chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood urea normal, C-reactive protein increased, Chest pain, Coagulation test
Clinical narrative: Patient is a 19 y.o. male with a variety of minor past medical problems but without any significant PMH who presents with 24h of acute onset chest pains. He reports yesterday morning he was woken from sleep at 3-4 am with severe substernal chest pains that radiated to his arm and neck. This was worsened by laying flat and better if he waked around/pacing. He took ibuprofen and it got better so he went back to sleep. The pain returned about 6 hours later and was getting more severe so he went to see his doctor. There an EKG was abnormal so he was referred to the ED where a work up showed ST elevations c/w pericarditis and an elevated trop I of 24.   The night prior, he reported a low grade temperature. He has not had any more fevers for the past 12-18 hours. He denies any other symptoms such as palpitations, shortness of breath, cough syncope. He denies sick contacts but did have a sore throat 4-5 days ago without any other associated symptoms. He has had recent negative COVID tests while at college.    Of note he did receive the 2nd dose of Pfizer on 5/15 about 24-36 hours before onset of symptoms.    Of note, he does boxing at school and has been participating in work outs until about a week ago.   ED course: EKG w/ diffuse ST segment elevation in V3-V6, I, II, II, AVF. Troponin I 24. Creatnine 1.2 with baseline of 0.5 but BUN WNL (11). CBC WNL, CRP mildly elevated to 3.1, Transferred to another ED.   Second ED Course: BP 120/64  | Pulse 83  | Temp 36.7 °C (98.1 °F) (Temporal)  | Resp 18  | Wt 76.3 kg  | SpO2 97% exam non-focal, COVID ab notable for +spike neg nuclear capsid consistent with vax but no infection, D-Dimer, procal, ESR, ferritin, Coags all WNL, Trop T elevated to 1.46,, ECG with consistent diffuse ST seg elevations, seen by ped cards who did echo in ED and notable for EF ~50%, admitted to PCICU for further management and treatment  Admitted to the PCICU in stable condition. Placed on telemetry monitoring for the duration of the admission. Started on IV steroids and given IVIG on hospital day 1. Continued on toradol which was switched to motrin on hospital day 2. Cardiac MRI did not show signs of fibrosis. Troponin downtrended throughout his stay. At the time of DC echo showed normal function, ekg showed T wave inverions, and troponin was down trending to 0.57. Pt to be restricted from physical activity until cleared by cardiology. Infectious workup also sent, most of which was pending at time of discharge.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction, Electrocardiogram ST segment elevation, Electrocardiogram T wave inversion, Electrocardiogram abnormal
Clinical narrative: Patient is a 19 y.o. male with a variety of minor past medical problems but without any significant PMH who presents with 24h of acute onset chest pains. He reports yesterday morning he was woken from sleep at 3-4 am with severe substernal chest pains that radiated to his arm and neck. This was worsened by laying flat and better if he waked around/pacing. He took ibuprofen and it got better so he went back to sleep. The pain returned about 6 hours later and was getting more severe so he went to see his doctor. There an EKG was abnormal so he was referred to the ED where a work up showed ST elevations c/w pericarditis and an elevated trop I of 24.   The night prior, he reported a low grade temperature. He has not had any more fevers for the past 12-18 hours. He denies any other symptoms such as palpitations, shortness of breath, cough syncope. He denies sick contacts but did have a sore throat 4-5 days ago without any other associated symptoms. He has had recent negative COVID tests while at college.    Of note he did receive the 2nd dose of Pfizer on 5/15 about 24-36 hours before onset of symptoms.    Of note, he does boxing at school and has been participating in work outs until about a week ago.   ED course: EKG w/ diffuse ST segment elevation in V3-V6, I, II, II, AVF. Troponin I 24. Creatnine 1.2 with baseline of 0.5 but BUN WNL (11). CBC WNL, CRP mildly elevated to 3.1, Transferred to another ED.   Second ED Course: BP 120/64  | Pulse 83  | Temp 36.7 °C (98.1 °F) (Temporal)  | Resp 18  | Wt 76.3 kg  | SpO2 97% exam non-focal, COVID ab notable for +spike neg nuclear capsid consistent with vax but no infection, D-Dimer, procal, ESR, ferritin, Coags all WNL, Trop T elevated to 1.46,, ECG with consistent diffuse ST seg elevations, seen by ped cards who did echo in ED and notable for EF ~50%, admitted to PCICU for further management and treatment  Admitted to the PCICU in stable condition. Placed on telemetry monitoring for the duration of the admission. Started on IV steroids and given IVIG on hospital day 1. Continued on toradol which was switched to motrin on hospital day 2. Cardiac MRI did not show signs of fibrosis. Troponin downtrended throughout his stay. At the time of DC echo showed normal function, ekg showed T wave inverions, and troponin was down trending to 0.57. Pt to be restricted from physical activity until cleared by cardiology. Infectious workup also sent, most of which was pending at time of discharge.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Full blood count abnormal, Immunoglobulin therapy, Intensive care, Laboratory test
