chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Symptoms initially began 3 weeks after COVID-19 dose #1. "Started with rash on back of neck at hairline, described as bumpy, itchy and red lacey looking at edges, described as splotchy with progression to shoulders, and down back. Red spots eventually turned to brown color like a suntan". Symptoms escalated by evening following dose #2, with painful spots and severe itching. Feels worst has now passed. Described feeling of "itch about to happen".  Has appt pending with dermatologist 6/8/21. PCP currently closed until July and referred to Public Health clinic to report. At time of report, patient was encouraged to seek evaluation/treatment at walk-in clinic in interim while awaiting dermatology appt.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea
Clinical narrative: Unexplained menstrual cramping began four days after dose and lasted five days. Cramping was moderate to intense and came approximately 14-16 days after the first day of my last period. My next period came as expected with some spotting beforehand. I saw other women reported menstrual changes so though this data should be studied, especially with all of the antivax rhetoric about the vaccine impacting fertility
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: No adverse event. Patient got the vaccine too early. First dose was on 4/29/21 and then again on 5/20/21. Patient traveled from a long distance to get the vaccine. He was a week early. Patient was not on the schedule but when he showed up, the vaccinator gave it to him. Patient was on our schedule today and did not show up. When I went into the state immunization schedule/program I noticed he was several days early to get vaccine (patient was to return on 5/27/21 at 1:30 pm).
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient experienced vasovagal syncope within a minute of her vaccination. Helped patient lie down on the floor and explained situation to her. Assisted patient to cot, and provided apple juice. Encouraged patient to call her mom and continued to monitor patient's status.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Sleep disorder
Clinical narrative: Pt started getting daily headaches lasting 5 mins multiple times per day in different parts of her head.  Some can be severe enough that they wake her from her sleep.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Pt with unprovoked PE 4 weeks after 1st injection
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased
Clinical narrative: Patient has lowered O2 levels of below 85% beginning on 2nd full day after vaccine [2nd dose].
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Swelling face
Clinical narrative: swelling on eft side of face
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ear swelling, Pruritus, Skin warm, Swelling face
Clinical narrative: swelling on eft side of face
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Flushing, Syncope, Unresponsive to stimuli
Clinical narrative: Patient received her first dose of the vaccine then fainted shortly after..  She appeared unresponsive and her cheeks were flushed. Patient only responded to verbal command with confusion.  Permission was obtained from ER Dr on duty to administer EpiPen at 0.3 mg  Patient was then transported to ER
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal distension, Arthralgia, Constipation, Diarrhoea
Clinical narrative: Immediate reaction = headache 4 hour reaction = increasing fatigue, headache 12 hour reaction = headache, joint aches, fatigue, fever 101.4 24 hour reaction = headache, fever gone, excessive fatigue and joint and muscle aches 24-72 hour reaction = headache, excessive fatigue, joint and muscle aches, bloating with intestinal discomfort Day 5 - 96 hour - symptoms improved, mild fatigue and joint aches, mild headache, able to do daily activities Day 5 - 10 pm = fatigue, headache, and joint aches increased Day 5- 11 = extreme excessive fatigue, joint and muscle aches, bloating and intestinal discomfort, mild headache - unable to work or perform daily activities Day 11- 17 symptoms improved slightly to allow some resumption of daily activities, intestinal symptoms include alternating diarrhea with constipation, joint and muscle aches prevent any return to walking and exercise, minimal work tasks completed Day 17-22 Symptoms the same as week before - becoming chronic - visit to MD on April 29th. Day 23-47 Treated with combination of Zyrtek, Pepcid, and Probiotic due to sensitivity to steroids. Symptoms gradually improved Day 48 (May 22nd) - first full day of ability to resume normal activities, including walking  2 miles (previous to vaccine was running 3-4 miles 3-4 times a week)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Full blood count normal, Headache, Immediate post-injection reaction, Impaired work ability
Clinical narrative: Immediate reaction = headache 4 hour reaction = increasing fatigue, headache 12 hour reaction = headache, joint aches, fatigue, fever 101.4 24 hour reaction = headache, fever gone, excessive fatigue and joint and muscle aches 24-72 hour reaction = headache, excessive fatigue, joint and muscle aches, bloating with intestinal discomfort Day 5 - 96 hour - symptoms improved, mild fatigue and joint aches, mild headache, able to do daily activities Day 5 - 10 pm = fatigue, headache, and joint aches increased Day 5- 11 = extreme excessive fatigue, joint and muscle aches, bloating and intestinal discomfort, mild headache - unable to work or perform daily activities Day 11- 17 symptoms improved slightly to allow some resumption of daily activities, intestinal symptoms include alternating diarrhea with constipation, joint and muscle aches prevent any return to walking and exercise, minimal work tasks completed Day 17-22 Symptoms the same as week before - becoming chronic - visit to MD on April 29th. Day 23-47 Treated with combination of Zyrtek, Pepcid, and Probiotic due to sensitivity to steroids. Symptoms gradually improved Day 48 (May 22nd) - first full day of ability to resume normal activities, including walking  2 miles (previous to vaccine was running 3-4 miles 3-4 times a week)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Metabolic function test, Myalgia, Pyrexia
