chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Discomfort, Disturbance in attention, Ear discomfort
Clinical narrative: 0 hours after injection: immediate soreness at injection site but mild - no treatment sought. 6 hours after injection: noticable ringing in left ear and pressure in left ear similar to what I normally experience with a head cold - no treatment sought. 10 hours after injection: soreness at injection site increasing, pressure in ear increasing, mild headache developed - orally took 10 mg of melatonin to try to sleep through the discomfort/pain. 12.5 hours after injection: awoke due to severe arm pain and feeling that I was going to throw up. Also felt like I had a fever due to feeling very hot followed by chills, but did not take my temperature.  My headache worsened and felt like when I get a migraine (I usually have about 1 migraine a year).  I also had mild muscle aches all over my body.  I took 800 mg of ibuprofen and propped myself upright with a trashcan next to me. 13.5 hours after injection: called out of work for the following day and shortly after fell back asleep.  I did not throw up. 16.5 hours after injection: woke up with reduced soreness at injection site, reduced headache, reduced nausea, increased fatigue. - Fell back asleep. 21.5 hours after injection: woke up with moderate soreness at injection site, increased headache, no body aches, and overwhelming fatigue - took another 800 mg of ibuprofen  and 10 mg Phenylephrine (and regular daily medication: 40 mg Adderall XR, 75 mg Venlafaxine HCl, 10 mg Loratadine, 0.5 mg Benztropine mesylate, 5 mg Midodrine HCl, centrum multivitamin, and Yaz birth control) 23.5 hours after injection: decreased soreness at injection site, no headache, extreme exhaustion, and moderate upset stomach making it difficult to eat. - ate a couple bites of rice and drank water and then fell back asleep. 25.5 hours after injection: woke up  with mild pain at injection site, mild headache (front of head, similar to a sinus headache), ringing and pressure in left ear has decreased but still noticable, moderate fatigue, difficulty focusing.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Headache, Immediate post-injection reaction, Impaired work ability
Clinical narrative: 0 hours after injection: immediate soreness at injection site but mild - no treatment sought. 6 hours after injection: noticable ringing in left ear and pressure in left ear similar to what I normally experience with a head cold - no treatment sought. 10 hours after injection: soreness at injection site increasing, pressure in ear increasing, mild headache developed - orally took 10 mg of melatonin to try to sleep through the discomfort/pain. 12.5 hours after injection: awoke due to severe arm pain and feeling that I was going to throw up. Also felt like I had a fever due to feeling very hot followed by chills, but did not take my temperature.  My headache worsened and felt like when I get a migraine (I usually have about 1 migraine a year).  I also had mild muscle aches all over my body.  I took 800 mg of ibuprofen and propped myself upright with a trashcan next to me. 13.5 hours after injection: called out of work for the following day and shortly after fell back asleep.  I did not throw up. 16.5 hours after injection: woke up with reduced soreness at injection site, reduced headache, reduced nausea, increased fatigue. - Fell back asleep. 21.5 hours after injection: woke up with moderate soreness at injection site, increased headache, no body aches, and overwhelming fatigue - took another 800 mg of ibuprofen  and 10 mg Phenylephrine (and regular daily medication: 40 mg Adderall XR, 75 mg Venlafaxine HCl, 10 mg Loratadine, 0.5 mg Benztropine mesylate, 5 mg Midodrine HCl, centrum multivitamin, and Yaz birth control) 23.5 hours after injection: decreased soreness at injection site, no headache, extreme exhaustion, and moderate upset stomach making it difficult to eat. - ate a couple bites of rice and drank water and then fell back asleep. 25.5 hours after injection: woke up  with mild pain at injection site, mild headache (front of head, similar to a sinus headache), ringing and pressure in left ear has decreased but still noticable, moderate fatigue, difficulty focusing.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Malaise, Migraine, Myalgia, Nausea
Clinical narrative: 0 hours after injection: immediate soreness at injection site but mild - no treatment sought. 6 hours after injection: noticable ringing in left ear and pressure in left ear similar to what I normally experience with a head cold - no treatment sought. 10 hours after injection: soreness at injection site increasing, pressure in ear increasing, mild headache developed - orally took 10 mg of melatonin to try to sleep through the discomfort/pain. 12.5 hours after injection: awoke due to severe arm pain and feeling that I was going to throw up. Also felt like I had a fever due to feeling very hot followed by chills, but did not take my temperature.  My headache worsened and felt like when I get a migraine (I usually have about 1 migraine a year).  I also had mild muscle aches all over my body.  I took 800 mg of ibuprofen and propped myself upright with a trashcan next to me. 13.5 hours after injection: called out of work for the following day and shortly after fell back asleep.  I did not throw up. 16.5 hours after injection: woke up with reduced soreness at injection site, reduced headache, reduced nausea, increased fatigue. - Fell back asleep. 