chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, Pyrexia, Rhinorrhoea, Tremor
Clinical narrative: Got the vaccine and within 30-an hour she was seated, waiting and she developed a tingling/numbness on her bottom lip to the center of her lip.  It spread throughout the entire bottom lip.  Then it moved to the left hand corner of her mouth as well, and then moved up to the left side of her face to her eye, and then to the corner of the left hand of her head.  This is a tingly pressure, and it then developed into a hard headache concentrated in one spot.  She went into heavy sweating.  The pharmacist was watching her and came over to her, she was there for about an hour and a half.  She had a bottle of water trying to cool off, and her tongue was getting a bad taste in her mouth, and numbness in the back of her tongue.  The pharmacist gave her Benadryl to take and she sat there for a while and was starting to feel really shaky, and she thought she would go back to her apartment to get out of being around other people.  She was feeling weak to walk, and overwhelmingly tired.  Once she did get into her apartment she her taste buds felt dry.   After several days of this reaction, little by little it subsided, but the sweating and chills continue even up until today, 3/26/21.  She goes to bed dry and wakes up soaked from sweat due to profuse sweating.  She has been yawing a lot lately and if she does yawn she immediately has chills.  It's been back and forth with the chills/fever.  She can be perspiring on one end and the other end cold.  She tried to talk to her doctor but told her to seek out UC for her symptoms as he is too busy.    There is eye strain that is bothering her which leads her into wanting to sleep and sleeps for extended periods of time and really exhausted.  Has also had runny nose, hands and feet swelling.  Her right hand is kind of like a tingling/weakness sensation.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Asthenia, Asthenopia, Chills, Dry mouth
Clinical narrative: Got the vaccine and within 30-an hour she was seated, waiting and she developed a tingling/numbness on her bottom lip to the center of her lip.  It spread throughout the entire bottom lip.  Then it moved to the left hand corner of her mouth as well, and then moved up to the left side of her face to her eye, and then to the corner of the left hand of her head.  This is a tingly pressure, and it then developed into a hard headache concentrated in one spot.  She went into heavy sweating.  The pharmacist was watching her and came over to her, she was there for about an hour and a half.  She had a bottle of water trying to cool off, and her tongue was getting a bad taste in her mouth, and numbness in the back of her tongue.  The pharmacist gave her Benadryl to take and she sat there for a while and was starting to feel really shaky, and she thought she would go back to her apartment to get out of being around other people.  She was feeling weak to walk, and overwhelmingly tired.  Once she did get into her apartment she her taste buds felt dry.   After several days of this reaction, little by little it subsided, but the sweating and chills continue even up until today, 3/26/21.  She goes to bed dry and wakes up soaked from sweat due to profuse sweating.  She has been yawing a lot lately and if she does yawn she immediately has chills.  It's been back and forth with the chills/fever.  She can be perspiring on one end and the other end cold.  She tried to talk to her doctor but told her to seek out UC for her symptoms as he is too busy.    There is eye strain that is bothering her which leads her into wanting to sleep and sleeps for extended periods of time and really exhausted.  Has also had runny nose, hands and feet swelling.  Her right hand is kind of like a tingling/weakness sensation.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysgeusia, Fatigue, Headache, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Got the vaccine and within 30-an hour she was seated, waiting and she developed a tingling/numbness on her bottom lip to the center of her lip.  It spread throughout the entire bottom lip.  Then it moved to the left hand corner of her mouth as well, and then moved up to the left side of her face to her eye, and then to the corner of the left hand of her head.  This is a tingly pressure, and it then developed into a hard headache concentrated in one spot.  She went into heavy sweating.  The pharmacist was watching her and came over to her, she was there for about an hour and a half.  She had a bottle of water trying to cool off, and her tongue was getting a bad taste in her mouth, and numbness in the back of her tongue.  The pharmacist gave her Benadryl to take and she sat there for a while and was starting to feel really shaky, and she thought she would go back to her apartment to get out of being around other people.  She was feeling weak to walk, and overwhelmingly tired.  Once she did get into her apartment she her taste buds felt dry.   After several days of this reaction, little by little it subsided, but the sweating and chills continue even up until today, 3/26/21.  She goes to bed dry and wakes up soaked from sweat due to profuse sweating.  She has been yawing a lot lately and if she does yawn she immediately has chills.  It's been back and forth with the chills/fever.  She can be perspiring on one end and the other end cold.  She tried to talk to her doctor but told her to seek out UC for her symptoms as he is too busy.    There is eye strain that is bothering her which leads her into wanting to sleep and sleeps for extended periods of time and really exhausted.  Has also had runny nose, hands and feet swelling.  Her right hand is kind of like a tingling/weakness sensation.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Peripheral swelling, Swelling, Tremor
