chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: The medication that was injected stung me. My arm just kept stinging, I kept ice packs on it all day. After 3 hours I started feeling very tired which lasted for days. The next day my left gland in my neck was swollen, arm was hot. I felt like I was getting a sinus headache. The gland kept swelling on and off for about a week.  The tiredness lasted for about three weeks. Developed a rash on my chest and lower back area. The doctor gave me a cream to use on the rash.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Lethargy
Clinical narrative: Weakness/ Lethargic  Seen by EMS on site  PR 52 SPO2 100%  BP 88/35  BP at 10:20am 101/57
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Energy increased, Fatigue, Hypoaesthesia, Muscle contractions involuntary, Muscle twitching
Clinical narrative: Convulsions, twitching at 1:00am .  Strong adrenalin rush.  Got out of bed and worked, moved around rapidly.  I've had mild twitching, muscle contractions, numb nerves in arms and hands ever since.  It is mild though.  Seems to come and go in waves, along with intense fatigue.  June 1, 2021 first day I did not have intense fatigue.  Just found out I was supposed to receive a CDC text or reaction monitoring form;  I did not.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Convulsions, twitching at 1:00am .  Strong adrenalin rush.  Got out of bed and worked, moved around rapidly.  I've had mild twitching, muscle contractions, numb nerves in arms and hands ever since.  It is mild though.  Seems to come and go in waves, along with intense fatigue.  June 1, 2021 first day I did not have intense fatigue.  Just found out I was supposed to receive a CDC text or reaction monitoring form;  I did not.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Flank pain, Haemoptysis, Pulmonary embolism
Clinical narrative: I26.99 - Pulmonary embolism  FLANK PAIN COUGING UP BLOOD
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Drug reaction with eosinophilia and systemic symptoms, Leiomyosarcoma, Neoplasm, Rash
Clinical narrative: Developed Dress Syndome, Also rash covering 60/70% of my body , Fluctuating blood pressure , Plus tumor andd Lieomyo Sarcoma. Recently vision problem which MD states could be caused by adverse reaction to vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Developed Dress Syndome, Also rash covering 60/70% of my body , Fluctuating blood pressure , Plus tumor andd Lieomyo Sarcoma. Recently vision problem which MD states could be caused by adverse reaction to vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site reaction, Injection site swelling
Clinical narrative: Injection site reaction - swelling  (hardness).
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Fatigue, Feeling abnormal, Headache
Clinical narrative: Approximately 1 hour after receiving shot developed very painful stomach pains  and vomiting for several hours.  Woke up next morning feeling better until 1:00 pm when I spiked a fever, intense chills to the point I could not get warm, fatigue, headache.  Then came the debilitating muscle aches that felt like every muscle was going through a ?wood chipper?!  Symptoms lasted 2-3 days.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Vomiting
Clinical narrative: Approximately 1 hour after receiving shot developed very painful stomach pains  and vomiting for several hours.  Woke up next morning feeling better until 1:00 pm when I spiked a fever, intense chills to the point I could not get warm, fatigue, headache.  Then came the debilitating muscle aches that felt like every muscle was going through a ?wood chipper?!  Symptoms lasted 2-3 days.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Constant bilateral tinnitus of varying degrees of severity from strong to debilitating, with episodes of deafening/muffled, pressure-like sensation in the left ear.  During these events of functional loss of hearing in the left ear, the tinnitus is often debilitating, affecting my ability to participate in a conversation, concentrate or even perform common tasks. These episodes last from hours to days.   Tylenol 1000mg PO has not remedied the symptoms
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pruritus
Clinical narrative: Tingling lower lip, itching for 3 days after the vaccine took Benadryl at home
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Swollen tongue, Throat irritation, Tongue pruritus
Clinical narrative: Itchy/Scratchy throat at 28-30 minutes after vaccine injection (5:28-5:30 pm). Kept drinking water, throat continued. Itchy tongue. Itchy behind ears and between shoulder blades began at home (5:45-6:00 pm). Roof of mouth itchy and tongue swelling began 1 hour and 15 minutes after injection (6:15 p.m.). Called Primary Care Doctor and they advised to take Benadryl and go to Emergency Room. Took oral Benadryl and called 911 for ambulance assistance. Blood pressure was over 190/110 and itchy/swelling symptoms continued. EMTs administered additional Benadryl by injection into right upper arm and drove me to  Emergency Department. Observed for 4+ hours, symptoms subsided with Benadryl and rest. Discharged home. Recommended Benadryl every 6 hours as needed.  **Symptoms returned 6/1/2021 at 10 pm home (no foods eaten prior, no Benadryl for one day) - swelling lips, itchy inside ears and back of tongue, scratchy throat. Took Benadryl and rested. Woke 6/2/2021, tongue still a bit swollen.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Systemic inflammatory response syndrome
Clinical narrative: R65.10 - SIRS (systemic inflammatory response syndrome) (CMS/HCC)