21.5 hours after injection: woke up with moderate soreness at injection site, increased headache, no body aches, and overwhelming fatigue - took another 800 mg of ibuprofen  and 10 mg Phenylephrine (and regular daily medication: 40 mg Adderall XR, 75 mg Venlafaxine HCl, 10 mg Loratadine, 0.5 mg Benztropine mesylate, 5 mg Midodrine HCl, centrum multivitamin, and Yaz birth control) 23.5 hours after injection: decreased soreness at injection site, no headache, extreme exhaustion, and moderate upset stomach making it difficult to eat. - ate a couple bites of rice and drank water and then fell back asleep. 25.5 hours after injection: woke up  with mild pain at injection site, mild headache (front of head, similar to a sinus headache), ringing and pressure in left ear has decreased but still noticable, moderate fatigue, difficulty focusing.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Tinnitus
Clinical narrative: 0 hours after injection: immediate soreness at injection site but mild - no treatment sought. 6 hours after injection: noticable ringing in left ear and pressure in left ear similar to what I normally experience with a head cold - no treatment sought. 10 hours after injection: soreness at injection site increasing, pressure in ear increasing, mild headache developed - orally took 10 mg of melatonin to try to sleep through the discomfort/pain. 12.5 hours after injection: awoke due to severe arm pain and feeling that I was going to throw up. Also felt like I had a fever due to feeling very hot followed by chills, but did not take my temperature.  My headache worsened and felt like when I get a migraine (I usually have about 1 migraine a year).  I also had mild muscle aches all over my body.  I took 800 mg of ibuprofen and propped myself upright with a trashcan next to me. 13.5 hours after injection: called out of work for the following day and shortly after fell back asleep.  I did not throw up. 16.5 hours after injection: woke up with reduced soreness at injection site, reduced headache, reduced nausea, increased fatigue. - Fell back asleep. 21.5 hours after injection: woke up with moderate soreness at injection site, increased headache, no body aches, and overwhelming fatigue - took another 800 mg of ibuprofen  and 10 mg Phenylephrine (and regular daily medication: 40 mg Adderall XR, 75 mg Venlafaxine HCl, 10 mg Loratadine, 0.5 mg Benztropine mesylate, 5 mg Midodrine HCl, centrum multivitamin, and Yaz birth control) 23.5 hours after injection: decreased soreness at injection site, no headache, extreme exhaustion, and moderate upset stomach making it difficult to eat. - ate a couple bites of rice and drank water and then fell back asleep. 25.5 hours after injection: woke up  with mild pain at injection site, mild headache (front of head, similar to a sinus headache), ringing and pressure in left ear has decreased but still noticable, moderate fatigue, difficulty focusing.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Eye movement disorder, Hyperhidrosis, Pallor
Clinical narrative: After 10 minutes receiving the 1st dose of Pfizer Covid-19 vaccine, patient experienced sweating, pale looking, eyes rolling back. He was still aware, and stated that he wants to lye down. We took his BP, all the numbers are within normal range.  He rested for 15 more minutes, and said that he wants to go home and rest.  We called to followed up later and talked to Mom. She said he is ok after eating  and resting.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: UNKNOW - Suspected COVID-19 virus infection
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dysgeusia, Headache, Pain, Pain in extremity
Clinical narrative: Pt reports that with her 1st dose she experienced mild lips tingling sensation approx. 30 minutes post-vaccination and a very mild metallic taste, symptoms subsided couple of hours later same day. With 2nd dose metallic taste is mild, and lips tingling sensations is non-continuous. Pt also reports that the her existing lower back pain seems to increased a little as well. Tylenol 2 tablets same day of vaccination for both doses for sore arm, pt states did not help. Pt also reported that she took Tylenol before going to get her 2nd dose to avoid ADEs. Recommend pt to stay hyrated and could try loengez for to see if it will help with the metallic taste. If symptoms does not get better in a few days to contact MD. Pt reports that she woke up at ~0300 or 0400 5/3/2021 with a fever 102 F, headache, pain in her lower back doubled in intensity, and her whole body was achy and in pain. Pt reports she took 1,000 mg of Tylenol at 1000 this morning and that helped with the fever and headache. Pt also reports that since her lower back was hurting so much she took a hot shower and massaged the methanol and epsom salt body soak on areas of her body that was achy and in pain, and she reports that all her symptoms subsided last night at 1800 hours after she woke up from her sleep and she feels more energetic. Today she is back to normal and reports having way more energy. **NOTE** Advised pt to be careful with the way she is using the body soak to prevent possible skin irritation since is made to be soak. Pt advised she does not do this often, she was desperate and it helped with her aches and pain.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pyrexia