Clinical narrative: Got the vaccine and within 30-an hour she was seated, waiting and she developed a tingling/numbness on her bottom lip to the center of her lip.  It spread throughout the entire bottom lip.  Then it moved to the left hand corner of her mouth as well, and then moved up to the left side of her face to her eye, and then to the corner of the left hand of her head.  This is a tingly pressure, and it then developed into a hard headache concentrated in one spot.  She went into heavy sweating.  The pharmacist was watching her and came over to her, she was there for about an hour and a half.  She had a bottle of water trying to cool off, and her tongue was getting a bad taste in her mouth, and numbness in the back of her tongue.  The pharmacist gave her Benadryl to take and she sat there for a while and was starting to feel really shaky, and she thought she would go back to her apartment to get out of being around other people.  She was feeling weak to walk, and overwhelmingly tired.  Once she did get into her apartment she her taste buds felt dry.   After several days of this reaction, little by little it subsided, but the sweating and chills continue even up until today, 3/26/21.  She goes to bed dry and wakes up soaked from sweat due to profuse sweating.  She has been yawing a lot lately and if she does yawn she immediately has chills.  It's been back and forth with the chills/fever.  She can be perspiring on one end and the other end cold.  She tried to talk to her doctor but told her to seek out UC for her symptoms as he is too busy.    There is eye strain that is bothering her which leads her into wanting to sleep and sleeps for extended periods of time and really exhausted.  Has also had runny nose, hands and feet swelling.  Her right hand is kind of like a tingling/weakness sensation.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Nausea
Clinical narrative: dizzy, chest tight, nausea. Evaluated by EMS-Cleared
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Headache started 7 hours after getting the shot, followed by chills, fever of 101.3. Fever and chills lasted 12-14 hours. Headache is still lingering almost 48 hours later.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: syncope after 1st dose COVID-19 vaccine laid pt down 1108: BP88/56, HR64, SpO2 97% 1109: BP94/62, HR72, SpO2 98% 1111:  HR78, SpO2 97% 1112: BP90/74, HR68, SpO2 97% 1116: BP102/78, HR80, SpO2 96% 1120: BP104/76, HR74, SpO2 96%
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is only 15 years of age and should not have received the Moderna vaccine.  No adverse affects were noted.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Dizziness, Fatigue, Flushing, Vertigo
Clinical narrative: Patient received first Covid-19 vaccine at 2:47. Patient reports within a minute or two she began to feel flushed and faint. Patient did not have syncopal episode. Patient was taken to separate room where she could lay down. Patient given crackers and water.  Vitals taken at 3:18 - BP 150/100, HR 82, SpO2 100%. Patient seen by Doctor. Vitals repeated at 3:30 - BP 155/95, HR 87, SpO2 100%, Temp 97.9F. Doctor reported patient feeling fatigued, but lightheadedness, flushing, and dizziness had resolved.   Doctor advised patient contact someone to take her home. Also advised to follow up with her PCP for elevated BP. If symptoms worsen or new symptoms arise, patient advised to go to ED for evaluation. Patient verbalized understanding.  BP checked once prior to patient leaving at 4:32 and was 142/100. Patient's sons came to clinic to drive her home.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Swelling in arm that was injected 7 days after vaccine was received.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nasal congestion
Clinical narrative: I was slightly dizzy after injection but nothing serious. That dizziness has continued through today, which is 72 hours later. Also, the dizziness is more pronounced.  In addition, I have experienced nasal congestion and facial swelling. These symptoms seem to be abating.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient reports had numbness and tingling around mouth and face after a few minutes fi vaccination; Resolved within minutes.  Received second COVIDdose and reports numbness and tingling around lips, mouth, left arm and left leg. Numbness started 24 hours after second dose and continues at this time- 48 hours after 2nd dose.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever, exhaustion, headache, aches that Have not gone away
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: I waited the required 15 minutes for monitoring. (I was a passenger driven to the site by someone else.) Just a few minutes after exiting, my face, back of my head, and top of my head went numb. No other side effects noticed (breathing was fine and no swelling or pain). It was a sensation more severe than when a body part "falls asleep" but less severe than what a novocaine shot feels like.  It did not seem like something severe enough to turn around a return to the hospital. My face did not droop like with Bell's Palsy and was not tingly. It was just a numbness across my cheeks, under and above my eyes, across my jaw line into my ears, at the upper back of my head, and the top of my head. Effect lasted about three hours. Morning after still feel very slight effect, like a tightness feeling.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Urticaria
Clinical narrative: Hives over arms legs torso Patches of red
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angioedema
Clinical narrative: 8 days after vaccine patient presented with angioedema
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial pain, Pruritus, Swelling face
Clinical narrative: 8 days after vaccine patient presented with angioedema
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: patient reports shingles outbreak on back, side of torso he received vaccine 1 day after receiving vaccine. No other complaints