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive >14 days post vaccine series. 5/15/21 known high risk exposure. Asymptomatic test.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Joint range of motion decreased, Pain in extremity, Skin warm, Tenderness
Clinical narrative: HARD; INDURATED; HOT TISSUE RIGHT UPPER ARM; TENDER TO TOUCH; LIMITED USE OF ARM
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema
Clinical narrative: After 4 hours after first vaccine had redness and burning in face and skull (4/21/21) was date of first vaccine), it resolved in the afternoon 4/22/21.  June 1, 2021, which  was 20 days after her second vaccine., she facial redness and burning sensation sensation on face.  Noticed that her forehead was hot.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received Moderna vaccination and he is currently 17 years which has not been approved yet for his age. I did call back this morning to follow up with patient but I let a VM to callback for update on how he is feeling.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Blood test normal, Oral discomfort, Pharyngeal swelling, Swollen tongue
Clinical narrative: After I got my 2nd dose and I was in the waiting room area, about 5 minutes later, my tongue and throat started to swell and mouth felt fuzzy.  I called the nurse over to take my vitals and my blood pressure was 210/180.  They took me downstairs to the ER.   I was given dexamethasone and other medications and they did blood work.  I was there for about 8 hours.  When my BP stablized,  I was discharged to monitor my blood pressure at home and given a prescription oral steroid pack (don't remember the name).  I followed up with my PCP with a phone consult and was prescribe losartan 25mg once a day for my blood pressure.  I am currently taking half the dosage now.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: I woke up on May 25th 2021 with chills and a sore throat and a splitting headache and chest congestion. i still have these symptoms as of today June 2nd 2021.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative
Clinical narrative: I woke up on May 25th 2021 with chills and a sore throat and a splitting headache and chest congestion. i still have these symptoms as of today June 2nd 2021.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Reduced facial expression, Tremor
Clinical narrative: Patient was administered Moderna vaccine at 1744 and at ~1800, he was no longer seated in his chair and was lying on the floor.  Appears to have a slight tremor to upper torso and stiff muscles viewed for ~3-5 seconds.  Also patient had a blank face and stared blankly for less than 5 seconds.  Patient was able to answer orientation questions as to name, date of birth and where patient current location was.  Assisted patient to a sitting position on the floor.  No physical injuries noted.  Patient was steady when moving from a seated position on the floor to standing and then lying onto the gurney.  Patient denied dizziness, lightheadedness.  Patient reports he had been drinking alcohol the night before and had eaten one time today at 1300 and drank only 1 bottle of water.  Beginning vital signs were HR 4; O2 sats 99%; BP 96/64.  At 1820 vital signs were HR 57; 02 sats 99%; BP 110/70.  Patient asked to consume 500 cc of water during last 15 minutes of evaluation.  Patient did not want any further treatment and a friend took him home after monitoring completed.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood sodium decreased, COVID-19, Chest X-ray normal, Fatigue
Clinical narrative: Moderna Dose 1 2/20/21 (023M20A) Moderna Dose 2 3/20/21 (045A21A) COVID Positive 5/12/2021  5/12/21: Presented to ED. The patient is a 85-year-old male with a past medical history significant for coronary artery disease status post multiple drug-eluting stents, hypothyroidism.  Patient is coming in with chief complaint of weakness and fatigue which has been going on for the past 1 week.  Patient states that he received his COVID-19 vaccination and completed the course of COVID-19 vaccination at the end of March 2021. He has a history of drug-eluting stents and goes for cardiac rehab and states that he has been extremely weak unable to perform much in the cardiac rehab program.  At this current point in time he denies any fevers chills shortness of breath chest pain abdominal pain nausea vomiting diarrhea constipation.  5/15/21: Patient was admitted for generalized weakness and COVID-19 test returned positive.  He had been vaccinated and received 2 doses the COVID vaccine the last dose being in March.  Initially was on a couple L of oxygen however there was no evidence of pneumonia on chest x-ray.  Was able to be weaned to room air on hospital day 2. Did have some issues with low sodium which may be related to the COVID-19 infection.  Was placed on a free water fluid restriction of 1 L and sodium did improve at the time of discharge.  Will be recommended to have a repeat BMP in 1 week.  He was given 2 doses of remdesivir given his weakness as well as comorbidities making him at risk for worsening COVID-19 infection.  Patient worked with PT and OT and had improvement in his strength.  He does have a walker at home which she will use as needed.  He will follow-up with his PCP and no medication changes were made. Home health was offered but he declined.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, SARS-CoV-2 test positive