Clinical narrative: Immediate reaction = headache 4 hour reaction = increasing fatigue, headache 12 hour reaction = headache, joint aches, fatigue, fever 101.4 24 hour reaction = headache, fever gone, excessive fatigue and joint and muscle aches 24-72 hour reaction = headache, excessive fatigue, joint and muscle aches, bloating with intestinal discomfort Day 5 - 96 hour - symptoms improved, mild fatigue and joint aches, mild headache, able to do daily activities Day 5 - 10 pm = fatigue, headache, and joint aches increased Day 5- 11 = extreme excessive fatigue, joint and muscle aches, bloating and intestinal discomfort, mild headache - unable to work or perform daily activities Day 11- 17 symptoms improved slightly to allow some resumption of daily activities, intestinal symptoms include alternating diarrhea with constipation, joint and muscle aches prevent any return to walking and exercise, minimal work tasks completed Day 17-22 Symptoms the same as week before - becoming chronic - visit to MD on April 29th. Day 23-47 Treated with combination of Zyrtek, Pepcid, and Probiotic due to sensitivity to steroids. Symptoms gradually improved Day 48 (May 22nd) - first full day of ability to resume normal activities, including walking  2 miles (previous to vaccine was running 3-4 miles 3-4 times a week)
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Urticarial rash to back of neck and upper back that started within 20 min of  Covid-19 vaccine from Pfizer. Rash resolved with Benadryl and famotidine
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dry mouth, Fall, Fatigue, Feeling hot
Clinical narrative: Dizzy, Fell down several times in shower, can't walk, extremely dry mouth, fatigue, hot (no fever)
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Gait inability
Clinical narrative: Dizzy, Fell down several times in shower, can't walk, extremely dry mouth, fatigue, hot (no fever)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Joint stiffness, Laboratory test, Musculoskeletal stiffness, Sleep disorder
Clinical narrative: I noticed the stiffness getting worse in my hands about April 17th. I figured it was because I had gotten off my RA medication. When I got back on May 7, that first week of May (1st or 2nd) - my hands were waking my up 4-6 times a night because I couldn't used my right hand - had to use my other hand (my left hand doesn't have as much problem) to open up my hand - joints were stuck. I saw my doctor on May 18th and he prescribed me Prednisone for a week and a I did acupuncture for two weeks and I got back on the Methotrexate (I've only been back on it one week now) and now I can use my hands. I can sleep through the night without hand waking me up.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram normal, Aortic dilatation, Aortic stenosis, Aortic valve incompetence, Arthralgia
Clinical narrative: Please refer to the H&P for full details.  This is a 63 y.o. male with PMHx of HTN and HLD who presented to the ED with chest pain    NSTEMI Type 2 Myocarditis Patient was seen by her PCP on 5/12 with c/o chest pain found to have elevated troponin 0.06 (0.03 upper limits of normal) otherwise EXG and CXR nl and was recommended to come to the ED. Patient reports the chest pain started ~1.5 weeks ago, initially resolved, however began to have discomfort again 4d PTA. She describes the sensation as a dull ache with radiation to the neck and her right shoulder. No history of heart disease. Risk factors for this pt include HTN, HLD and tobacco use. On admission HS-Tn elevated at 230 and EKG shows NSR, no ST/Twave changes. ECHO shows EF 60%. Received ASA and nitro in the ED.  -monitor on telemetry  -cardiology consulted, angio on 5/14 showed normal coronaries, cardiac MRI with evidence for myocarditis per discussion with cardiology - final read is pending at dc - colchicine started   Moderate aortic stenosis  Noted on ECHO, no significant change in the aortic valve pathology or aortic root dimension compared to prior in 2017   HTN  Normotensive in the ED  -continue amlodipine and lisinopril    HLD  Last lipid panel on 12/1/2020 with LDL 109 -continue statin - increased to high dose 80 mg   Tobacco abuse Current everyday smoker of at least 1 ppd -cessation discussed   Tremor: Continue home med   Aortic root dilation - 4.0 cm. Monitor.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac monitoring, Cardiac septal hypertrophy, Chest X-ray normal, Chest discomfort, Chest pain