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure, Death, Dyspnoea, Renal failure
Clinical narrative: See started having shortness of breath on the night of 8/2/2021. He sends her to do tests, and she was taken to the hospital. She died in the hospital due to kidney and heart failure.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dysphonia, Oropharyngeal pain, Swelling face
Clinical narrative: Hoarse/rough voice, sore throat, stomach cramps, puffy face
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea
Clinical narrative: Abdominal cramping and severe diarrhea (difficulty taking in enough fluids to keep up) which lasted off an on for three full days following vaccination. No medical treatment was sought, took bland foods and fluids, resolved on its own after Sunday February 7th.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Chest pain, Limb discomfort
Clinical narrative: Pain/pressure in center of chest, front and back, and squeezing sensation around ribcage, arms and legs felt weak?subsided in <2 minutes, with sitting down and doing deep slow breathing
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient immediately felt faint after needle was withdrawn from arm.  Patient was able to verbalize this.  Assisted to the floor and legs elevated.  Patient monitored for 30min.  Juice and chips given.  Mom with patient. 2nd dose scheduled.  Will have patient lying down for 2nd vaccine on April 14th
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cerebrovascular accident, Chest discomfort, Computerised tomogram, Diplopia
Clinical narrative: PATIENT HAD CHEST PRESSURE, DIZZINESS, AND DOUBLE -VISION 5 MINUTES AFTER VACCINE ADMINISTRATION. ATIENT TO ED, ADMITTED TO ICU FOR PROBABLE CVA
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Intensive care, Magnetic resonance imaging
Clinical narrative: PATIENT HAD CHEST PRESSURE, DIZZINESS, AND DOUBLE -VISION 5 MINUTES AFTER VACCINE ADMINISTRATION. ATIENT TO ED, ADMITTED TO ICU FOR PROBABLE CVA
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: So after I got the shot I had a sore arm for 4 days and when I mean sore I mean pretty sore, if I lifted something it would hurt. It was more sore than the normal for a shot. On Sunday the 14th I woke up with a fever (103F) shortness of breath and a headache, on Mondya the fever was a little lower in the 100s and I still have the shortness of breath. The next day I only had the fever and the whole week I just had a low grade fever (in the 99s) and on Saturday I woke up with high fever again and decided to go get a covid test. My fever broke when I was at the covid test site (Urgent Care) but at night it was back again. My test was negative. I noticed that every time I had high fever, 100s I had shortness of breath - the fever lasted 14 days (low grade for most part). Monday 03/29/2021 at 1:15 I have an appt with my PCP.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: So after I got the shot I had a sore arm for 4 days and when I mean sore I mean pretty sore, if I lifted something it would hurt. It was more sore than the normal for a shot. On Sunday the 14th I woke up with a fever (103F) shortness of breath and a headache, on Mondya the fever was a little lower in the 100s and I still have the shortness of breath. The next day I only had the fever and the whole week I just had a low grade fever (in the 99s) and on Saturday I woke up with high fever again and decided to go get a covid test. My fever broke when I was at the covid test site (Urgent Care) but at night it was back again. My test was negative. I noticed that every time I had high fever, 100s I had shortness of breath - the fever lasted 14 days (low grade for most part). Monday 03/29/2021 at 1:15 I have an appt with my PCP.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Client received his Pfizer vaccine and during the post-vaccination wait period in his car, he complained of nausea and lightheadedness. His spouse was in the car with him. Vital signs: BP=143/91. He had no history of allergies and was not on any medications. He was evaluated by the nurse and EMT on site and it was determined he did not require further medical attention. He was instructed to call ?911? if his symptoms returned or he developed additional symptoms and he voiced understanding. He waited a little longer and was driven away by his spouse.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization within 6 weeks after receiving vaccine
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute disseminated encephalomyelitis, Anti-NMDA antibody, Antinuclear antibody negative, Aphasia, Blood culture negative
Clinical narrative: 47 year old Gynecologist with PMH of severe MDD, GERD, asthma, referred to the ED by his PCP, after 5 days of gait instability, and about 4 weeks of altered mental status, confusion, short term memory deficits and malaise. ADEM suspected and extensive infectious, inflammatory and neoplastic workup was initiated. CT brain  - reported NAD MRI brain consistent with Acute Diffused Encephalomyelitis and suspected ADEM. MRI cervical spine with evidence of demyelination involving posterior cord. ICU course complicated by new onset of aphasia, partial left frontotemporal seizures, LGIB due to proximal rectal laceration and central diabetes insipidus.  Admitted 3/15/21.  On 3/17 he developed aphasia with right sided facial droop and stroke alert was called. Later on 3/17 he developed GI bleeding and was taken for emergent colonoscopy, from which no significant conclusions could be made due to lack of preparation and subsequent poor visualization. No foreign body was reported. After he continued to have ongoing bleeding, the patient had a sigmoidoscopy, during which the migrated clip could be removed and two new hemostatic clips were placed.  He subsequently developed large volume urine output and nephrology was consulted; the patient was diagnosed with likely diabetes insipidus.  On 3/20 acyclovir was discontinued after HSV PCR was negative. High dose solumedrol for ADEM completed 5 day course 3/21.  VDRL was non reactive. There were no oligoclonal bands. Solumedrol 1g daily was started 3/24/21: MRI showed L>R patchy enhancement and diffusion abnormalities consistent with ADEM. Repeat MRI showed new restricted diffusion of the left superior cortex, bilateral medial temporal lobes and hippocampi, genu of the corpus collosum, and pericallosal white matter, with ddx including status epilepticus, autoimmune encephalitis and infectious encephalitis including herpes simplex.  Completed 5 day course of high dose steroids, 6 days of IVIG and on ongoing PLEX. Neurological improvement noted 3/25