Clinical narrative: Moderna Dose 1 2/20/21 (023M20A) Moderna Dose 2 3/20/21 (045A21A) COVID Positive 5/12/2021  5/12/21: Presented to ED. The patient is a 85-year-old male with a past medical history significant for coronary artery disease status post multiple drug-eluting stents, hypothyroidism.  Patient is coming in with chief complaint of weakness and fatigue which has been going on for the past 1 week.  Patient states that he received his COVID-19 vaccination and completed the course of COVID-19 vaccination at the end of March 2021. He has a history of drug-eluting stents and goes for cardiac rehab and states that he has been extremely weak unable to perform much in the cardiac rehab program.  At this current point in time he denies any fevers chills shortness of breath chest pain abdominal pain nausea vomiting diarrhea constipation.  5/15/21: Patient was admitted for generalized weakness and COVID-19 test returned positive.  He had been vaccinated and received 2 doses the COVID vaccine the last dose being in March.  Initially was on a couple L of oxygen however there was no evidence of pneumonia on chest x-ray.  Was able to be weaned to room air on hospital day 2. Did have some issues with low sodium which may be related to the COVID-19 infection.  Was placed on a free water fluid restriction of 1 L and sodium did improve at the time of discharge.  Will be recommended to have a repeat BMP in 1 week.  He was given 2 doses of remdesivir given his weakness as well as comorbidities making him at risk for worsening COVID-19 infection.  Patient worked with PT and OT and had improvement in his strength.  He does have a walker at home which she will use as needed.  He will follow-up with his PCP and no medication changes were made. Home health was offered but he declined.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Presyncope
Clinical narrative: Guest had near syncopal episode, Guest also described feeling nausea
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Janssen COVID vaccine given to person under the age of 18. No treatment, no adverse reactions, patients mother was called and notified, pts mother states no issues, pt is doing fine, no reaction.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Systemic inflammatory response syndrome
Clinical narrative: R65.10 - SIRS (systemic inflammatory response syndrome) (CMS/HCC)
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test abnormal, Bradykinesia, Cerebrovascular accident, Dizziness
Clinical narrative: Five weeks (05/16/2021) after receiving the Johnson and Johnson vaccine, my left leg just started feeling numb. I went into my kitchen and all of a sudden I started feeling dizzy. I lost all strength in my legs and in my left arm. I really couldn't move my arms or my legs and I felt really light headed. I had to have my 5 year old boys get me some water to drink. My son noticed that my heart was beating really strong and really fast. I saw water boiling over in the pot on the stove and I couldn't even get out of a chair to turn it off. I couldn't stand up. I finally managed to go back by my bed from the chair and slowly moved around. I tried holding my phone and it dropped out of my hands a couple of times because I couldn't hold it. A couple hours later, I felt a little better, but I had to fight to get around. We fell asleep and when I woke up, I still felt bad. I took my children to school and told them that I was going to the hospital to get checked out. At the hospital they performed multiple tests and they back showing I had stroke. I was treated for suffering from a stroke.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Feeling abnormal, Gait disturbance, Grip strength decreased, Heart rate increased
Clinical narrative: Five weeks (05/16/2021) after receiving the Johnson and Johnson vaccine, my left leg just started feeling numb. I went into my kitchen and all of a sudden I started feeling dizzy. I lost all strength in my legs and in my left arm. I really couldn't move my arms or my legs and I felt really light headed. I had to have my 5 year old boys get me some water to drink. My son noticed that my heart was beating really strong and really fast. I saw water boiling over in the pot on the stove and I couldn't even get out of a chair to turn it off. I couldn't stand up. I finally managed to go back by my bed from the chair and slowly moved around. I tried holding my phone and it dropped out of my hands a couple of times because I couldn't hold it. A couple hours later, I felt a little better, but I had to fight to get around. We fell asleep and when I woke up, I still felt bad. I took my children to school and told them that I was going to the hospital to get checked out. At the hospital they performed multiple tests and they back showing I had stroke. I was treated for suffering from a stroke.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test abnormal, Monoparesis
Clinical narrative: Five weeks (05/16/2021) after receiving the Johnson and Johnson vaccine, my left leg just started feeling numb. I went into my kitchen and all of a sudden I started feeling dizzy. I lost all strength in my legs and in my left arm. I really couldn't move my arms or my legs and I felt really light headed. I had to have my 5 year old boys get me some water to drink. My son noticed that my heart was beating really strong and really fast. I saw water boiling over in the pot on the stove and I couldn't even get out of a chair to turn it off. I couldn't stand up. I finally managed to go back by my bed from the chair and slowly moved around. I tried holding my phone and it dropped out of my hands a couple of times because I couldn't hold it. A couple hours later, I felt a little better, but I had to fight to get around. We fell asleep and when I woke up, I still felt bad. I took my children to school and told them that I was going to the hospital to get checked out. At the hospital they performed multiple tests and they back showing I had stroke. I was treated for suffering from a stroke.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Peripheral swelling