Clinical narrative: Pt reports that with her 1st dose she experienced mild lips tingling sensation approx. 30 minutes post-vaccination and a very mild metallic taste, symptoms subsided couple of hours later same day. With 2nd dose metallic taste is mild, and lips tingling sensations is non-continuous. Pt also reports that the her existing lower back pain seems to increased a little as well. Tylenol 2 tablets same day of vaccination for both doses for sore arm, pt states did not help. Pt also reported that she took Tylenol before going to get her 2nd dose to avoid ADEs. Recommend pt to stay hyrated and could try loengez for to see if it will help with the metallic taste. If symptoms does not get better in a few days to contact MD. Pt reports that she woke up at ~0300 or 0400 5/3/2021 with a fever 102 F, headache, pain in her lower back doubled in intensity, and her whole body was achy and in pain. Pt reports she took 1,000 mg of Tylenol at 1000 this morning and that helped with the fever and headache. Pt also reports that since her lower back was hurting so much she took a hot shower and massaged the methanol and epsom salt body soak on areas of her body that was achy and in pain, and she reports that all her symptoms subsided last night at 1800 hours after she woke up from her sleep and she feels more energetic. Today she is back to normal and reports having way more energy. **NOTE** Advised pt to be careful with the way she is using the body soak to prevent possible skin irritation since is made to be soak. Pt advised she does not do this often, she was desperate and it helped with her aches and pain.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Electrocardiogram, Nervousness, Sinus tachycardia
Clinical narrative: 1120: Patient complained of tachycardia and anxiety. Patient immediately assed by onsite NP and EMS. Vitals were taken. Pulse 137, BP 134/101, 02 99%. EKG showed Sinus Tach. Patient denied chest pain, SOB, or headache. She reported she was nervous and has history of anxiety. Patient given water.  1130: Second set of vitals were taken. BP 139/93, P 91, 02 99%. Patient reported feeling better  1145: Third set of vitals taken. BP 128/89, P 86, O2 99%. Patient went home with no medical complaints
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Off label use - due to age.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Chills and fever
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown, attempted to call parent, number has been disconnected
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia, Cough, Fatigue, Oropharyngeal pain, Streptococcus test
Clinical narrative: sore throat exhaustion cough  cannot smell
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: numbness of left thigh. comes on with pressure. occurs when sitting or laying down.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: Injection into nerve/rotator cuff
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Asthenia, Fatigue, Frequent bowel movements, Headache
Clinical narrative: frozen shoulder, could not move. severe fatigue, no energy to get up and go bathroom or get up in general. nausea, headache. weak muscles. upset stomach, pooping alot
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Muscular weakness, Nausea, Periarthritis
Clinical narrative: frozen shoulder, could not move. severe fatigue, no energy to get up and go bathroom or get up in general. nausea, headache. weak muscles. upset stomach, pooping alot
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Below the  injection area,  arm swollen  like a balloon.  Took tylenol and  cool compress.  Saturday,  May 1st thru currently  5/6/21.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Loss of consciousness, Nausea
Clinical narrative: Shortly after injection feelings of dizziness and nausea while standing. Symptoms began to intensify within 5 minutes therafter, leading to blackout. Came to senses shortly after, drank some water. Light headedness and headache remain 2.5 hours after injection.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood triglycerides increased, COVID-19, Death, Diarrhoea, Endotracheal intubation
Clinical narrative: Summary:66-yof with past medical history of ESRD HDD Monday Wednesday Friday, COPD not on home oxygen, hypertension, depression, hyperlipidemia, who comes to the ED with 4 weeks duration of generalized malaise, fatigue, and loose stool.  Incidentally she reports her daughter tested positive for Covid on Sunday and she was exposed at that time, but sx pres for several wks .  She was noted have a fever of 102.3.  Ferritin 1086.  Her O2 sats declined to 92 percent the emergency room.  She also tested positive for Covid 19.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fraction of inspired oxygen, Hypotension, Hypoxia, Intensive care
Clinical narrative: Summary:66-yof with past medical history of ESRD HDD Monday Wednesday Friday, COPD not on home oxygen, hypertension, depression, hyperlipidemia, who comes to the ED with 4 weeks duration of generalized malaise, fatigue, and loose stool.  Incidentally she reports her daughter tested positive for Covid on Sunday and she was exposed at that time, but sx pres for several wks .  She was noted have a fever of 102.3.  Ferritin 1086.  Her O2 sats declined to 92 percent the emergency room.  She also tested positive for Covid 19.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nasogastric output abnormal, Oxygen saturation decreased, Positive end-expiratory pressure, Pyrexia