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood immunoglobulin G, Borrelia test, C-reactive protein normal, CSF test normal, Colonoscopy
Clinical narrative: 47 year old Gynecologist with PMH of severe MDD, GERD, asthma, referred to the ED by his PCP, after 5 days of gait instability, and about 4 weeks of altered mental status, confusion, short term memory deficits and malaise. ADEM suspected and extensive infectious, inflammatory and neoplastic workup was initiated. CT brain  - reported NAD MRI brain consistent with Acute Diffused Encephalomyelitis and suspected ADEM. MRI cervical spine with evidence of demyelination involving posterior cord. ICU course complicated by new onset of aphasia, partial left frontotemporal seizures, LGIB due to proximal rectal laceration and central diabetes insipidus.  Admitted 3/15/21.  On 3/17 he developed aphasia with right sided facial droop and stroke alert was called. Later on 3/17 he developed GI bleeding and was taken for emergent colonoscopy, from which no significant conclusions could be made due to lack of preparation and subsequent poor visualization. No foreign body was reported. After he continued to have ongoing bleeding, the patient had a sigmoidoscopy, during which the migrated clip could be removed and two new hemostatic clips were placed.  He subsequently developed large volume urine output and nephrology was consulted; the patient was diagnosed with likely diabetes insipidus.  On 3/20 acyclovir was discontinued after HSV PCR was negative. High dose solumedrol for ADEM completed 5 day course 3/21.  VDRL was non reactive. There were no oligoclonal bands. Solumedrol 1g daily was started 3/24/21: MRI showed L>R patchy enhancement and diffusion abnormalities consistent with ADEM. Repeat MRI showed new restricted diffusion of the left superior cortex, bilateral medial temporal lobes and hippocampi, genu of the corpus collosum, and pericallosal white matter, with ddx including status epilepticus, autoimmune encephalitis and infectious encephalitis including herpes simplex.  Completed 5 day course of high dose steroids, 6 days of IVIG and on ongoing PLEX. Neurological improvement noted 3/25
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head normal, Confusional state, Culture urine negative, Demyelination, Diabetes insipidus
Clinical narrative: 47 year old Gynecologist with PMH of severe MDD, GERD, asthma, referred to the ED by his PCP, after 5 days of gait instability, and about 4 weeks of altered mental status, confusion, short term memory deficits and malaise. ADEM suspected and extensive infectious, inflammatory and neoplastic workup was initiated. CT brain  - reported NAD MRI brain consistent with Acute Diffused Encephalomyelitis and suspected ADEM. MRI cervical spine with evidence of demyelination involving posterior cord. ICU course complicated by new onset of aphasia, partial left frontotemporal seizures, LGIB due to proximal rectal laceration and central diabetes insipidus.  Admitted 3/15/21.  On 3/17 he developed aphasia with right sided facial droop and stroke alert was called. Later on 3/17 he developed GI bleeding and was taken for emergent colonoscopy, from which no significant conclusions could be made due to lack of preparation and subsequent poor visualization. No foreign body was reported. After he continued to have ongoing bleeding, the patient had a sigmoidoscopy, during which the migrated clip could be removed and two new hemostatic clips were placed.  He subsequently developed large volume urine output and nephrology was consulted; the patient was diagnosed with likely diabetes insipidus.  On 3/20 acyclovir was discontinued after HSV PCR was negative. High dose solumedrol for ADEM completed 5 day course 3/21.  VDRL was non reactive. There were no oligoclonal bands. Solumedrol 1g daily was started 3/24/21: MRI showed L>R patchy enhancement and diffusion abnormalities consistent with ADEM. Repeat MRI showed new restricted diffusion of the left superior cortex, bilateral medial temporal lobes and hippocampi, genu of the corpus collosum, and pericallosal white matter, with ddx including status epilepticus, autoimmune encephalitis and infectious encephalitis including herpes simplex.  Completed 5 day course of high dose steroids, 6 days of IVIG and on ongoing PLEX. Neurological improvement noted 3/25
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Encephalitis, Encephalitis autoimmune, Facial paralysis, Gait disturbance, Gastrointestinal haemorrhage
