chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness
Clinical narrative: Friday PM 4/23 flu like all evening, Sat 4/24 woke up as if beaten up severely, weak, could not go down stairs.  Then became to this day one week later at times stabbing pain in back, Confusion, Agitation, Eating Less, Choking, Higher Anxiety and Depression levels, metal fogginess and feeling out of it the entire time.  I was out of work two days (Monday and Wednesday) this week sought Primary help on Wed video visit.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: continuous tinnitus, not ringing but swooshing/hissing soundNon
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: Vertigo and Nausea (along with regulary covid vaccine symptoms which all went away within two days). I still have vertigo and nausea after two weeks post second covid vaccine.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Pyrexia
Clinical narrative: At 10PM day of vaccination, started feeling weakness. Weakness became fever and mild headache around 11PM.  Low grade fever and weakness and intense fatigue persisted into the next day, April 30th. Low grade fever still ongoing at time of this writing.  Headache has mostly resolved, along with regaining some strength.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Event: Client was administered a COVID-19 vaccination that is not approved at this time for use under 18 years of age. Outcome: No signs or symptoms of adverse reaction noted during monitoring period after receiving the vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Pruritus, Pyrexia, Swelling
Clinical narrative: Painful arm, swelling, low grade fever, tired, itching
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient is due the week of 5/10
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: All injection symptoms went away after a few days.  Then a week after the first vaccine injection(Wed) I woke up and the injection site was extremely itchy.  I looked at it and it was red, swollen and very hot to the touch and painful to the touch.  At the top of the red area it looked like there were hives.  I felt a bit tired and a little bit achy.  Based on what I had seen online I iced the area and that helped.  The next day(thurs) I woke u and the injection site was less itchy, less red and less swollen but I was more achy and more tired.  I needed a nap.  I continued to ice the injection site.  The following day (Fri) I woke up and the injection site was less swollen, less red and almost not itchy at all.  I was less achy but still very tired and needed another nap during the day.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pain, Urticaria
Clinical narrative: All injection symptoms went away after a few days.  Then a week after the first vaccine injection(Wed) I woke up and the injection site was extremely itchy.  I looked at it and it was red, swollen and very hot to the touch and painful to the touch.  At the top of the red area it looked like there were hives.  I felt a bit tired and a little bit achy.  Based on what I had seen online I iced the area and that helped.  The next day(thurs) I woke u and the injection site was less itchy, less red and less swollen but I was more achy and more tired.  I needed a nap.  I continued to ice the injection site.  The following day (Fri) I woke up and the injection site was less swollen, less red and almost not itchy at all.  I was less achy but still very tired and needed another nap during the day.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Ear, nose and throat examination, Insomnia, Tinnitus
Clinical narrative: Persistent Tinnitus following vaccination, insomnia
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: Left arm pain, from vaccination site down to elbow and up through shoulder, can't exercise or lift objects with left arm for over 2 weeks
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Significant swelling after 24 hours in my undereye and smile lines on my face. The swelling started to become significant just at the 24 hour mark after receiving my 2nd dose of Moderna. I have had cosmetic fillers in my under eye and smile lines. That said, my last treatment for cosmetic fillers was in December 2020, over 4 months prior to receiving this vaccine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Premature rupture of membranes
Clinical narrative: Premature rupture of membranes at 34 weeks pregnant. EDD May 29, 2021. Birth weight 5 lb 10 ounces.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bradykinesia, Death, Discomfort, Hypoacusis
Clinical narrative: This was a 58 year old female who received her 1st dose Pfizer on 4/6/21 (Lot# EW0175) and 2nd dose Pfizer on 4/27/21 (Lot# EW0151).  Of note, the patient was in a motor vehicle accident on 4/12/21 with a diagnosis of concussion and cervical/thoracic strain/sprain (see history under patient information).  On 4/29/21, the patient's sister contacted the patient's primary care clinic with the following documented concern:  "Pt's sister calling to report that two days ago pt got 2nd dose Pfizer vaccine and has been sick. This morning they found her passed out against the her bedroom door. Pt reports that she can't remember much other than going to the bathroom.  Pt's sister states that patient totaled her car a week ago, and that it was determined she had a concussion.  "She hasn't been herself since the wreck and I am very concerned." This caller recommenced the Ed or UC but caller denied stating that either needs to see her today. This writer is reaching out to nurse to see if they can advise from here." A RN assessed the patient virtually with the following documentation:  "RN note:  Call transferred from patient's sister.  Pt noted to be found on her floor this morning. Pt unsure if she hit her head.  Spoke to patient.  She reports body aches, and feeling weak.  Pt is slow to answer questions, and had a lot of difficulty hearing me (sister did not have any difficulty hearing me).  Pt is noted to have more rapid breathing, and some slight wheezing.  Speech is clear when she is speaking.  Sister gave patient water to drink.  She drank out of bottle and was able to hold on her own (though had difficulty with this at first).  