Clinical narrative: Patient is a 19 y.o. male with a variety of minor past medical problems but without any significant PMH who presents with 24h of acute onset chest pains. He reports yesterday morning he was woken from sleep at 3-4 am with severe substernal chest pains that radiated to his arm and neck. This was worsened by laying flat and better if he waked around/pacing. He took ibuprofen and it got better so he went back to sleep. The pain returned about 6 hours later and was getting more severe so he went to see his doctor. There an EKG was abnormal so he was referred to the ED where a work up showed ST elevations c/w pericarditis and an elevated trop I of 24.   The night prior, he reported a low grade temperature. He has not had any more fevers for the past 12-18 hours. He denies any other symptoms such as palpitations, shortness of breath, cough syncope. He denies sick contacts but did have a sore throat 4-5 days ago without any other associated symptoms. He has had recent negative COVID tests while at college.    Of note he did receive the 2nd dose of Pfizer on 5/15 about 24-36 hours before onset of symptoms.    Of note, he does boxing at school and has been participating in work outs until about a week ago.   ED course: EKG w/ diffuse ST segment elevation in V3-V6, I, II, II, AVF. Troponin I 24. Creatnine 1.2 with baseline of 0.5 but BUN WNL (11). CBC WNL, CRP mildly elevated to 3.1, Transferred to another ED.   Second ED Course: BP 120/64  | Pulse 83  | Temp 36.7 °C (98.1 °F) (Temporal)  | Resp 18  | Wt 76.3 kg  | SpO2 97% exam non-focal, COVID ab notable for +spike neg nuclear capsid consistent with vax but no infection, D-Dimer, procal, ESR, ferritin, Coags all WNL, Trop T elevated to 1.46,, ECG with consistent diffuse ST seg elevations, seen by ped cards who did echo in ED and notable for EF ~50%, admitted to PCICU for further management and treatment  Admitted to the PCICU in stable condition. Placed on telemetry monitoring for the duration of the admission. Started on IV steroids and given IVIG on hospital day 1. Continued on toradol which was switched to motrin on hospital day 2. Cardiac MRI did not show signs of fibrosis. Troponin downtrended throughout his stay. At the time of DC echo showed normal function, ekg showed T wave inverions, and troponin was down trending to 0.57. Pt to be restricted from physical activity until cleared by cardiology. Infectious workup also sent, most of which was pending at time of discharge.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging heart, Neck pain, Pain, Pain in extremity, Pericarditis
Clinical narrative: Patient is a 19 y.o. male with a variety of minor past medical problems but without any significant PMH who presents with 24h of acute onset chest pains. He reports yesterday morning he was woken from sleep at 3-4 am with severe substernal chest pains that radiated to his arm and neck. This was worsened by laying flat and better if he waked around/pacing. He took ibuprofen and it got better so he went back to sleep. The pain returned about 6 hours later and was getting more severe so he went to see his doctor. There an EKG was abnormal so he was referred to the ED where a work up showed ST elevations c/w pericarditis and an elevated trop I of 24.   The night prior, he reported a low grade temperature. He has not had any more fevers for the past 12-18 hours. He denies any other symptoms such as palpitations, shortness of breath, cough syncope. He denies sick contacts but did have a sore throat 4-5 days ago without any other associated symptoms. He has had recent negative COVID tests while at college.    Of note he did receive the 2nd dose of Pfizer on 5/15 about 24-36 hours before onset of symptoms.    Of note, he does boxing at school and has been participating in work outs until about a week ago.   ED course: EKG w/ diffuse ST segment elevation in V3-V6, I, II, II, AVF. Troponin I 24. Creatnine 1.2 with baseline of 0.5 but BUN WNL (11). CBC WNL, CRP mildly elevated to 3.1, Transferred to another ED.   Second ED Course: BP 120/64  | Pulse 83  | Temp 36.7 °C (98.1 °F) (Temporal)  | Resp 18  | Wt 76.3 kg  | SpO2 97% exam non-focal, COVID ab notable for +spike neg nuclear capsid consistent with vax but no infection, D-Dimer, procal, ESR, ferritin, Coags all WNL, Trop T elevated to 1.46,, ECG with consistent diffuse ST seg elevations, seen by ped cards who did echo in ED and notable for EF ~50%, admitted to PCICU for further management and treatment  Admitted to the PCICU in stable condition. Placed on telemetry monitoring for the duration of the admission. Started on IV steroids and given IVIG on hospital day 1. Continued on toradol which was switched to motrin on hospital day 2. Cardiac MRI did not show signs of fibrosis. Troponin downtrended throughout his stay. At the time of DC echo showed normal function, ekg showed T wave inverions, and troponin was down trending to 0.57. Pt to be restricted from physical activity until cleared by cardiology. Infectious workup also sent, most of which was pending at time of discharge.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin normal, Pyrexia, Red blood cell sedimentation rate normal, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative
Clinical narrative: Patient is a 19 y.o. male with a variety of minor past medical problems but without any significant PMH who presents with 24h of acute onset chest pains. He reports yesterday morning he was woken from sleep at 3-4 am with severe substernal chest pains that radiated to his arm and neck. This was worsened by laying flat and better if he waked around/pacing. He took ibuprofen and it got better so he went back to sleep. The pain returned about 6 hours later and was getting more severe so he went to see his doctor. There an EKG was abnormal so he was referred to the ED where a work up showed ST elevations c/w pericarditis and an elevated trop I of 24.   The night prior, he reported a low grade temperature. He has not had any more fevers for the past 12-18 hours. He denies any other symptoms such as palpitations, shortness of breath, cough syncope. He denies sick contacts but did have a sore throat 4-5 days ago without any other associated symptoms. He has had recent negative COVID tests while at college.    