Clinical narrative: 47 year old Gynecologist with PMH of severe MDD, GERD, asthma, referred to the ED by his PCP, after 5 days of gait instability, and about 4 weeks of altered mental status, confusion, short term memory deficits and malaise. ADEM suspected and extensive infectious, inflammatory and neoplastic workup was initiated. CT brain  - reported NAD MRI brain consistent with Acute Diffused Encephalomyelitis and suspected ADEM. MRI cervical spine with evidence of demyelination involving posterior cord. ICU course complicated by new onset of aphasia, partial left frontotemporal seizures, LGIB due to proximal rectal laceration and central diabetes insipidus.  Admitted 3/15/21.  On 3/17 he developed aphasia with right sided facial droop and stroke alert was called. Later on 3/17 he developed GI bleeding and was taken for emergent colonoscopy, from which no significant conclusions could be made due to lack of preparation and subsequent poor visualization. No foreign body was reported. After he continued to have ongoing bleeding, the patient had a sigmoidoscopy, during which the migrated clip could be removed and two new hemostatic clips were placed.  He subsequently developed large volume urine output and nephrology was consulted; the patient was diagnosed with likely diabetes insipidus.  On 3/20 acyclovir was discontinued after HSV PCR was negative. High dose solumedrol for ADEM completed 5 day course 3/21.  VDRL was non reactive. There were no oligoclonal bands. Solumedrol 1g daily was started 3/24/21: MRI showed L>R patchy enhancement and diffusion abnormalities consistent with ADEM. Repeat MRI showed new restricted diffusion of the left superior cortex, bilateral medial temporal lobes and hippocampi, genu of the corpus collosum, and pericallosal white matter, with ddx including status epilepticus, autoimmune encephalitis and infectious encephalitis including herpes simplex.  Completed 5 day course of high dose steroids, 6 days of IVIG and on ongoing PLEX. Neurological improvement noted 3/25
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: HIV test negative, Haemostasis, Hepatitis B virus test, Hepatitis C test negative, Herpes simplex
Clinical narrative: 47 year old Gynecologist with PMH of severe MDD, GERD, asthma, referred to the ED by his PCP, after 5 days of gait instability, and about 4 weeks of altered mental status, confusion, short term memory deficits and malaise. ADEM suspected and extensive infectious, inflammatory and neoplastic workup was initiated. CT brain  - reported NAD MRI brain consistent with Acute Diffused Encephalomyelitis and suspected ADEM. MRI cervical spine with evidence of demyelination involving posterior cord. ICU course complicated by new onset of aphasia, partial left frontotemporal seizures, LGIB due to proximal rectal laceration and central diabetes insipidus.  Admitted 3/15/21.  On 3/17 he developed aphasia with right sided facial droop and stroke alert was called. Later on 3/17 he developed GI bleeding and was taken for emergent colonoscopy, from which no significant conclusions could be made due to lack of preparation and subsequent poor visualization. No foreign body was reported. After he continued to have ongoing bleeding, the patient had a sigmoidoscopy, during which the migrated clip could be removed and two new hemostatic clips were placed.  He subsequently developed large volume urine output and nephrology was consulted; the patient was diagnosed with likely diabetes insipidus.  On 3/20 acyclovir was discontinued after HSV PCR was negative. High dose solumedrol for ADEM completed 5 day course 3/21.  VDRL was non reactive. There were no oligoclonal bands. Solumedrol 1g daily was started 3/24/21: MRI showed L>R patchy enhancement and diffusion abnormalities consistent with ADEM. Repeat MRI showed new restricted diffusion of the left superior cortex, bilateral medial temporal lobes and hippocampi, genu of the corpus collosum, and pericallosal white matter, with ddx including status epilepticus, autoimmune encephalitis and infectious encephalitis including herpes simplex.  Completed 5 day course of high dose steroids, 6 days of IVIG and on ongoing PLEX. Neurological improvement noted 3/25
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes simplex test negative, Immunoglobulin therapy, Intensive care, Lower gastrointestinal haemorrhage, Lumbar puncture normal
Clinical narrative: 47 year old Gynecologist with PMH of severe MDD, GERD, asthma, referred to the ED by his PCP, after 5 days of gait instability, and about 4 weeks of altered mental status, confusion, short term memory deficits and malaise. ADEM suspected and extensive infectious, inflammatory and neoplastic workup was initiated. CT brain  - reported NAD MRI brain consistent with Acute Diffused Encephalomyelitis and suspected ADEM. MRI cervical spine with evidence of demyelination involving posterior cord. ICU course complicated by new onset of aphasia, partial left frontotemporal seizures, LGIB due to proximal rectal laceration and central diabetes insipidus.  Admitted 3/15/21.  On 3/17 he developed aphasia with right sided facial droop and stroke alert was called. Later on 3/17 he developed GI bleeding and was taken for emergent colonoscopy, from which no significant conclusions could be made due to lack of preparation and subsequent poor visualization. No foreign body was reported. After he continued to have ongoing bleeding, the patient had a sigmoidoscopy, during which the migrated clip could be removed and two new hemostatic clips were placed.  He subsequently developed large volume urine output and nephrology was consulted; the patient was diagnosed with likely diabetes insipidus.  On 3/20 acyclovir was discontinued after HSV PCR was negative. High dose solumedrol for ADEM completed 5 day course 3/21.  VDRL was non reactive. There were no oligoclonal bands. Solumedrol 1g daily was started 3/24/21: MRI showed L>R patchy enhancement and diffusion abnormalities consistent with ADEM. Repeat MRI showed new restricted diffusion of the left superior cortex, bilateral medial temporal lobes and hippocampi, genu of the corpus collosum, and pericallosal white matter, with ddx including status epilepticus, autoimmune encephalitis and infectious encephalitis including herpes simplex.  Completed 5 day course of high dose steroids, 6 days of IVIG and on ongoing PLEX. Neurological improvement noted 3/25
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal, Malaise, Measles antibody, Memory impairment