Clinical narrative: pt states that approx. one week after receiving the vaccine his left hand went numb and he has numbness throughout his arm.  His hand is also swollen.  Pharmacist advised that he see is PCP or go to the dr.  Pt stated he doesn't have a doctor and that he has never hand any medical issues or problems until he got the vaccine
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: pt tested positive for COVID, asymptomatic
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Developed new onset tinnitus 3 hours after vaccine administration which has continued to date.  No prior history of tinnitus.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Local reaction
Clinical narrative: 1 week post first dose of Moderna COVID-19 vaccination - individual called to report the appearance of a local reaction at the injection site.  Erythema (diameter of approximately 5 inches) and pruritis.  No other symptoms.   Antihistamine cream applied at the injection site on day 1.  No other treatment was taken.  Local reaction subsided completely within 7 day period.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Autoimmune hepatitis, Biopsy liver abnormal, Blood bilirubin increased
Clinical narrative: Pt developed jaundice 5 days after second vaccination. TBili was 16 on presentation to hospital approximately 20 days after vaccination and was 25 at the highest. AST and ALT were markedly elevated over 1000. Liver biopsy showed DILI vs autoimmune hepatitis, thought to be more related to AIH. This is a new diagnosis for her. Started on steroids with improvement
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Drug-induced liver injury, International normalised ratio increased, Jaundice
Clinical narrative: Pt developed jaundice 5 days after second vaccination. TBili was 16 on presentation to hospital approximately 20 days after vaccination and was 25 at the highest. AST and ALT were markedly elevated over 1000. Liver biopsy showed DILI vs autoimmune hepatitis, thought to be more related to AIH. This is a new diagnosis for her. Started on steroids with improvement
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Malaise, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: I don't know if this would be considered an adverse reaction to the vaccine, or being a recovered COVID19 patient, but I started feeling unwell on the afternoon of May 16th, a little worse the next day with a sore throat, congestion, runny nose and burning eyes. On Tuesday the 18th I had a slight fever, so I went to the walk-in clinic to be assessed and tested for COVID19 to make sure it wasn't that. The APN explained that I was experiencing seasonal/environmental allergies after having worked outside on May 16th and 17th. I have never had allergies before and it felt like I was coming down with a cold of some kind, so I wanted to be assessed and ensure I wouldn't get anyone else sick. The APN agreed the slight fever (99.6) was atypical and she understood why I came in. She prescribed allergy eye drops and nasal spray and told me to take an OTC allergy medication. I have continued to experience some allergy symptoms (runny nose, congestion, burning eyes) even after 2 weeks of taking medication. I am unsure if my immune system has changed as a result of having COVID19 in April 2020 or a reaction to the vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: I don't know if this would be considered an adverse reaction to the vaccine, or being a recovered COVID19 patient, but I started feeling unwell on the afternoon of May 16th, a little worse the next day with a sore throat, congestion, runny nose and burning eyes. On Tuesday the 18th I had a slight fever, so I went to the walk-in clinic to be assessed and tested for COVID19 to make sure it wasn't that. The APN explained that I was experiencing seasonal/environmental allergies after having worked outside on May 16th and 17th. I have never had allergies before and it felt like I was coming down with a cold of some kind, so I wanted to be assessed and ensure I wouldn't get anyone else sick. The APN agreed the slight fever (99.6) was atypical and she understood why I came in. She prescribed allergy eye drops and nasal spray and told me to take an OTC allergy medication. I have continued to experience some allergy symptoms (runny nose, congestion, burning eyes) even after 2 weeks of taking medication. I am unsure if my immune system has changed as a result of having COVID19 in April 2020 or a reaction to the vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Day of injection: Immediate injection site swelling, redness, pain and burning.  5/20/2020 - currently: Fatigue, hot sweats, fever, body aches, chills, joint pain (fingers), ringing in ears and headaches.  Menstrual cycle has also stopped.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling, Menstrual disorder
Clinical narrative: Day of injection: Immediate injection site swelling, redness, pain and burning.  5/20/2020 - currently: Fatigue, hot sweats, fever, body aches, chills, joint pain (fingers), ringing in ears and headaches.  Menstrual cycle has also stopped.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Tinnitus
Clinical narrative: Day of injection: Immediate injection site swelling, redness, pain and burning.  5/20/2020 - currently: Fatigue, hot sweats, fever, body aches, chills, joint pain (fingers), ringing in ears and headaches.  Menstrual cycle has also stopped.