Clinical narrative: Please refer to the H&P for full details.  This is a 63 y.o. male with PMHx of HTN and HLD who presented to the ED with chest pain    NSTEMI Type 2 Myocarditis Patient was seen by her PCP on 5/12 with c/o chest pain found to have elevated troponin 0.06 (0.03 upper limits of normal) otherwise EXG and CXR nl and was recommended to come to the ED. Patient reports the chest pain started ~1.5 weeks ago, initially resolved, however began to have discomfort again 4d PTA. She describes the sensation as a dull ache with radiation to the neck and her right shoulder. No history of heart disease. Risk factors for this pt include HTN, HLD and tobacco use. On admission HS-Tn elevated at 230 and EKG shows NSR, no ST/Twave changes. ECHO shows EF 60%. Received ASA and nitro in the ED.  -monitor on telemetry  -cardiology consulted, angio on 5/14 showed normal coronaries, cardiac MRI with evidence for myocarditis per discussion with cardiology - final read is pending at dc - colchicine started   Moderate aortic stenosis  Noted on ECHO, no significant change in the aortic valve pathology or aortic root dimension compared to prior in 2017   HTN  Normotensive in the ED  -continue amlodipine and lisinopril    HLD  Last lipid panel on 12/1/2020 with LDL 109 -continue statin - increased to high dose 80 mg   Tobacco abuse Current everyday smoker of at least 1 ppd -cessation discussed   Tremor: Continue home med   Aortic root dilation - 4.0 cm. Monitor.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram normal, Left ventricular dilatation, Magnetic resonance imaging abnormal, Myocarditis
Clinical narrative: Please refer to the H&P for full details.  This is a 63 y.o. male with PMHx of HTN and HLD who presented to the ED with chest pain    NSTEMI Type 2 Myocarditis Patient was seen by her PCP on 5/12 with c/o chest pain found to have elevated troponin 0.06 (0.03 upper limits of normal) otherwise EXG and CXR nl and was recommended to come to the ED. Patient reports the chest pain started ~1.5 weeks ago, initially resolved, however began to have discomfort again 4d PTA. She describes the sensation as a dull ache with radiation to the neck and her right shoulder. No history of heart disease. Risk factors for this pt include HTN, HLD and tobacco use. On admission HS-Tn elevated at 230 and EKG shows NSR, no ST/Twave changes. ECHO shows EF 60%. Received ASA and nitro in the ED.  -monitor on telemetry  -cardiology consulted, angio on 5/14 showed normal coronaries, cardiac MRI with evidence for myocarditis per discussion with cardiology - final read is pending at dc - colchicine started   Moderate aortic stenosis  Noted on ECHO, no significant change in the aortic valve pathology or aortic root dimension compared to prior in 2017   HTN  Normotensive in the ED  -continue amlodipine and lisinopril    HLD  Last lipid panel on 12/1/2020 with LDL 109 -continue statin - increased to high dose 80 mg   Tobacco abuse Current everyday smoker of at least 1 ppd -cessation discussed   Tremor: Continue home med   Aortic root dilation - 4.0 cm. Monitor.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Pain, Troponin increased
Clinical narrative: Please refer to the H&P for full details.  This is a 63 y.o. male with PMHx of HTN and HLD who presented to the ED with chest pain    NSTEMI Type 2 Myocarditis Patient was seen by her PCP on 5/12 with c/o chest pain found to have elevated troponin 0.06 (0.03 upper limits of normal) otherwise EXG and CXR nl and was recommended to come to the ED. Patient reports the chest pain started ~1.5 weeks ago, initially resolved, however began to have discomfort again 4d PTA. She describes the sensation as a dull ache with radiation to the neck and her right shoulder. No history of heart disease. Risk factors for this pt include HTN, HLD and tobacco use. On admission HS-Tn elevated at 230 and EKG shows NSR, no ST/Twave changes. ECHO shows EF 60%. Received ASA and nitro in the ED.  -monitor on telemetry  -cardiology consulted, angio on 5/14 showed normal coronaries, cardiac MRI with evidence for myocarditis per discussion with cardiology - final read is pending at dc - colchicine started   Moderate aortic stenosis  Noted on ECHO, no significant change in the aortic valve pathology or aortic root dimension compared to prior in 2017   HTN  Normotensive in the ED  -continue amlodipine and lisinopril    HLD  Last lipid panel on 12/1/2020 with LDL 109 -continue statin - increased to high dose 80 mg   Tobacco abuse Current everyday smoker of at least 1 ppd -cessation discussed   Tremor: Continue home med   Aortic root dilation - 4.0 cm. Monitor.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Face paralysis on the left side within 10 hours of the injection.  More severe each day.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Bell's palsy, Facial paralysis, Mobility decreased
Clinical narrative: Face paralysis on the left side within 10 hours of the injection.  More severe each day.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure
Clinical narrative: Patient had 2 seizures about 5 minutes after receiving her first Covid vaccine.  Spouse was with her and did not think seizure was due to vaccine, but that she has a history of seizures if over anxious or becoming overheated.  They did not want me to call 911 and seizures resolved.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Patient received vaccine without incident. About 5 minutes into the observation period, the patient began complaining of tightness in the chest that felt like allergic reactions he had experienced in the past. Patient had a history of severe ASCVD.  He appeared calm without any trouble breathing, BP 140/80, pulse 84. Patient did not appear in distress, no clammy skin, no change in outward appearance of any kind. Patient denied chest pain. He stated that is was nothing like what happens when he has ASCVD-related chest pain. He was administered 50mg of oral diphenhydramine. Within 60 seconds of taking the oral diphenhydramine, he stated that he could feel it working and was starting to feel much better. Patient was advised to remain at the pharmacy for further observation but refused (documented). He left with his caregiver.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: I woke up early in am with 3rd toe on left foot painfully swollen and red.  I took ibuprofen for pain and continued to work Thursday, Friday, and Saturday.  I came home Saturday night around 8pm.  I could barely walk the pain  was so bad.  Took my boot off and saw that the redness was spreading to the top of my foot towards my ankle. My wife took me to the ER. I was diagnosed with cellulitis and prescribed Cephalexin 500mg 4 times a day for 10 days. The infection resolved after finishing the antibiotic.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Autoimmune disorder, Condition aggravated, Vasculitis, Wound