Sister noted some water dripping down face, but was able to swallow okay.  Sister also noted that patient's lips seem to be pursed. Plan: Given recent concussion, and patients change in behavior per sister (pt more irritable, speaking more slowly, moving slowly, breathing faster, and wheezing), recommended patient be taken to the ED today--recommended ambulance since it took 2 men to help patient back to bed this morning.  Sister states patient is not agreeable to going to ED at this time.  Advised to try to encourage her to drink more fluids, and continue to monitor her sxs, and if any worsening, to call for ambulance transport.  Sister agreeable to plan, and will discuss with sister, and recommend ED visit today." On 4/30/21, the patient's sister contacted the clinic to inform them that the patient was found dead that morning.  The medical examiner is completing the further investigation. If additional information is needed from the primary care physician for this patient.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Irritability, Loss of consciousness, Malaise, Memory impairment, Pain
Clinical narrative: This was a 58 year old female who received her 1st dose Pfizer on 4/6/21 (Lot# EW0175) and 2nd dose Pfizer on 4/27/21 (Lot# EW0151).  Of note, the patient was in a motor vehicle accident on 4/12/21 with a diagnosis of concussion and cervical/thoracic strain/sprain (see history under patient information).  On 4/29/21, the patient's sister contacted the patient's primary care clinic with the following documented concern:  "Pt's sister calling to report that two days ago pt got 2nd dose Pfizer vaccine and has been sick. This morning they found her passed out against the her bedroom door. Pt reports that she can't remember much other than going to the bathroom.  Pt's sister states that patient totaled her car a week ago, and that it was determined she had a concussion.  "She hasn't been herself since the wreck and I am very concerned." This caller recommenced the Ed or UC but caller denied stating that either needs to see her today. This writer is reaching out to nurse to see if they can advise from here." A RN assessed the patient virtually with the following documentation:  "RN note:  Call transferred from patient's sister.  Pt noted to be found on her floor this morning. Pt unsure if she hit her head.  Spoke to patient.  She reports body aches, and feeling weak.  Pt is slow to answer questions, and had a lot of difficulty hearing me (sister did not have any difficulty hearing me).  Pt is noted to have more rapid breathing, and some slight wheezing.  Speech is clear when she is speaking.  Sister gave patient water to drink.  She drank out of bottle and was able to hold on her own (though had difficulty with this at first).  Sister noted some water dripping down face, but was able to swallow okay.  Sister also noted that patient's lips seem to be pursed. Plan: Given recent concussion, and patients change in behavior per sister (pt more irritable, speaking more slowly, moving slowly, breathing faster, and wheezing), recommended patient be taken to the ED today--recommended ambulance since it took 2 men to help patient back to bed this morning.  Sister states patient is not agreeable to going to ED at this time.  Advised to try to encourage her to drink more fluids, and continue to monitor her sxs, and if any worsening, to call for ambulance transport.  Sister agreeable to plan, and will discuss with sister, and recommend ED visit today." On 4/30/21, the patient's sister contacted the clinic to inform them that the patient was found dead that morning.  The medical examiner is completing the further investigation. If additional information is needed from the primary care physician for this patient.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory rate increased, Skin abrasion, Slow response to stimuli, Slow speech, Spinal retrolisthesis
Clinical narrative: This was a 58 year old female who received her 1st dose Pfizer on 4/6/21 (Lot# EW0175) and 2nd dose Pfizer on 4/27/21 (Lot# EW0151).  Of note, the patient was in a motor vehicle accident on 4/12/21 with a diagnosis of concussion and cervical/thoracic strain/sprain (see history under patient information).  On 4/29/21, the patient's sister contacted the patient's primary care clinic with the following documented concern:  "Pt's sister calling to report that two days ago pt got 2nd dose Pfizer vaccine and has been sick. This morning they found her passed out against the her bedroom door. Pt reports that she can't remember much other than going to the bathroom.  Pt's sister states that patient totaled her car a week ago, and that it was determined she had a concussion.  "She hasn't been herself since the wreck and I am very concerned." This caller recommenced the Ed or UC but caller denied stating that either needs to see her today. This writer is reaching out to nurse to see if they can advise from here." A RN assessed the patient virtually with the following documentation:  "RN note:  Call transferred from patient's sister.  Pt noted to be found on her floor this morning. Pt unsure if she hit her head.  Spoke to patient.  She reports body aches, and feeling weak.  Pt is slow to answer questions, and had a lot of difficulty hearing me (sister did not have any difficulty hearing me).  Pt is noted to have more rapid breathing, and some slight wheezing.  Speech is clear when she is speaking.  Sister gave patient water to drink.  She drank out of bottle and was able to hold on her own (though had difficulty with this at first).  Sister noted some water dripping down face, but was able to swallow okay.  Sister also noted that patient's lips seem to be pursed. Plan: Given recent concussion, and patients change in behavior per sister (pt more irritable, speaking more slowly, moving slowly, breathing faster, and wheezing), recommended patient be taken to the ED today--recommended ambulance since it took 2 men to help patient back to bed this morning.  Sister states patient is not agreeable to going to ED at this time.  Advised to try to encourage her to drink more fluids, and continue to monitor her sxs, and if any worsening, to call for ambulance transport.  Sister agreeable to plan, and will discuss with sister, and recommend ED visit today." On 4/30/21, the patient's sister contacted the clinic to inform them that the patient was found dead that morning.  The medical examiner is completing the further investigation. If additional information is needed from the primary care physician for this patient.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness, Wheezing