Sex: U
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Vertigo
Clinical narrative: Vertigo lasting months nausea vomiting headache chills exhaustion
Sex: U
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Vertigo lasting months nausea vomiting headache chills exhaustion
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hyperventilation
Clinical narrative: 30 minutes after vaccine patient began to hyperventilate, and felt chest tightness.  I stayed with patients until the paramedics arrived.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Blood creatinine increased, Blood lactic acid, COVID-19
Clinical narrative: Moderna Dose 1 2/25/21 (041L20A) Moderna Dose 2 3/25/21 (011M20A) COVID Positive 5/10/2021  5/10/21: Presented to ED. 84-year-old male with history of liver transplant for primary sclerosing cholangitis currently on immunosuppressive therapy with CellCept and sirolimus, colon cancer status post partial colectomy with colostomy, prostate cancer s/p androgen deprivation therapy, CKD stage 4 and obstructive sleep apnea presented with cough.  Patient reports symptoms started about 1 week ago with dry intermittent cough associated with shortness of breath, chest pain, generalized weakness body aches and worsening of chronic diarrhea.  He was treated with Z-Pak but symptoms continued and he presented to the emergency room, found to be hypoxic requiring up to 6 L nasal cannula oxygen  Patient also had fever no chills or rigors. Reports he has received both shots of COVID-19 vaccine.  In the emergency room patient was hypotensive which was responsive to IV fluids and  received levofloxacin.  Chest x-ray showed bilateral pneumonia.  WBC 15.5, lactic acid 2.8 and the creatinine 2 which is patient's baseline.  5/13/21: 84-year-old male with history of liver transplant for primary sclerosing cholangitis currently on immunosuppressive therapy with CellCept and sirolimus, colon cancer status post partial colectomy with colostomy, prostate cancer s/p androgen deprivation therapy, CKD stage 4 and obstructive sleep apnea presented with cough. Patient reports symptoms started about 1 week prior to hospitalization with dry intermittent cough associated with shortness of breath, chest pain, generalized weakness body aches and worsening of chronic diarrhea.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Treated with dexamethasone and levofloxacin. With not a candidate for remdesivir based on poor renal function and ID consulted and did not believe patient qualifies for Actemra. Subsequently shortness of breath and hypoxia resolved and he was deemed stable for discharge and will complete 7 days steroid taper.  Liver transplant team at pain clinic was consulted, recommended holding sirolimus while patient is on dexamethasone.  I have clearly communicated to the patient and his wife to resume sirolimus after 1 week.  On discharge patient was a febrile and hemodynamically stable.  He was discharged home.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chest pain, Cough, Diarrhoea
Clinical narrative: Moderna Dose 1 2/25/21 (041L20A) Moderna Dose 2 3/25/21 (011M20A) COVID Positive 5/10/2021  5/10/21: Presented to ED. 84-year-old male with history of liver transplant for primary sclerosing cholangitis currently on immunosuppressive therapy with CellCept and sirolimus, colon cancer status post partial colectomy with colostomy, prostate cancer s/p androgen deprivation therapy, CKD stage 4 and obstructive sleep apnea presented with cough.  Patient reports symptoms started about 1 week ago with dry intermittent cough associated with shortness of breath, chest pain, generalized weakness body aches and worsening of chronic diarrhea.  He was treated with Z-Pak but symptoms continued and he presented to the emergency room, found to be hypoxic requiring up to 6 L nasal cannula oxygen  Patient also had fever no chills or rigors. Reports he has received both shots of COVID-19 vaccine.  In the emergency room patient was hypotensive which was responsive to IV fluids and  received levofloxacin.  Chest x-ray showed bilateral pneumonia.  WBC 15.5, lactic acid 2.8 and the creatinine 2 which is patient's baseline.  5/13/21: 84-year-old male with history of liver transplant for primary sclerosing cholangitis currently on immunosuppressive therapy with CellCept and sirolimus, colon cancer status post partial colectomy with colostomy, prostate cancer s/p androgen deprivation therapy, CKD stage 4 and obstructive sleep apnea presented with cough. Patient reports symptoms started about 1 week prior to hospitalization with dry intermittent cough associated with shortness of breath, chest pain, generalized weakness body aches and worsening of chronic diarrhea.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Treated with dexamethasone and levofloxacin. With not a candidate for remdesivir based on poor renal function and ID consulted and did not believe patient qualifies for Actemra. Subsequently shortness of breath and hypoxia resolved and he was deemed stable for discharge and will complete 7 days steroid taper.  Liver transplant team at pain clinic was consulted, recommended holding sirolimus while patient is on dexamethasone.  I have clearly communicated to the patient and his wife to resume sirolimus after 1 week.  On discharge patient was a febrile and hemodynamically stable.  He was discharged home.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypotension, Hypoxia, Pain, Pneumonia