Of note he did receive the 2nd dose of Pfizer on 5/15 about 24-36 hours before onset of symptoms.    Of note, he does boxing at school and has been participating in work outs until about a week ago.   ED course: EKG w/ diffuse ST segment elevation in V3-V6, I, II, II, AVF. Troponin I 24. Creatnine 1.2 with baseline of 0.5 but BUN WNL (11). CBC WNL, CRP mildly elevated to 3.1, Transferred to another ED.   Second ED Course: BP 120/64  | Pulse 83  | Temp 36.7 °C (98.1 °F) (Temporal)  | Resp 18  | Wt 76.3 kg  | SpO2 97% exam non-focal, COVID ab notable for +spike neg nuclear capsid consistent with vax but no infection, D-Dimer, procal, ESR, ferritin, Coags all WNL, Trop T elevated to 1.46,, ECG with consistent diffuse ST seg elevations, seen by ped cards who did echo in ED and notable for EF ~50%, admitted to PCICU for further management and treatment  Admitted to the PCICU in stable condition. Placed on telemetry monitoring for the duration of the admission. Started on IV steroids and given IVIG on hospital day 1. Continued on toradol which was switched to motrin on hospital day 2. Cardiac MRI did not show signs of fibrosis. Troponin downtrended throughout his stay. At the time of DC echo showed normal function, ekg showed T wave inverions, and troponin was down trending to 0.57. Pt to be restricted from physical activity until cleared by cardiology. Infectious workup also sent, most of which was pending at time of discharge.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Serum ferritin normal, Sleep disorder, Troponin T increased
Clinical narrative: Patient is a 19 y.o. male with a variety of minor past medical problems but without any significant PMH who presents with 24h of acute onset chest pains. He reports yesterday morning he was woken from sleep at 3-4 am with severe substernal chest pains that radiated to his arm and neck. This was worsened by laying flat and better if he waked around/pacing. He took ibuprofen and it got better so he went back to sleep. The pain returned about 6 hours later and was getting more severe so he went to see his doctor. There an EKG was abnormal so he was referred to the ED where a work up showed ST elevations c/w pericarditis and an elevated trop I of 24.   The night prior, he reported a low grade temperature. He has not had any more fevers for the past 12-18 hours. He denies any other symptoms such as palpitations, shortness of breath, cough syncope. He denies sick contacts but did have a sore throat 4-5 days ago without any other associated symptoms. He has had recent negative COVID tests while at college.    Of note he did receive the 2nd dose of Pfizer on 5/15 about 24-36 hours before onset of symptoms.    Of note, he does boxing at school and has been participating in work outs until about a week ago.   ED course: EKG w/ diffuse ST segment elevation in V3-V6, I, II, II, AVF. Troponin I 24. Creatnine 1.2 with baseline of 0.5 but BUN WNL (11). CBC WNL, CRP mildly elevated to 3.1, Transferred to another ED.   Second ED Course: BP 120/64  | Pulse 83  | Temp 36.7 °C (98.1 °F) (Temporal)  | Resp 18  | Wt 76.3 kg  | SpO2 97% exam non-focal, COVID ab notable for +spike neg nuclear capsid consistent with vax but no infection, D-Dimer, procal, ESR, ferritin, Coags all WNL, Trop T elevated to 1.46,, ECG with consistent diffuse ST seg elevations, seen by ped cards who did echo in ED and notable for EF ~50%, admitted to PCICU for further management and treatment  Admitted to the PCICU in stable condition. Placed on telemetry monitoring for the duration of the admission. Started on IV steroids and given IVIG on hospital day 1. Continued on toradol which was switched to motrin on hospital day 2. Cardiac MRI did not show signs of fibrosis. Troponin downtrended throughout his stay. At the time of DC echo showed normal function, ekg showed T wave inverions, and troponin was down trending to 0.57. Pt to be restricted from physical activity until cleared by cardiology. Infectious workup also sent, most of which was pending at time of discharge.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: INDIVIDUAL WAS 17 YEARS OLD AT THE TIME OF THE VACCINATION
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine was administered to this patient (under the age of 18) on 04/20/21  in error. Patient denied adverse reaction when error was identified on 5/18/21.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Pt given 2nd dose vaccine 05/19/2021.  2nd dose was due 05/24/2021.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dark circles under eyes, Eye swelling, Fatigue, Feeling of body temperature change
Clinical narrative: At 10pm on 5/18/2021 I started having side effects, 9 hours after vaccination. My face and ears were hot and my body was cold, I felt very fatigued. I took Tylenol before bed and woke up in the middle of the night drenched in sweat. I woke up officially at 8am and felt my face and eyes were swollen, I also had chest tightness. I looked in the mirror and it looks like I was punched in the face. My left eye (the side I was vaccinated) is significantly more swollen than my right side. Since 8am, the swelling and puffiness hasn?t gone down in my face, however, the chest tightness went away. I took Benadryl. It is now almost 4pm on 5/19/2021 and I still have the same amount of swelling and puffiness in my face. It?s extreme enough that I can?t go out in public like this or else someone will think I got beat up. There isn?t any bruising, rather, under each eye there are very prominent dark circles with almost a reddish tint. It seems like this possibly could be an allergic reaction but after reading online it seems like allergic reactions would have happened right after vaccine. I noticed this side effect 19 hours after vaccination when I woke up on 5/19/2021. If it?s not better when I wake up tomorrow on 05/20/2021 I will goto urgent care.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Swelling face