Clinical narrative: This was a 58 year old female who received her 1st dose Pfizer on 4/6/21 (Lot# EW0175) and 2nd dose Pfizer on 4/27/21 (Lot# EW0151).  Of note, the patient was in a motor vehicle accident on 4/12/21 with a diagnosis of concussion and cervical/thoracic strain/sprain (see history under patient information).  On 4/29/21, the patient's sister contacted the patient's primary care clinic with the following documented concern:  "Pt's sister calling to report that two days ago pt got 2nd dose Pfizer vaccine and has been sick. This morning they found her passed out against the her bedroom door. Pt reports that she can't remember much other than going to the bathroom.  Pt's sister states that patient totaled her car a week ago, and that it was determined she had a concussion.  "She hasn't been herself since the wreck and I am very concerned." This caller recommenced the Ed or UC but caller denied stating that either needs to see her today. This writer is reaching out to nurse to see if they can advise from here." A RN assessed the patient virtually with the following documentation:  "RN note:  Call transferred from patient's sister.  Pt noted to be found on her floor this morning. Pt unsure if she hit her head.  Spoke to patient.  She reports body aches, and feeling weak.  Pt is slow to answer questions, and had a lot of difficulty hearing me (sister did not have any difficulty hearing me).  Pt is noted to have more rapid breathing, and some slight wheezing.  Speech is clear when she is speaking.  Sister gave patient water to drink.  She drank out of bottle and was able to hold on her own (though had difficulty with this at first).  Sister noted some water dripping down face, but was able to swallow okay.  Sister also noted that patient's lips seem to be pursed. Plan: Given recent concussion, and patients change in behavior per sister (pt more irritable, speaking more slowly, moving slowly, breathing faster, and wheezing), recommended patient be taken to the ED today--recommended ambulance since it took 2 men to help patient back to bed this morning.  Sister states patient is not agreeable to going to ED at this time.  Advised to try to encourage her to drink more fluids, and continue to monitor her sxs, and if any worsening, to call for ambulance transport.  Sister agreeable to plan, and will discuss with sister, and recommend ED visit today." On 4/30/21, the patient's sister contacted the clinic to inform them that the patient was found dead that morning.  The medical examiner is completing the further investigation. If additional information is needed from the primary care physician for this patient.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Full blood count, Headache, Herpes zoster, Immediate post-injection reaction
Clinical narrative: Immediate headache & sore arm.  by Friday. March 18, I was in severe pain of left side, going through me and coming out the front.  so we went to the hospital  Another XRay revealed ground class pnuemonia, but no heart problems.  After 4 days in the hospital, They dishcharged me.  I took and shower and it revealed that I had shinges breaking out from my back areound my left side.  The doc dischared me on Monday morning, March  19.  I have been taking Gabapentin & Varacyclovir.  the Varacyclovir make my heart race, and pound with the least amount of exercise.  It is now April 30 and I am still in dreadful pain
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial necrosis marker, Pain, Pain in extremity, Pneumonia
Clinical narrative: Immediate headache & sore arm.  by Friday. March 18, I was in severe pain of left side, going through me and coming out the front.  so we went to the hospital  Another XRay revealed ground class pnuemonia, but no heart problems.  After 4 days in the hospital, They dishcharged me.  I took and shower and it revealed that I had shinges breaking out from my back areound my left side.  The doc dischared me on Monday morning, March  19.  I have been taking Gabapentin & Varacyclovir.  the Varacyclovir make my heart race, and pound with the least amount of exercise.  It is now April 30 and I am still in dreadful pain
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: chills throughout the night, fever of 101.4 the for 12 hours. Felt fine after about 20 hours of getting second shot.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itchiness on left lower arm. BPs 162/86 (pulse 80), 126/69 (pulse 84. O2 sat 100%.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient presented to the site in order to get vaccinated with her second dose of Moderna.  The patient was accompanied with her Father.  Administrators at the site identified that the patient was under the age of 18 however had already been vaccinated with the first dose on 02APR2021 with Moderna.  It was brought to the attention of the site upper staff and this writer.  I discussed the situation with the patient and the patient's father who reported a preference to have a second dose and for it to be Pfizer.  This writer spoke with colleague.  This writer informed the patient and father that we would not give a second dose of Pfizer, however would give the second dose of Moderna with the understanding that this would be "off label." This writer also gave the patient and father the option to not be vaccinated today and to be seen by their pediatrician.  Patient and father is requesting Moderna vaccine.  This writer discussed risks and benefits as well as options.  Patient was vaccinated with Moderna.  Patient and father report that the patient did not have an appointment for the first visit and that she was the father, "plus one."  The patient presented a passport during that visit.  The father reports that "this was the first day under 18y/o individuals were authorized," and that he was unable to schedule her an appointment until greater than one week from 02APR2021 which is why he brought her as a "plus one."