Clinical narrative: Moderna Dose 1 2/25/21 (041L20A) Moderna Dose 2 3/25/21 (011M20A) COVID Positive 5/10/2021  5/10/21: Presented to ED. 84-year-old male with history of liver transplant for primary sclerosing cholangitis currently on immunosuppressive therapy with CellCept and sirolimus, colon cancer status post partial colectomy with colostomy, prostate cancer s/p androgen deprivation therapy, CKD stage 4 and obstructive sleep apnea presented with cough.  Patient reports symptoms started about 1 week ago with dry intermittent cough associated with shortness of breath, chest pain, generalized weakness body aches and worsening of chronic diarrhea.  He was treated with Z-Pak but symptoms continued and he presented to the emergency room, found to be hypoxic requiring up to 6 L nasal cannula oxygen  Patient also had fever no chills or rigors. Reports he has received both shots of COVID-19 vaccine.  In the emergency room patient was hypotensive which was responsive to IV fluids and  received levofloxacin.  Chest x-ray showed bilateral pneumonia.  WBC 15.5, lactic acid 2.8 and the creatinine 2 which is patient's baseline.  5/13/21: 84-year-old male with history of liver transplant for primary sclerosing cholangitis currently on immunosuppressive therapy with CellCept and sirolimus, colon cancer status post partial colectomy with colostomy, prostate cancer s/p androgen deprivation therapy, CKD stage 4 and obstructive sleep apnea presented with cough. Patient reports symptoms started about 1 week prior to hospitalization with dry intermittent cough associated with shortness of breath, chest pain, generalized weakness body aches and worsening of chronic diarrhea.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Treated with dexamethasone and levofloxacin. With not a candidate for remdesivir based on poor renal function and ID consulted and did not believe patient qualifies for Actemra. Subsequently shortness of breath and hypoxia resolved and he was deemed stable for discharge and will complete 7 days steroid taper.  Liver transplant team at pain clinic was consulted, recommended holding sirolimus while patient is on dexamethasone.  I have clearly communicated to the patient and his wife to resume sirolimus after 1 week.  On discharge patient was a febrile and hemodynamically stable.  He was discharged home.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vaccine breakthrough infection, White blood cell count increased
Clinical narrative: Moderna Dose 1 2/25/21 (041L20A) Moderna Dose 2 3/25/21 (011M20A) COVID Positive 5/10/2021  5/10/21: Presented to ED. 84-year-old male with history of liver transplant for primary sclerosing cholangitis currently on immunosuppressive therapy with CellCept and sirolimus, colon cancer status post partial colectomy with colostomy, prostate cancer s/p androgen deprivation therapy, CKD stage 4 and obstructive sleep apnea presented with cough.  Patient reports symptoms started about 1 week ago with dry intermittent cough associated with shortness of breath, chest pain, generalized weakness body aches and worsening of chronic diarrhea.  He was treated with Z-Pak but symptoms continued and he presented to the emergency room, found to be hypoxic requiring up to 6 L nasal cannula oxygen  Patient also had fever no chills or rigors. Reports he has received both shots of COVID-19 vaccine.  In the emergency room patient was hypotensive which was responsive to IV fluids and  received levofloxacin.  Chest x-ray showed bilateral pneumonia.  WBC 15.5, lactic acid 2.8 and the creatinine 2 which is patient's baseline.  5/13/21: 84-year-old male with history of liver transplant for primary sclerosing cholangitis currently on immunosuppressive therapy with CellCept and sirolimus, colon cancer status post partial colectomy with colostomy, prostate cancer s/p androgen deprivation therapy, CKD stage 4 and obstructive sleep apnea presented with cough. Patient reports symptoms started about 1 week prior to hospitalization with dry intermittent cough associated with shortness of breath, chest pain, generalized weakness body aches and worsening of chronic diarrhea.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Treated with dexamethasone and levofloxacin. With not a candidate for remdesivir based on poor renal function and ID consulted and did not believe patient qualifies for Actemra. Subsequently shortness of breath and hypoxia resolved and he was deemed stable for discharge and will complete 7 days steroid taper.  Liver transplant team at pain clinic was consulted, recommended holding sirolimus while patient is on dexamethasone.  I have clearly communicated to the patient and his wife to resume sirolimus after 1 week.  On discharge patient was a febrile and hemodynamically stable.  He was discharged home.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Breast tenderness, Fatigue, Pain, Premenstrual syndrome
Clinical narrative: After three years of menopause, the month after the vaccine I experience several PMS symptoms, including very swollen and tender breasts, body aches, and fatigue. 5 weeks after the shot, I am bleeding as if menstrating.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: After three years of menopause, the month after the vaccine I experience several PMS symptoms, including very swollen and tender breasts, body aches, and fatigue. 5 weeks after the shot, I am bleeding as if menstrating.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: About a month after 2 dose, I began experiencing joint pain in my hands and knees.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: During observation patient states he felt faint then collapsed. RN standing nearby helped assist member to the floor. No injuries noted. Patient was monitored for an extended period of time. Vital signs stable.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Woke up in the middle of the night with chills. Feeling feverish but no fever present. Muscle and joint pain along with severe headache and fatigue.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Woke up in the middle of the night with chills. Feeling feverish but no fever present. Muscle and joint pain along with severe headache and fatigue.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Foetal death, Intermenstrual bleeding, Ultrasound antenatal screen abnormal
Clinical narrative: I was 14 weeks, 4 days pregnant when I received the vaccine. My due date was November 11, 2021. I had three ultrasounds prior to my shot and all showed that the baby was normal and healthy. We also had normal genetic testing results with this pregnancy. We found out in 6/1/2021 that we lost the baby and based on the size of the baby when it passed, it was determined that the baby passed on 5/17/21 - the date I received my first Moderna vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Pain in extremity