Clinical narrative: At 10pm on 5/18/2021 I started having side effects, 9 hours after vaccination. My face and ears were hot and my body was cold, I felt very fatigued. I took Tylenol before bed and woke up in the middle of the night drenched in sweat. I woke up officially at 8am and felt my face and eyes were swollen, I also had chest tightness. I looked in the mirror and it looks like I was punched in the face. My left eye (the side I was vaccinated) is significantly more swollen than my right side. Since 8am, the swelling and puffiness hasn?t gone down in my face, however, the chest tightness went away. I took Benadryl. It is now almost 4pm on 5/19/2021 and I still have the same amount of swelling and puffiness in my face. It?s extreme enough that I can?t go out in public like this or else someone will think I got beat up. There isn?t any bruising, rather, under each eye there are very prominent dark circles with almost a reddish tint. It seems like this possibly could be an allergic reaction but after reading online it seems like allergic reactions would have happened right after vaccine. I noticed this side effect 19 hours after vaccination when I woke up on 5/19/2021. If it?s not better when I wake up tomorrow on 05/20/2021 I will goto urgent care.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Erythema, Eye swelling, Swelling face
Clinical narrative: At 10pm on 5/18/2021 I started having side effects, 9 hours after vaccination. My face and ears were hot and my body was cold, I felt very fatigued. I took Tylenol before bed and woke up in the middle of the night drenched in sweat. I woke up officially at 8am and felt my face and eyes were swollen, I also had chest tightness. I looked in the mirror and it looks like I was punched in the face. My left eye (the side I was vaccinated) is significantly more swollen than my right side. Since 8am, the swelling and puffiness hasn?t gone down in my face, however, the chest tightness went away. I took Benadryl. It is now almost 4pm on 5/19/2021 and I still have the same amount of swelling and puffiness in my face. It?s extreme enough that I can?t go out in public like this or else someone will think I got beat up. There isn?t any bruising, rather, under each eye there are very prominent dark circles with almost a reddish tint. It seems like this possibly could be an allergic reaction but after reading online it seems like allergic reactions would have happened right after vaccine. I noticed this side effect 19 hours after vaccination when I woke up on 5/19/2021. If it?s not better when I wake up tomorrow on 05/20/2021 I will goto urgent care.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Cough, Deep vein thrombosis, Electrocardiogram
Clinical narrative: Wheezing in my chest and bad cough started on 5/5. Pain in my left calf began on 5/14. I went to the Emergency Room  on 5/16 and was diagnosed pulmonary embolism in both lungs and deep vein thrombosis in my left leg.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pulmonary embolism, Ultrasound scan, Wheezing, X-ray
Clinical narrative: Wheezing in my chest and bad cough started on 5/5. Pain in my left calf began on 5/14. I went to the Emergency Room  on 5/16 and was diagnosed pulmonary embolism in both lungs and deep vein thrombosis in my left leg.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Back pain, COVID-19, Fatigue
Clinical narrative: 1. Loss of taste and smell/Fatigue-- R/o covid. PCR test done. No exposure but her husband has a cough and seems to be getting sick now. Quarantine below.  2. Muscle aches and leg and back pain--  Checking labs like CMP,CK and Mag 3. DM-2 higher risk patient for severe covid. 4. HTN-- BP is stable right now. Mild tachycardia is present and thus a reason for the labs.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: 1. Loss of taste and smell/Fatigue-- R/o covid. PCR test done. No exposure but her husband has a cough and seems to be getting sick now. Quarantine below.  2. Muscle aches and leg and back pain--  Checking labs like CMP,CK and Mag 3. DM-2 higher risk patient for severe covid. 4. HTN-- BP is stable right now. Mild tachycardia is present and thus a reason for the labs.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis, Injection site induration, Injection site rash, Injection site warmth, Rash erythematous
Clinical narrative: Left arm, deltoid, 5cm erythamatous area warm to touch with induration with very small (1mm) macules noted over erythematous area. No pustules, no streaking noted. Cellulitis ceterizine, keflex, and benadryl (PRN-QHS)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: Left arm, deltoid, 5cm erythamatous area warm to touch with induration with very small (1mm) macules noted over erythematous area. No pustules, no streaking noted. Cellulitis ceterizine, keflex, and benadryl (PRN-QHS)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Immunisation reaction, Pruritus, Rash, Skin burning sensation