Clinical narrative: I received my first vaccine 01-17-2021. I have history of rare autoimmune disease, flared up. PT used hydrocortisone cream for my flare up and took zinc and her symptoms went away.  When I get flare ups I also get also vasculitis and sores and lesions in my bodies. PT states she has no other symptoms.  These episodes occurred exactly one week and half after my first and also on my second dose. I called my doctor and he told me to put some hydrocortisone and zinc medication. I think the Moderna vaccine probably triggered my auto immune system. The zinc medication stopped it from flaring up.   It took three days for my flare ups to clear up. My second vaccine was at the Speedway at a parking lot.  I do not have my lot# for my second dose, it was not written down.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: patient became pale white ; lightheaded, had to lay her down to prevent full fainting episode
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus, Vaccine positive rechallenge
Clinical narrative: I have had mild tinnitus for 4 Years. About a week following my first dose of the Pfizer vaccine, my tinnitus has gotten extremely bad. It is much louder and higher pitched than it ever has been. After my second dose the tinnitus got even worse and is almost unbearable. Now I am almost 2 months post second vaccine and there has been no improvement what's so ever.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Heart rate decreased, Nausea, Pallor
Clinical narrative: Client stating she was dizzy and turning pale. EMT and Lead RN  made contact with client who stated she was feeling dizzy and nauseous, client denied any other symptoms such as chest pain, shortness of breath, and tingling of mouth, tongue or lips. EMT provided client with an emesis bag and bottle of water. Client's skin turned ashen and then client had a loss of responsiveness. RN  applied a sternal rub to client who regained responsiveness in <30 seconds. Lead RN applied an instant ice pack to the back of client's neck and instructed client to take deep breaths. Client was Alert & oriented x4 following loss of responsiveness. At 1230 baseline vitals taken with client sitting in folding chair at vaccination table: blood pressure (BP) 138/78, heart rate (HR) 44, Respiratory rate (RR) 14, skins pale, cool and clammy. Client stated she has a history of fainting with every injection or blood draw and that she failed to mention this to RN  when she was asked how she does with shots. Ancillary brought the zero gravity chair to the table for client to recover in. Client denied any history of allergic reaction to meds/foods/environment. Denied any other medical conditions or medications taken. Continued complaint of lightheaded/dizziness and nausea. Clients skins remained pale, cool and clammy. At 1235 HR 76, RR 16 client was given a juice box. At 1240 client's skins returned to normal color for ethnicity and were warm and dry, she was alert and oriented x4, she was able to walk to observation area on her own where she was placed in the zero gravity chair and a second set of vitals were taken while sitting: BP 120/88, RR 16, HR 80. At 1250 EMT took a third BP 118/70.  Client stated symptoms were fully resolved, skins normal for ethnicity, warm and dry, alert and oriented x4.  At 1325 client was finished with observation, denied any other symptoms and walked away from the observation site with a steady gait
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Client stating she was dizzy and turning pale. EMT and Lead RN  made contact with client who stated she was feeling dizzy and nauseous, client denied any other symptoms such as chest pain, shortness of breath, and tingling of mouth, tongue or lips. EMT provided client with an emesis bag and bottle of water. Client's skin turned ashen and then client had a loss of responsiveness. RN  applied a sternal rub to client who regained responsiveness in <30 seconds. Lead RN applied an instant ice pack to the back of client's neck and instructed client to take deep breaths. Client was Alert & oriented x4 following loss of responsiveness. At 1230 baseline vitals taken with client sitting in folding chair at vaccination table: blood pressure (BP) 138/78, heart rate (HR) 44, Respiratory rate (RR) 14, skins pale, cool and clammy. Client stated she has a history of fainting with every injection or blood draw and that she failed to mention this to RN  when she was asked how she does with shots. Ancillary brought the zero gravity chair to the table for client to recover in. Client denied any history of allergic reaction to meds/foods/environment. Denied any other medical conditions or medications taken. Continued complaint of lightheaded/dizziness and nausea. Clients skins remained pale, cool and clammy. At 1235 HR 76, RR 16 client was given a juice box. At 1240 client's skins returned to normal color for ethnicity and were warm and dry, she was alert and oriented x4, she was able to walk to observation area on her own where she was placed in the zero gravity chair and a second set of vitals were taken while sitting: BP 120/88, RR 16, HR 80. At 1250 EMT took a third BP 118/70.  Client stated symptoms were fully resolved, skins normal for ethnicity, warm and dry, alert and oriented x4.  At 1325 client was finished with observation, denied any other symptoms and walked away from the observation site with a steady gait