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Echocardiogram, Magnetic resonance imaging abnormal, Transient global amnesia, Ultrasound Doppler
Clinical narrative: transient global amnesia - started within hour of receiving vaccine - pt became lost driving, was subsequently admitted and had amnesia that lasted approx 24 h then resolved, negative CVA workup
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Dizziness, Nervousness, Vomiting
Clinical narrative: Within 5 minutes i was dizzy, lost vision, could hold items, and vomiting. After vomiting i felt a little netyer and got vision back, but still very shaky dizzy and out of it.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient admitted for 2-day history of nausea and vomiting, found to be in DKA. Patient also tested positive for COVID-19 on admission.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Alanine aminotransferase increased, Anaemia, Aspartate aminotransferase increased
Clinical narrative: Patient presented to the emergency room for evaluation of shortness of breath and chest pain that started two days prior (one day after receiving first Moderna vaccine). Symptoms worse with exertion. Chest pain is described as a heaviness, does not radiate.  EKG in the emergency room that showed ST elevations in III and aVF and his troponin was found to be 40.5 and so code STEMI was activated.  Patient had cardiac cath on an urgent basis and that showed triple-vessel disease, with a very short left main as LAD and left circumflex were almost coming from 2 separate ostia, subtotal occlusion of the LAD and left circumflex and 100% occlusion of the mid RCA.   Evaluated for CABG,  which was declined.  Patient's echocardiogram showed global hypokinesia with EF of 20 to 25%.  Patient underwent high risk PCI procedure using Impella support with 2 stents to the subtotally occluded LAD and 1 stent to the subtotally occluded left circumflex.  Patient's symptoms subsided following procedure, however patient suffered mild CHF on initial CXR secondary to ischemic cardiomyopathy, successfully treated with Lasix as displayed by downtrending BNP. Patient's labs also displayed shock liver with AST and ALT liver enzymes both above 1000 on arrival; hepatitis and HIV titers came back negative. Patient suffered from AKI on arrival secondary to ischemia, with an elevated BUN and creatinine; CKD suspected due to lab values showing chronic anemia.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine increased, Blood urea increased, Brain natriuretic peptide increased, Cardiac failure congestive, Catheterisation cardiac abnormal
Clinical narrative: Patient presented to the emergency room for evaluation of shortness of breath and chest pain that started two days prior (one day after receiving first Moderna vaccine). Symptoms worse with exertion. Chest pain is described as a heaviness, does not radiate.  EKG in the emergency room that showed ST elevations in III and aVF and his troponin was found to be 40.5 and so code STEMI was activated.  Patient had cardiac cath on an urgent basis and that showed triple-vessel disease, with a very short left main as LAD and left circumflex were almost coming from 2 separate ostia, subtotal occlusion of the LAD and left circumflex and 100% occlusion of the mid RCA.   Evaluated for CABG,  which was declined.  Patient's echocardiogram showed global hypokinesia with EF of 20 to 25%.  Patient underwent high risk PCI procedure using Impella support with 2 stents to the subtotally occluded LAD and 1 stent to the subtotally occluded left circumflex.  Patient's symptoms subsided following procedure, however patient suffered mild CHF on initial CXR secondary to ischemic cardiomyopathy, successfully treated with Lasix as displayed by downtrending BNP. Patient's labs also displayed shock liver with AST and ALT liver enzymes both above 1000 on arrival; hepatitis and HIV titers came back negative. Patient suffered from AKI on arrival secondary to ischemia, with an elevated BUN and creatinine; CKD suspected due to lab values showing chronic anemia.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Chronic kidney disease, Coronary artery disease, Coronary artery occlusion
Clinical narrative: Patient presented to the emergency room for evaluation of shortness of breath and chest pain that started two days prior (one day after receiving first Moderna vaccine). Symptoms worse with exertion. Chest pain is described as a heaviness, does not radiate.  EKG in the emergency room that showed ST elevations in III and aVF and his troponin was found to be 40.5 and so code STEMI was activated.  Patient had cardiac cath on an urgent basis and that showed triple-vessel disease, with a very short left main as LAD and left circumflex were almost coming from 2 separate ostia, subtotal occlusion of the LAD and left circumflex and 100% occlusion of the mid RCA.   Evaluated for CABG,  which was declined.  Patient's echocardiogram showed global hypokinesia with EF of 20 to 25%.  Patient underwent high risk PCI procedure using Impella support with 2 stents to the subtotally occluded LAD and 1 stent to the subtotally occluded left circumflex.  Patient's symptoms subsided following procedure, however patient suffered mild CHF on initial CXR secondary to ischemic cardiomyopathy, successfully treated with Lasix as displayed by downtrending BNP. Patient's labs also displayed shock liver with AST and ALT liver enzymes both above 1000 on arrival; hepatitis and HIV titers came back negative. Patient suffered from AKI on arrival secondary to ischemia, with an elevated BUN and creatinine; CKD suspected due to lab values showing chronic anemia.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Electrocardiogram ST-T segment elevation, HIV test negative, Hepatic enzyme increased