Clinical narrative: Pt complains of rash on bilateral ear, face, neck, both arm and chest accompanied by redness, burning and itching after receiving vaccine.    Patient pre-medicated for this immunization because she had reaction with the 1st  vaccine dose. She took Benadryl and Pepcid. Evaluated in urgent care.  Per exam, patient has slight area of erythema under the chin.  No other significant rashes are noted and small amount of edema above right eye.   Pt given steroids and antihistamine for discharge.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Client received Moderna over at on 4/3/21. Father brought son over to for his son second dose of Moderna. Nurse RN explained to the father that his son should have not received the Moderna due to his age, Pfizer is only given to 16yrs of age at that time of injection. So nurse called Dr. no response then called Nursing Supervisor for concerns. In the mean time Pharmacy was present and stated that he can receive the Moderna vaccine since he already received the 1st dose per Moderna guidelines so client received his 2nd dose of Moderna at Rec Center on 5/19/21 at 11;30am. Note: Nurse is educated on CDC guidelines and CDC states must be age appropriate. Will follow up tomorrow to assess condition.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Swelling face
Clinical narrative: pt claimed had reaction from first dose two hours after receiving it.  had lip swelling and facial swelling but no shortness of breath per doctor's advise took Benadryl and had to take Benadryl for 4 days. She consulted yesterday with Doctor and got an ok to take the second dose and take Benadryl  and Claritin  before the shot. Referred case to supervisor and ok'd to give the shot. after 30 minutes of monitoring pt noted having lip swelling at 1455, gave her Benadryl IM and kept her for another 30 minutes. noted swelling subsided and felt better.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Pain
Clinical narrative: Immediate severe sore arm. Headache within one hour. 17 hours later woke up vomiting with a fever of 101, chills, body aches, joint pain, severe headache, and extreme exhaustion.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Immediate severe sore arm. Headache within one hour. 17 hours later woke up vomiting with a fever of 101, chills, body aches, joint pain, severe headache, and extreme exhaustion.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Cold sweat, Dizziness, Fear of injection, Hyperhidrosis
Clinical narrative: Almost immediately after patient sat down in observation chair after vaccine administration, he stated he was feeling extremely dizzy and light-headed. He also became extremely sweaty and cold/clammy to the touch. Took his blood pressure and it was 80/56 mmHg. HR was 49 bpm. Grabbed him some cool cloths to apply to his face/head/neck. He stated he was extremely anxious about the vaccine as he has an extremely phobia of needles & thought this may have contributed to the event, but was not sure. After a few minutes, he began to feel better. He stopped sweating, skin warmed up and he was no longer dizzy or light headed. By the time his 15 minutes were up, he was back to normal again.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Condition aggravated, Death
Clinical narrative: PT deceased on 1/6/21 from "complications of CHF" Unknow if it is in fact related to the vaccine.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Blood test, Cellulitis, Contusion, Erythema, Laboratory test
Clinical narrative: Started with severe bruising immediately. In less than 24 hours there was a red hot circle around the bruise and a massive bulged. Redness continues spreading. After assessment at hospital ER, diagnosed  with cellulitis
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Skin swelling, Skin warm
Clinical narrative: Started with severe bruising immediately. In less than 24 hours there was a red hot circle around the bruise and a massive bulged. Redness continues spreading. After assessment at hospital ER, diagnosed  with cellulitis
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Nausea
Clinical narrative: patient experienced shortness of breath about 2 minutes after giving the shot. pt also later (in maybe 10 minutes) became nauseated and dizzy
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Concussion, Headache, Presyncope, Syncope
Clinical narrative: Patient experienced a near syncopal episode within 5 minutes of receiving the vaccine. He was seated in table in the back of the room of the Observation area. He had been put there as during his first COVID vaccine on 4/21/2021 he fainted and went to the ER. He has been suffering from mild concussion symptoms since 4/21 such as headaches and fatigue. His vitals at 9:15 were BP 138/88, HR 102, O2 Sat 97%. ARNP assisted pt. with an ice pack to his forehead and assessed mental status. He was alert and oriented x 3, no neck pain, pale, no disturbed vision, able to move hands and legs. He had eaten ~8 oz of yogurt and a peach at 8:45 just prior to the vaccine at 9:10. While with us he drank 6 oz of apple juice followed by vitals of 125/76 and pulse of 74 along with O2 Sat of 99% Student is a graduated senior at the University  where he received both vaccines. He is originally from out of town and will return there in 6 days. He remained with us for 40 minutes. He was released to walk home with a friend (~ 3 blocks) and rest for the remainder of the day. Spoke with pt. 3 hours later and no s/s, no negative reaction-feels well
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: INDIVIDUAL WAS 17 AT THE TIME OF VACCINATION
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Eye pain, Fatigue, Hypoaesthesia, Oral pain
Clinical narrative: Within 20 - 30 minutes of getting the shot my face below my eyes went tingly to numb.  Then my throat became tight and swallowing felt different.  About 30 minutes after the onset the symptoms started to subside.  Then the around 3:30 pm extreme fatigue set in and I could not stay awake.  I slept for 4.5 hours and went back to sleep a short time later all night.    0n 5/18/21 my tongue swelled, my throat hurt and the inside of my mouth and in random spot ached.  The swelling went away in about 40 minutes and the sore mouth went away but the sore throat lingered most of the day.  I was fatigued again  On 5/19/21 I had fatigue again and my eyes hurt, event behind my eyes.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Paraesthesia, Swollen tongue, Throat tightness