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient received a 3rd dose of SHINGRIX vaccine. Dates of vaccine 5/21/2021, 1/15/2021 , 10/8/2020.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Contusion, Erythema, Headache, Inflammation
Clinical narrative: Pt. has history of Lymphangioma. Pt. presented with lump on chest that became inflamed and red after 9 days of receiving Covid-19  vaccine. Pt. presented with itchiness,  swelling, bruising, redness, fever, hot to touch and headache. Pt. used ice packs and Ibuprofen for treatment.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Skin warm, Swelling, Tenderness
Clinical narrative: Pt. has history of Lymphangioma. Pt. presented with lump on chest that became inflamed and red after 9 days of receiving Covid-19  vaccine. Pt. presented with itchiness,  swelling, bruising, redness, fever, hot to touch and headache. Pt. used ice packs and Ibuprofen for treatment.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Mild headache, soreness at site of injection, redness about the size of a quarter at site of injection, swelling at site of injection equivalent to about a quarter of a golf ball sliced long ways , hotness at site of injection, lower back pain, slight muscle twitching in upper arm - all relatively mild.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Muscle twitching
Clinical narrative: Mild headache, soreness at site of injection, redness about the size of a quarter at site of injection, swelling at site of injection equivalent to about a quarter of a golf ball sliced long ways , hotness at site of injection, lower back pain, slight muscle twitching in upper arm - all relatively mild.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthma, Blood alkaline phosphatase increased, Blood bilirubin increased
Clinical narrative: Patient developed an acute hepatitis with significant rise in ALT and AST as well as alkaline phosphatase.   It isn't clear when began exactly but labs 1/14 were essentially his baseline then next routine check on 2/18 significant elevation that continued until peak around first week May.  Patient admitted for this and ultimately underwent a liver biopsy.  This did NOT suggest CLL, autoimmune hepatitis.  He also had neg HBV DNA and other lab work up negative.  Lab abnormalities started to decrease May 17th.  He is still currently being followed in Hepatology clinic.  At time admitted, also had a COPD/asthma flare so that kept him in hospital longer than the work up of acute liver injury.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test abnormal, Chronic obstructive pulmonary disease, Condition aggravated, Hepatic lymphocytic infiltration, Hepatitis B DNA assay negative
Clinical narrative: Patient developed an acute hepatitis with significant rise in ALT and AST as well as alkaline phosphatase.   It isn't clear when began exactly but labs 1/14 were essentially his baseline then next routine check on 2/18 significant elevation that continued until peak around first week May.  Patient admitted for this and ultimately underwent a liver biopsy.  This did NOT suggest CLL, autoimmune hepatitis.  He also had neg HBV DNA and other lab work up negative.  Lab abnormalities started to decrease May 17th.  He is still currently being followed in Hepatology clinic.  At time admitted, also had a COPD/asthma flare so that kept him in hospital longer than the work up of acute liver injury.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hepatitis acute, International normalised ratio increased, Laboratory test abnormal, Liver iron concentration increased, Peritonitis
Clinical narrative: Patient developed an acute hepatitis with significant rise in ALT and AST as well as alkaline phosphatase.   It isn't clear when began exactly but labs 1/14 were essentially his baseline then next routine check on 2/18 significant elevation that continued until peak around first week May.  Patient admitted for this and ultimately underwent a liver biopsy.  This did NOT suggest CLL, autoimmune hepatitis.  He also had neg HBV DNA and other lab work up negative.  Lab abnormalities started to decrease May 17th.  He is still currently being followed in Hepatology clinic.  At time admitted, also had a COPD/asthma flare so that kept him in hospital longer than the work up of acute liver injury.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Portal fibrosis, Prothrombin time prolonged, Vitamin supplementation
Clinical narrative: Patient developed an acute hepatitis with significant rise in ALT and AST as well as alkaline phosphatase.   It isn't clear when began exactly but labs 1/14 were essentially his baseline then next routine check on 2/18 significant elevation that continued until peak around first week May.  Patient admitted for this and ultimately underwent a liver biopsy.  This did NOT suggest CLL, autoimmune hepatitis.  He also had neg HBV DNA and other lab work up negative.  Lab abnormalities started to decrease May 17th.  He is still currently being followed in Hepatology clinic.  At time admitted, also had a COPD/asthma flare so that kept him in hospital longer than the work up of acute liver injury.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Was found deceased in bed this morning
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Myalgia
Clinical narrative: After I Received the second dose of the vaccine on 02/23/21, 3 days later 02/27/2021 at 10:00 AM I started having flu-like symptoms (very mild), 2 days after the flu symptoms on 02/29/2021 went away the  muscle pain in my left arm started and lasted 11 days, it was extremely painful picking up anything. By 02/06/2021 all symptoms went away. I Took Tylenol for this and Did not receive any medical treatment.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Sensory disturbance, Sensory loss