Clinical narrative: Summary:66-yof with past medical history of ESRD HDD Monday Wednesday Friday, COPD not on home oxygen, hypertension, depression, hyperlipidemia, who comes to the ED with 4 weeks duration of generalized malaise, fatigue, and loose stool.  Incidentally she reports her daughter tested positive for Covid on Sunday and she was exposed at that time, but sx pres for several wks .  She was noted have a fever of 102.3.  Ferritin 1086.  Her O2 sats declined to 92 percent the emergency room.  She also tested positive for Covid 19.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: Summary:66-yof with past medical history of ESRD HDD Monday Wednesday Friday, COPD not on home oxygen, hypertension, depression, hyperlipidemia, who comes to the ED with 4 weeks duration of generalized malaise, fatigue, and loose stool.  Incidentally she reports her daughter tested positive for Covid on Sunday and she was exposed at that time, but sx pres for several wks .  She was noted have a fever of 102.3.  Ferritin 1086.  Her O2 sats declined to 92 percent the emergency room.  She also tested positive for Covid 19.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Cough, Productive cough, Throat irritation
Clinical narrative: Vaccine administered. Patient started coughing, scratchy throat, and mucous within 8 minutes. Pt was treated for anaphylaxis with epinephrine, albuterol, prednisone, xyzal. Pt recovered in the office and was monitored for 2 hours.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Patient complaints of dizziness. Per pt, last meal was 6 am ( over 9 hours ago) Patient noted to be pale and diaphoretic. Legs elevated. EMS evaluated. Vital signs obtained. HR noted to be in 40-50s. Patient provided powerade. Patient drank powerade. After drinking powerade, patient stated that she is feeling better.  Vitals signs within normal limits.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation
Clinical narrative: patient reported eye irritation and burning. denies blurry vision. patient was observed for  115-20 minutes. then felt better and was driven home
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion induced, Amniocentesis
Clinical narrative: Pregnancy  termination at 18 weeks due to un-survivable . OTC Deficiency as carrier diagnose during permanency and cause of loss.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Cough, Dizziness, Headache
Clinical narrative: cough, headache, back pain, sinus problem and dizziness.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: cough, headache, back pain, sinus problem and dizziness.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Acne, Ageusia, Anosmia, Arthralgia, Bedridden
Clinical narrative: 1st vaccine: Within 2 weeks of 1st vaccination, my menstrual cycle began 2 weeks early and lasted for 7 full days  (VERY HEAVY), which is very abnormal for me. I also had a rash on my left arm after first vaccination for a couple days. The 2 days following the first vaccine, I had no taste or smell (except sweet). 2nd vaccination: In the first 12 hours, arm started to hurt than whole body hurt intensely. Within one day, I was confined to bed. I could not see or hear. I experieinced cold sweats with hot and cold flashes.  My face swelled and I had broken capillaries on my face as well as 22 pimples. (I've never had that before). It felt like I had a migraine in every joint and vertebrae in my body.  My breathing became labored within 36 hours of getting vaccine. Today, almost 2 weeks later, I still experieince consistent fatigue and intermittent heat and cold waves,
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Cold sweat, Contusion, Deafness, Dyspnoea
Clinical narrative: 1st vaccine: Within 2 weeks of 1st vaccination, my menstrual cycle began 2 weeks early and lasted for 7 full days  (VERY HEAVY), which is very abnormal for me. I also had a rash on my left arm after first vaccination for a couple days. The 2 days following the first vaccine, I had no taste or smell (except sweet). 2nd vaccination: In the first 12 hours, arm started to hurt than whole body hurt intensely. Within one day, I was confined to bed. I could not see or hear. I experieinced cold sweats with hot and cold flashes.  My face swelled and I had broken capillaries on my face as well as 22 pimples. (I've never had that before). It felt like I had a migraine in every joint and vertebrae in my body.  My breathing became labored within 36 hours of getting vaccine. Today, almost 2 weeks later, I still experieince consistent fatigue and intermittent heat and cold waves,
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling of body temperature change, Hot flush, Menstruation irregular, Pain
Clinical narrative: 1st vaccine: Within 2 weeks of 1st vaccination, my menstrual cycle began 2 weeks early and lasted for 7 full days  (VERY HEAVY), which is very abnormal for me. I also had a rash on my left arm after first vaccination for a couple days. The 2 days following the first vaccine, I had no taste or smell (except sweet). 2nd vaccination: In the first 12 hours, arm started to hurt than whole body hurt intensely. Within one day, I was confined to bed. I could not see or hear. I experieinced cold sweats with hot and cold flashes.  My face swelled and I had broken capillaries on my face as well as 22 pimples. (I've never had that before). It felt like I had a migraine in every joint and vertebrae in my body.  My breathing became labored within 36 hours of getting vaccine. Today, almost 2 weeks later, I still experieince consistent fatigue and intermittent heat and cold waves,
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash, Spinal pain, Swelling face
