and was not shortness of breath.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Leukopenia, Neutrophil count decreased
Clinical narrative: patient known to have mild, intermittent, chronic leukopenia. now with significant worsening, ANC down to zero. patient started sulfasalazine about 6 weeks prior to worsening of leukopenia which might be the reason.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Individual was found to have received the janssen COVID-19 vaccine the previous month and then received the Pfizer vaccine. This was not known until after she received the different brand covid vaccine and her information was being input into database.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Oral candidiasis, Rash, Swelling face
Clinical narrative: Pt had pictures of rash under both breasts,stomach,  between thighs,swelling to face,  and white thrush in mouth. Symptoms started on or before 4/3/21. Went to ER 1st and was given antibiotic cream for rash. Symptoms got worse so went to private doctor and was prescribed po antibiotics, Diflucan x 2 pills for the thrush in mouth.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Foetal death, Foetal heart rate abnormal, Ultrasound foetal
Clinical narrative: I was pregnant at the time I got the first vaccine. The pregnancy was conceived on March 10. On the date I received the vaccine I was 5 weeks 6 days. When I  got my first ultrasound at 7 weeks, it revealed that the baby measured 6 weeks, 1 day, and there was no heartbeat. A second ultrasound at 9 weeks, revealed the same development: 6 weeks 1 day. This seems to show that the baby passed away two days after receiving the moderna vaccine.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, aches
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicitis, Pain, Surgery
Clinical narrative: develop RLQ pain, acute appendicitis requiring hospitalization 4/28/21 and surgery 4/29/21
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hypoaesthesia, Injection site bruising, Injection site swelling
Clinical narrative: Swelling on the area vaccinated and bussing lightheaded, headaches, chills, nausea, Numbness on the arm were vaccinated.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Swelling on the area vaccinated and bussing lightheaded, headaches, chills, nausea, Numbness on the arm were vaccinated.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out/fainted approx 5 minutes after vaccination; Layed patient  on floor on back with ice back behind neck; patient regained conciousness and maintained verbal conversation til rescue arrived. Refused transport to hospital.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Petechiae
Clinical narrative: Shortness of breath while at rest sitting upright, lasting a few minutes in the evening on 4/27 Petechiae on inner left leg appeared exactly 3 weeks following vaccination on 4/28
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: 0940: Patient presented 40 minutes post vaccination complaining of rash and itching.  Patient stated she had a rash approximately 60 hours post first dose of the Moderna vaccine.  She began treating it with benadryl and claritin then switched to Pepcid and Allegra and two weeks on that regimen the rash subsided.  She pretreated with Pepcid and Allegra today, but feels as though she is beginning to have a reaction.  Patient escorted to "procedure room 2" for observation.   Vitals:  0942: HR 85, BP 187/101 SpO2:99% on RA Patient resting on they gurney.  Patient talking to Dr on site. Provided patient water. 0952 Rechecked VS: HR 80, BP: 145/86, 99%RA. Patient reports feeling itching on her posterior neck.  No rash noted.  Skin clear and pink. 1000: Patient discharged from vaccine clinic with instruction to seek treatment if any progressive signs of allergic / anaphylaxis reaction.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Dizziness, Fatigue, Tremor
Clinical narrative: Within 5 minutes, I experienced light-headedness, dizziness, and a sense of confusion. This lasted for about 20 minutes, then subsided. After that, I felt increasing fatigue. After 8 hours, I experienced extreme shaking and tremors throughout my whole body. This lasted for about 1 hour. I did not feel chills or hot or cold during this time. I felt extreme fatigue and weakness and was not able to get up from my bed to seek help. It was very scary. After 24 hours, I felt normal and healthy again.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Pain, Paraesthesia
Clinical narrative: Patient describes body aches, tingling in lower jaw, and chest tightness. Symptoms onset after 30 minutes of receiving vaccine. Patient called to discuss symptoms and how best to manage. Spoke with patient and assessed situation. Patient stated that she was able to breath with no labor, was speaking in full, complete sentences. Patient did have diphenhydramine at home. Instructed patient to first take diphenhydramine 25 mg oral liquid by mouth. Checked back with patient via phone after 15 minutes of taking and patient stated that symptoms were slightly better/the same, not worsening. Informed patient that she may take another dose of diphenydramine 25 mg by mouth at that time for total dose of diphenhydramine 50 mg one time. Instructed patient to call 911 with any worsening symptoms and/or difficulty with breathing. Patient verbally expressed understanding.