Clinical narrative: Approximately three hours after receiving the shot I noticed that the left part of my lower lip had a change in sensation. It felt slightly numb and like it may have swollen. Though it did not appear to be swelling. I did not have any difficulty breathing, nor any other signs that would indicate a stroke, so I called my health insurance?s nurse line and they advised that I go to urgent care. I was seen around 5pm at urgent care and the doctor confirmed that I did not appear to be having a stroke. They did not offer a treatment for the symptom. They advised that I discuss further with my primary doctor and that I do not get the second dose of the vaccine.  Today, 42 days later, the loss of sensation in my lip remains the same and has not changed over time.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Poor quality sleep, Pyrexia
Clinical narrative: low grade fever,  full body achiness, headache, unable to sleep well  for 22 hours
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Angiogram abnormal, Cerebellar infarction, Cerebral infarction, Dizziness
Clinical narrative: HPI/Subjective: 78 yo with above PMH who presents for new patient evaluation.    He was admitted to hospital on 4/3-4/5 for acute episode of dizzines jaw pain found to be hypertensive with elevated troponin. Troponin peaked at 10K. Echo showed no WMAs. Angiogram showed mild distal PLA disease but no other obstructive disease. Cardiac MRI showed a focal area of mid wall LGE consistent with myocarditis. Supportive treatment.    Additionally during this admission was found to have small acute L occipital infarcts and tiny infarcts vs artifact in the left thalamus and medulla. Lipid panel and HbA1c unrevealing. ECHO unrevealing. CTA was unrevealing. Patient will D/C with zio patch. Long term blood pressure goal is <130/80.   Today, reports feeling OK. No recurrence of the dizziness or jaw pain that brought him into the hospital. No chest pain or pressure or syncope or dyspnea on exertion. No orthopnea, PND or LE edema. Walking 2 miles fast pace without any symptoms.    Blood pressures are 130-200s (pre increase in Lisinopril) lower in the morning and worse in the afternoon/evening.    Former smoker (quit in '85).  Family history - Mom had a AVR in 70s
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram normal, Glycosylated haemoglobin, Hypertension, Lipids normal, Magnetic resonance imaging abnormal
Clinical narrative: HPI/Subjective: 78 yo with above PMH who presents for new patient evaluation.    He was admitted to hospital on 4/3-4/5 for acute episode of dizzines jaw pain found to be hypertensive with elevated troponin. Troponin peaked at 10K. Echo showed no WMAs. Angiogram showed mild distal PLA disease but no other obstructive disease. Cardiac MRI showed a focal area of mid wall LGE consistent with myocarditis. Supportive treatment.    Additionally during this admission was found to have small acute L occipital infarcts and tiny infarcts vs artifact in the left thalamus and medulla. Lipid panel and HbA1c unrevealing. ECHO unrevealing. CTA was unrevealing. Patient will D/C with zio patch. Long term blood pressure goal is <130/80.   Today, reports feeling OK. No recurrence of the dizziness or jaw pain that brought him into the hospital. No chest pain or pressure or syncope or dyspnea on exertion. No orthopnea, PND or LE edema. Walking 2 miles fast pace without any symptoms.    Blood pressures are 130-200s (pre increase in Lisinopril) lower in the morning and worse in the afternoon/evening.    Former smoker (quit in '85).  Family history - Mom had a AVR in 70s
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging heart, Myocarditis, Pain in jaw, Troponin increased
Clinical narrative: HPI/Subjective: 78 yo with above PMH who presents for new patient evaluation.    He was admitted to hospital on 4/3-4/5 for acute episode of dizzines jaw pain found to be hypertensive with elevated troponin. Troponin peaked at 10K. Echo showed no WMAs. Angiogram showed mild distal PLA disease but no other obstructive disease. Cardiac MRI showed a focal area of mid wall LGE consistent with myocarditis. Supportive treatment.    Additionally during this admission was found to have small acute L occipital infarcts and tiny infarcts vs artifact in the left thalamus and medulla. Lipid panel and HbA1c unrevealing. ECHO unrevealing. CTA was unrevealing. Patient will D/C with zio patch. Long term blood pressure goal is <130/80.   Today, reports feeling OK. No recurrence of the dizziness or jaw pain that brought him into the hospital. No chest pain or pressure or syncope or dyspnea on exertion. No orthopnea, PND or LE edema. Walking 2 miles fast pace without any symptoms.    Blood pressures are 130-200s (pre increase in Lisinopril) lower in the morning and worse in the afternoon/evening.    Former smoker (quit in '85).  Family history - Mom had a AVR in 70s
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient became light headed/woozy after the vaccine. Stated this has happened to her before. She was seated and monitored by RPh and EMS. Was feeling fine and left pharmacy on accord.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient received 3 doses of Shingrix.  Dates 5/27/2021 , 8/24/2018 , 6/4/2018
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging, Magnetic resonance imaging head, Neck pain, Pain
Clinical narrative: day after 2nd shot, I woke up with severe neck and head pain in lower left side.  This continued to worsen every day. Sharp shooting pain up side of neck to above left ear, This later continued to other side of neck and head in same manner.  I went to my primary care Dr. who referred me to physical therapy which I did for 3 weeks, twice a week.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal X-ray