Clinical narrative: 1st vaccine: Within 2 weeks of 1st vaccination, my menstrual cycle began 2 weeks early and lasted for 7 full days  (VERY HEAVY), which is very abnormal for me. I also had a rash on my left arm after first vaccination for a couple days. The 2 days following the first vaccine, I had no taste or smell (except sweet). 2nd vaccination: In the first 12 hours, arm started to hurt than whole body hurt intensely. Within one day, I was confined to bed. I could not see or hear. I experieinced cold sweats with hot and cold flashes.  My face swelled and I had broken capillaries on my face as well as 22 pimples. (I've never had that before). It felt like I had a migraine in every joint and vertebrae in my body.  My breathing became labored within 36 hours of getting vaccine. Today, almost 2 weeks later, I still experieince consistent fatigue and intermittent heat and cold waves,
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Computerised tomogram normal, Diarrhoea, Full blood count normal, Intussusception
Clinical narrative: Starting at 7pm developed severe nausea, vomiting, diarrhea, body aches. Went to the ER and CT abd/pelvis revealed transient intussusception. Symptoms eased but are still currently present. As of 5/6/2021 Pt still with nausea - controlled with Zofran, lower abdominal pain, inability to have effective BM. Pt is passing gas and small amounts of stool.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Lipase normal, Metabolic function test, Nausea, Pain, Urine analysis abnormal
Clinical narrative: Starting at 7pm developed severe nausea, vomiting, diarrhea, body aches. Went to the ER and CT abd/pelvis revealed transient intussusception. Symptoms eased but are still currently present. As of 5/6/2021 Pt still with nausea - controlled with Zofran, lower abdominal pain, inability to have effective BM. Pt is passing gas and small amounts of stool.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Starting at 7pm developed severe nausea, vomiting, diarrhea, body aches. Went to the ER and CT abd/pelvis revealed transient intussusception. Symptoms eased but are still currently present. As of 5/6/2021 Pt still with nausea - controlled with Zofran, lower abdominal pain, inability to have effective BM. Pt is passing gas and small amounts of stool.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient became very light headed and dizzy while sitting, following his vaccination. Patient was evaluated by EMS on site and refused transport to the emergency room. Patient vitals were stable. Patient admitted to having a similar reaction following his first dose of the same vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Peripheral swelling, Skin discolouration, Thromboembolectomy, Thrombosis
Clinical narrative: Patient received her first Pfizer vaccine on April 8, 2021.  On April 24, her home health care nurse noticed swelling of the left calf.  Pt is wheelchair dependent and has little sensation below the waist due to MS.  She never had any pain.  She was seen in the office on April 27 with significant swelling and discoloration of her left leg.  A venous duplex scan revealed a large clot burden from the groin to the ankle.  She was started on Eliquis and evaluated by vascular surgery. She required surgical embolectomy which was preformed 5/5/21.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal, Wheelchair user
Clinical narrative: Patient received her first Pfizer vaccine on April 8, 2021.  On April 24, her home health care nurse noticed swelling of the left calf.  Pt is wheelchair dependent and has little sensation below the waist due to MS.  She never had any pain.  She was seen in the office on April 27 with significant swelling and discoloration of her left leg.  A venous duplex scan revealed a large clot burden from the groin to the ankle.  She was started on Eliquis and evaluated by vascular surgery. She required surgical embolectomy which was preformed 5/5/21.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: I63.9 - Acute CVA (cerebrovascular accident) (CMS/HCC) I63.9 - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Burn oesophageal, Mental impairment, Nausea, Pyrexia
Clinical narrative: constant feeling of going to throw up. Did throw up many times. But it wasn?t a deep purge from the bottom of the stomach. It felt like more of a shallow purge from the top of stomach or bottom of esophagus. This condition lasted 2 days and was accompanied by fever and was completely debilitating, affecting lucidity. When the nauseous sensation finally subsided, esophagus felt like there was a hole burned through it. It took 11 or 12 days to fully recover.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: constant feeling of going to throw up. Did throw up many times. But it wasn?t a deep purge from the bottom of the stomach. It felt like more of a shallow purge from the top of stomach or bottom of esophagus. This condition lasted 2 days and was accompanied by fever and was completely debilitating, affecting lucidity. When the nauseous sensation finally subsided, esophagus felt like there was a hole burned through it. It took 11 or 12 days to fully recover.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Influenza like illness, Muscle spasms, Pain in extremity
Clinical narrative: frequent short duration  intense headaches few times a week, bouts of dizziness lasting less than a minute every other week in addition to the original day after vaccine symptoms of flu-like aching and cramping leg, calf and feet muscles, fever of 101.3, intense pressure headache which lasted approximately 36 hours, sore arm when injection was given.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: frequent short duration  intense headaches few times a week, bouts of dizziness lasting less than a minute every other week in addition to the original day after vaccine symptoms of flu-like aching and cramping leg, calf and feet muscles, fever of 101.3, intense pressure headache which lasted approximately 36 hours, sore arm when injection was given.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Pain, Pyrexia