Clinical narrative: Within 20 - 30 minutes of getting the shot my face below my eyes went tingly to numb.  Then my throat became tight and swallowing felt different.  About 30 minutes after the onset the symptoms started to subside.  Then the around 3:30 pm extreme fatigue set in and I could not stay awake.  I slept for 4.5 hours and went back to sleep a short time later all night.    0n 5/18/21 my tongue swelled, my throat hurt and the inside of my mouth and in random spot ached.  The swelling went away in about 40 minutes and the sore mouth went away but the sore throat lingered most of the day.  I was fatigued again  On 5/19/21 I had fatigue again and my eyes hurt, event behind my eyes.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dysphagia, Irritability, Oropharyngeal pain, Pruritus
Clinical narrative: Throat tightening & pain with swallowing, itching, irritable/aggitated, hot.  Purposefully tried to avoid EPI this time.  Took oral hydroxyzine and decade in. Waited 1hr in observation. No changes, willing to send me home.Developed vomiting & diarrhea in the night,  still itchy,  throat still hurts.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Throat tightness, Vomiting
Clinical narrative: Throat tightening & pain with swallowing, itching, irritable/aggitated, hot.  Purposefully tried to avoid EPI this time.  Took oral hydroxyzine and decade in. Waited 1hr in observation. No changes, willing to send me home.Developed vomiting & diarrhea in the night,  still itchy,  throat still hurts.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Inflammation
Clinical narrative: Sore and inflammed shoulder.  Patient has seen a doctor and received a steroid shot in the shoulder.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen lymph node, very tender, moves when pressed, at collar bone on right hand side of body
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Just ice on left arm
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Pt passed out after receiving vaccine.  Patient had gone to the restroom post vaccine and passed out.  Patient was given two glucose tablets and water.  Rested at pharmacy for 30 minutes and was fine.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Subarachnoid haemorrhage, Subdural haematoma
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. This occurred on 3/13/21 due to subarachnoid hemorrhage. This also occurred on 4/17/21 for subdural hematoma.
Age: 31.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Chills, Dyspnoea, Full blood count, Headache
Clinical narrative: 2 days after the vaccine the side effects were swelling, rash, headache, numbness in face and legs, chills after approximately 5 days had numbness in face and swelling and yesterday I had symptoms appear like shortness of breath, throat sensation, chest and stomach bloating
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Oropharyngeal discomfort, Rash, Swelling, Urine analysis
Clinical narrative: 2 days after the vaccine the side effects were swelling, rash, headache, numbness in face and legs, chills after approximately 5 days had numbness in face and swelling and yesterday I had symptoms appear like shortness of breath, throat sensation, chest and stomach bloating
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: 2 days after the vaccine the side effects were swelling, rash, headache, numbness in face and legs, chills after approximately 5 days had numbness in face and swelling and yesterday I had symptoms appear like shortness of breath, throat sensation, chest and stomach bloating
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram, Fatigue, Hemiparesis, Migraine
Clinical narrative: Serve fatigue, muscle weakness on my left side, leg pain causing me not to stand for long periods of time, nauseas, serve migraines
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nausea, Pain in extremity
Clinical narrative: Serve fatigue, muscle weakness on my left side, leg pain causing me not to stand for long periods of time, nauseas, serve migraines
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Approximiately 10 days after receiving the second dose of the moderan covid vaccine, patient experienced symptoms consistant with Bells Palsy with facial dropping. Patient was treated in the emergency department using antiviral therapy. The condition is new and currently unresolved.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Rash, Throat tightness
Clinical narrative: Adverse Event: rash on upper back/shoulder.   Uncontrollably coughing, tightness of throat treatment: benadryl, coffee, and washing the affected area
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Individual was vaccinated prior to the approval of Pfizer for 12-15 year old's. On April 26, 2021, individual arrived at vaccination site for first dose of COVID-19 Pfizer vaccine and provided birth year of 2004, parent consented. This date of birth would make the individual age 16 and eligible to receive the vaccine. Individual arrived for the second dose of Pfizer COVID-19 vaccine on May 17, 2021 and registrar recognized the minor and questioned the date of birth provided. The minor provided their correct birth year of 2006, with parent consent. On May 17th, Pfizer was approved for 12yrs and older and received his second dose of Pfizer vax. Individual did not have any adverse events during the  observation period.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Elevated, resting heart rate of over 100 bpm. Normally 70-75. Heart beating stronger than normal. Started about 22 hours after vaccine and has lasted since. No increased blood pressure.