Clinical narrative: left inner arm pain and weakness continuing sine 1 week after injection
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Joint warmth, Laboratory test normal, Musculoskeletal stiffness
Clinical narrative: Joint swelling, Warm feeling in joints ( hands & knees), Locking up of fingers and thumbs on both hands.  Symptoms started 24/48 hours after shot.  Treated with Ibuprofen first few days.  I woke up 5/6 with fingers and thumb locked up on one hand and was concerned, one day later 5/7 woke up with both hands in similar condition.  Right hand thumb and pointer and left hand thumb, pointer & middle finger and that was it.  Its happened a few time after 5/7 but not as bad.  Joints still swollen and warm and difficult to hold anything in hands with strength.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Panic reaction
Clinical narrative: Pt received vaccine, about 5 mins later he stated he was not feeling well, but could not articulate symptoms. He was breathing ok, but was in a state of panic. He requested we call 911, which we did immediately, and gave him an ice pack. EMTs arrived and he refused transport. He called his mother, who came and got him. EMTs waited with him until she arrived.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Fatigue, Hypoaesthesia oral, Immediate post-injection reaction
Clinical narrative: Immediately after vaccine dose 1, patient had lips feel number and tongue itch, dizziness and unable to stand after multiple attempts. Patient observed for 30 minutes. For two days after vaccination patient experienced fever 102.4, tongue swelled up and fatigue for two days. Treated with Benadryl after vaccination and the two days after. Prescriber recommended to patient to not go forward with dose number 2.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swollen tongue, Tongue pruritus
Clinical narrative: Immediately after vaccine dose 1, patient had lips feel number and tongue itch, dizziness and unable to stand after multiple attempts. Patient observed for 30 minutes. For two days after vaccination patient experienced fever 102.4, tongue swelled up and fatigue for two days. Treated with Benadryl after vaccination and the two days after. Prescriber recommended to patient to not go forward with dose number 2.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy soft tissue, Incision site erythema, Incision site impaired healing, Incision site swelling, Infusion
Clinical narrative: Time line: February 25, 2021 ... First vaccine Injection             No side effects March 1, 2021 ... Total Shoulder Replacement March 26, 2021 ... Second vaccine injection March 28, 2021 ... Severe pain at location of surgery.                                           I took pain medicine for relief.                                           In time I noticed the place of incision was getting red. April 20, 2021 ...      The incision point had swollen and was red. I took pictures and sent them to my surgeon.                                           He requested that I come see him that day. April 21, 2021 ...      I was brought to the Operating room for surgery. The incision was cleaned and stitched back up. April 23, 2021 ...     I was brought to the Operating room for surgery. The incision was cleaned and stitched back up. April 26, 2021 ...     I was discharged from the hospital but required to have daily antibiotic infusions for 30 days June 2, 2021 ...        I will finish my infusions today but will be on an antibiotic for 6 months My surgeon and an infectious disease doctor believe the second vaccine attacked the healing process. The extent is somewhat unknown. The infection may have migrated due to the second vaccine
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Postoperative wound infection, Procedural pain, Wound treatment
Clinical narrative: Time line: February 25, 2021 ... First vaccine Injection             No side effects March 1, 2021 ... Total Shoulder Replacement March 26, 2021 ... Second vaccine injection March 28, 2021 ... Severe pain at location of surgery.                                           I took pain medicine for relief.                                           In time I noticed the place of incision was getting red. April 20, 2021 ...      The incision point had swollen and was red. I took pictures and sent them to my surgeon.                                           He requested that I come see him that day. April 21, 2021 ...      I was brought to the Operating room for surgery. The incision was cleaned and stitched back up. April 23, 2021 ...     I was brought to the Operating room for surgery. The incision was cleaned and stitched back up. April 26, 2021 ...     I was discharged from the hospital but required to have daily antibiotic infusions for 30 days June 2, 2021 ...        I will finish my infusions today but will be on an antibiotic for 6 months My surgeon and an infectious disease doctor believe the second vaccine attacked the healing process. The extent is somewhat unknown. The infection may have migrated due to the second vaccine
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Nausea
Clinical narrative: Patient reported feeling nauseous and light-headed post-vaccination. EMS evaluated her, determined her blood pressure was low, and gave her snacks and water. Patient was driven home by her mother.   6/1/21:10:50am -  TC to mom - daughter is doing fine and have no concerns or questions.  -  RN
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, C-reactive protein normal, Computerised tomogram abnormal, Inflammation, Injection site inflammation
Clinical narrative: CT arm  Inflammatory stranding within the subcutaneous fat of the distal arm, most advanced in the region of the olecranon bursa. This area is partially included. Fluid density within the subcutaneous fat measuring 4.0 x 1.8 cm. Series 3/17.  It is possible the patient has an abscess but there are no clear signs of infection (WBC normal, no fever, CRP WNL, ESR WNL). Her CPK is >10K. She doesn?t have a DVT of that extremity. One consideration is that she was injected into the bursa. Although the CT scan clearly shows some inflammatory reaction it is not clear what we are dealing with. I am hopeful they do a MRI and perhaps a needle drainage of the fluid to determine what the fluid contains.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered at inappropriate site, Red blood cell sedimentation rate normal, White blood cell count normal