Clinical narrative: 47 year old Gynecologist with PMH of severe MDD, GERD, asthma, referred to the ED by his PCP, after 5 days of gait instability, and about 4 weeks of altered mental status, confusion, short term memory deficits and malaise. ADEM suspected and extensive infectious, inflammatory and neoplastic workup was initiated. CT brain  - reported NAD MRI brain consistent with Acute Diffused Encephalomyelitis and suspected ADEM. MRI cervical spine with evidence of demyelination involving posterior cord. ICU course complicated by new onset of aphasia, partial left frontotemporal seizures, LGIB due to proximal rectal laceration and central diabetes insipidus.  Admitted 3/15/21.  On 3/17 he developed aphasia with right sided facial droop and stroke alert was called. Later on 3/17 he developed GI bleeding and was taken for emergent colonoscopy, from which no significant conclusions could be made due to lack of preparation and subsequent poor visualization. No foreign body was reported. After he continued to have ongoing bleeding, the patient had a sigmoidoscopy, during which the migrated clip could be removed and two new hemostatic clips were placed.  He subsequently developed large volume urine output and nephrology was consulted; the patient was diagnosed with likely diabetes insipidus.  On 3/20 acyclovir was discontinued after HSV PCR was negative. High dose solumedrol for ADEM completed 5 day course 3/21.  VDRL was non reactive. There were no oligoclonal bands. Solumedrol 1g daily was started 3/24/21: MRI showed L>R patchy enhancement and diffusion abnormalities consistent with ADEM. Repeat MRI showed new restricted diffusion of the left superior cortex, bilateral medial temporal lobes and hippocampi, genu of the corpus collosum, and pericallosal white matter, with ddx including status epilepticus, autoimmune encephalitis and infectious encephalitis including herpes simplex.  Completed 5 day course of high dose steroids, 6 days of IVIG and on ongoing PLEX. Neurological improvement noted 3/25
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Neuromyelitis optica spectrum disorder, Partial seizures, Plasmapheresis, Pyrexia
Clinical narrative: 47 year old Gynecologist with PMH of severe MDD, GERD, asthma, referred to the ED by his PCP, after 5 days of gait instability, and about 4 weeks of altered mental status, confusion, short term memory deficits and malaise. ADEM suspected and extensive infectious, inflammatory and neoplastic workup was initiated. CT brain  - reported NAD MRI brain consistent with Acute Diffused Encephalomyelitis and suspected ADEM. MRI cervical spine with evidence of demyelination involving posterior cord. ICU course complicated by new onset of aphasia, partial left frontotemporal seizures, LGIB due to proximal rectal laceration and central diabetes insipidus.  Admitted 3/15/21.  On 3/17 he developed aphasia with right sided facial droop and stroke alert was called. Later on 3/17 he developed GI bleeding and was taken for emergent colonoscopy, from which no significant conclusions could be made due to lack of preparation and subsequent poor visualization. No foreign body was reported. After he continued to have ongoing bleeding, the patient had a sigmoidoscopy, during which the migrated clip could be removed and two new hemostatic clips were placed.  He subsequently developed large volume urine output and nephrology was consulted; the patient was diagnosed with likely diabetes insipidus.  On 3/20 acyclovir was discontinued after HSV PCR was negative. High dose solumedrol for ADEM completed 5 day course 3/21.  VDRL was non reactive. There were no oligoclonal bands. Solumedrol 1g daily was started 3/24/21: MRI showed L>R patchy enhancement and diffusion abnormalities consistent with ADEM. Repeat MRI showed new restricted diffusion of the left superior cortex, bilateral medial temporal lobes and hippocampi, genu of the corpus collosum, and pericallosal white matter, with ddx including status epilepticus, autoimmune encephalitis and infectious encephalitis including herpes simplex.  Completed 5 day course of high dose steroids, 6 days of IVIG and on ongoing PLEX. Neurological improvement noted 3/25
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rectal injury, Red blood cell sedimentation rate normal, Sigmoidoscopy, Staphylococcus test negative, Status epilepticus
Clinical narrative: 47 year old Gynecologist with PMH of severe MDD, GERD, asthma, referred to the ED by his PCP, after 5 days of gait instability, and about 4 weeks of altered mental status, confusion, short term memory deficits and malaise. ADEM suspected and extensive infectious, inflammatory and neoplastic workup was initiated. CT brain  - reported NAD MRI brain consistent with Acute Diffused Encephalomyelitis and suspected ADEM. MRI cervical spine with evidence of demyelination involving posterior cord. ICU course complicated by new onset of aphasia, partial left frontotemporal seizures, LGIB due to proximal rectal laceration and central diabetes insipidus.  Admitted 3/15/21.  On 3/17 he developed aphasia with right sided facial droop and stroke alert was called. Later on 3/17 he developed GI bleeding and was taken for emergent colonoscopy, from which no significant conclusions could be made due to lack of preparation and subsequent poor visualization. No foreign body was reported. After he continued to have ongoing bleeding, the patient had a sigmoidoscopy, during which the migrated clip could be removed and two new hemostatic clips were placed.  He subsequently developed large volume urine output and nephrology was consulted; the patient was diagnosed with likely diabetes insipidus.  On 3/20 acyclovir was discontinued after HSV PCR was negative. High dose solumedrol for ADEM completed 5 day course 3/21.  VDRL was non reactive. There were no oligoclonal bands. Solumedrol 1g daily was started 3/24/21: MRI showed L>R patchy enhancement and diffusion abnormalities consistent with ADEM. Repeat MRI showed new restricted diffusion of the left superior cortex, bilateral medial temporal lobes and hippocampi, genu of the corpus collosum, and pericallosal white matter, with ddx including status epilepticus, autoimmune encephalitis and infectious encephalitis including herpes simplex.  Completed 5 day course of high dose steroids, 6 days of IVIG and on ongoing PLEX. Neurological improvement noted 3/25