Clinical narrative: Chills & Fever started around 4:00am 5/5/21, some body aches- nothing major. Body aches went away around 6:30am. Took advil around 5:30 AM, fever was around 100.4 around then, dropped down back to 98 degrees 2 hours later. Took a nap a few hours later around 1pm after eating, fever spiked again to 101.7, took some Tylenol, fever did not reduce. Took another nap, woke up around 4:45 pm fever was at 102.7. Took Tylenol again around 5:30pm- fever went down around anywhere from 11:00pm-2:00am. 5/7/21- took temp was normal 96.6 degrees, went to work. Drinking lots of water, feeling extremely dizzy and chills still- minor chills, but temperature is reading around 98 degrees (electronic reading)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Menstrual cycle began 1 week early.  Usually menstruation is very regular.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mammogram abnormal, Tenderness, Ultrasound scan abnormal
Clinical narrative: See medical tests. Minor tenderness in armpit but was not reported to doctor. The test were because of my annual mammogram.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: PT POSSIBLY GIVEN HIGHER DOSE DUE TO MIXING ERROR
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Fatigue, Malaise, SARS-CoV-2 test
Clinical narrative: cough, malaise, fatigue  OTC medications sepsis
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: cough, malaise, fatigue  OTC medications sepsis
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: cellulitis below injection site. 2nd dose received 4/28. First indication of problem came 5/1 with fever and chills as well as a large red splotch on arm. 5/3, the splotch had grown larger, was extremely painful and hot, still running low-grade fever. Diagnosed by primary care dr. as cellulitis and course of antibiotics started. 5/6 noticeable improvement in appearance and pain level of cellulitis location. Intensity of discoloration and pain significantly less.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: cellulitis below injection site. 2nd dose received 4/28. First indication of problem came 5/1 with fever and chills as well as a large red splotch on arm. 5/3, the splotch had grown larger, was extremely painful and hot, still running low-grade fever. Diagnosed by primary care dr. as cellulitis and course of antibiotics started. 5/6 noticeable improvement in appearance and pain level of cellulitis location. Intensity of discoloration and pain significantly less.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Dizziness, Vision blurred
Clinical narrative: Dizziness and blurred vision reported 2-3 minutes after vaccine. Patient reports a history of anxiety and reports this feels like anxiety. Symptoms completely resolved within 5-10 minutes of observation/assessment by medical team.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Cough  Congestion or running nose
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Hyperhidrosis, Oropharyngeal discomfort, Pallor, Peripheral coldness
Clinical narrative: Immediate localized swelling, patient report of feeling sweaty and hot, then noted left arm felt cold, and felt it in his throat, later noteds "tasted it in his throat". Denied tongue swelling. He was given an injection of 0.3mg of Epinephrine 2 minutes after symptoms started, and 50mg IM Benadryl 3 minutes after the injection. His BP remained 130s-140s/90s, HR 90-99, O2 96-98% on room air. Patient was Alert and Oriented x 4, no tongue changes on exam, RRR no m/r/g and CTAB on cardiac and resp. exam. Hands felt cool to the touch and pale (bilatarally). He reported his hands and feet felt cold approx 10 minutes after the injection. The paramedics and ambulance arrived 18 minutes after the injection after which he was taken to the hospital
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Immediate localized swelling, patient report of feeling sweaty and hot, then noted left arm felt cold, and felt it in his throat, later noteds "tasted it in his throat". Denied tongue swelling. He was given an injection of 0.3mg of Epinephrine 2 minutes after symptoms started, and 50mg IM Benadryl 3 minutes after the injection. His BP remained 130s-140s/90s, HR 90-99, O2 96-98% on room air. Patient was Alert and Oriented x 4, no tongue changes on exam, RRR no m/r/g and CTAB on cardiac and resp. exam. Hands felt cool to the touch and pale (bilatarally). He reported his hands and feet felt cold approx 10 minutes after the injection. The paramedics and ambulance arrived 18 minutes after the injection after which he was taken to the hospital
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea
Clinical narrative: headache,chills,nausea
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Exposure during pregnancy, Fatigue, Headache
Clinical narrative: Currently pregnant - due date 11/08/21   Sore arm, fatigue, nausea, lack of appetite, chills, headache and body aches   No treatment, rested
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity
Clinical narrative: Currently pregnant - due date 11/08/21   Sore arm, fatigue, nausea, lack of appetite, chills, headache and body aches   No treatment, rested
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Blood test normal, Cardiac monitoring normal, Chest X-ray normal