Clinical narrative: day after 2nd shot, I woke up with severe neck and head pain in lower left side.  This continued to worsen every day. Sharp shooting pain up side of neck to above left ear, This later continued to other side of neck and head in same manner.  I went to my primary care Dr. who referred me to physical therapy which I did for 3 weeks, twice a week.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis allergic, Erythema
Clinical narrative: Patient is a 61 year old female who presents for reaction to the COVID vaccine in her left arm. She is 13 days post Moderna vaccine dose number 1. She notes the redness in her arm started 2 days ago, and was worse this morning, so nursing asked her to come in and get evaluated to rule out an infection. She states she has no pain, it is just red and looks bad.   Diagnosed with delayed localized cutaneous hypersensitivity reaction
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Injection site pain, Tachycardia
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Hypertension-Medium, Systemic: Tachycardia-Medium, Additional Details: Patient waited in front of pharmacy post vaccination for about 30 minutes. Her blood pressure and heart rate were elevated, and we called 911 for assistance. Paramedics took her to the ER.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Blood test, Computerised tomogram head, Dysphemia, Electroencephalogram
Clinical narrative: The afternoon of May 4th, (the patient) had a headache at the back of her head. She took an Ibuprofen and went to bed. Over the course of the next 3 weeks, the headache would return, but was alieved with Ibuprofen. On the evening of May 23rd, 2021 (the patient) came to me and said she had a twitching in her neck. I looked, but did not see anything that was concerning. It was just a twitch. On the evening of May 24th, (the patient) went to dinner with her father. On the way to dinner, they were having a regular conversation when (the patient) began to stutter really bad. Her father pulled the car over and looked at her. He noticed her head was shaking uncontrollably and she could not talk. He immediately took her to the emergency room. When I arrived, it looked like she was having a seizure.  (The patient) has never had any kind of speech problem, so she has never stuttered.  the drs told us that they did not have a neurology dept, so we took her to another hospital. After numerous tests, we were told to take her home and it was probably something like stress and she should see mental health
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Head titubation, Headache, Magnetic resonance imaging head, Muscle twitching, Scan with contrast
Clinical narrative: The afternoon of May 4th, (the patient) had a headache at the back of her head. She took an Ibuprofen and went to bed. Over the course of the next 3 weeks, the headache would return, but was alieved with Ibuprofen. On the evening of May 23rd, 2021 (the patient) came to me and said she had a twitching in her neck. I looked, but did not see anything that was concerning. It was just a twitch. On the evening of May 24th, (the patient) went to dinner with her father. On the way to dinner, they were having a regular conversation when (the patient) began to stutter really bad. Her father pulled the car over and looked at her. He noticed her head was shaking uncontrollably and she could not talk. He immediately took her to the emergency room. When I arrived, it looked like she was having a seizure.  (The patient) has never had any kind of speech problem, so she has never stuttered.  the drs told us that they did not have a neurology dept, so we took her to another hospital. After numerous tests, we were told to take her home and it was probably something like stress and she should see mental health
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Seizure like phenomena, Stress, Urine analysis
Clinical narrative: The afternoon of May 4th, (the patient) had a headache at the back of her head. She took an Ibuprofen and went to bed. Over the course of the next 3 weeks, the headache would return, but was alieved with Ibuprofen. On the evening of May 23rd, 2021 (the patient) came to me and said she had a twitching in her neck. I looked, but did not see anything that was concerning. It was just a twitch. On the evening of May 24th, (the patient) went to dinner with her father. On the way to dinner, they were having a regular conversation when (the patient) began to stutter really bad. Her father pulled the car over and looked at her. He noticed her head was shaking uncontrollably and she could not talk. He immediately took her to the emergency room. When I arrived, it looked like she was having a seizure.  (The patient) has never had any kind of speech problem, so she has never stuttered.  the drs told us that they did not have a neurology dept, so we took her to another hospital. After numerous tests, we were told to take her home and it was probably something like stress and she should see mental health
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphemia, Headache, Movement disorder, Muscle twitching