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Treponema test negative, Urine output increased, Varicella virus test, West Nile virus test positive, White blood cell count increased
Clinical narrative: 47 year old Gynecologist with PMH of severe MDD, GERD, asthma, referred to the ED by his PCP, after 5 days of gait instability, and about 4 weeks of altered mental status, confusion, short term memory deficits and malaise. ADEM suspected and extensive infectious, inflammatory and neoplastic workup was initiated. CT brain  - reported NAD MRI brain consistent with Acute Diffused Encephalomyelitis and suspected ADEM. MRI cervical spine with evidence of demyelination involving posterior cord. ICU course complicated by new onset of aphasia, partial left frontotemporal seizures, LGIB due to proximal rectal laceration and central diabetes insipidus.  Admitted 3/15/21.  On 3/17 he developed aphasia with right sided facial droop and stroke alert was called. Later on 3/17 he developed GI bleeding and was taken for emergent colonoscopy, from which no significant conclusions could be made due to lack of preparation and subsequent poor visualization. No foreign body was reported. After he continued to have ongoing bleeding, the patient had a sigmoidoscopy, during which the migrated clip could be removed and two new hemostatic clips were placed.  He subsequently developed large volume urine output and nephrology was consulted; the patient was diagnosed with likely diabetes insipidus.  On 3/20 acyclovir was discontinued after HSV PCR was negative. High dose solumedrol for ADEM completed 5 day course 3/21.  VDRL was non reactive. There were no oligoclonal bands. Solumedrol 1g daily was started 3/24/21: MRI showed L>R patchy enhancement and diffusion abnormalities consistent with ADEM. Repeat MRI showed new restricted diffusion of the left superior cortex, bilateral medial temporal lobes and hippocampi, genu of the corpus collosum, and pericallosal white matter, with ddx including status epilepticus, autoimmune encephalitis and infectious encephalitis including herpes simplex.  Completed 5 day course of high dose steroids, 6 days of IVIG and on ongoing PLEX. Neurological improvement noted 3/25
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Melaena
Clinical narrative: 03/24/2021: Patient presented and was admitted through emergency room for CC of melena. stated that she had a BM and had bright red blood at the end. The patient does have a history of peptic ulcer disease and GI bleed.  She was admitted last year with GI bleed and was found to have multiple ulcers in the duodenum. Pertinent labs on admission - Initial H&H was 8.9 and 29.6.  Repeat H&H 3 hours later?was 7.8 and 24.8.   Per the EUA, hospitalizations are to be reported irrespective to attribution to vaccine
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine administered to person <18 y/o.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Underage to receive Moderna vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, Malaise
Clinical narrative: After feeling sick for 24 hours, I started urinating bright red blood. It went away about 48 hours after it started.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 11:30 am called for dizziness. PR: 92. Pt stated she feels better but still dizzy. Walked to the observation area. Layed on stretcher. @ 11:46 am PR  84 , RR 18, BP 125/80, O2% 98, x1 apple juice.@ 11:55 PR 82,  RR 20 , BP 131/89,  O2% 98. @ 12:04 pm PR 88 , RR , 20, BP 127/84, O2% 98. @ 12:08 pm Pt expressed feeling well and had been walked out to Parking lot.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt C/o feeling light headed.  V/S BP,112/74, Temp 98.0, RR14, HR95, Psox 99% RA . Pt was A&O x 4 and verbal. She was advised to stay for further observation lying. down on a cot. She was offered  125 mls of apple juice and she finished it. At 1:p m  Pt. said she felt okay  and well enough to leave. She left the site unassisted to her residence.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Loss of personal independence in daily activities, Neuralgia
Clinical narrative: I began to experience very painful nerve pain in my body, most noticeable in my feet area making it painful to walk.  I had been exercising and after the Pfizer covid vaccine shot, it hurt too much to exercise.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Injection site erythema, Injection site warmth, Lip swelling, Nasal congestion
Clinical narrative: pt noticeably antsy, asked if she was ok. she stated that she was trying to power through but couldn't. Nurse asked her to see the injection site. When she took off her sweatshirt, stating she felt on fire, the site and her arms were extremely red. She was asked to remove her mask and we discovered her lips and area around her nose was starting to swell. At that time she stated that her tongue felt "weird".  Assessing the situation, the nurse administered an Epi-pen while I dialed 911 and gave information. Epi-pen very helpful, to the point she "wished we hadn't called the ambulance" . Once the EMTs arrived, they assessed her and after some time, had her sign a release form since she declined attention. Pt was informed that she would not be allowed to finish her shift and was asked if someone could come get her. The daughter was on her way. The nurse and I sat with her, watching to make sure she didn't have a rebound reaction which she did not in the hour + we were with her. Daughter arrived, took instruction from the nurse and took her home.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Heart rate increased, Hypoaesthesia oral, Lip swelling, Paraesthesia oral