Clinical narrative: Passed out on the road while on a walk with friends . Unable to standup w balance and  weakness. Went to ER and was a TIA code. Full work up  MRI, TC scan, chest X-ray, blood work, heart monitor COVID test.  All were negative. Symptoms seem to have worsen (tired, weak, no appetite, diarrhea, confusion while talking). My fall was on my left side never hit my head and my hands have no cuts, that would show I braced my fall.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Confusional state, Decreased appetite, Diarrhoea, Dysstasia
Clinical narrative: Passed out on the road while on a walk with friends . Unable to standup w balance and  weakness. Went to ER and was a TIA code. Full work up  MRI, TC scan, chest X-ray, blood work, heart monitor COVID test.  All were negative. Symptoms seem to have worsen (tired, weak, no appetite, diarrhea, confusion while talking). My fall was on my left side never hit my head and my hands have no cuts, that would show I braced my fall.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fatigue, Gait disturbance, Loss of consciousness, Magnetic resonance imaging head normal
Clinical narrative: Passed out on the road while on a walk with friends . Unable to standup w balance and  weakness. Went to ER and was a TIA code. Full work up  MRI, TC scan, chest X-ray, blood work, heart monitor COVID test.  All were negative. Symptoms seem to have worsen (tired, weak, no appetite, diarrhea, confusion while talking). My fall was on my left side never hit my head and my hands have no cuts, that would show I braced my fall.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test negative
Clinical narrative: Passed out on the road while on a walk with friends . Unable to standup w balance and  weakness. Went to ER and was a TIA code. Full work up  MRI, TC scan, chest X-ray, blood work, heart monitor COVID test.  All were negative. Symptoms seem to have worsen (tired, weak, no appetite, diarrhea, confusion while talking). My fall was on my left side never hit my head and my hands have no cuts, that would show I braced my fall.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Throat tightness
Clinical narrative: 30 MINUTES AFTER RECEIVING MODERNA VACCINE PT EXPERIENCED SWELLIN OF LIPS AND " TIGHT FELING " IN THROAT. TAKEN TO PROCEDURE ROOM. 911 CALLED. EPINEPHERIN 0.3 MG GIVEN IM . DR. CAME IN TO SEE PT. BENADRYL 50MG GIVEN PO. FIRE RESCUE ARRIVED AND ASSUMED CARE OF PT.  CALLED PATIENT AT4PM SHE WAS RELEASED FROM HOSPITAL AND HOME DOING GOOD.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Hypotension, Hypoxia, Pneumonia, Sepsis
Clinical narrative: J18.9 - Pneumonia I95.9 - Hypotension R09.02 - Hypoxia I48.91 - Atrial fibrillation with rapid ventricular response (CMS/HCC) A41.9 - Sepsis, unspecified organism
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was 17 years of age and 9 months when the Moderna vaccine was administered. Vaccine licensed for 18 years of age and older. No adverse reaction reported by patient at this time.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Enlarged uvula, Musculoskeletal stiffness, Pharyngeal paraesthesia, Swelling
Clinical narrative: Tingling throat Swollen Uvula Very stiff/swollen  neck  feeling
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Quarter sized bump at injection site, hot to the touch, sensitive and painful to the touch, redness around area, itching at and around area
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Breast tenderness, Contusion, Dysmenorrhoea, Erythema, Heavy menstrual bleeding
Clinical narrative: Menstrual cycle started  right at my 10 month of not having one for  seven days . Menstrual cycle for myself only last 3 to 5 days and was very painful ( Back and Breast tenderness ) I also have bruises on my upper right and left arm on my left thigh and on my right ankle round red circles
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Tenderness
Clinical narrative: Menstrual cycle started  right at my 10 month of not having one for  seven days . Menstrual cycle for myself only last 3 to 5 days and was very painful ( Back and Breast tenderness ) I also have bruises on my upper right and left arm on my left thigh and on my right ankle round red circles
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Headache, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 RNA
Clinical narrative: Headache  Congestion or running nose
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Headache  Congestion or running nose
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Headache, Nasal congestion, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Headache  Congestion or running nose
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram head, Computerised tomogram thorax, Electrocardiogram, Laboratory test
Clinical narrative: Suspected seizure
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Suspected seizure
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Bone pain, Fatigue
Clinical narrative: Severe pain in bones and joints for 3 days extruciating pain the worse pain imaginable unable to even get up from bed. Extreme fatigue and weakess
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Angiogram abnormal, Angiogram pulmonary abnormal, Anion gap, Anticoagulant therapy