Age: 15.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Cyanosis, Disorientation, Fatigue, Nausea, Pulse abnormal
Clinical narrative: Patient had convulsive seizure, became unresponsive and was cyanotic, sternal rub, patient opened eyes. Heart rate was thready. Patient felt nauseous. Patient was disoriented for 1min and quickly regained orientation. Patient was given water, patient laid on the floor. Discharged to ER  Past Medical Hx Hx of seizure at age 4
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Unresponsive to stimuli
Clinical narrative: Patient had convulsive seizure, became unresponsive and was cyanotic, sternal rub, patient opened eyes. Heart rate was thready. Patient felt nauseous. Patient was disoriented for 1min and quickly regained orientation. Patient was given water, patient laid on the floor. Discharged to ER  Past Medical Hx Hx of seizure at age 4
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Seizure, Syncope
Clinical narrative: Patient fainted in the chair and appeared to be having a seizure. An Epipen was administered during the reaction and paramedics were called. The patient refused medical treatment from the paramedics and called her parents to come pick her up.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram retina, Angiotensin converting enzyme, Anti-HLA antibody test, Antineutrophil cytoplasmic antibody, Antinuclear antibody
Clinical narrative: Visual disturbance beginning about 2 weeks after the second Moderna vaccination. Saw her primary ophthalmologist who did laser treatment to open the posterior capsules. This did not improve her vision so she was referred to a retinal doctor, Dr, who  did wide angle fluorescein angiography and found widespread retinal vascular occlusions without hemorrhage. 90% infarcted in right eye, 80% infarcted in left eye.  Corrected vision is 20/20 in each eye.  There are peripheral visual field defects, but visual field not done.  Features not consistent with diabetic retinopathy.  Findings confirmed by reporting physician, who feels they resemble Susac syndrome and other cases of post vaccine retinal vascular occlusion of which she is aware.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Antiphospholipid antibodies, Blood glucose increased, C-reactive protein, Cardiolipin antibody, Chest X-ray normal
Clinical narrative: Visual disturbance beginning about 2 weeks after the second Moderna vaccination. Saw her primary ophthalmologist who did laser treatment to open the posterior capsules. This did not improve her vision so she was referred to a retinal doctor, Dr, who  did wide angle fluorescein angiography and found widespread retinal vascular occlusions without hemorrhage. 90% infarcted in right eye, 80% infarcted in left eye.  Corrected vision is 20/20 in each eye.  There are peripheral visual field defects, but visual field not done.  Features not consistent with diabetic retinopathy.  Findings confirmed by reporting physician, who feels they resemble Susac syndrome and other cases of post vaccine retinal vascular occlusion of which she is aware.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Eye infarction, Eye laser surgery, Glycosylated haemoglobin, HLA-B*27 assay, Herpes virus test
Clinical narrative: Visual disturbance beginning about 2 weeks after the second Moderna vaccination. Saw her primary ophthalmologist who did laser treatment to open the posterior capsules. This did not improve her vision so she was referred to a retinal doctor, Dr, who  did wide angle fluorescein angiography and found widespread retinal vascular occlusions without hemorrhage. 90% infarcted in right eye, 80% infarcted in left eye.  Corrected vision is 20/20 in each eye.  There are peripheral visual field defects, but visual field not done.  Features not consistent with diabetic retinopathy.  Findings confirmed by reporting physician, who feels they resemble Susac syndrome and other cases of post vaccine retinal vascular occlusion of which she is aware.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Immunology test, Mycobacterium test, Posterior capsule opacification, Retinal vascular occlusion, Rheumatoid factor
Clinical narrative: Visual disturbance beginning about 2 weeks after the second Moderna vaccination. Saw her primary ophthalmologist who did laser treatment to open the posterior capsules. This did not improve her vision so she was referred to a retinal doctor, Dr, who  did wide angle fluorescein angiography and found widespread retinal vascular occlusions without hemorrhage. 90% infarcted in right eye, 80% infarcted in left eye.  Corrected vision is 20/20 in each eye.  There are peripheral visual field defects, but visual field not done.  Features not consistent with diabetic retinopathy.  Findings confirmed by reporting physician, who feels they resemble Susac syndrome and other cases of post vaccine retinal vascular occlusion of which she is aware.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatological examination, Susac's syndrome, Treponema test, Visual field defect, Visual impairment
Clinical narrative: Visual disturbance beginning about 2 weeks after the second Moderna vaccination. Saw her primary ophthalmologist who did laser treatment to open the posterior capsules. This did not improve her vision so she was referred to a retinal doctor, Dr, who  did wide angle fluorescein angiography and found widespread retinal vascular occlusions without hemorrhage. 90% infarcted in right eye, 80% infarcted in left eye.  Corrected vision is 20/20 in each eye.  There are peripheral visual field defects, but visual field not done.  Features not consistent with diabetic retinopathy.  Findings confirmed by reporting physician, who feels they resemble Susac syndrome and other cases of post vaccine retinal vascular occlusion of which she is aware.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion, Condition aggravated