Clinical narrative: tongue numbness/tingling, rapid heart rate, electrical or nerve zap down both arms beginning from shoulders down to fingertips that happened simultaneously (one occurence), slight swelling and tingling sensation of lips.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: sweating and fever 12 hours after vaccine lasting through the night on vaccination day, plus chills all day the following day until bedtime.  Body aches started the following day in the morning and lasted throughout the day. I did test positive for covid on January 9th, 2021 and did recover from covid before getting my first dose of vaccine.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine
Clinical narrative: Headaches everyday ranging from mild to disabling migraine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Sleep disorder
Clinical narrative: Around 13 hours later 7AM didn't sleep well.  Woke up with dull headache and back of neck muscle aches.  This lasted all day and evening.  Today 3/26/21 I woke up feeling much better, dull headache pretty much gone.  That was all that I had for side affects.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling
Clinical narrative: Swelling in left knee
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Electrocardiogram normal, Fibrin D dimer normal, Full blood count normal, Metabolic function test
Clinical narrative: Approximately two days after my vaccine, I started having heart palpitations about 3-4 times a day.  I have never had heart palpitations previously.  I continue to have the palpitations.  I previously had a positive Covid-19 test on November 26, 2020.  I had very minor symptoms.  I went to the emergency room on 03/25/2021 to be assessed.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Troponin normal
Clinical narrative: Approximately two days after my vaccine, I started having heart palpitations about 3-4 times a day.  I have never had heart palpitations previously.  I continue to have the palpitations.  I previously had a positive Covid-19 test on November 26, 2020.  I had very minor symptoms.  I went to the emergency room on 03/25/2021 to be assessed.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: patient received first injection on 3/16/21. Contacted pharmacy on 3/25/21 to report injection site swelling, redness, and hot to touch. Patient said it showed up night of injection but she did not contact us right away. Told patient to apply cool compress to the area and also to take antihistamine. Patient called back and said it was doing better. Advised patient to contact doctor in case of cellulitis if antibiotic needed.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood creatine phosphokinase, Brain natriuretic peptide, Chest X-ray, Chest pain
Clinical narrative: I experienced left sided chest pain 2 days after the vaccination lasting 2 days. Then 4 days after the vaccine, some back/Lung pain causing difficulty and painful breathing lasting for at least 3 days. I went to the Emergency department 6 days after the vaccination. I am reporting this information on the 8th day of vaccination.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Fibrin D dimer, Full blood count, Influenza A virus test
Clinical narrative: I experienced left sided chest pain 2 days after the vaccination lasting 2 days. Then 4 days after the vaccine, some back/Lung pain causing difficulty and painful breathing lasting for at least 3 days. I went to the Emergency department 6 days after the vaccination. I am reporting this information on the 8th day of vaccination.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Metabolic function test, Painful respiration, Pulmonary pain, SARS-CoV-2 test negative
Clinical narrative: I experienced left sided chest pain 2 days after the vaccination lasting 2 days. Then 4 days after the vaccine, some back/Lung pain causing difficulty and painful breathing lasting for at least 3 days. I went to the Emergency department 6 days after the vaccination. I am reporting this information on the 8th day of vaccination.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Injection site pain, Myalgia
Clinical narrative: Vacc on Wed afternoon, woke up Thurs morning with generalized myalgia, headache, dizziness, chills, moderate tenderness (no erythema) at injection site.  24 hours later, I am much improved, but still slight headache and feel weak.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Urticaria
Clinical narrative: Hives and redness to both arms, given 25mg of Benadryl PO, after 30 minutes hives began to decrease.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Medication error
Clinical narrative: Pfizer vaccine was not diluted properly- not enough diluent was used patient was called and informed, patient is not currently experiencing any side effects
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Iritis, Visual impairment
Clinical narrative: Having no prior history, developed Iritis and have vision difficulties as a result.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Cheilitis, Lip swelling, Oral discomfort
Clinical narrative: Swollen lips, red rash at the edge of the lips, itchy, burning sensation for 12 days now. Using Chapsticks for 12 days now and Abreva for 2 days now.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Gingivitis
Clinical narrative: Viral infection in lower left gum in mouth
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Headache Numbness in jaw and lips
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Underage to receive Moderna vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Metallic taste in mouth