Clinical narrative: BRIEF OVERVIEW: Primary Care Provider at Discharge: DO Admission Date: 5/5/2021 Discharge Date:5/6/2021    Active Hospital Problems   Diagnosis Date Noted POA ? Essential hypertension 05/06/2021 Yes ? Pulmonary embolism on right (HCC) 05/05/2021 Yes ? Right flank pain 05/05/2021 Yes ? Hypokalemia 05/05/2021 Yes ? Uncomplicated alcohol dependence (HCC) 05/05/2021 Yes   Resolved Hospital Problems No resolved problems to display.   CONSULTS: None    INPATIENT PROCEDURES: None   DETAILS OF HOSPITAL STAY:   PRESENTING PROBLEM: Patient is a 83 y.o. male with Hx of HTN who presents today with complaint of right sided flank pain, with radiations into the right side of his back and right side of his chest. The pain is worse with movement and deep inspiration. He denies palpitations and shortness of breath. He has no previous HX of VTE. He denies fever, chills, cough, nasal congestion, and sore throat. He denies abdominal pain, N/V, and changes in bowel movements. The patient is a limited historian. He is oriented x4 on admission, but states that he has had difficulty with his memory over the past 2-3 years. He lives alone in an apartment.   In the emergency department the patient's vital signs were stable.  Labs revealed a potassium of 3.3.  AST was 52 and ALT 61. White blood cell count was 11.13.  Troponin was negative and BNP was within normal limits.  Lactic acid was 1.5.  UA showed trace blood.  EKG showed normal sinus rhythm with PACs.  CTA the thorax abdomen and pelvis showed acute pulmonary emboli involving the segmental subsegmental arteries of the upper and lower lobes.  There is no evidence of heart strain. He was admitted for observation due to severe pain, and was given IV fentanyl.  Echocardiogram showed: The left ventricular ejection fraction is 67%. No regional wall motion abnormalities noted. The right ventricular size, thickness, and function are normal. The estimated right ventricular systolic pressure is 36 mmHg. The inferior vena cava was not visualized during the exam. There is no comparison study available.    He was started on Eliquis 10 mg bid for 7 days, than 5 mg bid for total of 3 months.  He should follow up with PCP in 1 week and should check CBC and BMP on 5/10/21. He should also follow up with pulmonologist in 2-3 months.  He had Pfizer COVID-19 vaccine on 2/18/21 and 3/18/21. There is remote possibility that this PE could be related to COVID-19 vaccine, so this was reported to Vaccine Adverse Event Reporting System (VAERS). He had mild hypokalemia due to HCTZ, and required K-dur supplement. HCTZ was switched to Maxzide 25/37.5 mg daily. Rechecked K was normal 3.9. BMP should be checked in 1 week. Also he is drinking little bit too much alcohol, 4 alcoholic drinks every night. He was instructed to cut alcohol drinking to </=2 alcoholic drink a day.  His daughter was updated over the phone.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aspartate aminotransferase increased, Back pain, Blood albumin decreased, Blood bicarbonate increased, Blood calcium
Clinical narrative: BRIEF OVERVIEW: Primary Care Provider at Discharge: DO Admission Date: 5/5/2021 Discharge Date:5/6/2021    Active Hospital Problems   Diagnosis Date Noted POA ? Essential hypertension 05/06/2021 Yes ? Pulmonary embolism on right (HCC) 05/05/2021 Yes ? Right flank pain 05/05/2021 Yes ? Hypokalemia 05/05/2021 Yes ? Uncomplicated alcohol dependence (HCC) 05/05/2021 Yes   Resolved Hospital Problems No resolved problems to display.   CONSULTS: None    INPATIENT PROCEDURES: None   DETAILS OF HOSPITAL STAY:   PRESENTING PROBLEM: Patient is a 83 y.o. male with Hx of HTN who presents today with complaint of right sided flank pain, with radiations into the right side of his back and right side of his chest. The pain is worse with movement and deep inspiration. He denies palpitations and shortness of breath. He has no previous HX of VTE. He denies fever, chills, cough, nasal congestion, and sore throat. He denies abdominal pain, N/V, and changes in bowel movements. The patient is a limited historian. He is oriented x4 on admission, but states that he has had difficulty with his memory over the past 2-3 years. He lives alone in an apartment.   In the emergency department the patient's vital signs were stable.  Labs revealed a potassium of 3.3.  AST was 52 and ALT 61. White blood cell count was 11.13.  Troponin was negative and BNP was within normal limits.  Lactic acid was 1.5.  UA showed trace blood.  EKG showed normal sinus rhythm with PACs.  CTA the thorax abdomen and pelvis showed acute pulmonary emboli involving the segmental subsegmental arteries of the upper and lower lobes.  There is no evidence of heart strain. He was admitted for observation due to severe pain, and was given IV fentanyl.  Echocardiogram showed: The left ventricular ejection fraction is 67%. No regional wall motion abnormalities noted. The right ventricular size, thickness, and function are normal. The estimated right ventricular systolic pressure is 36 mmHg. The inferior vena cava was not visualized during the exam. There is no comparison study available.    He was started on Eliquis 10 mg bid for 7 days, than 5 mg bid for total of 3 months.  He should follow up with PCP in 1 week and should check CBC and BMP on 5/10/21. He should also follow up with pulmonologist in 2-3 months.  He had Pfizer COVID-19 vaccine on 2/18/21 and 3/18/21. There is remote possibility that this PE could be related to COVID-19 vaccine, so this was reported to Vaccine Adverse Event Reporting System (VAERS). He had mild hypokalemia due to HCTZ, and required K-dur supplement. HCTZ was switched to Maxzide 25/37.5 mg daily. Rechecked K was normal 3.9. BMP should be checked in 1 week. Also he is drinking little bit too much alcohol, 4 alcoholic drinks every night. He was instructed to cut alcohol drinking to </=2 alcoholic drink a day.  His daughter was updated over the phone.