Clinical narrative: Patient presented to the emergency room for evaluation of shortness of breath and chest pain that started two days prior (one day after receiving first Moderna vaccine). Symptoms worse with exertion. Chest pain is described as a heaviness, does not radiate.  EKG in the emergency room that showed ST elevations in III and aVF and his troponin was found to be 40.5 and so code STEMI was activated.  Patient had cardiac cath on an urgent basis and that showed triple-vessel disease, with a very short left main as LAD and left circumflex were almost coming from 2 separate ostia, subtotal occlusion of the LAD and left circumflex and 100% occlusion of the mid RCA.   Evaluated for CABG,  which was declined.  Patient's echocardiogram showed global hypokinesia with EF of 20 to 25%.  Patient underwent high risk PCI procedure using Impella support with 2 stents to the subtotally occluded LAD and 1 stent to the subtotally occluded left circumflex.  Patient's symptoms subsided following procedure, however patient suffered mild CHF on initial CXR secondary to ischemic cardiomyopathy, successfully treated with Lasix as displayed by downtrending BNP. Patient's labs also displayed shock liver with AST and ALT liver enzymes both above 1000 on arrival; hepatitis and HIV titers came back negative. Patient suffered from AKI on arrival secondary to ischemia, with an elevated BUN and creatinine; CKD suspected due to lab values showing chronic anemia.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic cardiomyopathy, Ischaemic hepatitis, Stent placement, Troponin increased, Ventricular hypokinesia
Clinical narrative: Patient presented to the emergency room for evaluation of shortness of breath and chest pain that started two days prior (one day after receiving first Moderna vaccine). Symptoms worse with exertion. Chest pain is described as a heaviness, does not radiate.  EKG in the emergency room that showed ST elevations in III and aVF and his troponin was found to be 40.5 and so code STEMI was activated.  Patient had cardiac cath on an urgent basis and that showed triple-vessel disease, with a very short left main as LAD and left circumflex were almost coming from 2 separate ostia, subtotal occlusion of the LAD and left circumflex and 100% occlusion of the mid RCA.   Evaluated for CABG,  which was declined.  Patient's echocardiogram showed global hypokinesia with EF of 20 to 25%.  Patient underwent high risk PCI procedure using Impella support with 2 stents to the subtotally occluded LAD and 1 stent to the subtotally occluded left circumflex.  Patient's symptoms subsided following procedure, however patient suffered mild CHF on initial CXR secondary to ischemic cardiomyopathy, successfully treated with Lasix as displayed by downtrending BNP. Patient's labs also displayed shock liver with AST and ALT liver enzymes both above 1000 on arrival; hepatitis and HIV titers came back negative. Patient suffered from AKI on arrival secondary to ischemia, with an elevated BUN and creatinine; CKD suspected due to lab values showing chronic anemia.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulopathy, Skin discolouration
Clinical narrative: blue purple discoloration of right thumb, right toe, left toe, no injury or bruises. Contacted Teledoc and provided pictures.  Dr. described it abnormal findings, clotting vessels.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling hot, Impaired work ability, Nausea, Vomiting
Clinical narrative: Nausea immediately after injection which calmed down. Light nausea until 1430 when I vomited. Left work and when I arrived home 15 minutes later o started vomiting again. Additionally, body can?t decide if it?s warm or has the chills.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Syncope
Clinical narrative: About 10 minutes after receiving vaccine client fainted and fell out of his chair and hit his head on the floor. Client regained consciousness, but was transported by EMS to Hospital for evaluation. Per client, he was evaluated for 2 hours in the ER, then discharged, no concussion found.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Eye haemorrhage, Fatigue, Lymphadenopathy, Myalgia, Ocular hyperaemia
Clinical narrative: Severe muscle aches, pain, swollen lymph nodes, extreme fatigue, blood shot left eye- 2 blood vessels bled in eye
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Severe muscle aches, pain, swollen lymph nodes, extreme fatigue, blood shot left eye- 2 blood vessels bled in eye
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Disturbance in attention, Influenza like illness, Pain
Clinical narrative: About 48 hours after the shot, I developed flu-like symptoms: chills, mild diarrhea, body ache, and low fever. These dissipated in the next 36 hours. HOWEVER, during this time I developed bilateral, persistent high-pitch tinnitus. This problem is significant enough to affect sleep and concentration. The tinnitus remains persistent three weeks later.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder, Tinnitus