Clinical narrative: The afternoon of May 4th, (the patient) had a headache at the back of her head. She took an Ibuprofen and went to bed. Over the course of the next 3 weeks, the headache would return, but was alieved with Ibuprofen. On the evening of May 23rd, 2021 (the patient) came to me and said she had a twitching in her neck. I looked, but did not see anything that was concerning. It was just a twitch. On the evening of May 24th, (the patient) went to dinner with her father. On the way to dinner, they were having a regular conversation when (the patient) began to stutter really bad. Her father pulled the car over and looked at her. He noticed her head was shaking uncontrollably and she could not talk. He immediately took her to the emergency room. When I arrived, it looked like she was having a seizure.  (The patient) has never had any kind of speech problem, so she has never stuttered.  the drs told us that they did not have a neurology dept, so we took her to another hospital. After numerous tests, we were told to take her home and it was probably something like stress and she should see mental health
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash erythematous, Urticaria
Clinical narrative: Beginning 5/14/2021 shortly after rising, and continuing on most but not all days but still continuing to date, a red rash and/or red bumps (hives) over small areas of arms and/or thighs and they were mildly itchy.  Treated with cortisone-10 cream and condition gone within 30-60 minutes for rest of the day. Also additionally tried Benadryl one day but stopped when label showed possible impact on prostate. Saw Dr. on 5/25/2021, a dermatologist, who confirmed hives and predicted condition should likely disappear in 6 weeks.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Asthenia, Dysphagia, Dyspnoea, Flushing
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Weakness-Severe, Additional Details: pt was mostly unresposive and turning white and motionless; throat closing up; no other choice but to give the epi-jr shot; after administering the shot the patient started to feel better but we decided to still call 911 to be on the safe side
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Pallor, Syncope, Throat tightness
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Weakness-Severe, Additional Details: pt was mostly unresposive and turning white and motionless; throat closing up; no other choice but to give the epi-jr shot; after administering the shot the patient started to feel better but we decided to still call 911 to be on the safe side
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Weakness-Severe, Additional Details: pt was mostly unresposive and turning white and motionless; throat closing up; no other choice but to give the epi-jr shot; after administering the shot the patient started to feel better but we decided to still call 911 to be on the safe side
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Numbness, tingling,  severe pressure and pain of hands and fingers, especially at night
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: Severe pain/ache in arm and loss of strength in hand, pain going down my left side of body.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: pt says his left leg started swelling a couple of weeks after taking the vaccine. The swelling is mostly around the ankle and foot area.  Pt states the swelling always stays the same and never goes down.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Gait disturbance, Mobility decreased, Syncope, Urticaria
Clinical narrative: I broke out in hives from head to toe, couldn't breathe, fainted, couldn't walk or move. Went to ER, BP was 60/40. Was given epi shot and Benadryl and some other meds I don't have the names of.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Joint swelling, Nausea, Pruritus
Clinical narrative: Nausea, fatigue and chills 10 hours after vaccination. Next morning woke up with rash red, itchy, slightly swollen  left ankle.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Nausea, fatigue and chills 10 hours after vaccination. Next morning woke up with rash red, itchy, slightly swollen  left ankle.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia oral, Nausea, Throat irritation, Unresponsive to stimuli
Clinical narrative: About 10 minutes after pt received vaccine (around 10:21) she began to feel nauseated and dizzy.  She began vomiting,  and her throat became "itchy."  Vital signs stable.   She then complained of her lips feeling numb. Epi Pen was given at 10:33 am.  Pt assisted to lie on floor. Pt responsive and following commands, O2 sats noted to be 95% and pulse to palpation was in the 40's, now unable to hear BP.  Pt says she didn't think epi had helped, 2nd epi pen given.   Pt became unresponsive, O2sats in mid to high 80/s, pulse 120, EMS now here (around 10:40).  EMS transported pt to hospital.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: About 10 minutes after pt received vaccine (around 10:21) she began to feel nauseated and dizzy.  She began vomiting,  and her throat became "itchy."  Vital signs stable.   She then complained of her lips feeling numb. Epi Pen was given at 10:33 am.  Pt assisted to lie on floor. Pt responsive and following commands, O2 sats noted to be 95% and pulse to palpation was in the 40's, now unable to hear BP.  Pt says she didn't think epi had helped, 2nd epi pen given.   Pt became unresponsive, O2sats in mid to high 80/s, pulse 120, EMS now here (around 10:40).  EMS transported pt to hospital.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Colitis microscopic, Colonoscopy abnormal, Diarrhoea, Stool analysis normal
Clinical narrative: 12 days after receiving the 2nd Moderna Vaccine, developed severe diarrhea that lasted for 3.5 months.  Prescribed Bentyl for the cramping and diarrhea.  Also used Pepto Bismol and Immodium.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Vomiting
Clinical narrative: Immediate headache at the time of the shot on Sunday. Felt like I had covid again. By Wednesday I was dizzy and vomiting. Symptoms lasted 9 days and an extra 7 days of fatigue
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Hypoaesthesia, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Vomiting-Medium