Clinical narrative: CT arm  Inflammatory stranding within the subcutaneous fat of the distal arm, most advanced in the region of the olecranon bursa. This area is partially included. Fluid density within the subcutaneous fat measuring 4.0 x 1.8 cm. Series 3/17.  It is possible the patient has an abscess but there are no clear signs of infection (WBC normal, no fever, CRP WNL, ESR WNL). Her CPK is >10K. She doesn?t have a DVT of that extremity. One consideration is that she was injected into the bursa. Although the CT scan clearly shows some inflammatory reaction it is not clear what we are dealing with. I am hopeful they do a MRI and perhaps a needle drainage of the fluid to determine what the fluid contains.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Patient reported feeling nauseous and light-headed post-vaccination. EMS evaluated patient and gave him water.   6/1/21: 11:37am - TC to parent. No answer. left message to call back. - RN   6/1/21: 12:22pm - Mom returned call. Child doing fine. No concerns or questions. - RN
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram, Blood test normal, Blood thyroid stimulating hormone normal, Borrelia test negative, Deafness unilateral
Clinical narrative: Sudden unilateral hearing loss, moderate severity. No treatment. No recovery of hearing
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Ear, nose and throat examination, Full blood count normal, Sudden hearing loss
Clinical narrative: Sudden unilateral hearing loss, moderate severity. No treatment. No recovery of hearing
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Cardiac stress test, Cerebral vasoconstriction, Dizziness, Electrocardiogram normal
Clinical narrative: She got her vaccine, had no reaction.  The next morning/afternoon she had a headache/head pressure, light headedness.  As the days went on she had impaired equilibrium issues, which she is still having therapy for.   She called her doctor after about 4 weeks of experiencing these symptoms every day, and he suspected that since she was dizzy and had equilibrium issues that it could be an inner ear problem, and referred her to an ENT.  She went to the ER with pressure in her chest and headache.  She had an EKG, stress test, doppler on the carotid arteries, and chest x-ray.  All of these tests were negative for any findings.  She then saw the ENT and he ruled out Meniere's disease, any inner ear problem, ordered a brain MRI.  This showed mild constriction of the small blood vessels consistent with her age and that was all.  She continued to have the problems, and her PCP recommended balance therapy and sent her to therapy for that.  This therapy is helping her, and she continues to still go for the therapy.  Any of the doctors that she saw felt that it was an over-reaction of her immune system to the vaccine.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Magnetic resonance imaging head abnormal, Ultrasound Doppler normal
Clinical narrative: She got her vaccine, had no reaction.  The next morning/afternoon she had a headache/head pressure, light headedness.  As the days went on she had impaired equilibrium issues, which she is still having therapy for.   She called her doctor after about 4 weeks of experiencing these symptoms every day, and he suspected that since she was dizzy and had equilibrium issues that it could be an inner ear problem, and referred her to an ENT.  She went to the ER with pressure in her chest and headache.  She had an EKG, stress test, doppler on the carotid arteries, and chest x-ray.  All of these tests were negative for any findings.  She then saw the ENT and he ruled out Meniere's disease, any inner ear problem, ordered a brain MRI.  This showed mild constriction of the small blood vessels consistent with her age and that was all.  She continued to have the problems, and her PCP recommended balance therapy and sent her to therapy for that.  This therapy is helping her, and she continues to still go for the therapy.  Any of the doctors that she saw felt that it was an over-reaction of her immune system to the vaccine.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site dryness, Injection site pruritus, Rash erythematous, Rash pruritic, Skin exfoliation
Clinical narrative: On 05/13/2021, approximately 48 days after receiving the second Pfizer COVID-19 vaccine dose, a rash appeared on the left arm at the injection site. Rash was circular, pink/red in color, and approximately 2 inches in diameter. Rash did not disappear after using topical medications including lotions and creams. After a few days rash became itchy. After a week, the rash became less pink in color and the skin began to peel, similar to a sunburn. Pink rash is no longer present 20 days later, however the area continues to be itchy and the skin continues to be dry, even with the use of lotion and hydrocortisone cream.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Feeling abnormal, Pain in extremity, Paraesthesia, Sleep disorder
Clinical narrative: Pain started in the shoulder about a day after the shot. It has gotten progressively worse, with tingling down my arm and into my fingers. I have range of motion, but arm feels fatigued and sore. Wakes me up at night if I move my arm, or roll onto my left shoulder.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Convalescent plasma transfusion, Hypoxia, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient admitted 4/19/21 with acute hypoxia, bilateral pneumonia found to be Covid-19 positive. Treated with 6 days of dexamethasone, 5 days of remdesivir, and received convalescent plasma. She was discharged on 4/25/21 without an oxygen requirement. Received Moderna vaccine 3/18 and 4/15