Clinical narrative: About 48 hours after the shot, I developed flu-like symptoms: chills, mild diarrhea, body ache, and low fever. These dissipated in the next 36 hours. HOWEVER, during this time I developed bilateral, persistent high-pitch tinnitus. This problem is significant enough to affect sleep and concentration. The tinnitus remains persistent three weeks later.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out while driving home from vaccination appt.  event occurred approximately 45 minutes after vaccine given.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: pt c/o throat irritation. denied chest pain. denied dyspnea. respirations unlabored. BP 173/86, HR 103, RR 20, 99%O2sat RA
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site pruritus
Clinical narrative: Erythema and itch on L arm at site of injection.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Employee was fully vaccinated last vaccine on 2/19/21 and she had a household member with Covid and she became infected with the covid 19 virus despite being fully vaccinated but she is asymptomatic
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on trunk and back.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Patient received vaccine and within 1/2 hour a 1 1/2 red streak appeared on her arm. Within an hour the red marks had expanded to over half her arm down her deltoid down the medial antebrachial section of her arm. She was taken to the emergency department for further evaluation.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Patient states she had red, swollen arm with itching approximately 7 days after first vaccination.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Faeces soft
Clinical narrative: The patient had been struggling with C. diff since July 2020. She took her last dose of oral vancomycin on 4/20/21 and reported she finally had "perfect" bowels with consistently solid stools. She received vaccine dose 1 on 4/22/21. Her stools were notably softer starting 4/25/21 and were liquid again on 4/28/21. She took loperamide on 4/29/21 which helped, but the symptoms have not yet resolved. We advised her to seek medical care in case she did not get rid of her C. diff infection, so she is waiting to hear back from the doctor on when she can get in.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Constant Moderate to Severe Tinnitus in left ear Intermittent Moderate Tinnitus in right ear
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: About a week after the first dose the red mark surrounding the injection site reappeared. Spot was about 2 inches long and 1 inch tall. Was itchy for a few hours and then felt like a knot for 3 days.  Took 2 weeks for the mark to go away.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Deep vein thrombosis, Pulmonary embolism
Clinical narrative: DVT and saddle PE. Did have Afib but no A/c
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Dyspnoea exertional, Fatigue, Heart rate irregular
Clinical narrative: 1 day after the vaccine (4/28) - low energy level, achy, tired, shortness of breath 2 days after vaccine (4/29) - shortness of breath after physical activity, irregular pulse 3 days after vaccine (4/30) - back to normal - no symptoms
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: 1 day after the vaccine (4/28) - low energy level, achy, tired, shortness of breath 2 days after vaccine (4/29) - shortness of breath after physical activity, irregular pulse 3 days after vaccine (4/30) - back to normal - no symptoms
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sensation in eye, Hypoaesthesia, Hypoaesthesia oral, Throat tightness
Clinical narrative: Patient reported numbness sensation in her lower jaw and tongue, as well as warmness near her eyes. She was given 2 benadryl 25 mg tablets and 2 famotidine 10 mg tablets. Patient reported some relief, but after about 10 minutes reported she was starting to have tightness in her throat. The first epipen was administered. Patient reported some relief after the first injection, but still had numbness in her jaw, tongue and did not have full relief of throat tightness. 2nd epipen was administered. Patient reported full relief of symptoms. EMS arrived, took patients vitals. Patient's vitals were within normal limits, but was taken to the emergency room for further observation.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Fatigue, arm soreness, 100 degree fever
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Throat tightness
Clinical narrative: Left face swelling with minimal redness; initial tightness in throat which subsided soon after initiating; BP=124/70, pulse ox=96%, HR=90
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash maculo-papular, Rash pruritic, Skin culture
Clinical narrative: Pruritic maculopapular rash on chin and lower face, on right trunk at bra line, on right waist line, and on left low back.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Rash, Rash pruritic
Clinical narrative: Broke out in rash all over my body and it burns and itches super bad.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Malaise, Nausea
Clinical narrative: The following morning of March 31, 2021 around mid-morning I experienced nausea, generalized weakness/malaise and severe fatigue. Symptoms lasted approximately 48 hours.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Disturbance in attention, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Blurry vision, difficulty concentrating, fever, chills, aches, sweating