Clinical narrative: Patient showed up to the hospital after her 2nd Moderna vaccine with AFib w/RVR and failed cardioversion. Patient was recently diagnosed with AFib  a couple of days after receiving the first dose of the Moderna vaccine
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: syncopal episode. Evaluated by EMS-Refusal to transport.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Presyncope, Vomiting
Clinical narrative: Nausea, vomiting, near syncopal episode
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: Suspected COVID-19 virus infection -     POCT COVID-19 Antigen   Patient received her first dose of COVID-19 vaccine.  1 week later she developed symptoms starting with headache and now cough and tachycardia.  Due to her advanced age she is at risk for complications from COVID-19 including hospitalization and death. Patient was interested in monoclonal antibody treatments.  Risks and benefits were reviewed.  I discussed the case with the treatment navigator and also sent a message to our physician support team regarding when she should get her second dose of the vaccine.  I do believe it will likely occur on time.   Admission orders were placed for monoclonal antibody treatment   COVID-19 virus infection Dx Medication Infusion  Reason for Visit Progress Notes     Patient arrived at the ambulatory infusion site alone via car. Reports cough, fatigue, and diarrhea.  Patient stated she discussed Bamlanivimab infusion and associates risks with her doctor prior to this infusion. Reports all question were answered to her statisfaction. Denies any concerns or needs at this time.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Suspected COVID-19 virus infection -     POCT COVID-19 Antigen   Patient received her first dose of COVID-19 vaccine.  1 week later she developed symptoms starting with headache and now cough and tachycardia.  Due to her advanced age she is at risk for complications from COVID-19 including hospitalization and death. Patient was interested in monoclonal antibody treatments.  Risks and benefits were reviewed.  I discussed the case with the treatment navigator and also sent a message to our physician support team regarding when she should get her second dose of the vaccine.  I do believe it will likely occur on time.   Admission orders were placed for monoclonal antibody treatment   COVID-19 virus infection Dx Medication Infusion  Reason for Visit Progress Notes     Patient arrived at the ambulatory infusion site alone via car. Reports cough, fatigue, and diarrhea.  Patient stated she discussed Bamlanivimab infusion and associates risks with her doctor prior to this infusion. Reports all question were answered to her statisfaction. Denies any concerns or needs at this time.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Oligomenorrhoea, Pregnancy test negative
Clinical narrative: I am 33 and trying to conceive, and I religiously track my menstrual cycle (periods, ovulation, tested hormone levels, and symptoms leading up to and following both).  I have a 28-29 day cycle and it is as regular and consistent as the sun rising every day.  In the days leading up to my period, I always experience tell-tale signs that my period is coming (specifically, back & leg cramping, breast pain & tenderness, and increased emotionalism/weepiness).  I received the first dose of the Pfizer vaccine on 3/30/21.  My period started on 4/16/21 following a normal/standard 28-day cycle. It was lighter and shorter than normal, but I ovulated at the expected time following that period, and it did not seem particularly unusual in any way. I received the second dose of the Pfizer vaccine on 4/22/21. Since that time, I have not gotten a period, nor have I experienced ANY of the premenstrual symptoms that I have experienced before every single period in the last 20+ years. I?m now on day 34 of my cycle, I have not had a period, and I am not pregnant.  As I desperately search for answers on the internet, the CDC and other health authorities consistently say there is ?no evidence? that covid vaccines have any impact on menstrual cycles, despite tens of thousands of women with anecdotal evidence. This is infuriating and completely unacceptable. I NEVER would have been vaccinated had I known it would affect my cycles. It may be temporary, it may not affect fertility directly, but i have zero chance of conceiving this month, because there is no way to track and time my cycle. I am 33, desperately trying to conceive, and not getting any younger.  To not tell women this prior to getting the vaccine, and to ignore it and deny it is even a problem, is absolutely criminal.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Loss of consciousness, Syncope
Clinical narrative: patient feinted about 5 minutes after dose. She regained consciousness almost immediately but feinted again a few minutes later. We called EMS which arrived on scene and she continued having dizziness and was taken to hospital for evaluation.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Loss of consciousness, Skin discolouration, Syncope
Clinical narrative: patient fainted, passed out. did not hit head or get hurt. he was with a friend, who caught him. He was dizzy, light headed, grayish in skin tone, tightness in chest.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: generalized vesicular rash
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: pt received 2nd pfizer covid vaccine accidentally early. got first vaccine 5/5/21, received 2nd dose 5/19/21
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Tremor
Clinical narrative: Adverse Event : shaking and shivers with complaints of mild breathing problems. was cognizant and responsive to questions. 911 was called and the EMT arrived at 12:10 PM and took over treatment. Patients wife commented that these symptoms have happened in the past with Xanax and when I asked what the treatment was she replied, " they sat in the emergency room and they observed him for 2 or 3 hours and then the adverse event dissipated." Once the EMT arrived they took him to the hospital.