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Blurry vision, difficulty concentrating, fever, chills, aches, sweating
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: THE PATIENT IS IN HOSPITAL. THE WIFE CALLED AND SAID HE GOT SICK FROM THE VACCINE.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye swelling, Feeling jittery, Injection site erythema, Injection site hypoaesthesia
Clinical narrative: Right after receiving the 1st moderna shot I got dizzy,heart racing that lasted over 6 hours,jittery when I reach my Car at 15 minutes after shot I noticed under my left eye was all swollen and puffy.My upper left arm was warm and numb feeling all around the injection site and lasted 15 minutes then my arm started hurting and turned hard and swollen around injection area.I didn't say anything to professionals about my symptoms because I didn't think they were bad enough.after 5 hours I decided to check my heart rate and it was 122 at resting heart rate.my face continued swelling under both eyes and stayed puffy for a few days.After 2 weeks I developed a big bright red raised itchy rash all around shot area.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Right after receiving the 1st moderna shot I got dizzy,heart racing that lasted over 6 hours,jittery when I reach my Car at 15 minutes after shot I noticed under my left eye was all swollen and puffy.My upper left arm was warm and numb feeling all around the injection site and lasted 15 minutes then my arm started hurting and turned hard and swollen around injection area.I didn't say anything to professionals about my symptoms because I didn't think they were bad enough.after 5 hours I decided to check my heart rate and it was 122 at resting heart rate.my face continued swelling under both eyes and stayed puffy for a few days.After 2 weeks I developed a big bright red raised itchy rash all around shot area.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Palpitations, Periorbital swelling, Swelling face
Clinical narrative: Right after receiving the 1st moderna shot I got dizzy,heart racing that lasted over 6 hours,jittery when I reach my Car at 15 minutes after shot I noticed under my left eye was all swollen and puffy.My upper left arm was warm and numb feeling all around the injection site and lasted 15 minutes then my arm started hurting and turned hard and swollen around injection area.I didn't say anything to professionals about my symptoms because I didn't think they were bad enough.after 5 hours I decided to check my heart rate and it was 122 at resting heart rate.my face continued swelling under both eyes and stayed puffy for a few days.After 2 weeks I developed a big bright red raised itchy rash all around shot area.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Lethargy
Clinical narrative: Intermittent headaches - I usually do not get headaches. Ongoing, since two days post vaccine Lethargy and fatigue - ongoing since one or two days post vaccine
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Face oedema, Oedema, Oedema peripheral, Paraesthesia, Paraesthesia oral
Clinical narrative: Event happened at home, patient was taken to ER where he was treated. Health Dept notified. Upper extremity edema right greater than left, facial edema right greater than left, slight heel edema right greater than left, Tingling sensation in tongue  Treatment with IV Benadryl, Dexamethasone, and Pepcid. Discharged with new RX Epi pen, steroids, and Pepcid
Sex: U
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Pain, Pyrexia
Clinical narrative: Aches, low level fever, fatigue, loss of appetite, starting approx. 12 hours after vaccination and sustained over the course of 3 days
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Dysphagia, Influenza like illness, Palpitations, Pyrexia
Clinical narrative: 3/16/21 - Tightness down esophagus and into chest - lasted approx 5 hours.  Difficulty swallowing - continues to date.  Body and joint aches - at times unable to get out of bed - lasted the 21 days.  Rash on face -  first 48 hours then periodically throughout the 21 day,  Extreme fatigue,  tachycardia and palpitations - strong for the 21 days and continues to occur just not as often,   tinnitus,  dyspnea - 21 days and has not returned to normal.  Contacted dr, who ran bloodwork.  Bloodwork results - abnormal thyroid levels.  (had been stable for over 25 years).  Remaining under dr care.   4/8/21 - 2nd vaccine  Felt like I had the flu, sinus infection and tonsillitis all at once.  With Tylenol fever remained at 100.8 for 24 hours.  Symptoms lasted 72hours     After 72 hours felt healthy again minus they tachycardia, palpitations, difficulty swallowing and other thyroid symptoms
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinusitis, Tachycardia, Thyroid function test abnormal, Tonsillitis
Clinical narrative: 3/16/21 - Tightness down esophagus and into chest - lasted approx 5 hours.  Difficulty swallowing - continues to date.  Body and joint aches - at times unable to get out of bed - lasted the 21 days.  Rash on face -  first 48 hours then periodically throughout the 21 day,  Extreme fatigue,  tachycardia and palpitations - strong for the 21 days and continues to occur just not as often,   tinnitus,  dyspnea - 21 days and has not returned to normal.  Contacted dr, who ran bloodwork.  Bloodwork results - abnormal thyroid levels.  (had been stable for over 25 years).  Remaining under dr care.   4/8/21 - 2nd vaccine  Felt like I had the flu, sinus infection and tonsillitis all at once.  With Tylenol fever remained at 100.8 for 24 hours.  Symptoms lasted 72hours     After 72 hours felt healthy again minus they tachycardia, palpitations, difficulty swallowing and other thyroid symptoms
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PT ONLY 17 AT TIME OF VACCINE
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Limb discomfort, Muscular weakness, Pain in extremity, Ultrasound Doppler normal
Clinical narrative: heavy right leg pain, weakness in leg and still having problems walking with leg. Cannot stand for long periods of time , Leg Feels fevered at night. Have used all kinds of cream and patches for pain and still hurts. Never any problem with right leg before 2nd dose.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Headache, Nausea
Clinical narrative: cough, sinus congestion, headache, poor appetite, nausea
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: cough, sinus congestion, headache, poor appetite, nausea
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is 16 years old and received a Moderna vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Thrombosis, Ultrasound scan
Clinical narrative: Leg started swelling 4/22 and became painful.  Saw Dr. on Monday 4/26 and had venous ultrasound which showed a "blood clot"  was started on xarelto
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness episode lasting about 30 seconds. I was seated, so I don't know if I'd have been able to stand w/o falling/fainting.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebral venous sinus thrombosis, Computerised tomogram head abnormal, Headache, Platelet count normal, Sinus pain
Clinical narrative: Symptoms started 4/27 in patient - presented to the ED on 4/30 for sinus pain and headache.  Confirmed venous sinus thrombosis on CT scan on 4/30/21 during emergency department visit.  Platelets were with normal limits.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebral venous sinus thrombosis, Chills, Computerised tomogram head abnormal, Headache, Intensive care
Clinical narrative: Symptoms started 4/27 in patient - presented to the ED on 4/30 for sinus pain and headache.  Confirmed venous sinus thrombosis on CT scan on 4/30/21 during emergency department visit.  Platelets were with normal limits.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Symptoms started 4/27 in patient - presented to the ED on 4/30 for sinus pain and headache.  Confirmed venous sinus thrombosis on CT scan on 4/30/21 during emergency department visit.  Platelets were with normal limits.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cavernous sinus thrombosis, Computerised tomogram head, Computerised tomogram head abnormal, Heparin-induced thrombocytopenia test, Prothrombin time
Clinical narrative: Symptoms started 4/27 in patient - presented to the ED on 4/30 for sinus pain and headache.  Confirmed venous sinus thrombosis on CT scan on 4/30/21 during emergency department visit.  Platelets were with normal limits.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient received dose 1 of Moderna and reported feeling dizzy and then blacked out. Ambulance was called and then EMS came and spoke with the patient. The patient did wake up and was conscious when the EMS was here with her.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Red rash - generalized
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID pcr test while in immunity period after vaccine.  2nd dose 1/30/2021
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: I experienced a fever, chills and soreness throughout my upper body and left arm. Symptoms began about 4 hours after receiving vaccine. Symptoms persisted for about 30 hours.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokalaemia, Hyponatraemia, Hypotension
Clinical narrative: Patient present to ED on 4/21/21 due to severe hypokalemia, hyponatremia, bradycardia and hypotension. Patient PMHx of multiple abdominal surgeries with near total colectomy and functional intestinal disorder. It was not sure if this was a vaccine related ADR. Report for record keeping.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: On 4/29/21 patient called to inform me that she was having a "swollen armpit" in her COVID19 vaccine arm. I explained it was probably due to her lymph node in that arm working extra hard. We discussed taking ibuprofen and marking how swollen it is now and to see her PCP if the swelling gets any worse. Her vaccine occurred on 04/27/2021
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood blister, Epistaxis, Platelet count decreased
Clinical narrative: Patient reported he developed blood blisters on his 3rd and 4th fingers, and thumb on tuesday on 4/13, and nose bleed,  which resolved on its own.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Immunization certified technician gave injection following proper technique. After finishing the injection, a red bump appeared at injection site. Patient complained of no pain or issues breathing. Gave patient a benadryl 25 mg tablet in case of reaction and monitored for 30 minutes. Bump seemed to go down in size throughout waiting period. Patient had no other complaints.